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Dear Valued Patients, Colleagues and Friends,
Happy 2023 and Happy Valentine’s Day!
I hope that this year, we will all be motivated and inspired by love to do our best, explore new ventures and overcome unforeseen challenges.
In the new year, we will continue to offer new effective treatments in medical therapy for autoimmune skin conditions including psoriasis, atopic dermatitis (eczema), alopecia areata and vitiligo. For prejuvenation and anti-aging strategies, we are adding two well established services in the aesthetic world – Xeomin® and Ultherapy®. Xeomin® is a neuromodulator with its own unique properties and an alternative to Botox®. Ultherapy® is a non-invasive, microfocused ultrasound device that is FDA approved for lifting the skin on the neck, chin and brow. We hope that they will complement and enhance your current, customized treatment plan.
We feel blessed to remain in your service, and we will continue to do our best.
Sincerely,
Alison Young, MD PhD
“It is good to love many things, for therein lies the true strength, and whosoever loves much performs much, and can accomplish much, and what is done in love is well done.” – Vincent Van Gogh
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The Perfect Pair – Vitamin C + Retinol
Buy any Vivier Vitamin C Serum, Get any Vivier Retinol FREE (while supplies last)
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XEOMIN®
XEOMIN® (incobotulinumtoxinA) is a botulinum toxin for intramuscular injection, indicated for the temporary improvement in the appearance of moderate to severe glabellar lines (‘number 11’) with relaxation of corrugator and/or procerus muscles in adult patients. Without the presence of accessory proteins, Xeomin has its own unique characteristics as a neuromodulator, in terms of onset of action, duration and diffusion radius. Although head-to-head studies evaluating the relative risk of immunogenicity due to the presence or absence of complexing/unnecessary proteins have not been performed, no patients demonstrated a secondary lack of treatment response due to neutralizing antibodies in clinical studies.
It is a good alternative for patients who have developed resistance to Botox® or who simply wish to try out a different neuromodulator, for their specific desired result or needs.
We are currently offering a 20% discount off any Xeomin treatment (while supplies last)!
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What is Ultherapy®?
ULTHERAPY® is the only non-invasive treatment cleared by the FDA for lifting the skin on the neck, chin, and brow, and improving lines and wrinkles on the décolletage. Ultherapy uses microfocused ultrasound to lift and tighten loose skin by stimulating the formation of new collagen deep below the skin’s surface, over time, without any downtime. It also uses ultrasound imaging, which allows practitioners to actually see the layers of tissue targeted during the treatment and ensure the energy is deposited precisely to where it will be most beneficial. The production of new collagen takes time, so results can become more apparent over two to three months, even up to six months.
How does Ultherapy stimulate the creation of collagen?
Collagen is a natural connective tissue protein within the skin that gives the appearance of youthfulness by keeping it firm and toned. As we age, collagen breaks down, and the result is a loss of skin strength and elasticity. Ultherapy uses microfocused ultrasound to generate a thermal effect under the skin which produces fresh, new collagen by denaturing old collagen.
How does Ultherapy differ from laser treatments?
Ultherapy uses ultrasound energy which has unique properties that allow it to bypass the surface of the skin to treat deeper depths not matched by any other non-invasive cosmetic device. Ultherapy ultrasound stimulates collagen production in the skin’s foundation, resulting in a clinically significant lift of tissue over two to three months. Lasers rely on light energy, which cannot reach deeper skin layers. Typically, laser treatments only treat superficial skin and are not FDA-cleared to lift the skin.
Who is a good candidate for Ultherapy?
A good candidate for Ultherapy is someone with some degree of laxity (such as loose skin under the neck and under the chin, or lines and wrinkles on the chest), to the point of looking, and often feeling, less firm. Typically, those in their 30s and older who have mild to moderate skin laxity are suitable candidates. While Ultherapy is not a replacement for a surgical facelift, there are many people who want some facial firming and lifting but are not ready for surgery. There are also younger people interested in ‘prejuvenation’, who want to “stay ahead of the game,” as well as those who are looking for aesthetic maintenance, or a treatment without the use of needles to complement other more superficial corrective treatments for photodamage, scars and specific skin conditions that alter the color and texture of the skin.
