Resources for Allergic Contact Dermatitis

There are several tools available to facilitate avoidance of specific allergens in personal care products. Once you have been patch tested by your dermatologist and the relevant allergens determined, consulting these databases may be helpful.

Contact Allergen Management Program from American Contact Dermatitis Society

Contact Allergen Replacement Database (CARD) from Mayo Clinic

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Juvederm Voluma XC Filler Now Available

JUVÉDERM VOLUMA XC injectable gel is now available in the United States.   This is a hyaluronic acid filler, available for several years in Europe,  intended for deep placement to add volume to the mid-face. JUVÉDERM VOLUMA XC is the first and only filler FDA-approved to instantly add volume to the cheek area. It provides a subtle lift, helping to restore contour and a more youthful profile, for up to 2 years, adding volume to the cheek area.

What else should you know about JUVÉDERM VOLUMA XC?

  • First and only Hyaluronic Acid (HA) filler FDA-approved to instantly add volume to the cheek area, resulting in a subtle lift
  • Clinically proven to last up to 2 years with optimal treatment.
  • After 24 hours, you should be able to resume your normal activities
  • Side effects are moderate and generally last 2 to 4 weeks. Common side effects include temporary reactions at the treatment site such as tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching.

Hyaluronic Acid (HA) is a naturally occurring, hydrating substance found in your skin. As you age, you start to lose HA, which causes the skin to lose structure and volume.

Before

After - 4.8 mL of JUVÉDERM VOLUMA™ XC was injected into the zygomatic arch, anteromedial cheek, and submalar region

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miraDry for Underarm Hyperhidrosis Now in New Jersey

SOMA Skin & Laser has added miraDry, the latest non-invasive treatment for axillary hyperhidrosis. miraDry is an FDA-cleared device for significantly reducing underarm sweat. It is a non-invasive outpatient procedure performed in our office. miraDry delivers electromagnetic energy to the underarm area, eliminating the underarm sweat glands.

Two procedures are typically recommended, 3 months apart, to maximize the quality and duration of results. Each appointment generally lasts about an hour. miraDry costs $1,500 per treatment.

The miraDry system eliminates the underarm sweat glands.  This results in a dramatic and lasting reduction of underarm sweat. In a clinical study, patients experienced an average of 82% reduction in underarm sweat. You should notice a reduction in sweat immediately after treatment. As with any medical procedure, results will vary by person.

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Botox and Fillers For Men

More men than ever are choosing to get Botox and dermal fillers to preserve and maintain a youthful appearance. There are differences in the treatment of men and women when it comes to cosmetic procedures. For men, it is important to avoid feminizing the face.

Botox for Men

Men often get the forehead and glabella treated, and somewhat less often the crow’s feet area. When injecting men with Botox more units are generally required as compared to women due to the greater muscle mass present in men. Injection to the brow should be kept relatively flat and care should be taken to avoid creating an arched brow, which is usually perceived as feminine.

Men often have heavier brows as compared to women and it important to avoid injections too low on the brow, which can result in forehead ptosis (droop).

Overall, men can benefit from Botox injections by reducing wrinkles on the upper face and periorbital region.

Dermal Fillers For Men

Men can benefit from soft tissue fillers, such as Juvederm or Belotero, to restore volume, especially in the mid-face area and at the nasolabial folds. Men can also benefit from augmentation of the jawline, creating a more masculine firmer jawline. Augmentation of the brow to create a stronger more masculine appearance is also popular.

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First Topical Agent for Facial Erythema of Rosacea Approved

Brimonidine topical gel 0.33% (Mirvaso, Galderma Laboratories) has been approved by the FDA for facial redness resulting from rosacea in adults aged 18 years or older

In clinical testing, the alpha 2 adrenergic agonist brimonidine topical gel yielded significantly greater improvement in the facial redness of rosacea than vehicle gel, according to the company sponsor of the clinical trial. Testing included 2 phase 3 clinical trials involving more than 550 patients, each lasting 1 month, and a long-term trial with 276 patients lasting up to 12 months.

Brimonidine topical gel is thought to work by constricting dilated facial blood vessels to reduce the redness of rosacea. It is intended to be applied in a pea-sized amount once daily to the forehead, chin, nose, and each cheek.

The most common adverse reactions (incidence ≥ 1%) seen in the short-term trials were erythema, flushing, skin burning sensation, and contact dermatitis.

In the long-term study, the most common adverse events (≥4% of subjects) included flushing (10%), erythema (8%), rosacea (5%), nasopharyngitis (5%), skin burning sensation (4%), increased intraocular pressure (4%), and headache (4%).

Galderma expects Mirvaso to be available in pharmacies in September 2013.

