GLP-1 Skin Is Real — Here’s How Dermatologists Are Treating It

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Rapid weight loss can transform your health, energy, and metabolic markers. But for many people taking GLP-1 medications like Ozempic, Wegovy, Mounjaro, or Zepbound, there’s an unexpected side effect that often shows up in the mirror first: thinner, drier, more hollow-looking skin.

Dermatologists are increasingly referring to this as “GLP-1 skin” — a combination of volume loss, skin laxity, dehydration, and accelerated collagen decline that can happen after significant medication-driven weight loss.

Now, emerging research suggests that regenerative treatments may help address these changes more effectively than traditional fillers alone. A recent study conducted by Dr. Andreas Nikolis[1] examined how combining Sculptra and Restylane Skinboosters improved hydration, skin barrier function, elasticity, and collagen support in menopausal women — and researchers also explored how GLP-1 medications may alter fat tissue itself.

Why GLP-1 Skin Happens

Most people assume the issue is simply “losing fat in the face.” But researchers are beginning to think the biology is more complicated. In interim data presented this spring, investigators found that patients experiencing medication-driven weight loss showed a significant reduction in adipose-derived stem cells — cells involved in tissue regeneration and structural support.[2]

That may help explain why some people notice: hollow cheeks and temples, crepey or loose skin, increased dryness, more visible wrinkles, sagging around the jawline, and skin that suddenly looks “tired” or deflated. The changes can resemble what happens during menopause, when estrogen decline contributes to rapid collagen loss, thinning skin, and impaired barrier function.

The New Approach: Hydration + Collagen Stimulation

For years, aesthetic medicine focused heavily on replacing lost volume with filler. But many dermatologists now believe GLP-1 skin requires a broader regenerative approach. That’s where treatments like Restylane Skinboosters and Sculptra come in.

Restylane Skinboosters: Rehydrating the Skin

Restylane Skinboosters use hyaluronic acid to improve hydration, smoothness, and skin quality rather than creating dramatic volume. Think of it as improving the condition of the skin itself instead of simply “filling” it. In the recent menopause-focused trial, patients who received Restylane Skinboosters first experienced the greatest improvement in hydration and barrier function. For GLP-1 patients, that matters because rapid weight loss often leaves skin looking dehydrated and fragile before volume loss becomes severe.

Sculptra: Rebuilding Collagen Over Time

Sculptra works differently from traditional fillers. Instead of instantly filling space, it stimulates the body to gradually produce collagen over several months. That slow collagen remodeling may be particularly useful for people experiencing diffuse facial thinning, crepey texture, skin laxity, and structural collagen decline.

Researchers noted that regenerative treatments like Sculptra may align better with the biology of medication-driven weight loss because the issue may involve tissue regeneration — not just fat depletion.

Why Combination Treatment Matters

One of the most interesting findings from the new data is that sequencing appears important. The combination approach worked best when hydration was restored first, followed by collagen stimulation later. That mirrors what many cosmetic dermatologists already see clinically: rehydrate the skin; improve barrier function; stimulate collagen gradually; and restore structure conservatively. This tends to create more natural-looking results than aggressively adding filler to an already dehydrated face.

Other Treatments That May Help GLP-1 Skin

Injectables are only part of the picture. Dermatologists often combine them with treatments that support collagen production and skin quality. Common options include:

Microneedling

Creates controlled micro-injury that stimulates collagen remodeling.

Radiofrequency Microneedling

Combines collagen induction with skin tightening.

Prescription Retinoids

Tretinoin remains one of the most evidence-based topical collagen stimulators available.

Growth Factor or Peptide Skincare

Some patients use regenerative skincare products to support healing and elasticity.

Hormonal Evaluation

For peri- and postmenopausal women, hormonal shifts may compound GLP-1-related collagen loss. Some patients report improved skin quality after starting hormone replacement therapy, although treatment should always be individualized medically.

What Dermatologists Want Patients to Understand

The biggest misconception about GLP-1 skin is that more filler is automatically the answer.

In reality, overfilling can sometimes worsen the problem by making the face appear puffy while skin quality remains thin and dehydrated. The goal is not to erase weight loss — it’s to help the skin adapt to it. Many experts now favor a regenerative strategy focused on collagen support, hydration, gradual restoration, and skin health first.

The Bottom Line

GLP-1 medications are changing medicine and helping millions improve their health. But rapid weight loss can expose underlying collagen loss, skin thinning, and structural changes faster than the skin can naturally recover. Emerging research suggests the future of treatment may combine: hydration-focused injectables like Restylane Skinboosters; regenerative collagen stimulators like Sculptra; energy-based tightening treatments; medical-grade skincare; individualized hormonal and nutritional support; and, more importantly, dermatologists are beginning to treat GLP-1 skin as a biologic process — not just a cosmetic concern.

