The SkinNY - Spring 2016

THE SKINNY SCHWEIGER DERMATOLOGY QUARTERLY

Beauty Vows Prepare your skin for the big day

PREVENT VS. CORRECT

How to protect and treat skin for aging, sun damage, and acne

Disappearing Ink Best ways to remove your unwanted tattoo

GETTING YOUR SKIN IN THE GAME The link between exercise and your complexion

NEW SPRING SKIN SPRING 2016

HANDS MEAN BUSINESS Broaden your line of injectable treatments with RADIESSE® for Hands—the ONLY dermal filler proven to immediately correct volume loss in aging hands, and an easy addition to your practice.1 • Quick treatment performed in approximately 10 minutes.

• Results last up to a year in most patients.1 FEMALE, AGE 46

BEFORE

AFTER*

*Injection volume: 1 syringe (1.5 cc) per hand. Individual results may vary.

Unretouched photos of actual patient.

Become a RADIESSE for Hands Certified Injector: Visit radiessehands.com or talk to your Merz sales representative for more information.

IMPORTANT RADIESSE® and RADIESSE® (+) SAFETY INFORMATION RADIESSE® and RADIESSE® (+) Injectable Implants are FDA-approved for subdermal implantation for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds. RADIESSE® is also indicated for hand augmentation to correct volume loss in the dorsum of the hands.

RADIESSE® and RADIESSE® (+) are contraindicated for patients with severe allergies, known hypersensitivity to any of the components of RADIESSE® or RADIESSE® (+), and patients with bleeding disorders. RADIESSE® (+) is contraindicated in patients with known hypersensitivity to lidocaine or anesthetics of the amide type. Introduction of the product into the vasculature may lead to embolization, occlusion of the vessels, ischemia, or infarction.

Serious adverse events seen with RADIESSE® regardless of indication include necrosis, allergic reaction, edema, and infection. Common adverse events with RADIESSE® injected in the hand include bruising, redness, swelling, pain, itching, nodule or lumps/bumps, difficulty performing activities, and loss of sensation. Common adverse events with RADIESSE® and RADIESSE® (+) injected in the face include bruising, redness, swelling, pain, and itching.

To report a problem with RADIESSE® or RADIESSE® (+), please call Customer Service at 1-866-862-1211. For complete safety information, please refer to the Instructions for Use at Radiesse.com.

Caution: Rx only Reference: 1. RADIESSE [instructions for use for the dorsum of the hand]. Franksville, WI: Merz North America, Inc.; 2015.

Copyright © 2015 Merz North America Inc. All rights reserved. MERZ AESTHETICS and the MERZ AESTHETICS logo are trademarks of Merz Pharma GmbH & Co. KGaA. RADIESSE is a registered trademark of Merz North America, Inc. ML01419-00

ASK A DERM

TRENDING NOW

DISAPPEARING INK

BEAUTY VOWS

YOUR NEW NECK

GETTING YOUR SKIN IN THE GAME

What should you do about skin tags? Dr. Bruce Heller answers that and some of your other most frequently asked dermatology questions, pg. 4 - 5

What happens when a skin care guru preps for her wedding? Get the skinny on physician assistant Diana Palmisano’s bridal beauty prep. Her fiancee also shares his advice on how to get groomed before the big day, pg.

6-7

BEAUTY DIARY

Get a sneak peek at physician assistant Susan Hirsch’s tried and true cosmetic products and New York City beauty hot spots, pg. 8 - 10

LOOKING GOOD IN THE HOOD: FOREST HILLS

Where to go in this cool Queens area if you’re looking to stay healthy and beautiful, pg. 11

Letter from Schweiger Dermatology Group’s Founder Spring is always an exciting time in the New York area and at Schweiger Dermatology Group, we have much to look forward to this season. With even more non-invasive options to improve and rejuvenate the skin from head to toe, there’s never been a better time to work with one of our providers to help

A look at the hottest beauty products and rituals trending now, pg. 12 - 13

As one of the most loathed areas, sagging neck and chins are the focus for a slew of new treatments. Here are the top in-office and at-home methods for treating turkey neck, double chins and sagging jowls, pg. 14 - 15

PREVENT VS. CORRECT

Mother/daughter dermatology duo Dr. Helen Flamenbaum and Dr. Karen Hammerman discuss the best ways to protect and treat the skin for acne, sun damage and wrinkles., pg. 16 - 18

SHE’S GOT LEGS

Shorts and skirt season is around the corner. Now is the time to treat those leg veins you’ve been staring down with one of these methods for leg vein removal., pg. 19

Celebrities aren’t the only ones who suffer from tattoo regret. Find out the best ways to remove your unwanted ink and the truth about how it’s really done from physician assistant and tattoo removal expert Marianne Pistilli., pg.

20 - 21

Exercise has a whole host of benefits, but did you know that it can also greatly impact your complexion? Todd Newman, a physician assistant with a degree in sports medicine, explains the connection between your skin and fitness, pg. 22 - 23

SPRING

2016 EDITOR: Melissa Schweiger Kleinman CREATIVE DIRECTOR & DESIGNER: Lauren Caponong

look and feel your best. Spring also brings Skin Cancer Awareness month.

One of the healthiest things you can do this spring is to educate yourself about skin cancer detection and prevention.

Our ongoing mission is for full skin exams to become a regular part of everyone’s annual medical care. Skin cancer screenings are painless, quick and could save your life. Hoping you enjoy the spring weather (with sunscreen on, of course!).

Regards, Eric S. Schweiger, MD

CEO and Founder of Schweiger Dermatology Group

Ask a Dermatologist THE DOCTOR IS IN! DR. BRUCE HELLER, FROM SCHWEIGER DERMATOLOGY GROUP’S COLUMBUS CIRCLE LOCATION, ANSWERS YOUR MOST PRESSING SKIN REL ATED QUESTIONS. Q: Why should a patient go to a dermatologist rather than a general practitioner for a rash?

Q: Should people in their 20s get skin cancer screenings?

A: Absolutely! We’ve spotted skin cancer in patients under 20 and have saved many lives in the process. We are experts in detecting skin cancers.

Although there are various scanning techniques, a full skin exam by an experienced dermatologist cannot be overemphasized.

A: Dermatologists have the most experience in medicine in treating and diagnosing skin disorders, and in my case, with 35 years of dermatologic practice I have seen and treated almost every skin disorder. As dermatologists, we have all the most up to date technology to assist us in diagnosing and treating patients when necessary. This “There are so many prescription includes skin biologic testing, creams on the market today and only allergy testing, adjuvant light a dermatologist can decide what is treatments, and lasers. There the best topical medication for a given are so many prescription patient and their unique disorder.” creams on the market today Bruce Heller, M.D. and only a dermatologist can decide what is the best topical medication for a given patient and their unique disorder. At Q: What do you do if you detect a Schweiger Dermatology, we also stock suspicious lesion? many custom medications, which conveniently assists my patients with A: The best way to determine if a growth their treatments. is abnormal, is with a skin biopsy,

4

schweigerderm.com

which is a procedure that can be done quickly and painlessly and yield results in a matter of days.

