OurHealth Lynchburg & Southside Jun/Jul 2017 Edition

June • July 2017 ourhealthLBSS.com

BREATHE FREE! 6 Healthy Plants for Your Home

GET

SUN SMART How to care for your skin this summer

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BORN TO

MOVE

Tips to Follow for Your Arthritic Pet

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

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TABLE OF CONTENTS JUNE • JULY 2017

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Q&A ON HEALTH

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THE PULSE Keeping the pulse on local healthcare news, new physicians, providers, locations and upcoming events in the Lynchburg & Southside communities.

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PET HEALTH | 5 Tips to Follow for Arthritic Pets

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AUTO HEALTH | 7 Simple Steps to Summer

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Healthcare questions answered by local professionals

Showcasing some of the most authoritative books on how to get and stay healthy.

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THE ANATOMY CHALLENGE

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GET SUN SMART

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2017 LYNCHBURG & SOUTHSIDE DERMATOLOGY & COSMETIC SURGERY RESOURCE GUIDE

Travel Success

BETTER BOTANY | Breathe Free: 6 Indoor Plants that Produce the Most Oxygen in Your Home

THE OURHEALTH BOOKSHELF

Test your knowledge when it comes to YOUR SKIN.

The pool, the beach, the backyard—these are all great places to be on a sunny day. But too much sun can cause premature wrinkling, sun spots, sunburn—and in the worst cases, skin cancer.

Your resource guide for dermatology and cosmetic surgery in Lynchburg & Southside. www.OurHealthlbss.com

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TABLE OF CONTENTS JUNE • JULY 2017

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SPECIALTY SPEAKING | Beneath the Surface OurHealth partners with local plastic surgeons and aesthetic skin care professionals to discuss procedures and services provided locally.

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STRAIGHT TALK ON WRINKLES: 6 STEPS TO SMOOTH AT ANY AGE OurHealth partners with the dermatologists at RidgeView Dermatology in Lynchburg to get the latest information on how to prevent and smooth wrinkles.

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SHINING THE LIGHT ON SKIN REJUVENATION TREATMENT OurHealth partners with Soni Carlton, MD of Dermatology Consultants in Lynchburg. Dr. Carlton gives her expert advice about Intense Pulse Light treatment.

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

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HELLO, HEALTH Capturing the spirit of those working in healthcare and of people leading healthy lives through photos

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FITBITS | Summer Exercise for All Ages OurHealth shares local summer exercise programs for kids.

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7 STEPS TO WATER SAFETY SUCCESS OurHealth partners with the YMCA to bring helpful water safety tips.

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EIGHT GREAT SUPER VEGGIES Tricia Foley RD, MS, OurHealth's resident nutritionist, shares nutrient-rich vegetables perfect for spring time.

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june • july 2017

PUBLISHER

PRESIDENT/EDITOR-IN-CHIEF

VICE PRESIDENT OF PRODUCTION

ACCOUNTING MANAGER

CHIEF GRAPHIC DESIGNER

GRAPHIC DESIGNER DIGITAL CONTENT MANAGER | EVENT SPECIALIST

DIGITAL MEDIA STRATEGY

WEBSITE

McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Hungate Laura Bower Karrie Pridemore Tori Meador Heidi McClintic Dalton Holody Heidi McClintic

CONTRIBUTING MEDICAL EXPERTS Carrington Crawford, DDS Nancy Downey, MSN, GNP, CDP Clair McStacy, CNM

CONTRIBUTING PROFESSIONAL Matt Cox EXPERTS & WRITERS Rich Ellis Tricia Foley, RD Tina Joyce Andrea Marinkovits Rick Piester Christy Ripple Sheila Roakes-Peters Christine Stoddard

ADVERTISING AND MARKETING Cynthia Trujillo | Senior Media Consultant P: 434.907.5255 | cindy@ourhealthvirginia.com

SUBSCRIPTIONS To receive OurHealth Lynchburg and Southside via U.S. Mail, please contact Heidi McClintic at heidi@ourhealthvirginia.com or at 540.387.6482

COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions.

Copyright © 2017 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Lynchburg/Southside is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483.

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HEALTH H E A LT H C A R E QUESTIONS ANSWERED

BY LOCAL PROFESSIONALS

“

The early signs of dementia include poor judgment and decision making, the inability to manage budgets, losing track of the date and season, and the inability to retrace steps when misplacing things.

”

– Andrea Marinkovits, Regional Director of Nursing

How do I know what mattress will best support my sleeping position?

The right mattress is the first piece of the perfect sleep system.

Choosing the right foundation to sleep flat or in a muscle-relaxing zero gravity position is just as essential to a good night’s sleep.

Many mattresses may initially feel similar, but support your body differently depending on the base.

With technology like ZeeZ from Grand Home Furnishings, our sleep experts can remove the guesswork from this equation. Pressure mapping the body allows us to customize an in-stock sleep set for every person who enters our showroom.

Finally, to complete the ideal sleep system, you need the perfect pillow. Everyone at some point has experienced neck or shoulder strain, headaches, and lost sleep from an improper pillow. Whether your sleep style is Armadillo, Cocoon, Cliffhanger, or Log, we have your complete sleep system available.

Matt Cox

Grand Home Furnishings Roanoke | 866.472.6343 www.grandhomefurnishings.com

Commonwealth Senior Living

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

What are the benefits of a Geriatric Care Manager?

A Geriatric Care Manager (GCM) will help you or your loved one maintain independence. The GCM attends doctor appointments to ensure that medical instructions are implemented and communicates with all doctors, specialists, and others involved in caring for the patient to ensure that care is coordinated. The GCM maintains medication lists and medical history and informs healthcare providers of changes in health status.

The GCM also: •

Assists with transitions back home after a hospital or nursing home stay

•

Arranges for and monitors inhome helpers

•

Monitors home maintenance and repair needs

•

Assists with bill paying

•

Provides strategies for coping with chronic conditions

•

Acts as a liaison to families in or out of town by communicating changes and alerting them to concerns.

The GCM develops close relationships with clients, who look forward to her friendly visit and her assistance.

How can I tell if my forgetfulness is agerelated or the early signs of dementia or Alzheimer’s?

Age-related forgetfulness usually involves something like forgetting to pay a bill, not immediately remembering what day it is, or misplacing things.

Dementia, caused by damage to the brain, operates by harming the brain’s system of conveying information regarding normal communication, thinking processes, behaviors, and feelings. When the cells in each region of the brain are damaged, they cannot function normally.

The early signs of dementia include poor judgment and decision making, the inability to manage budgets, losing track of the date and season, and the inability to retrace steps when misplacing things.

Dementia describes a decline in mental abilities severe enough to interfere with one’s daily life. This term does not refer to a specific disease; instead, it describes a wide range of symptoms. The most common type of dementia is Alzheimer’s disease, which comprises 60 to 80 percent of the existing cases. There are also reversible conditions that can cause the symptoms of dementia, such as thyroid problems, vitamin deficiencies, and depression.

Nancy Downey, MSN, GNP, CDP Geriatric Care Manager Generation Solutions Roanoke | 540.776.3622 www.generationsolutions.net

Andrea Marinkovits, Regional Director of Nursing Commonwealth Senior Living Western Region www.commonwealthal.com

Q & A O N H E A LT H

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HEALTH H E A LT H C A R E QUESTIONS ANSWERED

BY LOCAL PROFESSIONALS

“

If you are experiencing problems with bad breath, see your dentist for an evaluation.

Poor oral hygiene is easily remedied with proper oral hygiene techniques (brushing, flossing, tongue scraping, etc.) and with the commitment to do better.

”

Why is it important to have an on-site Activities Director in a retirement home?

Having an on-site Activities Director in a retirement home is crucial for the success of a well-rounded and varied activities program. The state of Virginia requires that all licensed facilities provide 11 or 14 hours (depends upon the license) of activities each week and at least one hour of activities daily. Through training, an Activities Director has gained a working knowledge of age-appropriate activities that are designed to promote or maintain the residents’ highest level of independence while supporting their physical, social, mental and emotional abilities and skills.

