Anthony Krausen, plastic surgeon, The Skin Center of Wisconsin
and acne scarring
Clearing up acne begins with a good skin program, according to Dr.
Anthony Krausen. Unplugging your pores is essential, and starts with
exfoliating your skin on a daily basis. Medical-grade skin care
products such as alpha-hydroxy acid preparation cleaners will lead you
on the road to a healthier complexion. "You need something with
more than 10 percent alpha-hydroxy acid," says Krausen, which can
be obtained through a physician or licensed practitioner. Retin-A also
works well, but is photosensitizing so your skin can turn red and
scaly if exposed to sunlight. Physicians have also used the birth
control pill for women as a way to keep acne in check. A superficial
topical antibiotic cream can be prescribed for those who suffer an
done by an aesthetician can be used to help alleviate superficial acne
scarring, while laser techniques are performed for deeper scars.
"For any kind of laser resurfacing you have to be out of the sun
for three or four months and follow a skin care program,"
A newer method
of treatment for deeper or extensive scarring combines fractional
carbon dioxide laser resurfacing with scar release and fat transfer
under the skin. A special needle breaks up the scar bands beneath the
skinís surface. Fat harvested in micro-parcels is then injected
under the skin to raise and smooth the depressed scars.
Korkos, plastic surgeon and medical director, Rejuva Skin & Laser
wrinkles after 40
todayís technology, people arenít lining up for a surgical
face-lift, but instead turning to office procedures to smooth out
their facial wrinkles. "Thereís been a paradigm shift in
cosmetic surgery today. Itís turned into such an active world people
donít want a lot of down time from surgery, so they are electing to
have noninvasive procedures instead of surgery," says Dr. George
noninvasive lasers combined with fillers and Botox can work really
well for people over 40," Korkos says.
One of the
latest techniques is called LaViv; Korkos is currently one of about
300 physicians in the country to use the procedure. The technique
involves taking a small biopsy of skin from the patient and
replicating the cells in a lab. "For the first time we can inject
your own cells after they have multiplied in the lab. Once they are
injected into a wrinkle they will continue to produce collagen,"
Korkos explains. The new technique was approved by the FDA several
months ago. The difference between LaViv and the other procedures is
that it utilizes a personís own cells instead of a manufactured
filler, providing a much more natural look and feel. The
LaVivprocedure will last a year or more instead of the three- or
four-month lifespan of an artificial filler.
Yousif, plastic surgeon, Aesthetic and Reconstructive Surgery
Excessive skin after weight loss
lose weight in different ways, through diet and exercise or surgery,
but whatís left behind can be an excessive amount of skin that
stretched from the weight gain. "What they find is after all this
work theyíre left with this excess skin, and itís
disheartening," says Dr. John Yousif. "Unfortunately, you
canít exercise that back. You canít exercise skin."
Yousif, our bodies contain layers of fat designed to help keep us
alive if we ever were to enter starvation mode. Those layers of fat
cells stretch as our caloric intake increases, resulting in weight
different when it comes to where their bodies accumulate fat deposits
ó abdomen, thighs, arms, breasts, etc. ó and losing fat can be a
challenge. "Itís a lot of work to lose the weight, even if they
have it removed surgically," says Yousif, who points out that
people who opt for surgery typically follow an exercise regimen as
removing the excess skin and tightening the stretched muscles is the
only answer. But the outcome is well worth it, both physically and
emotionally, after achieving the weight loss you desire.
Sweet, plastic surgeon,Wheaton-Franciscan Healthcare
pain from large breasts
with large breasts that are disproportionate to their bodies can
suffer from a multitude of health issues, including pain in their
back, shoulders and neck; numbness in their arms; fungal infections
and more, says Dr. Michael Sweet.
In order to
rectify the problem, women undergo surgery where an incision is made
and skin and breast tissue is removed. The surgeon then lifts and
reshapes the breasts so they fit more naturally with the womanís
body. Sweet says he occasionally uses liposuction to make the breasts
appear more symmetrical.
The good news is
that more women are aware they can live a more pain-free life
following this surgical procedure. "The new thing is the
acceptance of the procedure. I see women of all ages," Sweet
Pasch, vascular and general surgeon, Wheaton FranciscanHealthcare
Varicose vein disease affects about 25 million people in the United
States; cosmetic concerns with spider veins affect even greater
traditional vein stripping and ligation surgeries were utilized for
vein disease, and are still used for certain situations today.
However, this procedure holds far longer recovery and healing times.
may opt to use a procedure called venous closure, which is minimally
Physicians use a
local anesthetic and make a small incision in the skin where a
catheter is inserted into the saphenous vein. After the catheter is
positioned, energy is applied to heat the catheter, which causes the
vein to collapse and close. In contrast, vein ligation and stripping
involves general anesthesia, the saphenous vein is physically removed,
resulting in pain and bruising.
If the vein
disease is in its early stages, patients may not need to undergo
surgery, but rather have injection sclerotherapy, which is generally
used to treat spider, small varicose and reticular veins. A special
medication is injected directly into the targeted veins, which causes
them to collapse and shut down. Eventually the treated veins should
disappear, according to Pasch. Depending on the size, it may take a
few sessions to successfully get rid of such veins. Shutting down the
veins does not impede blood flow, it simply reroutes to more healthy
veins in the same area. Injection sclerotherapy is performed by
vascular nurse clinicians who are specially trained to perform the
procedure, Pasch says. M