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Revlite for Rejuvenation

Many of you know that we treat tattoos using the Revlite 1064 nm or 532 nm Q-switched laser.  But this laser is also increasing used for rejuvenation. The combination of the 1064 nm wavelegnth and the 532 nm wavelegnth can simultaneously address skin texture and pore size, as well as superficial epidermal pigmentation, such as brown spots. In the RevLite rejuvenation protocol, six treatments are performed several weeks apart. At each treatment the 1064 nm laser is used to improve texture and reduce pore size, while the 532 nm setting is used to improve pigmentation. The procedure is well-tolerated without the need for any numbing. There is minimal downtime. Usually there is some redness that lasts a day or two. If multiple brown spots are present then some peeling may occur following the procedure. Following the course of treatment, an improvement in texture, tone, pore size and pigmentation can be expected to be observed.

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Pharos Excimer Laser in New Jersey for Vitiligo and Psoriasis

We offer treatments with the Pharos excimer laser, a 308nm laser for the treatment of psoriasis, vitiligo, and other skin disorders.

Vitiligo. The Pharos utilizes a specific wavelength of ultraviolet light which stimulates the repigmentation of the skin in patients with vitiligo. Although there is no cure, vitiligo can be treated. Clinical studies with the Pharos have shown that, in some patients with vitiligo, repigmentation can begin within 6 to 12 treatments, and successful repigmentation can often be obtained in 30 treatments or less. The number of treatments needed can vary from person to person based on a variety of factors.

Psoriasis. The Pharos excimer laser can treat scaly skin plaques quickly and effectively often in just 6 to 10 brief treatment sessions.  This can provide long-lasting relief, typically several months free of symptoms.

Other skin conditions. Numerous other skin conditions are responsive to the excimer 308 nm laser., including:

  • atopic dermatitis
  • alopecia areata
  • pityriasis rosea
  • parapsoriasis
  • cutaneous T-cell lymphoma (CTCL)
  • polymorphous light eruption and other photodermatoses;
  • lichen planus;
  • pruritus; and
  • pityriasis lichenoides
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Sculptra Skin Filler

Sculptra Before and After PhotosSculptra is a skin filler that works differently from the hyaluronic acid fillers (such as Juvederm, Restylane and Belotero). Sculptra is made from poly-L-lactic acid, which helps to replace lost collagen. Sculptra does not work instantly. Rather, it gives you increasing results over time, as it stimulates your body to generate new collagen. The results of a full treatment course of Sculptra, an average of three injection sessions over a few months, can last more than two years. It helps correct shallow to deep facial wrinkles, and folds. Sculptra is suitable for deep folds between the nose and the mouth (nasolabial folds) also called smile lines, the lines framing your mouth (marionette lines), and chin wrinkles.

See more Scultra Before and After Photos

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Botox and Xeomin in New Jersey

SOMA Skin & Laser offers Botox and Xeomin injections in New Jersey for rejuvenation. Botox is the most popular non-surgical cosmetic procedure in the United States and a great way to introduce yourself to cosmetic procedures. In the Botox (or Xeomin or Dysport) procedure, the movement of the muscles of the face that cause certain wrinkles are eliminated. The glabella area (the vertical line in between the eyebrows, also known as the “11′s”), the forehead, and the crow’s feet area are most commonly treated with Botox. The results of Botox, Xeomin and Dysport are not permanent and must be repeated every few months to maintain the effect.

Botox injections are done with a very fine needle and do not require any pain medication or anesthesia, though some ice might be used. Many patients do not even feel the injection at all.

Botox is also an excellent complement to fillers, such as Juvederm, Restylane or Belotero, to soften wrinkles, or to laser procedures.

See the Botox Before and After Gallery at the Allergan website

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Juvederm Skin Filler In New Jersey

SOMA Skin & Laser offers Juvederm facial filler injections for rejuvenation and the treatment of wrinkles, as well as other skin fillers Restylane and Belotero. Juvederm is a form of hyaluronic acid, a naturally occurring substance in the body, which can be injected to smooth wrinkles and restore youthful volume. Injection of Juvederm is one of the most popular non-surgical cosmetic procedures in the United States. In the Juvederm procedure, the skin filler material is injected into areas that require volume enhancement. This can be a specific wrinkle or defect, or the entire mid-face to restore the rounded contours of youth. The most commonly treated areas for Juvederm are the wrinkles around the mouth and nose (nasolabial fold), the mid-face (cheeks), and lips, but other areas and defects can be treated as well.

The results of Juvederm are not permanent and must be repeated every few months to maintain the rejuvenating effect. Juvederm XC contain anesthetic making the procedure comfortable and well-tolerated. Juvederm is an excellent first step into the world of cosmetic procedures. Juvederm is also an excellent complement to botox for the treatment of dynamic wrinkles, and rejuvenating laser procedures. At SOMA Skin & Laser, all Juvederm injections are performed by a board-certified dermatologist.

More Juvederm Information

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