All residents are encouraged to participate in activities. However, if a resident chooses not to participate, that is his/her right. In today’s world, activities in a retirement home are so much more than Bingo!

Sheila Roakes-Peters

The Williams Home, Inc. Lynchburg | 434.384.8282 www.thewilliamshome.org

– Carrington Crawford, DDS

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

What is breath management?

Breath management is a term used to describe the treatment or control of halitosis (bad breath). Bad breath most often (but not always) starts in the mouth and can have several causes: insufficient/poor oral hygiene, dry mouth (xerostomia), tobacco products, and fragrant foods like onions and garlic. Bad breath without an origin in the mouth can signal other medical disorders such as respiratory infections, chronic sinusitis, diabetes, GI disturbances, and liver or kidney problems.

If you are experiencing problems with bad breath, see your dentist for an evaluation. Poor oral hygiene is easily remedied with proper oral hygiene techniques (brushing, flossing, tongue scraping, etc.) and with the commitment to do better. Your dentist may also prescribe an antibacterial mouth rinse. Many medications, improper salivary gland function, and mouth breathing often cause xerostomia.

Treatments for xerostomia range from artificial saliva to sugar-free gum and mints to stimulate salivary flow; try to avoid mouth rinses with alcohol, as they will further dry out the mouth. Fragrant foods can simply be avoided if they are deemed to be the cause for halitosis.

Should your dentist determine that your mouth is healthy, you may be referred to a physician for diagnosing the cause of bad breath.

Carrington Crawford, DDS Lynchburg Dental Center Lynchburg | 434.384.7611 www.lynchburgdentist.com

The results from my HPV test came back positive.

Does this mean I will develop cervical cancer?

HPV (or human papilloma virus) infections are the most common type of sexually transmitted infection. Even if you have this infection, you will not necessarily get cervical cancer. The majority of cervical cancers do involve the presence of the HPV virus, but almost everyone who gets the HPV virus will get rid of the infection themselves or will not have a progression to cervical cancer. You will most likely need more testing over time to see if you have cleared (or fought off) the HPV virus or if the virus has caused changes in your cervical skin cells that could lead to cancer. If you have the HPV infection, stopping smoking, reducing your stress, and eating well are three things that you can do to help fight off the virus.

Clair McStacy, Certified Nurse-Midwife

Centra Medical Group Women’s Center Forest | 434.385.8948 www.centrahealth.com

KEEPING THE PULSE ON HEALTH

NEW DERMATOLOGY PRACTICE IN LYNCHBURG >> Garrett “Ry” Bohrnstedt, DO, FAOCD, FAAD is now accepting patients at Seven Hills Dermatology, a recently opened dermatology practice in Lynchburg.

Seven Hills Dermatology, located at 119A Tradewynd Drive, provides a full range of medical dermatology care including diagnosing and managing acute and chronic skin conditions, skin cancer screenings, and skin cancer removal. The practice is open Monday – Friday from 8am – 5pm and is accepting walk-in patients at this time.

LIVE HEALTHY LYNCHBURG’S 100 MILE CHALLENGE >> The 2017 100 Mile Challenge is back!

Live Healthy Lynchburg, a community health umbrella organization and 100 Mile Challenge organizer, creates wellness challenges designed for everyone from the first-time couch-to5K runner to the marathoner. The challenges are designed to encourage the community to make activity a part of their weekly routine. The 100 Mile Challenge, starting July 1, challenges participants to run or walk 100 miles in 90 days, just over one mile per day. Participants may register individually or as part of a business or organization. Eligible miles include those outside of normal business activity and must be walk or run miles. The challenge concludes with the Genworth Virginia 10 Miler/4Miler on September 23.

For more information or to register, visit www.livehealthylynchburg.com and click the orange Fitness Challenge button.

For more information or to schedule an appointment, call 434.237.3376 or visit www.sevenhillsdermatology.com.

Kaitlyn Altizer, PA-C CVFP Timberlake Lynchburg | 434.237.6471 www.cvfp.net

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

Samun Nalluri, MD

Centra Medical Group Neurology Center Lynchburg | 434.200.3600 www.centrahealth.com

David Wilson, MD

Dermatology Consultants Lynchburg | 434.847.6132 lynchburgdermatology.com (Will begin seeing patients 8.1.2017)

Stephanie Witt, DO

Centra Medical Group Wound Care & Hyperbaric Medicine Center Lynchburg | 434.200.1800 www.centrahealth.com

JOIN THE OURHEALTH COMMUNITY >> We would love to hear from you. Write us, tweet us, or tag us today! facebook.com/ OurHealthLBSS

@OurHealthLBSS on twitter

@OurHealth on pinterest

Welcome

Emma Schmidt, DMD DENTISTRY

Services Provided: • • • • •

General dentistry including restorative Crowns and Bridges Extractions Root Canals Dentures

“My husband and I are excited to make Lynchburg our new home and can't wait to get to know and serve the community here!”

Forest Smiles 16862 Forest Road | Forest

434.473.7449 Dr. Schmidt will begin seeing patients July 31st. www.forestsmiles.com Scan here for more information about our services and providers. www.OurHealthlbss.com

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H E A LT H Y PET TIPS

5

TIPS

TO FOLLOW FOR

Arthritic Pets words | TINA JOYCE

The cold nose, the loving eyes, and the faithful return all describe man’s best friend. It’s no wonder we seek to offer our canine friends the best care. Many pets, especially large-breed dogs, are prone to developing arthritis. The larger the breed, the more debilitating arthritis can be.

The climate in Lynchburg can make getting outdoors in the summer months particularly challenging, due to heat and humidity. There are a few ways to help recognize your pet's arthritis and creatively help him or her move more comfortably.

The most obvious sign of arthritis (in both dogs and cats) is limping. Your pet may also begin to move more slowly up steps or down hills. Usually, pets rise tenderly from laying down.

1 2 THE MOST OBVIOUS SIGN OF ARTHRITIS IN PETS IS LIMPING! For the most accurate diagnosis of symptoms and solutions, contact your regular veterinarian who is familiar with your pet’s habits and tendencies.

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3 4 5

PREVENTION

The best way to keep your pets from suffering from arthritis is to keep them at a healthy weight in the first place.

REDUCE THE POUNDS

Helping your pet lose weight reduces stress on his entire body. This may include utilizing a special type of food, removing a “free will” food options, skipping excess treats, and/or increasing exercise.

GO EASY

As with humans, exercise must be entered into gradually. Choose low-impact activity, with a 5-10 minute warm-up. Swimming is ideal for dogs, as are leisure walks. Avoid rough play or excessive jumping and running, which can lead to significant pain the next day, defeating the purpose.

PAY ATTENTION

Allow your pet to exercise in the cool of the morning or evening and keep a close watch signs of dehydration and unusual fatigue. An adequate cool down helps to reduce the heart rate and stiffness later. A good massage may also be beneficial for sore muscles, not to mention enjoyable for both you and your pooch.

AT LAST

If all natural attempts fail to alleviate your pet’s discomfort, ask your veterinarian about an antiinflammatory medication, such as LTCI (Lymphocyte T-Cell Immunomodulator) or other safe alternatives.

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

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AUTOMOBILE H E A LT H TIPS

SEVEN words | RICH ELLIS

SIMPLE STEPS TO

SUMMER

TRAVEL SUCCESS

BE PREPARED AND CHECK YOUR VEHICLE BEFORE YOU TRAVEL! While today’s vehicles are safer and more reliable than ever, that doesn’t mean that an accident or breakdown can’t happen. Being prepared and checking your vehicle before you travel can help you get back on the road faster when misfortune does strike.

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Nothing ruins a summer vacation road trip or gets you even hotter during already sweltering temperatures like a vehicle breakdown that leaves you stranded on the side of the road. That’s why it’s important to ensure that both you and your vehicle are prepared for the unexpected before you hit the road this summer. Follow these seven steps to perform a vehicle safety check that will help stop a minor breakdown from becoming a major headache.

