Showing posts with label New Jersey dermatologist. Show all posts
Showing posts with label New Jersey dermatologist. Show all posts

Thursday, July 9, 2015

Biologic Advancements for Psoraisis



Biologic agents over the past 15 years have offered new freedom to people living with psoriasis. These protein molecules administered under the skin decrease the inflammatory response that is created in the skin and cause psoriasis.

Written by Dr. Jerry Bagel
Two treatments in particular Humira and Stelara can improve an individual's psoriasis by75%, 75% of the time.  Furthermore it can improve psoriasis 90%.  Half of the time Humira is administered every other week at home by the patient, whereas Stelara is administered every 12 weeks in the office. 

The most common risk associated with the administration of biologic agents is a 1-2 % increase in infections requiring antibiotic therapy.  Although there has been fear that biologic agents increase the frequency of cancer, both short and long term safety data do not reveal an increase in cancer when biologic agents are used.  

If you are interested in learning more about biologic agents, how they work and what type might be best for you call our office at 609-443-4500.

Friday, May 24, 2013

Graduating to Healthier Skin: Do’s and Don’ts


By Teresa Zawada, Licensed Aesthetician

Ah, graduation…whether it’s High School or College, it’s a time of celebration…and why not?! No more oppressive rule of teachers or professors. For many, it’s a first taste freedom from parents or freedom to become (gasp) an adult!  But wait, being free and an adult means responsibility. Responsibility means accountability for oneself. What you do today will somehow find its way into tomorrow and either help you or hinder you. Seems like this calls for a plan.

Let’s take a quick look at Hollywood. Remember that certain double-initialed starlet, who has spent her nights drinking, and smoking, and her days in a courtroom, and how she has aged beyond her years? This is the poster child of my DON’T List.  It goes as follows:

DON’T smoke.  Smoking robs your skin of crucial oxygen.  Without the O2, your skin starts breaking down collagen and elastin.  Broken down collagen and elastin = dull prematurely crinkly skin.  Not to mention the vertical lip lines. Even if you quit smoking, they will pop up to remind you later in life of your not so glamorous youthful rebellion.

DON'T go into tanning beds. A deeper, clearer complexion, with whiter teeth and eyes, is only temporary. The long term effects include not only aging of the skin, but invasive cancers. Micrographic surgery can save your life if skin cancer is caught early, but many times, it’s left undiagnosed.

DON'T over-tweeze. Subconsciously, we assume the age of a person without even knowing. As a person ages, hair not only recedes in some places, but also overgrows in others.  Eyebrows, which can frame the face, when over-tweezed, fail to return as you get older and yen for a fuller shape.  The “thin” eyebrows can register as “thinning” eyebrows and cause others to believe that you are older than your chronological age.  It's best to have them professionally framed, starting at a young age, so that thoughts of permanent tattooing don't seduce your mind.

DON'T pick!!!!!!  Very important!  Picking is not only a habit, but can become an addiction. Some people even find it to be a stress relief. Aestheticians and derms, however, find it to be "post inflammatory hyperpigmentation."  If you're lucky enough to only have a few dark marks, then you went easy on your skin. Some people, however, find that picking has led to ice pick scars, pock marks, and also nail marks.  I see many clients who come in and tell me that they had acne as teenagers, and with one glance at their skin texture, I can tell if they were pickers or not.  Picking, not only makes bacteria more mobile, but also semi-permanently to permanently, it leaves an impression on your skin.  My advice:  leave it up to a professional. They know how to pick without leaving evidence.

DON'T overtone!!!! Yes, the slick feeling feels nice if you're oily, but, in the long run, stripped skin is like a table you bought at a flea market and tried to repair, but lost all of its luster.  Alcohol based products literally strip your skin of oils and essential barriers, leaving it prone to dehydration and infection; not to mention that taking off oil without replenishing will propel you to an endless cycle of oiliness and breakouts.

