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Cynthia Golomb, MD | Dermatology Boutique

Dr. Golomb

Silhouette InstaLift

· Threads · Comments Off on Silhouette InstaLift


Our latest cosmetic treatment at Dermatology Boutique is Silhouette InstaLift.  It uses micro-suspension technology to provide you with an immediate lift and gradually restore lost facial volume in the mid-face by triggering your own collagen production.  And it lasts up to 2 years!

In this video, you see a snippet of the procedure which takes about 45 minutes.  First, Mylene was given a local anesthetic—that’s why she doesn’t feel a thing.  Also, you’ll see dark spots on her face where I marked insertion and exit points for the polymer sutures.

Silhouette InstaLift is FDA-cleared and made from a well-known polymer that is frequently used in medical devices and is well tolerated by the body.

Treatment pricing varies depending on the patient’s needs and the number of sutures required. The average range is $850 to $2,500.

Are you a candidate for an InstaLift?  If you want to refresh your appearance without major surgery, injections, or lasers, this might be the new and unique technology for you to lift sagging facial skin or jowls. Suitable candidates have good skin quality, with moderate sagging of the skin in the mid-face. The skin should not be too thick/heavy or too thin.

Give me a call today to book a consultation 855-465-6621.

Treating keloids on top of ear

· Keloid (raised scar) · Comments Off on Treating keloids on top of ear

This young lady had keloids on the top of both ears, caused by piercing the upper cartilage of her ears, often called helix piercing.  Unfortunately, her body’s reaction to this piercing was to create excessive scar tissue.

As I often do, I worked on one ear first to see how her body would respond.  I surgically removed the larger of the two keloids, on her right ear (shown far left), and also gave her a Kenalog shot when she came in two weeks later to have her sutures removed.

In the “after” photo (on the right), the right ear is a little more than one month post op and she’s had one injection.

She’s so pleased with the result, she came in today to have the other keloid removed from her left ear.

Keloids result from the overproduction of collagen at the site of an injury.  Keloids cause disfigurement, but also can be painful and itchy.  Keloids have a genetic component.   The good news is that keloids do not turn into cancer.

More than one type of treatment may be necessary to get rid of a keloid.

I recommend taking steps to prevent keloids!

  • If you are considering a body piercing or a tattoo, try a test spot first, wear a pressure earring if you feel a thickening after ear piercing.
  • Tell the practitioner if you have had keloids in the past.
  • Keloids take time to appear, so wear sunscreen to prevent the skin from darkening after a wound.
  • As soon as the wound heals, use silicone sheets or gels which can prevent keloids from forming.

#keloid
#earkeloid
#dermatologyboutique
#miamidermatologist
#skindoctor
#skincare
#healthyskin

PRP for Facial Rejuvenation

· PRP · Comments Off on PRP for Facial Rejuvenation

PRP is an injectable made from your blood!

PRP speeds healing and has been used for years to help athletes recover from injuries and to repair tendons and joints.

A small amount of your blood is drawn and then with a centrifuge, the platelet rich plasma is extracted.

For the face, PRP can be used in addition to fillers to stimulate collagen production to improve the tone and texture of the skin.

 

Benefits of PRP

• Reduction of wrinkles and scars by thickening the dermis
• Healthier appearance – better tone and texture
• When used in conjunction with fillers, PRP prolongs and amplifies the filler effect, so that less filler can be used at each treatment

For optimal results and to decrease the chance of bruising, please avoid all blood thinning medications and herbal supplements for one week prior to your appointment.

Combination Therapy for Optimal Results — PRP Therapy stimulates your skin to grow new, younger tissue however; it does not prevent muscle movement or resurface the skin. Most patients see best results when combining their PRP facial treatments with other anti-aging procedures such as Botox, Hyaluronic Acid Fillers, etc.

Facial PRP Follow up Appointment — Most patients see improvement within two to four weeks with continued improvement for up to 12 weeks. If the desired level of correction has not been reached within 4-12 weeks then we recommend repeating the procedure at 4-12 week intervals until you achieve the result you desire.

PRP Facial Maintenance Treatments — The results of this treatment can last up to two years, but results vary and research documenting the longevity of results is ongoing. Maintenance treatments are recommended every six to 12 months.