1

FIRST-AID KIT

2

EMERGENCY ROADSIDE/ACCIDENT KIT

3

SPARE TIRE

4

FOOD AND WATER

5

EXTERNAL CELL PHONE CHARGER AND CORD

6

EMERGENCY CONTACTS

7

TEST THE VEHICLE’S SECURITY SERVICES

Confirm that there’s one in the vehicle and that it’s stocked with the basic emergency supplies.

Useful in the event of an accident or breakdown, a good kit should include jumper cables, flares, reflective roadside triangles/markers, hand tools, tape, a tire inflator and a flashlight.

Know where your tire is, how to access and remove it, and how to check its air pressure. Also, know the location of the jack and how to use it. (Instructions can often be found in the vehicle owner’s manual.)

Always keep water and snacks available, particularly if you’re traveling with children.

If you vehicle experiences a battery failure or other electrical problem, you might not be able to charge your cell phone. Carry a small, external battery pack and charging cord that fit the phone.

Research and save important phone numbers in your cell phone before traveling, including those for AAA and the roadside assistance offered by many vehicle manufacturers.

If your vehicle is equipped with OnStar or a similar service, test it before traveling. These services can provide directions or let you call for help in the event of an emergency. Some services even offer the option of activating and paying for them for short periods, such as during a two-week vacation.

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

Breathe Free

H E A LT H Y GARDEN TIPS

6 Indoor Plants that Produce the Most Oxygen in Your Home words | TINA JOYCE

As we seek ways to purify our homes, examining the air we breathe becomes a critical factor in improving our everyday health and wellness. Indoor air pollution, caused from synthetic building materials, mold, cleaning products, upholstery, and artificial scents can emit a variety of toxins in the air we breathe daily. Researchers are finding ways to reduce pollutants and improve air quality; some solutions are as simple as the everyday houseplant.

SPIDER PLANT

ALOE VERA

SNAKE PLANT

(Aloe barbadensis)

(Sansevieria trifasciata)

(Chlorophytum comosum)

The aloe plant has been known for years for its burn-healing gel within the leaves, a combination of anti-bacterial and antiinflammatory properties. Also, aloe is known to help rid our homes from benzene (found in some chemical cleaners and paint).

Snake plants are low maintenance and offer appealing vertical growth from 1-6 feet.

Also, it tends to convert carbon dioxide into oxygen at night, making it ideal bedroom greenery. The snake plant was recommended by a NASA study as one of the top oxygen producing plants and requires little water.

Spider plants are ideal for the novice plant owner because the plants are easy to take care of and remove small amounts of formaldehyde and xylene from our homes.

They prefer bright, indirect sunlight and weekly watering.

BAMBOO PALM

WEEPING FIG

PEACE LILY

Bamboo palm thrive in indoor spaces, this plant may grow to more than 10 feet and is pet friendly. It best filters trichloroethylene and benzene but doesn’t thrive if over watered.

Weeping figs reduce pollutants like benzene and formaldehyde, this fig loves indirect sunlight and requires infrequent watering, making it an easy keeper. Also, in warmer months this plant can easily be moved outside for decorative purposes.

Often a beautiful gift, the peace lily offers much more than condolences. By reducing levels of mold spores, this lily is likely to help keep mildew to a minimum. The lily makes it known when it needs watered but be careful not to over water. Peace lilies thrive in bright, indirect light. Be careful of allergies, blooms may contribute to pollen or scents in your home.

(Chamaedorea seifritzii)

(Fiscus benjamina)

One large, or two smaller plants every 100 square feet can significantly improve air quality in our workplaces or homes.

(Spathiphyllum)

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words | RICK PIESTER

>> Showcasing some of the most authoritative books on how to get and stay healthy In 2015, medicine got a wake up call in the pages of the Journal of the American Medical Association: a 24-year study showed that nearly half of the adults living in the U.S. have diabetes or pre-diabetes, which is a condition in which a person’s blood sugar is elevated and the person is at risk of developing the disease. That’s a lot of people, and publishers have responded by releasing tons of books on the subject. In this issue, we take a look at two of the most approachable sources of general information on diabetes, along with a book examining the Danish approach to well-being.

The American Diabetes Association Complete Guide to Diabetes (5th Ed.) By the American Diabetes Association | 512 Pages

This association has served as America’s most trusted source of information on diabetes for more than 70 years. This book is an encyclopedic, one-volume sourcebook on how to live an active, healthy life with diabetes.

Diabetes for Dummies

By Alan L. Rubin, MD | John Wiley & Sons | 432 Pages

Perhaps a “friendlier” read than the ADA guide, this is an equally trustworthy look at up-to-date information about all aspects of diabetes. Significantly revised and updated, the book is an accessible, reliable guide to taking the guesswork out of living with diabetes. A nifty companion piece to this book would be The Diabetes Cookbook for Dummies, by author Rubin and Cait James.

The Little Book of Hygge: Danish Secrets to Happy Living

By Meik Wiking | William Morrow | 225 Pages

Lest you think we’ve gone too far afield with this book, consider that it’s been named one of People magazine’s Best Health and Wellness Books of 2017. Hygge (pronounced HOO-ga) loosely translates from the Danish as a sense of comfort and well-being, which after all is the prime benefit of good health. This entertaining little book shows us how to experience joy and contentment the Danish way.

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How much do you know about the Skin?

2. Your skin accounts for about _______________ of your body weight.

1. True or False Your skin is the largest organ in your body.

A: 3. The average person’s skin contains around _______________ of blood vessels.

A:

2 miles

B:

2%

15%

C:

D:

5%

20%

4. It is estimated that more than _______________ of the dust in your home is made up of dead skin.

A:

15

B:

percent

50

percent

C:

30

percent

20

D:

percent

B:

11 miles

C:

5 miles

5. The average person’s skin weighs around _______________.

D:

23 miles

A:

6. The average person’s skin covers an area of _______________ .

A:

2 lbs 7. The skin renews itself every _____________ .

21 ft

2

A: 2 months

D:

C:

B:

9 lbs

6 lbs

3 lbs

8. The vital role(s) your skin plays:

vs.

A: Detecting hot and cold

x12 B:

32 ft

2

B: A year

B: Regulating your body temperature

x6 C: Protecting your muscles, bones, and internal organs D: All of the above 6. A

7. D

8. D

Sources: www.forefrontdermatology.com

D: 28 days

5. B

2

4. B

12 ft

C: 6 months

3. B

2

2. C

D:

14 ft

1. True

C:

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

How to Care for Your Skin This Summer words | CHRISTY RIPPEL

The pool, the beach, the backyard — these are all great places to be on a sunny day. But too much sun can cause premature wrinkling, sun spots, sunburn — and, in the worst cases, skin cancer. While wearing sunscreen daily should be a part of your routine, it’s most important when the sun shines brightest in the summer months. Thankfully, the newest sunscreens, clothing and sunglasses can provide excellent protection so that you can safely enjoy your time outside. Even if you think you’ve heard it all before, brush up on your sun IQ before the heat hits this summer, and your skin will thank you!

Just a Mark or Something More Serious?

Sun spots — also known as age or liver spots — have nothing to do with your liver, but result from repeated sun exposure on an area of the body. They range in color from white to brown, and, once they appear, they continue to darken or (Continued on page 29...)

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Sun Care Cheat Sheet: Apply Sunscreen Early and Ofter

Apply sunscreen daily to all exposed skin, rain or shine. Choose a broad spectrum formula of SPF 30 or higher; generic brands can be just as effective and save you money. Slather on your choice of sunscreen 30 minutes before you head outside, and re-apply every 80 minutes to two hours. Remember, you need a full shot-glass worth to cover your body!

Sunglasses Aren’t Just a Fashion Statement

Look for a pair that offer 100% UV protection, and know that the color of the lens does not tell you how much protection your shades offer. Darker doesn’t mean better!

UPF Clothing is Always a Good Idea

UPF (ultraviolet protection factor) rated clothing adds another layer of protection between you and the sun’s harmful rays — so find a hat or swim shirt this summer.