Back to Hollywood, let's now take a look at, yes a pale, but crease free award winning songstress/actress.  How does one who doesn’t have Hollywood’s secrets at their disposal achieve this look?  This takes me to my DO List:
 
DO drink water.  This is not a myth.  Just as your body requires oxygen, water is essential to replenish your cells.  Take a look at a potted plant. If you let it dry out, it will begin to look dull, the
leaves will crease, and flowers will shrivel. However, if you water it regularly, it will live up to its full potential.

DO eat your fruits and vegetables. As an infant, one of the first tastes we get of baby food are of the fruit and vegetable variety. Just as it nourished us then, it nourishes us now and delivers essential vitamins and nutrients that can act as antioxidants and fight off skin damaging pollutants and free radicals.

DO use a sunscreen. Any dermatologist will tell you this is key to young looking skin.  What most people don’t know is that most sunscreens only protect from the UVB rays, which are the burning rays. It’s the UVA rays that age the skin, but most ingredients don’t fight these rays. End result: a sunscreen-wearing beachgoer will spend extra hours soaking up the aging rays because they’re not getting burned by the sun. Make sure any sunscreen you are using is broad spectrum UVA/UVB or opt for the sunblock for complete protection.

DO exfoliate…in moderation. Young skin is usually exfoliates properly on its own. That’s the “youthful glow.” It’s when you get older and the exfoliation slows down that skin begins to look dull.  Look for a cleanser with a mild AHA, or glycolic acid, in it.  If scrubs are more your cup of tea, keep it to a maximum of 2-3 times per week.

DO use an eye cream.  Don’t run to the department store and buy the most expensive brand. An over- the-counter hydrating cream is all young eyes need.  Most people like to place their daily moisturizer around their eyes, and for many, that’s ok, but eye skin is the thinnest and most sensitive, so many face moisturizers can actually irritate that delicate skin.

DO wear sunglasses and/or hats.  Not only are they fashionable, but sunglasses prevent you from squinting and in return, less crow’s feet will develop. Hats will be your saving grace during outdoor activities ESPECIALLY if you forget the sunscreen!

DO find a dermatologist and aesthetician that you are comfortable with. Just like with any other specialist, such as your dentist, you want someone to develop a relationship with that will keep you abreast of new treatments and also specialize in any afflictions your skin may have.

Following these steps will nearly guarantee that people will not believe your age later in life!

Check out our aesthetician services to see how you can take your skincare a step further.




Friday, July 23, 2010

Welcome Our New Doctors – Dr. Brian Keegan and Dr. Wendy Myers

Not only are we celebrating 25 years of medical care this month, we are also pleased to announce the addition of two new physicians. Brian Keegan, Ph.D, M.D. and Wendy Myers, M.D. will join the practice this summer, creating an all-physician staff.

Dr. Brian Keegan received his M.D. and PhD from New York University School of Medicine. He completed his dermatology residency at University of Miami School of Medicine. He brings with him expertise in geriatric dermatology and, skin cancer.

Brian’s wife, Debbra, is an OB-GYN who specializes in in-vitro fertilization. Because of this, Dr. Keegan has developed an interest/expertise in "dermatosis of pregnancy,” mainly rashes that occur in women while they are pregnant. Also, having trained in Miami, he has developed expertise in chronic solar damage, skin cancer and caring for the skin of the elderly. He has extensive experience with laser rejuvenation of chronic solar damaged skin and will bring that to Windsor Dermatology.

Dr. Brian Berman, Dr Keegan’s mentor at University of Miami said Dr. Keegan is a "doctor's doctor." His calm demeanor, comfort with patients and clear communication will make him an asset to our practice.

Dr. Wendy Anne Myers grew up in central New Jersey and returned home to complete her M.D. from UMDNJ in 2004. She completed her dermatology residency at University of Vermont.

Patients may find this interesting—she is the only full time female dermatologist between Princeton and Freehold. We believe that due to the sensitive self-esteem issues that often accompany skin conditions, female patients may be more comfortable with a female dermatologist. Dr. Myers will also help us be more accommodating to our patients’ time limitations by seeing patients in the evenings and on Saturdays.

To amplify the capabilities of the Psoriasis Treatment Center of Central New Jersey, Wendy has done clinical research in psoriasis under the direction of world-renowned psoriasis expert Dr. Alice Gottlieb.