Wednesday, February 13, 2013

Differences Between Botox, Juvederm and Restalyne?

We hear about fillers all the time. Really, all we need to do is leave the TV to see smiling women jumping around talking about how Botox/Juvederm/Restalyne makes them feel younger and amazing. That’s great. But we have no idea what the difference between any of those products are, because all of those ads are identical. So we called Dr. Derrick Moody, a dermatologist located in Lawrenceville, Georgia for a better rundown. This is what the difference is:
Juvederm: It’s a filler mainly used for lines around the mouth. Most of the time that means the one crease that goes from the nose to the corner of the mouth called the nasolabial fold. Juvederm is great for softening that crease. In many ways it’s similar to Restalyne – they’re both hyaluronic acids, which is a protein we have in our body anyway. Hyaluronic acid is part of the cell wall, so it’s natural and we don’t have to worry about bad reactions. Juvederm is a thinner consistency than Restlyne, which means there’s a little less bruising and swelling after the injection. It’s $500 per vial and typical injection would be one to two vials. It usually lasts six to nine months when you inject it around the month.
Pros: It’s smooth in consistency and easy to inject with not too much bruising. It’s also correctible by a simple injection of an enzyme that will dissolve the amount you injected. The only thing that ever goes wrong is that they might get a lump. That’s a good safety factor. You don’t have to worry you’ll live with a problem.
Cons: It might not last as long as something like Restalyne, and can’t fill out deep lines quite as well.
Botox: It’s a type of injection that’s mostly used for wrinkles and lines around the eyes and the forehead. It’s popular among younger people because there’s some preventative aspect to it. What Botox is made of is a very diluted form of botulism toxin, it’s been used for 35 years in various applications in medicine. When you inject it in the small muscles around, say, the eyes, they don’t squeeze quite as hard. It works especially well for brow creases and crow’s feet. It’s generally something people start on in their early 30s, but I’m seeing some patients in their late 20s with some lines on the brow. Those lines can occur early and Botox can really soften those or, if you catch them early, make them go away altogether. The price varies depending on the number of locations, we charge $250 for one area. If you wanted to get multiple spots injected – your eyes and your forehead and mouth lines, for instance – it might be between five and six hundred. It will last for three to four months, though it’s different in each patient.
Pros: It works extremely well, it’s probably one most effective injectables. It can be done in a very few minutes. It’s a very high reward low risk procedure, and you don’t see many things that work that well. It’s hard to match Botox for reducing wrinkles, so it’s been a huge revolution for us.
Cons: I would say the con is that there’s the cost and consistent upkeep. You have to commit to doing it regularly, and it’s going to be $275-$600 every three to four months. Other than that I haven’t found any specific negatives to using it, some small bruising. It’s a very safe choice.
Restalyne: Just like Juvederm, Restalyne is made out of hyaluronic acid. They’re made by different companies and Restalyne is slightly thicker, a slightly larger particle. I happen to like it because I think you get a little more fill and correction of the lines. I use it for all of the same areas for wrinkle correction that I do Juvederm, but I base it on how deep the lines are. Juvaderm is better when you have finer lines, say around the lip. Restalyne is also $500 per vial. It lasts 6 to 9 months around the mouth, we sometimes inject it around the eye where some people have dark circles. It can fill those areas where it looks dark, and there it can last up to two years. In the most common regions they both last 6 to 9 months.
Pros: You get slightly better correction of the lines, especially nasolabial folds.
Cons: It can cause more bruising and swelling, and that can last for around 48 hours. Don’t do it right before an event. Do it on a Friday when you have time to rest.

