·COVID-19·Comments Off on The tragedy of misinformation
Allure magazine wrote a good article about all the misinformation out there about dermal fillers and the COVID-19 vaccine.
I think it is a tragedy that many filler patients refused to get vaccinated because of the misleading reports in the news media. Some reporting caused panic, confusion and concerns that were out of proportion to the actual, rare events that resolved quickly.
Yes, there have been a few, rare reactions to the COVID vaccine in filler patients, but these types of reactions are not new, nor are they unique to the COVID vaccine.
Earlier I posted a video of the CO2 CoolPeel laser treatment to reduce the festoons under my eyes. Now with these photos, you see what I looked like pre and post-procedure.
Festoons appear below the “eye bags” as a mound or bump around the cheekbones. Or, a festoon could be sagging skin or folds of skin above the cheek.
I was red immediately after the laser treatment, but the CoolPeel has less downtime and less redness than older technology CO2 lasers. The CoolPeel’s new technology delivers energy more precisely, without a lot of thermal damage to the skin, so recovery is faster.
The laser can be set to mild, moderate or aggressive and the downtime increases with the intensity of the treatment.
The treatment I had was moderate and addresses fine lines, superficial wrinkles, dark circles and festoons. The cost for this treatment under the eyes is $850. The downtime is 3 to 5 days. You can begin wearing makeup in 2 to 3 days.
Laser resurfacing with a CO2 laser encourages the skin’s natural healing process and revitalizes the area by creating better support in the skin. It also tightens the skin by “shrinking” tissue.
My CoolPeel CO2 laser can be customized to your unique needs — it is powerful, fast and gives fabulous results. After your treatment, your skin will look smoother, tighter, fresher and more youthful.
·Lasers·Comments Off on CoolPeel CO2 Laser Treatment for Festoons
Do you have festoons? I do. They are below the “eye bags,” a swollen area appearing as a mound or bump around the cheekbones. Or, a festoon could be sagging skin or folds of skin above the cheek. Festoons can be genetic and often get worse with aging, sun exposure, or smoking unless you seek a remedy such as CO2 laser treatment.
The puffiness under the eyes gets worse with age because the structural support of the skin is deteriorating and the muscles under the eyes weaken. Lower eyelid surgery can sometimes improve the appearance, but it also can make the festoon look more prominent.
Laser resurfacing with a CO2 laser can encourage the skin’s natural healing process
Click photo to view CoolPeel video
The laser you see in the video is the next generation of CO2 that has less downtime and less redness. It has power and delivery that is unmatched in any other fractional carbon dioxide laser. The CoolPeel CO2 uses carbon dioxide technology to deliver energy precisely, without a lot of thermal damage to the skin, thus a faster recovery. It can be used for fine lines and to improve skin texture and pigment. It also tightens the skin by “shrinking” tissue.
The laser can be set to mild, moderate or aggressive and the downtime increases with the intensity of the treatment. The treatment in the video was moderate and will address fine lines, superficial wrinkles, dark circles and festoons. The cost for this treatment under the eyes is $850 and full face is $1000. The downtime is 3 to 5 days.
A mild treatment of the full face and neck to improve pigment, sun damage and texture is $850. The downtime for a mild treatment is about 2 days.
An aggressive CoolPeel carbon dioxide laser ablation to treat skin laxity, acne scars, deep lines and wrinkles is $2000. The downtime is 5 days.
My CoolPeel CO2 laser treatment for under eye bags can be customized to your unique needs — it is powerful fast and gives fabulous results. After your treatment, your skin will look smoother, tighter, fresher and more youthful.
Dr. Golomb is widely considered one of the best dermatologists in Hallandale Beach and regularly welcomes patients for CoolPeel CO2 laser treatment for festoons from Aventura, Sunny Isles Beach, North Miami Beach, Golden Beach, Pembroke Pines, and Hollywood, Fl.
·COVID-19·Comments Off on Dermal Fillers and the COVID-19 Vaccine
In case you have not heard, during the Moderna vaccine trial, three participants who had facial filler injections experienced facial swelling after receiving the COVID-19 vaccine.
One of the three previously had a similar reaction to an influenza vaccine. In all three cases, the swelling decreased with antihistamines or steroids.
As a result, the FDA has said “it is possible the localized swelling in these cases is due to an inflammatory reaction from interaction between the immune response after vaccination and the dermal filler.”
