Topical antioxidants in addition to sunscreen

Why are dermatologists recommending topical antioxidants like Vitamin C and Vitamin A (Retin A) in addition to sunscreens?

Great question. Both antioxidants and Retin A have been found to reverse and repair damage from the sun and environment at the skins cellular level. In addition, we will continue to recommend sunscreens of SPF30 or higher and sun protective clothing to help protect your skin from sun exposure.

How do I get rid of my double chin without surgery?

I am noticing a more pronounced double chin in the last few years but I’m not interested in surgery. I heard about Kybella on the news recently. Is it available yet and how can I find out if I’m a good candidate?

Ann T. – San Francisco

Kybella (pronounced kye be’ lah) was approved by the FDA in April 2015. It’s an exciting new product that is identical to the Deoxycholic Acid that your body makes naturally to absorb fats. It works by destroying fat cells and is a new alternative to liposuction for treating submental fullness, commonly referred to as a double chin. Laub Dermatology & Aesthetics is currently the only practice in Marin County that has received the training and approval to treat patients.

For best results Kybella requires a series of appointments, spaced about a month apart. Each treatment takes about a half hour and will include approximately 12-20 injections, dependent on each patient’s particular desired results and physical needs based on an initial consultation. According to parent company Kythera, many people saw results in 2 to 4 treatments. Downtime is minimal and if it does occur, is generally after the first treatment. The best news is that once a patient’s treatment goals are reached, you likely may never need Kybella again. We encourage you to make a consultation appointment so together we can see if you are indeed a candidate and plan your treatment with your goals in mind.

For more information about the risks and benefits of Kybella, visit: https://mykybella.com/

Is Rosacea Acne?

A friend of mine says Rosacea is acne. Is this true?
Linda T. – Sausalito

Rosacea is often incorrectly referred to as “Adult Acne”. Historically one subtype of Rosacea was initially called “Acne Rosacea”. We now know that there is no connection between the two and the biomedical processes are different for each.

According to current research, Rosacea appears to be linked to a dysfunction of the body’s natural immune system. With this knowledge we know to treat with medications designed for their anti-inflammatory benefits as opposed to antibacterial effects. In fact, exfoliating acne medications like Retin-A and Retinols may cause the Rosacea symptoms to become worse.

It is important to know that Rosacea is a chronic disorder with 4 subtypes that often begins with a tendency to flush or blush easily. As it progresses it may turn into persistent redness and occasionally swelling across the bridge of the nose and into cheeks, forehead and chin. Small blood vessels, red bumps, pimples and even larger cysts can appear in the affected area. However, unlike acne, there are no blackheads.

There are remedies for each subtype of Rosacea including topical, oral medications and laser treatments. Avoidance of triggers in diet and lifestyle can also help. A qualified dermatologist should be consulted for diagnosis and a treatment plan for both Rosacea as well as Acne.

Skin Cancer Self Check

My wife recently told me she noticed a mole on my back that looked strange.  Now I’m worried.  What should I be looking for?
Paul M., Terra Linda

Most Melanomas begin in or near an existing mole or dark spot already on your skin. That’s why it is so important to have a yearly skin check with a licensed dermatologist. They will be able to chart the size, shape, color and location of moles on your body. At your annual visit they will be able to note changes in the appearance of the previously charted moles and begin tracking the appearance of new moles.
Ordinary moles are generally even in color, have sharply defined edges and are round or oval. They can be either flat or raised and are often less than 6 millimeters (the size of a pencil eraser). Melanomas on the other hand, often have an irregular appearance and are larger (see below). It’s important to know that some birthmarks, also known as congenital moles, can develop into melanomas over time.

Take a few minutes to watch the Skin Cancer Self Check Video here on our website. A good rule of thumb is to think of the letters ABCDE:

  • A is for asymmetrical shape.Look for moles with irregular shapes, such as two very different-looking halves.
  • B is for irregular border.Look for moles with irregular, notched or scalloped borders — characteristics of melanomas.
  • C is for changes in color.Look for growths that have many colors or an uneven distribution of color.
  • D is for diameter.Look for new growth in a mole larger than 1/4 inch (about 6 millimeters).
  • E is for evolving.Look for changes over time, such as a mole that grows in size or that changes color or shape. Moles may also evolve to develop new signs and symptoms, such as new itchiness or bleeding.