January, 2015 —
NEWSLETTER
VOLUME 15
Skin is as complex as it is amazing.
It changes every day, responding to
fluctuating conditions inside and out.
The highly trained professionals at
Three Rivers Dermatology &
Windy Ridge Skin Care Centre are
dedicated to the successful treatment of
your individual skin care concerns.
We are committed to continuously
researching and updating our technology,
providing you with the very best skin
products and solutions. You will receive
unparalleled service, and create meaningful
and memorable experiences.
Welcome to the January 2015 issue of SkinMatters!
The start of a new season brims with excitement: new trends, new muses and the
possibility of a new you. January seems to be the time when many of us come up with
resolutions for the year ahead—we promise to eat less, exercise more, create time for
hobbies and the list goes on!
In this issue, we have included some ideas on how to take better care of winter skin,
what’s trending, a light and healthy recipe and Dr. Sass goes over the next letter in the
GRASS acronym. Last month, he touched on antioxidants, and this issue, he goes over
the Specialty products part of GRASS, products that focus on unique problems.
HAPPY NEW YEAR
from the team at Three Rivers Dermatology
& Windy Ridge Skin Care Centre!
As always, we hope
you enjoy this issue of
SkinMatters!
GO SOCIAL for
the most up-to-date
Your SKIN on
Written by Dr. Sassmannshausen
GRASS — S pecialty Products
Each individual has one aspect to his or her complexion that bothers them the most. Sometimes it is fine
lines and wrinkles, sometimes the “smoker’s lines” around the mouth, other times it is pigmentation or
redness. And don’t forget the dark circles around the eyes. The Specialty Products part of GRASS allows
for focusing on these unique problems. I will discuss some of these products individually and explain
where each can be used.
LYTERA
One of the major complaints of women is the irregular pigmentation that can develop on the face. This
pigmentation can be stimulated by many underlying factors such as hormones or a family trait, but
ultimately, the pigment is the direct effect of ultraviolet radiation damaging the skin over time. Much of
this pigmentation can be prevented with consistent sun protection and avoidance. But, once it is present,
reversing these changes can be difficult.
There are a number of reasons for pigmentation on the face. First are the
“liver spots” or “age spots”—tan to brown flat freckle-like staining of
the skin. In short, it is sun damage. This change is directly proportional
to the amount of sun received over the lifetime. The second type of
pigmentation is the hormonal pigmentation call melasma. The extent of
this pigmentation is also proportional to the amount of sun you get. In
women of color, there can also be a familial increased pigmentation,
especially around the eyes and mouth.
Historically, the main lightening ingredient has been hydroquinone
which can be purchased over-the-counter (OTC) or by prescription at
higher concentrations. The current world view is to lessen the use of this
drug, and try to use other chemicals to lighten the pigment. Lytera Skin
Brightening Complex by SkinMedica, a brightener, has 8 different key
ingredients that independently inhibit the pathway which makes the pigment. This approach results in a
product that evens the entire pigmentation of the face, not just lightening the overall skin tone. Used in
conjunction with a retinol and sunscreen, you have a powerful program to reduce the pigmentation.
Redness Relief CalmPlex
Are you self-conscious about your constantly red face? Do your cheeks get rosy when
drinking a glass of wine? Can you feel the heat coming off your face when speaking in
front of a group? Do people ask if you are ok when working out because your face is
bright red? If you answered yes to one or all of these questions, you are not alone.
Rosacea is a common skin problem in adults of every age. It will typically present
with facial acne and mild flushing, but it is not uncommon to have only flushing and
persistent redness.
Redness Relief CalmPlex Continued...
While there are many prescription medications and laser procedures which can help limit the redness, these
can be costly, and may only help improve the ruddiness of the skin. There are also over-the-counter products
which may help limit the redness. We have found that SkinMedica has a moisturizer that has been clinically
proven to reduce the visible redness on the face.
The Redness Relief CalmPlex is a soothing moisturizer that restores the skin barrier leaving the skin looking
healthy and radiant. It contains niacinamide which diminishes inflammation, a common issue in rosacea.
The key ingredient is the CalmPlex, a proprietary compound that inhibits the natural chemicals that cause
vasodilatation (flushing) in the facial skin. Not only will you benefit from the ingredients that have been
clinically proven to lessen redness, but the soothing and hydrating extracts will have your skin thanking you!
EYE PRODUCTS
One of the first areas of the face to show aging is around the eyes. Dark circles
develop. The skin becomes dry and crinkly. Crow’s feet persist. Treating the
eyes will easily make you look 10 years younger. So, what can be done to
help this area? There are several ingredients which are excellent for treating
the problems around our eyes.
Just like treating the rest of the face, there are three main ingredients that are
the most important in anti-aging: retinols, antioxidants, and growth factors.