From there a treatment plan will be recommended based on current and acceptable medical protocol.

Q: What are your thoughts on teledermatology?

A: I’ve been aware of the field of teledermatology since the 80s. Although it has great potential, the field has not been developed yet, in my opinion, to proceed with this type of practice. I can see that at some point the accuracy will be acceptable and the supervisory mechanisms will be improved. But for now seeing a licensed provider face-toface would yield the highest quality.

Q: I have a wart. Why do I need to see a dermatologist?

A: Warts are viral and don’t necessarily respond to topical OTC treatments.

A multi-disciplinary approach is most effective. We treat warts with a combination of nitrogen gas, lasers, and electric cautery needles. We also used sophisticated prescription topical treatments that stimulate your own body’s immune system to destroy the way by harnessing your body’s own defense mechanisms.

“The cause of hair loss is different with every patient, most importantly we need to know what’s causing the hair loss and that enables us to offer a more successful potential treatment.”

Q: There’s a lot of info about men and hair loss, but what about women who are suffering from hair loss?

A: The cause is different with every patient, most importantly we need to know what’s causing the hair loss and that enables us to offer a more successful potential treatment. Our investigation may include scalp biopsy and blood work including hormone testing. I find our success rate for regrowth of hair is much higher when an actual diagnosis is found.

If there is a hormone issue, such as a thyroid disorder, we’d treat that. In other instances an underlying disease may be present and treating that can achieve regrowth. Steroid injections can be very helpful in certain instances to achieve a rapid regrowth of hair.

Q: What do you do for patients who have skin tags around their face and neck?

Should they be removed?

A: They can always be removed for cosmetic reasons and should always be removed if they are causing irritation or discomfort. Before removing these growths I always like to take a small laboratory sample for diagnosis so I can determine the best procedure to employ. Many techniques are available for removal including laser, cauterizing, nitrogen gases and various topical preparations. With experience, I choose the method that will give the best cosmetic results and cause the least amount of discomfort.

Q: What about all of the people who complain about deformed or yellow nails?

A: The first step is to diagnose the disorder. Some nail issues are due to internal disorders, while some are due to external infections, which may even be acquired by manicures.

One of the most common diseases that cause nail deformities is psoriasis.

By treating the underlying psoriasis, one can achieve a more normal looking nail.

The predominant cause of infectious nail deformities are fungal infections and these can be treated with external prescription products or with oral antibiotics. It should be noted that it’s always safer to treat nail infections externally since oral treatments have a higher incident of side effects.

With my experience over many years, I try and determine which therapy will have the most impact.

Dr. Bruce Heller treats patients from the Schweiger Dermatology Group office in Columbus Circle.

To make an appointment with Dr. Heller, go to schweigerderm.com or call (844) DERM-DOC to schedule an appointment.

schweigerderm.com

5

Beauty Vows As one of the most in-demand cosmetic dermatology providers at Schweiger Dermatology Group, Diana Palmisano, PA-C is no stranger to helping others achieve their aesthetic dreams. So it’s no surprise that Diana has planned out her beauty game plan to a tee in advance of her July wedding. Diana is also helping Nicholas, her husband-to-be, with his skin care strategy for the big day.

Here, Diana and Nicholas share their insider tips and tricks to making their wedding day a showstopper.

kept me on my wedding beauty track.

SKIN HOMEWORK I have kept a great skincare regimen at home or what I call my “skin homework”.

Keeping my skin clear is a top priority. I use a mixture of cleansers including Neutrogena Ultra Gentle Foaming Cleanser, Neostrata Foaming Glycolic Cleanser and Revision Brightening Cleanser. I tone my skin with Revision Soothing Rinse. My facial creams include the Neocutis line; Lumiere Eye cream, Journee, Biocream, BioSerum and Hyalis. For any acne breakout needs, I use our Clear Clinic “Vanished” for spot treatment and ClearME Softly pads 1-2x per week as needed.

THE BRIDE’S GAME PL AN

IN-OFFICE SKIN TREATMENTS

My bridal prep has been very simple and natural. My focus has been to only maintain pure, organic beauty and glow as I advise all my patients, especially those that are brides.

My approach in my very own bridal rejuvenation includes prevention and maintenance. My twin sister, Laura Palmisano, PA-C, has played an integral role in my bridal prep as she has performed my treatments and has

In addition to my skincare regimen, maintaining skin clarity also includes rejuvenation tactics. Six months prior to our wedding date, I did a Thermage face treatment to keep my collagen stimulated and skin tight. To minimize my pore size, keep my skin with a bright, glowing, non-dull appearance, I have a Jessner’s Peel every two months alternating with a Laser Genesis starting six months prior to

6

schweigerderm.com

IT’S WEDDING SEASON! WHEN A TOP COSMETIC DERMATOLOGY GURU TIES THE KNOT, YOU KNOW HER SKIN IS GOING TO LOOK AMA ZING! FIND OUT WHICH TREATMENTS DIANA PALMISANO, PA-C IS RELYING ON TO LOOK NATURALLY GORGEOUS ON HER WEDDING DAY THIS JULY.

our wedding date. Keeping those lines away and an open, vibrant eye is done best with Botox in the upper 1/3 of the face. I had “light and gentle” Botox with one treatment seven months prior to the wedding, I will do it again three months prior and lastly two weeks prior to our wedding date. I adore lip rejuvenation and having a nice pout for my future husband-to-be is a must!

I had some Juvederm Ultra for my lips eight months prior and will do it again one month prior to our wedding date so I’m perfectly pout ready again!

THE HAIR AND BODY PL AN Hair and body are two major factors in my bridal prep. As for my hair, I want to keep shiny, healthy and strong hair.

I make sure my diet is rich in vitamins and nutrients essential for my hair and my body’s needs. Biotin, Calcium and Vitamin D are essential to me. My goal is to add one red light hair treatment monthly starting six months prior to the wedding for better circulation and scalp rejuvenation. Keeping a strong exercise program is always a part of my lifestyle. Endurance training includes spinning (SoulCycle, of course) and a running program (with my fiancé or my twin sister is always best) as well as strengthening and exercise for my mind and soul with hot yoga.

THE FINAL TOUCH The big and final question always is, “what do you do right before your wedding?”

The last week before becoming a “Mrs.” I will make sure to have a Laser Genesis treatment and a red & blue light session.

You will find me on the morning of our wedding day drinking Fiji Water while resting with our famous Derm Duo Ice Mask for ultra wedding day hydration. My skin will be supple and ready to take on the big day!

THE GROOM’S GAME PL AN My prep has been through Diana’s words and guidance. Aside from managing a crazy work schedule and our personal life, exercising and racing are a huge part of my life. My major concern is keeping my skin clear for the wedding as my physical activities and racing is harsh on my skin.

