Monday, December 29, 2014

The Winter Skin Woes

It seems Winter has finally decided to show up in Charleston, while we may get a few warm days throughout the season the Winter (mild as it may be) can take a harsh toll on your skin. Whether you suffer from a dulling complexion or cracking skin this season Dr. Germain has great tips on how to fight the season's affects.

- Hydrate your skin from the inside out by drinking lots of water and increasing your intake of Omega 3s (by diet is best, but supplements are also good).
- Cut back on long HOT showers or baths.
- Don’t over exfoliate. While gentle exfoliation, or the use of a Clairisonic cleansing brush is good, many people think using scrubs and harsh exfoliation methods will help get rid of dry skin and flakes- but it actually makes it worse.
- Wash your face 2x a day using cool water, without a wash cloth.
- Use a soap-free cleanser (cream cleansers are best, such as our Germain Rx Restorative Cream Cleanser)
- Moisturize within 3 minutes of cleansing or bathing. Upgrading to a heavier, cream based moisturizer this time of year is also a good idea, or using body oil when getting out of the shower.

Looking for an easy route? Update your skin care routine with the Germain Rx Silk Regimen


The Silk regimen is great for all skin types and can be used for the entire body. It soothes and moisturizes dehydrated, scaly skin using Vitamins A, C, E, with Co-Q10, Green Tea Extract, and Glycolic Acid.  The regimen includes: Germain Rx Skin Smoothing Body Wash, Skin Smoothing Body Lotion, Heel & Elbow Cream and Intensive Hand Cream.

See below for more great tips on 'Winterizing Your Skin' from Dr. Germain~


Monday, December 22, 2014

Up Close with Shamika~ Germain Staff Skin Care

Just like our patients our Germain staff suffers from common skin issues, the occasional breakout & even wrinkles! Ever wonder what they do to look so fabulous? Find out on our NEW Staff Blog post. Each month we will feature a different staff member their favorite products, routines, skin care battles and more.

Shamika Gayle

Medical Office Assistant, 32 yrs old

Skin Type: Dry Skin, suffers with Eczema and Dark spots

Morning Skin Care Regimen: 
Germain Rx Skin Enhancing Cleanser 10%
Germain Rx Skin Tone Enhancement Pads 8%
Germain Rx Advanced Vitamin C Brightening Serum
Germain Rx Advanced Restorative Bio Therapy
Germain Rx Super Sheer Physical Sunscreen

Night Time Skin Care Regimen: 
Germain Rx Skin Enhancing Cleanser 10%
Germain Rx Skin Tone Enhancement Pads 8%
Germain Rx Advanced Vitamin C Brightening Serum
Germain Rx Magic Eyes
Germain Rx Retinol Smoothing Serum 3x
Germain Rx Advanced Restorative Bio Therapy

Using Current routine:
3 years

Favorite Germain Rx Product:
Germain Rx Skin Tone Enhancement Pads

Favorite other Product:
Germain Rx Brightening Polish

Favorite Foundation/Powder:
 Does not wear facial makeup. 

Best advice from Dr. Germain:
"DON’T PICK AT YOUR BLEMISHES!!!
Picking them causes ugly scarring"

Her best advice for Skin Care:
"Be consistent and patient, beauty and results take time."

Notes from Shamika:
"LOVE THE SKIN YOU’RE IN…IT’S YOURS!!!"

Friday, December 12, 2014

'Tis The Season... to FREEZE THE FAT!

Don’t suffer through another holiday, new year or bikini season battling your problem areas! Everyone has ‘hard to reach’ places that no workout or diet can fix, but luckily we have CoolSculpting! 

You’ve seen the billboards, commercials and ads but WHAT exactly is CoolSculpting? We invite you to come find out! 

Wednesday December 17th at 6:00pm we will be hosting another fabulous Germain Dermatology CoolSculpting Night. Join us for a live presentation from Dr. Germain, food & drinks, FREE CoolSculpting consultations, discounts and a live demo with ‘true talk’ Q&A from CoolSculpting patient, Haley. RSVP for your spot- Space is Limited!
843-881-4440

Tummy Bulges
Saddle Bags
Muffin Tops

and MORE! 


