Trends in anti-aging treatments and skin care

December 4, 2009 4:36:06 PM PST
Hot new trends in dermatology with "off-labels." Anti-aging treatments and skin care tips to help you look younger.

Trends:

  1. Patients are looking for little or no downtime procedures.
  2. Patients want to look more natural not overdone.
  3. Patients want to spend less but want results.
  4. Patients are starting younger and younger to receive treatments to keep skin beautiful.
New Procedures/techniques:
  1. Sculptra was just FDA approved for cosmetic uses. It was used initially for HIV lipoatrophy but now with it's cosmetic uses, it's great for building collagen and gives a natural volumizing for the skin laxity that can last for up to 2 years. (Dr. Jihn was one of the first injectors in the US.)

    Sculptra Aesthetic is a new type of facial injectable made from poly-L-lactic acid, which helps to replace lost collagen. It helps correct shallow to deep facial wrinkles, and folds, that appear with aging by replacing lost collagen. The main ingredient is a biocompatible, biodegradable synthetic material that has been used by physicians for decades.

  2. Botox and now Dysport was traditionally used for our muscles of the upper face and now we are using it for the lower face. Like:

    - Relax bands in neck: As we age, some people develop vertical bands in the neck, which can be softened with Botox. The effect can also simulate a neck lift, if a lot of excess skin is not present.

    -Dimpled chin: Botox can relax the muscles in the chin, reducing the appearance of "golf ball chin" as it is sometimes referred.

    -TMJ /Angular jawline: Botox injected into the TMJ muscles can decrease the tension and grinding of teeth. Patients with angular jawline can look softer with Botox

    -Pout the lips, and turn up corners of mouth: As little as 1 unit of botox can be injected under the bottom lip to puff it out, creating the appearance of a pouty lip. Botox can also be injected into the corners of the mouth to slightly turn them up, creating a more pleasant appearing smile.

  3. In the U.S., the fillers like Restylane or Juvederm is approved for the treatment of facial wrinkles and folds, such as the lines between the bottom of the nose and the corners of the mouth. However, physicians frequently use Restylane off-label**, and it has been used successfully in many thousands of patients to augment lips, restoring them to the natural appearance of their youth.

    -Cosmetic doctors have a new way to mitigate tear troughs, those shadowy under-eye indentations that are the bane of people trying to camouflage an aging appearance: the injection of viscous substances around the eye socket.

    -Fillers like Radiesse are also used to rejuvenate aging hands.

  4. Fractional resurfacing is a cosmetic treatment that employs a laser to remove wrinkles, reduce acne scarring, alleviate dark pigmentation, and improve other conditions of the skin. Unlike earlier laser technologies, with fractional resurfacing only a tiny proportion of the skin receives the laser light.

    The laser delivers a series of microscopic, closely spaced laser spots to the skin while simultaneously preserving the normal healthy skin between. This preservation of healthy skin results in rapid healing following the laser treatment. Fractional lasers strive to achieve the skin improvements obtained with ablative lasers without the associated side effects or downtime.

    -DeepFX laser resurfacing is a new type of fractional laser technology which is ideal for the treatment of aged, scarred, or sun-damaged skin. The procedure relies on the efficacy and precision of fractional CO2 laser micro-beams to specifically target the deep layers of the skin, encouraging healing responses that stimulate the production of new skin and collagen throughout the treatment area.

    The fractional technique causes controlled damage to specific areas of the treatment zone, leaving other areas untouched. This results in a much faster healing time, with reduced recovery time and less discomfort during the healing process.
Tip: In many medical treatment areas, including cosmetic injectables and fillers, you will often hear the term "off-label." When the FDA approves a substance for medical or cosmetic purposes, it is for a very specific use.

That FDA-specific use is printed on the label. But the FDA also allows physicians to use their own judgment. Physicians are allowed to prescribe fillers for newly discovered uses that were not originally included in the FDA-approval specification (although certain controlled drugs such as opiates are excluded from off-label use).

About Dr. Jhin:

She is a graduate of Wellesley College. She received her medical degree from Cornell University Medical College. She completed an internship and residency in Internal Medicine from the New York Presbyterian Hospital receiving a board certification in Internal Medicine.

She continued her training as a resident and chief resident in dermatology at Albert Einstein College of Medicine. Dr. Jhin is a board certified dermatologist and a fellow of the American Academy of Dermatology.

She is a member of the American Academy of Cosmetic Surgeons, the American Society of Cosmetic Dermatology and Aesthetic Surgery, the San Francisco Dermatological Society, and the American Society for Dermatologic Surgery.

Dr. Jhin is an adjunct Clinical Instructor at Stanford University School of Medicine, as well as a staff member at the California Pacific Medical Center in San Francisco and at Sequoia Hospital.Dr. Jhin has appeared in Oprah and Seventeen Magazines, and on the local news stations.

Marie Jhin, MD
Board Certified Dermatologist
San Francisco and San Carlos
Website: www.premier-dermatology.com
Adjunct Clinical Instructor, Stanford University


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