HEALTHY HAIR AND BODY Exercise and a proper healthy diet will continue as we approach our wedding day.

I will continue my multi-discipline high endurance and strengthening program including CrossFit training, running, competing in my obstacle course racing, Spartan Races, and NYRR races. I want my skin to keep up as well. Keeping my hair full and strong for our wedding day is important as well. Six months prior to the wedding I had PRP (Platelet Rich Plasma) injections to my scalp and then a second PRP treatment to my scalp one month later, five months prior to the wedding.

SKIN HOMEWORK My skincare regimen includes facial cleansing with Neutrogena Ultra Gentle Cleanser and Clear Clinic’s T2 cleanser.

I use Clear Clinic’s O2 Cleanser on my chest and back 2-3x per week as needed to keep skin acne clear. I use Neocutis products including Lumiere Eye Cream (this cream really works!) and Biocream. I find these help with my lines around my eyes and making me look less tired. If I need added hydration after a workout I carry Neutrogena Oil-Free Moisturizer for

quick light moisture that won’t break me out. I use Clear Clinic AttackBack Pads on my face or body as needed when I have acne and to prevent acne, 1-3x per week.

It controls oil production, especially with intense exercise.

IN-OFFICE SKIN TREATMENTS To keep my pores tight and improve the overall appearance of my skin I will have 2-3 Laser Genesis treatments starting two months before the wedding with the last treatment one week prior to the wedding.

THE FINAL TOUCH I have noticed staying hydrated is an important factor for my skin health both inside and out. I will make sure to stay richly hydrated prior to the wedding day, especially the day prior and morning thereof. I will then only have to put on my Lumiere eye cream and be ready to marry the love of my life!

Diana Palmsiano, PA-C treats patients from the Schweiger Dermatology Group office in Midtown.

DIANA + NICHOL AS’S TIPS FOR BRIDES AND GROOMS We suggest picking the goals you have for your skin, hair and body for your wedding day.

If acne is a concern, the sooner you start taking control and getting your skin clear, the better. This goes for body preparation as well. For general skincare concerns, it is always good to check in with your dermatology provider six months prior to your wedding day. Having a skincare regimen that you follow and are consistent with will help you to reach your wedding day skin goals.

schweigerderm.com

7

Beauty Diary:

Susan Hirsch, PA-C The Manhattan-based mom of two spills her desert Island products, favorite beauty addresses in the city and her secret recipe for luscious lips.

SECRET WEAPON BEAUT Y PRODUCT Ultimate lash booster Latisse along with lash extensions by Courtney Akai.

It helps to shorten my beauty routine in the morning because I wake up looking like I am already wearing makeup. This is key as a busy working mommy of two.

The Courtney Akai boutique in Soho is my one of my favorite beauty addictions. Other than the whole studio being hot pink adorned with glitter and feather boas, they make lash extensions look fabulous and natural. The lashes are lightweight, but look voluminous because of a special multi-lash technique that they use to mix it up. It is the latest method in lash extensions.

Some of the old methods many extension places used at the beginning of this lash craze put more stress on the natural lash causing alopecia or loss of your natural eyelashes. The latest ones do not harm or weigh down the natural lash, so there is never a time you would need a break. I also experience no irritation or itching from the adhesive they use and I have very sensitive skin.

8

schweigerderm.com

FAVORITE EVERY DAY LIP COLOR Bobbi Brown Rouge a Levres Tendre in Bobbi 5. To add sparkle and shimmer, I layer with Bobbi Brown’s Bare Sparkle 15, High Shimmer Lip Gloss. I have also become addicted to Neutrogena’s Revitalizing Lip Balms in Petal Glow and Soft Caramel with SPF 20.

BEAUT Y SECRET FOR EX TRA POUT Y LIPS If you are in a hurry and want to make your lips look extra pouty and beautiful, Aquaphor Healing Ointment Lip Repair + Protect with Broad Spectrum SPF 30 is amazing. Not only do you get the necessary sun protection, it makes lips feel smoother, moisturizes them and helps them look large giving off an illusion of enhanced lip volume.

FAVORITE CLEANSER CeraVe hydrating cleanser.

It’s fragrance-free, so it’s great for all skin types especially those with sensitive and dry skin. It provides gentle effective cleansing while helping to maintain the right moisture balance. I also love it as makeup remover and can be used as a shave gel. It’s non-irritating and noncomedogenic (does not cause pimples

Susan Hirsch, PA-C treats patients from the Schweiger Dermatology Group office in the Financial District.

“Smile! A woman is most beautiful when she smiles.” or acne by clogging the pores) so it’s great for acne prone skin and patients that are being treated for acne who need a gentle cleanser.

FAVORITE UNDEREYE CONCEALER Cle de Peau Beaute, it blends perfectly to conceal those pesky under eye circles.

I also love Bobbi Brown “Corrector” in light bisque which is applied first under the eyes, followed by Bobbi Brown beige creamy concealer and lastly pale yellow sheer finish pressed powder. The creamy concealer and finish pressed powder come in one palette. Injectables such as Restylane are wonderful for under the eyes (tear troughs) to help correct the volume loss and decrease the darkness under the eyes. This in combination with concealer leaves you looking beautiful and refreshed.

Restylane for tear troughs lasts from 6-9 months.

FAVORITE SPF Elta MD UV Clear Broad Spectrum SPF 46. It’s a lightweight, oil-

free and paraben-free broad spectrum sunscreen with a non-comedogenic formulation, so it will not clog pores and is great for acne prone skin. It has 9% zinc oxide sunscreen that protects the skin from the sun while reducing redness and discoloration with niacinamide. It works well under make-up and is great for every day use to protect skin from future signs of photoaging.

BEST BEAUT Y ADVICE YOU’VE EVER HEARD Wear sunscreen daily!

Smile! A woman is most beautiful when she smiles.

FAVORITE NAIL COLOR Chanel Pink

corners. I typically visit the one on Jones Street and it’s like walking into a magical relaxing oasis.

Pedicures are reasonably priced and you soak your feet in a bowl filled with the warm essential oil of your choice as you sip on citrus or green tea.

WHO CUTS YOUR HAIR? Orlo Salon, meatpacking district. For the best haircuts and blow-outs, Joe Martino is my main go-to man. You will get addicted.

FAVORITE POWDER Benefit’s Hoola.

It’s a great tinted powder that gives

Tonic. I love pinks and the Chanel Pink Tonic provides that great pop of pink without being too pink. For a more neutral or lighter pink, I layer Essie Mademoiselle and Sugar Daddy. For a fun purple in the spring or summer, Essie Playdate is a favorite.

FAVORITE PL ACE TO GET A MANICURE Jin Soon hand and foot spas—they have three locations. They are known for the “Jin Soon” shape, where nails are filed straight on the sides and slightly rounded in the

schweigerderm.com

9

me just the right glow all year long.

