The SkinNY Spring 2015 by Schweiger Dermatology Group

THE SKINNY SCHWEIGER DERMATOLOGY QUARTERLY

BRIDAL BOOT CAMP GET READY FOR YOUR SPECIAL DAY SPRING SKIN ALLERGIES WHAT TO DO DURING THE NEW SEASON

TOP PROM SKIN TIPS

MOMMY MAKEOVERS

THE BEST COSMETIC TREATMENTS FOR MOM

SPRING SPLENDOR SPRING 2015

SPRING SPLENDOR SPRING 2015 BRIDAL BOOT CAMP Vow to get your skin in the best shape of its life before your “I do’s” with our expert advice, pg. 4-6

MOMMY MAKEOVERS A look at the beauty pick-me-ups some of our providers have given their moms, pg. 10-11

SKIN SPRING SHAPE UP The best no-downtime treatments that will leave your skin glowing, pg. 17

NEIGHBORHOOD SPOTLIGHT The best places to get fit and fabulous in Manhattan’s Flatiron District, pg. 7

SPRING BEAUTY HOT LIST 7 hot new beauty products to keep you looking and feeling gorgeous and glowing this spring, pg. 12-13

JUST THE LIFT YOU’RE LOOKING FOR Get the scoop on a non-invasive lifting treatment for neck and chest, pg. 18

SPRING SKIN ALLERGIES How the warmer season can make us a little itchy and what to do about it, pg. 8-9

MEMORIAL DAY MUST-HAVES Put these essentials on your list for the holiday weekend, pg. 14-15

SPRING SMOOTHIE RECIPE A seasonal smoothie for us that not only tastes delicious but also makes the skin look gorgeous, pg. 19

PROM BEAUTIFUL Best beauty tips and recommendations for prom from Dr. Rachel Nazarian, pg. 9

BEAUTY DIARY Dr. Lotika Singh lets us in on her beauty must-haves and skincare secrets, pg. 16

EDITOR: Melissa Schweiger Kleinman

Letter from Schweiger Dermatology Group’s Founder Welcome to the Spring 2015 edition of The SkinNY! We are happy to present to you the second edition of The SkinNY, our quarterly magazine covering all aspects of beauty, health and wellness. While The SkinNY focuses primarily on beauty and cosmetic dermatology, I also want to briefly discuss skin health. Springtime marks the beginning of the warmer months, which means daily exposure to the sun’s dangerous UV rays. May is also Skin Cancer Awareness month. One in five Americans will

develop skin cancer at some point in their life. The key to our fight against skin cancer is prevention, early detection and treatment. For prevention, we must focus on sun avoidance and proper use of sunscreen: Avoidance of peak sun times of 10 am – 4 pm, seeking the shade while outdoors and using a broadspectrum SPF of 30 on all exposed areas should be your top priorities this season. In addition, early detection is paramount in the fight against skin cancers, and this means regular self-skin exams and annual full body screening by a dermatology provider. I strongly urge you to make an appointment for a full skin exam if you have not had one in the past 12 months. If you are found to have skin cancer or pre-cancer, early treatment can make all the difference. On a lighter note, we’re incredibly fortunate to live in a region where we have the best options for total body

CREATIVE DIRECTOR & DESIGNER: Lauren Grace Caponong

wellness at our fingertips. We’ve worked hard compiling the most useful beauty and health news and stories, featuring the best tools and tips from skin care experts in our offices and around the New York metro area. We hope you enjoy reading this issue as much as we enjoyed putting it together. Have a beautiful spring! Sincerely,

Dr. Eric Schweiger Founder and Chief Medical Officer Schweiger Dermatology Group

BRIDAL BEAUTY BOOT CAMP Vow to get your skin in the best shape of its life before your “I do’s” with our expert advice. Here, our providers share their bridal skincare action plan. It’s wedding season and whether you’re walking down the aisle or watching the nuptials from the audience, a gorgeously clear and glowing complexion will be your best accessory. But, getting your complexion to look wedding-ready takes time and patience. Ideally you should start prepping your skin for the big event 3-6 months in advance. “To have the best complexion for your wedding, the earlier you adapt basic skincare habits the better,” says Dr. Sandra Kopp, who is getting married this spring. Here is her pre-game strategy for dreamy, creamy and clear skin. At-Home Skincare Rx As an overall skin beautifying strategy, Dr. Kopp urges her bride-to-be patients to increase water consumption, obtain adequate sleep, use a daily SPF, eat a diet rich in antioxidants and green leafy vegetables and limit processed and high glycemic index foods. Basic topical regimens should include a twice daily eye cream, hydrating serum or moisturizer, daily sunscreen and a topical retinoid/retinol, which will help

decrease fine lines and make your skin appear more brilliant. If your skin can’t tolerate a retinoid/retinol product, you can substitute glycolic acid preparations. An exfoliating mask can be used as much as twice weekly (less if you have dry, sensitive skin) to keep pores clear. Lasers, Lights and Peels A series of superficial peels can also help with pigmentation, acne, and sun damage, but plan on at least 2-3 treatments a month apart. “For significant pigmentation reduction or faster results, I would recommend Fraxel 1927 about 3 months before the wedding to allow proper healing time and leave room for more treatments if necessary,” says Dr. Kopp. Redness associated with rosacea or past acne breakouts can be effectively treated with lasers and light therapy. Laser Genesis, a laser facial treatment, can decrease pore size, help with redness, and smooth fine lines. Timing: Laser Genesis: 4-6 treatments 2 weeks apart; Fraxel 1927 about 3 months before the wedding.

