Trillium Creek Newsletter by Tara Hendricks

News and Information from

Trillium Creek Vol. 3 Issue 1 Winter 2008

Bouncing Baby Basics Keep Skin Dry and Protected Heather Funk

Boutique Loyalty Points add up Quickly

Editor’s note: On January 9, Drs. Leonard and Helen Torok became grandparents with the birth of their first grandchild, Carter Quinn Jarvis. Carter is the son of Dr. Amy Jarvis, the Torok’s eldest daughter, and her husband, Barry. Dr. Helen says she “just can’t get enough” of her grandson and looks forward to “her fix” of seeing him several times a week! Carter’s birth inspired this article on the nuances of baby skin.

Program is a ‘thank you’ for loyal customers The Boutique at Trillium Creek Loyalty Points Program is in full swing! According to Heather Funk, CEO, the program kicked off in January. “Our Loyalty Program is a great way to reward our loyal customers,” she says. “The more they shop, the more they save on their favorite skin care products and other items in The Boutique.” Here’s how it works: The Loyalty Program rewards clients with points. Points are earned through purchases made in The Boutique, attending Trillium Creek events and through special promotions. Once you reach 50 points, you will receive $1 in loyalty discounts. “You can use the dollar right away toward your next purchase, or you can accrue them for larger purchases,” Mrs. Funk explains. “If the client lets the points build to 500, she can save $10 on her next purchase.” Points can also be accrued from online purchases. These purchases follow the same guidelines as those for in-store purchases; one point for every dollar spent. It will be easy to keep track of your points, too. Each client will receive an online ID and password. This will enable you to check your point accumulation at any time and know what you have available toward free merchandise. All points will be updated within 24 hours of purchase. Continued to page 11

Dr. Helen Torok Medical Director

“It’s important to keep a baby’s bottom very clean and dry.” “Skin breaks down rapidly if it is constantly exposed to the dampness of a wet, soggy diaper. Change the baby’s diaper often and wash the area with soap and water. Dry it thoroughly and use a little shea butter or zinc oxide to form a protective layer after each diaper change.”

In This Issue 2 Plasma Technology Now Available at Trillium Creek 3 Mohs & Medicare 4 Cosmetic Fillers 5 Meet Dr. Anya Enriquez 6 Treatments for Melasma 7 Physician Assistants 8 Laser, Plasma and Lipodissolve 9 Say Goodbye to Plucking, Tweezing and Waxing

Drs. Leonard and Helen Torok with their first grandchild Carter Quinn Jarvis, the son of Dr. Amy Jarvis, the Torok’s eldest daughter, and her husband Barry.

10 New Products for the Skin, Eyes and Hands

Did you ever wonder why a baby’s skin is so soft and dewy? It’s because a baby’s skin cells turn over rapidly – every 20 days – as opposed to an adult’s which only turns over every 50 days. “That means that every 20 days, a baby is getting a whole new layer of beautiful, healthy, hydrated skin cells making their skin soft, smooth and radiant,” Dr. Torok says. Also, babies are not as exposed to as many free radicals as adults. This rapid cell turnover lasts until the late 20s and early 30s, then cell turnover slows down. During puberty, hormones come into play in the form of oil and sweat glands going into overdrive producing skin conditions such as acne and oilier hair. Too much moisture in the wrong places is baby skin’s worst enemy, according to Dr. Torok. Continued to page 11

3RD ANNUAL CHARITY GOLF OUTING Monday, June 2nd Details on back cover

Dermatology & Surgery Leonard J. Torok, M.D. Medical Director

Plasma Powerful New Skin Regeneration Technique Now Available Plasma Technology Gives ‘Truer Regeneration’ Than Laser; Can Be Used Around the Eye

Plasma, a powerful new skin regeneration program, is now available at Trillium Creek. The same technology that runs your plasma television or flourescent light has been harnessed to effectively work at the skin’s surface to stimulate remodeling of the skin’s architecture, replacing damaged collagen with significant amounts of new collagen. Unlike lasers, plasma can be used around the upper and lower eyelids – a problem area for many women seeking skin improvement. “We have had wonderful results with this procedure,” says Trillium Creek Medical Director Dr. Leonard Torok. “It provides a more true regeneration of the skin. Once the skin is healed after the procedure, it has a new thickness, it’s healthier with better elasticity.” Plasma can effectively treat fine, moderate and deep wrinkles, superficial skin lesions common on sun-exposed areas, keratosis (the brown patches that result from sun exposure), improve skin tone, texture and elasticity and is pending FDA approval for treatment of acne scars. Dr. Torok says plasma is an excellent choice for the neck and upper chest area as well. He is still using the erbium laser for deeper scarring and wrinkling. In some cases, he uses a combination of the erbium laser and plasma. The plasma technology delivers plasma energy deep into the top layer of the skin while leaving the skin’s surface intact for several days following treatment. As the new skin emerges, the old skin will start to shed. With less trauma than cutting procedures, healing is rapid. Dr. Torok starting using the technology on a test basis in August. Trillium Creek has been offering it to patients since November.