WHICH COSMETIC PROCEDURE DO YOU THINK EVERYONE CAN BENEFIT FROM? Botox! It’s non-invasive, has little if any downtime, and effectively treats dynamic wrinkles, which appear when we move our face—like when we frown or smile which we have been doing since we were babies. Botox typically lasts 3-4 months and then lines begin to reappear and need to be treated again. It helps maintain a refreshed, well rested look and fits into anyone’s active lifestyle, from a busy mom to a Wall Street banker.

When Botox is used early in the aging process, it also helps prevent wrinkles from forming. It is most effective on the wrinkles that have not totally set in yet and prevents them from becoming moderate to severe.

I started treatment with Botox when I was 25 years old.

WHICH COSMETIC PROCEDURES ARE A REGUL AR PART OF YOUR BEAUT Y ROUTINE? Botox, Dysport or Xeomin (all neurotoxin) injections are something I definitely keep up with in

10

schweigerderm.com

my beauty routine every three months.

It’s a quick and easy procedure and I love to look better rested than I am since I chase after two toddlers a lot and work full time. I personally like to keep my injections natural looking where I still have some movement in my face and I am not completely frozen. I find that to be more of a trend with patients now. They want to look natural. They don’t want anyone to know they have had anything done. I also have injections with one of the HA (hyaluronic acid) fillers usually one or two times a year. Most women begin to experience loss of volume in their face in their 20s and it is all downhill from there. Combining a neurotoxin to help those frown lines with a filler can take years off the face.

Other cosmetic procedures that are part of my beauty routine are chemical peels to help with my hyperpigmentation, aging skin and rosacea. The VI peel precision plus done in my office is a favorite. It contains many different ingredients such as trichloroacetic acid (TCA), salicylic acid, retinoic acid, kojic acid,

hydroquinone, hydrocortisone L-ascorbic acid.

and

I also try to keep up with treating spider veins on my legs once a year before the spring and summer months. Many factors can contribute to the development of spider veins on the legs such as pregnancy, genetics, weight gain, occupation or activities that require long periods of sitting or standing. Most spider veins can be treated with a combination of sclerotherapy injections and laser therapy to get legs in shape for wearing skirts and dresses.

FAVORITE WAY TO BREAK A SWEAT Boogiefit first thing in the morning where we do quick cardio and then an unpredictable circuit working everything from head to toe.

FAVE GREEN DRINK IN THE CIT Y Juice Press is a favorite. For more of a meal, Juice Generation is great and has multiple locations in Manhattan.

I can’t resist the almond butter bowl which satisfies my sweet tooth.

Looking Good In the Hood: Forest Hills, Queens We get the inside scoop from Shivani Thakker, PA-C who works at Schweiger Dermatology Group’s new Forest Hills office - on the best health and beauty spots in this thriving Queens neighborhood.

Red Pipe Café 71-60 Austin Street

Blown Away Blow Dry Bar 70-19 Austin Street

Healthy eaters flock to this warm and cozy organic, vegetarian coffee house that has lots of yummy gluten free and vegan treats, including pastries, sandwiches, salads, wraps, oatmeal, soup, smoothies, and coffee. Their gorgeous latte art is worth the trip alone!

For a chic and consistently good place to go for a quick and gorgeous blow out in Forest Hills, Blown Away is a beauty winner. As the only blow dry bar in the neighborhood, many women rely on it as a must stop before a night out.

Ripe Juice Bar & Grill 70-13 Austin Street

Title Boxing Club 69-40 Austin Street Not your average workout, Title Boxing Club offers heavy bags, free weights, cable machine, and cardio equipment as well as a plethora of kick boxing and boxing classes. Boxing classes include warm-up and a heavy bag phase along with a core and cool down.

Each class possess the inherent cardio benefits associated with true boxing training. You will train exactly like a boxer without the contact!

From protein shakes and smoothies to healthy soups and salads, Ripe Juice Bar & Grill has quickly become a staple for the health-conscious in Forest Hills. “This is our go to for quick and healthy breakfast and lunch options,” says Shivani. “They have a variety of juices and smoothies as well as salads and wraps.”

schweigerderm.com

11

TRENDING NOW

The latest way to cleanse your skin plus the hottest beauty product launches out this spring DOUBLE CLEANSING After becoming a thing in Asia, double cleansing the face has hit the United States.

“Double cleansing is the practice of using a cleansing oil or cream to remove makeup, residues from sunscreen, dirt and dead skin cells that accumulate throughout the day followed by a water-based face wash,” explains Dr. Sandra Kopp. “Oils can assist in removing oil-based makeup, waterproof sunscreens, and pollutants that mix with natural lipids that settle in the pores.”

TRY DOUBLE CLEANSING AT HOME Step 1: One Love Organics Vitamin B Enzyme Cleansing Oil + Makeup Remover (oneloveorganics.com) A gentle approach to cleansing, this nonstripping formula uses organic sunflower seed oil, fruit enzymes and a natural vitamin B complex to gently remove makeup and impurities.

12

schweigerderm.com

Step 2: Amarte Daily Wonder Cleansing Foam (amarteskincare.com) This new cleanser uses a Korean formula for brightening, calming and comforting the skin. Formulated with antioxidants, hyaluronic acid, allantoin, lavender, glycerin, and chamomile, it transforms into a rich lather when mixed with water to thoroughly cleanse the skin.

BEAUTY NEWS New product launches to put on your beauty wish list for this spring

VITA LIBERATA TRYSTAL SELF TAN BRONZING MINERAL S This cult favorite sunless tanning brand from the UK has created a sensation in the States with these genius bronzing minerals. Perfect for any spring breakers tempted by sitting out in the harmful sun, this insta-glow powder uses micronised crystals for sheer, lightweight bronzing coverage and with added DHA for a lasting sun kissed effect. ($55 at vitaliberatausa. com)

IT COSMETICS CONFIDENCE IN A CREAM Hydration is a key factor in younger looking skin. Up your moisturizer game with this clinically proven new cream from beloved makeup brand IT Cosmetics.

Made with their proprietary AntiAging Armour Regenerative Concentrate, which is made up of a potent cocktail of collagen, hyaluronic acid, peptides and niacin, to intensely hydrate and rejuvenate the skin. ($48 at itcosmetics. com)

GLOSSIER BOY BROW

PEEK BEAUT Y FILTER FEATURE

A revelation for brows! This creamy wax formula was inspired by traditional hair pomade and as such, offers a flexible hold for brows that doesn’t stiffen or flake. The sheer pigment load magically makes brows look fuller and more even. We love the tiny tapered brush that allows for precise application onto even the baby hairs. ($16 at glossier.com)

This portable, multipurpose face balm from the new Peek Beauty line uses shala tree resin, bilberry fruit oil, both known for their healing properties, in a coconut oil base to soothe and calm the skin while leaving a touch of translucent sheen behind. We love it for highlighting cheekbones, lips, and collarbones or just on top of naked skin for a gorgeous natural looking glow. ($22 at peekbeauty. com)

HANNES DOT TIR ELIXIR OF MINERAL S We’re in love with this luxurious new skincare collection from Iceland. This unique elixir from the edited line is made to hydrate even the driest of skin. It contains a very concentrated formula of vegetable glycerin and sodium PCA for supreme hydration.

