Jeanine Downie, MD, a dermatologist in Montclair, New Jersey, is among the derms who have been injecting it in the preaxillary fold—aka the pesky armpit pudge that fights its way out of strapless gowns—and the inner thighs, as well as to eradicate lipomas, fatty deposits that can form on the arms, back, face, or other areas and typically require surgical removal. Each location requires at least four to six treatments, spaced a month apart, to achieve full results. Says Downie: "It does swell. It does itch.
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Some people bruise. It can be tender for a week after. Every single one of my patients says it's worth it. Now the equation has flipped, and doctors are using devices such as fractional ablative lasers to enhance the results of topicals. Alexiades demonstrated the success of the procedure in a study published by the Journal of Drugs in Dermatology that used her 37 Actives cream and an ablative fractional erbium laser to treat wrinkles and acne scars.
While it may seem that any topical is fair game, Fabi does offer a word of caution: "You can't just drop anything down these holes, because if there's dimethicone, which is a common ingredient in a lot of cosmeceuticals, you could get a granuloma," a hard area of inflammation.
Conquering Cultural Stress: The Ultimate Guide to Anti-Aging and Happiness
And, just as skin-care scientists combine ingredients to produce a result greater than the sum of their parts, "different receptors inside a cell are activated by different laser beams," Gross says. Robert Anolik, MD, a clinical assistant professor of dermatology at NYU School of Medicine, coauthored a study published in JAMA Dermatology in which six picosecond laser treatments spaced four to eight weeks apart improved acne scars "in the range of 25 to 75 percent with really no downtime, which is remarkable," Anolik says. Type keyword s to search.
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