Injections For those “11 lines”, crow’s feet, or forehead lines, consider neurotoxin (Botox, Dysport or Xeomin) treatments,” says Dr. Kopp. “If it’s your first time, have a treatment more than three months before the wedding as a trial. Once you are happy with results, re-treatments or touch-ups can be done about a month before the wedding,” advises Dr. Kopp. For volume loss, such as tear troughs, or lines around the mouth, hyaluronic acid fillers will do the trick. Timing: Hyaluronic acid fillers: 2-3 months prior to the big day; Neurotoxins: 3 months before wedding and then one month for touch-up. Body Contouring Other treatments a bride may consider are Coolsculpting or Vanquish to decrease hard to reach pockets of fat to ensure a smooth fit into their wedding dress. Timing: Best to start 4-6 months prior. It can take 2-3 months to see results and it may take two treatment sessions.

Dr. Kopp’s Bridal Boot Camp Cheat Sheet

3 MONTHS OR LONGER BEFORE THE WEDDING

Make sure you have a topical regimen that works for you, including a good eye cream, SPF, moisturizing serum or Months cream, and an anti-aging topical treatment (retinoid/ retinol, glycolic acid, Vitamin C preparation). Be careful with Vitamin C products as they are not standardized and can be difficult to keep stable in packaging. All acne, laser, and injectable treatments should have been started by this point. Mature brides may consider Ultherapy to help define the jawline and tighten the jowls for flawless photos on their big day. If you want to get rid of any facial or body hair, you should plan at least 6 months ahead of time for laser hair removal, as you will likely need more than one treatment. If you’re envisioning luscious lashes then turn to Latisse, which can take 16 weeks to show full effect, however most people notice a difference within a few weeks.

2 MONTHS BEFORE THE WEDDING You should be continuing the topical regimens and lifestyle changes made above, but can also add in maintenance treatments such as superficial peels for surface Months irregularities or Laser Genesis to help with pore size and brilliance of skin so your makeup can lie nicely on the big day. If the acne is almost clear but not perfect you can add in blue/red light treatments to enhance healing.

Derm Duo’s Acne-Prone Skin Bridal Boot Camp If acne breakouts are your biggest skincare hurdle, Derm Duo’s Laura Palmisano, PA-C and Diana Palmisano PA-C have created this no-fail 6-month bridal program specifically for their acne patients: Month 1: Isolaz followed by PDT Month 2: Fraxel Dual Month 3: VI-Peel and Red/Blue light, 2 treatments, 2 weeks apart Month 4: 2D Treatment – Cutera Excel V Coolglide and Laser Genesis–for targeted telangiectasias (facial vessels), PIE (red marks/blemishes), reduction of pore size. Month 5: Isolaz followed by PDT or Red/Blue Light Month 6: Laser Genesis and Red/Blue Light

1 MONTH BEFORE THE WEDDING

You may want to have a superficial peel or microdermabrasion, but only if you have had them done Month before and with the same provider to ensure best results. You can also continue the Laser Genesis treatments and light treatments for acne.

2 WEEKS BEFORE THE WEDDING I would be hesitant to start anything new, your last Laser Genesis treatment can take place at this time if you have been getting them regularly.

Weeks

WEEK OF THE WEDDING

Try to relax! If you have any acne breakouts you can always go to your local dermatologist for cortisone injections, Weeks which usually decreases acne cysts in 24 hours. Remember – don’t pick! Dr. Kopp’s Personal Pre-Wedding Skincare Plan “I am using Revision Intellishade daily, which has antioxidants and SPF with a light tint for coverage. I also use their Vit C serum and hydrating serum in the morning and Neocutis Biocream with Retin A gel, which is prescription, at night. I use Neocutis Lumiere eye cream twice a day. I also am planning on having IPL and Laser Genesis for redness and pore size, as well as maintenance Botox touchups to help with dynamic lines. Make sure to try any new skincare products at least one month before the wedding, as you do not know how your skin will react.”

Glossary of Bridal Treatments Isolaz: Is a pore-purification laser that involves vacuum suction to clean out pores and pimples and then uses a broadband light that helps to directly kill acne bacteria. There is some redness immediately after the treatment that resolves within the hour. This helps to calm active acne and reduce residual red marks from healing acne lesions. PDT: Photodynamic Therapy is a combination therapy that directly kills acne causing bacteria and modifies oil glands that harbor the acnecausing bacteria which results in long-lasting remissions of breakout. There is also a reduction of the residual redness from old acne spots.

Red/Blue Light: Blue Light works to directly kill acnecausing bacteria and Red Light aids in the reduction of inflammation and residual redness/red marks from acne. It is a 30 minute treatment with no downtime. Fraxel Dual: Non-Ablative resurfacing laser is a treatment for acne scars and markings such as pitted acne scars and pigmentationhyperpigmentation. It will help production of collagen and improve texture of skin. There is 3-7 days of downtime, depending on settings and target treatment.

Laser Genesis: “Laser Facial” used to improve the appearance and texture of the skin. It is a 1064nm laser that targets microvasculature and stimulates collagen production, while protecting the surface of the skin. Used to reduce size of large pores, overall redness of skin and mild acne scars. There is no downtime. 2D: Two-Dimensional treatment that targets two areas: deeper and superficial treatment. First uses the Cutera Excel V Coolglide 532nm laser to diminish redness of acne marks and improves overall complexion of skin. Then the Laser Genesis is performed, a 1064nm laser to improve texture of the skin

and to reduce pore size with further redness reduction. Expect about 1-2 days of downtime. VI-Peel: A chemical peel that contain TCA, Tretinoic Acid, Salicylic Acid, Phenol, Vitamin C and a Mineral Blend. Can be used on all skin types. It improves the tone, texture and clarity of the skin as well as reduces hyperpigmentation and freckles, including melasma. It helps to clear acne skin conditions and can reduce the appearance of acne scars. This peel helps to stimulate collagen and elastin. But be warned, this peel will make you peel. There is 7 days of downtime.

