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.
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