Reviews from Our Patients

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Summer Sun Safety

 

Jenny Potter PA-C discusses summer skin damage and how how to prevent it with WFMJ on the Morning Show.

 

Jenny Potter PA-C on WFMJ- Click the photo to watch her interview. 

 

Check out our Sun Protection Tips below!

 

  • What are the basics of sun safety?
  1. Wear sunscreen
  2. Wear protective clothing – New clothing brands with Ultraviolent Protection Factor (UPF) with bathing suits, wide-brimmed hats, shirts, pants, dresses, etc. (Coolibar, Cabana Life, UV Skinz, Columbia “Omni-Shade”)
    1. A typical T-shirt has SPF less than 15, and a wet T-shirt offers much less UV protection.
  3. Seek Shade. “If your shadow is shorter than you are, seek shade.” The sun is strongest between 10AM and 2PM.

 

  • What’s the difference between sunblock and sunscreen?
    • All sunblocks and sunscreens are now called “sunscreens” per the FDA.
      • Chemical Sunscreens take about 15 min to take effect.
      • Physical blocker sunscreens use Zinc oxide or Titanium dioxide and work immediately.

 

  • What kind of sunscreen should I use? How should I apply it?
    • Look for “broad-spectrum”, which means that it protects against both UVA and UVB rays.
      • UVB burns you, and UVA ages you (goes through glass and clouds). Both can cause skin cancer.
    • Use at least SPF 30. Higher SPF can block more UV rays; however, no sunscreen can block 100% of UVB rays. They all last the same amount of time.
    • Make sure it says “water-resistant” if swimming or sweating. No sunscreen can be called “waterproof” or “sweat proof” any longer.
    • Reapply every 2 hours, or more frequently if swimming/sweating.
    • The best sunscreen is the one you’re going to use.
    • FDA requires all sunscreens retain their original strength for at least 3 years (write the date of purchase on the bottle). If expired, throw it out.
    • Don’t use Sunscreen and insect repellant combination The sunscreen needs to be applied generously and more frequently than insect repellant; therefore, they should be used separately.
    • Avoid exposing babies younger than 6 months to the sun’s rays. Photoprotective clothing is a great option for infants. Sunscreens with Zinc oxide or Titanium dioxide can cause less irritation to infants’ sensitive skin.

 

  • When should I wear sunscreen?
    • Wear sunscreen every day on your face and other sun-exposed regions.
    • Apply chemical sunscreens to dry skin 15 minutes BEFORE going outdoors. Remember the lips with a lip balm with SPF and your eyes with Sunglasses!

 

  • Who should wear sunscreen?
    • Everyone needs to wear sunscreen. Anyone can get skin cancer, regardless of age, gender or race. It’s estimated that 1/5 Americans develop skin cancer in their lifetime. Skin cancer is highly treatable when caught early.

 

  • What about getting a “base tan”?
    • There is no such thing as a “healthy” tan. Getting a “base tan” will not protect you from the damaging UV rays.
    • Please avoid tanning beds!!! We’re seeing younger and younger patients with melanoma and other skin cancers secondary to tanning bed use. And they cause you to age more quickly!

 

  • What about getting enough Vitamin D?
    • You can get your adequate Vitamin D through a healthy diet that may include supplements. Please discuss with your doctor.

 


Sebacia- In the News

Dr. Jenifer Lloyd discusses Sebacia and who can benefit from this innovative treatment with Cristen Manion on WFMJ.

Sebacia is the acne treatment we’ve been waiting for, and it’s offered right here in the Valley.

Lloyd Dermatology Center is one of 10 offices in the country performing this cutting-edge acne treatment. Sebacia consists of a series of 3 laser treatments at one week intervals, with each appointment lasting 30-40 minutes.


Click to follow the link to view Dr. Jenifer’s video interview on WFMJ

The Sebacia gold micro-particles are massaged into the skin and treated with a standard dermatology laser to selectively target sebaceous glands to treat mild to moderate inflammatory acne.

Current data shows average improvements of 65% after 3 months, 74% improvement at 6 months, and 85% improvement at 12 months.

Call our office to get more information on Sebacia or to schedule a consultation. 330-758-9189.

Lloyd Dermatology Launches Sebacia!

Clear is Here!

 

What is It?  Clear is the newest membership available at Lloyd Dermatology Center and Skin Basic. Clear was designed specifically for our acne prone patients, and is intended to help get your skin clear with discounts on acne treatment products, peels, and solar protection.