#PRP
#PRPFacialRejuvenation
#dermatologyboutique
#miamidermatologist
#skindoctor
#skincare
#healthyskin

Are you ready to JuvedermIt?

· Injectables · Comments Off on Are you ready to JuvedermIt?

My beautiful patient is in her early 20s.

I gave her the fuller lips she desired with Juvederm Ultra.

The after photo was taken immediately after injections.

Are you ready to #JuvedermIt ? 855-465-6621

 

 

 

 

And here’s her beautiful smile after treatment!

#ExpertInjector

#dermatologyboutique

#miamidermatologist

#skindoctor

#skincare

 

Chemical Peel results comparable to Fraxel Laser

· Chemical Peel · Comments Off on Chemical Peel results comparable to Fraxel Laser

One day after a strong chemical peel.  Yes, I know it’s a bit scary because that’s me!  But how can I recommend it to my patients if I haven’t tried it and experienced the after effects.

All of these photos are from one day after the SkinCeuticals Advanced Corrective Peel.  On the photos where you don’t see red, ISDIN Skin Drops are camouflaging the work of the peel with full coverage.  My face was reddish brown for at least three days.  The peeling started on day three and continued through day seven, with light flaking lasting one month.

I had resolution of my sun spots.  My skin has a smoother, more youthful appearance and a radiant glow that has lasted more than six months.  The results were amazing and in my judgment are as good as a Fraxel laser treatment at less than one third the cost.

SkinCeuticals Advanced Corrective Peel contains three key ingredients:

  • resorcinol which reduces the appearance of discoloration and improves skin tone and radiance
  • salicylic acid which is a beta hydroxy acid that improves signs of discoloration and photodamage
  • lactic acid exfoliates the surface of the skin for improved radiance

 

#SkinDropsChallenge

#SkinCeuticals

#dermatologyboutique

#miamidermatologist

#skindoctor

#skincare

#healthyskin

 

 

I’m up on the latest techniques

· Continuing Education, Cosmetic Procedures · Comments Off on I’m up on the latest techniques

I just attended the Swift Beauty masterclass on Facial Injection Anatomy in New York City.

 

@drarthurswift pioneered a revolutionary approach to non-surgical facial enhancement.  He says, “Seeking beauty is not just about restoring youthfulness – it resides in pleasing facial proportions.”

I was excited to learn about Dr. Swift’s facial injection procedure that follows Leonardo Da Vinci’s mathematical principle of beauty and harmony through “divine” proportion. I was pleased that his masterclass also emphasized patient safety as well.

Looking forwarding to sharing all I learned with my patients!

 

#SwiftBeauty

#DermatologyBoutique

#expertinjector

#miamidermatologist

#skindoctor

#skincare

 

Earlobe Repair

· Earlobe Repair · Comments Off on Earlobe Repair

My patient tore her earlobe with an earring.

In the “after” photo you see my sutures that will stay in for 2 weeks.

I re-pierced the ear close to the suture line the same day, so she’ll be ready to wear earrings again. My technique for this works very well.

Does your earlobe need a repair? Give me a call 855-465-6621.

Treating keloids on ear lobes

· Keloid (raised scar) · Comments Off on Treating keloids on ear lobes

I treated the keloids on both ears with surgical excision and injections of steroids and other medications every three to four weeks. On the left ear, a pressure earring was applied.  The pressure earring can be helpful by decreasing blood flow to help the keloid from recurring.  I did one ear and waited before doing the other to see how the patient’s body reacted, to ensure a better result.

In the photo, the right earlobe is one month post op and one injection.

The left earlobe is six months out and after six injections.  The pressure earring was used for one month.

Keloids result from the overproduction of collagen at the site of an injury.  In this case, it was after the patient pierced his ears.  Keloids cause disfigurement, but also can be painful and itchy.  Keloids have a genetic component.   The good news is that keloids do not turn into cancer.

More than one type of treatment may be necessary to get rid of a keloid.

I recommend taking steps to prevent keloids!

  1. If you are considering a body piercing or a tattoo, try a test spot first, wear a pressure earring if you feel a thickening after ear piercing.