The procedure is simple and relatively quick: A topical anesthetic is applied. The area is then treated with the plasma, which is applied similarly to laser treatments. Treatment of the face takes 30 to 40 minutes; face, neck and upper chest take about an hour. The patient is sent home with homeopathic remedies to reduce discomfort which lasts about a day. Within a week, the old skin starts to slough off and the new, rejuvenated skin appears. “What’s nice about plasma is the skin continues to improve over a six-month period,” Dr. Torok says. “The new skin has a more youthful appearance.” Trillium Creek is now using the plasma technology three times more frequently than lasers for skin rejuvenation. Dr. Torok says Trillium Creek is always keeping abreast of new technological developments to offer its patients the latest, best and safest choices for skin rejuvenation. TC

BEFORE PLASMA TREATMENT

AFTER PLASMA TREATMENT

Mohs Skin Cancer Center Patrick Killian, M.D.

Mohs & Medicare Medicare Ruling Limits Mohs Surgery Sites to One Per Day Patients With More Than One Malignancy Must Have ‘Staged’ Removal Beginning January 1 of this year, Medicare is no longer paying for more than one Mohs surgery at a time. If multiple sites need treatment, the patient will have to return on subsequent days for the surgery.

more tissue. Once the margins of the wound are free of cancer, it is sutured, dressed and the patient is sent home and returns in a week to have the sutures removed.

“Even people without malignant melanoma should be outraged by this,” says Dr. Patrick Killian, director of the Mohs Surgery Center at Trillium Creek. “It is inconvenient and very frustrating for the patient to have to come in more than once, especially if they are working and need to take vacation time, or are retired and must find a ride.”

“Because the procedure removes the smallest amount of tissue possible, the size of the scar is minimized. Also, more importantly, we know that all the cancerous cells have been removed,” Dr. Killian says. TC

The Center for Medicare & Medicaid Services (CMS), the government agency that administers Medicare, says that too much money was being allocated to skin cancer treatment, and the rationale was to make treatment harder to get. “The American Academy of Dermatology, the American College of Mohs Surgeons and the American Society of Dermatologic Surgeons have been fighting this for a year, but with such a small subspecialty, they had no lobbying power,” explains Dr. Killian.

Take Action Contact your Congressperson and have them vote to reinstate the Multiple Procedures Reduction Rule (MPRR) Exemption loss for Mohs surgery.

Dr. Killian suggests everyone write to their Congressperson to try to get the ruling repealed. He also points out the ruling affects everyone, even those patients not covered by Medicare.

Senator Sherrod Brown www.brown.senate.gov (202) 224-2315

“Private insurance companies are following suit,” he says. “This will affect all patients, not just those of Medicare age.”

Senator George Voinovich www.voinovich.senate.gov 524 Hart Senate Office Bldg. Washington, DC 20510 (202) 224-3353

The ruling is especially dangerous in light of skin cancer being the most common form of human cancer. The American Society of Dermatologic Surgery estimates that every 67 minutes someone dies from melanoma. The term “skin cancer” refers to three different conditions: basal cell carcinoma (BCC), squamous cell carcinoma (SCC) and melanoma. BCC and SCC are referred to as nonmelanoma skin cancers and are the most common forms of skin cancer. They are rarely life-threatening, but can be locally destructive to tissue. Melanoma is generally the most serious form of cancer because it can metastasize or spread through the body quickly. Since the 1980s, the most successful procedure for removing nonmelanoma skin cancers has been Mohs micrographic surgery. “The procedure has a very high success rate in eradicating all cancer cells from the site,” Dr. Killian says. In Mohs surgery, the area in which the skin cancer is found is numbed using a local anesthetic. The visible tumor is debulked or scraped with a curette, an instrument that doesn’t tear normal tissue. A 1 mm to 2 mm area of normal tissue is removed from around the tumor. The wound is temporarily dressed, while the tissue sample is sent to the lab for processing. Dr. Killian examines the tissue for cancer cells, making sure all of them have been removed. If cancerous cells remain, he will go back and remove a little