Monday, December 8, 2014

Get Glam This Holiday~ Germain Red Carpet Ready Procedures

You have the perfect dress and killer shoes, but want something extra to WOW everyone at your upcoming holiday or New Year's Eve party? Let Germain get you Red Carpet ready! We offer various procedures that require no down time and give you instant glam. Our favorites?

* The SilkPeel® 
The SilkPeel is one of the most dynamic skin treatments available today. It's the only procedure featuring Dermalinfusion™, a non-invasive exfoliation which helps delivery of skin-specific solutions, leaving patients with fresher-feeling and better-looking skin- Instantly and pain free! 

This treatment will clear pores, brighten and smooth the texture of your skin allowing for optimal make-up application and a natural glow.
*Below: Lauren's (Our Laser Specialist) Before & After



                                                      

* Clear+Brilliant 
Clear+Brilliant is a gentle laser treatment that helps prevent the visible signs of aging and the overall dulling effects time and the environment can have on your skin.

This non-invasive laser treatment will leave your skin feeling smoother, younger and give you a “radiant glow”.


* Icon Photofacial

The Icon Photofacial is a non-abrasive and non-invasive rejuvenation of your skin using the remarkable technology of Intense Pulsed Light (IPL). Icon Photofacials can improve the signs of sun damage, rosacea and brown spots on the face, chest, hands and body. 

This is a great option for those with specific desires that have a little more time to prepare. 
Typically 3-5 treatment sessions lasting about 20 minutes each are needed to provide you with beautiful results. There is no recuperation time and results are gradual, natural-looking improvement in your skin with time. Icon Photofacial is a safe solution tailor-made to your skin type and condition.



**BONUS: We have silk peel and laser appointments available on Saturday December 20th from 8am-12noon, extra time to get extra glam!  We also have make-up professionals trained in Jane Iredale Skin Care Make-Up for all your events. Call us today! 843-881-4440

Friday, November 28, 2014

'Why I Decided to Freeze My Thighs'

Considering CoolSculpting? Check out this ‘real-life’ CoolSculpting story from Elle Magazine freelance writer, Cristina Goyanes, 'Why I Decided to Freeze My Thighs'.

Goyanes a self acclaimed ‘wide-hipped, thick thighed, big butted latino’ decided to delve, head first, into the journey of CoolScultping. While she states she has always accepted her heritage and embraced her curves, like so many other women, she had that ONE THING that just bothered her. For Goyanes… it was her thighs.

After becoming more active, athletic & fit over the past five years she noticed her ‘undeserired’ thighs becoming, not less, but more undesirable. Due to her natural shape and activity as her legs got stronger, her thighs got larger. She was intrigued when her research led her to the FDA-approval of CoolSculpting for inner and outer thighs in April 2014, and shortly after her journalistic experience began.

Three months post procedure Goyanes is completely satisfied with the results of her inner and outer thighs. Wearing shorts, rompers and fun dresses she felt she never could pull off, Goyanes is now flaunting her fit figure… thighs and all.
Click for full article. 

Tuesday, November 25, 2014

Get The Most Out of Your Beauty Sleep

We loved this article from NewBeauty.com on the best ways to ensure you wake up beautiful. Puts a new perspective into getting your 'Beauty Sleep', don't you think? 

Your skin goes through a lot during the day. We unknowingly touch it with our fingers constantly and leave behind dirt, oil and bacteria. On top of that, it’s exposed to the sun, pollution and other factors that can cause damage. All of these combined are a perfect recipe for breakouts and signs of aging like wrinkles. That’s why the break your skin gets while you sleep is so important.

Follow these tips to make sure you wake up with gorgeous skin every day.

1. Get enough sleep

This one seems like a no-brainer, but there are still so many that don’t get enough shut-eye. Sleep is especially important because it gives your skin time to recharge. If you don’t get enough sleep, there are both short and long-term consequences. “Short term effects can be seen immediately [with] under eye bags, dark circles and sensitive skin, says Smithtown, NY, dermatologist Marina Peredo, MD. “These usually go away when the appropriate number of hours of sleep has been met. If someone is constantly not getting enough sleep, it can lead to inflammation and acceleration in aging, resulting in the appearance of wrinkles and even acne.”

Additionally, when you don’t get enough sleep you yawn more. “When you yawn, your eyes tear up and fluid pools in the eye area causing puffiness,” says celebrity aesthetician Renée Rouleau.