 

  1. Tell the practitioner if you have had keloids in the past.

 

  1. Keloids take time to appear, so wear sunscreen to prevent the skin from darkening after a wound.

 

  1. As soon as the wound heals, use silicone sheets or gels which can prevent keloids from forming.

 

Patient review of antioxidant ampoules

· Skin Care · Comments Off on Patient review of antioxidant ampoules

One of my patients was telling me about the good results she got from one of the ISDIN products we carry:  ISDIN Flavo-C Ultraglican.  Since she also had suggestions about how to use that product, that she learned by trial and error, I asked her to write a review and share her tips for using the Vitamin C ampoules.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

When Dr. Golomb recommended I try the ISDIN Flavo-C Ultraglican ampoules I jumped at the chance.  I’ve been reading about the benefits of Vitamin C serums for years but never made it part of my skincare routine.

I have very fair skin and I’ve read that layering an antioxidant like Vitamin C under your sunscreen provides extra protection from sun damage that causes wrinkles or crepey skin.  Another Vitamin C benefit I was interested in was to stop more dark, pigmented spots from appearing on my face.

My research also indicated the problem with Vitamin C is that it is unstable when exposed to light and air.  The delivery method of this product ensures that isn’t an issue.  You get a box of 30 dark glass ampoules.  You use ½ of an ampoule once a day, emptying the ampoule completely within 24 hours.

When you open an ampoule and apply it to your face the first thing you’ll notice is a light, floral fragrance that dissipates quickly.  I love the smell.  It’s like a little pick me up in the morning.  The product is not greasy and easily absorbs into the skin as you massage it into your face, neck and chest.  The first thing I started to notice after using the product is that my skin looks and feels smoother.  My brown spots are less noticeable too.  I’ve been using the product for four months.

So now that I’m a Vitamin C serum convert, I will admit that this particular product is a little more work to use than others.  Here are my tips for not wasting a drop.

  • There are directions in four languages on the inside of the lid of the box. I ended up highlighting my language so I could find them the next time I needed to refer to them.
  • The instructions say to shake the ampoule before you break off the neck (and tap the tip after shaking to move the product down into the ampoule). I always forget to shake it before opening!  When you shake the ampoule the serum becomes cloudy showing the ingredients are mixed.  If you forget to shake the ampoule before removing the tip, you can gently put your finger over the opening and shake.  Be careful, it is cut glass, but it is scored to break so it is not jagged.  You can also gently shake the serum when the applicator tube is on the ampoule.
  • Find a tall plastic cap (around one inch in diameter) to store the ampoule that’s currently in use in an upright position. I use the cap from hair mousse.  This keeps the ampoule from tipping over and the applicator tube from falling off and all your precious serum from ending up on the bathroom counter!
  • After you’ve used the applicator tube a few times on new ampoules, the product will collect inside it and make it slippery. Clean the base of the applicator tube with a cotton swab before inserting it onto a new ampoule to get a secure fit.  Putting a few drops of alcohol into the applicator once in a while will clean it nicely.
  • When placing the applicator on a new ampoule, remove the cap from the applicator first so the air pressure doesn’t pop the applicator off of the ampoule.

This product, like many other Vitamin C serums, includes a form of Vitamin E (Tocopherol) that increases the potency.  Vitamin E is also an antioxidant that helps to prevent sun damage from UV rays.  It softens the skin and smooths the appearance of wrinkles.  Additionally, it is a preservative for the other oils in the serum.

I’ve learned that both Vitamins C and E reduce skin inflammation, which I appreciate because I have rosacea.

New study highlights sunscreen issues

· Sunscreen · Comments Off on New study highlights sunscreen issues

A new sunscreen study by the Clean Label Project is very illuminating. Take a look.

One finding confirms what we know about the role of antioxidants in protecting your skin from the harmful rays of the sun. I recommend layering Skin Better’s Alto Defense Serum under your sunscreen for this antioxidant protection. Alto is amazing and reduces the appearance of skin redness. Studies show less redness compared with sunscreen alone.

The two sunscreens I recommend are ISDIN or our own Dermatology Boutique brand.  Read more about these products.

 

#cleanlabelproject

#bestsunscreen

#dermatologyboutique

#miamidermatologist

#skindoctor

#skincare

#healthyskin

#skincancerprevention

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