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Cynthia Golomb, MD | Dermatology Boutique

Dr. Golomb

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

Skinbetter provides award winning results

· Skin Care · Comments Off on Skinbetter provides award winning results

I love this skincare line!  That’s because Skinbetter provides results.

Skinbetter Science has received many accolades and awards for smoothing wrinkles and hydrating skin. I’m pleased to offer these proven winners to my patients!

– Allure Magazine is known for its rigorous testing of skincare and beauty products. AlphaRet Overnight Cream and ALTO Defense Serum both received the Allure Beauty Breakthrough Awards.

– InStyle and Shape Magazines named AlphaRet Overnight Cream “the best wrinkle treatment.”

– Hydration Boosting Cream won a Cosmopolitan Magazine Beauty Award.

– Women’s Health Magazine had dermatologists review vitamin C serums and ALTO Defense Serum was named one of the best nine serums on the market.

– Luxury lifestyle website and blog, The Coveteur, named EVEN Tone Correcting Serum one of the 36 best new beauty products that launched in April.

#skinbetterscience
#dermatologyboutique
#miamidermatologist #skindoctor #skincare #healthyskin

Treatment deflates keloid

· Keloid (raised scar) · Comments Off on Treatment deflates keloid

Keloids are raised scars and if you have one, you might call it a scar gone crazy. They can be painful and also itch. When they grow large on a prominent location on the body, patients’ self-esteem can suffer.

This patient had a large keloid on her chest. We started injections in December and the “after” photo you see is from a few days ago in early May. I chose injections over surgical removal because I felt surgery would risk recurrence, which could be larger and worse.

After her first appointment and injection I suggested she begin using Serica moisturizing scar cream.

As you see from the “after” photo she does have some loss of pigment from the Kenalog injections, but my expectations are that the pigment will normalize with time. As long as there is no trauma to the area, I expect no recurrence of the keloid.

I suggested that she use Obagi Exfoderm on the area to keep the skin cells turning over.

If you want to learn more about keloids and their treatment, the American Academy of Dermatology has a great resource online that covers the symptoms, causes, treatments and tips on prevention of keloids.

 

 

Learning is a life-long journey!

· Continuing Education · Comments Off on Learning is a life-long journey!

I just returned from Monte-Carlo, Monaco where I attended the Aesthetic & Anti-Aging Medicine World Congress (AMWC).

Here I am with Dr. Shino Bay Aguilera in the Grimaldi Forum convention center. Dr. Aguilera is from Ft. Lauderdale and was a speaker at the conference. We both go the extra mile for our patients by staying up on the latest techniques in cosmetic dermatology.

I can’t wait to show you some new tricks I learned at this meeting. Stay tuned for some live demos on social media!

Threads Minimize Acne Scars

· Acne Scars, Threads · Comments Off on Threads Minimize Acne Scars

Threads create lift and stimulate collagen!

Here I’m treating Mylene’s acne scars with threads.

The threads make a mesh cushion under the scars giving the skin support. Collagen will build, and over time it will look even better.

Threads are a fabulous tool for me to help patients with their concerns. And a treatment with threads is also very affordable!

Learn more about threads.

Save up to $140 on your next two Botox treatments

· Neurotoxin (Botox, Dysport, Jeuveau and Xeomin) · Comments Off on Save up to $140 on your next two Botox treatments

It adds up this way. $100 in savings on two Botox treatments and then $40 worth of Brilliant Distinctions points after you complete those two Botox treatments.

All you have to do is have your first treatment completed by March 31, 2018. And, if you aren’t currently a Brilliant Distinctions member, here’s the link to sign up.

–You’ll receive $50 off of your initial treatment and then $50 off of your follow-up treatment for the total of $100 in savings.
–You’ll receive $20 worth of Brilliant Distinctions points after each of your two treatments, to use toward a subsequent visit.

Here’s the fine print on this New Possibilities savings program from the maker of Botox, Allergan:

*Limitations apply. While supplies last. Rebate(s) valid for Brilliant Distinctions® members only and at participating providers. For the first offer, treatment must be administered between January 15, 2018 and March 31, 2018. For the second offer, treatment must be administered between April 15, 2018 and August 28, 2018. Members will not qualify for the second offer if it has been less than 90 days from their last BOTOX® Cosmetic treatment. This form may not be reproduced, duplicated, sold, or transferred in any way. Limit one (1) offer per person. Rebate(s) must be redeemed during in-office visits. Offer good only in the United States and Puerto Rico. Void where taxed or restricted. Rebate may not be used in conjunction with any other BOTOX® Cosmetic rebate from Allergan, but can be combined with Brilliant Distinctions® coupons. Allergan reserves the right to rescind, revoke, or amend this offer without notice.

 

Gauge earring earlobe repair

· Earlobe Repair · Comments Off on Gauge earring earlobe repair

Repairing the large holes created by gauge earrings will take about an hour.  It’s a simple in-office procedure.

I’ll inject lidocaine into in each earlobe so you won’t feel anything as I cut away the excess skin.  You’ll have minimal discomfort afterward.  The “after” photo of my patient was taken three weeks after the repair.

For best results, I recommend you remove your gauge earrings one to two months prior to the procedure, this allows the hole to shrink a little on its own.

Are you ready to return to more natural looking ear lobes?  Give me a call 855-465-6621.

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