Happy Holidays!

The People's Skincare Newsletter, Vol. 10, No. 5 December 2017

Inside this issue:

Happy Holidays

It’s the last Peels newsletter for 2017 so let me wish you a very Merry Christmas and a healthy, happy New Year!

Epionce Renewals On Sale Through December 29th!

Don’t miss out on your favorite Renewal products (Renewal Facial Cream, Facial Lotion, Lite Facial Lotion, Intense Defense Serum, Intensive Nourishing Cream) at 20% off. This great sale is only available through December 29th! You can order directly from me or if you prefer, online at epionce.com.

What a great way to start the New Year with skincare products that really work, that have the published science behind them, and that help your skin look healthier and dare we say…more youthful!

New Neurotoxin Coming Up and It’s Not Just Cosmetic

You heard it here first! As early as 2019, Bonti Corp. of Newport Beach, CA will introduce a new neurotoxin (think Botox) currently under research that acts as quickly as 24 hours and has a much shorter duration than currently available products. Why is this advantageous?

“EB-001 can act as a complimentary product to existing aesthetic injectables, particularly for patients who desire a faster effect and as a touchup between regular visits. But its most promising niche will likely be in the areas of musculoskeletal pain management and surgical scar reduction."

According to Bonti’s chief medical officer, Susan Abushakra, MD, “there is a unique opportunity in pain management because this is an injectable drug that is non-addicting and acts locally, so it could help to reduce the use of opioid drugs. It will have good use in any surgery where you are manipulating muscle, whether it’s abdomenoplasty or augmentation mammoplasty because it reduces the muscle spasms that are the main source of pain for patients following surgery.”

The trials for use on glabella (frown) lines should be completed by 2019 and for pain management in 2020. Another novel approach for neurotoxins.

True or False Quiz

We all have them, or will get them, wonder what they are, and if/how we can get rid of them. What are they? Seborrheic keratosis (boo hiss!!!).

T or F? One of the most common skin tumors seen by dermatologists in everyday practice is seborrheic keratosis.

True. SK is one of the most common lesions, affecting 83 million Americans, and is one of the most common skin tumors seen by dermatologists in everyday practice, according to information cited in an online article in Journal of Drugs in Dermatology.

Commentary: All individuals eventually develop SKs with advancing age. Even in pediatric patients, hand lens magnification of the skin can reveal tiny lesions that are clinically unapparent until enough growth has occurred over time.

T or F? Which of these statements is/are True regarding SK?

  1. patients may present with a few or multiple SKs
  2. malignant neoplasms may arise in SK lesions
  3. multiple eruptive SKs may be associated with internal malignancy
  4. all of the above
  5. If you answered All of the Above, you are correct. Patients may present with a few or multiple SKs. Malignant neoplasms may arrive within an SK but it is not known whether the association is a random event or if there is a pathogenic relationship in the development of two distinctive neoplasms together. In addition, multiple eruptive SKs may w associated with internal malignancy, according to an article in the online Journal of Drugs in Dermatology.

    Commentary: Since malignancy rarely arises in SKs, it may be necessary to biopsy atypical lesions Irregular order and color variation may be among important distinguishing factors indicating possible malignancy.

    T or F? Generally, SKs present as well demarcated, elevated or “stuck on” appearing papule or plaques in varying colors, and the surface can be waxy or greasy-appearing.

    True. They may vary from flesh-colored to shades of yellow, gray, brown or black. The SK surface is “waxy”, velvety to verrucous or greasy-appearing, according to the Journal of Drugs in Dermatology.

    In my experience with clients, they are disturbing reminders of their parents' or grandparents’ aging skin. “And now it’s happening to me!” Yes, sadly these (primarily harmless) growths will continue to plague you. According to the Mayo Clinic:

    Treatment of seborrheic keratoses usually isn't necessary. You may want them removed if they become irritated, if they bleed because your clothing rubs against them, or if you simply don't like how they look or feel.

    Your doctor can remove seborrheic keratoses using several methods, including:

    • Freezing with liquid nitrogen (cryosurgery). Cryosurgery can be an effective way to remove seborrheic keratoses. It doesn't always work on raised growths, and it may lighten treated skin.
    • Scraping the skin's surface with a special instrument (curettage). Sometimes curettage is used along with cryosurgery to treat thinner or flat growths. It may be used with electrocautery.
    • Burning with an electric current (electrocautery). Electrocautery can be effective in removing seborrheic keratoses. It can be used alone or with curettage. This procedure can leave scars if it's not done properly, and it may take longer than other removal methods.
    • Vaporizing the growth with a laser (ablation). Different types of laser treatments are available to treat seborrheic keratoses.

    While these are all good methods of removal, don’t forget that occasionally the result of removing the offense is worse than the offense itself! Another of life’s gotchas.

    Wrapping up 2017

    Thank you again for reading, writing, listening and supporting! I hope your 2017 was rewarding in so many ways and I wish you more of the same and even better for the New Year. All of my best to you and your family.

    Peels to the People