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Cynthia Golomb, MD | Dermatology Boutique

Cynthia Golomb MD

The tragedy of misinformation

· In the News · 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.

Click to read the Jan. 20, 2021 article:  “Why You Should Still Get the COVID-19 Vaccine Even If You Have (or Plan to Get) Dermal Fillers.”

 

Festoon Update

· Lasers · Comments Off on Festoon Update

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.

CoolPeel CO2 Laser Reduces Festoons

· Lasers · Comments Off on CoolPeel CO2 Laser Reduces 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.

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 and revitalize the area by creating better support in the skin.

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 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.

Dermal Fillers and the COVID-19 Vaccine

· In the News · 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.

 

The face mask you wear matters

· In the News · 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.

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

 

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!

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.

 

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