The retinols stimulate the cell turnover bringing fresher cells to the surface and
stimulate collagen for firming the skin and filling in the lines. Antioxidants
will limit further damage by protecting the cells from the free-radicals that are attacking the DNA.
The growth factors enhance everything that is needed to grow, protect and repair.
The dark circles that appear are due to several reasons. Loss of volume around the eye will increase the
shadows. Pigment itself is increased if there is any outside irritation, which happens continuously with
environmental and physical factors. Also, blood pooling under the eyes will leak small amounts of red
blood cells (RBCs) which can leave behind iron in the skin adding to pigmentation. Addressing this with
chrysin, a protein which breaks down the leaking RBCs and helps the body clear the iron, will dramatically
improve the dark circles. Licorice is a brightener that lessens pigment in the skin. Many antioxidants also
have the ability to help even out the skin’s pigment.
For the maturing face, TNS Eye Repair is a great option. It is extremely hydrating to the skin around the
eyes and contains several ingredients to focus on the repair of the skin. First of all, it contains Tissue
Nutrient Solution (TNS) that has over 110 known growth factors, which improves the appearance of fine
lines, wrinkles, and overall skin tone and texture. The TNS will enhance everything that we are trying to
repair. A mild retinol stimulates the supporting collagen while the antioxidants, Vitamin C and Vitamin E,
are there to protect and brighten. Chrysin is included to reduce the dark circles.
If you have a combination or oily complexion, the TNS Illuminating Eye Cream is used. This contains the
all important TNS (Growth Factors) to fight the wrinkles and firm the lids. It also contains chrysin which
reduces the appearance of dark circles.
What about puffy eyes? Sometimes, the eyes are sallow but swollen and puffy. The Uplifting Eye Serum
will help. Besides having the strong antioxidant in green tea leaf extract, it also contains algae extract. This
complex ingredient is packed with antioxidants and vitamins which will help fight inflammation leading to
skin tightening.
The last step in creating the youthful eye is growing back those lashes. Latisse is the first and
only FDA-approved treatment for inadequate or not enough eyelashes which will increase the
length and the thickness of the lashes. Using Latisse will grow eyelashes longer, thicker and
darker, bringing back the focus to more beautiful eyes.
SCAR RECOVERY GEL
Will this procedure leave a scar? Yes. Anytime the skin is broken or disrupted, a scar will
form. Sometimes, the healing ability is not great and the scar stretches or thickens. The
approach to poor scarring used to be working on the scar after it had matured. Re-excising it,
which may lead to a bigger scar, injecting it with steroids, laser treatments or using radiation
could improve the look of the scar. What can be done BEFORE the scar forms? Until
recently, very little.
The Scar Recovery Gel by SkinMedica was developed to avoid unsightly scarring. Initially, it
was studied in scars related to plastic surgery such as breast reduction. The innovative treatment made a significant improvement in how the surgical sites healed and matured. After
using SkinMedica Scar Recovery Gel, 80% of patients experienced improvement in the size,
shape, texture, and color of their scars.
The discovery of a complex of proteins called Centelline allowed for this first-of-its-kind scar
treatment. This complex helps rebalance the skin’s foundation allowing for proper skin repair. It provides
support for the skin as the repair is taking place. It then fortifies the layers of skin tissue minimizing the
appearance of the scar.
Scar Recovery Gel is not only for surgical wounds. Any trauma to the skin, from small cuts and scrapes
to larger areas that need stitches, will benefit from its use. Unfortunately, nothing can completely prevent
scars from forming, but the Scar Recovery Gel will help give you the best possible results.
TNS Lip Plump System
Do you want fuller lips? Do you want to improve the appearance of fine lines around the lips? There are
many “lip plumping” products on the market that may give you what you want for a few hours after
application, but the effects wear off throughout the day. The SkinMedica TNS Lip Plump System will give
you softer, smoother, fuller and better-defined lips, which is long-lasting. TNS Lip Plump System can be
used alone to improve the lips, or with cosmetic fillers to enhance and prolong the benefits of the filler.
The TNS Lip Plump System is a two-step process which includes TNS Lip Renewal and TNS Lip Plumper.
This system improves the overall condition and texture of the lips. It also enhances the natural lip color and
provides more fullness to the lips without the discomfort of injections. The TNS Lip Renewal is a cream
applied around the border of the lips and to the lips first. Next, TNS Lip
Plumper is a clear gloss applied to the lips only.
TNS Lip Renewal contains, of course, TNS (growth factors). As we have
discussed in previous installments of our GRASS articles, TNS is the
physiologically-balanced blend of over 110 growth factors in many of the
SkinMedica products. Growth factors are naturally produced in our skin and
help to improve the tone and texture of the skin thereby improving the
appearance of fine lines and wrinkles. With 3 natural peptides, hyaluronic
filling spheres, and marine filling spheres, TNS Lip Renewal acts quickly to
rehydrate the skin around the lips for an immediate smoothing and plumping
effect that helps to give the lips better definition.
