FDA GUIDELINES IN A NUTSHELL

  1. Buy a BROAD SPECTRUM sunscreen, meaning it must protect you from both UVA and UVB rays.
  2. Buy at least a 15 SPF. Most doctors would disagree with this and say you need a 30 SPF, but remember that going up to a 50 or even a 100 doesn’t really make any difference.
  3.  No sunscreen can say water or sweat proof, only water/sweat resistant, meaning if you are in serious sun you will need to reapply.
  4. Think about using “physical” sunscreens (zinc/titanium) rather than “chemical” ones. The reasons are that, physical sunscreens act like a mirror; they work almost immediately and don’t tend to weaken as quickly. Chemical sunscreens can take a while (30min) to be activated by the sun, and some of them can lose 60% of their power in 60 minutes because they rely on a chemical reaction which will naturally wear itself out.

PEAS VERSUS CARROTS- A HUNG JURY

(Archives of Facial Plastic Surgery 6/11). Reports that crow’s feet responded better to Dysport than to Botox have surfaced. Patients favored the Dysport treated side by a 2:1 margin during a 30 day split face trial. Producers of Botox challenged the study stating that the dosing, limited time, and small number of subjects made the comparison unfair.

 

BOTH AGENTS ARE FDA APPROVED, AND HAVE GOOD SAFETY TRACK RECORDS. OUR EXPERIENCE IS THAT SOMETIMES ONE WORKS BETTER IN SOME PEOPLE THAN OTHERS FOR NO PARTICULAR REASON. PERSONALLY, IF I WANT TO REMOVE STUBBORN LINES I CHOOSE DYSPORT. IF I WANT SUBTLE CHANGES, OR MILDER EFFECTS I CHOOSE BOTOX. THAT BEING SAID, MANY PEOPLE FIND THEY ARE EQUAL, OR THEY HAVE THEIR OWN PERSONAL PREFERENCE. THERE IS NO RIGHT OR WRONG CHOICE. YOU FIND WHAT YOU PREFER BY TRYING IT OUT.

THE LONGER YOU USE IT THE LESS YOU HAVE TO

(Dermatology Surgery 6/11). Research suggests that using Botox more than one time allows you to start using less to achieve the same results after 20 months. They also suggest that people who start using Botox therapy between 30-50 years of age can prevent future wrinkles as well as erasing existing ones. Wrinkle prevention seems to be achieved when the treatments are continued beyond two years.

PATIENTS HEAL THY SELF, IF YOU HAVE THE PATIENCE!

(Bloomberg News 6/11). The company Fibrocell Science has received FDA approval for a new injectable wrinkle treatment that restores elasticity to the skin, using the patient’s own cells. The treatment is known as LAVIV, and it is Fibrocell’s initial market product as well as the first treatment for wrinkles that is made from the patient’s own cells. It would require taking collagen producing fibroblasts (sample skin cells), from behind a person’s ear. They are then multiplied in a cell culture for 11-22 weeks, and sent back to your doctor who will then inject them into your smile or frown lines. The results of the FDA study of 421 patients who received three LALIV treatments five weeks apart showed 57% improvement in the LALIV group versus 30% in the placebo group. The summary of their results stated 45% of the LALIV group was rated as looking better versus 18% in the control group.

 

INTERESTING – BUT MANY THINGS ARE UNANSWERED. IT IS ATTRACTIVE TO USE YOUR OWN CELLS BUT IT REMAINS UNANSWERED ON THE LONGEVITY OF THIS PROCEDURE VERSUS STANDARD FILLERS. WAITING 22 WEEKS IS A LONG TIME, NOT SURE HOW MANY COSMETIC PATIENTS WILL HAVE THIS KIND OF PATIENCE! ALSO UNCLEAR HOW EXPENSIVE THIS MAY BE, OR WHAT THE RATE OF INFECTION WILL BE. ALSO, NOT CLEAR ON WHEN THIS WILL BE AVAILABLE. PERSONALLY, I WOULD WAIT UNTIL WE SEE HOW THIS PERFORMS OVER TIME, RATHER THAN BEING THE FIRST IN LINE.

CHEMICAL PEELS MAY PREVENT SKIN CANCERS

Tumor formation was delayed and reduced with chemical peeling agents after exposure to ultraviolet (sun) radiation

 

(Journal Dermatology Science 10/2010) Chemical Peels are popular procedures for the rejuvenation of sun-damaged skin. They can improve fine lines and brown spots on skin that is already at risk for skin cancers. Researchers investigated the effects of Peels on sun induced skin tumors in mice. Some scientists were worried the inflammation caused by the peels could irritate the skin and accelerate skin cancers. They used Peels that contained glycolics, salicylics and TCA (trichloroacetic acids). The results after 8 months showed 95 to 100% reduction in tumor formation, and delayed time to tumor formation!!