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

C O V E R A R T I C L E | Get Sun Smart

(...continued from page 27)

increase with every UV ray that hits your skin. They often appear on the hands, arms, chest, face and shoulders, though they can appear anywhere on the body if it has been exposed to UV rays.

But how do you know if a spot on your skin is simply a sun spot or something more serious, like skin cancer? First, if a spot is new, you should run it by a dermatologist, as they have specialized training in skin conditions.

If you are over age 50, it’s a good idea to have a full-body check with a dermatologist or primary care physician to get a baseline for what your moles, freckles and spots look like.

Plus, some areas are hard to examine on your own, like your back. If you are under 50 but have had a lot of sun exposure, are fair-skinned or have a family history of skin cancer, it’s a good idea to get a fullbody check.

Another strategy for keeping track of changes in your sun spots, moles or freckles is to take a picture — a phone camera works fine — every six months to a year so that any changes will be more apparent.

(Sometimes, you don’t notice a chance that happens gradually, but a picture will tell a clear story.)

If you’re determined that your sun spot is not cancerous, but you don’t like the way it looks, you have options. Some over-the-counter creams can gradually fade dark spots. A low strength of hydroquinone, which is a bleaching cream, is available over-the-counter at many drugstores.

You can also look for creams that contain retinoids, which can also help spots fade. A doctor can provide stronger topical creams that may be more effective, and new laser technologies that are available through dermatologists can treat sun spots, causing them to disappear completely. However, they can reappear unless sunscreen is used religiously and you avoid too much sun exposure in the peak hours of the day when the sun’s rays are strongest.

How to Choose the Best Sunscreen for You Protecting your skin outdoors starts with sunscreen. While older formulas left a tell-tale white film that was messy and difficult to rub in, the newest sunscreens are easy to apply and can virtually www.OurHealthlbss.com

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SUNSCREEN I0I 1

APPLY REGULARLY For best results, try applying your sunscreen 30 minutes before sun exposure. Make sure to reapply every two hours, every hour and a half if you are swimming or sweating.

disappear into the skin. Look for the words “broad spectrum” on your bottle or spray, as this means that it will protect against both UVA and UVB rays.

UVA rays penetrate deep into the skin and are responsible for wrinkles and aging; UVB rays cause sunburn and play a big role in the development of skin cancer — so protection from both is important.

2

BE GENEROUS Use at least 1 ounce (about a palm-full) to cover your arms, legs, neck and face.

3

BROAD SPECTRUM When buying sunscreen, look for the words “broad spectrum” on the bottle. This means it will protect against UVA and UVB rays.

4

SPF 30 MINIMUM Make sure to use at least SPF 30, which blocks 97% of UV rays.

5

WATER-RESISTANT If you are swimming or playing sports make sure your sunscreen is water-resistant.

6

DON'T FORGET Make sure not to miss the ears, hands, feet and underarms.

7

SUNSCREEN EXPIRES! Did you know that sunscreen can expire? Make sure to check your sunscreen's expiration date before use.

If you are swimming or playing sports, look for a formula that is waterresistant so it will stay with you through your tennis game or splash in the pool.

If you have sensitive or acne-prone skin, scan the sunscreen aisle for a formula made specifically for babies or sensitive skin for less chance of irritation. People of all ages, from babies 6 months old and up, need sunscreen protection when outdoors. (Younger babies should always be covered.)

Sunscreen is a weapon, but to protect you well, it has to be used wisely.

Ideally, apply it 30 minutes before sun exposure, using a full shot-glass worth of the product. Dermatologists advise you to use more than you think you need. Reapply at least every two hours or every 80 minutes if you are swimming or sweating. There are now sprays that can be applied to wet skin, so if you can only grab your kid on his way to the diving board for a quick spray, it can still be effective.

In addition to sunscreen, many bathing suits, swim coverups and fabric hats now come with sun protection builtin. Instead of an SPF rating, clothing has a UPF rating — giving you an idea of how effective it is at blocking harmful rays. UPF ratings range from 15 (good) to 50+ (excellent).

In addition to sunscreen and UPF clothing, sunglasses are an easy way to protect your eyes and the skin around them from exposure. Look for shades that offer 100% UV protection — and know that darker lenses don’t offer better protection. Dark-tinted glasses without UV protection are more dangerous, as they dilate your pupils more than a lighter lens color, leaving them more exposed to damaging light.

When Avoiding the Sun is Your Best Move Some medications can make you photosensitive — a fancy word for more sensitive than usual to the sun. There are many medications that (Continued on page 32...)

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C O V E R A R T I C L E | Get Sun Smart

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www.OurHealthlbss.com

(...continued from page 30)

can do this, including many nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, many antibiotics and some diuretics.

Most drugs will have a warning on the label. Additionally, you can ask any pharmacist, and they’ll be able to advise you if a medication you are currently taking will cause sun sensitivity.

Photosensitivity can result in an inflammation of the skin created by the combination of sun exposure and the medication. This can look similar to a sunburn, rash or eczema. Some topical creams like retinoids and hydroquinone also cause sun sensitivity. If you are taking any of these medications, you should heed the warning to avoid the sun, or you may wind up with painful, blistered or red skin.

The outdoors were meant to be enjoyed — and if you wear your sunscreen, don a hat and sunglasses, seek shade breaks and avoid the sun if taking photosensitive medications, you won’t be sidelined by sunburn.

Sources

American Cancer Society | www.cancer.org The Skin Cancer Foundation | www.skincancer.org

ON THE WEB

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

LYNCHBURG

&

SOUTHSIDE

DERMATOLOGY & COSMETIC SURGERY RESOURCE

GUIDE

www.OurHealthlbss.com

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COSMETIC & PLASTIC SURGERY

DERMATOLOGY Central Virginia Dermatology Forest | 434.385.1982

Blue Ridge Ear, Nose, Throat & Plastic Surgery Lynchburg | 434.947.3993 Blue Ridge Plastic Surgery Danville | 276.632.3900

Centra Medical Group: Plastic Surgery Center 1330 Oak Lane, Suite 100 Lynchburg | 434.200.4350 414 Park Avenue Danville | 434.857.3600 centramedicalgroup.com/ plasticsurgery Services: • • • • • • • • •

Botox® and fillers Breast augmentation Breast reconstruction Eyelid surgery Facelift Kybella® treatments Tummy tuck SculpSure® SmartLipo®

(Dr. Wilson will begin seeing patients at Dermatology Consultants starting August 1st.)

Complexions Dermatology Danville | 434.792.0423

Dermatology Consultants 1330 Oak Lane, Suite 101 Lynchburg | 434.847.6132 lynchburgdermatology.com

RidgeView Dermatology 101 Candlewood Court Lynchburg | 434.363.4190 278 Westlake Road Smith Mountain Lake 540.759.7500 ridgeviewdermatology.com Services: • • •

Mohs Skin Cancer Surgery Adult & General Dermatology Pediatric & Adolescent Dermatology

• • • • • •

General Dermatology Medical Dermatology Cosmetic Dermatology Adult & Pediatric Dermatology Mohs Skin Cancer Surgery Skin Cancer Screenings Intense Pulsed Light Skin Rejuvenation and Hair Removal Botox Sclerotherapy Cosmeceuticals & Sun Protection Hats

See ad on page 34

Central Virginia Oral and Facial Surgery 101 Archway Court Farmville | 434.394.2329 1509 W. 3rd Street, Suite 203 Lynchburg | 434.832.8040 www.cvofs.net Services: •

Facial Cosmetic Surgery

DermOne Dermatology South Boston | 434.572.6780

Grace A. Newton, MD, Dermatology PC Lynchburg | 434.947.5321

See ad on page 34

Seven Hills Dermatology Lynchburg | 434.237.3376

MEDICAL SPAS & SKIN CARE SERVICES

300 Enterprise Drive, Suite E Forest | 434.333.7370 ridgeviewdermatology.com Services: • • • • • • •

CoolSculpting MiraDry Skin Type Solutions Laser Hair Reduction Botox & Filler Facials & Peels Waxing Services