How does it work? Our Clear membership ties into both the Skin Basic store and the practice. This is our third membership program, following the Advance and Basic Memberships.

*This membership has additional perks, including a complimentary dermatologist recommended BPO wash, moisturizing sunscreen, and a microdermabrasion treatment.  The membership enables you to receive discounts on all acne treatment products within Skin Basic, as well as chemical peels and our newest procedure to improve acne, SEBACIA.

 

Don’t take our word, take Jake’s!  Check out Jake’s experience with Sebacia!

*Contact our office to get more information about our membership programs, and how to schedule your Sebacia consultation.   330-758-9189


Doctors warn not to neglect your skin during winter

Click the photo for WKBN interview

 

YOUNGSTOWN, Ohio (WKBN) – The cold weather is here, and there are some things you may be doing that are damaging your skin.

Dr. Jenifer Lloyd from the Lloyd Dermatology Center in Youngstown warns that our skin dries out during the winter because of the cold elements and there is less humidity in the air. She says people also forget that the sun can damage our skin even in the winter and recommends always wearing a sunblock.

“The difference between sunblock and sunscreen is a sunblock that blocks out all of the sun’s rays whereas a sunscreen blocks out just the tanning rays. I recommend wearing a sunblock so you don’t get any sun hitting your skin and wear it every single day,” Lloyd said.

Lloyd says showering every day and the soaps we use are a marketing tool for skin care companies, but it’s important to make sure those soaps aren’t too harsh.

Lloyd offers the following tips to keep skin healthy during the dry, winter months:

  • Cool down your shower. Don’t take hot showers, it’s really hard on your skin
  • Change your soap. Switching to a milder soap such as Dove or Vanicream can make a big difference in your skin
  • Moisturize. Put some on every day, especially when you get out of the shower to help seal in moisture
  • Wear sunblock every day, even in the winter the sun comes through the clouds

Many people hit the tanning beds once winter sets in, but skin care experts warn about potential dangers.

Researchers estimate that indoor tanning may cause upwards of 400,000 cases of skin cancer in the U.S. each year.

We’ve all heard the warnings of how dangerous tanning beds can be. But what may surprise you is the number of cancer cases related to tanning beds.

Studies show a 59% increase in the risk of melanoma in those who have been exposed to UV radiation from indoor tanning. To date, more than 40 states restrict access to indoor tanning equipment either through banning their use by minors or requiring parental consent.

Lloyd agrees that using a tanning bed is a terrible option for getting darker skin. She says spray tans and bronzers are a safer alternative. She offers the following tips for those:

Find one you like and practice with it. Don’t try a new one for the first time before a big event, there is an art to it

  • Bronzers tend to pick up around the knees, elbows and places with a little bit more rough skin. It can look streaky, so there is definitely a practice to it
  • If you have dry skin, try a heavy cream or lotion that you are used to

Finally, always apply sunscreen. Snow reflects the sun and can damage your skin.


Season of Itch

 

Do you tend to get dry, flaky, itchy skin as the weather cools down? The cold winter months can be brutal for your skin.  The main causes of skin irritation are the winter wind, dry indoor air, harsh soaps, low humidity, and cold weather sunburn.

Some conditions require visiting your dermatologists, but there are several steps you can use to prevent and treat dry, itchy skin at home.

Tip 1: MOISTURIZE- Even if you think your skin is moisturized, apply another layer. Creams tend to be more hydrating than lotions, but both are effective. Apply your moisturizer immediately after your bath or shower while your skin is still damp. It will help lock in the moisture.

 

Tip 2: Use gentle soaps and moisturizers such as Vanicream products. (fragrance free, sensitive skin, no additives)

 

Tip 3: Limit your bath or shower to 10-15 minutes and turn down the temperature to avoid drying out your skin. A hot shower feels great, but it strips your skin of its natural oils.

 

 

Tip 4: Wear lip balm. The skin on our lips is extremely thin, making them more prone to damage not only from the sun, but also extreme cold and wind. Choose a moisturizing lip balm that feels good on your lips and has SPF in it.

 

Tip 5: Be aware of the sun, even on cloudy days. The sun’s rays can cause skin damage, even in the winter months.  Did you know that the snow is a better reflector than water? It bounces 80% of the sun’s rays back to us, which is why you can still get a sun burn, even in the winter. It’s important to use a good physical sunscreen all year long, no matter what the weather is like!  Look for sunscreen that contains zinc oxide and titanium dioxide.

 

Tizo mineral sunscreens offer a wide variety of cosmetically elegant sun protection that also work as makeup primers, replenish moisture, and are offered in both tinted and non-tinted options.

