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Dear Valued Patients, Colleagues and Friends,
It’s hard to believe that it has been more than a year since Young Dermatology opened. This has been an eventful year full of blessings. We have learned that sometimes in life, it isn’t only what you can do at a given moment in time that defines or drives you, but rather, it is what you can’t do that makes you realize you can be limitless in your endeavors.
We are so grateful for the love and support of all our patients, colleagues and friends during these most challenging times. Thank you for believing in us.
Amidst the uncertainties and constant changes, we are so grateful to still be here, to continue to learn from you and to share the most recent advances in dermatologic therapeutics and technologies with you. We are honored to be entrusted with your care, and we look forward to providing you with the best care possible, for many years to come.
We wish you a most wonderful holiday season with good health, happiness and many heartwarming memories with your loved ones.
With a grateful heart,
Young Dermatology (Alison, Maddy, Judy, Sam, Adam and Rochelle)
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Heliocare® Advanced contains Nicotinamide and Polypodium leucotomos, oral antioxidants that enhance photoprotection
Non-melanoma skin cancer (most commonly, basal cell carcinoma and squamous cell carcinoma) is the most common form of cancer in the United States. Behavioral changes, such as the use of hats, protective clothing, and sunscreens are effective and well-known means for preventing skin cancer. When used in conjunction with topical antioxidants and sunscreens, oral antioxidants further potentiate sun protection.
The prevention of common skin cancers and precancers is possible by taking oral vitamin B3 supplement (also called Nicotinamide or Niacinamide). Nicotinamide reduced the rate of new squamous-cell and basal-cell skin cancers by 23% compared with placebo after 1 year among patients at high risk for skin cancer. Nicotinamide also reduced the risk for developing actinic keratosis, a common precancer of the skin (Chen, AC et al. A Phase 3 Randomized Trial of Nicotinamide for Skin Cancer Chemoprevention. N Engl J Med 2015; 373:1618-1626).
Polypodium leucotomos is a South American species of fern in the family Polypodiaceae. Clinical research has shown that it has antioxidant and photoprotective properties and taken orally provides protection against the harmful effects of ultraviolet (UV) radiation from the sun by enhancing the activity of our own antioxidant systems responsible for blocking the formation of reactive oxygen species (Edlich RF et al. Photoprotection by sunscreens with topical antioxidants and systemic antioxidants to reduce sun exposure. Journal of Long-Term effects of Medical Implants 2004;14(4):317-340; Middelkamp-Hup MA et al. Oral Polydium leucotomos extract decreases ultraviolet-induced damage of human skin. J AM Acad Dermatol 2004;51:910-8).
I recommend taking Heliocare® Advanced 2 capsules a day for skin cancer prevention and anti-aging. – Dr Young
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Derma-V®
Treats sun damage, unwanted benign pigmented and vascular lesions in one laser session
Lutronic Derma-V® differs from other vascular lasers in delivering 532nm (the best wavelength for absorption of oxyhemoglobin) and 1064nm (the best wavelength to reach deeper vessels), at optimal fluence and the appropriate pulse width (enabled by variable sequential pulsing in sub-milli and sub-micro modes), combined with built-in Intelligent Cooling Device (ICD) skin cooling, to diminish discomfort and collateral damage to the adjacent epidermis.
Why I love Derma-V®
By using different wavelengths, pulse durations and fluence, I am able to selectively target different skin conditions with precision, safely and effectively, and perform multiple passes during the same laser session - ranging from diffused redness and flushing of rosacea with very fine broken capillaries to larger telangiectasias (dilated linear blood vessels), red purple scars, brown spots to sun damage and poikiloderma (characterized by broken capillaries, brown spots and skin thinning). Because of the flexibility of pulse widths with variable pulsing, I am now able to treat certain more challenging vascular lesions which I wasn’t able to treat with other lasers previously. With IntelliTrak™ technology (which allows consistent, rapid energy delivery at the selected overlap) and temperature sensing (which provides real-time feedback to help monitor treatment efficacy and safe clinical endpoints), I can treat large areas much faster by using one laser. Clinical improvement is observed just after one treatment with minimal discomfort and low downtime.