Reflections Day Spa Martinsville | 276.632.2222

Studio Style and Spa Forest | 434.525.4806

Village Spa Martinsville Martinsville | 276.656.1680

Wyndhurst Medical Aesthetics & Hormone Clinic Lynchburg | 434.237.3664

ON THE WEB

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Martinsville | 276.632.6496

Patricia A. Duprey, MD Danville | 434.797.3920

Martinsville | 276.666.8439

See ad on page 34

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read this edition of

Bellezza Aesthetics Center Danville | 434.793.8990

Blue Ridge Aesthetics Center Forest | 434.455.7546

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At-home skin care systems Chemical peels, micropeels Facials Laser hair removal Laser spider vein, brown spot removal Manicures, pedicures Microdermabrasion Silkpeel Dermalinfusion Waxing

Judith Szulecki, MD

Piedmont Dermatology Center See ad on page 37

• • • • •

See ad on page 34

Aesthetics by RidgeView Dermatology See ad on page 37

1330 Oak Lane, Suite 100 Lynchburg | 434.200.4247 www.centramedicalgroup. com/plasticsurgery Services:

• • • •

Services: • • • •

Healthy Skin Center at CMG Plastic Surgery Center

on your tablet or smartphone

S K I N C A R E | Resource Guide

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SPECIALTY

Speaking

LOCAL PROCEDURES & SERVICES

Beneath SURFACE the

JUNE JULY

Plastic Surgery and Aesthetic Skin Care words | CHRISTY RIPPEL

OurHealth Lynchburg & Southside magazine’s occasional series on cosmetic surgery and aesthetic skin care services explores new and existing options offered by medical experts in our communities.

Throughout the U.S., cosmetic surgery procedures and aesthetic skin services have changed a lot through the years, especially with the increase in popularity of new options and improvements to how existing ones are performed. This trend has carried to Lynchburg and its surrounding communities, where some of the nation’s top-rated board certified cosmetic surgeons offer the latest options available performed with your utmost safety, comfort and expectations in mind.

In the first article of our occasional series, we spoke with Keith Pitzer, MD, a board certified plastic surgeon with Centra Medical Group Plastic Surgery Center in Lynchburg about popular non-surgical, minimally-invasive and invasive procedures locally available.

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S K I N C A R E | Specialty Speaking

SCULPSURE: A NON-SURGICAL WAY TO GET RID OF STUBBORN FAT SculpSure is the first FDA-cleared laser treatment for lipolysis (getting rid of fat) of the flanks (side of the body) and abdomen. A newer and completely non-invasive treatment, SculpSure has been available to patients since 2015. The plastic surgeons at Centra Medical Group in Lynchburg say SculpSure is ideal for patients who are looking for an alternative to traditional liposuction surgery and want to get rid of stubborn fat and trouble spots, particularly those spots that seem resistant to diet and exercise.

“There is no preparation for treatment and it does not require anesthetic,” notes Keith Pitzer, MD of Centra Medical Group Plastic Surgery Center. SculpSure is a laser that specifically focuses on the fat layer without causing burning or redness to the overlying skin, so there is minimal discomfort. Treatment for each area of the body takes approximately 25 minutes, and there is no downtime following the procedure.

In one treatment, SculpSure can provide up to a 24 percent reduction in subcutaneous fat, which is the fat that lies just below your skin—like the excess fat you can grab at your waistline. While the procedure is quick, patients see results at approximately six weeks following treatment. While the fat cells are destroyed during the laser treatment, it takes some time for the body to evacuate them via urine. “Optimal results are typically seen at twelve weeks,” says Dr. Pitzer. “Treated fat cells are permanently eliminated and will not regenerate.” However, it is important to note that results are not permanent if a patient gains significant weight.

In one treatment, SculpSure can provide up to a 24 percent reduction in subcutaneous fat, which is the fat that lies just below your skin – like the excess fat you can grab at your waistline.

Cost varies depending on the number of areas treated, but ranges from approximately $1,200 and up. Like most cosmetic procedures, SculpSure is not covered by insurance.

Simon Hatin, MD Centra Medical Group Plastic Surgery Center 1330 Oak Lane, Ste 100 Lynchburg, VA 24503

434.200.4350 www.centrahealth.com

Keith Pitzer, MD Centra Medical Group Plastic Surgery Center 1330 Oak Lane, Ste 100 Lynchburg, VA 24503

434.200.4350 www.centrahealth.com

Centra plastic surgeons like SculpSure because there is no surgery, no downtime and the patient can resume normal activities right away. “There are many people who exercise and eat right, but still have those stubborn areas that just won’t go away,” concludes Dr. Pitzer. “SculpSure brings another option to the table.”

SMARTLIPO OFFERS A MINIMALLY INVASIVE ALTERNATIVE TO TRADITIONAL LIPOSUCTION SmartLipo is an FDA-approved, minimally invasive alternative to traditional liposuction used for removing excess body fat. Simply put, SmartLipo is liposuction performed using laser technology, allowing the plastic surgeon to remove unwanted fat with less pain and downtime than traditional liposuction surgery. “Since the procedure is minimally invasive, the bounce back is much quicker,” says Dr. Pitzer.

The ideal candidate for SmartLipo is someone in good health, and not typically more than 25 pounds over their ideal body weight.

Henry Wilson, MD Centra Medical Group Plastic Surgery Center 1330 Oak Lane, Ste 100 Lynchburg, VA 24503

434.200.4350 www.centrahealth.com

www.OurHealthlbss.com

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BREAST AUGMENTATION BREAST AUGMENTATION: A cosmetic surgery procedure to increase breast size and enhance breast shape, typically through the placement of silicone or saline breast implants.

About $5000 to $6000

Similar to SculpSure, this procedure was designed for stubborn fat deposits that seem resistant to diet and exercise. If you choose SmartLipo, you can expect to be awake during the procedure, but Dr. Pitzer notes that sometimes local or oral sedation is used. Very small incisions are made, which takes just one suture or stitch each to close.

During the procedure, laser energy is delivered underneath the skin, which melts fat and also tightens skin to achieve the desired shape. The melted fat is removed during SmartLipo with gentle suction. “For most people, results are achieved in just one treatment,” says Dr. Pitzer. “Results can be seen within a week, with continued improvement over three to six months.”

Patients can resume normal activities after about three weeks. Dr. Pitzer likes the effectiveness of the procedure, ease of recovery and the additional benefit of skin tightening along with the destruction of fat.

Available since 2009, SmartLipo is not covered by insurance and the approximate cost is between $3,500 and $4,700, depending on areas treated.

BREAST AUGMENTATION TO ENHANCE FULLNESS AND SHAPE Breast augmentation is a surgery that uses an implant to enhance the fullness and shape of the breast.

Common reasons for the procedure are to improve the size or shape of the breast or restore volume after weight loss or pregnancy. Depending on a patient’s goals, “sometimes, a breast 40

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During a breast augmentation consultation, expect to discuss the size and shape you hope to achieve, which can be accomplished by placing the implant over or under the muscle, depending on how much breast tissue is present to help mask the implant, says Dr. Pitzer. The physician will make a recommendation on placement and type of implant based on a physical exam, medical history and desired results.

During a breast augmentation consultation, expect to discuss the size and shape you hope to achieve, which can be accomplished by placing the implant over or under the muscle, depending on how much breast tissue is present to help mask the implant.

Breast augmentation surgery typically lasts up to two hours, and is performed under general anesthesia (going to sleep).

Patients can expect to wear a support bra afterwards, and no drain will be present, says Dr. Pitzer. “There are several days of reduced activity and then no heavy lifting or strenuous activity for three to six weeks,” says Dr. Pitzer. Expect a follow-up appointment with your plastic surgeon one week after surgery.

S K I N C A R E | Specialty Speaking

lift, instead of or in addition to breast implants is common,” says Dr. Pitzer. The best course of action can be determined in a consultation with a board-certified plastic surgeon.