Also in the mix is alum crystal to tighten the complexion for lift and protect the skin from bacteria. Zinc sulfate acts as an anti-inflammatory to calm skin and reduce puffiness. ($60 at hannesdottir.com)

schweigerderm.com

13

Your New Neck The delicate neck, jawline and chin area are among the first to show sagging.

Here, the top ways to reclaim your neck.

No surgery required.

Whether you call it turkey waddle, a double chin or jowls (the medical term for fat around this area is “submental fat”), most people agree they want it gone. In fact, in a survey done by the American Society for Dermatologic Surgery in 2014, about 68% of the participants said the excess fat under the chin and neck is a top cosmetic concern. With many of the people saying a double chin makes them look older than their age. In the past, plastic surgery was the only way to get rid of double chin, but things have changed and no longer do you have to go under the knife to achieve a better-looking neck and chin area.

14

schweigerderm.com

TREATMENT: K YBELL A BY ALLERGAN What it is: Kybella is being touted as the anti-double chin drug. Kybella injections are made up of a nonanimal substance called deoxycholic acid, which is naturally found in our bodies.

How does it work: “When injected into tissue, Kybella physically destroys the cell membrane and can treat moderate to severe fat pockets,” says Julie Zuckerman, PA-C. And the good news is that it destroys the fat cells for good. In other words, once your double chin has disappeared after Kybella injections, it won’t return.

How many treatments needed: Approximately 50 injections are needed per treatment session. Most patients see results from Kybella after two to four treatment sessions.

Treatments should be spaced about one month apart. Each Kybella treatment takes about 15-20 minutes in the office.

Best area to treat: Double chin Side effects: The most common side effects were mild and temporary, resolving on their own shortly after the injections. Kybella side effects include mild swelling, redness, bruising or

“In a survey done by the American Society for Dermatologic Surgery in 2014, about 68% of the participants said the excess fat under the chin and neck is a top cosmetic concern.” numbness around the injection areas.

Results: More than 20 clinical studies have been performed with the results showing that Kybella successfully works to eliminate moderate to severe chin fat. 68% of patients responding positively to Kybella. With 79% of patients reporting they are happy with the results from Kybella, it’s one of the best cosmetic treatments offered.

TREATMENT: COOLMINI BY ZELTIQ What it is: A smaller treatment tip from CoolSculpting designed specifically to target and treat fat under the chin.

How does it work: Using the CoolSculpting technology of noninvasive cooling, which breaks down fat cells, the CoolMini treats the double chin area with no pain and no downtime with the use of a smaller applicator created specifically for the under chin area. The technology behind CoolMini and CoolSculpting is called Cryolipolysis, which uses controlled and prolonged cooling of local tissue to reduce fat cells and subcutaneous fat without damaging the overlying skin. “Cyrolipolysis causes cell death though freezing the fat on the neck and jawline with mild to moderate fat pockets,” explains Zuckerman.

Best area to treat: Fat under the chin How many treatments needed: Patients typically need one to two

sessions

Side effects: You can expect a very cold feeling on the neck and possible redness, swelling or bruising after. But any side effects disappear quickly.

Results: In a clinical study using 60 male and female patients, 83% of the patients were satisfied with the results and 8 out of 10 patients would recommend CoolMini for under the chin fat reduction. CoolSculpting technology received FDA approval in 2010 for reducing fat in the thighs and abdomen and has been used in more than 2 million treatments around the world. Now the double chin area can receive the same result-driven noninvasive treatment to kill fat cells.

Results: The results are seen gradually in the months following treatment.

Since Ultherapy works by stimulating collagen and elastin in the skin with ultrasound energy, time must be allowed for the collagen and elastin to be produced. As new collagen and elastin are formed within the skin, the skin will appear tighter and smoother.

Results are first seen at approximately two to three months following the treatment. The improvement continues to progress for up to six months following the initial treatment.

TREATMENT: ULTHERAPY BY MERZ

TREATMENT: REVISION NECTIFIRM

What it is: A non-surgical skin tightening device that stimulates collagen production.

What it is: A topical cream.

How does it work: Ultherapy works by emitting an ultrasound energy, similar to the energy that is used to perform an ultrasound during pregnancy. In this case, the ultrasound energy is targeting deeper layers of the skin, in order to stimulate production of new, healthy collagen and elastin. The result of this process is smoother, tighter and healthier looking skin without surgery.

Best area to treat: While Ultherapy can be performed on many areas of the face and neck, one of the most commonly treated areas is the jowls (loose skin along the jawline).

How many treatments needed: Only one treatment is needed to see results.

How does it work: Using a patented cocktail of peptides, vitamins, glucosamine, ceramides and algae extract, this award-winning neck cream is a favorite for the real firming results it produces. The biotechnological blend has been shown in clinical studies to create a smoother, firmer and younger looking neck.

Best area to treat: Reduces fine lines and wrinkles as well as rough, crepey and saggy skin around the neck and jawline. Also treats the platysmal bands (those rings that look like necklaces) on the throat area.

Results: A subtle firming of the neck and jowl area with skin that appears smoother and younger.

Side effects: Some numbness may occur after the treatment and last a few days following.

schweigerderm.com

15

Prevent vs. Correct Mother/daughter dermatologists Dr. Helen Flamenbaum and Dr. Karen Hammerman discuss the best ways to prevent and correct sun damage, wrinkles and acne In honor of Mother’s Day, we have asked Dr. Helen Flamenbaum and her daughter Dr. Karen Hammerman to talk prevention and correction on the most common cosmetic skin care issues: Sun damage, wrinkles and acne. While some of their techniques might differ, both mom and daughter know the right path to reaching complexion perfection.

very colorful fruits and vegetables will help add antioxidants into your diet.

CORRECT

PREVENT

Dr. Hammerman says: Correcting sun damage at home for skin that has become dry from the sun, use a moisturizer that contains glycerin, urea, sorbitol, lactic acid, or AHAs, which are exfoliants that will get rid of dry, flaking skin. Avoid hot baths or hot showers and wash only with lukewarm water using mild, gentle cleansers.

Dr. Flamenbaum says: Apply sunblock 30 minutes prior to sun exposure, the total amount should be a shot glass.

Make sure to reapply every 1-2 hours. I like Revision Intellishade, which has a very nice tint to it as well as full coverage protection with SPF 45. Also, wear a physical cover, such as UPF clothing from Coolibar. Avoid the sun between 10:00am-2:00pm and avoid reflective surfaces, such as sand and water. Get a blanket and an umbrella, so you’re not directly on the sand. I’m a big fan of antioxidants for sun protection. Eating

For painful sunburns, find a cool compress or mist to the area with cool water. You can take ibuprofen or aspirin. For brown spots, use a prescription hydroquinone or as an alternative, look for a product containing kojic acid, malic acid, or arbutin, which are all ingredients that will help with skin lightening.

