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Cynthia Golomb, MD | Dermatology Boutique

Stem cell derived exosomes are an alternative to PRP

Stem cell derived exosomes are an alternative to PRP

· Exosomes, Hair Loss Treatment · Comments Off on Stem cell derived exosomes are an alternative to PRP

Exosomes rejuvenate and regenerate the skin, just like PRP. Unlike PRP, no blood draw is required.

Exosomes are derived from stem cells and have beneficial healing properties that are especially useful after a heavy laser treatment or microneedling with radio frequency.   Also, Mylene or Bianca can apply exosomes with microneedling.  The exosomes accelerate healing time. But even if you haven’t had a treatment, exosomes calm the skin and reduce redness.

With additional applications of exosomes your skin becomes more radiant and hydrated, your skin tone and texture are more even and skin becomes firmer–fine lines, wrinkles and age spots are significantly reduced.

Exosomes can also be used for hair loss by promoting a healthy hair growth cycle.  Exosomes nourish and hydrate the scalp while noticeably reducing hair shedding.

BENEV Exosome Regenerative Complex +  is a post-care “topical use” cosmetic solution.  It is not a drug, nor is it intended to prevent, treat or cure diseases or medical conditions.  It is not intended to be injected or delivered intravenously.

Simplifying Skincare for Men

· Skin Care · Comments Off on Simplifying Skincare for Men
Some great skincare advice for men from DefenAge…
A man’s skin care routine doesn’t need to be complicated or confusing. Many guys steer clear of a skin care routine for these reasons. But, if you care about the common concerns that most men do—wrinkles, dullness, sun damage, or acne—building an effective regimen is an important step in meeting your skin care goals. A men’s skincare kit can address your various needs. Here’s one simple routine that, if done consistently, can pay off in the way your skin looks and feels over time.

 

DefenAge men’s skincare kit – available at Dermatology Boutique

 

Face Cleanser

Ditch the soap if that’s been in your repertoire over the years. Soap is extremely drying and strips your skin of its natural oils and protective barrier. A high-quality face cleanser will practically melt away dirt, sweat, excess oils, environmental stressors, and any other debris on the surface of your skin. A product with prebiotics will keep your skin’s natural barrier healthy and intact. Your skin should be left feeling hydrated and soft, not tight or squeaky clean. A great skin care routine always starts with an effective face cleanser.

 

Moisturizing Cream

Moisturizers help the skin stay hydrated, but your skin shouldn’t feel greasy when wearing one. The best moisturizers won’t have an off-putting smell either. Choosing a fragrance-free formula is important. A great product will absorb into your skin and you shouldn’t feel like you’re even wearing a moisturizer. With consistent use, your skin can look brighter and feel firmer. The overall tone and texture of your skin can also appear smoother and more even.

 

Serum

This is like a shot of goodness for your skin. The best serums are potent and designed to absorb effectively into your skin, imparting all the beneficial active ingredients, such as hyaluronic acid and niacinamide. A high-quality serum can help minimize the look of fine lines and wrinkles, revive the skin’s natural moisture barrier, improve the look of visible firmness, and minimize the appearance of skin discolorations. With an anti aging cream and powerful serum, you’re well on your way to great-looking skin.

 

Exfoliating Mask

If you have two minutes to spare, you can do a weekly exfoliating mask. It’s really that easy—and it makes a huge difference for the overall look of your skin. A great formula can help renew your skin and remove dead skin cells that linger on the surface. The best exfoliating face mask will gently polish and refine the look of your skin with ingredients such as ultrafine sugar crystals and papaya, pumpkin, and pomegranate enzymes, which are natural exfoliators.


Those are the basic products that will help transform your skin, so that it appears smoother, more youthful, and healthier. If you’ve been looking for an ideal way to visibly improve exhausted-looking or damaged skin, start here.

 

About DefenAge

DefenAge, a premier skin care line with exclusive use of defensin molecules, is known for its award-winning and age-repairing products. Products are formulated to visually improve the look of aging skin for both men and women, including men’s skin care kits. DefenAge’s dermatologist recommended skin care products include the Clinical Power Trio: 8-in-1 BioSerum, 24/7 Barrier Balance Cream, and 2-Minute Reveal Masque. Proprietary use of Age-Repair Defensins is technology that wakes up dormant cells to make brand-new, healthy cells. Improve the appearance of visible skin’s density, fine lines and wrinkles, texture, and tone with DefenAge’s line, including eye cream, cleanser, exfoliating mask, serum, moisturizer, and more. Products are made in the U.S.A. and are available at my office, Dermatology Boutique.

 

I’m now board certified in Mohs

· Board Certification · Comments Off on I’m now board certified in Mohs

I have great news to share.  I just passed the board certification exam for Micrographic Dermatologic Surgery.  You may know this as Mohs, a type of surgery for skin cancer that is often done on the face to retain as much non-cancerous skin tissue as possible to reduce scarring.

