Dermatology Services, Spa Services and Cosmetic Services in Rochester NY

“Live” Chat Archives

Age Proof Your Skin – Live Chat with Dr. Arthur from September 26, 2011!!

Age Proof Your Skin Series

(09/26/2011)

9:27

Looking forward to tonight’s Live Chat! Please sign in at 7:20 p.m.

Monday September 26, 2011 9:27

7:29

Hello everyone! Welcome to ‘Age Proof Your Skin’, the 2nd event in our LIVE CHAT series with Helendale Dermatology & Medical Spa!I want to thank you for joining us this evening. Here are couple of tips before we get started… Please feel free to submit your questions throughout the event. You will see your questions posted once they are published during my response. For questions on the same topic, I will try to encapsulate the response so we can cover as many questions as possible. I appreciate your patience during my response time because most of the questions are answered in real time! (There are a few of you who have sent questions in ahead of time.) At the end of the event, I will post a promo code for you to use to obtain your $10 off coupon for joining us! Let’s have some fun and get started!

Monday September 26, 2011 7:29

7:29

[Comment From CharChar: ]

I have thin lines starting across my forehead. Any proactive suggestions to keep them from getting worse?

Monday September 26, 2011 7:29 Char

7:30

Hi Char- the best thing for lines on the forehead is botox. Sometimes just a little, small number of units, can do wonders! Products and fillers don’t really help with these as they are lines of movement.

Monday September 26, 2011 7:30

7:31

[Comment From Wanda ZimmermanWanda Zimmerman: ]

Would like to know if there are any non-surgical treatments for facial firming. Specifically, under the chin and around the mouth and jawline. I’m in my late 40′s and these areas are starting to droop a little. Thanks!

Monday September 26, 2011 7:31 Wanda Zimmerman

7:32

Facial firming can be divided into different aspects. First;y, products and lasers can help the skin iself be firmer. Obviously they don’t “lift the skin”. Here’s where sometimes fillers or collagen stimulators can help lift the skin.

Monday September 26, 2011 7:32

7:33

Sorry about the spelling errors! My daughter just spilled my water!

Monday September 26, 2011 7:33

7:33

[Comment From EllenEllen: ]

Is it recommended for a woman with rosaeca to get a peel?

Monday September 26, 2011 7:33 Ellen

7:35

Rosacea usually can handle most peels. I wouldn’t want to see someone with “out of control” rosacea get a peel however. Glycolics need to start slow with rosacea patients.

Monday September 26, 2011 7:35

7:35

[Comment From FilomenaFilomena: ]

What type of non invasive treatments are available for treating the lines that around the lips and how often does the procedure need to be done?

Monday September 26, 2011 7:35 Filomena

7:36

If the lines are shorter, then sometimes a filler like Juvederm or Restylane can be put along the “red line” of the lip. This generally doesn’t change the volume or size of the lip, just re-establishes the line. If the lines are longer, than usually we recommend the DOT or fractionated CO2 laser.

Monday September 26, 2011 7:36

7:37

[Comment From LynnLynn: ]

sometimes some of the antiaging products I use help with the wrinkles, etc. but they clog my pores, what is up with that and what product would you recommend.

Monday September 26, 2011 7:37 Lynn

7:38

well, they are probably just too thick! glycolic acis and topical vitamin A’s, as well as many topical vitamin C’s all come in formulations that shouldn’t break you out. sometimes whiteheads or milia are actually a sign of collagen breakdown.

Monday September 26, 2011 7:38

7:39

[Comment From LaurieLaurie: ]

Can you talk a little about VelaShape? Does it really get rid of cellulite? How long does it last? Does it hurt?

Monday September 26, 2011 7:39 Laurie

7:41

velashape is a laser/radiofrequency machine along wiht heavy massage. yes, it does get rid of cellulite…unfortunately it’s not permanent. everyone needs different treatments. it’s very warm. i would say it doesnt hurt, but it’s not “relaxing”-it’s a treatment.

Monday September 26, 2011 7:41

7:41

[Comment From Beverly OttBeverly Ott: ]

Is there anything to listen to…or do we just read the log for this live chat?

Monday September 26, 2011 7:41 Beverly Ott

7:41

no,just read. the log will be available on the web site.

Monday September 26, 2011 7:41

7:41

[Comment From WandaWanda: ]

What can be done about redefining the lip line so it’s more visible. I’m not interested in making my lips fuller; it seems as though the lip line can fade with time and I’d like to define it better so it looks natural.