One of my professional organizations, the American Academy of Dermatology, has a registry of cases of dermatologic side effects of COVID-19 and the vaccines and is closely monitoring reports.
At this point this reaction appears to be rare, but I will keep you up-to-date if we learn more.
I will be vaccinated for COVID this week and I am not concerned, even though I have recently had filler. I strongly believe the vaccine is very important.
If you have any concerns about being vaccinated because you have had filler, take an antihistamine the day before and the day of your COVID vaccine. I recommend Zyrtec.
·COVID-19·Comments Off on The face mask you wear matters
Scientific simulations have demonstrated that if 80% of the population wore face masks, the pandemic spread would slow to a point even better than a lockdown.
Masks with one-way exhalation valves can expel droplets of the coronavirus. They’ve been banned by hospitals, airlines and major U.S. cities. If you wear a mask with a valve to my office, we’ll ask you to change into a mask that we provide.
While a one-layer cloth face mask reduces droplets, two layers are better.
The more form fitting your face mask, the better. Your face mask should cover your mouth and nose with no gaps at the sides.
The jury is out on neck gaiters. One reason is that they are one layer, another is the polyester fabric most are made of. One study found they reduced large droplets into smaller ones and expelled those droplets.
Bandanas have also been found to be not particularly effective as a face mask.
A recent study in Japan found that a plastic face shield without a mask does not stop the spread of the coronavirus. A face shield or goggles will protect the mucous membranes of your eyes. A face shield should always be used in conjunction with a mask.
Masks are not recommended for children under 2 years of age due to the risk of suffocation.
·Skin Cancer·Comments Off on Mohs Provides Higher Cure Rate for Skin Cancer
Immediately after Mohs surgery.
I performed Mohs surgery and then did a skin graft on this patient. She had basal cell cancer on her ear.
Mohs surgery is a precise technique to remove skin cancers layer by layer resulting in a higher cure rate than standard excision or radiation therapy.
For example, basal cell carcinomas have a 97 to 99% cure rate.
Mohs also allows me to limit the size of removal and conserve normal skin to minimize scarring. After removal, I treat the wound in a manner to promote good healing and preserve cosmetic results.
The Mohs procedure can be as short as one hour as in the case of this patient, or it can take several hours depending on the number of layers and type of repair, like a skin graft. This patient’s skin graft took an additional hour.
This photo was taken 11 days after her Mohs surgery and skin graft.
I became very interested in Mohs during my residency and training at the University of Miami, and then later during my dermatopathology fellowship at Roger Williams Hospital at Boston University. A dermatopathologist diagnoses skin disorders under a microscope.
Removing a tumor and examining the tissue immediately after removal was a natural for me because of my sub-specialty as a dermatopathologist.
Designed by Frederic E. Mohs, M.D., the surgery excises not only the visible tumor but also any “roots” that may have extended beneath the surface of the skin.
This procedure is most commonly used for the treatment of basal and squamous cell carcinomas, the two most common types of skin cancer, although it can also be used to treat melanoma and other types of cancer.
Mohs surgery is often recommended for recurring cancer because its results are so thorough.
My patient 3 1/2 months after Mohs and her skin graft. Her face mask is pulling the top of her ear forward in this photo.
It is ideal for treating cancer in cosmetically and functionally prominent areas such as the nose, eyelids, lips, hairline, ears, hands and feet.
Compared to other skin cancer treatments, Mohs surgery has a very high success rate. As I mentioned, basal cell carcinomas have a 97 to 99% cure rate, while squamous cell carcinomas are cured 94% of the time.
·Skin Tag·Comments Off on Say Good-bye to Your Skin Tags
A skin tag is a flap of hanging skin. They develop on the neck, chest, back, armpits and under the breasts, often as a result of clothing rubbing against the skin. Most skin tags appear as you grow older, although some people are born with them. Scientifically they are known as acrochordons.
Are your skin tags bothering you? We can get rid of them for you with our summer special:
Removal of up to 15 skin tags for $175
There are several ladies in my office who can remove skin tags.
·COVID-19·Comments Off on Returning to Full-Service Appointments
I am happy to let you know that I have returned to full-service appointments. That includes cosmetic procedures and full-body skin checks. But things will be a bit different. See below. I look forward to seeing you soon!