Congresswoman Betty Sutton www.sutton.house.gov 16555 W. Market St. Room 435 Akron, OH 44313 (330) 865-8450

Congressman Dennis Kucinich www.kucinich.house.gov 14400 Detroit Rd. Lakewood, OH 44107 (216) 228-8850 Congresswoman Stephanie Tubbs-Jones www.tubbsjones.house.gov 3645 Warrensville Center Rd. #204 Shaker Hts., OH 44122 (216) 522-4900 (330) 375-5710

Congressman Ralph Regula www.regula.house.gov 124 W. Washington St. Suite 1A Medina, OH 44256 (330) 722-3793 Congressman Tom Sawyer www.sawyer.house.gov 411 Wolf Ledges Pkwy. #105 Akron, OH 44311

Dermatology & Surgery Helen M. Torok, M.D. Medical Director

Fillers Cosmetic Fillers Continue to Advance with Better, Longer–Lasting Results

Dr. Helen Torok has More than 25 Years’ Experience Using Fillers

BEFORE JUVÉDERMTM TREATMENT AFTER JUVÉDERMTM TREATMENT

Ah, the wonders of fillers! We live in a great time where technological advances allow us to look and feel younger with minimum pain, downtime and investment. Cosmetic fillers are one type of advance that can not only improve your looks, but help with self-esteem and promoting self confidence. What a way to start off 2008! Dr. Helen Torok, medical director of Trillium Creek, warns, though, that fillers in the hands of doctors unfamiliar with the skin, the types of filler agents, the level of injections, the tissue reaction and how to react to possible complications, can be dangerous. That’s why it’s medically prudent to make sure a dermatologist, the skin expert, is performing your filler injections. “I have had experience with fillers since the 1980s, having used collagen, fat, silicone and now the newest and safer fillers,” Dr. Torok says. “Fillers in the hands of the inexperienced can lead to disastrous results and can be heartbreaking for patients to not have their expectations met and instead end up with an unsightly appearance or scar.” Here’s a quick review of the fabulous fillers available from Dr. Torok at Trillium Creek: Juvederm™, Radiesse® and Sculptra are used most often at Trillium Creek. The ideal filler for you is dictated by the area of the body being treated. All of these fillers are safe, effective, long-lasting and non-animal-based products. Juvederm™ , newer to the filler market, is used in the lips, lines around the mouth (nasolabial folds), under the eyes, earlobes, eyebrows and cheeks. It is a smooth filler, thus causing less bruising and swelling. You can resume your regular activities the same day of the procedure in most cases. And best of all, it lasts up to 12 months! Radiesse® is also used in the nasolabial folds, in scars, for the nose, cheeks, marionette lines, (the two indented areas on each side of the chin) and for droopy earlobes. It is a stimulating filler and stimulates your skin to produce collagen. It lasts up to 18 months.

BEFORE RADIESSE® TREATMENT

AFTER RADIESSE® TREATMENT

The most permanent filler is ArteFill®. Once it is placed under the skin, it is permanent. A great deal of care has to be used with this filler. Permanent fillers can create permanent problems if not placed correctly in the skin. Wrinkles are not only treated with fillers, but also with Botox®. Often, Botox® and fillers are used at the same time. Botox® is the number one nonsurgical cosmetic procedure in the country and at Trillium Creek. It works by relaxing muscles. The facial features then appear smoother and more relaxed. At Trillium Creek, a great deal of care and planning goes into a filler treatment. At the first appointment, you will meet with Dr. Torok for a consultation. She will listen to what you’re trying to accomplish and then suggest a regimen to fit your needs. Next, you will meet with cosmetic coordinator Chris Pasek. During your consultation with Ms. Pasek, you will be instructed on the possible side effects, review consent forms and appropriate pictures will be taken. She will explain what you will experience during the procedure. This will include application of a topical numbing cream, cold pack applications and the injections themselves. Since some fillers take time for their full effects to be realized, it’s best to schedule your appointment four weeks before any important event. This will ensure you will look your best when you need to! “Fillers are one of the most rewarding aspects of our practice,” Dr. Torok says. “Patients love the results.”

“Radiesse is a robust filler and is able to support the skin better,” Dr. Torok explains.

Dr. Torok says one of her most gratifying moments with fillers was using them on a cancer patient.

Sculptra, the longest-lasting product, stimulates your skin to make collagen for up to three years. It is used to correct hollowing of the cheeks, chin, eyes and hands.

“She had the cancer removed from her left lip. The surgery left her lip lopsided. I injected Juvederm™ into the area and the result was full, beautiful, balanced lips.” TC

Dermatology & Surgery Anya Enriquez, M.D.