 

 

 

Sources

[1] Nikolis A, et al. A comprehensive interim analysis of skin hydration, barrier function (TEWL), elasticity, and patient satisfaction across two treatment arms. Interim Data on File. Galderma. April 2026

[2]  Fabi S, et al. Investigating the Impact of GLP-1 Receptor Agonists on Adipose-Derived Stem Cells. Interim Data on File. Galderma. April 2026

Galderma

Interim data from two ongoing investigator-initiated trials highlight the role of Sculptra® and Restylane® in addressing aesthetic changes associated with weight loss medications and menopause | Galderma. April 8, 2026

Dermatology Times

Galderma Unveils New Interim Trial Data on Menopause and Weight Loss-Driven Skin Changes | Dermatology Times

reachmd.com

Interim IIT Data Explore Sculptra, Restylane for Menopause, Weight Loss–Related Aesthetic Changes – Be part of the knowledge – ReachMD

CenterWatch

Post-Menopause Skin Rejuvenation Study | Clinical Research Trial Listing. January 19, 2026

ICHGCP

Sculptra Aesthetic and Restylane SkinBoosters Vital in Menopause and Post-menopause and Hyaluronic Acid – Clinical Trials Registry – ICH GCP

MedEsthetics

New Dual-Sequence Menopause Study Shows Skin Quality Improvement With Restylane Skinboosters and Sculptra | MedEsthetics. April 12, 2026

A Dermatology Expert’s Guide to Safe At-Home LED Masks & Microcurrent Tools

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By Joan Pohutsky, DNP, NP-BC

At-home skincare technology is everywhere—from LED face masks to microcurrent “facelift” tools that promise glow, lift, and firmness. As dermatology providers, we want patients to feel empowered about their skin. But with so many gadgets on the market, using them safely and effectively is essential.

This guide breaks down what LED masks and microcurrent tools can (and can’t) do, how to choose a safe device, and when to talk with your dermatology provider.

What Are LED Masks?

LED (light-emitting diode) therapy uses specific wavelengths of light to target skin concerns without heat or skin damage.

Common wavelengths and their roles:
– Red light (630–660 nm): Helps boost collagen, reduce inflammation, and improve fine lines over time.
– Blue light (415 nm): Targets acne-causing bacteria and can help reduce breakouts.
– Near-infrared light (830–850 nm): Penetrates more deeply to support healing and overall skin rejuvenation.

Science-backed:
Studies show that FDA-cleared at-home LED masks can improve acne, texture, and mild signs of aging when they’re used consistently and correctly.

Important:
– Choose FDA-cleared devices.
– Follow the manufacturer’s instructions for time and frequency of use.
– Protect your eyes with built-in shields or goggles.

What Are Microcurrent Tools?

Microcurrent devices deliver low-level electrical currents through the skin to:
– Gently stimulate facial muscles
– Enhance circulation
– Support cellular energy (ATP), which may help skin function more efficiently

Early research suggests microcurrent tools may help improve:
– Skin tone and elasticity
– Mild facial contouring
– Overall firmness and a lifted appearance

However, results vary, and these devices should be viewed as supportive tools, not replacements for professional treatments.

Why People Love These Devices

– Convenience: Spa-style treatment at home, on your schedule
– No downtime: Gentle and non-invasive
– Tech appeal: Great for people who enjoy smart skincare and gadgets

The Science in Brief

LED masks:
When FDA-cleared and used as directed, LED therapy is generally safe and can help with:
– Acne
– Redness and inflammation
– Fine lines and mild texture issues

Microcurrent tools:
Evidence is promising for better tone and subtle contouring, but research is still developing. Think of these as adjuncts to—not substitutes for—professional care and a solid skincare routine.

How to Choose a Safe Device

LED Masks: Look For

– FDA clearance for home use
– Clearly listed wavelengths (e.g., 630 nm red, 415 nm blue)
– Built-in eye protection or the option to use separate goggles
– Assurance of no UV light and no significant heat emission

Microcurrent Tools: Look For

– Transparent safety information and certifications
– Adjustable intensity levels so you can start low and increase as tolerated
– Clear instructions and guidance for home users

Avoid microcurrent tools or talk to your medical provider first if you have:

– A pacemaker or other implanted electronic device
– A history of epilepsy or seizures
– You are pregnant, unless specifically cleared by your obstetric and dermatology providers

Safe Use Tips from Your Dermatology Team

LED Masks

1. Start with clean, dry skin.
2. Use protective goggles if your mask doesn’t fully shield your eyes.
3. Follow the device’s instructions—typically 10–20 minutes, 3–5 times per week.
4. Stop use if you feel pain, heat, or discomfort.
5. Be patient and consistent—visible results often take 6–8 weeks.