 

Elta MD offers a facial sunscreen made for acne-prone skin that comes in both tinted and non-tinted options.

 

Tip 6: Hydrate yourself and your house.  Dry indoor air caused by heaters can irritate your skin.  Use a humidifier to pump moisture into the air. Don’t forget to drink water to keep your skin at the optimal hydration level. The recommended amount is 6-8 glasses daily.

 

 

Tip 7: Get your diet into the mix. A diet rich in healthy fats can help prevent dry, itchy skin. Omega- 3s are essential fatty acids that help make up your skin’s natural, moisture-retaining oil barrier. Flax, walnuts, safflower oil, tuna, herring, halibut, and salmon are all rich in Omega-3s.

 

Tip 8: Bundle up! Exposure to cold air and wind can damage the skin.  Wear gloves, scarves, and other winter accessories to reduce your skin’s exposure to the dry elements of the air.

 

 


Retinoids 101

What Are Retinoids?

A Retinoid is an umbrella term used to describe Vitamin A derivatives. Retinoids are powerful enough to improve overall skin texture, acne marks, discoloration, fine lines and wrinkles, as well as decrease oil production leading to less acne.

How Do Retinoids Work?

In simple terms, retinoids stimulate rapid cell renewal and turn over while also keeping pores free from blockage.

They slow the breakdown of collagen and thicken the deeper layer of skin where wrinkles start.

Retinoids also help improve uneven skin tones and brown spots.  It does this by sloughing them off and reducing melanin production.

Prescription vs Non-Prescription

What’s the difference between retinols you can buy in a department store and prescription Retin A?

Medical providers can prescribe Tretinoin (Retin A) which contains Retinoic Acid.  These formulations are only available by prescription and contain active ingredients.

Non-prescription “over the counter” products usually contain vitamin A derivatives such as retinol, retinyl palmitate, retinyl acetate, or retinyl linoleate.  The biggest difference between the two types are how they work at the cellular level.  Retinols are not active products and need to be converted into retinoic acid at the cellular level before they can work. The more steps that the Vitamin A derivative needs to take before it becomes the active retinoic acid, the less potent it becomes.  With any non-prescription strength product, it’s important to know what ingredient is being used, and how far it is from being activated.

The active Retinoic Acid product works quickly, but can be associated with more side effects.  At the end of the day, Retinols and Retinoic Acids are able to do the same thing, but it may take a lot longer to see results with retinols.

Lloyd Dermatology Center now offers more options of your topical medications available within our office.

Skin Basic offers medical grade cosmeceuticals (non-prescription retinol products)

How To Get Started?

If you are a newbie to Retinols/Retinoids, the trick is to start out slow! Your skin will tolerate the medication if you start out slow and build up your frequency of use.

Retinoids can cause some redness, dryness, and irritation in all skin types, regardless of being dry or oily.

*Only use your retinoid at night as they are deactivated by the sun.

Start out by using a small “Pea Size” amount, once or twice a week. (Monday, Thursday) If you are using it twice a week, space out your days. The goal is to work your way up to nightly usage, but it takes time to get there with prescription strength medications.

If you need to moisturize your skin with the use of retinoids

  1. Wash your face
  2. Apply your moisturizer
  3. Apply your topical retinoid.

*Lloyd Dermatology Center now dispenses more retinoid medications in office.

Retinols are often easier to tolerate on sensitive skin, and an individual can build up their frequency of use quicker with this non-prescription product. Retinols can still cause drying and irritation, so it is just as important to start out slow with usage and build up to every night.

*If you are not a patient at our office and want to find a retinol product that is right for your skin type, visit Skin Basic to discuss our non-prescription products.


FemiLift (FDA) – Dr. Madeline Tarrillion

U.S. Food and Drug Administration (FDA) Clearance of CO2 lasers:

Genitourinary syndrome of menopause (GSM), previously known as vulvovaginal atrophy (VVA), is a condition affecting postmenopausal women, which usually includes vaginal dryness, burning, itching, irritation, urinary incontinence, dysuria (pain with urination) and dyspareunia (pain with sexual activity). Standard therapies include vaginal moisturizers, low dose topical estrogen, and selective estrogen receptor modulators. Patient compliance can be low due to numerous factors: cost, inconvenience, method of application, safety concerns, etc. Topical estrogen is currently considered the gold standard therapy for GSM; however, patients and providers are seeking out more affordable, convenient, durable, effective, non-hormonal management options.

