A Message From Dr. Young

Dear Valued Patients, Friends and Colleagues,

Our beautiful summer has finally arrived!

We are so grateful for the renewed relationships with you. Thank you for being in our lives and entrusting us with your care.

This summer, we have been blessed with the FDA approval of a new class of medications, called Janus Kinase (JAK) inhibitors, for the treatment of atopic dermatitis, vitiligo, alopecia areata and psoriasis! JAK inhibitors are small-molecule oral medications which modulate and normalize the overactive immune system in patients with autoimmune conditions and have been shown to make a significant difference in patients with recalcitrant disease. We hope to be able to meet unmet needs and achieve better outcomes in the appropriate patients with this new class of medications!

We hope that your summer is filled with happiness, friends, pets, sun, sand and sea, reading, writing, gardening and most importantly, lots of fun!

Sincerely,
Alison Young, MD PhD

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Product of the Month

Procedure of the Month

Hyaluronic Acid Dermal Fillers

Injectable hyaluronic acid (HA) is a type of temporary dermal filler. Hyaluronic acid (HA) is found naturally throughout the body, with the highest concentrations in the joints, eyes and skin. In the skin, HA attracts water, which hydrates the skin. As we age, the fat, muscle, bone and skin in our face begins to become thin. This loss of volume leads to a sunken or sagging appearance of the face, fine lines, wrinkles, facial folds and thin lips. Injectable HA is used to reduce the appearance of fine lines and wrinkles and facial folds, to create structure, framework and volume to the face and lips, and to elevate and reposition the cheeks. The effects of injectable HA are seen immediately. Injected HA continues to stimulate our own collagen production over time.

The different types of HA dermal fillers have unique characteristics, which influence the location(s) of the face they are best injected, the level or depth they should be injected in the skin, and their longevity after injection. Your doctor will evaluate the areas of your face and/or lips needing improvement in lines, structures, and/or volume, and determine the right type of HA filler(s) for you to achieve the best outcomes.

Did You Know?

Many People Lack Knowledge Of Risks Of Sunburn, Tanning, Survey Finds

HealthDay (5/27, Munez) reported, “While most people probably know it’s not safe to get a sunburn, many may not realize that tanning also increases the risk of skin cancer and premature skin aging,” according to a “survey of more than 1,000 U.S. adults by the American Academy of Dermatology (AAD).” The survey results “found a sharp rise in both tanning and number of sunburns last year, compared to 2020.” Now, “as the summer season begins, the AAD is encouraging people to protect themselves.”

In a separate article, HealthDay (5/27) reported the results found that “45 percent of U.S. adults believe one or more...tanning myths,” and “39 percent of respondents are unaware of” several sunburn facts.

Both Sunburns and Tanning increase the risk of skin cancer and photoaging, resulting in brown (age) spots, mottled skin, discoloration, facial veins, skin thinning (crepey skin), laxity of skin (saggy skin) and wrinkles. – Dr Young
 

Sunscreen With Zinc, Photolyase, Antioxidants, Peptides May Safely Protect Skin, Repair Signs Of Photoaging, Researchers Say

Healio (5/31, Bennett) reported, “Sunscreen that contained zinc, photolyase, antioxidants and peptides effectively repaired some clinical signs of photoaging and was safe with daily use,” researchers concluded in “an open-label 12-week study that included 20 patients.” The findings were published online in the Journal of Drugs in Dermatology.
 
I recommend ISDIN Eryfotona Actinica SPF50 and Eryfotona Ageless Ultralight Emulsion SPF50 which help to reduce photodamage and recurrence of actinic keratoses (precancerous lesions) via an innovative blend of DNA Repairsomes®, peptides, antioxidants, in combination with 100% mineral sunscreen, in a lightweight formula that does not feel greasy when applied to the skin. – Dr Young

NEWS FLASH!

Dr. Young's Tip of the Month

Does cutting out dairy really help control acne?

While some evidence suggests that cutting back on certain dairy products may help clear up your acne, it may not be for the reasons you think. Few studies have examined the relationship between dairy and acne in general. So far the results of studies have been limited and mixed.
 
In one study of 225 teenagers published in 2016, the authors found that those who drank low-fat or skim milk were more likely to have acne than those who drank whole milk. In another study published in 2016 and performed on more than 1,000 adults, researchers concluded that whole milk (in addition to reduced-fat milk) was linked to the appearance of pimples.

When it comes to yogurt and cheese, there is no evidence that they can lead to more breakouts, according to the American Academy of Dermatology Association (AAD)

Some dermatologists suggest that the amount of milk (rather than the type of milk) you consume may be most important in acne flare-ups. Others have hypothesized that the artificial and natural hormones present in milk could influence breakouts. And limited research has suggested that the whey protein found in milk might be linked to pimples in some people, based on case studies of athletes whose acne improved after cutting out whey supplements.

It may be the sugar and the carbs, not the milk.

Food that is rich in sugars and simple carbohydrates tends to rank higher on the glycemic index (G.I.) and is quickly digested by your body, causing blood glucose levels to spike. Regularly eating high G.I. foods like pizza, cookies and sweetened yogurts can force your body to increase its production of insulin and lead to inflammation and acne. While many dairy products are low G.I. foods, consuming too much of them may also trigger the same pathway of inflammation in the body, exacerbating acne.

Studies have suggested that focusing on eating low glycemic foods, like many vegetables and fruits, beans and whole grains, not only helps stabilize insulin levels, but also leads to a reduction in acne.

What is actually proven to improve acne?

While more research is needed to determine whether going dairy-free can clear up your skin, there is no harm in taking a closer look at the impact your diet may be having. The AAD recommends keeping a food diary and noting when certain foods or drinks seem to trigger a breakout or worsen existing zits. Then, they recommend experimenting with cutting out those foods or drinks to see if that helps.

If you think dairy products are making your skin worse, start by eliminating those that have a high glycemic index, like ice cream, milk shakes and sugary yogurts. But make sure you’re still getting important nutrients, like protein and calcium from other parts of your diet. Keep in mind that if you do see any skin changes as a result of cutting out certain foods from your diet, it won’t happen overnight. You have to commit to at least three months and maybe closer to six to really see a positive benefit.

Nutrition is just one of the many factors that may play a role in acne. Your genetics, hormones, sleep quality and environment can also influence acne. Keeping your skin acne-free may require more than a diet change. There’s no one-size-fits-all solution for everyone. If you have acne, consult a board-certified dermatologist for evaluation and determination of the best treatment plan for you. People with moderate to severe acne may require prescription treatments for clearance.