A vitamin C-based antioxidant skin care product will help treat uneven brown pigmentation, but any type of antioxidant will help boost the skin’s appearance if it’s sun damaged.

SUN DAMAGE

16

schweigerderm.com

Correcting Sun Damage in the Office For treatment of sun damaged skin, I use topical agents Fluorouracil and imiquimod, which will rev up the body’s defense mechanisms and treat sun-damaged cells. You can also spray liquid nitrogen or treat with chemical peels. It’s not possible to reverse most of the effects of long-term sun exposure, but a dermatologist may be able to improve the appearance of the skin by prescribing tretinoin, which is a derivative of Vitamin A. You can do laser resurfacing, chemical peels, LED or IPL lasers to treat brown spots and visible blood vessels. Microdermabrasion is also great for rubbing away the

“Apply sunblock 30 minutes prior to sun exposure, the total amount should be a shot glass. Make sure to reapply every 1-2 hours.”

- Dr. Flamenbaum

superficial layer of the skin. Then there are fillers and Botox to temporarily reduce wrinkles that have already formed. To correct actinic keratosis (tiny bumps that look like sandpaper and have a pink or reddish tint), we use Photodynamic Therapy (PDT), where a light sensitizing solution is absorbed by the AK and then activated by a blue light which destroys it.

Products to Treat and Correct Sun Damage: Revision Vitamin C Lotion to protect and provide antioxidant effect, it also has moisturizers in it.

Neocutis Nouvelle Retinol Correction Cream, which is a combo of retinol delivered through a unique technology that makes it effective but also less irritating. It also has a hydroquinone-free alternative called Melaplex.

ANTI-AGING PREVENT Dr. Flamenbaum says: Be aware of lifestyle factors.

The sun, sleeping on your stomach or side (the best position is to sleep on your back!) and squinting, can lead to frown lines.

Skincare Product Recommendations I recommend exfoliation twice a week. I love Crystal Peel Microdermabrasion Exfoliating Creme, with micronized crystals. Exfoliation is very important because it stimulates collagen and elastin and it helps reveal a healthier, younger looking skin. Avoid skincare products containing sulfates, which are harsh to the skin, alcohol, benzoyl alcohol, they strip away skin’s natural oils and lead to early aging and irritation. Mineral oil, which is in many products, can form a film over the skin and clog the pores, inhibiting the skin’s natural ability to get rid of toxins.

The other thing to avoid is chemical sunscreens, they can encourage free radical damage.

CORRECT Dr. Hammerman says: Anti-aging at home.

A retinol cream will stimulate collagen, increase cell turnover and get rid of dead skin cells on the surface. That new collagen ends up puffing out the skin and filling in those fine lines and wrinkles. The OTC retinols may be a good place for a beginner to start. You are supposed to get a little bit of irritation, that’s how you know it’s affecting your skin, so if you feel like an OTC isn’t producing any irritation, you can move onto a prescription strength. You want to build up your skin’s tolerance over time and go as

schweigerderm.com

17

debris. I’m a very big fan of probiotics, which are the good bacteria. Most of us have taken antibiotics, they destroy bad bacteria, but they also destroy all the good bacteria. I like the live cultures, which need to be refrigerated. I recommend Natrene probiotics.

The stomach and face have a connection. Probiotics help quiet everything down.

high as you can with the strength and the frequency.

Lifestyle Habits to Prevent Acne Get at least seven hours of sleep a night. Stress is a big factor in acne and if you’re sleeping, you have time for everything to recover and it reduces the glucocorticoid production, which is a hormone that is released when you’re stressed and can cause acne. When you’re sleeping, make sure it’s about 65-69 degrees in the room.

Cooling your body temperature helps you sleep longer and better.

Anti-Aging In the Office No question, it’s Botox and fillers. They are safe and they produce results quickly. There are also resurfacing lasers, such as Fraxel, which are excellent for extensive sun damage and deeper wrinkles almost “If you’re sleeping at to the point where it looks least 7 hours a night, you like you had have time for everything surgery. to recover and it reduces

CORRECT

Dr. Hammerman says: Inoffice acne treatments.

Cortisone injections will shrink the lesion faster than a topical product or the glucocorticoid on its own. It’s covered ACNE production, which is a by insurance. We also do hormone that is released extractions of blackheads PREVENT when you’re stressed and and whiteheads using an can cause acne.” extractor, which helps us Dr. Flamenbaum - Dr. Flamenbaum squeeze it and pop out says: Follow an whatever is accumulating acne-fighting in the pore and prevents diet. We know it from becoming a deeper cyst. We do that sugar can trigger production in chemical peels and we also do red and the oil glands. Natural sugars in fruits blue light treatments. Red light treats and vegetables are ok. Drinking water inflammation and blue light kills the is important to flush out internal P acnes bacteria in the hair follicles. toxins and hydrates the skin from Sometimes we even do the red and blue the inside out. Water will boost blood light in conjunction with PDT. This will flow throughout the body and skin. make it more effective and stronger.

Omega 3 fatty acids, found in salmon, I recommend these treatments every walnuts, avocado oil and flaxseed oil, other week for an anti-acne regimen. can lower sebum production. Wash the Oral Acne Medication face twice a day to rid of pore-clogging

18

schweigerderm.com

If someone has been on prescription topical treatments for acne and their skin is not responding, then I’ll start them on antibiotics. We do the topical for about two to three months before we say it’s not working. Or if they come into the office and their acne is moderate to severe, then I’ll start them on antibiotics immediately. Hormonal acne refers to women who are getting acne in their 30s, 40s, 50s. They never had acne before, but are now breaking out. Cysts around the jaw and lower face usually point to hormonal acne.

For those patients I’ll recommend a birth control pill and Spironolactone as well. Adult acne in men is pretty similar to teenage acne, it’s inflammation in the hair follicles, a lot of time this happens from shaving.

At Home Acne Treatments To correct acne at home, wash your face gently two times a day, do not squeeze pimples, which can lead to infection and scars. Use a moisturizer to keep skin from drying out, make sure it’s non-comedogenic. Use benzoyl peroxide, which helps unclog the pores and salicylic acid to dry up pimples and peel the top layer of skin.

Dr. Karen Hammerman sees patients from the Schweiger Dermatology Group offices in Forest Hills and Elmhurst.

Dr. Helen Flamenbaum sees patients from the Schweiger Dermatology office in New Hyde Park.

She’s Got Legs GETTING FLAWLESS LEGS IS EASIER THAN YOU THINK. WITH LASER THERAPY AND INJECTIONS, YOU CAN BE ON THE ROAD TO LEG PERFECTION BEFORE MEMORIAL DAY. ISSUE: SPIDER VEINS Spider veins are a common complaint amongst women in their 30s and older. Spider veins, which are the tiny magenta bursts of broken blood vessels usually found on the legs, specifically the thighs and calves. The veins are most likely to appear during pregnancy, after weight gain or from long periods of standing.