Microcurrent Devices

1. Apply a conductive gel before using the device to help the current pass safely and comfortably.
2. Start with the lowest setting; you may feel a mild tingle, but it should not be painful.
3. Use for about 5–10 minutes, 2–3 times per week, or as directed.
4. Avoid:

– Broken, irritated, or infected skin
– Areas with active skin conditions, unless cleared by your provider
– Use if you have medical contraindications

Who Benefits Most?

Good candidates include people with:

– Mild skin aging (fine lines, early laxity)
– Texture issues or dullness
– Acne-prone skin in maintenance mode (especially with blue or combination LED)

These devices are usually not ideal for:

– Severe laxity or sagging
– Deep wrinkles
– Melasma (some light-based devices can worsen pigment issues)
– Anyone unwilling to use proper eye protection, follow instructions, or apply sunscreen regularly

Common Mistakes to Avoid

– Buying cheap, uncertified devices from unverified sellers
– Expecting instant or dramatic results
– Ignoring medical contraindications (e.g., pacemakers, seizure disorders)
– Skipping daily sunscreen, which undermines any anti-aging benefit
– Using devices on irritated, inflamed, or sunburned skin

When to Consult a Dermatology Professional

At-home LED masks and microcurrent tools can be helpful additions to your skincare routine, but they work best when:

– You’re using the right device for your skin type and concerns
– You understand realistic goals and limitations
– They’re integrated with professional treatments and medical-grade skincare when appropriate

Next step:

Schedule a consultation with us to:
– Review your current skincare routine and how it impacts your skin health
– Decide whether an LED mask or microcurrent device makes sense for you
– Build a customized plan that keeps your skin healthy and radiant

 

 

 

 

 

 

 

References

Ablon, G. (2018). Phototherapy with light emitting diodes: Treating a broad range of medical and aesthetic conditions in dermatology. Journal of Clinical and Aesthetic Dermatology, 11(2), 21–27. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5843358/

American Academy of Dermatology Association. (2024, September 13). Is red light therapy right for your skin? https://www.aad.org/public/cosmetic/safety/red-light-therapy

Bu, P., Duan, R., Luo, J., Yang, T., Liu, N., & Wen, C. (2024). Development of home beauty devices for facial rejuvenation: Establishment of efficacy evaluation system. Clinical, Cosmetic and Investigational Dermatology, 17, 553–563. https://doi.org/10.2147/CCID.S449599

Skin and the Relation to Bone Density

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Do you look in the mirror and see a furrowed brow? Thinking about how to erase those lines that suggest you are worried or angry even when you’re not? You’re likely very aware that Botox does the trick and safely erases “the elevens” between the eyes. But did you ever wonder if forehead lines are an indicator that other tissues, not visible to the naked eye, are also showing signs of wear?

Bone Density Study

Researchers at Yale posed the same question about a decade ago and looked at bone density in 114 women in their late 40s and 50s who were within three years of menopause and not on hormone or bone density drug therapy. They measured the number and depth of the women’s forehead, face and neck wrinkles, as well as the skin’s firmness or rigidity, and then tested their bone density by x-ray and ultrasound. They excluded women who had undergone any cosmetic skin procedures or who may have damaged their skin by tanning beds or extensive sun exposure. The small study demonstrated only an association between decreased bone density and early skin wrinkling, and to my knowledge, there haven’t been larger follow-up studies confirming the observation.

Collagen

Although there may be insufficient data to confirm the association, it’s an interesting idea to think about since the scaffolding of both skin and bones is a group of proteins called collagens. As we age, the changes in collagen that visibly cause the skin to sag and wrinkle are also invisibly affecting bone quality and quantity. According to the CDC, the prevalence of low bone mass, a precursor of osteoporosis, at either the femur neck or lumbar spine or both among adults aged 50 and over was 43.1%. This was higher among women (51.5%) compared with men (33.5%).

Osteoporosis

Of the estimated 10 million Americans with osteoporosis, about eight million or 80% are women. Approximately one in two women over age 50 will break a bone because of osteoporosis. Furthermore, a woman’s risk of breaking a hip is equal to her combined risk of breast, uterine and ovarian cancer. There are 1.5 million osteoporotic fractures in the United States each year, leading to more than half a million hospitalizations, over 800,000 emergency room encounters, more than 2,600,000 physician office visits, and the placement of nearly 180,000 individuals into nursing homes. Hip fractures are by far the most devastating type of fracture, accounting for about 300,000 hospitalizations each year.

Bone Density Screening

Many women (and men) don’t know they have low bone density until it has progressed to the point of fracture that requires both surgical intervention and the initiation of treatment with bisphosphonates. The key is finding out early when you can do something about it. Talk to your physician about a screening bone scan, especially if you have a family history of osteoporosis, if you are a woman over age 65 or if you have risk factors (such as past fracture, certain medical conditions or medications, or cigarette or alcohol use).