Best Bridal Makeup

We got the skinny from Kelli Bartlett, New York City makeup artist and director of makeup artistry at Glam Squad, on the best wedding day makeup tricks and the product secret weapons every bride should know about. “Every bride is unique and beautiful and everyone has different ideas of what they want to look like at their wedding,” says Bartlett. “It is their day to shine and take their personal style and put it on the stage— it’s heightened reality!” One of the most requested looks Bartlett gets at Glam Squad is “amplified natural,” which translates to you, but better. “Brides want to look like themselves and they want their fiancée to recognize them,” she says. “They want to look like the most heightened and beautiful version of themselves.”

When it comes to bridal makeup, Bartlett stresses the need to think about longevity. Here, her bridal makeup must-haves: Lancome Cils Booster XL Vitamin-Infused Mascara Primer MAC Zoom WaterFast Lash Clé de Peau Concealer Nivea Lip Butters Anastasia Liquid Lips Stila Lip Stains Tom Ford Indian Rose Lipstick Hourglass Veil Mineral Primer Laura Mercier Invisible Pressed Setting Powder

“Brides want to look like themselves and they want their fiancée to recognize them. They want to look like the most heightened and beautiful version of themselves.” - Kelli Bartlett The Glam Squad team is available to beautify your entire bridal party and even offers special packages for brides who want their makeup done for all their bridal festivities, including the engagement party, bridal shower and rehearsal dinner. (Glamsquad.com/ weddings)

THE BEST PLACES TO GET FIT AND FABULOUS IN MANHATTAN’S FLATIRON DISTRICT

SLT 137 Fifth Avenue 212.529.2323, sltnyc.com Short for Strengthen Lengthen Tone, SLT has become the go-to destination for fitness fanatics looking to push their bodies to the limits. Each 50-minute SLT class is done on the Megaformer machine, which is a next generation Pilates reformer patented by cult fitness guru Sebastien Lagree. Each workout is done slowly with the intention to fatigue the muscles and force them to become long, toned and lean. Even the most die-hard gym rats will be sore for days to come. The Flatiron location is SLT’s flagship, with other studios in Scarsdale, Upper East Side and Water Mill. The Fhitting Room 31 West 19th Street 646.850.0469, fhittingroom.com Looking to take your fitness routine to the next level? Try the high intensity training (HIT) workouts at The Fhitting Room. Each class uses a combination of bodyweight resistance and muscle-fatiguing tools, including kettle balls, medicine balls and rowers. But this is not your average body-building gym, The Fhitting Room features sleek bamboo wood floors and steel and stone accents. The idea is to exhaust your physical exertion for a short burst and then alternate with short bursts of recovery. Expect the fat loss and calorie burning benefits to last even after the workout has ended. Schweiger Dermatology Group 21 West 19th Street 212.203.5519, schweigerderm.com Our street level Flatiron dermatology office has gotten quite the buzz in the media—it was lauded as the city’s first “blowout bar for acne” by Style.com. But Schweiger Dermatology on 19th Street does a lot more than just cortisone injections and other acne treatments. Beauty editors and fashion types visit our Flatiron location for lunchtime beauty procedures, such as chemical peels, microdermabrasion, Botox and blue/red light treatment to give their skin a natural-looking gorgeous glow.

For more information visit schweigerderm.com

Looking Good In the Hood: Flatiron

Soul Cycle 8 West 19th Street 212.876.7685, soul-cycle.com You’d have to be living under a rock to not know about the indoor cycling phenomenon that is Soul Cycle. Their iconic acid yellow wheel is almost as much a part of health culture as kale chips. Soul Cycle devotees swear the hype is well-deserved. With inspiring mantras on the walls and heartpumping epic music to cycle to, it’s hard not to fall into the Soul Cycle religion. Drybar 4 West 16th Street 212.561.5392, thedrybar.com As the blow dry bar that has sparked countless imitators, Drybar is the go-to spot for amazing $40 blowouts. Choose your look from their menu of chic and sexy styles, including a straight and sleek Manhattan or a beachy-cool Dirty Martini. We recommend booking in advance. Drybar’s Flatiron location gets flocked with lovelies looking for a blow dry fix post Soul Cycle. Their bright lemon yellow blow dryer mascot is almost the same color as Soul Cycle’s iconic wheel. Coincidence? We wonder. Darrow’s Farm Fresh Takeout 115 East 18th Street 212.321.0997, darrowsnyc.com Though it’s technically in Union Square, the new Darrow’s Farm Fresh Takeout is a must-stop for every clean eating foodie. Their menu of unprocessed organic goodies includes cold-pressed juice on tap, avocado toast and an immunity plate with Asian noodle salad and charred broccoli. Two veteran chefs from Eleven Madison Park and Pure Food & Wine are behind the curtain, so don’t expect just any health food. This is health food for foodies! With the cool industrial downtown vibe you might actually want to stay in for your meal and not just takeout. Dyanna Nail Spa 40 East 21st Street 212.995.2355, dyannaspa.com It might not be as sleek as some of the newer nail salons in Manhattan, but Dyanna Nail Spa has true staying power. Beauty insiders have been coming here for weekly manicures long before nail bars were a thing and for good reason. Their manicures are top notch—the kind that won’t chip for days afterward.

RASH GUARD

Spring is in the air and on the skin. We get the skinny from Dr. Scott Hammerman on how the warmer season can make us a little itchy and what to do about it.