I am now triple board certified in Dermatology, Dermatopathology and Mohs.

This was the first year that board certification was offered for Mohs.  Eventually this certification will be required for a dermatologist to do Micrographic Dermatologic Surgery.

I perform this type of surgery on high-risk or complex skin cancers.  Cancerous tissue is progressively removed and examined until only cancer-free skin remains.  I then repair the area where the cancer was removed.

For example, I performed Mohs surgery on the patient above and then did a skin graft.  She had a basal cell cancer on her ear.  The second photo was taken 3 1/2 months after her surgeries.  Her face mask is pulling her ear forward in the “after” photo.

Mohs is ideal for treating cancer in cosmetically and functionally prominent areas such as the ears, nose, eyelids, lips, hairline, hands and feet.

The exam and board certification demonstrates that I have the knowledge, experience and skills to be a specialist in Mohs.

Does a doctor have to be board certified to practice medicine?  No.

But as a patient you want a physician who stays up-to-date with the latest developments, medicines and treatments in her specialty.  Board certification means your doctor has gone above and beyond the many years of education required for a medical license by passing the exams given by her specialty’s governing body.

Under eye rejuvenation

· Fillers, Injectables · Comments Off on Under eye rejuvenation

RHA filler has a unique formulation that blends well into wrinkles and folds with excellent tissue integration.  The treated areas remain supple so the outcome is natural looking.

Here I used RHA 2 under the eyes.  The “after” photo was taken immediately after injections, so you see a little redness.

The RHA line of fillers includes RHA2, RHA3 and RHA4.  Each version is designed for a different depth of injection depending on what is being treated:  fine lines, folds or volume replacement.

RHA fills in dynamic wrinkles, or wrinkles caused by repetitive facial movements that we make when expressing emotion. Dynamic wrinkles commonly appear around the eyes, cheeks, nose and mouth.

My patient granted Dermatology Boutique permission to post his photos on Dr. Golomb’s social media and patient communications.  I am grateful that he allowed me to share his photos to help others.

Can’t I just take a supplement?

· Supplements · Comments Off on Can’t I just take a supplement?

Supplements are a big business, but the manufacturers are not regulated by the FDA. Unless you’ve been guided by a physician to take a vitamin due a deficiency, think twice about supplements.

Diet is the best way to get nutrients. The health of your skin, and even the aging of your skin, is affected by what you eat. Eating a lot of sugary foods on a regular basis can make your skin look older. High-temperature cooking also causes excess glucose in skin fibers and affects your collagen’s ability to repair itself.

Improve your diet with more vegetables, fruits, fish and olive oil. Avoid processed foods and those that are grilled, fried and roasted. Your skin will thank you.

 

Renew and Refresh

· Fillers, Lasers, Toxin (Botox, Daxxify, Dysport, Jeuveau and Xeomin) · Comments Off on Renew and Refresh

My beautiful patient is in her 60s.  She wanted to erase a few years.  Some have said she looks 20 years younger after her treatments!

First, I did a heavy CoolPeel CO2 laser treatment.  CoolPeel tightens fine lines and wrinkles, reduces sun damage discoloration, minimizes pores and improves skin texture and tone with significantly less downtime than regular CO2 lasers.

One week later I injected five syringes of RHA in her cheeks, lips, marionette lines and nasolabial folds.

Then I used Jeuveau for full correction of forehead lines and her crow’s feet.

Are you like my patient who wanted to try fillers, but she didn’t want to look “done?” ?

RHA is designed to perform in the most dynamic areas of the face without looking stiff or unnatural.  It is more like the natural hyaluronic acid in your skin.

Also, The RHA Filler Collection can last longer than other fillers, up to 15 months.

Jeuveau is a neuromodulator that softens wrinkles and fine lines by relaxing muscle groups.  It is especially effective at softening frown lines.  You will usually see correction with Jeuveau within two to five days.

Are you ready to erase a few years, or more?  Give me a call 855-465-6621.

How to get maximum results from DefenAge skincare

· Skin Care · Comments Off on How to get maximum results from DefenAge skincare


Defensins are the difference in DefenAge Skincare.
Defensins are anti-aging molecules that naturally awaken dormant skin cells and spark a wound-healing response to create new skin.