Healthy Lifestyle Habits for Skin & Bones

We don’t know whether wrinkles really are a sign that your bone density is low, but we do know that many of the same measures that keep your skin healthy are also beneficial to your bones. Some lifestyle habits you can adopt that promote both healthy skin and bones:

1. Don’t smoke: Avoiding or quitting smoking is strongly recommended for bone health because smoking cigarettes is known to increase bone loss.

2. Alcohol in moderation: Excess alcohol decreases bone density by 2%, dehydrates the skin and exacerbates conditions such as rosacea.

3. Exercise: Weight-bearing exercise increases bone density and it’s also great for your skin: By getting the heart rate up and improving blood circulation, exercise can help to deliver oxygen and nutrients to the skin which stimulates collagen production, and promotes new skin cells, keeping the skin glowing and also helping with anti-aging. An interesting study in Japanese post-menopausal women demonstrated increased bone density in the hip after standing on one foot for 1 minute 3 times per day.

4. Diet: Sufficient Calcium and Vitamin D (through diet and not the sun in order to protect your skin!) are foundational for good bone health. Topical solutions include Solaana MD Healthy Base Layer, which is a Vitamin D enriched cream (available through our online store). Also important is a diet rich with fruits, vegetables and seafood in order to obtain sufficient Vitamins A, B, C, E, K, Potassium, Magnesium and Silica, which are all beneficial to both your skin and bones.

So as you embrace the Mediterranean diet and exercise regularly, you can be assured that you are simultaneously doing what’s best for your skin AND bones. Get your Vitamin D through your diet and supplements and apply sunscreen regularly; you can even apply it while standing on one leg to continue multitasking!

 

 

 

 

Sources:

Brooks M. Skin wrinkles may provide a glimpse into Bone Health. Medscape. https://www.medscape.com/viewarticle/744027. Published July 25, 2020.

Office of the Surgeon General (US). Bone Health and Osteoporosis: A Report of the Surgeon General. Rockville (MD): Office of the Surgeon General (US); 2004. Available from: https://www.ncbi.nlm.nih.gov/sites/books/NBK45513/

Sahni S, Mangano KM, McLean RR, Hannan MT, Kiel DP. Dietary approaches for bone health: Lessons from the Framingham Osteoporosis Study. Current Osteoporosis Reports. 2015;13(4):245-255. doi:10.1007/s11914-015-0272-1

Sakai A, Oshige T, Zenke Y, Yamanaka Y, Nagaishi H, Nakamura T. Unipedal standing exercise and hip bone mineral density in postmenopausal women: a randomized controlled trial. J Bone Miner Metab. 2010;28(1):42-8. doi: 10.1007/s00774-009-0100-8. Epub 2009 Jun 12. PMID: 19521657.

Sarafrazi N, Shepherd JA, Wambogo EA. Osteoporosis or low bone mass in older adults: United States, 2017-2018. NCHS Data Brief No 405. March 2021. doi:10.15620/cdc:103477 What women need to know. Bone Health & Osteoporosis Foundation. https://www.bonehealthandosteoporosis.org/preventing-fractures/general-facts/what-women-need-to-know/. Published February 24, 2022.

facial rejuvenation for men

A Guide to Looking Great

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Always Looking Our Best

The internet has become the primary mode of communicating who we are. Even pre-pandemic, it reached such dominance that nearly every professional has a presence on the web. On any given business’ website there is a tab highlighting “Our Team,” linking to bio’s and smiling head shots, with everyone trying to look their best. And now with ubiquitous video and webcam meetings, we are all examining our screen images with increased scrutiny. Projecting an attractive and healthy image unquestionably has advantages in the workplace. Men are increasingly recognizing this phenomenon and seeking facial rejuvenation procedures to improve appearance.

Facial Injections and Fillers

Our male patients want significant and totally natural results with minimal downtime – and injections can fit that criteria. This may be why cosmetic injections in men have increased by about 80% in the last 10 years. Men gravitate to injectables like Botox which work effectively but subtly to relax frown lines and crow’s feet around the eyes. Fillers have a role in softening the deep, etched lines of facial expressions.

Treatment Designed for Men

Facial rejuvenation using injections is not a one-size, or one-gender, fits-all process, however. I like to tailor treatments to address individual goals and anatomic structure. To achieve a natural look for a man, for instance, our approach to the patient may be entirely different than it is for a woman. With men, restoring a prominent jaw and chin line can be vital. Men’s eyebrows shouldn’t be overly arched, which can be feminizing. Likewise, men’s facial muscles may be larger in mass than women’s, requiring higher dosages.

Laser Treatments for Rejuvenation

Years of sun exposure can leave the face looking rough, wrinkled and with irregular pigmentation. Laser Skin Resurfacing generates entirely new skin and improved photodamage. Vascular lasers reduce blood vessels and even out a ruddy complexion better than any other treatment. An occasional side effect of some laser surgery is mild bruising, which is temporary and easily hidden with tinted sunscreen. We can also reduce the laser’s power, increase the number of treatments and minimize the side effects.

