Stratacell for Radiated Skin

At the recent American Society For Laser Medicine & Surgery meeting a hot topic was trying to decrease sensitivity in the skin from radiation treatments. In addition to Photobiomodulation ( LED specific treatment), a new topical called Strataderm can be used.

Strataderm is semi-occlusive film forming wound dressing that allows the skin to breathe and remain hydrated. Strataderm forms a durable, flexible and waterproof sheet. It does not penetrate into the epidermis or dermis. Strataderm restores the barrier function of the stratum corneum and reduces Trans-Epidermal Water Loss. The protected environment helps to normalize the level of collagen production while patients are healing from their radiation treatments.

It’s good to apply after and in between treatments. As always- check with your radiation oncologist.

Good luck to all the NYC marathoners… 3 tips for you!


Good luck to all of our patients and friends who are running in the TCS NYC Marathon on November 6th.  We are rooting for you!

An estimated 20% of people will develop skin cancer at some point in their lives.  Studies show that marathoners have a higher exposure levels to ultraviolet radiation and pollution, all of which contribute to skin aging, brown spots, and skin cancer.  Protect yourself!  Here are some steps that you can take to protect yourself on the big day:

1) Look for a sunscreen that has SPF 30 or higher, is water resistant, and offers broad-spectrum (UVA/UVB) protection.  Both UVA and UVB are implicated in skin cancer.  Dr. Madfes and Dr. Williams both highly recommend the ELTA brand because their line of sunscreens are often also very moisturizing.  Dr. Williams recommends that patients layer a lotion first, and then use a spray for touch ups every 2 hours. Coppertone Sport spray and Coppertone Sport face stick are 2 other favorites.

2) For your face, try a brush on powder sunscreen for a second layer of protection and to set the sunscreen. We like this product from BrushOnBlock and this one from Colorscience.

3) Never underestimate the power of physical blocks via clothing, shades, and garments.

We hope you find these tops helpful.  Check out 26 more awesomely helpful tips brought to you by Runner’s World.


Hands, hands, hands

Many different hands

Our hands wear many hats.  Patients always ask, How can I make my hands look younger? There isn’t really anything on the market yet, right?


There are 3 important steps for maintaining youthful hands.  Before we go there, a brief overview of why hands age.

Overview: Our hands may appear to age before the rest of us due to sun exposure, chemical exposure, wear and tear, and volume loss.  Hands bear the burden of constant heavy sun exposure throughout our lives, all year round.  Even in the winter, when most of us don’t wear sunscreen, your hands are getting sun while you carry groceries, push the stroller, or go for your run! Over the years, hands are also subjected to the thousands of chemicals that creep into our every day household and beauty products.  Whatever you’re applying to your body, no matter the area, your hands are sure to get exposed.  Finally, for purely anatomical reasons, hands age because there is little fat and subcutaneous tissue reserve.  Any volume loss in the hands, either of fat or muscle, exposes veins and tendons, which make hands appear old!

The 3 important steps for maintaining youthful hands are:

1) Strict sun protection. The more vigilant you are about keeping your hands out of the sun and wearing sunscreen, the better. Sunscreens containing zinc oxide or titanium dioxide, also known as physical blockers, are the best.  They don’t cause allergic reactions and they block all types of light, not just UVA and UVB.

2) Topical cosmeceuticals.  Start with vitamin C and vitamin A-derivatives, because they have great evidence behind them.  Vitamin C is an essential ingredient in collagen formation and also reduces hyperpigmentation or brown spots.  Vitamin A is an essential exfoliant with special sun protective benefits as well.  Finally, heparan sulfate is a building block for skin.  Look for these multi-taskers in your beauty products.  Some of our favorites include Skinceuticals Phloretin-CF, tretinoin 0.05% cream such as Refissa, and Sente’s Dermal Repair Cream containing heparan sulfate. For those of you who easily bruise on the hands, a great over-the-counter cream by Dermend contains retinol, vitamins K and B3, arnica and ceramides.  Dermend is more than just a bruising formula, it is great for prevention of bruising and keeping the thin skin around the hands and forearms protected!

3) Office-based treatments.  Fraxel laser, YAG laser, and IPL treatments are very effective at treating the brown spots that often develop on mature hands.  The recover for Fraxel and YAG are 5-7 days on average, and IPL has virtually no downtime.  In terms of camouflaging unwanted veins and tendons, Radiesse is an FDA-approved filler for the hands.  Results are instant and the recovery consists of 1-2 weeks of mild swelling. Patients return to work the very next day!

European sunscreen that corrects DNA damage

Eryfotona Actinica is now available in our office for existing patients

Eryfotona Actinica is now available in our office for existing patients

We’re excited to carry this new sunscreen lotion that has not only sunscreen, but also enzymes that correct the DNA damage wrought by the sun, and even vitamin E, a powerful antioxidant.

Photolyase is a naturally occurring enzyme designed to reverse the specific DNA mutations caused by UV exposure.   This enzyme is found mainly in plants and algae, and they rely on it to correct DNA damage from the sun.  Human beings do not normally have this enzyme.

Your Butt Is Proof That You Should Wear Sunscreen