Best Treatment: Sclerotherapy Sclerotherapy is an effective method of removing those spider veins. During Sclerotherapy, a tiny needle is used to inject the vein with a chemical agent. The vein collapses, the body absorbs the now non-functioning

ISSUE: VARICOSE VEINS When blood vessels become enlarged, swollen and twisted, they result in unsightly varicose veins.

Those with varicose veins have what is described as “leaky valves,” meaning their blood flows in a backward motion and pools in the veins, which then causes them to become enlarged.

Best Treatment: Laser Therapy The heat generated from the laser therapy helps to

vessel and it simply disappears. The typical treatment will have several tiny injections that last about 15 minutes. After the injection the area is compressed with either support hose or pressured dressing. There’s little downtime. Rare occurrences are temporary hyperpigmentation and cramping. Repeat treatment may be necessary to completely destroy the vein.

Sclerotherapy is recommended before the summer season starts. “Unfortunately it is very common to have hyperpigmentation that may last a few weeks after treatment of a vein so it is best done in pants season,” advises Dr. Sandra Kopp. “Also, it is recommended to wear compression stockings after treatment which is not ideal in the hot summer.”

close off those non-working blood vessels and send the blood flow to neighboring healthy veins instead.

Varicose veins are not just a cosmetic issue, they can also cause pain to those that have them. While they can affect anyone, those most at risk include pregnant women, overweight people and anyone who stands for long periods of time. Also, there’s a genetic component.

If you have a family history of varicose veins, it’s likely you’ll develop them as well.

Disappearing Ink 20

schweigerderm.com

WHAT HAPPENS WHEN YOU’RE READY TO SAY GOODBYE TO A TAT TOO ON YOUR BODY? Tattoos are on the rise. And with it— tattoo removal. Recent reports of celebrities undergoing the laser to get their tats removed has influenced others with ink to see the dermatologist for a tattoo removal session. But it’s important to understand the process beforehand. Marianne Pistilli, a physician assistant and tattoo removal specialist, answers some key questions about laser tattoo removal.

What are the most popular reasons people come in for tattoo removal?

It’s mostly regret – maybe an old partner’s name, some silly symbol or it’s huge. Some folks have religious exceptions or maybe they are getting married and their family never saw it.

who want to tattoo over an old tattoo with something new.

Do celebrities and fashion trends play a part in the decision to have a tattoo removed? I feel the trend now is to put more tattoos on the body but I always warn patients that “it’s forever!” I do believe if they see a celebrity have one removed, there will be more questions about the process.

Before

After 3 Sessions

What is your preferred method of laser tattoo removal? We have a number of lasers that work really well for tattoo removal. My favorite is the Revlite, which is based on a technology

“We have a number of lasers that work really well for tattoo removal. My favorite is the Revlite, which is based on a technology that has been around for years and is very reliable.

Sometimes we need to mix the treatments on one tattoo with a few different lasers.” Marianne Pistilli, PA

Have you seen an uptick in tattoo removal in reaction to social media (for example, someone didn’t like how their tattoo looked on Instagram)?

I haven’t really seen those types of regrets – but there is a lot of media around gang members or prisoners wanting to change their lifestyle and wanting to start with a clean slate.

Others don’t like the way the tattoo has faded (some can have a “dirty” appearance as they fade). Others just don’t like the idea of a “tramp stamp.”

I also have lightened tattoos for folks

that has been around for years and is very reliable. Sometimes we need to mix the treatments on one tattoo with a few different lasers.

with injectable numbing. Of course all those injections are a bit painful but then the patient feels nothing. There is a limit to how much numbing can be injected at one time so if it is a very large tattoo, it should be removed in stages.

What are the most difficult colors to remove? Red and yellow. Black is actually the easiest to remove.

What’s the biggest surprise for people who want to get their tattoo removed?

That it will take 8-20 treatments to remove it! Many patients somehow believe it can be removed in one session and that’s just not true.

Will the tattoo disappear completely after treatment? There is sometimes a slight shadow of the tattoo after it is finished being removed but that normally recedes over time.

Who receives the best results?

Definitely the lighter the skin, the better the result – because pigment in the skin can also be lightened by the laser. The less professional the tattoo is, the easier it is to remove. Black is the easiest color and red or yellow can persist for a long time.

Advice to those who are thinking about tattoo removal? Be prepared to need 8-20 treatments spaced about two months apart. It will probably cost more to remove than it cost to put on!

Marianne Which areas on the body are the most difficult for tattoo removal? There really isn’t a difficult body part – it sometimes hard to maneuver the laser around a wrist or ankle. Also fingers and toes tend to be a bit tricky.

Speaking of pain, do you give painkillers or numbing agents prior to the treatment? There should be no pain! I always numb the patient first

Pistilli

is a physician assistant.

She sees patients at the Schweiger Dermatology Group Murray Hill and Midtown locations in Manhattan.

schweigerderm.com

21

GETTING YOUR SKIN IN THE GAME Physician Assistant & Clinical Exercise Physiologist Todd Newman explains how exercise affects your complexion

For 75 years, researchers have been demonstrating the benefits of regular exercise. It is common knowledge that staying fit makes your heart and brain healthier and can even help you live a longer, better life. Today, science is demonstrating that exercise can improve skin health too, making your skin look younger and clearer.

THE CORTISOL CONNECTION

levels of cortisol. Stress wreaks havoc in your body. It causes a myriad of health problems including the worsening of some inflammatory skin disorders and premature aging of the skin.

STRESSING OUT When the stress response is prolonged, circulating cortisol damages the body through a process called glycation.

This process can ultimately lead to the development of chronic age related diseases such as cardiovascular disease, dementia and certain cancers. Glycation also affects your skin. This effect of stress can damage collagen, making the skin thinner and less elastic which increases the appearance of fine lines and wrinkles. Various skin problems are made worse from the presence of circulating cortisol. Acne, eczema and psoriasis are all affected by stress.

Cortisol is essential for normal human function. It is released when you wake up in the “The increase in cardiovascular morning, when you exercise circulation from exercise flushes the and in times of acute stress skin with oxygenated blood, which (flight or fight response). flushes toxins away from the skin while This hormone is necessary nourishing the cells. This gives your skin to maintain your body’s that healthy glow and a more youthful internal balance and nutrition appearance.” - Todd Newman, PA-C processes.

Under ordinary conditions, after cortisol has done its job, it rapidly returns Sometimes these conditions are made to normal levels. The stressed highmarkedly worse by acute and chronic pressure lifestyle that is so common stress. These increased levels of today can lead to chronically elevated

22

schweigerderm.com

cortisol also lead to dry skin disorders by decreasing your natural production of hyaluronic acid, which hydrates and plumps your skin. Stress also slows the wound healing ability of your skin.