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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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The Role of Food and Diet In Atopic Dermatitis
Atopic dermatitis and food allergies
Atopic dermatitis severity is correlated with food allergy. Atopic dermatitis usually begins before food allergies develop in children. Elimination diet may cause more harm, as avoidance of food may increase the risk of development of anaphylaxis (a severe, potentially life threatening allergic reaction). Sensitization to food allergies occurs more often in children with previous atopic dermatitis. Thus, it is important to treat atopic dermatitis in children and preserve the skin barrier early. Flares of atopic dermatitis without other allergic symptoms (e.g., bloody diarrhea and food related urticaria or hives) are unlikely to be from food allergies. Immunoglobulin E (IgE) testing does not necessarily correlate with atopic dermatitis. If there is consistent correlation of symptoms (with or without positive allergy testing), a diagnostic elimination diet for up to 4-6 weeks with the suspected food items may be initiated. Six food elimination diet includes milk, wheat, soy, eggs, peanuts/nuts, fish/seafood.
There are many different types of food reactions in the skin. Not all of these skin reactions are from true allergies.
- Allergy, Immunoglobulin E (IgE)-mediated, immediate (30 minutes – 1 hour), often life threatening (symptoms include hives, angioedema, anaphylaxis), e.g. peanuts, shellfish.
- Intolerance, functional response to food molecule, immediate or delayed (1-48 hours), not usually life threatening (symptoms include hives, itching, diarrhea), e.g. lactose intolerance, histamine reactions to foods including alcohol, bananas, tomatoes, wheat germ, beans, papaya, chocolate and citrus fruits.
- Sensitivity, possibly Immunoglobulin G (IgG)-mediated, immediate or delayed (1-48 hours), not usually life threatening (symptoms include hives, itching, joint pains, stomach pain, fatigue), e.g., monosodium glutamate, food additives, gluten (apart from celiac disease)
- Contact dermatitis, direct allergic or irritant reaction to foods touching the skin (often around the mouth), immediate or delayed (1-48 hours), not usually life threatening (symptoms include redness, itching), e.g. tomatoes, citrus
- Inflammatory foods, non specific, immediate or delayed (1-48 hours), not life threatening (symptoms include worsening acne), e.g., dairy products, simple carbohydrates, refined sugars
- Celiac disease (causing an autoimmune blistering disease known as dermatitis herpetiformis), autoimmune response specifically to gluten molecule, immediate or delayed, serious permanent condition that can be life threatening (symptoms include itching, blistering, diarrhea)
- Eosinophilic esophagitis, multifactorial inflammatory disorder with deficient mucosal barrier of the esophagus, delayed (days to weeks), serious but not life threatening (symptoms include diarrhea), e.g. milk (35%), egg (13%)
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Company Expands Voluntary Recall Of Banana Boat Sunscreen Due To Trace Levels Of Benzene
TODAY (1/31, Kaplan) reported, “Edgewell Personal Care Company expanded its voluntary recall of Banana Boat sunscreen the company originally announced in July due to the presence of benzene.” On Jan. 27, the company “announced...that a review found an additional batch of Banana Boat Hair & Scalp Sunscreen Spray SPF 30, packaged in aerosol cans, contained trace levels of benzene.” According to Edgewell Personal Care, “there have been no reports of adverse” events “related to the recall.”
Several common household brands — including Sun Bum, Neutrogena, Banana Boat, and CVS-brand sunscreen — were all found to contain unsafe levels of benzene, a carcinogen, according to Valisure's test. The contaminated sunscreens include both chemical and mineral formulas. The full list of the report can be found here. Complete Valisure’s FDA Citizen Petition on Sun Care Products
Compared With General Population, Patients With Alopecia Areata May Be More Likely To Develop Anxiety, Depressive Disorders, Systematic Review Indicates
According to HCPlive (1/28, Smith), patients with alopecia areata may be “more likely to develop anxiety and depressive disorders compared to the general population,” researchers concluded in the findings of a systematic review and meta-analysis published online in JAMA Dermatology.
AAD Resource: Alopecia Areata Pamphlet
We are now able to offer a new FDA-approved class of medications called Janus-kinase (JAK) inhibitors which are immunomodulators that are effective in the treatment of alopecia areata, in the appropriate patient population. I recommend early diagnosis and treatment for best outcome, and to prevent anxiety and depression associated with the condition.
Researchers Identify New Genes, Gene Regulators Linked To Body Hair
The Washington Post (1/24, Johnson) reports, “Roughly a million years ago human beings lost most of their body hair, a key moment in evolution that involved major changes to the same set of genes that determined whether many of our fellow mammals kept or lost their coatings of fur, according to new research.” Investigators “compared our genetic blueprints with those of 62 other mammals, including elephants, manatees and armadillos, examining how hairlessness evolved in different species at different times.” They “also identified new genes and gene regulators linked to body hair, a discovery that may someday be used to treat millions of balding Americans.” The study was published in the journal eLife.
In this important work, Kowalczyk et al. describe the parts of the genome that may be involved in controlling hair growth. Once their findings are validated, they could be used to develop treatments for hair loss in humans.
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