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A Message From Dr. Young

Dear Valued Patients and Friends,

Time seems to fly, and Fall is in the air! With your continued trust and confidence in us, Young Dermatology has been open for a year. This year has been full of many blessings, valuable lessons, and memorable experiences. We treasure every new encounter, and we are delighted and honored to be reunited with our long-time patients. We are here because of you. Thank you for giving us a reason to do better every day.

Coming soon this Fall are two new technologies which will further improve our services to you – a new breakthrough vascular laser which is designed to deliver impressive results after just one treatment, and an ablative fractionated CO2 laser which will improve our ability to treat hypertrophic and traumatic scars, challenging acne scars, and moderate to severe facial wrinkles by laser resurfacing. Our goal is to continuously innovate and customize a comprehensive and integrative approach to address your needs by updating our knowledge, upgrading our technologies, and partnering with experts in the industry. Please stay tuned!

I wish you a bountiful Fall with new and varied, heartwarming and inspiring experiences!

Sincerely,
Alison Young, MD PhD

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Procedure of the Month

XTRAC Excimer Laser
 
The excimer laser, of which XTRAC is one brand, works at a wavelength of 308 nanometers and uses the same principles as phototherapy but with faster results. XTRAC laser is one of the most effective and safest treatments for Psoriasis and Vitiligo. The laser uses a highly concentrated form of ultraviolet (UVB) light to attack the DNA of T cells. T cells are a type of white blood cell that play a role in immunity.
 
Psoriasis is a chronic inflammatory condition, caused by dysregulation in the immune system involving the T cells, resulting in changes to skin growth and the development of plaques. Although not a cure, the excimer laser can improve symptoms. The results of a 2016 review suggest that receiving excimer laser treatment twice per week for 12 weeks could improve symptoms in nail, scalp, and palmoplantar psoriasis.
 
Vitiligo is an autoimmune condition that occurs when cells that produce melanin die or stop functioning, causing loss of skin color in patches on any part of the body. The discolored areas usually get bigger with time. Vitiligo affects people of all skin types, but it may be more noticeable in people with darker skin. It can also affect hair and the inside of the mouth. In a recent study to evaluate excimer laser treatment of vitiligo, published in the Journal of Dermatologic Therapy (8/25), in which 40 patients (mean age, 19.4 years) received excimer light, and 40 patients received narrowband UVB (mean age, 23.4 years) during a five-year period, the investigators concluded that excimer laser led to more regimentation than narrowband UVB phototherapy in patients with vitiligo. Excimer laser treatment for vitiligo may restore color to the affected skin, but it doesn't prevent continued loss of skin color or a recurrence.
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Product of the Month

Vivier Medicated Wash® is an all-in-one cleanser and toner that reduces congestion, improves texture, refines the appearance of pores and reduces breakouts (both blackheads and whiteheads). It is designed for oily, acne-prone and sensitive skin with uneven skin tone. This cleanser uses 2% Salicylic Acid (a Betahydroxy acid/BHA) to help gently exfoliate the top layer of the skin as well as penetrate inside your pores to exfoliate from the inside out. SA offers hydrating and calming properties and gently soothes aggravated skin, as well as anti-inflammatory properties that help to decrease redness and reduce active acne breakouts. This cleanser also contains Hexamidine, an anti-microbial (anti-bacterial and anti-fungal) and anti-inflammatory agent, which helps control acne.
 
This is my favorite face wash because it helps to control acne (including blackheads and whiteheads) and reduce hyperpigmentation by gentle exfoliation. It cleanses and tones the skin at the same time, preparing the skin for absorption of therapeutic treatments. - Dr Alison Young

Dr. Young is excited to partner with Fullscript to give her patients access to high quality supplementations from the safety of their own homes.  Look out for the Cyber Monday sale coming soon.  

Fullscript is a smart, easy way to access supplements and meet wellness goals – from anywhere.  You can pick your favourite supplements from your preferred device, and supplements get shipped right to your front door. Plus, getting started is completely free! It’s that simple.
Click Here for Fullscript

Did You Know?

More Regular Wildfires, Smoke Could Impact Skin Health, Scientists Believe
 
The New York Times (8/26, Rubin) reports, “As climate change makes wildfires increasingly frequent and devastating – and as smoke from flames blows across the country – scientists are just beginning to untangle all the ways the changing environment threatens human health, including via the skin.” In one study, “visits to the dermatology clinic for itch were up significantly during the roughly two weeks” of the California Camp Fire in 2018, “and 89 percent of adult patients had no previous diagnosis.” American Academy of Dermatology Climate Change and Environmental Affairs Expert Resource Group chair Dr. Misha Rosenbach “said the impact of wildfires on skin is very likely much greater than what we know now” as “most people with rashes tend to go to emergency rooms or primary care doctors, not dermatology clinics, which were the study’s data set.”
 
Acute Facial Skin Changes Have Risen Due to Mask Wearing
 
In a prospective cohort study published in JAAD, 30 health care workers were assigned to wear fabric, disposable surgical, or N95 masks for six hours. High-resolution 3D imaging was performed on seven facial regions before and after mask-wearing to quantify changes in erythema (redness) index, acne index, and rhytide (wrinkle) area or depth. Erythema index increased across the overall face with all masks. The acne index and rhytide index increased across the overall face with fabric masks. Participants reported increases in erythema and oiliness (all masks), irritation (N95 and surgical masks), and pruritus/itch (N95 masks).
 
Spironolactone Is An Effective And Well Tolerated Treatment For Women With Female Pattern Hair Loss
 
In a study published in JAAD, the authors reviewed 12 studies in which participants used spironolactone for androgenetic alopecia. Spironolactone was the sole therapy for 23% of the participants while the rest used the drug in combination with topical minoxidil, oral minoxidil, low-level laser therapy, or iron supplementation. Doses of spironolactone ranged between 25 and 200 mg for a duration of six month to four years. With the monotherapy, about half of patients achieved improvement in follicular density and hair loss. Spironolactone was ineffective at doses less than 100 mg; rather, improvement was reported after at least 12 months of 100 to 200 mg daily.

Dr. Young's Tip of the Month

Can certain nutrients help maintain healthy skin?

Eating foods high in five key nutrients can help you have soft, glowing, healthy skin, according to expert opinion.

Omega-3s: While they're typically associated with brain and heart health and lower blood pressure, they also can reduce inflammation and keep your skin moisturized. Omega 3s are found in fatty fish like salmon, mackerel, tuna, herring and sardines and also in flaxseed, chia seeds and walnuts.

Vitamin C: The body needs vitamin C to produce collagen, a protein that helps heal wounds, and it's essential for skin cell production. Some of the best sources of vitamin C are citrus fruits such as oranges and grapefruit as well as tomatoes, berries, bell peppers and kiwi fruit.

Vitamin A: This antioxidant is essential in promoting skin cell growth and can help protect the skin from ultraviolet (UV) damage, especially during spring and summer when the sun's UV rays are most intense. You'll find good amounts of vitamin A in green, leafy vegetables (including broccoli), carrots, sweet potatoes and squash.

Vitamin E: This vitamin also acts as an antioxidant and can protect against UV damage. Vitamin E deficiency has also been linked with dry skin. Foods rich in vitamin E include almonds, hazelnuts and peanut butter. Vegetable oils, including safflower, sunflower and wheat germ oils, are other good sources.

Zinc: This mineral is an essential nutrient for wound healing and keeping the skin healthy. Baked beans, pork and beef are among good food sources of zinc, and oysters have more zinc per serving than any other food.

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