August 14, 2016

DON’T LET YOUR EARS SHOW YOUR AGE!

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  • Though our ears are 90 percent formed by age 6, they do change shape and appear to enlarge as we age. The ears droop as soft tissue (skin, fat, and muscle) relaxes and structural support changes. “Bone recedes with time, so there’s less foundation to hold the skin and cartilage up,” says board certified NYC Dermatologist Dr. Kally Papantoniou. “Plus, loss of elasticity and collagen in the skin causes sagging.”  If you’ve been hanging major bling from your ears, there are so simple non-invasive solutions.Over the many years of sun exposure and loss of collagen and elasticity in the skin of the ear lobes, which are usually where the ear piercings are located, can become wrinkled and thinned out. “What this does,” says Dr. Papantoniou, “is weaken the piercing itself so that earrings are not held firmly in the ear and can sag down. The support is also not there so the ear looks shriveled. This is easily improved with the use of hyaluronic acid fillers, such as restylane, juvederm or belotero. The look is completely natural, and the earrings are held up perfectly afterwards, with hardly any down time. For a patient who enjoys wearing large earrings, and has become aware of the appearance of their ears, rejuvenating has become very accessible and effective with fillers.”Testing for Ear Lobe Droop Test yourself with an earring like that pictured or described here.
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    1. Never sleep with earrings. Even if this does not feel uncomfortable, it could mean 8 hours of an ear being tugged by the earring against a pillow.
    2. Don’t wear heavy earrings every day routinely. Save this for an important event, or limit the amount of time you wear them to few hours.
    3. Don’t forget your sunscreen!  Photodamage is the # 1 aging factor for the ear.
    4. Consider applying some of your retinol cream to the lower part of theear when you apply to your face.
    5. If you have an over grown scar on the ear, this may be a keloid and it can be treated with either injections or surgical removal, see your dermatologist.Button Style Tiger Eye Earring suffering from Ear Lobe DroopOne of the most challenging styles of earring a person can wear is the circular button earring. If it’s half an inch in size and has a post in the middle.Put it on with a normal sized gold backing. Most likely that earring will little by little tip forward until it’s pointing to the pavement.

      This is not only a very unattractive look, but it is hard on your ear-pierced area.

      The tricky thing about testing is that at first it looks great, but as the day wears on and you use the phone and other activities, it starts to droop or sag.

      Important tips for the young and old to prevent sagging

    Dr. Kaleroy Papantoniou is a Cosmetic Dermatologist, Board Certified by the American Board of Dermatology. She specializes in Injectables, Lasers, Body Contouring, Surgical and Medical Dermatology. Dr. Papantoniou is also a clinical instructor at Mount Sinai Health Center in New York City. She applies expert techniques and the newest technologies to treat her patients. Dr. Papantoniou focuses on providing her patients with the highest level of care, with special interests in natural and healthy alternatives to treatments and disease prevention. Connect with Dr. Papantoniou  via twitter @DrPderm or her websitewww.DrPapantoniou.com

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August 4, 2016

Wonder Water: 6 Unexpected Infused Waters for Gorgeous Skin!

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From the Pros:

While most dermatologists and doctors preach the benefits of drinking more water, water gets boring. Perhaps you’ve done just about everything to make your plain glass of water more enjoyable. If you’re running out of ideas and are tempted to reach for a caffeinated beverage you’re not alone. We talked to the experts who gave us six fresh infused water recipes that’ll pack a punch of flavor and add health and beauty benefits to your H2O! If you’re new to infused water it’s easy. Chop up the ingredients, let them sit over night in your water pitcher and sip your way to healthy hydration inside and out.

  1. Mango Ginger

This combo might seem weird, but adding the health benefits of ginger and the antioxidant power of mangoes is a surprisingly tasty mix! “Mangoes contain so many vitamins that help boost your immune system. It has antioxidants that maintain youthful glowing skin and aid in the production of blood cells,” says Dr. Christopher Calapai D.O. an anti-aging expert and long-time health advisor to the New York Rangers hockey team.  “Ginger is also helpful in fighting infection, has been linked to lower cholesterol levels, may reduce muscle aches, and helps digestion,” adds Dr. Calapai.

  1. Grapefruit Rosemary

Recently rosemary was found to be the main ingredient eaten by residents of an Italian village with one of the highest populations of people who live past 100! “Rosemary improves circulation and sends more blood to the brain which is linked to greater concentration and potentially reduces risk of Alzheimer’s,” says Dr. Calapai. Grapefruit is not only delicious but it’s a natural fat burner, boosts metabolism and cleanses your liver.

  1. Melon Mix

Cut up watermelon, honeydew and cantaloupe chunks and throw into your water over night. “This melon variety tastes great and is amazing for your skin,” says Dr. Kally Papantoniou board certified dermatologist and clinical instructor at Mt. Sinai Hospital in New York. “Melons are immensely hydrating, meaning more hydration per cup of water. They are also chock-full of antioxidants that keep skin clear plus they contain vitamins that promote collagen production which helps skin cell turnover.”