Tuesday, February 5, 2013

Worried About Wrinkles? Here Are 5 Things to Avoid

When it comes to the battle against premature aging, we want our patients to be prepared! Do you know what to watch out for? If you’re concerned about wrinkles, here are 5 Things to Avoid:
  1. The Sun. When it comes to premature aging, the biggest culprit is usually overexposure to the sun. Contributing not only to fine lines and wrinkles, UV rays can also lead to skin discoloration and worst of all, an increased risk for developing skin cancer. Make sure you’re using an adequate daily sunscreen, and think twice before you jump into a tanning bed this season!
  2. Smoking. Smoking isn’t just bad for our health – it can also take a huge toll on our appearance. This is because smoking damages collagen and elastin, proteins that keep skin looking springy and youthful. That’s just one more reason to kick the habit today!
  3. Sugar. Think too much sugar only affects your waistline? Think again! Researchers are now looking at the connection between too much sugar and premature aging – and, it all has to do with something called “glycation.” Elle Magazine featured this topic in a recent article explaining that “When those [skin] proteins hook up with renegade sugars, they become discolored, weak, and less supple … This shows up on the skin’s surface as wrinkles, sagginess, and a loss of radiance.”
  4. Alcohol. While a glass of wine with dinner probably won’t hurt you, it seems that too much alcohol could contribute to facial sagging. This is based on the fact that too much alcohol creates sky-high levels of inflammatory agents in the skin.
  5. Stress. Take a breath – your skin may thank you! While we all know stress isn’t good for our overall health, researchers are now looking at how chronic stress and anxiety may be linked to accelerated aging!

Thursday, January 24, 2013


Skin Showing Excema

Eczema refers to the inflammation or irritation of the epidermis or outer layer of the skin. It is a term broadly applied to a variety of skin conditions that cause skin dryness or recurring skin rashes. Symptoms of eczema are wide-ranging and may include: redness, swelling, itching, crusting, cracking, or bleeding of the skin. Eczema is non-contagious, affects 9-30% of Americans, and is particularly common among infants and young children. Some people outgrow eczema, while others experience symptoms on and off their entire lives. Though there is no known cure for eczema, proper treatment generally controls the disease for the majority of sufferers.


Though the exact cause of eczema is unknown, it is linked to an overactive response in the body’s immune system to certain triggers. People with a history of other allergies or asthma are more likely to suffer from eczema.


Treatment for eczema aims to relieve and prevent itching, which can lead to infection. Because dry skin often makes skin itchy, applying moisturizer after bathing when skin is damp is recommended. Other treatment options include:

For mild eczema, creams and ointments such as corticosteroids are often prescribed to reduce inflammation. For severe cases, oral cortisteroids may be prescribed. When the affected area becomes infected, antibiotics may be necessary to kill the infection-causing bacteria. Anti-histamines, (anti-itch drugs), can also be effective in reducing the desire to itch and thereby eliminating the chance of infection.

Light Therapy:
Light therapy consists of exposing the skin to ultraviolet (UV) light. UV radiation is known to suppress the immune system and reduce inflammatory responses. However, this form of therapy is risky in that it opens up the possibility of the patient contracting skin cancer from exposure to the UV rays.

Massage Therapy:
Massages can be extremely therapeutic to patients suffering from eczema. They increase circulation to the tissues, thereby allowing the lesions and cracks in the skin to heal faster. "Hot stone" massages may be particularly effective in treating eczema, as the stones can be placed in specific areas to increase circulation.

While eczema itself cannot be prevented, outbreaks can usually be avoided or the severity lessoned by practicing simple guidelines. Patients are advised to abide by the following: moisturize skin frequently, reduce stress, avoid sweating or overeating, harsh soaps, scratchy clothing, sudden changes in temperature, and environmental triggers such as pollen, old or dust.

Are You at Risk For Skin Cancer? Find Out!

With more than a million new cases in the US each year, skin cancer is now the most common form of cancer in the country.  A serious and potentially life-threatening condition, our practice is committed to spreading awareness, emphasizing the importance of regular skin cancer screenings and, for the purposes of this article, helping patients understand their risk level. Do you know what to watch out for?

Here’s our list of who’s at risk: Those with fair skin. Those with a light skin tone – as well as those with light eyes and blonde or red hair – tend to be at a higher risk for developing skin cancer.  This is because those with a fairer complexion tend to have less skin pigment, which can offer natural, ultraviolet protection.