Even those without stressful lives must deal with the effects of cortisol since circulating cortisol levels increase as we age.

YOU CAN WORK IT OUT Although the process of exercising actually increases cortisol levels during a workout, regular exercise can reduce your resting level of circulating cortisol. This leads to a reversing of the aging process by increasing the thickness and elasticity of the skin. Reducing these levels with exercise also has a positive effect on inflammatory skin problems, so those with acne, eczema and psoriasis can enjoy clearer skin with less flares and may even find it easier to manage their treatment. Some benefits that exercise has on the skin are noticeable almost immediately.

The increase in cardiovascular circulation from exercise flushes the skin with oxygenated blood, which flushes toxins away from the skin while nourishing the cells. This gives your skin that healthy glow and a more youthful appearance.

A LIT TLE GOES A LONG WAY Research has shown that as little as 30 minutes of regular exercise a day can have a positive effect on your

cool such as swimming. Intertrigo is skin’s health. Recently, scientists an infection in the skin folds that can offered proof that regular exercise be promoted by friction and sweating. makes your skin younger. In this study, Individuals who are prone to this 65-year-old subjects were placed on problem may need to take precautions a three-month exercise program. The when exercising like wearing proper subjects had skin biopsies performed clothing and cleansing the skin at the beginning and at the end of the properly. A variety of skin rashes may be program. The microscopic analysis of made worse with exercise. If you have these skin samples showed that both an active rash, the heat and sweating the inner and outer layers of the skin of exercise may cause it to flare. In looked like the skin of 20-40 year olds after the exercise program.

Another study showed that regular exercise might “Research has shown that as little as 30 reduce your chances of minutes of regular exercise a day can developing skin cancer. have a positive effect on your skin’s In this study, exercising health. Recently, scientists offered proof and non-exercising mice were exposed to UV that regular exercise makes your skin radiation, which mimicked younger.” - Todd Newman, PA-C the average daily human exposure to theses damaging rays. The results this situation exercise may need to be showed that the exercising mice had avoided until the rash clears.

35% fewer non-melanoma skin cancers compared to the non-exercising mice.

THE DOS AND DON’ TS WHAT TO WATCH OUT FOR Sometimes exercise can adversely effect your skin health. One type of exercise may promote some effects of aging rather than reverse them.

High impact exercise such as intense long distance running or high impact aerobics increases the effect of gravity on the skin. This may contribute to the break down of collagen and promote sagging of the skin. Certain exercise behaviors can also lead to deleterious effects on your skin. Exercising outdoors increases your exposure to UV radiation, which increases your risk for skin cancer and premature aging.

Exercising without proper hydration can also lead to a drier, less firm appearance of your skin.

Some skin conditions may be made worse by exercising. Rosacea can flare with the increased circulation that occurs during exercise. Those with this condition may need to keep exercise intensity lower or participate in exercise that can keep the body

Here are a few tips that can help to further improve the benefits that exercise can have on your skin health.

• Don’t wear make-up when you exercise. This can lead to clogged pores and increased breakouts.

• Don’t rub, pat. When you sweat pat your face dry with a clean towel, don’t rub. The friction caused by rubbing can lead to increased breakouts and strips your skin of natural oils leading to drier skin.

• Do thoroughly cleanse your skin immediately after working out.

Bacteria can flourish on unclean skin and lead to breakouts or infection.

Fungal and bacterial infections can be picked up where you work out.

Washing up immediately after your workout greatly reduces the possibility of getting these infections.

• Do drink plenty of water. Proper hydration is essential when you exercise for normal overall function.

Failure to do so will also have negative effects on the appearance of your skin.

• Do moisturize after your shower. The

evaporation of sweat from your skin can cause dryness.

• Do protect yourself from the sun if you exercise outdoors. A good quality sunblock/sunscreen with zinc or titanium oxide is best. Use a product that has an SPF rating of 30 or higher, is water resistant and provides UVA and UVB protection.

IT’S NOT ONLY SKIN DEEP Now more than ever there are compelling reasons to make regular exercise a part of your life.

You can live longer, live better, and look younger. It’s never too late to begin a regular exercise program either. Studies have shown that the positive health effects of exercise occur with the introduction of a moderate exercise program at any age. The combined effects of regular exercise, proper nutrition and stress reduction will make you more youthful, healthy and vibrant from your skin down to your bones.

Todd Newman is a certified physician assistant who sees patients at the Schweiger Dermatology Group Hoboken, New Jersey dermatology office. Prior to becoming a physician assistant, Todd was a clinical exercise physiologist. He earned both a bachelor’s and master’s degree in exercise science from the University of Delaware and Queens College respectively and has been certified by the American College of Sports Medicine.

Make an appointment with Todd at schweigerderm.com or call 844-DERMDOC.

schweigerderm.com

23

Schweiger Dermatology is a leading provider of medical, cosmetic and surgical dermatology services, under the supervision of Chief Medical Officer, Dr. Eric Schweiger.

Cosmetic Dermatology

Medical Dermatology

Herpes Psoriasis HPV Eczema Acne Genital warts Melanoma Skin cancer

Keratosis pilaris Cold sores Warts Skin tags Rashes Mole removal Mohs skin cancer surgery

Acne scars

Skin resurfacing

Unwanted tattoos

Stubborn fat

Stretch marks

Fine lines

Anti-aging

Wrinkles

Skin tightening

Find us on social media for the latest skin tips and news!

Call (844) DERM-DOC to book your appointment today!

OFFICES THROUGHOUT THE TRI-STATE AREA Midtown 110 East 55th Street New York, NY 10022

Upper East Side 153 East 88th Street New York, NY 10028

New Rochelle 14 Lawton Street New Rochelle, NY 10801

Deer Park 505 Grand Boulevard #1 Deer Park, NY 11729

Flatiron 21 West 19th Street New York, NY 10011

Columbus Circle 315 West 57th Street #405 New York, NY 10019

West Orange 92 Old Northfield Avenue West Orange, NJ 07052

Suffern 222 Route 59, Suite #306 Suffern, New York 10901

Forest Hills 70-64 Yellowstone Blvd Forrest Hills, NY 11375

Financial District 65 Broadway #1800 New York, NY 10006

Brooklyn 71 Carroll Street Brooklyn, NY 11231

Hoboken 2 Hudson Place #101 Hoboken, NJ 07030

Mattituck 13405 Main Road Mattituck, NY 11952

Elmhurst 94-24 58th Avenue Elmhurst, NY 11373

Murray Hill 35 East 35th Street #208 New York, NY 10016

Yonkers 657 Yonkers Avenue Yonkers, NY 10704

Commack 283 Commack Road #115 Commack, NY 11725

New Hyde Park 3003 New Hyde Park Road New Hyde Park, NY 11042

Complimentary copy of The SkinNY made just for you by Schweiger Dermatology Group

Š 2016 Schweiger Dermatology Group