2. Avoid salty food three to four hours before bedtime

“Foods that are high in salt lead to dehydration, which is what you want to avoid for your skin while asleep, says Dr. Peredo. “Salty foods can cause a fluid shift, which results in puffy eyes.”

3. Sleep on your back

“Sleeping with your face directly touching your pillow often leads to lines and creases in the skin, which can become permanent,” says Dr. Peredo.

While you’re at it, keep your head elevated with at least two stacked pillows to prevent under-eye puffiness. “Gravity has to be leveled to avoid puffiness so that fluids are distributed everywhere, not just to one given area,” says Dr. Peredo.

4. Give your skin a final wipe after you cleanse

Cleansing is an absolute must, but to avoid having a little bit of makeup left over, do the following: After you rinse off your cleanser, do a final swipe over the skin with a wipe or soft, damp washcloth. “The physical sweep over the skin makes sure that makeup is off,” says Rouleau. “This will give your skin a clean slate to absorb the reparative ingredients that you’re going to use.”

Dr. Germain encourages patients to use the Clarisonic Cleansing tool each night to ensure deeply cleaned skin, and to help products more accurately penetrate the surface.


5. Use a good moisturizer for your skin type

Many forgo moisturizer at night because they want to let their skin “breathe,” but that’s actually a misconception. “The concept of your skin breathing is actually incorrect, there are no respiratory systems in your skin,” says Rouleau. “Your skin is like a fish and needs water to live. Without enough moisture, the skin cells dehydrate and skin produces extra oil to compensate causing wrinkles and acne.”

When looking for a moisturizer, choose one that doesn’t contain sunscreen. “The main goal of sunscreen is to protect skin from UV light, but non-sunscreen moisturizers will typically have a higher concentration of skin-benefitting ingredients.”

We suggest our Advanced Restorative Bio-Therapy to many of our patients. This Germain Rx product rejuvenates your complexion while you sleep. A unique combination of ingredients is designed to help your skin retain and distribute moisture to help combat dryness, repair damage, diminish the appearance of fine lines and wrinkles and protect against environmental stressors. Ideal for even the most sensitive skin and those on retinoid treatments. While there are many Germain Rx moisturizers this one is ideal for a broad range of skin types and so healthy for your skin!


6. Use an eye cream

If there’s any time of day when you absolutely should wear an eye cream, it’s at night. “They work better at night because you’re not wearing makeup,” says Rouleau. That said, be careful not to put them too close to your lash line because your lashes can pick it up and deposit it into the eye, which causes puffiness. 

One of our best selling products is our Magic Eyes. This moisturizing treatment contains Retinol to reduce the appearance of fine lines and wrinkles, as well as peptides to stimulate lymphatic drainage and increase skin firmness while you sleep! 


Friday, November 21, 2014

Man-icures, Man-Scaping & Bro-tox: Men's Health Month with News 2

November (or commonly referred to as Movember) is a month focusing on the awareness of prostate and testicular cancer, however the 2 Your Health team goes a step further using November as a month to "show guys the lifestyle changes they  can make to improve their health and prolong their life." Carolyn Murray recently interviewed Dr. Germain discussing her best tips for ‘cool weather grooming’ for men- from manscaping to bro-tox they covered it all! Grab a sneak peek below and catch the full interview on News 2


Is it okay for men to use hand soap to wash their face? 
"Skin on men's faces get stripped of all their essential oils when they use hand soap on their face. It's even more important now that it is cold."

Can a guy get the same youthful benefits from Botox as women?
"Guys actually develop lines before women do so they can look older than they really are. A little Botox goes a long way and, done right, they can look better and younger naturally. There are a lot more guys coming to my office for what we call bro-tox, than in the past."

If a man works with his hands (ie: construction worker or mechanic) will his hands always show it?
"There are a lot of jobs that men do that are really hard on their hands. they need to pay attention to their hands routinely... apply moisturizing lotions at least twice a day, sunblock if regularly outside and maybe even consider a man-incure every once in a while. If for no other reason, the women will notice their hands."

Tuesday, November 18, 2014

Spreading the Sparkle- Another Great Year!

THANK YOU, THANK YOU, THANK YOU
to everyone who came out to our 2014 Sparkle Party! We had such a great time spreading the glamour of Germain Dermatology to all our fantastic patients and friends. We hope you enjoyed this year's event as much as we did. Make sure to LIKE us on Facebook to see all the  'Red Carpet' photos and shots from the evening! 
*Don't forget to tag yourself so other's can see all the fun you had! 