Meet

Dr. Anya Enriquez

Dr. Anya Enriquez: ‘My greatest joy is to know I made someone feel better’ There are no “silly” or “unimportant” patient questions for Dr. Anya Enriquez. “I want my patients to know that I am here to answer their questions and find answers for their health problems when they come to see me,” she says. “I understand what it’s like to be a patient and how important it is to understand one’s condition and the plan for treating it. My goal is to make patients’ lives a little better. That is the favorite aspect of my job.” Dr. Enriquez joined Trillium Creek from The Cleveland Clinic four months ago. She says the past four months “have been wonderful.”

Dr. Anya Enriquez “My

greatest joy is to know

I made someone feel better!” “When I was looking to make a change, I wanted to work for the best dermatology practice in Northeast Ohio,” she says. “Trillium Creek has met and surpassed my expectations. The patients and staff are wonderful and everyone is very supportive – from the receptionists to the other lay and professional staff; everyone works as a team.” The diversity of her patients – men, women, children, teens, young, old – and the diversity of what she can do at Trillium Creek – diagnoses, surgery, cosmetic procedures, pediatrics, general dermatology, pathology – combine to provide the kind of professional atmosphere she thrives in. “Trillium Creek is very different from a large hospital setting,” Dr. Enriquez says. “Here, it is much more responsive. We can make a difference in people’s lives quicker without all the red tape and bureaucracy.” Her patients are also some of her greatest teachers. “I learn from my patients every day,” she says. “There’s always more to learn. Skin disease doesn’t always present on a patient the way it looks in a textbook. My greatest professional joy is to know I’ve made someone feel better.”

Born and raised outside of New York City, she started her career as a certified public accountant in Dallas, but found it lacked the personal connection that she finds so compelling in medicine. Taking her pre-med requirements at the Harvard Extension School in Cambridge, Mass., she met her husband, Louie, a former attorney. They both went on to graduate from the prestigious Yale Medical School. It was hard leaving her East Coast roots and large, extended Hungarian family, but she was offered a residency at The Cleveland Clinic in 2003. Louie, a radiologist, still practices at The Cleveland Clinic. As a working mother, wife and physician, she says she can easily relate to her patients and their concerns. “I think my patients will find that I am very easy to talk to. I’m energetic and have a good sense of humor. I love to smile. I like to know my patients on a personal level,” she says. “I also know what it’s like to be a patient and to have all of your questions answered by your provider.” Dr. Enriquez’s professional interest is preventive medicine – especially protecting the skin from the harmful rays of the sun. She says educating people about sun protection and avoidance is one of the most important things she, as a dermatologist, can do. “For women, applying a sunscreen in the morning as a moisturizer, an antioxidant during the day and a retinol at night, is a great way to protect the skin,” she says. In her free time, Dr. Enriquez enjoys reading, going to the movies, spending time with her family (including two dogs—a German Shepherd named Anka and a Beagle, Scout), skiing, traveling, ice skating with her daughter, Acadia, 6, and reading with her son, Emmett, 2. And unlike so many people who make grandiose resolutions at the beginning of the year, Dr. Enriquez says she never makes resolutions. “I try to live my philosophy every day – to be a better mom, wife, doctor and friend on a daily basis.” TC

That need to make a noticeable difference in people’s lives is what drew Dr. Enriquez to medicine.

Dermatology & Surgery Helen M. Torok, M.D. Medical Director

Melasma Varied Treatments Can Help Melasma Facial Discoloration “We also use hydroquinone in someone who does not tolerate the Retin A in TriLuma™ or is allergic to any other components in it. We use a product called Finacea™ in pregnant females or breastfeeding mothers. It is safe for these women,” Dr. Torok says.

Cosmeceuticals

BEFORE BEING TREATED FOR MELASMA

AFTER BEING TREATED FOR MELASMA

Maybe you’ve heard it referred to as the “mask of pregnancy,” or seen someone with a uniform brown skin discoloration. Melasma is a light-todark skin discoloration found on the sun-exposed areas of the face. It is sometimes referred to as the mask of pregnancy because some pregnant women get the condition from hormonal changes. It can also occur in women on birth control pills and those taking hormone replacement therapy during menopause. While it can affect anyone, young women with brownish skin tones are at greatest risk. Sun exposure is also a strong risk factor for melasma which makes those living in tropical climates especially at risk. Melasma can fade on its own over time, once a child is delivered, you’re off the pill or through menopause. It is not a dangerous disease, but is definitely a cosmetic concern. Trillium Creek offers several treatments for melasma, including retinoids, cosmeceuticals, peels and laser treatments.