Monday September 26, 2011 7:41 Wanda

7:43

as i said, a little filer such as retylane or juvederm can redfine that “red line” of the lip without changing the volume or making it any bigger. it’s a great procedure that really makes you feel good about your lips!

Monday September 26, 2011 7:43

7:43

[Comment From CharChar: ]

in my early 50′s and getting facial blemishes from time to time How should someone my age treat this

Monday September 26, 2011 7:43 Char

7:44

glycolic acid is a great product. it chemically exfoliates the skin, making the cells behave better, plus it turns on collagen cells and makes pigment cells behave better!

Monday September 26, 2011 7:44

7:44

[Comment From Wanda ZimmermanWanda Zimmerman: ]

My husband is in his late 40′s and I would like to know if there are any skincare lines for men. I’m interested in shave cream, moisturizers and eye creams – he has normal to dry skin. Thanks!

Monday September 26, 2011 7:44 Wanda Zimmerman

7:46

simple things. aveeno shave gel is great for men. a lot of guys like the jack black line. we don;t carry a specific men’s line-but honestly most lines are fairly non- sexist. they really are meant for both women and men.

Monday September 26, 2011 7:46

7:47

[Comment From Maryann Alaimo-AllenMaryann Alaimo-Allen: ]

Is it true that if you have fillers and are very active sports, aerobics etc. the fillers won’t last as long? I heard that some where.

Monday September 26, 2011 7:47 Maryann Alaimo-Allen

7:50

fillers last differntly in everyone. we have general time frames that we expect in the average person. i would say that smokers have the shortest lasting fillers as well as tanners. thin people i think can use up filler faster also. if a filler doesn;t last the way we want it to, we usually try a differnt one. i would say that people who exercise a lot may or may not have their filler disappear faster!

Monday September 26, 2011 7:50

7:50

[Comment From GuestGuest: ]

I’ve had fillers done, around my mouth in December, then again in the spring – and looking like i could use it again…how long do they usually last?

Monday September 26, 2011 7:50 Guest

7:51

like i told maryann..everyone’s different. we know that the more you do fillers, the less you need them. there’s a benefit to layering or adding to them. over the years, my fillers have lasted longer and longer.

Monday September 26, 2011 7:51

7:51

[Comment From CharChar: ]

I get compliments on my “big smile” but now I have smile lines Help!

Monday September 26, 2011 7:51 Char

7:53

fillers can be used around the mouth-sometimes~ we try not to chase the small lines around the corners of the mouth…but marionette lines and the commas that we get can all be softened.

Monday September 26, 2011 7:53

7:53

[Comment From WandaWanda: ]

What type of collagen stimulators can help to firm the skin? Are they injections?

Monday September 26, 2011 7:53 Wanda

7:55

it can be an injection like sculptra, which is a series of treatments. or it can be topical such as laser peels or products. obviously the injections achieve a differnent goal than the topicals. does that make sense?

Monday September 26, 2011 7:55

7:55

[Comment From FilomenaFilomena: ]

What skin reaction can you expect after an inject-able? Could you return to work without having any swelling?

Monday September 26, 2011 7:55 Filomena

7:56

most injections can cause bruising. we always want someone to plan on that. the swelling that you have is more noticeable to you as a patient than anyone else. often patients like the “swollen” feeling…it feels tighter!

Monday September 26, 2011 7:56

7:56

[Comment From KatleenKatleen: ]

I have really dry skin on my scalp. Do you any have oil or lotion that I could rub in at night and shampoo out in the morning? I use your shampoos now for Psoraisis and they help a lot, but the dry skin is still a problem.

Monday September 26, 2011 7:56 Katleen

7:57

olive oil is always good, as is peanut oil! tisserand used to make a great scalp oil-but they don’t anymore-tell them you want it-

Monday September 26, 2011 7:57

7:57

[Comment From vickyvicky: ]

when do you use fillers and when do you use botox? what are fillers made from

Monday September 26, 2011 7:57 vicky

7:59

we use fillers to replace volume…i’ll use the analgy of a grape vs. a raison…we all want to be a grape. botox is for lines of motion…so if the line is caused by a scowl…u stop the scowl-the line goes away.