The SkinNY: What are the most common skin allergens you see in the spring? What are the major culprits? Dr. Scott Hammerman: In the spring, the most common skin allergens patients present to me are typically reactions to plants, such as poison ivy, poison oak, and sumac. These stem from direct contact with the plant itself. Less common skin allergens I see a lot of in the spring are due to ingredients in sunscreens. Although rare, patients can react to fragrances and preservatives in sunscreens. The most common of which are oxybenzone and padimate O, and less commonly avobenzone. Patients who have had skin reactions to these ingredients should avoid sunscreens that contain them. The SkinNY: How do skin allergies typically present on the skin? Dr. Hammerman: Skin allergies typically present as a well demarcated itchy pink rash. The rash can consist of blisters and drain clear fluid. The reaction is typically localized to the area of skin that comes into contact with the allergen. For example, nickel is one of the most common allergens worldwide and patients come with a dermatitis localized to exposure to the nickel. Nickel is a strong silver based metal that is commonly used in jewelry, buckles, and snaps. Patients allergic to nickel often present with dermatitis on the stomach where their belt buckle or the snap from

their jeans rests on the body. In some cases, the distinction between eczema and skin allergies can be difficult. The key difference is the distribution of the rash. Skin allergies classically occur in areas exposed to the allergen. Certain parts of the body are more prone to eczema in adults, such as the hands, face, and skin folds. Psoriasis usually looks very different from both skin allergies and eczema. Although the lesions are often well demarcated like skin allergies they often have a silvery looking scale and are seen on the scalp, elbows, and knees. The SkinNY: Are people who get seasonal allergies in the spring more susceptible to skin allergies as well? Dr. Hammerman: The short answer is yes, as many people with allergies usually have more than one type. However, the two are not usually related. Seasonal allergies as a whole are more common than skin allergies. There is more of an association between eczema and seasonal allergies. A condition known as the atopic triad is the common association between eczema, asthma and seasonal allergies in children. Exposure to seasonal allergens such as pollen and dust can trigger flares in eczema. The SkinNY: What should be avoided this time of year to help prevent skin allergies in the spring?

Dr. Hammerman: In general, the most common fabric related to skin allergies is formaldehyde and formaldehyde resins. Formaldehyde is ubiquitous and found in many cosmetics and, to some degree, in basically all fabrics. The resins are used as a finish on many wrinkle-resistant clothes. Clothing that is 100% polyester is believed to have the least amount of formaldehyde. Clothing with pure cotton and nylon also tend to be lower in formaldehyde. Washing clothes several times before wearing can decrease the amount of formaldehyde present but will not eliminate it. As the weather gets warmer, it’s best to avoid contact with certain fruits and vegetables directly on the skin before sun exposure. Contact with lime/lemon juice or celery prior to sun exposure can cause a skin allergy known as a phytophotodermatitis. A classic example of this is commonly known as “beer drinker’s dermatitis.” It occurs in those who squeeze lime wedges for beer and margaritas, or other drinks before being exposed to the UV rays from the sun. The SkinNY: What are the best ways to treat skin allergies? Dr. Hammerman: The best way to treat skin allergies is to identify the inciting agent if possible and treatment is aimed at preventing contact with the allergen. Skin allergies are identified by a process called patch testing. Patch testing is a relatively simple office procedure done by a dermatologist in which the most

common skin allergens are applied to the back. Results are interpreted 48 and 96 hours later. At the end, your dermatologist will discuss the results with you and advise you on what allergens to avoid. In our practice, we place the most common 80 allergens on the patient. During a flare, symptoms are controlled with topical steroids and antihistamines. Occasionally, oral steroids are needed to control symptoms. The SkinNY: What are the most common misconceptions about skin allergies? Dr. Hammerman: One that I hear often from my patients is that their diet is responsible for their skin allergy. In the

vast majority of cases, diet is not related to skin allergies. An allergic contact dermatitis (or skin allergy) is usually seen about 48 hours after direct contact with a specific allergen. The most common allergens causing skin allergy, overall, are nickel and poison ivy. Patients who react to poison ivy can actually have a skin allergy to certain foods such as cashews, mango peels, and the supplement ginkgo. However, such associations between food and skin allergens are rare. Other common allergens in my patient population are Fragrance Mix I and II, Balsam of Peru, and preservatives such as formaldehyde, which are in many cosmetics. Another misconception is that if a product is labeled “fragrance-free”

they can’t have a skin reaction to it. The label “fragrance-free” can be misleading because these products can contain various preservatives that can still produce a skin allergy. The above is also true if a product is labeled “all natural.” My best advice is that if you think you may have a skin allergy, consult with your dermatologist.

Scott Hammerman, M.D., F.A.A.D. is a board certified dermatologist serving his patients in New York City.

PROM BEAUTIFUL

Regardless if you’ve got a hot date or you’re going stag, you’ll still want to look breathtaking at prom. Here, the best beauty tips and product recommendations to make your big night legen - wait for it - dary! “Prom is such an exciting event for teenagers, and it’s a huge motivator to look and feel your best,” says Dr. Rachel Nazarian. But getting your skin in its best condition for prom takes more than just a few hours of primp time before the big night. “Girls looking for a regimen to get their skin glowing should start the discussion with their dermatologist early, as there are an overwhelming number of options,” says Dr. Nazarian, who has created this prom beauty boot camp for teens looking to get their skin into prime condition before the big event. 2-3 Months Before Prom: Fix the basics Nothing is more beautiful than healthy clear skin. If you’re still breaking out with pimples and blemishes it’ll be a wasted effort. Although most dermatologists offer topical creams and lotions to help with breakouts, remember to start