Follow these simple tips for best results with DefenAge:

  1. One-pump rule.  Use the exact quantity of the defensin products as recommended:  one pump per area.  More is not better.  The formulas are well-balanced and refined on concentrations of defensins and other ingredients to deliver results.
  2. Serum is always last.  Yes, this is counterintuitive because in other skincare lines serum is usually first.  The 8-in-1 BioSerum should be applied as the last step of your skincare routine.  Due to the unique mechanism of the action of defenins, the BioSerum should always be the last step and applied on top of the 24/7 Barrier Balance Cream or the 3D Eye Radiance Cream.  Only sunscreen and makeup, if any, should be layered on top of the serum in the morning.  Nothing should be applied on top of the serum at night.
  3. AM and PM.  Apply DefenAge twice a day, morning and evening.  When defensin products are used twice a day, results will appear faster.
  4. Exfoliate your skin one to two times per week with the gentle, 2-Minute Reveal Masque.  (NOTE:  The 2-Minute Reveal Masque is NOT recommended for patients with acne, rosacea or extremely sensitive or abraded skin.)

 

Integrative Dermatology

· In the News · Comments Off on Integrative Dermatology

Integrative Medicine is now taking hold in the specialty of Dermatology.  If you haven’t heard of it, Integrative Medicine makes use of a wider variety of therapies, some ancient, some alternative, along with conventional medicine, to help patients heal.  The lifestyle and diet of patients are more closely examined and recommendations for changes are made to treat or prevent disease or symptoms.

For my field there are many interconnections between the gut and the skin.  For example, we know that weight lifters who use whey protein supplements can worsen their acne.  Dairy, or a high glycemic diet can also cause acne.

Recent studies have shown that the gut bacteria of patients with inflammatory skin diseases like acne or psoriasis is different—with less of the microbiota needed to control inflammation.  Introducing probiotics to the gut may have some effect on improving acne.  Probiotics may be considered a therapeutic option for acne, to provide a synergistic, anti-inflammatory effect when used in combination with oral antibiotics.

So what else can you do to improve your gut health?  Reduce stress!  Your whole body makes changes when it gets ready for “fight or flight.”  If you are under stress for a prolonged period, that’s when the unhealthy bacteria take over in the gut and cause inflammation, which in turn can be exhibited in your skin as acne, eczema or rosacea.

 

A Melanoma Grew Large During Quarantine

· Skin Cancer · Comments Off on A Melanoma Grew Large During Quarantine

Back in January, I posted to social media this photo of my patient who developed a big melanoma during quarantine.  After hunkering down for months, she finally went to get her hair done and her hairdresser alerted her to the growth.  She came to see me immediately in December and the biopsy I did showed melanoma. She is now being treated by an oncology surgeon.

The melanoma was removed, but since her surgery, additional cancerous sites on her scalp have been found and removed.  She has also started immunotherapy to treat the cancer.  Patients with advanced melanoma have a better prognosis today because of immunotherapy.

Melanoma is a very serious cancer.  Don’t delay your annual or bi-annual skin check! It’s better if we catch skin cancer before it grows this big. I take precautions in the office for COVID-19 to keep you safe during your exam.

When you’re checking yourself for new moles or growths, the one place on your body that is difficult to check is your scalp. Unfortunately, melanomas on the scalp are more deadly than on other locations of the body. This could be due to a number of factors including the anatomy or biology of the scalp and the fact that the melanoma can go undiscovered by the patient because it is hidden by hair.

A thorough skin exam by a board certified dermatologist is so important to locate hard-to-find skin cancers. In addition, on an ongoing basis, you can ask your hair care professional to let you know if he or she sees anything unusual on your scalp during your haircuts.

Melanoma is the most deadly skin cancer because of how quickly it spreads in your body.

Symptoms and the appearance of a cancerous lesion can vary widely and sometimes they are not obvious. It could be painful or sensitive to the touch, but not necessarily. It might bleed. And it could be just about any color or a combination of colors: brown, black, white, red and even blue. It could be raised or flat. Look carefully because these spots can be very small.

A recurring theme I’ve seen in my career is even when a primary care physician refers a patient to a dermatologist due to a scalp lesion or any other suspicious spot, the patient delays a few months in making the appointment, and by that time the skin cancer has spread to the lymph nodes or other parts of the body.

My patient granted Dermatology Boutique permission to post her photo on my social media and patient communications. I am grateful that she allowed me to share her photo to help educate my other patients and social media followers.

 

View Recording of RHA Collection Virtual Event

· Fillers · Comments Off on View Recording of RHA Collection Virtual Event

Did you miss my Virtual Event?
No worries. A recording is on my YouTube channel.

When you watch, you’ll learn more about the RHA Collection of fillers. I tell you about this Swiss-made filler and I also treat patients, like Victoria in this photo, with RHA in the video.
Do you love fillers, but want a filler that looks even more natural and lasts longer?
Or, have you always wanted to try fillers but didn’t want to look “done?”
The RHA Filler Collection lasts longer than other fillers, up to 15 months. It was created to be more like the natural hyaluronic acid in your skin.
RHA is also designed to perform in the most dynamic areas of the face without looking stiff or unnatural.

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