FACIAL INJECTIONS FACIAL INJECTIONS: A minimally-invasive cosmetic procedure to reduce wrinkles and enhance appearance of face by injecting the skin with facial fillers. Two types of facial injections include BOTOX and Juvederm.

BOTOX: A facial injection that temporarily reduces muscle activity for significantly visible smoothing.

About $240 to $625

JUVEDERM: A facial injection of hyaluronic acid fillers used to diminish facial line and restore volume and fullness in the face.

About $375 to $575

“Many people believe that implants must be replaced every 10 years,” says Dr. Pitzer. “However, there’s no real set time these days. As long as the implant is still intact and there have been no changes, there is no need to replace them.” Cost for implants from a Centra board-certified plastic surgeon ranges from approximately $5,000 to $6,000.

FACIAL INJECTIONS: BOTOX AND FILLERS THAT IMPROVE APPEARANCE WITHOUT SIGNIFICANT DOWNTIME Facial injections are a minimally-invasive way to improve appearance without significant downtime. “As we age, our faces naturally lose subcutaneous fat,” says Dr. Pitzer. The facial muscles are then working closer to the skin surface, so smile lines and crow’s feet (creases at the corners of the eyes) become more apparent.”

Injections of BOTOX block muscular nerve signals, which then weaken the muscle so it can’t contract. The end result is diminished facial wrinkling. The injection temporarily reduces muscle activity for significantly visible smoothing. www.OurHealthlbss.com

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Continue the CONVERSATION For even more on our conversation with the Centra physicians, visit OurHealthLBSS.com and look for "Continue the Conversation" to download our custom Centra Medical Group Plastic Surgery Center Reference Card and Check List.

The other category of injections is fillers, such as Juvederm. These hyaluronic acid fillers also diminish facial line and restore volume and fullness in the face.

Fillers are often used to lift cheeks, smooth parentheses lines (around the mouth) or plump and smooth the lips.

“Over time, the cheeks flatten, and the skin may begin to sag,” explains Dr. Pitzer. “This is caused by a natural loss of volume in the cheek area, or what the experts call age-related midface volume loss.

Additionally, lips can thin over time and vertical lip lines become more noticeable.”

Following injections, Dr. Pitzer recommends not doing any activity that elevates the blood pressure to help limit bruising. Patients can resume all normal activities the following day. Results with Botox can last between four and six months and it costs between $240 and $625. Juvederm results last between eight and 16 months, and approximate cost is $375 to $575, says Dr. Pitzer.

>> Continue our conversation with the Centra physicians online at OurHealthLBSS.com!

EXPERT CONTRIBUTERS Simon Hatin, MD with Centra Medical Group Plastic Surgery Center in Lynchburg.

Keith Pitzer, MD with Centra Medical Group Plastic Surgery Center in Lynchburg.

Henry Wilson, MD with Centra Medical Group Plastic Surgery Center in Lynchburg.

ON THE WEB

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

The Resource for Healthy Living in Lynchburg and Southside

Local health. Anywhere you go.

OurHealth magazine is Lynchburg & Southside’s only resource entirely dedicated to delivering information about local healthcare services and healthy living topics.

Pick up our print edition at more than 900 locations throughout the area or get the digital edition by visiting

ourhealthlbss.com .

www.OurHealthlbss.com

43

STRAIGHT TALK ON

WRINKLES

STEPS TO

SMOOTH

AT ANY AGE words | CHRISTY RIPPEL

If you think your laugh lines aren’t so funny, you’re not alone. Many men and women venture to the drug store or department store counters looking for a wrinkle fix to regain a more youthful appearance. But what they often find is confusing ingredients, big promises, and even bigger price tags for creams, lotions and potions. But what really works? You may be surprised to know that you can prevent wrinkles with some easy (and cheap!) lifestyle changes. And when wrinkles do appear—which they will, eventually, for everyone—there are many effective options. We spoke with the dermatologists at RidgeView Dermatology in Lynchburg to get the latest information on how to prevent and smooth wrinkles,

1

and be happy with the face smiling back at you in the mirror.

USE SUNSCREEN DAILY “The importance of sunscreen cannot be overstated,” says Carrie Cobb, MD, dermatologist at RidgeView Dermatology. “Used regularly, it is the best way to stave-off early signs of aging in the skin.” But what kind of sunscreen, and how much? Dermatologists say to wear an SPF 30 or above every day, rain or shine.

Many newer formulas disappear into the skin, and can go underneath make-up.

On a sunny beach or pool day, use a full shot-glass worth to cover your body, and re-apply that same amount every two hours. Leave a tube of sunscreen in your purse or glove box, and make sure to put it on before you drive—the sun sneaks through your car windows, too. Slather some on your hands while you’re at it— they are one of the first spots on your body to show signs of aging.

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S K I N C A R E | Straight Talk on Wrinkles

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CUT BACK ON SUGAR IN YOUR DIET There are two proteins in the skin that give it youthful fullness and elasticity (the skin’s ability to stretch and bounce back, like a rubber band). Those proteins are elastin and collagen. According to Kristen Kuk, MD, with RidgeView Dermatology, “a diet rich in sugar can hasten the breakdown of elastin and collagen” that results in dullness and wrinkles.

Read food labels before you buy— besides obvious sources of sugar like cookies and cakes, sugar is in many foods that you would never suspect, like salad dressing and spaghetti sauce. The American Heart Association says to keep added sugar consumption under six teaspoons or 25 grams for women and 38 grams or nine teaspoons for men. Don’t worry about naturally occurring sugars in fruit or dairy. While you’re working on cutting back on sugar, add in some foods rich in vitamins C and/or E like oranges and leafy greens, which Dr. Kuk notes can be good for skin.

3

STOP SMOKING Your doctor may have advised you to quit smoking for other health reasons, but did you know smoking can also give you wrinkles? Cigarette smoke contains a number of toxic ingredients like carbon monoxide, which displaces the oxygen in your skin. Nicotine in cigarette smoke reduces blood flow to your tissues, leaving skin dry and discolored.

Cigarette smoking also depletes important nutrients like vitamin C, which helps repair skin damage. And the way you purse your lips when you www.OurHealthlbss.com

45

inhale on a cigarette? That repeated motion leaves wrinkles around the mouth. In short, cigarettes are so toxic that they accelerate the aging process, and smokers have the wrinkles to prove it.

4

DON’T GO TO BED WITHOUT WASHING YOUR FACE

MEGAN ALLISON, PA-C An NCCPA Certified Physician Assistant with RidgeView Dermatology.

It might not seem like a big deal to hit the pillow without washing your face, but it is essential for preventing premature aging. Sunscreen, makeup and other grime on your skin from the day’s activities can clog pores. You might wind up with acne, dry skin and deepening of wrinkles. Plus, skin repairs itself at night, so if you skip washing your face, you lose out on the chance to add a moisturizer or other beneficial ingredients after cleansing. For nights when you fall into bed, leave a package of cleansing wipes on the nightstand. If nothing else, a quick swipe will free your skin of the day’s grit. Ideally, cleanse morning and night with a mild cleanser (dermatologists like Cetaphil), and follow it with a serum or lotion with wrinkle-fighting ingredients.

5

KNOW WHAT INGREDIENTS TO LOOK FOR IN LOTIONS, CREAMS AND SERUMS

CARRIE COBB, MD, FAAD A board-certified dermatologist at RidgeView Dermatology.

There are countless wrinkle creams and potions on the market, and it’s hard to know which ones work best—but there are many drugstore options that dermatologists say do work. Dr. Cobb says to look for retinoid products, like Differin gel—which was once prescription only. This and other retinoids can decrease fine lines and wrinkles by stimulating the production of new skin cells— and they fade dark spots, too. Retinoids can be layered under a moisturizer, or some moisturizers already contain retinoids. Many dermatologists advise patients to use a vitamin C containing product in the morning followed by sunscreen, and a retinoid and moisturizer at night.

6

GET A DERMATOLOGIST’S ADVICE WHEN YOU NEED ADVANCED TREATMENT

KRISTEN KUK, MD Sees patients at Aesthetics by RidgeView Dermatology. She has focused her CME on aesthetics, including training in laser and injectables.