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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.
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Some Lip Balms Can Make Dry Lips Worse
According to USA Today (12/8, Moniuszko), “not all lip balms are made the same, and some can even make a dry lip situation worse, experts say.” For example, while the products “can temporarily soothe irritated lips, they often have chemicals that may cause further irritation...(including) flavors, fragrance and preservatives that can dry and irritate” the lips. One “rule of thumb from the American Academy of Dermatology (AAD) is, ‘if your lips burn, sting or tingle after using a lip product, stop using that product.’” People should also resist the temptation to lick their lips, because “‘as saliva evaporates, your lips become drier,’ according to the AAD.”
I would recommend patch testing to evaluate for potential allergic contact dermatitis to one of the active or inactive ingredients in your lip balm if you have persistent irritation with chronic application. – Dr Young
Combination Of 1927 Nm Fiber Laser Therapy, Tretinoin 0.05% Lotion May Result In Improvements In Patients With Facial Hyperpigmentation And Photodamage, Researchers Say
Healio (12/1, Volansky) reports, “The combination of 1927 nm fiber laser therapy and tretinoin 0.05% lotion showed significant improvements in patients with facial hyperpigmentation and photodamage,” investigators found in a “single-center, prospective, double-blind, evaluator-blind, non-randomized, vehicle-controlled study” in which “a cohort of 41 women underwent one session of 1927 nm thulium fiber laser treatment.” The study also found that “laser therapy with tretinoin failed to show improvement over laser therapy without tretinoin.” The findings were published online in the Journal of Drugs in Dermatology.
I have found 1927nm non ablative fractionated laser to be effective in the treatment of photodamage, freckles and actinic keratoses (precancerous lesions) with lower risk of post-inflammatory hyperpigmentation. – Dr Young
Vitamin D, omega-3 supplements reduced risk for incident autoimmune disease
The use of vitamin D3 or omega-3 fatty acid supplements over a 5-year period may reduce the incidence of autoimmune disease in older adults by 25% to 30%, according to data presented at American College of Rheumatology (ACR) Convergence 2021.
“In past ecologic observations, inflammatory bowel disease, multiple sclerosis and type 2 diabetes have been shown to be more prevalent at northern latitudes, where circulating vitamin D levels are lower,” Karen Costenbader, MD, MPH, director of the Lupus Program at Brigham and Women's Hospital, told attendees at the virtual meeting. “Both high plasma 25-OH vitamin D and high residential UV exposure were associated with a decreased risk for rheumatoid arthritis among women in the Nurses’ Health Study in our past work.”
I recommend taking vitamin D 2500 units a day in high risk individuals, especially in the winter months in Seattle. – Dr Young
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Dr. Young's Tip of the Month
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Photoaging and Non-Melanoma Skin Cancer Prevention - Diet and Supplements
Antioxidants in foods that combat photoaging:
Lycopene - tomatoes, tomato paste
Polyphenols – green tea, pomegranate, berries, flaxseeds, cocoa powder, herbs and spices, nuts, vegetables, olives
Flavanols – cocoa, onions, kale, grapes, red wine, tea, peaches, berries, tomatoes, lettuce
Ellagic acid – raspberries
Genistein – soy
Curcumin – turmeric
Quercetin – onions, kale, cherry tomatoes, broccoli, blueberries, apples
Resveratrol – grapes
Foods rich in vitamin A that may decrease squamous cell carcinoma risk:
Carotenoids – yams, kale, spinach, watermelon, cantaloupe, bell peppers, tomatoes, carrots
Retinol – salmon, beef liver, dairy products such as milk, butter, cheddar cheese, eggs, fish, cod liver oil, shrimp
Oral supplement that enhances DNA repair (decreases non melanoma skin cancer risk by 23%, actinic keratoses/precancerous lesions risk by 11%):
Nicotinamide 500mg twice daily (Avoid in patients who are pregnant, have low platelets, kidney disease, patients on carbamazepine, niacin and statins.)
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