Retinoids TriLuma™ cream has three active ingredients, fluocinolone acetonide, hydroquinone and tretinoin. According to the manufacturer, using these three ingredients in combination gives a more satisfying result than using only one. According to Dr. Helen Torok, medical director at Trillium Creek, TriLuma™ is the most effective and has the quickest onset of action with results seen within two weeks.

Environ’s Evenescence Clarifying Lotion is a new product available at The Boutique at Trillium Creek. The pH in this product is controlled at its optimum level which provides a safe and effective product. SepiWhite-MSH™ controls the formation and dispersion of melanin which is responsible for the formation of dark blemish marks. Witch hazel provides astringent and antioxidant properties. Niaciniamide assists in the control of uneven skin tone and blemishes, increases hydration and promotes skin growth and cell renewal. For optimal results, the Clarifying Lotion should be used in conjunction with the Trillium Creek Retinol Smoothing Serum. The Clarifying Lotion would be used in the daytime and the Trillium Creek Retinol Smoothing Serum would be used in the evening. (For a detailed product description, see page 10.)

Peels The Vitalize Peel® is a peel best-suited for the treatment of melasma. The Vitalize Peel® contains a special formulation of a unique blend of peeling agents: alpha-hydroxy acids, beta-hydroxy acids, resorcinol, and retinoic acid. The Vitalize Peel® causes chemical exfoliation of the epidermis, or outer layer of the skin. Skin regeneration follows this chemical peel and results in a fresh, organized, healthy epidermis. The final result is a smoother and more even complexion and an improvement in pigment changes. Overall, this is a highly effective rejuvenation procedure with no downtime so patients can immediately return to normal activities. Optimal results are achieved with a series of four to five peels, scheduled three to four weeks apart.

Laser Treatment Fractionated photothermolysis (the Fraxel laser) can dramatically improve melasma with minimal downtime. For best results, usually three to five treatments are needed. Results are seen after each treatment, however optimal results are visible within two to three months. “Everyone’s skin responds differently to lasers,” says Dr. Leonard Torok, medical director at Trillium Creek. “Usually two treatments are sufficient. In the consultation appointment before the procedure, we will do a partial test area to see how the skin reacts to the laser. Then, the skin treatment can be tailored to your skin and the amount of correction you desire.” TC

Dermatology & Surgery Darla Hall, P.A.-C.

Francine Johns, P.A.-C.

Physician Assistants An Important Part of the Medical Team Two of the more familiar faces at Trillium Creek are Francine Johns and Darla Hall. They are the practice’s two certified physician assistants. They are the “second set of hands” for Drs. Helen and Leonard Torok and Anya Enriquez. Physician assistants have undergone two years of formal training and are licensed to practice medicine under the supervision of a licensed physician. During their training, physician assistants attend many of the same classes as medical students. To earn their certification, they must meet a defined course of study and testing by the National Commission on Certification of Physician Assistants. At Trillium Creek, training doesn’t stop, however. Both Ms. Johns and Ms. Hall continue to undergo intensive post-certification medical training under Dr. Helen Torok and homeopathic training under Dr. Leonard Torok. “Drs. Helen and Leonard are always making sure we know the latest techniques, drugs and conditions occurring in dermatology and homeopathy,” Ms. Hall says. “We are in an environment where learning is continuous.” Both physician assistants perform full body exams, examine toenail fungus, treat acne, rosacea, contact allergies, hair loss, warts, eczema, psoriasis and other skin problems. They also perform diagnostic, therapeutic and preventive health care services, take medical histories, order and interpret laboratory tests and X-rays and make diagnoses under physician supervision. They also see patients on follow-up visits from the physicians.

Ms. Hall graduated from the physician assistant program at Marietta College. “I love many things about my job, but my patients are the best!” Ms. Hall says. “I see a range of patients from infants to the elderly and I love them all. It’s rewarding to be able educate and arm them with what they need to feel healthy. I enjoy the people I work with, too. It’s easy to come to work! Dermatology is especially rewarding for me because I’m able to see and feel the skin to make a diagnosis. I don’t always have to rely on special testing.” TC

3rd

Annual Charity Golf Outing

Monday – June 2nd All Proceeds Beneﬁt the Make-A-Wish Foundation

“We can assess how well a treatment plan is working and make any adjustments if necessary,” Ms. Hall says.

4 Person Scramble at Rawiga Country Club $100 per person

Anytime the physician assistants need help interpreting the significance of a patient’s findings or symptoms, the physicians are readily available to assist and educate them.