early. These medications need a few months to really kick in and clear your skin. If you’re looking for results with less effort, red light/blue light therapy and PDT light therapy help dry up pimples and decrease redness. These procedures are easy and can fit into a quick lunchtime break or after-school visit. 4-6 Weeks Before Prom: The chemical peel Chemical peels are a great way to brighten up your skin, even out the tone, and get gorgeous glowing complexion. Try the VI Peel—it’s easy to do with your dermatologist, great for sensitive skin and most skin types. I would recommend about three sessions, spaced about three weeks apart. Medicated wipes and pads are also available that can help you slowly achieve smoother looking skin at home. Pads soaked with glycolic acid and acne-fighting ingredients are

great for girls who want something to apply at home to help treat their skin a few weeks before the big event. Try Clear Clinic Laboratories Clear Me Pads, $55 at clearcliniclabs.com. 7-10 Days Before: Take care of the inside! It’s important to remember that your skin is a reflection of how you take care of yourself and what you’re eating. Keep your nutrition well-balanced and focus on drinking plenty of water, staying away from high-sugar foods or drinks, and filling your plate with antioxidant rich items, such as fruits and vegetables. Hopefully, starting early and making the right choices will give you the best skin of your life, just in time for prom.

Dr. Rachel Nazarian is a board certified dermatologist and sees patients from our Murray Hill office in Manhattan.

Mother’s Day Special

Mother/daughter manicures are a nice way to bond with your mom, but for those looking to up the ante, a trip to the dermatologist’s office takes a Mother’s Day gift of beauty to the next level. In fact, many of our providers often treat their moms with their arsenal of complexionperfecting tools. From erasing forehead lines to ridding of jowls, cosmetic treatments are surely a gift that lasts longer than flowers. Here, a look at the beauty pick-me-ups some of our providers have given their moms.

felt that Botox would help with improving it. I wasn’t sure what the options were, but I trusted she would know what to do. I knew about Botox, because I had heard it could address the deep lines in my face, but getting the feedback and opinion from my daughter made me feel better.

Dr. Rachel Nazarian and her mom Lili Nazarian, 55 Treatments mom received: Botox, filler and Intense Pulsed Light (IPL)

What Dr. Nazarian did: I’m always adamant about not ALTERING a person’s appearance. My goal is to REPAIR and PROTECT the skin. I take this philosophy to heart, especially with my own mother. I want her to look like herself, but without the collective signs of sun-aging and sundamage. I see my mom as a reflection of me and in some way think it’s my duty to help her look her best, knowing she’ll feel more confident and comfortable when she looks in the mirror. After a few treatments of Botox, the lines on her face started to fade, and now her skin looks softer and more even. Adding several

Dr. Nazarian says: My mother had an incredibly distracting frown line between her eyes, which gave her the appearance of being perpetually angry (and she’s not!). Although my mom has a naturally youthful appearance, the apples of her cheeks were sinking and she was starting to form slight “I’m always adamant about not altering a marionette lines person’s appearance. My goal is to repair around her jaw and protect the skin.” - Rachel Nazarian, and lower chin. My M.D., F.A.A.D. mom had several areas of dark sun spots, or lentigos, syringes of the filler Perlane helped lift her on her face, and multiple small freckles skin to its natural positioning, removing that were starting to pop out. It gave her the distracting shadows and hollows of face an older, uneven appearance. I chose her face. This is an ongoing process, and Intense Pulsed Light (IPL) to remove many I’ll continue to build on the filler every few of the dark spots in just one session. months. IPL was fantastic—even after one Lili says: I was concerned about dark session I was able to remove a majority of her sun spots, giving her face a cleaner, spots and sun damage. I noticed some spots and brown colors on my face, which evenly-toned appearance. I’m planning on continuing treatments once or twice a I really didn’t like. Also, there was a deep year to keep her skin looking clear. line on my face that I wanted to treat; she The results: “Overall, the results were

great. I was incredibly excited to see her improved and repaired appearance. The signs of sun-damage and sun-aging added years to her face, and I was happy to give her a refreshed and enhanced look,” says Dr. Nazarian. “I was really satisfied that I had such good results and it really was what I was expecting since we had talked about it beforehand,” says Lili.

Julie Zuckerman, PA-C and her mom Betsy Appleton, 62 Treatments mom received: Fraxel, Ultherapy and Thermage Julie says: Mom wanted something that looks natural and not a dramatic change. She didn’t want anyone to notice but wanted to both prevent and correct her issues. She understood it takes time to see results but it was going to continually be working as her body builds the collagen back. Betsy says: I was interested in tightening up my face and neck in a non-surgical way and reducing the redness and brown spots on my chest from sun damage. I

felt safe and trusted that Julie would be conservative with the treatments. But I was nervous, as I had not previously had any laser treatments on my face or chest. What Julie did: Fraxel on the face and neck, Ultherapy on the face and Thermage on the eyes. The results: “I was glad I had done them. There was some downtime with the sunspots but I was happy for the long-

Diana & Laura Palmisano, PA-C and their mom Nancy Palmisano, 64 Treatments mom received: Ultherapy, Botox and fillers

term preventive effect and even my esthetician had noticed and commented on the tightened facial skin,” says Betsy. “She looks great! It’s subtle and fits her active lifestyle of being low maintenance to keep up. She knows for some treatments we will have to maintain what we’ve corrected with yearly or bi-yearly touch ups,” says Julie.