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When is the right time to talk to a dermatologist about wrinkles? “After good preventative habits are established, I encourage patients to reflect on what bothers them about their skin and seek treatments to specifically address those concerns,” says Dr. Cobb. Dermatologists have more tools than ever to combat wrinkles without surgery, and most fall into two main categories: injections and laser treatments. There are medications like BOTOX that, says Megan Allison, PA-C, with RidgeView Dermatology, “target and soften muscle movements that lead to creasing of the skin over time.” Allison says that BOTOX is most often used for frown lines (from knitting your eyebrows together), forehead lines and crow’s feet (also known as laugh lines—the small wrinkles on the outer corners of your eyes).

Dermal fillers are the other major type of injection—brand names you may have heard include Juvederm. “Another natural part of the aging process is that as our

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

S K I N C A R E | Straight Talk on Wrinkles

faces tend to lose fat…creases and grooves become more prominent,” says Allison. Dermal fillers can be used in these spaces to fill them out. While BOTOX and fillers have been around for more than 10 years, Allison says they are now longer lasting, softer and more versatile than ever before. Know that BOTOX typically requires treatment every three months to maintain results; dermal fillers need repeating every six to 12 months.

Lasers, like the CO2 laser used at RidgeView Dermatology, are another tool. Allison says it is best for overall crepe paper-like skin and fine lines, and can be effective at smoothing and tightening the skin.

Chemical peels and microneedling treatments are other possible options for reducing fine lines and wrinkles, and are usually done in a once-monthly series initially and then maintenance two to three times a year.

“We have an ever-widening array of options to treat wrinkles and the best approach is a very individualized one,” says Dr. Kuk. To learn more about skin treatment options best for you, schedule a consultation with a dermatologist or aesthetician.

EXPERT CONTRIBUTERS

Megan Allison, PA-C is an NCCPA Certified Physician Assistant with RidgeView Dermatology.

Carrie Cobb, MD, FAAD is a board-certified dermatologist at RidgeView Dermatology.

Kristen Kuk, MD sees patients at Aesthetics by RidgeView Dermatology.

ON THE WEB

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SHINING

LIGHT

THE ON SKIN REJUVENATION

TREATMENT

A Lynchburg dermatologist is using high-intensity light treatment to correct many skin problems with little downtime words | CHRISTY RIPPEL

In the past 20 years, many new technologies have allowed doctors to dramatically improve the vitality of patients’ skin without invasive procedures. One such technology is IPL or Intense Pulse Light treatment.

“IPL treats sun damage, rosacea, excessive hair growth and abnormal pigment in the skin,” says Soni Carlton, MD of Dermatology Consultants in Lynchburg. Dr. Carlton gives her expert advice and opinion below, answering everything you need to know to decide if IPL is right for you.

How does IPL work?

“IPL is a type of photorejuvenation treatment using high-intensity light similar to a laser. The light energy is converted to heat energy, which does the work and damages the target, like a dark spot on the skin that we want to disappear. A numbing cream is applied to the skin, and the patient lies back in a chair. The technician has a hand piece that they hold onto the skin. The treatment itself is

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Dr. Carlton also notes that for people with severe skin damage, acne or precancerous sun spots, IPL may be combined with a topical medication called Levulan in a procedure called Levulan Photodynamic Therapy (PDT), which may help make skin more healthy, smooth and clear, and possibly even prevent skin cancer.

S K I N C A R E | Shining the Light on Skin Rejuvenation Treatment

very minimally uncomfortable and takes around five to 15 minutes, depending on the area of the skin being treated.”

WHAT IS

PHOTOREJUVENATION?

Photorejuvenation is a skin treatment that uses lasers, intense

What skin issues does IPL treat?

pulsed light, or photodynamic

“IPL is great for spider veins on the face, and rosacea (redness). We use it a lot for general photorejuvenation, to even out the skin’s tone and texture. It works on brown spots and freckles, and for hair removal—it works especially well on coarse or dark hairs, so it’s good for the underarms and bikini line. Some women have bothersome coarse or dark hair on the upper lip or face, and it works extremely well for that.”

and remove effects of photoaging

therapy to treat skin conditions (changes to skin induced by chronic UVA and UVB exposure) such as wrinkles, spots, and textural changes. The process induces controlled microscopic

When can I return to normal activities after IPL?

wounds on the skin, prompting it

“Patients are able to return to work the next day. IPL is non-invasive…it doesn’t take off the top layers of the skin, so patients aren’t left with that raw look.

IPL bypasses the superficial skin to get to the problem area. Downtime is very minimal.”

This process reverses the signs of

to heal itself by creating new cells. photoaging to a certain extent by removing appearances of damage.

How many treatments will I need?

“It depends on what you are treating. For sun damage, rosacea or freckles, you’ll need two to three treatments. For hair removal, you’ll need six to eight treatments over a period of a year or so.”

How much will it cost?

“Cost also depends on the area we are treating, but a general estimate is approximately $300 for one entire facial treatment. Hair removal can be less, approximately $125 for a treatment on an area like the upper lip or chin. It is a cosmetic procedure, so it isn’t covered by insurance. Depending on a patient’s budget, there are other less expensive options to treat issues, like prescription creams. But IPL is a great option for a patient looking for a fast and very effective fix.”

EXPERT CONTRIBUTERS Soni Carlton, MD of Dermatology Consultants in Lynchburg

ON THE WEB

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“Intense Pulse Light treatment treats sun damage, rosacea, excessive hair growth and abnormal pigment in the skin... It is a great option for a patient looking for a fast and very effective fix.”

SONI CARLTON, MD A dermatologist with Dermatology Consultants in Lynchburg. Dr. Carlton is certified by the American Board of Dermatology.

www.OurHealthlbss.com

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Photos courtesy of Liberty University and GradImages.

Liberty University’s 2017 School of Nursing Commencement On Saturday, May 13, 2017, President Donald Trump delivered a commencement address to 18,000 students graduating from Liberty University. Of those graduates, 107 will enter into communities across the country as nurses with varying degrees. Several graduates have accepted employment locally with Centra Health while others will be traveling to Duke, the Mayo Clinic, and many other specialty hospitals across the country. Liberty University’s School of Nursing prepares students to become nurses who are committed to Christian ethical standards. Degree programs in nursing at Liberty University include two undergraduate programs, Bachelor of Science in Nursing (BSN) and RN to BSN, one graduate program, Master of Science in Nursing (MSN) and the doctoral program, Doctor of Nursing Practice (DNP).

Congratulations Class of 2017!

For more information about Liberty University School of Nursing visit, www.liberty.edu/academics/nursing.

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SUMMER EXERCISE for ALL

AGES

The fun and excitement of trying out a new fitness activity isn’t only for adults! This summer is the perfect time to introduce your youngsters to a new activity, just for them! Whether it’s a dance class or an outdoor sport, there are tons of options to choose from here in the Lynchburg community.

The US Department of Health and Human Services recommends children get at least one hour of exercise every day. That may seem like a lot, but here are a few ideas to make that hour easy to achieve!

Youth Wellness Classes

Swim, sport and CrossFit Kids classes are all offered at the Jamerson Family YMCA, for children from ages 1 to 16. Don’t miss the KidzGym, an interactive gymnasium with a rock climbing wall, interactive gaming center, age appropriate fitness equipment, inflatable play structures and scheduled activities for kids and their families!

1

Soccer Star

Whether it’s kicking the ball around with friends or a team, a camp, or a clinic, there’s something for every level of play in Lynchburg. Check out Lynchburg Parks & Rec and Central Virginia United Soccer to find the program right for you.

2

Running Rampant!

Encourage the love of running in your child early! Healthy Kids Running Series, for kids age pre-school through 8th grade, introduces kids to running events including the 50-yard dash through a one mile run. The six-week series takes place in the spring and fall at Peaks View Park.