  1. Citrus MintPick your favorite citrus fruits, cut up into slices and add some crushed mint.  “Adding mint to your water is not only extra refreshing but also improves digestive health and can speed up your metabolism,” says Dr. Calapai. “Mint actually contains salicylic acid, a potent acne fighter,” says Dr. Papantoniou. “It’s also well known for it’s anti-inflammatory properties which work to calm irritation both on your skin or internally,” she adds.
  2. Cucumber Lavender

“The reason so many spas use cucumber based treatments is because it contains many skin friendly minerals like magnesium, potassium and silicon,” says Dr. Papantoniou. “This mix is especially healthy,” says Dr. Calapai “Cucumbers are powerful detoxifiers, flushing out any waste in your system. Adding crushed lavender to the mix not only adds a beautiful aroma but can also help digestion as lavender contains polyphenols that reduce bad bacteria in your gut, making your system run smoother,” he explains.

  1. Pineapple Coconut Water
    This one is almost cheating… almost. Get your favorite store bought raw coconut water and refrigerate over night with large chunks of pineapple. The coconut-pineapple flavor combo is delicious and reminiscent of a piña colada without all the sugar and calories. Although this is not pure H2O, coconut water contains electrolytes which plain water does not, which rehydrate you in record time. “Pineapple is yet another fruit that aids in collagen production,” says Papantoniou “This is not just great for beautiful skin, collagen also has a major role in bone health and tissue repair.”

Clearly there are benefits to keeping hydrated. Water does not have to be boring, it can be delicious. Drink up!

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May 12, 2016

5 Tips for A Safe Spa Experience

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Who doesn’t want to have a relaxing and refreshing spa visit now and again to recharge your battery and feel pampered? While it’s important that we indulge in these luxurious treatments, we must proceed with caution.
 
I recently was in a large shopping mall, and was quickly approached by a kiosk worker who started to buff my fingernail before I could say yes or no to his administration. After I walked away, I was preoccupied with the thought that the very same nail file had been used on countless other people, and I could potentially develop a wart on that finger now! 
 
Sometimes the more you know, the worse off you are. However, this is just an example of how you can pick up a skin virus or infection without even knowing, and may not present itself for weeks. A similar incident occurred during a massage when the masseuse began to use a cactus bristle brush against my skin as part of her routine.  The entire time I was concerned about the reuse of the tool, and was too polite to request that she not use it.
 
I may be overthinking things, but this only comes to my attention because of what I see regularly in my practice of dermatology. I have many patients that have acquired warts from nail salons, the gym, and even from facials or waxing. Young women who come see me to treat tiny warts disseminated over the face or body commonly have a history of frequenting a spa or salons. When you are using instruments on patients and not properly sterilizing them, it can lead to the transmission of diseases. While these skin conditions aren’t life threatening in the cases I have presented, they are often difficult to treat and unpleasant.
 
Here are 5 Tips for A Safe Spa Experience
 
1. Seek out a salon or spa that uses a heat autoclave to sterilize their instruments.
You can ask directly if the instruments are autoclaved and they should be able to answer this question. Establishments that use autoclaves will often have their instruments in sealed bags. Other spas or salons will use an alcohol-based solution to clean their instruments, this can be helpful, but is inferior to heat autoclaving. Autoclaving entails placing instruments inside a machine utilizing intense pressure and high heat to destroy all organisms on tools. It is the gold standard for sterilizing even medical and surgical instruments.
 
2. Don’t soak your feet in the foot-bath in the nail salon. Unless a disposable liner is being used for each customer, I cannot think of a dirtier place to soak your feet. As appealing as a nice warm soak might sound, I have seen some terrible infections that were picked up at nail salons. One such customer had suffered an amputation of one of her toes due to a salon-acquired infection. The issue is that you never know who is going to pick up an infection. The vast majority of people who have these services have no such serious complication, but very commonly will develop a wart or athletes foot.
 
3. Bring your own nail filers/emery boards, and/or other nail tools if you desire.
When in doubt, you cannot go wrong by being prepared and bringing in your own supplies. You may get a few looks by other customers, and cause the employees to talk a little, but is it worth it to have fewer worries about your health? Absolutely! It is not uncommon for many salon goers these days to come prepared with their own equipment.
 
4. Do not permit the use of any reusable instruments that are not sterilized.
For example: getting a massage and being scrubbed with a brush that is used on other customers. Do not be shy, and don’t let anyone use something that has not been properly sterilized. A nice way of avoiding this awkward moment is to actually be up front and direct with your question before having a service.
 
5. Seek care quickly! If you do pick up what appears to be a wart, nail fungus, or another skin infection, do not delay seeking dermatological care. The earlier you start treatment, the easier it is to fully resolve. There are many treatment options available and your dermatologist can advise which one will work best. In addition, holding off treatment can result in the development of more warts and spreading warts or fungus to your loved ones at home.
 
About Dr. Kally Papantoniou:
 
Dr. Kally Papantoniou is a Cosmetic Dermatologist, Board Certified by the American Board of Dermatology. She specializes in Injectables, Lasers, Body Contouring, Surgical and Medical Dermatology. Dr. Papantoniou is also clinical instructor at Mount Sinai Health Center in New York City with locations on Long Island and Queens. She applies expert techniques and the newest technologies to treat her patients. Dr. Papantoniou focuses on providing her patients with the highest level of care, with special interests in natural and healthy alternatives to treatments and disease prevention. Connect with Dr. Kally Papantoniou via http://www.drpapantoniou.com and via Twitter @drpderm
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