“Mom wanted something that looks natural and not a dramatic change. She didn’t want anyone to notice but wanted to both prevent and correct her issues.” - Julie Zuckerman, PA-C

Diana & Laura say: Our mom needed Nancy says: My skin has become lax with improvement with her skin laxity and age and I look tired, especially around my volume loss as well as expression lines. eyes. Injectables and Ultherapy were a great way to address her concerns with no The results: “I feel beautiful and downtime. Botox refreshed! I felt I looked for her crow’s less tired and uplifted,” feet lines and says Nancy. “It’s a fun yet “I feel beautiful and the upper face trying experience. It’s our refreshed! I felt I lines, as well mom so we are extremely looked less tired and as our favorite comfortable but at the uplifted.” - Nancy filler Juvederm same time want to make Voluma to lift sure she is comfortable and Palmisano, 64 and volumize happy in the end. It’s nice her cheeks were to also be the driver every an as easy choice. Ultherapy was able to once in awhile!” says Laura and Diana. tighten her skin, improve her jawline and work on opening her eyes and refining her For more information on cosmetic lines. treatments, please visit schweigerderm.com

Spring Beauty Hot List 7 hot new beauty products to keep you looking and feeling gorgeous and glowing this spring

Glossier The team behind cult beauty blog Into The Gloss has launched Glossier, a skin care line of their own, based on the thousands of interviews they’ve done with models, fashion editors and other inspirational and stylish women. The products themselves are a tightly-edited collection of must-haves that enhance and prime the skin in Instagram-worthy packaging (think pretty pink and white bottles that come with fun and cheeky stickers). The Phase 1 lineup consists of Priming Moisturizer (a buildable moisturizer that primes the skin for perfection), Balm Dotcom (a skinsoothing salve that seals in moisture), Perfecting Skin Tint (a skin-enhancing super-sheer foundation) and Soothing Face Mist (a rose and aloe mist that refreshes the skin prior to moisturizer). ($80 for Phase 1 Set at Glossier.com)

Cuvget Collagen Boosting Serum Arctic salmon roe sounds like a delicacy you’d enjoy with crème fraiche and toast points, but it’s actually the latest breakthrough in anti-aging ingredients. Scandinavian brand Cuvget has incorporated the salmon roe along with some other powerhouse skin perfecting ingredients into their new serum. The faint scent of sushi comes out when you’re applying it, but not in an unpleasant way. The elegant formulation also includes Vitamin A, marine peptides and vitellogenin, a healing protein found in honey. Clinical studies behind the product are promising, showing a reduction in fine lines, wrinkles and hyperpigmentation. ($185 at Cuvget. com)

Dr. Jart Dermaclear Micro Water This next generation cleansing water from cult Korean skincare brand Dr. Jart uses active hydrogen water to remove debris, makeup and oil and waterbased residue from the skin. Also in the mix are minerals and skin-brightening ingredients, such as rose fruit, willow bark and sea buckhorn. Not included are artificial fragrance, parabens, triclosan and sulfate-based surfectants. Use this as your first step in facial cleansing every night to allow for better penetration of active cleansers and treatment products. ($32 at Sephora.com)

La Roche-Posay Effaclar BB Blur While the trend for foundations leans towards dewy and light, those with oily and acne-prone skin always do better with more mattifying formulas. The latest tinted formula from La Roche-Posay offers oilabsorbing creamy coverage that seamlessly hides pores and blemishes. The mousse-like texture is both lightweight and smooth with heavier coverage than your average BB cream. ($29 at laroche-posay.us)

Moon Juice Beauty Dust Sprinkle this blend of dried herbs, concocted by LA’s beloved juice bar Moon Juice and a skilled Chinese herbalist into a smoothie, nut milk, green tea or plain old water for an internal beauty boost. The wild-crafted ingredients include goji, pearl and schisandra, which help to increase energy as well as hydrate skin, nails and hair. ($65 at Moonjuiceshop. com)

Kypris Antioxidant Dew Antioxidants are an important part of every skin care regimen. Think of them as the ideal skinprotecting companion for your SPF. They help guard the skin against free radicals— environmental elements like smoke and pollution— while also lending backup protection against U.V. rays. This milky serum, made of herb-derived antioxidants, toning rose extracts and hydrating Hawaiian sea algea—is a luxurious and lightweight layering piece for your skincare wardrobe. ($60 at Kyprisbeauty.com)

Luna by Foreo The latest gadget to hit the beauty market is LUNA, a pretty handheld device that uses sonic pulsations that deliver a number of good-foryour skin benefits. The ultrasmooth silicone touch-points helps to move your cleanser deeply into the skin as well as massage the skin. One side is specifically for cleansing, while the other is their “anti-aging mode,” meant to stimulate collagen grown and help provide lymphatic drainage. Silicone is very easy to clean and feels great on the skin. ($199 at Foreo.com)

Dinner reservation at White Hart Inn Dining Room

Charlotte Tilbury Beach Stick

Omorocziva Mineral UV Shield SPF 30

Living Proof Perfect Hair Day

This beautiful hotel located in the chic weekend destination of Litchfield County in Connecticut has recently been taken over by a gaggle of New York City media and fashion stalwarts. The dining room offers inventive farm to table cuisine from acclaimed British chef Annie Wayte of the Nicole Farhi restaurant and 202 Café in Manhattan. (whitehartinn.com)

We all know the dangers of a real tan. Fake a summer glow instead with the new creamy, dewy Beach Sticks from celebrity makeup artist Charlotte Tilbury. The genius light-diffusing spheres create insta-radiance and the skin-smart ingredient Ceramidone plumps up the skin and prevents the product from sinking into any lines or wrinkles. ($45 at charlottetilbury.com)

This new SPF from luxe Hungarian skincare line Omorocziva uses a combo of vitamins C and E as well as antioxidant fruit extracts to help protect the skin as well as inhibit the production of melanin. The formula is free of parabens and only uses zinc oxide & titanium dioxide as active sun protecting ingredients. Sodium hyaluronate is also included to help skin retain moisture and shield from pollutants. ($125 at omorovicza.com)

Memorial Day weekend is the start of bad hair day weather for the wavy and curly haired population. Don’t let the humidity ruin your look. Start using Living Proof’s sulfate-free Perfect Hair Day collection, made with their patented Healthy Hair Molecule to help smooth, strengthen and polish the hair. Their 5-in-1 Styling Treatment is perfect for letting hair airdry for sexy, tousled beach waves. (livingproof.com)

Memorial Day Must-Haves

THE UNOFFICIAL START OF SUMMER TIME HAS ARRIVED! PUT THESE ESSENTIALS ON YOUR LIST FOR THE HOLIDAY WEEKEND OR EARMARK THEM FOR LATER IN THE SUMMER.