TNS Lip Plumper has a warming and tingling effect created by a lipid-soluble niacin which helps to
enhance the natural lip color. Essential fatty acids from soybean oil provide long-lasting hydration to further
improve the condition of the lips.
Conquer Dry
Skin!
Expose a radiant, healthy-looking complexion
Now that winter is here, flaky, dehydrated skin is a widespread condition many of us have to struggle with.
Anyone can suffer from dehydration. Just as you update your wardrobe to fit the cold season, you must also adjust
your skin regimen to prevent dry, lackluster skin and promote glowing, healthy skin all season long.
First and foremost, slather on the sunscreen every day. Winter UV rays are just as harsh as summer UV rays and
contribute to wrinkles, age spots, and skin cancer. Be sure to apply moisturizer daily and top it off with a sunscreen
with a sun protection factor (SPF) of at least 30.
To have beautiful skin this winter, it is important to work closely with your aesthetician to hydrate and prevent
damage. Once you and your aesthetician have decided on the appropriate in-office skin care program, it is crucial
to adhere to an at-home routine to continue proper care of your skin between treatments.
Beware of over-the-counter hype!! Do you have a graveyard under your
bathroom sink where department store products you no longer use are
laid to rest? There’s a reason for that. Over-the-counter products
(sold in drugstores, department stores, or on infomercials), no matter
how expensive they are, do not deliver the results that medical-grade
products such as SkinMedica provide. The main differences between
over-the-counter and medical-grade products are the active ingredients
being used, their amounts, and the level of penetration into the skin.
Dr. Sassmannshausen selected SkinMedica after doing extensive research in order to select the very best products
to recommend for his patients.
Some of the benefits of SkinMedica are:
 Manufacturing processes that allow deeper penetration of active ingredients and that create products
with an elegant texture.
 They focus on results instead of mass production and selling.
 They offer an extensive product selection to accommodate varying types of skin conditions.
 The products are the result of almost two decades of research & clinical experience. Their scientists are
continually working on new formulations to deliver the next breakthrough in skin care.
 They use high-quality ingredients with scientifically-proven results.
To effectively improve the appearance and health of your skin,
it is imperative that you commit to both the in-office and
at-home care regimen your Three Rivers Dermatology &
Windy Ridge Skin Care team designs for your specific needs.
Are you ready to get started on the path to beautiful, healthy
skin all year long? Call Three Rivers Dermatology &
Windy Ridge Skin Care Centre at 260.436.9696 or visit us
online at www.threeriversdermatology.com to reserve time for
a consultation.
Here’s to great skin!
.
.
.
a
p
S
e
h
t
g
n
Men are Invadi
at!
h
t
h
t
i
w
y
a
k
o
e
r
’
e
...and w
All you fashion-forward, take the bull by the horns, gotta look my best men out there…this one’s
for you!!! We know you’re tired of all the great products and treatments being geared toward
women. Now it’s your turn!! Want to start the New Year off looking and feeling fabulous?
Check out what’s trending in male grooming… just for you!
Well-groomed, great-smelling men are all the rage these days…in and out of the boardroom.
Men are being judged more by their looks, just as women always have been. As a result, they
are seeking grooming habits that have previously been reserved for women. Men are visiting
salons and spas, and even boosting their morning routine to compete against the fairer sex for
those high-dollar corporate jobs, as well as to promote themselves personally.
Until a few years ago, a man was considered well-groomed if he shaved on a daily basis and
sported a clean-cut trim. Not anymore! That antiquated ideal is out the window! Enhanced
wellness and grooming routines are now the norm among the masculine species. Grooming
rituals have drastically changed and men are negotiating with their female counterparts for
extended mirror time in the morning.
Men-friendly services and treatments are quickly emerging within the spa industry. Facials,
manicures, and massages… even Botox and fillers… men are joining ladies at the spa to take
advantage of the wellness benefits women have known about for years. And it’s about time!
But there’s one grooming ritual becoming quite popular among men that no one saw coming.
Yep…you guessed it! We are talking about manscaping!! It’s out there and it’s a big deal!
Waxing and laser hair removal isn’t just for women anymore.
More and more men are hitting the spa to remove hair on their back, chest, arms, and they’re
taming that unibrow. And the ladies certainly aren’t complaining about it! Today’s guy is
manicured, massaged, groomed and manscaped.
Watch out, ladies!!
The competition has
arrived and he
looks fabulous!!
In Their Own Words...
Where do I start… Everyone,
and I mean everyone, is just so nice
and professional. Courteous and
smiling all the time. Dr Jeff and his
staff are the best. My problem is
being managed very well with their
help. Can't say enough good things
about them!