What is Microneedling?

RadioFrequency (RF) Microneedling results in dramatic skin tightening, wrinkle reduction and improvement of acne scars. Patients experience a sunburn-like redness but can return to work the next day, making this an ideal procedure for a busy professional. RF microneedling delivers energy into the skin with minute sterile needles, stimulating the natural growth of collagen and elastin. After three treatments spaced about a month apart, the jaw line becomes more defined and skin texture dramatically improved. A less tired look and vibrant healthy skin can be achieved without a lot of downtime.

How Dermatologists Can Help

While women have more frequently sought age reversing skin treatments, men are rapidly closing that gap. For both men and woman, we listen to our patients, understand their goals and work with their unique features to create a treatment plan that can help them look their best, most natural self. Contact us to schedule a consultation to discuss your facial rejuvenation treatment options.

Exercising Your Skin

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Happy 2020! It’s a new year, a new decade, and a great time to cultivate habits that improve your health and well-being. If you’re like me, exercise is on your list of resolutions. There is tremendous evidence demonstrating the myriad benefits of physical activity: it’s vital for muscles, bone and cardiovascular system, improves mood and memory, decreases depression, helps with weight loss, increases energy levels and reduces risk of chronic disease.

And here is one more reason to add exercise to your list of resolutions: a healthy body translates into healthy skin.

Research shows that moderate exercise itself can act as an antioxidant[1]. Oxidative stress leads to chronic inflammation and collagen fragmentation, resulting in older looking skin[2].  Antioxidants help protect against these changes.

But did you know that exercising the skin itself might improve appearance? A Northwestern University study by Dr. Murad Alam studied the effects of at-home facial exercises. Women were trained by a certified instructor (www.happyfaceyoga.com) who specializes in resistance exercises for the muscles in the face.

The program, developed by Gary Sikorski of Providence, Rhode Island,  targets the muscles below the skin and fat layers in order to compensate for “age-related volume loss.” Blinded observers found that women who practiced 30 minute face yoga every day or every other day for 20 weeks had significant improvement in upper and lower cheek fullness[3]. The participants were consistently satisfied with their improvement.

This was a small study, limited to middle-aged women, and there was no control group. Nonetheless, it’s intriguing to consider that regular, specific facial exercises might increase muscle size and thus produce facial fullness. Exercising other parts of the body can tone and firm, why not on the face? All it takes is a little self-discipline. Probably easier said than done, but I’m going to give it a try!

 

 

 

 

 

[1] Gomez-Cabrera MC, Domenech E, Vina J “Moderate exercise is an antioxidant: upregulation of antioxidant genes by training.” Free Radic Biol Med 2008; 44 (2): 126-31.

[2] Kruk J, Duchnik E “Oxidative stress and skin diseases: possible role of physical activity.”  Asian Pac J Cancer Prev 2014: 15(2) 561-8.

[3] Alam MA, Walter AJ, Geisler A, Roongpisuthipong, W, Sikorski G, Tung R, Poon E “Association of Facial Exercise with Appearance of Aging.”.  JAMA Dermatol 2018: 154(3): 365-7.

Trending Now: Collagen Supplements for Anti-Aging

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If you read beauty blogs and magazines, chances are you have heard of the latest craze to hit the anti-aging market — collagen supplements. Collagen supplements claim to make the skin look younger, may help with brittle nails, and may even reduce the appearance of cellulite. But do they really work? We examined the current scientific literature to determine if collagen supplementation can transform your skin and make you look years younger.

What is collagen?

Collagen is the most abundant protein in the body and is responsible for the structure, stability, and strength of the underlying tissues. The deposition of collagen into the skin gradually decreases over time as the skin ages, but it can be accelerated due to photoaging from excessive sun exposure. Aside from aging, the biggest reason individuals are deficient in collagen is a poor diet. Consuming animal and vegetable sources that are protein-rich, such as beef, chicken, fish, beans, eggs, and dairy products can help ensure adequate intake of collagen.

The science:

Several limited studies have shown promising results in individuals taking collagen supplements for their skin. These studies have noted benefits in transepidermal water loss (skin hydration), skin elasticity, roughness, and wrinkles. Two separate studies showed a possible benefit of collagen supplementation in patients who have brittle nail syndrome as well as in women who suffer from moderate cellulite. Animal studies further revealed that administering collagen hydrolysates to mice for 6 months led to significantly increased collagen content and density of the skin.

Can I benefit from taking a collagen supplement?