Monday September 26, 2011 7:59

7:59

[Comment From daughterdaughter: ]

I’m 26 what is the most important thing I can do to age proof my skin

Monday September 26, 2011 7:59 daughter

8:00

the best thing you can do is AVOID the sun. i hear all the time…”i wear sunscreen” but it’s still sun exposure. avoid the sun and you’ll have gorgeous skin.

Monday September 26, 2011 8:00

8:00

[Comment From MartieMartie: ]

I ahve heard of a procedure called EMatrix ablation resurfacing with radiowave frequency for photo rejuvenation. Is this process done by the MD only or can it be done by the RN, NP or esthetician? Also, how many treatments are recommended?

Monday September 26, 2011 8:00 Martie

8:02

the ematrix is done by jill the NP at the practice and some of the esthiticians, depending on areas. yes. we use radiofrequency to tighten the skin and lift. i’ve had my face done. it’s amazing the change. like the vela, it’s hot…so not relaxing. but very effective!

Monday September 26, 2011 8:02

8:02

[Comment From KatleenKatleen: ]

I use Chapstick all the time. Do you have a similar product that would be more beneficial?

Monday September 26, 2011 8:02 Katleen

8:03

avene makes a great cold cream lip balm. i prefer the newer one that’s a tube. chapstick isn’t that great from a dermatologist’s standpoint!

Monday September 26, 2011 8:03

8:03

[Comment From WandaWanda: ]

Is a laser peel different from a vitalize peel in regards to the benefits of each one? Can laser peels be done to help wrinkles (specifically the eleven lines) as well as firming? If so, what type of laser peel would one get and how many to achieve the desired result? Is there down-time to a laser peel?

Monday September 26, 2011 8:03 Wanda

8:07

laser peels are different from a vitalize. the DOT laser is a fractionated CO2 laser and is the most powerful tool that we have to resurface the skin. after that comes the differnt chemical peels, including a vitalize. a vitalize peels combines some differnent peels along with topical retinoic acid (retinA). the “11″ lines need to usually be diminished with botox. resurfacing won’t get rid of the lines of motion. the DOT laser has a down time of 5-7 days (you look like a sunnburn).

Monday September 26, 2011 8:07

8:07

[Comment From Maryann Alaimo-AllenMaryann Alaimo-Allen: ]

Aside from some bruising or swelling are there any other reactions to fillers? I am in the market!

Monday September 26, 2011 8:07 Maryann Alaimo-Allen

8:09

the hyaluronic acid fillers are natural as is radiesse. allergies are unheard of since these products exist naturally within us. each filler has it’s +/-’s that we take into account when we discuss what needs/wants to be done. so yes, bruising and some mild swelling

Monday September 26, 2011 8:09

8:10

[Comment From FilomenaFilomena: ]

Is the glycolic acid in the peel or is there a topical product that you suggest?

Monday September 26, 2011 8:10 Filomena

8:11

glycolic acid can be in a peel or a home product. i’m a firm believer that you need a good home regimin. there’s no sense doing peels etc if you dont support the collagen cells at home.

Monday September 26, 2011 8:11

8:11

[Comment From WandaWanda: ]

is EMatrix a laser peel? As mentioned previously, in an earlier response, that an EMatrix will tighten and lift the skin.

Monday September 26, 2011 8:11 Wanda

8:14

it’s not technically a “laser peel” because it really doesn;t change the way the skin looks. we generally can only lift or tighten with radiofrquency. we can get some lift with the DOT CO2 laser and we certainly get tightening. we can greatly improve on the texture of someones skin with the co2 laser, whereas with radiofrquency we need to do some other things if the actual skin needs help. the analogy of a face lift with bad skin. everything neds to be addressed

Monday September 26, 2011 8:14

8:14

[Comment From Cynthia FlemingCynthia Fleming: ]

I had radiesse recently and I wondered if I could have a facial or if that would reduce the affect of the treatment?

Monday September 26, 2011 8:14 Cynthia Fleming

8:15

no, treatments don”t change the fillers. lasers, facials etc. won;t hurt!

Monday September 26, 2011 8:15

8:15

[Comment From charchar: ]

the cold weather is coming do you recommend changing skin care regimen or moisturizer for the winter?

Monday September 26, 2011 8:15 char

8:16

moisturizers need to start very soon…most people will change cleansers and moisturizers for the winter months as we age.

Monday September 26, 2011 8:16

8:16

[Comment From KatleenKatleen: ]

I have Roscea. When I am out in the sun for extended periods and wear sunscreen it seems to get worse. Should I just try wearing a hat and omit the sunscreen?