Massage at Savor Spa in Woodstock

Mott 50 Hooded Cover Up

Sea Bags Tote

Ten Over Ten Liberty & Fulton Nail Polish Duo

Bike reservation at Soul Cycle Montauk

The new Catskills location of eco-chic Savor Spa is the ultimate conscious beauty junkie’s destination. Indulge in a relaxing massage with their Om Aroma line of pure organic skin care products and you’ll be elevated to a new level of relaxation. (savorspa.com)

Sun-protective clothing has a reputation of being frumpy, but not so with the stylish skinsaving pieces from Mott 50. We love their new striped hooded tunic cover-up with UPF 50 and made from a luxuriously comfy blend of bamboo and spandex. Wear it over a swimsuit or pair it with crisp, white jeans. ($118 at store.mott50.com)

Go from beach to barbecue in style with a Sea Bag. Handmade in Maine from recycled sail material, they’re about as cool and unique as you get. Choose from totes, weekenders, duffels or bucket bags. With so many fun patterns it’s hard to choose a favorite, but we love the nautical anchor applique styles best. (seabags.com)

You can get away with haggard nails in the colder months, but come sandal season, a perfect manicure and pedicure are in order! Choose this chic and playful new duo of minty green for the toes and a neutral pinkish beige for the fingers. ($32 at shop. tenoverten.com)

The newest outpost of Soul Cycle is in the laid-back surf town of Montauk. Expect the same heart-pumping workout and sold-out classes as their other Hamptons locations. Our advice? Book your bike well in advance of those summer Saturdays. (15 South Edgemere Road, Montauk, NY/ soulcycle.com)

BEAUTY DIARY

Dr. Lotika Singh lets us in on her beauty must-haves and skincare secrets. What’s your beauty product secret weapon? I recently started wearing navy blue eyeliner instead of a basic black one. The navy blue hue helps the whites of the eyes appear brighter and gives a more refreshed look overall. Favorite lip product? I use the Bite Beauty Agave Lip Mask every night. It contains lanolin and other great emollients, which really keep the lips hydrated and well moisturized. Plus the agave gives it a touch of sweetness! Best beauty advice you’ve ever heard? Train yourself to sleep on your back. Side sleepers tend to have more facial volume loss on their preferred sleeping side, which becomes more noticeable over time and leads to asymmetry.

getting my haircuts when I go back to visit my family in Texas. What foundation do you use? I prefer a tinted moisturizer over a foundation. I use Pure Radiant Tinted Moisturizer by Nars. It’s light in texture and has SPF 30 so it evens out my skin tone and keeps my skin protected from day-to-day UV damage. Which cosmetic procedure do you think everyone can benefit from? Chemical peels! They help shed the top layer of the skin and help bring new skin to the surface. Depending on the type of peel, they can help with acne/breakouts, uneven skin tone, and skin texture. They really help in bringing an overall glow to the skin. There are also a wide range of chemical peels available that can safely be used for more sensitive skin types.

Favorite nail color? Usually I prefer a simple semi sheer pink, like Essie – Mini How High. In the summer I love a bright red, like Essie“Chemical peels ... can long stem roses. breakouts, uneven skin Who cuts your hair? I moved here recently and haven’t found a stylist yet! So far, I’ve just been

help with acne/ tone, and skin texture. They really help in bringing an overall glow to the skin.” - Dr. Lotika Singh

Which cosmetic procedures are part of your beauty routine? Again, chemical peels. I love to do these right before a big event. What healthy habits do you practice for beautiful skin? Diet has a huge impact on my skin. Staying away from sugary, processed foods and drinking plenty of water has made a huge difference. What advice do you give your cosmetic patients who want to turn back the clock? In office procedures such as Neurotoxins, fillers and lasers are very effective, but it’s also important to have a good at-home regimen to maintain results and prevent further damage. Daily sun protection and the use of a retinoid at night really help with day to day UV damage.

Lotika Singh, M.D., F.A.A.D. is a board certified dermatologist practicing in New York. She currently sees patients out of our Westchester and Columbus Circle offices.

Spring Skin Shape Up

WINTER’S FINALLY OVER. TIME TO LOSE THE WARMER LAYERS AND THE HEAVY MAKEUP AND JUST LET YOUR HEALTHY, GLOWING SKIN SHINE THROUGH. WE ASKED OUR MEDICAL ESTHETICIAN JANE MACKINNON FOR THE BEST NO-DOWNTIME TREATMENTS THAT WILL HAVE MAJOR IMPACT ON THE SKIN. The SkinNY: It’s springtime. We are finally ready to show our skin again! What are your favorite treatments in-office to help dust off our dull winter skin and help reveal a glowing complexion? Jane MacKinnon: My favorite in office treatment for healthy spring skin is a combination of IPL photo facials and chemical peels. The IPL (Intense Pulsed Light) will help diffuse redness, brown spots and broken capillaries. The chemical peel will slough off the dead winter skin, leaving the patient with a beautiful, even skin tone that’s glowing. The SkinNY: Everyone wants skin that glows! Do you have any favorite products you use that will help people achieve that natural-looking glow? JM: Absolutely, Neocutis reactive serum. It’s a potent antioxidant that helps fade discoloration and improve the signs of

aging. Also NeoStrata Perfecting Peel once a week. It’s an at home peel with AHA, glycolic and citric acid that helps keep the skin bright and clear. The SkinNY: Tell us more about the new Dermapen treatment. What makes it a great anti-aging option? JM: Dermapen uses fine needles to precisely pierce the skin causing collagen remodeling. From the collagen production the patient will have softening of fine lines, smaller pores and an overall tightening of the skin. It’s a great anti-aging treatment with minimal to no downtime.