If you are eating a healthy diet and feeding your body all of the nutrients it needs to make collagen, you probably do not need a supplement. However, as the body ages, you may no longer absorb or synthesize nutrients as efficiently as you used to. Taking a collagen supplement can make up for a deficiency if it is present. A 2017 study in the Journal of Agriculture and Food Chemistry showed that collagen hydrolysates can be transferred through the bloodstream directly to the skin, which explains the probable pathway for the beneficial effects of taking a supplement. However, some scientists postulate that the skin is a much lower priority to the body than major muscles, like the heart, diaphragm, and brain, where collagen will be distributed first. Therefore, only patients with a significant deficiency will likely benefit from taking collagen supplements. In addition, the cost and bulk of supplementation may be prohibitive for patients. Supplements in pill form require swallowing six a day to get a 6-gram dose. Powders are often double the price of pills, running from $15-$40 for a month’s supply.

Bottom line:

Limited studies on the benefits of collagen supplements have shown some promise, however, questions remain regarding which patients will benefit and how much collagen is actually absorbed into the skin. Cost and administration may be factors in compliance. It should be noted that for individuals who wish to add more collagen to their diet, bone broth—while not in hydrolysate form—offers six grams of collagen-rich protein and may be a tastier way to get your collagen fix.

 

 

References

  1. Jhawar, N., Wang, J. & Saedi, N. Oral collagen supplementation for skin aging: a fad of the future? Journal of Cosmetic Dermatology, August 14, 2019. https://doi.org/10.1111/jocd.13096
  2. Choi, F.D., Sung, C.T., Juhasz, M., Mesinkovska, N.A. Oral collagen supplementation: A systematic review of dermatological applications. Journal of Drugs in Dermatology. 2019; 18(1): 9-16.
  3. Vollmer, D.L., West, V.A., & Lephart, E.D. Enhancing skin health by oral administration of natural compounds and minerals with implications to the dermal microbiome. J. Mol. Sci.2018, 19(10), 3059.
  4. Hexsel, D., Zague, V., Schunck, M., Siega, C., Camozzato, F. & Oesser, S. Oral Supplementation with specific bioactive collagen peptides improves nail growth and reduces symptoms of brittle nails. Journal of Cosmetic Dermatology; August 2017, available online at: https://doi.org/10.1111/jocd.12393.
  5. Krieger, E. Collagen supplements show early promise for skin and joints, but don’t stock up yet. March 26, 2018, The Washington Post. Available online at: https://www.washingtonpost.com/lifestyle/wellness/collagen-supplements-show-early-promise-for-skin-nails-and-joints/2018/03/23/1cd480e2-27d6-11e8-bc72-077aa4dab9ef_story.html
  6. Schunck, M. Zague, V., Oesser, S., & Proksch, E. Dietary supplementation with specific collagen peptides has a body mass index-dependent beneficial effect on cellulite morphology. Journal of Medicinal Food. Dec 17, 2015: Available online at: https://doi.org/10.1089/jmf.2015.0022
  7. Cruel, J. Does drinking collagen supplements actually do anything for your skin? Self, August 22, 2017. Available online at: https://www.self.com/story/collagen-supplements.

How Dermatologists Use Lasers and Other Light-Based Devices

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In the half century since Dr. Leon Goldman pioneered the medical application of lasers, they have become integral to state-of-the- art dermatology practices. So how do dermatologists use lasers and other light-based devices?

Uses for Laser, Light and Energy-based Devices

Remove unwanted hair

Lasers remove unwanted hair from the face and body by targeting the pigment of the hair and damaging its follicle so that hair growth is slowed. In order for lasers to be effective, the hair must be treated while in its “active growth” phase. This is why multiple (usually six to eight) treatments, spaced four weeks apart on the face, and as much as eight weeks apart on the body, are needed to achieve good results. The same lasers are also effective for excessive sweating or hyperhidrosis. Note: Only specific lasers are appropriate for darker skin types, and those with tanned skin should avoid the treatment.

Do away with those age spots

Sun damage and aging can result in unwanted brown spots, called lentigines, on sun-exposed areas such as the face, chest and hands. Those spots can successfully be treated with Q-switched lasers and IPL (Intense Pulsed Light) devices. Several treatments may be required to achieve optimal results.

Treat redness and broken blood vessels

Lasers are effective at treating skin redness from conditions such as rosacea as well as benign vascular growths such as angiomas and broken blood vessels that can occur from sun damage. The treatment works because lasers at certain wavelengths can target hemoglobin that is found in blood. Typically one to a few treatments may be needed for optimal results. It is important to use a broad-spectrum sunscreen after the treatment.

Banish those breakouts

Lasers and light-based devices can successfully treat mild to moderate acne. While conventional methods to get rid of acne include topical and oral medications, such as antibiotics and retinoids, the use of photodynamic therapy can be effective in achieving long-lasting clear skin. Photodynamic therapy combines the use of a photosensitizing chemical that is absorbed both by the oil glands and the bacteria that produce acne – followed by a light source or laser to activate the chemical. This results in shrinkage of the oil glands and killing of the bacteria.