To register call Lauren Smith at 330.662.0250 or register online at www.TrilliumCreekOhio.com

“Our physician assistants are an important part of our medical team and help us provide our patients with the best care possible,” says Dr. Helen Torok.

Dermatology & Surgery Leonard J. Torok, M.D. Medical Director

Lasers, Plasma & Lipodissolve New Answers to Permanent Rejuvenation of Your Skin and Fat Removal With spring just around the corner (really!), the holidays a distant memory and the season for more skin exposure rapidly approaching, Trillium Creek can help you along with your resolution to look and feel better! Whether it’s laser treatments for winter-tired skin or lipodissolve for those problem body areas that just won’t respond to exercise, Dr. Leonard Torok, medical director at Trillium Creek, says the technology is now available to rejuvenate and jump-start your warmer weather makeover. And don’t forget: The Boutique at Trillium Creek offers complimentary Skin Care Analysis and Color Analysis programs to put the finishing touches on “the new you!” Just call (330) 722-5477 for an appointment. Aesthetic plasma and laser correction at Trillium Creek can offer results similar to traditional plastic surgery for many skin conditions without the associated pain, downtime and expense. Dr. Torok says, “The technology available today allows patients to get a more natural correction of scarring, wrinkling and the problems of aging skin more easily than undergoing plastic surgery. These newer treatments do not alter your appearance in an unnatural way.” Trillium Creek uses several lasers, intense pulsed light (IPL) treatments and plasma technology to produce the look you want. Each treatment works differently, depending on the condition being treated. The newest skin regeneration technology available at Trillium Creek is called plasmaphoresis. Its unique thermal profile stimulates a natural regenerative process of the skin. Dr. Torok says he is now performing plasma three times more often than laser procedures. And for areas of the body where fat has deposited and exercise isn’t helping – such as the abdomen, arms, thighs, knees, neck, back, bra line, hips or saddlebags – lipodissolve can permanently make fat cells disappear. Let’s take a look at each modality:

Intense Pulsed Light “IPL is a light-based system where specific colors of light are put into the skin with a short pulse,” Dr. Torok explains. “Red light is specific to removing abnormal blood vessels, brown light removes brown age spots, while the normal surrounding tissue is unaffected.” IPL has excellent results with spider veins, enlarged facial veins, rosy cheeks, mild to moderate acne, freckles, age marks and facial wrinkles.

BEFORE LIPODISSOLVE TREATMENT

AFTER LIPODISSOLVE TREATMENT

“IPL has the secondary benefit of shrinking the sebaceous (oil) glands, which decreases the size of pores, as an added aesthetic benefit,” Dr. Torok says. “For the same reason, it is also a good treatment for controlling mild-tomoderate acne. IPL is combined with extraction of the sebaceous glands for a longer lasting reduction in acne. The IPL treatment can be combined with topical applications that increase the effect of the treatment.” IPL also reverses sun damage to the skin. Preliminary tests have shown it to be able to remove approximately 70 percent of future-developing skin cancers in those areas treated with IPL.

Erbium Laser The erbium laser can be absorbed by water, so it can affect all tissues that contain water. It is mainly used for remodeling tissue that has been scarred or has become wrinkled with age. “The erbium laser allows us to smooth the skin around scars. Since the skin replaces itself every three weeks, the erbium laser creates a new wound with a smooth surface. The skin then replaces itself following the smooth contour of the new wound,” he says. The erbium laser is used to remove scars from acne and other wounds as well as the laxity and pigmentation problems associated with aging skin. Continued to page 11

Dermatology & Surgery Jessica Canfield, L.P.N.

Be Hair Aware Say Goodbye to Plucking, Tweezing and Waxing Laser Hair Reduction Can Diminish Hair Growth by 70 Percent

It’s the time for winter getaways and thinking about spring. Retail stores are already showing swimwear and warmer weather clothes. As the seasons for exposing more skin rapidly approach, is your skin as smooth and hairfree as possible?

Hair shouldn’t be too long and it’s OK to shave a day before the treatment. However, once the laser treatment is done, there should be no waxing, plucking or use of depilatories. Tanning should be avoided. It can cause hyperpigmentation or skin discoloring.

If not, laser hair reduction can give you fabulous, long-lasting results, according to Jessica Canfield, LPN, a laser hair reduction specialist at Trillium Creek.

Trillium Creek has two state-of-the-art lasers – The Aesthera PPX and the Sciton.

Laser hair removal can be performed on many parts of the body including the upper lip, chin, underarms, abdomen, chest, back, face, legs, top of the feet or toes, backs, ears, sideburns and can help with folliculitis (inflammation of the hair follicle.) The eyebrow area, however, is too close to the eye to be able to use laser technology safely.