3

Summer Fun Camps

Exercise the mind with over a dozen camps to choose from at Amazement Square! Camps are for ages 3 – 9. And don’t miss out on all the special events they have planned for the summer!

Amazement Square’s Riverfront Chalk Festival (one of our favorites) will be on August 19th!

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AMAZEMENT SQUARE Lynchburg | 434.845.1888 amazementsquare.org

CENTRAL VIRGINIA UNITED SOCCER, INC. Lynchburg | 434.846.6540 centralvirginiaunited.com

CENTRAL VIRGINIA YMCA Lynchburg | 434.582.1900 ymcacva.org

HEALTHY KIDS RUNNING SERIES Lynchburg | 434.401.3270 helahtykidsrunningseries.org

LYNCHBURG PARKS & REC Lynchburg | 434.455.5858 lynchburgparksandrec.com www.OurHealthlbss.com

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words | DANIEL SMITH

Whether it’s bath time or taking a dip in a pool, lake or the river, make sure children are within arm’s reach of you at all times. Most drownings occur when parents or guardians least expect – in less than two – three feet of water. Children can easily slip under giving them little or no time to cry out for help.

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DON’T ENGAGE IN

BREATH HOLDING ACTIVITIES

Children shouldn’t hold their breath for a prolonged amount of time while swimming, as this can cause drowning and has several other severe physical side-effects.

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SUPERVISE YOUR CHILDREN WHENEVER THEY’RE IN ANY TYPE OF WATER

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start with safety first. OurHealth is pleased to partner with the YMCA to bring seven helpful tips and resources developed with you and your loved ones health in mind.

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Swimming and other water sports are favorite summer past times no matter your age. But remember these types of fun-in-the-sun activities should always

ap gr

NEVER SWIM ALONE

Always emphasize to children that they should only swim in locations where a lifeguard is on duty. In fact, this rule is a good one for adults to follow, as well.

WEAR A LIFE JACKET Inexperienced or non-swimmers should wear a Coast Guard-approved life jacket, or a personal flotation device (PFD). For more information about United States Coast Guard-approved PFDs, including choosing the right types to select based on the water environment, how to select the correct size, how to properly wear and care recommendations, scan the QR code provided.

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LEAD BY EXAMPLE

Be the role model of water safety for your children.

Wear your own PFD while on any type of motorized or non-motorized watercraft. Also, do not engage in alcohol or drug use while operating any type of water craft or while swimming.

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DON’T JUMP IN TO SAVE A FRIEND

STRUGGLING IN DEEP WATER If children find their friend in deep water unexpectedly, the natural reaction may be to jump in the water to try to save him or her. Even if a child is a great swimmer, a panicked person will overpower them, pulling them underwater with them. YMCA’s Safety Around Water program teaches the “reach, throw, don’t go” concept of using a long object to reach for them and pull them to safety. By using this technique, children can help their friend without compromising their own safety.

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ENROLL YOUR CHILDREN IN

WATER SAFETY OR SWIM LESSONS

Just like teaching your children to look both ways before they cross the street, having them participate in formal water safety lessons teaches them an important life skill that may one day save their life.

LOOKING FOR MORE INFORMATION? For more information about the YMCA’s Safety Around Water and swim lessons programs, visit www.ymca.net/watersafety/.

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Great Super Check Out These Nutrient-Rich Vegetables That Taste and Make Us Feel Great words | TRICIA FOLEY, RD, MS

Summer is here! It means we’re not far away from enjoying garden-fresh, nutrientpacked veggies grown right here in Lynchburg & Southside. Besides the great taste, keeping a steady stream of vegetables in our diet can reduce blood pressure, prevent certain types of cancer, lower the risk of heart disease and stroke, reduce eye and digestive problems and a lot more! By eating a variety of fruits and vegetables, we give our body the mixture of needed nutrients to stay healthy. Check out our eight favorite super veggies and the special health benefits that each offers.

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Cucumbers:

BIOTIN

This surprising super food contains molybdenum, a trace mineral that acts as a catalyst aiding in the metabolism of fats, carbohydrates and amino acids. They also pack a punch of pantothenic acid (vitamin B5), which assists in using carbohydrates, protein and fat for energy. As a bonus, cucumbers also provide a good source of copper, potassium, manganese, vitamin C, phosphorus, biotin, vitamin K and vitamin B1. For maximum impact, be sure to incorporate them into salads and as snacks several times per week!

COPPER

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

MANGANESE PHOSPHORUS POTASSIUM VITAMINS B1, B5 + K

N U T R I T I O N | 8 Great Super Veggies

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Asparagus:

These mighty spears have an amazing amount of vitamin K per serving, providing more than one hundred percent of the recommended daily allowance. Known for promoting cardiovascular health, asparagus also supplies about half the daily need of folate. A serving size is approximately six spears and provides two grams of fiber with only 20 calories per serving. Those on blood thinners should monitor their intake of asparagus closely.

FIBER

FOLATE

VITAMIN K

FOLATE – body uses to create genetic material

Artichokes: Packed with fiber, calcium, iron, phosphorus and potassium, these leaves and hearts are known to promote overall health!

Enjoy them boiled to aid in the prevention of arteriosclerosis, gout, and ward off migraines. They also aid in digestion, promote liver health and help to regulate blood sugar levels. One medium artichoke contains only sixty calories and a whopping seven grams of fiber.

CALCIUM

PHOSPHORUS

FIBER

POTASSIUM

IRON

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Summer Squash:

Also known as yellow squash, this summer favorite provides about twenty-five percent of your vitamin C per one cup serving!

The yellow pigment is also due to the beta-carotene, which has been shown to reduce the risk of certain cancers, heart disease and age-related vision impairment. Manganese is another important mineral you can find in summer squash. This mineral is required to maintain healthy bones and connective tissue and plays a role in brain and nerve function. Enjoy it several times a week raw or cooked.

MANGANESE

VITAMIN C

COPPER – helps with the growth and development of various organs PHOSPHORUS – helps with filtering waste and repairing tissue and cells POTASSIUM – helps maintain fluid and electrolyte balance in the body MANGANESE – creates essential enzymes used to create bones SOURCES:

www.choosemyplate.gov www.fruitsandveggiesmorematters.org www.medicalnewstoday.com

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Mushrooms:

Known for their health promoting benefits, mushrooms are more than just a typical vegetable; they are a fungus. Unlike most veggies, mushrooms are rich in selenium, which can decrease inflammation, improve immunity, promote heart health and decrease cancer risk.

In addition, mushrooms are rich in B vitamins, can boost Vitamin D levels and can assist in weight regulation thanks to their high fiber content. Enjoy one cup raw or one half cup cooked several times a week with other veggies to maximize your nutritional profile.

Onions:

Cry for joy next time you’re slicing onions! Rich in antioxidants, these veggies have amazing antiinflammatory power. They have been associated with a decreased risk of cancer, improved blood sugar management and better bone health. In addition, onions are rich in polyphenols, a type of phytonutrient that protect us from oxidative stress associated with aging.

ANTIOXIDANTS

POLYPHENOLS

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ANTIOXIDANTS – protect the cells in the body from damage

Bell Peppers: Bell peppers are a excellent source carotenoids, a form of antioxidants that protect against cellular damage.

They are also rich in vitamins C and E giving a boost to your immune system. Enjoy them several times per week choosing different colors to liven up your dishes.

One medium bell pepper provides only six grams of carbohydrate (two grams fiber) and thirty calories.

ANTIOXIDANTS

FIBER

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SELENIUM VITAMIN B VITAMIN D

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Sugar Snap Peas:

Craving a crunch? These delicious peas deliver every time! With only thirty-five calories per cup, these peas pack a nutritious punch providing two grams of fiber and a healthy dose of B vitamins and vitamin C. In addition, they offer about ten to twenty percent of your daily need for iron, magnesium, phosphorus and potassium making them a heart healthy choice!

FIBER + IRON MAGNESIUM PHOSPHORUS POTASSIUM

VITAMINS C + E

MAGNESIUM – aids blood pressure, bones strength, and heart rhythm 58

FIBER

VITAMINS B + C

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