For years the CO2 laser has been broadly used in the field of dermatology for the treatment of skin. The CO2 laser fractional micro-ablative technology has been shown to remodel the vaginal connective tissue with the production of new collagen and elastic fibers without tissue damage, which can improve the symptoms of GSM.

On July 30th, 2018, the FDA sent out a warning against the use of energy devices (laser therapy) to perform “vaginal rejuvenation” because of worries about adverse events. Typically, the term “vaginal rejuvenation” applies to procedures that are primarily for cosmetic purposes. “Vaginal Rejuvenation” procedures are elective without a clearly defined medical purpose.

The FemiLift/Pixel CO2 laser system along with the Focusing and Pixel handpieces are cleared by the FDA under K103501 for laser “ablation, vaporization, excision, incision, and coagulation of soft tissue in medical specialties including: aesthetic surgery (dermatology and plastic surgery), podiatry, gynecology, neurosurgery, orthopedics (soft tissue), arthroscopy (knee).”

CO2 lasers are FDA-cleared as safe to use; however, they are not specifically FDA-cleared for treatment of GSM. Throughout the medical literature, therapy using CO2 lasers has been documented as an appropriate and efficacious treatment for GSM; therefore, this is currently an “off-label” use of a device. Within medicine, there are many drugs and devices that have shown to have medical benefit for “off-label” uses. More than 20% of pharmaceutical prescriptions are filled for “off-label” conditions. In addition, “off-label” use of medications and devices has often led to FDA-approval of new therapies (including the most popular class of erectile dysfunction drugs, which were initially studied as a treatment for high blood pressure and chest pain).

In a large case series by Filippini et al, 386 menopausal women with GSM were treated with 3 sessions of fractional micro-ablative CO2 laser. There was resolution of dryness in 60%, vaginal burning in 56%, dyspareunia in 49%, itching in 56%, soreness in 73%, and vaginal introital pain in 49%. These effects were reported after the first session and continued for 1 year after the final session. Most studies report only “minimal” risks, and the procedure is performed in an outpatient setting. The articles mention that most women report some slight redness, swelling, and/or “some discomfort” that disappears within 1 to 2 days. Currently on RealSelf.com, the FemiLift CO2 Pixel laser has a “Worth It” rating of 93%.

Unlike vaginal estrogen, the CO2 laser has additional benefits such as treating lichen sclerosus, potentially removing the need for chronic high-potency topical steroid use. In addition, the CO2 laser has shown promise in the treatment of overactive bladder symptoms and stress urinary incontinence. CO2 laser could create a low-risk alternative to surgery for women seeking other treatment options.

A few additional factors to consider are the specific laser and the type of provider. CO2 lasers should not be confused with radiofrequency (RF) devices, in which the energy waves are less focused and can cause more collateral damage and potential side effects. Also, seek out treatment by a board-certified physician, who can provide a thorough consultation about the risks, benefits, and side effects of this procedure. Adverse events are more likely to occur if the procedure is done in a non-medical setting by providers without enough experience in laser use.

It is important to note that the criteria for FDA device clearance are much less stringent than for drug approval, and that the clearance for the CO2 laser was as described above and not specifically indicated for use in GSM. FDA device clearance does not require the large, double-blind, randomized, placebo-controlled trials with established efficacy and safety endpoints required for the approval of new drugs. We agree with the FDA that these devices need continuing/longitudinal studies, development of clear indications, appropriately informed patients, and skilled and ethical physicians to be used safely.

This is an important time for women’s health, which has been hindered in the past by hesitance to openly address women’s reproductive and sexual health concerns. We do not want this FDA statement to limit the availability of innovative therapies, which when used correctly may benefit women’s reproductive health.

The FDA should not equate “vaginal rejuvenation” cosmetic procedures with innovative therapies that may improve women’s quality of life. The FDA was right to be looking out for women’s health, but we hope that the warning does not scare or deter women from seeking information about alternative therapies that could potentially help.

https://www.npr.org/sections/health-shots/2018/08/13/638348014/despite-fda-caution-doctors-say-lasers-may-help-with-vaginal-pain-and-dryness
http://www.poynorhealthnewyork.com/laser-rejunvenation/
https://www.realself.com/femilift
https://www.medscape.com/viewarticle/846960
https://urology.stanford.edu/content/dam/sm/urology/JJimages/publications/CO2-Laser-Treatment-is-Effective-for-Symptoms-of-Vaginal-Atrophy-No.pdf
https://www.syracuse.com/health/index.ssf/2018/08/syracuse_docs_who_provide_vaginal_rejuvenation_say_treatment_safe_despite_fdas_w.html


Expanded In-Office Medications

What Is In-Office Dispensing? In-office dispensing is a convenient solution that allows our patients to fill their topical medications in our office, no need to go to the pharmacy or hassle with insurance. It allows our patients to obtain the appropriate medication that was requested by their provider immediately, without a substitution required by their insurance.