We'd also love to see your pictures from the night- share with us on any of our social media pages (Twitter, Facebook or Instagram @GermainDermatology) and tag #GermainSparkle.









As always, your opinion matters! We would love to hear what you thought of this year's event. Share your thoughts on our Facebook page or comment below.

Monday, October 27, 2014

Are You Ready to SPARKLE?

That's Right! It's that time of year. Mark your calendars for  
November 13th and join us for our Annual Sparkle Party!
*Reservations are highly encouraged.
Please call today to reserve your spot 843-881-4440

Tuesday, October 21, 2014

The 'Battle of Shine' Stops Here

We strive for a natural glow, not a greasy shine.

For those constantly battling shine it can feel like an endless cycle- reapplying powder and spending countless dollars on anti-shine products and treatments that never seem to be the solution.

Oil is two-fold. Excess oil can be associated with breakouts, but it also protects your skin from signs of aging. It is important to note that oil is not the same thing as moisture, and even with oil prone skin you still need to moisturize. 

Dr. Germain notes that it is especially important to remember this during winter months. People with an oily complexion tend to dry-out their skin causing redness, itching and flaking during the winter. 

How can you fight shine without over drying or irritating your skin?

Dr. Germain suggests, "A healthy skin care routine is the first step to controlling oil (as well as dry patches, irritation, acne, aging and more). Exfoliation is a big part of oil control, however patients need to understand that exfoliation doesn't mean rubbing your face raw. A gentle nightly exfoliation will keep your skin routinely renewed and fresh. I always recommend the Clarisonic cleansing system to patients. It's gentle enough for daily use and has brush heads for all skin types."



Aside from clean, balanced skin Dr. Germain advises patients to begin using a Retinol product. Retinol builds collagen which helps keep pores tighter causing pores to create and emit less oil. Retinol can be harsh, but introduced to your skin properly under the advisement of a dermatology professional it can be a vital key in managing a shine free complexion (as well as giving you youthful looking skin). 

Depending on your circumstance and skin type other treatments such as products with Glycolic Acid, Vitamin C or Clay. If you are tired of fighting the shin battle come in and see Dr. Germain or one of our expert PA's for a full skin evaluation and treatment plan. 




Put the powder down and come see us! 
612 Seacoast Parkway 
Mt. Pleasant, South Carolina 29464(843) 881-4440www.GermainDermatology.com

Thursday, October 16, 2014

Germain Dermatology Welcomes Dr. McGowan- Mohs Surgeon

Dr. McGowan IV is a board certified dermatologist specializing in Mohs Micrographic and Dermatologic Surgery. He is a graduate of the University of South Carolina School of Medicine, and completed his residency here in Charleston at MUSC. After medical school Dr. McGowan obtained his fellowship in Mohs Microhraphic Skin Cancer Surgery at the Dayton Skin Surgery Center in Dayton, Ohio. He has been a huge asset to the dermatological world from hosting lectures to writing countless articles on the technique, advancements and importance of Mohs Surgery. 


We are honored and excited to have Dr. Joseph McGowan on our team. It is a great step forward in ensuring our patients have the absolute best in care. 
Germain Dermatology: 843-881-4440

*For more information on Mohs Surgery visit our previous GermainRx Blog Post: 

Wednesday, October 8, 2014

Men Freeze their Fat, too!

It is widely accepted that women want to look beautiful, and today most women are very open about the lengths they go to in order to feel their best; however, many men still are not.

According to the American Society for Aesthetic PlasticSurgery, men currently account for 10% of all cosmetic treatments. Research has also shown that men tend to choose non or minimally evasive treatments where there is little to no down-time, and treatments where results appear more natural. 
It is easy to see why CoolSculpting Technology is becoming a popular choice for the male population with results that develop over time, no recovery period and proven satisfaction. Men are commonly using the procedure to eliminate the stubborn, hard to target, fat on their hips, lower abdomen and lower back.

At Germain Dermatology we treat both men and women for medical and cosmetic needs. We understand the pressure to not only look good, but to feel good, isn’t only a female concern.  Dr. Germain takes great measures to ensure each of our male patients feel as comfortable when visiting us as our female patients do.

