A BBL HERO light treatment goes after all the signs of aging skin and sun damage: dark spots, spider veins and redness, and irregular texture. BBL is the most powerful intense pulsed light device approved by the FDA.
After two treatments. Photo courtesy of James Wire, MD.
Nine months after three treatments. Photo courtesy of Jody Levine, MD.
BBL HERO works on most skin types. It’s comfortable, gentle and a very quick procedure because the BBL HERO handpiece covers more skin area.
Most patients see improvement after just one treatment.
Call 855-465-6621 to make your appointment to regenerate and restore with no downtime.
Three weeks after one treatment. Photo courtesy of Teresa Mann, MD.
One month after three treatments. Photo courtesy of Robyn Siperstein, MD.
Dr. Cynthia Golomb is a board certified dermatologist, Mohs surgeon and dermatopathologist. Dr. Golomb has practiced general and cosmetic dermatology for over 20 years.
Dr. Golomb regularly welcomes patients from Aventura, Sunny Isles Beach, North Miami Beach, Pembroke Pines, Hallandale Beach and Hollywood, Florida, for treatments to address the signs of aging skin. Request a consultation today by calling 855-465-6621 to schedule your appointment.
·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
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.
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.
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.
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.
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.
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.
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.
·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.