Why Are We Offering This Program? This program has been established first and foremost for our patient’s benefit and convenience. Due to insurance constraints, patients frequently cannot get the medication we prescribe for their dermatological conditions. Often our patient’s insurance will not cover the prescription at all, or it will require prior authorization for the patient to receive the medication at an extremely high cost. These issues often keep our patient from obtaining the medications they need to get better.

Our Medications: We’ve contracted with a FDA inspected U.S. based 503B facility to design customized medications.  All medications are produced using FDA approved National Drug Code ingredients.  They prepare these customized medications specifically for your skin condition.

How Do I Pick Up My Medication? The medication order will be sent electronically by your provider and will be sent to our “503B area” in Skin Basic.  There it will be filled immediately after your appointment. Payment for your medication will be separate from your office visit.

How Do I Pay For My Medication? Payment is accepted immediately following your appointment at check out.  This program does not allow us to bill the cost of the medication to your insurance; however, the cost is generally less than your copay. You may be able to submit the cost to your Health Savings Account for reimbursement or use your Flexible Spending Account (FSA).

Do I Have To Use This Service?  If the patient prefers, prescriptions can still be sent to your pharmacy and billed through your insurance. As always, you have the right tho choose where you wish to have us send your prescriptions.

What Times Can I Pick Up My Medications? Your medications can be picked up Monday through Friday from 8:00 AM to 5:00 PM.

 


Alternative Ways To Get That Healthy Glow!

Many people seem to want to maintain a “healthy glow,” especially during the summer months. Sunbathing and the use of indoor tanning beds not only significantly increase changes of skin cancer, but also accelerates the aging process. Damage to your skin cannot be undone, so here are some alternatives if you love the bronze look.

1. Spray Tanning: Spray tanning has come a long way from the days when it was one shade of orange. Now you have different options.
Spray tanning booths have different levels of colors with skin enhancing additives like moisturizers and fragrances. Personal airbrushing is performed by a technician and gives you a customized color, with expert level application.  The technician can help you choose your desired shade and can customize your solution based how fast you would like your tan to appear. Typically spray tans will last about one week and cost on average $20-$40.  This is a great option if you have an event or are going away for a few days.

There are also micro mist options “spray tan in a can” that can be applied at home on your own.  These products do not require rubbing in and have a much easier application process than most lotions.

 

 

2. Sunless Tanning Lotions: These lotions come in a variety of shades with different application options. Sunless lotions now range from personal foams, gels, lotions, and even in shower options.  If you want a more gradual tan try Jergen’s Natural Glow.  This is a daily moisturizer that will give you natural looking color over time. If you are looking for a natural 100% lotion, Skin Basic offers Jane Iredale Tantasia.

Jane Iredale Tantasia available at Skin Basic

Tantasia is a self tanner and bronzer with a light citrus scent that retails for $37.

 

 

 

Jane Iredale Bronzers and Golden Shimmer. 100% mineral makeup available at Skin Basic

3. Cosmetics: Bronzer and blush are two great ways to get a Sun-kissed glow daily. Depending on your skin tone, turning to a warm or cool toned palette will enhance your natural features. Warm pallets should be used on golden undertones, while cool pallets work best with pink undertones. Many companies also make enhancing drops, which can be added to your moisturizer or foundation to give you a Luminous glow, whether you are looking for a shimmer or a bronze glow.

Jane Iredale contour kits come in two shades. Each include a luminizer, bronzer, and blush ideal for a warm/cool skin tone. Contour kits retail at Skin Basic for $49.

 

 

 

 

 

 

Just as a friendly reminder…

With any of these options, you should still be applying sunscreen daily.  Having the appearance of darker skin will not protect you from the sun’s damaging rays.


Our Office

Lloyd Dermatology Center

8060 Market Street
Youngstown, OH 44512

Phone: 330.758.9189Fax: 330.758.4487

Office Hours:

Monday, Wednesday
8:00 a.m. – 5:00 p.m.

Tuesday
7:00 a.m. – 5:00 p.m

Thursday
7:00 a.m. – 5:45 p.m

Friday
7:00 a.m. – 5:00 p.m