Those with a history of sunburns. Those with a history of sunburns need to be extra careful when it comes to screening for skin cancer.  In fact, according to The Skin Cancer Foundation, “A person’s risk for melanoma … doubles if he or she has had five or more sunburns.

Those with a family history. Like many forms of cancer, skin cancer can have a genetic component.  Those with a family history tend to be at a greater risk for developing the condition.

Those who spend a lot of time in the sun. If your job requires you to be in the sun a lot – or if you frequently go tanning – your risk of developing skin cancer can be greater.  To reduce your risk, make sure you avoid UV exposure when possible and use a good, daily sunscreen.Everyone! Simply put, everyone is ultimately at risk for developing skin cancer.  Even if you don’t fall into one of these “high risk” categories, make sure you’re utilizing proper sun protection, coming in for regular skin cancer screenings and checking for any suspicious growths or changes in your skin.  Also, find out what tanning can mean for your heath and appearance!

Skin Cancer Screenings in Lawrenceville

How long has it been since your last skin cancer screening?  Contact our offices today and schedule your appointment.  Our offices are located in Lawrenceville, and you can reach us directly at 770-817-2592.  We look forward to meeting you soon.

Take Back Control Over Aging!

Intrinsic aging is often referred to as “chronological aging.”
Think you have no control over fine lines, wrinkles and sagging skin? Think again! While many folks assume these skin changes are an inevitable part of growing older, when we take a closer look at the skin aging process, it becomes clear that our environment and our lifestyle choices could make all the difference. And, it has to do with the difference between intrinsic aging and extrinsic aging.
While the concept might seem a bit complicated, you can think of intrinsic and extrinsic aging in terms of internal and external changes. Intrinsic aging is often referred to as “chronological aging.” These are skin changes we have relatively little control over, including a natural reduction in collagen production as well as a gradual loss of skin elasticity. And, since these changes are primarily based on physiological factors and genetics, there isn’t much we can do in the way of prevention.
External aging is a different story. These are skin changes that are a direct result of our lifestyle choices as well as our environment. For example, overexposure to the sun – which is often referred to as photoaging – can promote wrinkle formation and lead to unattractive skin discoloration. Lifestyle choices like tobacco use can also play a role. Smoking, for example, damages the skin’s elastin and collagen. These are proteins that keep skin looking supple and youthful. So, while some aging is normal – and to a certain degree, inevitable – I hope you can begin to understand just how much control you may ultimately have over your appearance!

Correcting the Damage

Another part of taking back control over your appearance is understanding all your cosmetic dermatology options. Working to “turn back the clock” and improve the appearance of aged, damaged skin, cosmetic dermatology offers a solution for nearly any cosmetic issue you may be facing. Want to find out what’s out there?

Here are three of today’s top cosmetic skin procedures:
  1. BOTOX®: Fine lines and wrinkles affect not only how we look, but how we look at ourselves, as well. And, when it comes to achieving a fresh, more youthful appearance, there are no treatments as popular as BOTOX. Working essentially as a muscle relaxer, BOTOX reduces the appearance of dynamic lines such as frown lines or crow’s feet. And, though not a permanent solution, the effects of BOTOX will often last up to several months.
  2. Fillers: For deep-set wrinkles that would not respond well to BOTOX, we will often recommend a soft-tissue filler such as Juvéderm®. Working to fill in the valleys of creases, these minimally-invasive treatments add volume to the skin and restore a more youthful face shape.
  3. Chemical Peels: While skin discoloration is often not a medical concern, the condition can take a toll on a patient’s sense of well-being. Thankfully, cosmetic dermatology offers several solutions, some of the most popular of which are chemical peels. Varying in strengths, peels remove the damaged outer layers of the skin and promote a smooth, even skin tone.

Cosmetic Dermatologist in Lawrenceville

Ready to find out what cosmetic dermatology can do for you? Contact us today and schedule your consultation. Our offices are located in Lawrenceville, and you can reach us directly at 770-817-2592. We look forward to meeting you.
Posted in Cosmetic Dermatology News

Think You’re Too Old for Cosmetic Dermatology? Think Again!