Monday September 26, 2011 8:16 Katleen

8:17

yes, the chemical based sunscreens can aggravate rosacea, plus the heat can also. i agree, wear a hat, stay cool!

Monday September 26, 2011 8:17

8:18

[Comment From Maryann Alaimo-AllenMaryann Alaimo-Allen: ]

Would there be any type of vitamins you could take before injections to lessen the swelling/bruising?

Monday September 26, 2011 8:18 Maryann Alaimo-Allen

8:19

arnica usually will help with the bruising along with vit C. avoid aspirin, fish oil, gingko and other nonsteroidals like advil!

Monday September 26, 2011 8:19

8:19

[Comment From Beverly OttBeverly Ott: ]

How long does the EMatrix treatment last…how long will your skin remain tightened?

Monday September 26, 2011 8:19 Beverly Ott

8:20

if you have one…it lasts for about 48 hours. it’s a series of treatments. the original radiofrequency treatment was thermage. it was a solo treatment…but companies have improved on the concept.

Monday September 26, 2011 8:20

8:20

[Comment From SueSue: ]

What treatments do you recommend for reducing the appearance of crows feet around the eyes

Monday September 26, 2011 8:20 Sue

8:22

some crow’s feet can be improved with botox, some with the DOT laser, some with products. Skinmedicas TNS has hyaluronic acid spheres that immediately help

Monday September 26, 2011 8:22

8:24

some one asked earlier about the “lifestyle lift”…waht i know about it i wouldn;t do it…my understanding is that it’s a very superficial lift…which ultimatly won;t last.

Monday September 26, 2011 8:24

8:25

we’ll be ending at 8:30…any last questions? anything that i haven’t gottent to i will answer tomorrow!

Monday September 26, 2011 8:25

8:25

[Comment From DDDD: ]

I have light pitting on one of my cheeks from acne scars. Is there anything that can help me get rid of this? I notice it looks worse when my skin is dry / dehydrated.

Monday September 26, 2011 8:25 DD

8:25

yes, you would notice it more when it’s dry. the DOt LASER works great for acne scarring that’s older.

Monday September 26, 2011 8:25

8:25

[Comment From WandaWanda: ]

What’s the best treatment, non-surgical, to firm skin underneath the chin, above the neck, and under the jaw?

Monday September 26, 2011 8:25 Wanda

8:27

wanda…that’s the million dollar ?…. exercises prob do help. the neck and “waddle” area is what we struggle with. sometimes botox can help in that area if it’s muscle, not skin.

Monday September 26, 2011 8:27

8:27

[Comment From LynnLynn: ]

what is your go to antiaging product

Monday September 26, 2011 8:27 Lynn

8:28

the best product that exists at this time is skin medica’s tns essentail serum…ask the girls about the peel event in october…it’s pricey but everything that you need short of vit A is in there!

Monday September 26, 2011 8:28

8:29

[Comment From FilomenaFilomena: ]

I am using Avene cleanser, Diacneal, and two topicals that you prescribed for my Rosacea. They are all good products but is there something more I should add to help with the collagen?

Monday September 26, 2011 8:29 Filomena

8:29

the diacneal is helping! it has glycolic and a great topical vit A!! you are all taken care of-

Monday September 26, 2011 8:29

8:29

[Comment From Beverly OttBeverly Ott: ]

How would you rate the laser hair removal?

Monday September 26, 2011 8:29 Beverly Ott

8:30

if you are a good candidate-the right hair and skin type…then it’s great. if you’re not, the it won’t work. unfortunately some places aren’t honest about it’s limitations or expectations!

Monday September 26, 2011 8:30

8:31

thanks everyone! great ?’s. thanks for your patience. use the code max skin to get your $10 gift card~

Monday September 26, 2011 8:31

8:34

just email trish with the promo code “max skin” on the subject line-she’ll send you your gift card.

Monday September 26, 2011 8:34

8:37

[Comment From GuestGuest: ]

trish@helendalederm.com

Monday September 26, 2011 8:37 Guest

8:37

this is trish’s email, thanks again.

Monday September 26, 2011 8:37

9:27

Continuing

Tuesday September 27, 2011 9:27

5:01

This chat will be archived on the Helendale website soon. We will notify you when this happens!

Wednesday September 28, 2011 5:01

2:25

Contact Helendale

Specialists in healthy, beautiful skin.

“Live” Chat Archives