Dr. Germain explains CoolSculpting



CoolSculpting  and DualSculpting are nonsurgical methods for healthy patients who want to target specific, stubborn areas of fat that do not respond to diet and exercise. With fat cells being naturally more vulnerable to the effects of cooling, the cooling effect from the procedure causes crystallization of the lipids in the fat cells. The cells then begin to break down and are gradually eliminated by the body's normal metabolic processes, over a period of two to four months. These fat cells are eliminated from your body permanently. Unlike liposuction -which also eliminates fat cells from your body- the CoolSculpting procedure doesn't require the patient to endure surgery as there's no cutting or needles. 

Tuesday, September 30, 2014

The Magic of Moisturizer

Moisturizer is one of the most important parts of your skin care routine. Not only is choosing the right moisturizer vital, but also knowing how to use it correctly.
Washing your face with the correct cleanser is the first step to utilizing your moisturizer. Even on those busy, late nights washing your face properly makes the difference. It takes more than a splash of water to clear your skin of the day’s pollutants, bacteria, sweat and makeup.

In addition to cleansing exfoliating helps all products work at their finest. Sloughing off dead skin cells allows products to be absorbed easier and penetrate deeper- including your moisturizer. Exfoliating tools like the Clairisonic (available through Germain Dermatology) are ideal to help you get the most out of your skin care routine and products.

While skin is still damp apply your moisturizer- this will help lock in the water already on your skin- using gentle upward strokes. This light massaging motion will ensure even distribution and penetration.

Visit Dr. Germain to find out which moisturizer is best for you, follow these simple steps and you will be on your way to beautiful, soft skin.

Tuesday, September 23, 2014

Friday: FREE Botox!

Could it be true? Free Botox? It is! 
Grab your best friend and join us THIS Friday,
September 26th for our VIP Botox event. 
This special event is available to any of our current patients who are enrolled in the Brilliant Distinctions program and their friends who are NEW to Botox! Not a part of our Brilliant Distinctions program? It's easy to sign up just visit here, then schedule your spot and enjoy your reward! 

You will receive 200 Brilliant Distinctions bonus points (which gives you future savings on treatments such as Botox) and your BFF will receive a FREE Botox treatment from Dr. Germain! For more information on how Brilliant Distinctions can help you save visit here.  

Spots available 12:30-4:00pm- Space is limited so call today, 881-4440. 
Can't make it? Make sure to follow us on Facebook for another BFF Event soon! 
*Program Eligibility Requirements: You must be enrolled in Brilliant Distinctions, It has to be over 3 months since your last Botox Treatment, Your BFF must be new to Botox

Thursday, September 18, 2014

Germain Rx: Vitamin C Serum

There is a new product at Germain Dermatology and our patients have fallen in love! The Germain Rx Advanced Vitamin C Brightening Serum is quickly becoming our most popular product.

This brightening Vitamin C serum delivers skin enhancing benefits of expertly combined ingredients to achieve improved skin texture and tone resulting in healthier looking skin.

How does it work? Dr. Oz explains

Wrinkles
One of the most powerful functions of vitamin C is its role in the production of collagen, a protein that gives your skin its elasticity. As you age, collagen breaks down and wrinkles begin to form. Stabilizing your skin’s levels of vitamin C can help to counteract wrinkle formation by increasing collagen production.

Age Spots
When it comes to treating age spots, you don’t need chemical peels and lasers – it turns out that vitamin C can have almost the same results! Age spots are essentially sun damage, and vitamin C is a powerful antioxidant, shown to reduce the number of sunburned cells as well as reverse age-related damage to skin. While it’s not a replacement for sunscreen, vitamin C protects against and may repair UV damage like discoloration and fine lines.

Your Anti-Aging Rx
Taking vitamin C through a supplement or food is beneficial to your health, but to specifically target signs of aging on your face, topical vitamin C is best. In fact, applying vitamin C to the skin can be 20 times more effective than taking it orally.

Suitable for all skin types, the Germain Rx Advanced Vitamin C Brightening Serum is made to brighten and even out skin tone, tighten your skin, help lighten hormonal pigmentation and ward off wrinkles. Order online or stop by our office today!