followed by an SPF with zinc daily. All of the Elta MD line has a high percent of zinc and they are paraben free as well. The SkinNY: What is your can’t-leavehome-without-it-on skincare product? JM: I would not dream of walking outside without an SPF on my face. The negative effects of the sun scare me too much!

Jane MacKinnon is a licensed aesthetician with over 10 years of experience. She sees patients out of our Flatiron location in Manhattan.

The SkinNY: What skin care advice do you always tell your patents? JM: I always tell my patients to use an antioxidant, such as Clear Clinic Laboratories Green Tea Serum, to protect their skin from free radical damage

ASK A PROVIDER:

Help! I have a huge pimple and the big event is in a few days. What can I do? Large pimples tend to be cystic in nature so it is important to start treatment immediately as they do not go away on their own. First, try icing the area to get the inflammation to go down. Wipe clean with a washcloth and then apply a spot

treatment of salicylic acid or benzoyl peroxide. You should, most likely, make an appointment with your dermatology provider to get a corticosteroid injection, as cystic acne is an infection deep in the skin. It cannot be treated with typical over

the counter treatments. The steroid is injected and decreases swelling causing the “bump” to go down within 24-48 hours. – Ami Dalal, MS, PA-C

Just the Lift You Are Looking For Ultherapy can help you achieve a fresher, more youthful look from your brows to your chest “Ultherapy is a great addition to an anti-aging regimen as it is the only FDA approved device to non-invasively lift the eyebrow, neck, and under chin area,” says New York City dermatologist Sandra Kopp, M.D. It’s now also FDA-cleared to improve the appearance of lines and wrinkles on the décolletage, chest area.

Benefits of Ultherapy FDA-Cleared Non-Invasive No Downtime Builds New Collagen Just a Single Session Uses Safe Ultrasound

Safe Ultrasound - No Surgery Ultrasound has been used safely throughout the medical field for more than 50 years – and Ultherapy has been established as safe and effective in clinical studies and in more than 350,000 treatments worldwide. Ultherapy relies on ultrasound therapy to deliver its collagen-boosting treatment. It also incorporates traditional ultrasound imaging, which allows practitioners to see the layers of tissue they are treating, ensuring the energy is delivered to where it will be most beneficial. By delivering ultrasound energy to the skin’s foundational layer typically addressed in cosmetic surgery – without cutting or disrupting the surface of the skin.

starting to notice mild sagging and want to define their jawline, or older patients who do not want surgical intervention and want to tighten their jowls, lift the eye brows to decrease hooding, and to smooth out crepiness on the décolletage,” says Dr. Kopp. While Ultherapy won’t duplicate the results of a facelift, it’s a clinically proven noninvasive alternative.

For more information about Ultherapy, please visit schweigerderm.com or call us at (844) DERM-DOC.

No Surgery, No Downtime, New Collagen Non-surgical Ultherapy bypasses the surface of the skin to deliver energy at the right depths and the right temperature. This energy triggers a natural response under the skin. Jumpstarting the regenerative process that produces fresh, new collagen. Natural Results Some patients see an initial effect right after their treatment, but the real results appear over the next 2-3 months as new collagens works to lift and tighten the skin on the neck, chin and brow as well as smooth skin on the chest. “It is perfect for younger patients who are

Skin Brightening Spring Smoothie We asked NYC nutritionist to create a seasonal smoothie for us that not only tastes delicious but also makes the skin look gorgeous. This recipe contains healthy fats and skin brightening berries to give your complexion a healthy glow. Get your blenders ready! Ingredients 1/2 cup raspberries 1/2 banana 1/2 avocado 1 cup almond milk 3-4 springs fresh mint 2 handfuls baby spinach 2 tablespoons chia seeds

Directions 1. Combine all ingredients in a high-speed blender 2. Blend on high until smooth 3. Pour contents into a 16 ounce glass 4. Garnish with chia seeds and serve

Haley Knauer is a board certified Integrative

Nutrition

Counselor

recognized

American

the

Association of Drugless Practitioners. In addition to helping one-on-one clients

successfully

reach

their

specific health goals, she is also a corporate coach and integrates wellness programs into the workplace. Haley is passionate about creating a fun and enjoyable path to living a healthy lifestyle. Find her at haleyknauer.com.

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

Cosmetic Dermatology

Our dermatology providers offer advanced treatments and services for all medical dermatology concerns. Some of the common medical dermatology conditions we treat include herpes, psoriasis, HPV, eczema, acne, genital warts, melanoma, skin cancer, keratosis pilaris, cold sores, warts, skin tags, rashes, mole removal and Mohs micrographic surgery, an advanced method to safely and effectively remove cancer from the skin.

Our providers utilize the most effective methods in cosmetic dermatology and are experienced in using the newest, stateof-the-art technology. Our cosmetic dermatology services address many common concerns and areas of the body, including acne scars, unwanted tattoos, stretch marks, anti-aging, skin tightening, skin resurfacing, stubborn fat, fine lines and wrinkles.

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

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