Thursday, September 29, 2011

What is Dysport?

Dysport (abobotulinum toxin A) is a neuromodulator like Botox (onabotulinum toxin A) that received FDA clearance in 2009 and is becoming a popular alternative to Botox. The active component of the two products is identical and both give similar results for improvement of wrinkles caused by muscle contraction such as those between the brows. The units of the two products are not equivalent. Most doctors equate 2.5 to 3 units of Dysport to 1 unit of Botox; so more units of Dysport are required to produce the same effect as Botox. Hence the per unit cost of Dysport is significantly less. Clinically, Dysport diffuses more than Botox, which may lead to potential adverse effects depending on where it is injected. Speak with your doctor about which product is best for you.

Distant Spread of Toxin Effect: Postmarketing reports indicate that the effects of Dysport and all botulinum toxin products may spread from the area of injection to produce symptoms consistent with botulinum toxin effects. These may include asthenia, generalized muscle weakness, diplopia, blurred vision, ptosis, dysphagia, dysphonia, dysarthria, urinary incontinence, and breathing difficulties. These symptoms have been reported hours to weeks after injection. Swallowing and breathing difficulties can be life threatening, and there have been reports of death. The risk of symptoms is probably greatest in children treated for spasticity, but symptoms can also occur in adults treated for spasticity and other conditions, particularly in those patients who have underlying conditions that would predispose them to these symptoms. In unapproved uses, including spasticity in children and adults, and in approved indications, cases of spread of effect have been reported at doses comparable to those used to treat cervical dystonia and at lower doses.

Friday, September 23, 2011

Laser Hair Removal Demonstration

Laser hair removal begins with cleaning the area to be treated, in this case the upper lip. An eye shield is used to protect the patient's eyes. Next a thin layer of gel is applied to the area to be treated. This allows the light to penetrate the skin and keeps the skin cool to prevent burns and blisters. Then the appropriate settings are entered. These are adjusted for each patient. The laser is then applied to the skin. This laser has a sapphire tip which is chilled to protect the skin. Additionally a chiller is used to blow cold air onto the treated area, further protecting the skin. Pulses are made with slight overlap until the entire area is covered. Any area on the body can be treated except around the eyes. Common areas of treatment for women include the upper lip, sideburns, underarms, and legs. For men, common areas of treatment include chest and back. Women who are pregnant or breast feeding should not be treated.

Sunday, September 18, 2011

Chemical Peels

A chemical peel is a simple procedure done in the office for a variety of skin concerns. After washing the face, a controlled amount of a chemical is carefully applied to the skin. Patients will experience a stinging, burning, or itching sensation. Often times a fan is used to help with this. After a short time the solution is neutralized or diluted with water, although some preparations do not require this step. After a few days, the skin begins to peel, removing the dead skin cells on the surface. Usually by one week, the new skin that re-grows is refreshed and rejuvenated, and you see improvements in terms of color, texture, and tone. During this period a list of aftercare instructions are provided to prevent unwanted effects such as scars or blisters.

As we age, dead skin cells accumulate on the surface of the skin. When light hits such skin, it does not reflect, giving a dull appearance. Exfoliation with scrubs, at home solutions, and chemical peels removes this layer and provides a glow to the skin. It works great for a variety of skin conditions including acne, discoloration, enlarged pores, scars, and even some pre-cancerous lesions. When performed in a series at monthly intervals and combined with skin care products such as anti-oxidants, exfoliants, retinoids, bleaching agents, and sunscreens beautiful results can be obtained.

Sunday, September 11, 2011

Laser Leg Vein Treatment

Many people are surprised to learn that lasers can be used to treat leg veins, and veins anywhere on the skin for that matter. Amazing results can be achieved on a variety of veins, from the larger deep blue ones to the tiny superficial red ones. The principal is the same as that for hair removal, but the target is the blood instead of the hair. A laser or light based device, sometimes combined with radiofrequency is used to target the blood and destroy the vessel. Treatments are sometimes uncomfortable, but most people see results almost immediately. A series of at least three treatments is usually needed in four to eight week intervals. Like laser hair removal, it should not be performed on patients who are pregnant or breast feeding.