“The Sciton is used for darker-skinned patients,” Ms. Canfield says. “It has one head attachment, but allows me to choose different parameters based on the skin type. The Aesthera has different power and vacuum settings and uses different heads or tips.”

“Laser hair reduction usually allows for 70 percent permanent reduction of hair,” explains Ms. Canfield. “If it does reappear, it’s never as thick. There are millions of dormant hair follicles under the skin and the laser only affects those in the first stage of growth.”

Certain health conditions preclude laser hair reduction. They include a history or current case of cancer, an active infection, a history of herpes, lupus or porphyria, immunosuppressive diseases or taking medication for immunosuppressive diseases, hormonal disorders, taking anticoagulants, broken or very dry skin, a recent suntan, women who are pregnant or nursing or anyone taking Accutane.

Laser hair reduction is quick – usually from five to 10 minutes for the chin or upper lip to an hour for a full back or both legs. Dark hair reacts better to the laser. The light from the laser attaches to the pigment in the hair, allowing the follicle to be destroyed.

Why not say goodbye to frequent plucking, tweezing and waxing? For a laser hair reduction appointment, please call Chris Pasek at (330) 725-0569 x183. TC

If your hair is fair-colored, Ms. Canfield says a product called Meladine can be used to darken it for better reduction results.

The Boutique at Trillium Creek

New Products for the Skin, Eyes & Hands At Trillium Creek, we’re constantly on the lookout for new products to offer you that are truly unique and perform superbly. Here are three of the newest products from Environ® and the Trillium Creek line that are available in The Boutique at Trillium Creek.

Jane Iredale Sea Mineral Lengthening Mascara & Eye Glosses The latest introduction from Jane Iredale mineral makeup is six sensual glosses and a fabulous new sea mineral based mascara. These luxurious shades glide on like silk and stay put until the very last dance without creasing! The sea mineral-based mascara conditions as it lengthens and thickens. Drama, luxury and a great way to grab the spotlight!

Trillium Creek Intense Hand Cream Just what your hands need for the cold, dry months of a Northeast Ohio winter! Trillium Creek Intense Hand Cream provides enhanced long-lasting skin moisture protection. It can help prevent dry, chapped skin conditions caused by frequent exposure to the elements. Keep one at home and at the office!

Intensive Body Proﬁle Environ® Intensive Body Profile is a body-toning gel formulated to smooth, tighten and condition the skin. It contains a number of active ingredients that assist in the reduction of the “orange peel effect” or rippled look of an uneven skin surface often associated with cellulite on the legs, buttocks, stomach and upper arms. The gel may be used as a home treatment, although results will be achieved at a faster rate if used in conjunction with iontophoresis and sonophoresis treatments available at Trillium Creek.

Evenescence Clarifying Lotion Environ® Evenescence Clarifying Lotion uses water-soluble ingredients to control the production of melanin in your skin’s cells. The inclusion of the ingredients niacinamide and Septi-White-MSH™ helps control the formation of melanin and inhibits melanosome transfer. This innovative product can be used on individual spots where the pigmented blemish is small and defined, or on the whole face and neck to even out and clarify extensive uneven skin tone.

Boutique Loyalty Points add up Quickly Continued from page 1 With spring coming, The Boutique is brimming with new products that will refresh and energize. And if you haven’t already had your complimentary Skin Analysis and Skin Typing done, call (330) 722-5477 for an appointment. Once your analysis and typing are done, trained technicians will help you choose products manufactured for your particular skin’s needs from The Trillium Creek Skin Care line and Jane Iredale Mineral Makeup. What could be better than having your own, personal skin care consultant? “We’re very interested in helping each of our clients find the best products suited to their skin,” Mrs. Funk says. “Not only will the Trillium Creek line help nourish and protect the skin, it will help make it healthier so makeup goes on more smoothly and looks more natural.” With this type of personalized care, you can be assured of spending your skin care dollars wisely – and in return, receiving a “thank you” in the form of Loyalty Bonus Points! TC

