September 2011 Newsletter

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Hope everyone has had an excellent summer, and is rested and ready to enjoy a productive fall. Now that the intensity of UV radiation is on the wane with the change of seasons, fall is a great time to think about skin treatments at the Mississauga Cosmetic Surgery and Laser Clinic. These treatments can produce skin sensitivity, which may not have been ideal in the summer months. Peels and laser treatments are examples of recommended treatments for the fall. Peels are a great way to reverse some of the damage from summer sun exposure, and can also address more long-standing issues of excess or uneven pigment, fine lines, and break outs. Just remember though, sunscreen is still important in the fall, especially if we have a sunny Indian summer.

Our clinic was honored this past month by two local publications, Mississauga News and the Oakville Beaver. Mississauga Cosmetic Surgery and Laser Clinic was voted the Best Plastic Surgery Clinic and awarded a Reader's Choice Platinum award by Mississauga News - plus we received top Gold awards in two categories, Best Cosmetic Surgery Clinic and Best Cosmetic Surgeon, by Oakville Beaver readers! Thanks to all of you who voted for us.

We are planning an exciting season of events and promotions, so stayed tuned, and check out our monthly newsletters and Facebook announcements. See September's promotion on the Dermaceutic Spot Peel below. And don't forget to like us on FACEBOOK! We appreciate your support!

Topics in Cosmetic Medicine

September Newsletter Model

Because we care about your skin, we've provided an overview of how pigmentation treatments can help improve the look and health of your skin.

Treatment of Increased and Uneven Pigment

To understand the treatment of pigment disorders, one has to understand a little about how our skin pigment is formed. Coloration of our skin depends on the amount and distribution of melanin in our skin. Melanin is manufactured by cells called melanocytes. Tyrosinase is an important enzyme involved in the manufacture of melanin within melanocytes. The rate of melanin production is altered or increased by many factors, including influences from neighboring skin cells. UV radiation from sun exposure can increase the activity of tyrosinase and the production of melanin 100 fold. Hormones, such as those in the oral contraceptive pill, or those that occur in pregnancy, can increase pigment production in a spotty and uneven fashion. Melanocytes are present at varying layers or depths within the epidermis and dermis, and some of the difficulty in eliminating pigment relates to how deeply the melanin is placed within the skin's layers.

Skin Creams

A variety of skin care products can help reduce the amount of melanin in our skin, especially at superficial layers. Hydroquinone-containing creams, such as Obagi®, Nu-Derm®, Sunfader®, and Obagi Clear, are examples. Hydroquinone is thought to lighten and brighten skin by decreasing melanin production. However, the concentration of hydroquinone has to be limited in topical agents because of health concerns at higher percentages. There's a variety of other compounds, some new and novel ones, which have been shown to turn off tyrosinase activity and reduce melanin production. These include arbutin, Vitamin C, retinoic acid, kojic acid, licorice extract, burner root extract, scutellaria extract, mulberry extract and glycolic acid among others. SwissTEC ™ skin care products contain many natural biologic compounds proven to turn off tyrosinase activity.

Chemical Peels

Chemical peels are excellent at reducing more stubborn, or somewhat more deeply placed pigment. One or more chemical solutions - an alpha hydroxy acid, such as glycolic acid, salicylic acid, or lactic acid; trichloroacetic acid (TCA), or carbolic acid (phenol) - have been used traditionally in peels. Newer peels, containing untraditional acids like mandelic acid which is safe for darker skin, and peels that contain combinations of acids, may be more effective. The Vi Peel™ is an example of a combination acid peel.

An even more intensive peel, with more pigment-reducing capacity, is the Dermaceutic Spot Peel. Peels function to exfoliate and eliminate more superficial pigmented skin, revealing fresher, less pigmented skin beneath. The new spot peel by Dermaceutic offers the benefits of an in office chemical peel as well as an 8-hour mask and an aftercare program of products. These products contain powerful yet gentle compounds that further turn off tyrosinase activity and function to continue the pigment fading process over many weeks.

A Dermaceutic depigmentation peel is a simple procedure with no downtime, so it is ideal for the busy person. One can expect only 2 days of pinkness of the skin, which can be readily covered by makeup if you wish. It has a deeper action in the skin than gentle peels and is advised for people with a greater degree of pigmentation. Spot peels are recommended to treat pigmentation spots, such as so called "sun spots" and "liver spots," or excessive freckling as well as pregnancy dark spots or melasma. It is also highly advised in cases of actinic keratoses and post-inflammatory pigmentation (pigment that formed in reaction to skin injury such as in acne scars). Darker skin tones can be safely treated.

The in-office peel requires about 30 minutes and is made up of several steps. Your skin is first cleaned with a special pre-peel cleanser. Then, the product is applied all over the face several times and especially on the most pigmented areas. You will return home still wearing a clear "mask" applied for your peel. It is not visible to others, and you will remove it 8 hours later. The peel is recommended for improving blemishes, with dark spots fading and some disappearing completely. Spot Cream should be applied at night for 1 month in order to maintain and enhance the results.

Because it is a medium depth peel, you will have to use a repairing cream and a UV protection after the peel. The remainder of care will be reviewed by our aesthetician prior to your peel, and the spot peel can be repeated periodically for further improvement or maintenance.

Laser Resurfacing

Various kinds of laser treatments are options for patients with very stubborn and deep pigmentation, who do not obtain desired results with topical agents and peels. However, lasers are sometimes associated with rebound hyperpigmentation. This means that as the skin heals, the body can sometimes produce excess pigment, which is exactly the opposite of the desired result. For this reason, laser resurfacing is not typically an option for darkly pigmented individuals. We recommend trying a medium depth peel like the spot peel first, and discussing laser resurfacing with Dr. Weinberg if you fail to get an optimal result.

If you are interested in treatment for excess or uneven pigment, call (905) 273-3045 to book a free skin consultation, and take advantage of our September Spot Peel Promotion!

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The Toronto Plastic Surgery Clinic:
Dr. Michael J. Weinberg

1-66 Avenue Road
Toronto, ON M5R 3N8
(416) 207-9090

Monday–Friday 9 a.m.–5 p.m.


The Mississauga Cosmetic Surgery & Laser Clinic:
Michael Weinberg, MD

247 Queensway West
Mississauga, ON L5B 1B9
(905) 273-3045

Monday 8:30 a.m.–4:30 p.m.
Tuesday 8:30 a.m.–5 p.m.
Wednesday 8:30 a.m.–6 p.m.
Thursday 7 a.m.–7 p.m.
Friday 8:30 a.m.–4:30 p.m.
Saturday 9 a.m.–3 p.m.

Keep in mind that each patient is unique and your results may vary.