Friday, September 12, 2014

The Beauty of our Hands


“Some people read palms to tell your future, but I read hands to tell your past. Each scar makes a story worth telling. Each callused palm, each cracked knuckle is a missed punch or years in a factory.”  - Sarah Kay

Our hands are a beautiful gift. Whether rough and calloused or wrinkled and fair, they tell a story about our lives. Where we’ve been, what we’ve done, all the good and bad we’ve endured. But, because of the beating our hands take throughout our lives sometimes they can make us look older than we feel inside.

Don’t let your hands age you. Recent technology and research has found that the same treatments we use to preserve and restore the face can also be used on hands.

The first is Radiesse injections. 
Radiesse is a volumising filler commonly used to restore volume and contour to sunken cheeks or chins. Since Radiesse molds to the area being injected, stimulates natural collagen growth, and has proven to have durable and lasting results it is now an on demand product to treat the aging appearance of hands.
*Courtesy of RadiesseTreatment.com 

The second is Fraxel laser treatments.
Fraxel is a non-invasive laser treatment that penetrates the top skin layers and produces light technology to stimulate collagen and resurface the skin.  If you spend a lot of time in the sun, your skin may overreact by producing too much melanin, causing your age (or sun spots) to multiply. Fraxel works with your own skin cells to resurface your skin from the inside out. Due to it’s gentle nature Fraxel has become a popular treatment for reducing the aging appearance of hands.


Don't miss out on our September Hands Special:
Receive 3 Fraxel hand treatments and 2 syringes of Radiesse* for only $1,500.

Monday, September 1, 2014

Ultherapy Décolletage- NOW at Germain Dermatology



The revolutionary procedure, Ultherapy, is now FDA approved and available to treat your Décolletage.

Ultherapy is a non-invasive laser based procedure used to improve lines and wrinkles and gently lift your skin. Until recently Ultherapy was only available to treat concerns on the face and neck. Germain Dermatology is thrilled to announce the approval of Ultherapy for the delicate chest area; and are excited to be offering this treatment to patients. Ultherapy Décolletage is the ONLY non-invasive treatment specifically indicated for the treatment of line and wrinkles on the chest.


How does the treatment work?
The safe ultrasound technology uses a scientifically derived amount of energy, temperature and depth measurement to trigger the body’s natural regenerative process, strengthening weak collagen and producing new collagen. It also offers practitioners the ability to see the layers of tissue (through ultrasounds) ensuring the best possible results and treatment locations.

In one, 30 minute, treatment you will safely see gratifying results. Call us today for a consultation and find out if Ultherapy is right for you.


Tuesday, August 26, 2014

What is a Mohs Surgeon?

We loved this article from EverydayHealth.com. Having an annual checkup and a spot or two removed is definitely less scary than battling skin cancer. If you are seeking treatment for skin cancer or need guidance with an irregular mole visit Dr. Germain, certified Mohs surgeon, for the best care in Charleston.

5 Reasons Why Skin Cancer Surgery Isn’t So Scary
•By Christina Heiser
Get the inside scoop on Mohs surgery, the most popular treatment option for basal and squamous cell carcinomas.

Wear a wide-brimmed hat to minimize your sun exposure.
Veva Vesper has dealt with more than her fair share of skin cancer in the last 25 years. The 69-year-old Ohio resident has had more than 500 squamous cell carcinomas removed since the late 1980s, when the immunosuppressant medication she was taking for a kidney transplant caused her to develop them all over her body — everywhere from the corner of her eye to her legs.

While Vesper’s story is unusual, skin cancer is the most common cancer in the United States. In fact, it’s currently estimated that one in five Americans will get skin cancer in his or her lifetime.
Mike Davis, a 65-year-old retired cop, and like Vesper, a patient at The Skin Cancer Center in Cincinnati, Ohio, has a more familiar story. Earlier this year, he had a basal cell carcinoma removed from his left ear — the side of his face most exposed to UV damage when driving on patrol.
The buildup of sun exposure over your lifetime puts you at greater risk for developing basal and squamous cell skin carcinomas as you age. Both Vesper and Davis had Mohs surgery, the most effective and precise way to remove the two most common types of skin cancer.

“The benefits of Mohs surgery are twofold: One, you’re going to remove just the cells you need to without having to take a lot of unnecessary tissue, and two, Mohs surgery can tout cure rates of 99 percent,” says Dendy Engelman, MD, a dermatologist and Mohs surgeon in New York City and the director of dermatologic surgery at New York Medical College.

