10.17.09 ~ 7.00 ~ Baumann ~ Novel Approaches to the Aging Face

10.17.09 ~ 7.00 ~ Baumann ~ Novel Approaches to the Aging Face

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Novel Approaches to the Aging Face Leslie Baumann MD Professor of Dermatology Director-University of Miami Cosmetic Medicine and Research Institute Financial Disclosure • Allergan (A, I) • Dermik (I) • Galderma (A,C,I) 2 • Johnson and Johnson (A,I,S) • Medicis (A,C,I) • Mentor (I) • Genzyme (I,C) I= Investigator, A= Advisory Board C= Consultant, S= Speaker Approach to Aging Face • Coloration •Su r face •W r ink les • Volume 3 Coloration • Goals – Evenness of Pigment – Lack of broken blood vessels • Treatments Treatments – Intense Pulsed Light – Laser •Sk in Ca re – Tyrosinase inhibitors – PAR-2 agonists 4 25 year old Before and After One Treatment with Intense Pulsed Light
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Skin Care- Even Pigmentation • 2 ways to decrease skin pigmentation – Tyrosinase inhibitors • Hydroquinone • Kojic Acid • Arbutin • Mulberry Extract – PAR-2 agonists •Soy • Niacinamide • Possibly coconut extract 7 8 Soy in the Treatment of Hyperpigmentation Small soy proteins: soybean trypsin inhibitor (STI) Bowman-Birk inhibitor (BBI) inhibit the transfer of melanosomes to keratinocytes keratinocytes. This results in decreased pigmentation. Paine C, Sharlow E. JID 2001;116:587-595 Approach to Aging Face • Coloration •Su r face •W r ink les • Volume 10 Surface • Goal- smooth texture • Treatments- – Laser – Peels – Liquid Nitrogen – Microdermabrasion 11 Skin Care- Critical for Smooth Surface •A c i d s – Glycolic – Lactic • Moisturizers – Occlusive – Humectant – Polyhydroxy – Salicylic – Azaleic • Exfoliation – Retinoids – Scrubs – Swirling brushes – Cloths 12
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Dry Skin = Scaled Skin Normal Skin Dry Skin Approach to Aging Face • Coloration •Su r face •W r ink les • Volume 14 Wrinkles • Goals- Fill wrinkles, diminish muscle movement • Treatments- – Toxins – Fillers •Sk in Ca re – Retinoids 15 Toxins • Botulinum Toxin Type A was approved for use in glabellar lines in – 2002- onabotulinum toxin (Check name) 2009 ababotulinumtoxin – 2009- ababotulinumtoxin • A third toxin is under review 16 Botox/ Vistabel Dysport/ Azzalure Prosigne/ C-BTX Neuronox/ Syax Xeomin Type AAAAA Manufacturer Allergan USA Ipsen UK Lanzhou China
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10.17.09 ~ 7.00 ~ Baumann ~ Novel Approaches to the Aging Face

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