—Jerry
As always I was very
pleased with my time at your
office. Everything works like a
fine tuned machine. Service is
excellent, no wait time, treated
very professionally. There is no
better than Dr. Sass and his
staff. I would not go anywhere
else. —Martha
They were ready for me when I got there. Everyone was
welcoming and made me feel at ease. Dr. Sassmannshausen was
very professional yet his sense of humor and kind manner put me
at ease. He told me what to look for as far as any changes and
scheduled the next annual checkup. I would definitely recommend
him to others.
—John
Read More
Guest Reviews
Dr. Sass and his team are awesome!
Check-in is always fast and friendly and
never an extended wait to be seen. Dr. Sass
is so down to earth and easy to communicate with. He is always open to listening to
my concerns and validating them. Dr. Sass
is a true professional and I have the utmost
confidence in him! — Linda
Say hello to the CoolSmooth™!
By now, you have likely heard about Coolsculpting, if not, click HERE for a quick refresher. Until now, the
Coolsculpting procedure has required a vacuum (suction) applicator on the areas of the body that patients wish to
target. For the most part, this is an effective approach, but it made it difficult to treat areas where skin is taut—if
the skin isn’t loose enough, the handpiece is unable to draw in enough tissue to treat it effectively. Essentially, any
fat that is “non-pinchable” was untreatable… until now!
Three Rivers Dermatology & Windy Ridge Skin Care Centre is pleased to announce the introduction of the NEW
CoolSmooth™ applicator, the latest addition to the Coolsculpting system!
With the NEW CoolSmooth™ applicator, the limitations of the original Coolsculpting design are all history! This
is a breakthrough in non-invasive fat reduction. Patients who love their Coolsculpting results have been asking for
this technology to target previously hard-to-treat areas such as:
 Inner & outer thighs (a.k.a “thunder thighs” & “saddlebags”)
 Upper back (a.k.a “bra-roll”)
 Back of arms (a.k.a “bat wings” or “bingo wings”)
 Upper abdomen (a.k.a “jelly belly”)
You exercise, you eat right, and these stubborn areas still persist. (And maybe your
favorite jeans are wearing out from “thigh friction” like the picture to the right.)
You live with it… but you’d rather live without it… and now you don’t have to! These
areas can NOW be effectively treated with this new technology. That means you can
now experience visible fat reduction in these areas without surgery, without
downtime—and with lasting results!
The new CoolSmooth™ applicator is a non-vacuum-based cooling system that does not require enough fat to
“fill” the applicator like the other Coolsculpting applicators. It is the first FDA-approved and clinically-proven
flat applicator that easily treats non-pinchable fat bulges with a comfortable design that adjusts to fit each of our
individual patients. It has three flat panels that will be held into place with a band, and the total panel area
measures 5 by 7 inches, much larger than previous areas. The only downside to the new CoolSmooth™
applicator is that it requires twice the amount of time as the other applicators (2 hours vs. 1 hour).
To date, over 1 million Coolsculpting treatments have been performed worldwide, and Coolsculpting maintains
the highest satisfaction rating on RealSelf.com among similar non-invasive, non-surgical technologies. We have
performed hundreds of treatments on satisfied patients at Three Rivers Dermatology & Windy Ridge Skin Care
Centre, which is why we are excited to offer this NEW treatment for the inner and outer thigh!
If you are interested in learning more, call and schedule your consultation today! 260.436.9696
Tilapia with
Oranges,
Tomatoes &
Toasted Garlic
A light, healthy dish to spice things up this winter!
Ingredients:




1/2 cup whole-wheat couscous
1 large orange
3 teaspoons olive oil
4 small tilapia fillets (about 11/2 pounds)





Kosher salt and pepper
2 cloves garlic, thinly sliced
11/2 pieces fresh ginger, very thinly sliced
1 pint cherry tomatoes, halved
2 scallions, thinly sliced
Directions:
STEP 1. Cook the couscous according to package directions.
STEP 2.
STEP 3.
STEP 4.
STEP 5.
STEP 6.
Cut away the peel of the orange. Cut the orange into segments, adding them to
a bowl along with any juices.
Heat 1 tsp oil in a nonstick skillet over medium heat.
Season the tilapia with 1/2 tsp salt & 1/4 tsp pepper & cook until opaque throughout,
1 to 2 minutes per side. Transfer to a plate and cover with foil to keep warm.
Wipe out the skillet and heat the remaining oil over medium heat. Add the garlic
and ginger. Cook, stirring occasionally, until golden brown, about 1 minute.
Add the tomatoes and cook, tossing occasionally, about 3 minutes.
STEP 7.
Add the oranges and any juices. Gently toss to heat through. Serve with the tilapia
and couscous and sprinkle with the scallions.
For an extra added zing…
Try the orange and tomato mixture with sautéed shrimp, seared chicken, or broiled steak.