We asked top experts to answer the most common questions about Mohs surgery.

1. What exactly is it? 
Mohs surgery is named after Frederic Mohs, a professor of surgery at the University of Wisconsin, who developed the treatment in the 1930s. “It’s a very tissue-sparing technique, where we go layer by layer, examining 100 percent of the margin in order to trace out the cancer using a microscope,” says Engelman.

You’ll be awake for the procedure, which is done under local anesthesia. The surgeon starts by cutting out a small piece of the tumor with a scalpel. A lab technician then freezes and stains the tissues for the surgeon to look at under a microscope. “Cancer grows like roots of a tree,” explains Brett Coldiron, MD, the founder of The Skin Cancer Center in Cincinnati and an assistant clinical professor at the University of Cincinnati. “What we do [during Mohs surgery] is cut out a disc of skin and check for roots poking through. It’s very obvious under the microscope.”

"Mohs surgery can tout cure rates of 99 percent."Dendy Engelman, MD, dermatologist and Mohs surgeon. If a root is visible, the surgeon will go back and remove another layer of the tumor, repeating the same process until the entire cancer is gone.  “Very rarely do we go past three passes,” says Coldiron.

2. Who should get it?
“Moh’s surgery is very useful around the eyes, nose, mouth, and ears,” says Coldiron. “It’s also useful around the cheek if it’s a larger tumor.” Additionally, Mohs surgery can be performed on the hands, feet, and neck — areas where you’d want to preserve as much tissue as possible, says Engelman.
While Mohs surgery is generally used on basal and squamous cell cancers, in some cases it can be used to treat melanoma, especially if the cancer is thin or confined to the outer layer of skin. “Patients should ask their Mohs surgeon if this a procedure they offer, as not all Mohs specialists treat melanoma with Mohs,” says Engelman.

3. How long does it take?
Expect to be at the doctor’s office for approximately one to three hours. After your surgeon removes the first layer of tissue, which takes about 10 minutes, you’ll be sent to the waiting room for about a half hour while the surgeon examines the tumor.  Then, you’ll be brought back to the exam room to either get stitched up, which takes another 20 minutes, or have another piece of the tumor removed.

4. Will it hurt? 
No more than a biopsy, says Engelman. The area is numbed with enough lidocaine, a local anesthetic that reduces pain, to last for about two and a half to three hours. “The discomfort is minimal — there’s just that initial stick [of the needle],” says Engelman. “You may feel a little bit of pressure [during the procedure], but you don’t feel pain.”

Afterwards, most patients only experience minimal pain. “Certain areas like the scalp, legs, or areas under tension (like skin over joints) may be more sensitive and may require prescription strength pain medication for one to three days post-surgery, but the vast majority of surgeries do not require prescription analgesics,” says Engelman.

5. Will there be a scar?
Yes — but it’ll become less noticeable over time. “It may take six months for the redness to fade and for the scar to settle down, but six months down the road, most patients are happy with the final result,” says Coldiron.

To ensure the wound heals nicely, follow the post-operative care instructions given to you by your doctor, says Engelman. “Moist wounds have been found in studies to heal faster than those left exposed to air,” she says. “The scar formed tends to have a better aesthetic appearance when kept moist and covered with a bandage.”

View Original Article Here

Thursday, August 14, 2014

"5 Signs of a Good Dermatologist"

We loved this article from EverydayHealth.com:
"5 Signs of a Good Dermatologist" by Grace Gold

Whether you want to get rid of adult acne or you're curious about the latest in anti-aging technology, choosing a dermatologist can sometimes be as daunting as the skin problems that plague you. Simplify the search by paying attention to these five guidelines when shopping around.

Not all dermatologists are created equal. Finding the one who will work with you to resolve your particular problems and concerns requires some research. When you’re looking for your ideal dermatologist, use these five guidelines to differentiate the best from the rest.