Bouncing Baby Basics Continued from page 1 Dr. Torok advises against using premoistened, heavily scented baby wipes. They can irritate the skin rather than soothe it. She also advises against using baby powder with cornstarch. “Cornstarch contains sugar and it can cause yeast to grow irritating the skin,” she says. Choose a powder with talc instead. Moisture that collects in the folds of baby’s neck can also be problematic. Make sure the area is washed and kept dry. A thin application of powder without cornstarch will help keep the area dry. Milliaria or prickly heat is a common rash seen on some babies. It is caused by plugged sweat pores. A baby doesn’t perspire on the body and loses heat from the head and scalp only. “A baby’s body temperature doesn’t regulate easily,” Dr. Torok says. “It takes a few months for them to thermoregulate. They get overheated and chilled easily and a lot of their heat escapes through the top of their head.” In their first six months, a baby’s immune system is also developing. During this time they are more prone to infections. Keep babies indoors and away from crowds during flu and cold season. Wash your hands before handling a baby. If you have a cold or flu, your hands can spread the infection to the baby. Cradle cap is a condition seen in the first six months of life. The thick, greasy patch on baby’s scalp is actually a form of dandruff. Baby will usually outgrow it, but it may reappear at puberty. Eczema, an inherited, itchy allergy of the skin, usually appears after six months. It is best treated by using mild, bland cleansers and lotions such as Cetaphil or CeraVe. Heavily scented products, soaps, detergents and lanolin must be avoided with this condition. Diaper rash occurs if the baby’s diaper area is not kept clean and dry. It is best to use a gentle soap or cleanser, such as Dove for sensitive skin or Cetaphil, to clean the area. Avoid scented products, especially lavender oils and lotions on boys and products with lanolin. Products containing glycerin and shea butter are best. Cold weather is a dehydrator and robs moisture from baby’s skin. Dr. Torok suggests keeping all of baby’s skin covered, even his or her face, with a light blanket. A light application of Vaseline® or CeraVe moisturizer can help keep the skin as soft and dewy as it was at birth. TC

3RD ANNUAL CHARITY GOLF OUTING Monday, June 2nd See back cover for details Sign up online at www.TrilliumCreekOhio.com

Lasers, Plasma & Lipodissolve Continued from page 8

Plasma Technology This is truly a cutting-edge technology available since November at Trillium Creek. Plasma energy is used to rejuvenate the skin, even the areas around the eyes where lasers cannot be used. The results keep getting better for six months and can last up to two years. Dr. Torok discusses the modality in detail on page 2.

BEFORE LIPODISSOLVE TREATMENT

AFTER LIPODISSOLVE TREATMENT

Lipodissolve Lipodissolve is a nonsurgical treatment that uses a combination of medications to dissolve unwanted fat in any part of the body. Results can be seen in as little as one or two sessions. A combination of phosphatidylcholine and other medications administered through a series of micro-injections permanently dissolve fat. The fat cells break down within a few weeks and are removed from the area by a natural healing process. Following two or three treatments, the end result is a smooth, natural look without the unwanted fat. Not sure what procedure is right for you? No problem. Dr. Torok suggests a consultation appointment at which time your goals and the best options for attaining them will be discussed. “Everyone’s skin responds differently to lasers, plasma and lipodissolve,” he says. “In the consultation, if we decide on laser treatment, we will do a test patch area to see how your skin reacts to the laser. Each patient gets a customized protocol, depending on the area of the body to be treated and what the patient desires.” TC

3rd

Annual Charity Golf Outing

Monday – June 2nd Registration opens at 11 a.m. at the Rawiga Country Club in Seville, Ohio. The 1 p.m. shotgun start is a four-person scramble. Included in the $100 cost-per-person is 18 holes of golf with a cart, beverages on two holes while golfing, a box lunch and a buffet dinner following golf. You will also have the opportunity to bid on fabulous items during an auction after dinner. “The event is going to be great,” says Trillium Creek General Manager, and owner of Practice Solutions, Aaron Funk. “We will be able to make a child like Andrew’s wish come true. This event is for those children. I hope this charity event touches other people as it has me, and they come out for a great afternoon of fun.”

DERMATOLOGY & SURGERY CENTER MOHS SKIN CANCER CENTER OHIO HOLISTIC MEDICINE THE BOUTIQUE AT TRILLIUM CREEK 5783 WOOSTER PIKE MEDINA, OHIO 44256

Spring Into The Boutique and SAVE 10% on All Products 2 Days Only March 14–15th!

You can help a sick child like Andrew, realize a dream while having a great afternoon of golf, dining and an auction! To register for the Golf Outing, call Lauren Smith at (330) 662-0250 or register online at www.TrilliumCreekOhio.com Organizations and individuals interested in sponsorship or item donations for the auction can also call Ms. Smith.

The Make-A-Wish Foundation was started in 1980 to grant the wishes of children with life-threatening conditions. Since its inception, it has granted the wishes of more than 161,000 children around the world. Every 41 minutes a wish is granted to a sick child.