The Skin Cancer Foundation Journal

MAY 2015

The 2012 edition of The Skin Cancer Foundation Journal features medically reviewed, reader-friendly articles such as tanning, the increasing incidence of skin cancer diagnoses among young women, & the prevalence of melanoma among white males over 50.

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Page 21 of 115

longer the recovery, but the technique can dramatically tighten the skin. [See Figures 1-5.] 7. Deep needling. Treatment with longer, medical-grade needling devices can stimu- late collagen growth, reducing wrinkles. The device delivers tiny needle pricks to stimu- late the skin's natural healing. Light bleeding may occur, and often, the face is left pink and puffy. Make-up may be applied the next day. Serums containing hyaluronic acids and antioxidants can enhance results. 8. Photodynamic Therapy (PDT) for precan- cerous growths. PDT employs a topical pho- tosensitizing agent which when activated by a special light source, can destroy malignant and precancerous cells. Depending on the amount of sun damage, two to five treatments may be required. Strict sun avoidance is required to avoid a severe sunburn reaction, as patients remain extremely light-sensitive for about two days. 9. Radiofrequency for sagging skin. Radiofre- quency devices heat the collagen, shrinking and tightening the skin; the technique can firm up facial skin, elevate eyebrows, and smooth jowls for a more sculpted jawline. Since no damage is done to the overlying skin, there is virtually no downtime. Results are inconsistent and may not be obvious for months. 10. Ultrasound for sagging skin. Bypassing the skin surface, ultrasound energy can be delivered to deeper levels to heat the colla- gen noninvasively and lift the eyebrows, neck and area under the chin. This energy triggers production of new collagen. While there is no downtime, it can be painful and results are often subtle, with two to three months usually required to see results. Combining several of these methods with other techniques such as fillers and botuli- num toxin can help patients derive the great- est benefit. With my patients, I use my own combination treatment that I call AceLift ® , an acronym for Augmentation of Collagen and Elastin using multiple Lasers, Injectable neurotoxins such as botox, Fillers, and pro- fessional-strength Topical skin care products. In my opinion, it's never too late to undo a significant amount of sun damage. But re- member, years of sitting in the sun can't be erased overnight. Introduce new treatments slowly and conservatively, or you could cause irritation that does more harm than good. And don't undo the good effects by sustain- ing more UV damage; keep protecting your- self against the sun's harmful UV rays, and stay out of tanning beds forever. Figure 2: Before and after combined therapy A combination of botulinum toxin, fillers, and fractional CO 2 was used. Note reduction in age spots and wrinkles, and overall tightening and lifting of the skin. Figure 3: Before and after combined therapy A combination of botulinum toxin, a filler, and fractional CO 2 resurfacing was used to eliminate wrinkles and restore volume around the mouth. Figure 4: Before and after combined therapy A combination of botulinum toxin, hyaluronic acid filler, and fractional CO 2 resurfacing was used to eliminate wrinkles and droopy skin and bags around the eyes. Figure 5: Before and one year after combined therapy A combination of botulinum toxin, fillers and laser treatments was used to fade sunspots, reduce jowls, contour neck and jawline, and tighten skin. Figure 1: Before and after fractional CO 2 Resurfacing Note reduction in age spots and skin precancers, with overall smoothing of skin. References on pages 105-107. DEBORAH S. SARNOFF, MD, is a Clinical Pro- fessor of Dermatology in the Ronald O. Perelman Department of Dermatology, New York University School of Medicine. Co-founder and Co-director of Cosmetique, a private practice in Manhattan and Long Island, she is an expert in cosmetic dermatology, laser surgery and Mohs surgery for the treatment of skin cancer. Senior Vice President of The Skin Cancer Foundation, Dr. Sarnoff is also Co-Editor-In-Chief of The Journal of Drugs in Dermatology. Dr. Sarnoff has published widely in medical journals, and is the author of Beauty and the Beam: Your Complete Guide to Cosmetic Laser Surgery, and Instant Beauty: Getting Gorgeous on Your Lunch Break (St. Martin's Press). 20 Prevention is Always Best Learn about new cosmetic products with built-in SPFs on pg. 24

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