Countless older patients falsely assume that they’re past the point where a cosmetic procedure could be effective for them. In reality, modern dermatology offers a host of treatments suited to those in their 40s, 50s, 60s and even beyond. And, while a 60-year old patient isn’t going to walk out of our offices looking like they’re in their 30s, it’s important to understand that cosmetic dermatology offers solutions for patients of nearly any age. So, want to know which procedures other patients are choosing?
Here are three of today’s top cosmetic procedures among older patients:
  1. Soft tissue fillers: Wrinkles affect nearly everyone to some extent. A telltale sign of aging, many older patients are taking the initiative and doing something about it! And, there are few treatments as popular as soft tissue fillers. Working to fill in the valleys of creases and add volume to the skin, fillers like Juvéderm® and Restylane® work to restore a fresh, rested appearance. An ideal solution for deep-set lines around the nose and mouth, fillers achieve natural-looking results that often last up to several months. Particularly popular among older patients, the American Society of Plastic Surgeons reports that patients 55 and over account for a full 36% of all soft tissue fillers performed in the US.
  2. Chemical peels: Another common complaint among older patients is skin discoloration – particularly brown spots on the face. Often a result of overexposure to the sun, brown spots can make a patient look older – and feel older – than they really are. Thankfully, cosmetic dermatology offers a quick, simple and minimally-invasive solution: chemical peels. Varying in strengths, peels remove the damaged outer layers of skin and promote a more even skin tone. Our practice offers a variety of peels and together, we can find the best treatment option for you.
  3. Microdermabrasion: If your skin has seen better days, it may be time to explore microdermabrasion. Improving texture and tone, microderm uses a stream of fine particles to exfoliate the skin and promote a more youthful appearance. Common among patients old and young alike, the ASPS reports that patients 55 and older now account for 24% of all microderm procedures performed across the board.

Cosmetic Dermatologist in Lawrenceville

To learn more about these or any of the treatments we offer, contact us today and schedule your consultation. Our offices are located in Lawrenceville, and you can reach us directly at 770-817-2592. We look forward to meeting you soon.
Posted in BOTOX® and Fillers

Wednesday, January 23, 2013

Start 2013 with a New You!

With January 1st soon upon us, it’s time to begin thinking about our New Year’s resolutions. And, we all know the usual ones – save more money, hit the gym, spend more time with family, etc. While these are all certainly great goals, this year, we’re challenging our patients to think about making a resolution for health and beauty in 2013. Offering many of today’s top medical and cosmetic skin procedures, our practice wanted to share a few ways you can look and feel your very best this coming year.
Here is our list of this year’s Top 5 Cosmetic Procedures for the New Year:
  1. BOTOX® & Fillers: Don’t let wrinkles hold you back this year – do something about it! BOTOX and soft tissue fillers are an ideal way to reduce the appearance of facial lines and wrinkles. Essentially a muscle relaxer, BOTOX is particularly ideal for “dynamic lines” like crow’s feet and frown lines. For deeper, more persistent wrinkles, our practice offers several fillers, including Restylane®, Juvéderm® and more.
  2. Acne Treatment: Make 2013 the year of clearer skin! If you’re one of the thousands of adult acne sufferers, it’s time to explore Adult Acne Treatment for the first time. Working to reduce inflammation and prevent future breakouts, acne treatment often includes topical creams, antibiotics, isotretinoin and/or oral contraceptives.
  3. SmartLipo™: While not a weight loss solution, SmartLipo can mean the difference between the body you have and the one you have always wanted. Widely considered the “gold standard” in treating stubborn, exercise resistant fat, SmartLipo combines the benefits of liposuction and skin tightening.
  4. Laser Hair Removal: Unwanted hair isn't just unattractive; it can also take a huge toll on our self-esteem. An effective alternative to waxing and depilatories, Laser Hair Removal uses special light energy to destroy hair follicles and significantly inhibit growth.
  5. Chemical Peels: If your skin has seen better days, a chemical peel can often be the answer. Varying in strengths, our practice offers several peels to remove the damaged outer layers of skin and promote a fresh, even complexion.