Total Dermatology News Superior Skin Through Superior Techniques
September, 2005


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in this issue
  • "Better than Botox?"
  • Rosacea
  • September IPL Special
  • Jennifer's Thermage Progress
  • Upcoming Botox Day - September 21
  • Ask Dr. Pilest
  • Total Dermatology Location

  • Rosacea
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    "Is it embarrassment? Acne? What's going on that makes my skin so red?"

    Rosacea's one of the most misunderstood skin conditions people suffer with. Many women think they either have super-sensitive skin, acne or are just unlucky to look embarrassed all time. Male sufferers are sometimes thought to be "heavy drinkers" even if the most potent thing they ever consume is a cup of coffee!

    Rosacea doesn't have a medically determined cause, though it does have "triggers" that cause a flareup. Stress and eating spicy foods are just two of many Rosacea Triggers.

    What does Rosacea look like? It can look like a sunburn, embarrassed flushing, acne or if undiagnosed, it can look as disfiguring as W.C. Field's nose.

    There is no "cure" for Rosacea, much like there is no cure for Acne, but there are a number of safe and very effective treatments to control Rosacea and minimize flareups.By incorporating some simple preventive measures, knowing your triggers and using appropriate medical intervention, Rosacea can stop being a problem.


    September IPL Special


    September IPL Special

    IPL/Fotofacial Treatments - $450 (regularly priced at $550) plus product discounts on Triluma, Obagi Clear, and Cosmelan when purchased with IPL.

    Featured Product of the Month - CRS


    Jennifer's Thermage Progress


    We've added a 3 month Post-Thermage photo of Jennifer. See what the changes are and what she has to say. (And forgive us for the helter skelter lighting! We're changing that so the photos are more readily comparable)

    For those of you who just joined our E-News, we're keeping watch on Jennifer's Thermage progress. We decided the best way to show you what Thermage does is to give you a monthly progress photo of our own patient.


    Upcoming Botox Day - September 21


    Allergan, makers of Botox, is sponsoring a Botox Day September 21 from 2 to 7 P.M. All of our Botox patients that day will receive special gifts provided by our Allergan representative.
    As an extra incentive, we're taking $50 off your Botox treatment. (Which you might want to use for some new mascara and eye shadow to show off your younger looking eyes.)

    Men are learning about the Botox advantages.
    Why look mean or tired when you just need a little Botox to relax your corrugators*? *Those little muscles that give you the divots between your brows


    Ask Dr. Pilest


    Dr. Pilest responds to your concerns and questions. It's a great way to learn, so don't be shy. Posted inquiries and responses will be anonymous.

    Need skin care advice? Have a problem you don't know what to do about? Confused about what you read or see on TV? This is the place to ask. Get the Facts.

    A reader asks:

    I've had Clearlight treatments, but my acne came back. Why? I thought it was supposed to cure it.

    Dr. Pilest:

    Acne is the most stress-producing skin condition on the planet. I wish there were a complete cure, but there's not. Plain and simply, acne can be controlled, not cured.

    Clearlight is an alternative to oral antibiotics and the stronger topical products that can leave your skin red and peeling all the time. Patients who undergo a series of Clearlight treatments see results faster than they would get with antibiotics and there are no side effects, so it's a popular and safely effective treatment. But, Clearlight isn't a cure either - it's a control measure and all control measures require some type of ongoing maintenance program. And you have to stick to that program, even when things seem to be "going good."

    I know it's distressing and frustrating and I do sincerely wish there were a magic wand I could wave over every single one of my acne patients. The most I can offer is 26 years of experience and the best available technology. I truly wish it were more.


    Total Dermatology Location


    Call 1-800-838-4936 to schedule your appointment.

    Total Dermatology is located next to the Irvine Regional Medical Center on Sand Canyon Avenue close to Alton and the 405 Freeway.


    "Better than Botox?"


    Okay, here's the lowdown on why nothing is better than Botox.

    Advertisers are sometimes geniuses in how they position a product. They ask the question "Better than Botox?" and the implied message is, of course, that their product is better than Botox.
    It's not, and here's why.

    Any product or treatment that can actually alter neuromotor function must have FDA approval. You are, after all, changing how the nerves respond to messages. If any topical product had that potential, the dangers in its use would be overwhelming.

    So what's in the "hot" products that try to compare themselves to Botox? It's a chemically engineered pentapeptide known commercially as Matrixyl - which is composed of 5 amino acids. Amino acids are the building blocks of protein. Using a Matrixyl lotion or cream may help with slowing of collagen breakdown, but it will not affect the neuromuscular activity. The reason Botox works is that it does affect the muscle activity, and the only way it can do that is through injection. Phew!

    StriVectin-SD and Regenerist are fine moisturizers, and they will improve the texture and feel of the skin to some degree. But there is no possible way they do what Botox does. If you read the ads carefully, they don't actually make that claim...they simply ask a question and then lead you to the conclusion. Now, nobody will ever have to ask me to explain that again, right?

    Botox Press Release

    Botox and Hyperhidrosis.

    We had quite a response to information we provided last month on Hyperhidrosis. Many of our readers were completely unaware of the treatment and relieved to discover its existence. For those of you who missed the mention, here it is again.

    Learn more about Hyperhidrosis
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    Dr. Nissan Pilest | 16100 Sand Canyon Ave., Suite 190 | Irvine | CA | 92618