Refresh and rejuvenate

A newer generation of devices today allows for skin resurfacing that removes the top layer of skin to eliminate signs of aging and photodamage such as fine lines, wrinkles, crepiness and brown spots as well as reducing enlarged pores – all with minimal downtime.

Soften the look of scars

Lasers can improve the appearance of scars – whether they were caused by acne, trauma or surgery. Some devices – like the pulsed dye laser – can help reduce the redness associated with scars. Fractional resurfacing lasers can successfully improve a scar’s texture and tone. Depending on which device is used, there may be a period of downtime following the treatment and a need for several treatments.

Take care of that ‘turkey neck’

With age comes a loss in collagen, which can result in loose skin on the neck and under the chin – affectionately known as “turkey neck.” Fortunately, there are non-invasive technologies that utilize ultrasound and radiofrequency to stimulate collagen production – resulting in skin tightening and lifting. These treatments also can be used for wrinkles on the décolletage, that crepe-paper look on the upper chest.

Rethink the ink

Fortunately there are options for those 20 percent of people who experience tattoo regret. Q-switched lasers have been used for decades to heat up and destroy the tattoo ink particles, usually over multiple treatments. Newer technology using ultra-short bursts of energy can achieve the same results in fewer treatments.

If you think one of these treatments could be right for you, contact us to schedule a consultation. Located in Chevy Chase, MD, our dermatology office serves the greater Washington D.C. area.

Older woman's hands on keyboard, aging hands

What Can Be Done For Aging Hands?

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Did you know that your hands can reveal your true age, well before other areas of the body begin show signs of aging? While aging of the hands typically begins by age 50, with the first signs being discoloration and age spots, hands can start to age sooner if individuals are frequently exposed to the sun without the proper protection. By age 50-60, people also tend to lose volume in their hands, making veins and tendons more prominent and further contributing to aging hands. The good news is there are treatments available that can slow or reverse some of the signs of aging hands. Treatments can be tailored to the individual, depending on their specific concern:

Age spots:

Pigment-specific lasers are used to treat dark brown spots on the hand by delivering a beam of light that penetrates the skin surface. Following treatment, brown spots appear darker for about a week and then will scab, fall off, and turn pink as the skin begins to heal. One to two treatments are usually needed before improvement is noted. Results can last for years as long as proper care is taken to avoid sun exposure to these areas.

Topical retinoids and bleaching creams, like hydroquinone, can also be used to diminish the appearance of dark spots. They can be used either alone, or in combination with lasers, to reduce the appearance of age spots.

Volume loss:

Injecting fillers into the back of the hand is a quick, in-office procedure that can be achieved by using a non-allergic product called calcium hydroxylapatite. Results are immediate and can last for 1-2 years.

Applying a lotion or cream after washing your hands helps to trap water in your skin, and can provide a temporary plumping effect.

Rough, scaly patches:

If you have fair skin and spent a lot of time in the sun, you may notice rough spots or patches on your hands. These rough patches may be actinic keratoses (AKs), which are pre-cancerous growths that need to be evaluated and treated by a dermatologist. Liquid nitrogen (cryotherapy) can treat the individual AKs, while topical medicated creams or photodynamic therapy can treat the entire area at once.

Wrinkly “crepey” skin:

Applying sunscreen to your hands every day can prevent wrinkly skin on your hands. To treat wrinkles that are already there, your dermatologist may recommend a lotion containing retinol or glycolic acid or light chemical peels.

Radiofrequency treatments, which use heat directed deep into the skin, can help tighten loose skin. Most people only need 2-3 treatments on their hands to see results.

Brittle nails:

Brittle, aging nails typically present as lines running lengthwise on your nails, appearing like ridges. You may also notice that your nails peel or break easily. Certain activities such as cleaning with harsh chemicals or spending a lot of time with wet hands, can cause brittle nails, so it is important to wear rubber gloves when cleaning and doing dishes.

It is also important to moisturize the hands regularly with a urea- or petrolatum-containing moisturizer, preferably after every hand washing and before bed.

The nails reflect overall health. Changes in nail color or shape can signify a systemic problem that should be evaluated by a dermatologist.

Follow up:

It is important to follow up with your dermatologist after your treatments to help maintain your results as long as possible. Sun protection is essential at all times, and can be achieved by using a broad spectrum water-resistant sunscreen with SPF 30 or higher and reapplying regularly throughout the day. UV-protective driving gloves are also helpful in blocking out the sun’s harmful rays.

References:

American Academy of Dermatology. “What can make my hands look younger?” Available online at: https://www.aad.org/public/skin-hair-nails/anti-aging-skin-care/younger-looking-hands

American Academy of Dermatology (August 2012). “Busy moms deserve a hand: Dermatologists offer tips to prevent premature aging of the hands.” Available online at: https://www.aad.org/media/news-releases/busy-moms-deserve-a-hand-dermatologists-offer-tips-to-prevent-premature-aging-of-the-hands

 

Frequently Asked Questions Regarding Infini Wrinkle Reduction

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Infini is a technology developed for surgical scar improvement that can also enhance and rejuvenate aging skin, providing consistent results and low downtime.