The best credentials. Report cards matter. Any doctor with a medical degree can start a dermatology practice, but certified physicians boast additional years of supervised study and have passed rigorous exams. Do a free online search to ensure that a prospective dermatologist is board certified by the American Board of Dermatology, which is the gold standard for the industry, says Wendy Lewis, the author of America’s Cosmetic Doctors and a cosmetic surgery consultant. She warns, “Many doctors call themselves dermatologists but may be internists, general practitioners, or something else.” Even if a doctor claims to be a “board certified physician,” the certification isn't necessarily in dermatology. If you’re specifically interested in anti-aging options — such as laser resurfacing, wrinkle fillers, peels, and skin tightening — you can check the American Society for Dermatologic Surgery for additional certification. Says Lewis, “Members include top experts in cosmetic procedures.”

Unrushed appointments. Exceptional dermatologists don’t look at the clock; they look at your chart and are completely focused on your personal story and your questions. “Your dermatologist should take the time to explain things, address your concerns, and explain treatment plans, as well as any tests you may have to undergo,” says David Bank, MD, president of the New York State Society for Dermatology and Dermatologic Surgery. If a dermatologist dismisses your thoughts, is difficult to follow up with, or rushes you through an appointment, it’s time to find someone who values you more as a patient.

No sales pitching. It’s a doctor’s office — not a home shopping television show. The dermatologist and the office staff should never aggressively push products, treatments, or other remedies that don’t specifically address your personal concerns. “If you feel that a dermatologist is selling you, he or she may be more interested in your money than in helping you,” says Dr. Bank.

A generous sampling policy. An office chock-full of mini tubes of various products shows that a dermatologist genuinely wants patients to find the best — and not just any — solution to a given skin problem, and that he or she is conscious of budgets and prescription copay amounts. “If your dermatologist wants you to try a product to make sure it’s right for you before you commit to buying a prescription, it’s a great sign,” says Bank. And don’t be shy; speak up and ask if samples are available, as doctors often have to trash loads of expired samples.

After-hours care. You should never feel left in the dark. Whether you're experiencing an allergic reaction following a treatment or you have a pressing question about it, there should be a way for you to reach the dermatologist during evenings and on weekends. “A good dermatologist will have on-call service for emergencies after hours,” says Bank. Some may have answering services that relay messages, while others may leave an urgent contact number on the office’s answering machine. Rather than finding yourself out of luck after weekdays at 5 pm, find a dermatologist who will be there for you.

Looking for a new dermatologist? Come see us at Germain Dermatology. Dr. Germain and our staff will treat you with the most advance practices and products and make you feel like family. 

Tuesday, August 5, 2014

Irritating Ingredients- Read Your Labels

Unexplained itchiness and rashes are one of the most common reasons for seeing a dermatologist. Reoccurring or worsening symptoms are frustrating for clients who cannot pinpoint a trigger for their conditions. More often than not we discover that patients are suffering from a skin allergy. Many people aren’t aware they have an allergy at all, and some cases can be extremely mild, making it hard to detect a cause. Not to mention, allergies can develop over time and at any stage in life. 

While things like nickel, poison ivy and fragrances are common contributors to skin allergies; there are an infinite number of materials that can cause a contact dermatitis reaction (through contact on the skin); and worse, there are many ingredients we use daily to achieve healthy skin, which can actually cause an allergic reaction. 

Check your labels for these common allergy-inducing ingredients:  
  • Formaldehyde- often listed in products as quaternium-15, is a preservative widely used in the beauty industry to prevent bacterial contamination of products. 
  • Lanolin- an ester produced from sheep’s wool, used to protect the oils on the skin’s surface. It is commonly found in lip balm, soaps and other moisturizing products.
  • Coconut- often listed as coconut diethanolamide, is an increasingly popular ingredient in skin care products. These allergies are known to develop slowly even after months of product usage. Also listed as: coconut oil acid, cocamide DEA, ninol, witcamide and calamide.
  • Balsam of Peru- often listed as myroxylon, is a sticky sap that smells like vanilla and cinnamon. Often found in soaps, perfumes, shampoo and even in food and medication.

It is important to also know that while one may not have an allergy to foods such as soy, coconut, eggs, nuts or dairy a dermatitis skin allergy to the substance is still possible. If you are allergic to certain foods it is highly suggested not to use products containing these items to avoid possible dermatitis and irritation. 

If we cannot easily identify a common cause of your reactions our office offers Patch Testing. This testing will allow us to determine if a skin condition is caused by an allergic reaction to any specific substances and what exactly those are. We also offer a full line of GermainRx skin and body care products which are all oil and fragrance free.