One of the many benefits of Infini is that it can be used at any time of the year and on any skin. Infini does not directly affect the epidermis. It is a non-invasive procedure that addresses both post-operative scars and the skin laxity such as wrinkles and textural changes that are a consequence of sun exposure.

Q: What is this procedure good for?
A: Overall skin rejuvenation; fine lines and wrinkles, improving tone and textural changes- especially “crepey skin”, sagging skin, acne scarring

Q: What parts of the face/ neck can it improve?
A: Brows, crows feet, upper lip, neck and chest

Q: How does it work?
A: Energy delivered into the skin stimulates the natural growth of collagen and elastin—natural  “scaffolding.”

Q: Why is radio-frequency an important addition to microneedling?
A: The radio-frequency delivered via gold-plated microneedles is a powerful stimulant for new collagen production.

Q: What preparation is involved?
A: Application of a topical numbing cream in the office for approximately 2 hours

Q: How long is the procedure?
A: About 30 min

Q: What is the downtime?
A: There is redness and swelling for approximately 48 hours, which may take up to a week to resolve. Make-up may be applied after 48 hours

Q: How quickly will I see results?
A: It takes a few weeks to begin to see results. Improvement continues over a period of up to 6 months

Have questions or want to make an appointment at Dermatologic Surgery Center of Washington? Click here to contact us.

Blue lagoon

The Benefits of the Blue Lagoon

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Blue lagoon

If you haven’t been to Iceland yet, chances are you know at least a dozen people who have taken the short flight to Reykjavik and spent a few days among the volcanoes, glaciers and geysers.

Last year more than 2 million tourists went to the Island of Fire and Ice with many of them taking a mineral bath in the iconic Blue Lagoon. I hate to be a lemming, but I wanted to see what drove so many to this sparsely populated island and learn first-hand about the dermatologic potential of Iceland’s most famous destination.

I was surprised to discover that the Blue Lagoon is not one of Mother Nature’s best works, but a beautiful man-made spa utilizing naturally occurring geothermal energy in the form of super heated water extracted from a mile below the earth’s surface. It is an ingenious re-use of the excess water from an adjacent power plant. The water is a mix of fresh and seawater and, according to the spa website, the unique algae plants and high concentration of silica directly benefit the skin. They claim the anti-bacterial effects of silica improve psoriasis and eczema and that the mineral water prevents premature aging.

I had to try it, so we booked a day at the Blue Lagoon Retreat, touted as a “transformative journey into volcanic earth.” It’s definitely a transformative setting, with canals and pools of beautiful blue-white water snaking through volcanic cliffs, overlooking mountains and a starkly spectacular landscape. The experience is soothing and relaxing. Once I was able to pull myself out of the warm water I performed the signature “ritual” using scrubs of lava sand and salt, a cleansing silica mask and moisturizing algae oil. It was a sublime end to a memorable day.

Effects of Blue Lagoon Water

According to Icelandic dermatologist Jenna Huld Eysteinsdottir, research on the effects of the Blue Lagoon’s algae and silica on skin cells showed an increase in the genes that prevent skin aging. These were “in vitro” laboratory studies, however, and I am not aware of any that looked at actual patients. Additionally, there is a great deal of evidence that silica, the star ingredient in Blue Lagoon’s skin care line, is vital for healthy joints, skin, nails, teeth and bones. While it is less clear that applying large amounts of silica on the skin will result in reversal of aging, this pure white mineral is very effective in the absorption of oil and can have a positive role in masks for those with acne, eczema and psoriasis. It’s found in many cosmetic products because it improves the appearance of lines and pores, but as far as I know, only temporarily.

Seeking more “in vivo” evidence of the Blue Lagoon’s claims, I looked around at the Icelanders’ skin. With a population of a little more than 300,000 in a sea of tourists, spotting a native Icelander is almost as challenging as identifying one of the elves that are central to the Icelandic sagas and identity. There is no question though that most natives have exceptionally healthy skin – unlined and evenly pigmented. Lack of sunlight may play a role, however, as they live at a latitude with only 5 hours of daylight in winter.

Is the Blue Lagoon Worth it?

So, what’s the upshot? After a few hours of soaking and scrubbing in the ethereal waters of the Blue Lagoon I felt absolutely fantastic and renewed.  From a dermatologist’s perspective there is not yet enough science to support its skin anti-aging claims, but I would still recommend the experience, if only for the restorative powers to one’s psyche. There will be undoubtedly more data on the horizon, and I will be on the lookout. In the meantime, if you have the chance, check the Blue Lagoon out for yourself.

 

Takk Fyrir!