Southcoast Dermatology Blog

Posts for: March, 2016

By contactus@sc-dermatology.com
March 18, 2016
Category: Uncategorized
Tags: Untagged

South Coast Dermatology Welcomes……

 

Dr. Courtney Reilly Csikesz

 

Soon to be the only Board Certified Fellowship-Trained Pediatric Dermatologist on the South Shore, we are excited to announce that Dr. Courtney Reilly Csikesz will be joining our practice in June 2016!

 

Why see a Pediatric Dermatologist?

Kids are not just ‘small adults’ and skin diseases can affect children differently too.  Certain treatments that are appropriate for adults may not work as well or should be structured/dosed differently for children.  Some diseases that affect the skin, hair, or nails are more common in children or only occur in children.  Additionally, there are many rare disorders or syndromes that occur in children and are best treated by a pediatric dermatologist as most dermatologists do not typically encounter these rare entities. 

A pediatric dermatologist is a dermatologist who has completed additional training (typically a 1-3 year fellowship) dedicated exclusively to pediatric dermatology.  They specialize in diagnosing and treating children, including newborns and infants. 

Meet Dr. Csikesz (pronounced ‘Cheek-ess’)

Dr. Courtney Csikesz is a graduate of Bowdoin College, where she earned her B.A in Biology. She then earned her medical degree from the University of Massachusetts Medical School.

She completed her internship at Cambridge Health Alliance and her dermatology residency at Boston University’s Roger Williams Medical Center where she served as chief resident.  She also studied dermatology at the University of Rome in Italy.

Dr. Csikesz completed her pediatric dermatology fellowship at the University of Massachusetts Medical School. She is board-certified in dermatology and pediatric dermatology by the American Board of Dermatology.

Since fellowship, she practiced in Southern Massachusetts and Rhode Island for 2 years while her husband completed his own medical training.  She is also a Clinical Instructor at Boston University and served as teaching faculty for residents and medical students at Roger Williams Medical center.

Dr. Csikesz is a member of the American Academy of Dermatology, the Society of Pediatric Dermatology and the Rhode Island Dermatology Society. She practices general, pediatric and cosmetic dermatology. Clinical interests include acne, pediatric surgery and lasers.

Originally, from Hingham, MA, Dr. Csikesz is excited to move back to the South Shore with her husband (also a physician) and her three children - ages 4, 1 ½,  and newborn.  Her hobbies include running, cooking and baking, traveling and spending time outdoors with her family.

 

Dr. Csikesz is accepting new patients.  Contact Us  to schedule your appointment. 


By Heidi Anderson-Dockter, MD
March 08, 2016
Category: Skin Care

Skin Care Products Demystified!

Are you on product overload?  Me too.  Growth Factors, Antioxidants, Retinoids, shows like Dr. Oz and The Doctors, stores like Sephora, infomercials of skin care ‘systems’---It’s crazy and confusing!   Everything promises the world but which is right for you?  Well I’ve tried to simplify the “playing field” to the products with the most “bang for your buck”, those with the best science/efficacy working for them, and those that have actually worked for my patients and myself.   Full Disclosure:  I trained in a very medically focused dermatology residency program and am extremely skeptical of claims by cosmetic companies.  However, after four years in a private practice that sells several product lines, I’ve had the opportunity to test products myself, see their effectiveness in different patient skin types, and grill pharmaceutical reps and their scientists on claims of safety/efficacy.  Are there other great products out there that didn’t make my list?  Of course.  But since I’m a self-proclaimed skeptic, I chose to only include the products which have yielded great results in my personal experience.  I’ve also indicated the ones that I personally use every day.

What is all this about GRRASS?

I’ve found that GRRASS is a good mnemonic to discuss skin care regimens.  It is also for most people the order in which products are generally meant to be applied.

G= Growth Factors:  Apply 1st and  2x daily.  Growth factors are proprietary blends of cultured fibroblasts that cause cell signaling to regenerate collagen and elastin and thereby minimize fine lines/wrinkles.

R= RetinoidsApply pea sized amount at night at least 15 minutes after washing face.  Retinoids help regulate cell turnover, diminish breakdown of collagen, and stimulate collagen growth thereby diminishing fine lines/wrinkles,  reducing brown spots and uneven  pigmentation, minimizing pores, and improving skin texture.

R= Repair CreamApply twice daily. For me, the most worthwhile repair cream is Senté.  Several companies have repair creams that are basically glorified moisturizer +/- antioxidants.  Senté however, uses a key molecule, Heparan Sulfate, that is involved in many biological processes of the skin and essential in skin renewal and repair.  This amazing product, diminishes fine lines, evens out pigmentation, profoundly moisturizes, and even helps with wound healing/scar fading.  I recommend it to anyone interested in antiaging products and to all of my post surgical skin cancer patients to fade their new scars. 

A= Antioxidants: Apply in AM. Think of these products as a ‘topical multivitamin for your skin’. They stabilize and help eliminate free radicals that lead to oxidative stress responsible for the visible signs of aging.  Therefore, antioxidants can prevent further damage from the environment and promote cellular repair.  They also enhance the effectiveness of sunscreens in preventing sun damage.

S=Specialty ProductsApply as directed. These are the ‘Extras’ or possibly priorities depending on your needs (Eye creams, acne products, neck creams, pigmentation/redness helpers).

S= Sunscreen (SPF 30+):  Apply in AM .  We all know these block damaging UV rays that lead to skin cancer and aging. 

What if I can’t afford or remember all of this?

The bare minimum/non negotiable pieces of the puzzle are Sunscreen and a Retinoid.  In my opinion, the next priority is Senté for its profound moisturizing, antiaging properties, and ability to improve skin tone and texture.  Then add Growth Factors/Antioxidants for antiaging and added protection.  Finally, additional products are icing on the cake depending on your specific issues/needs (pigmentation, acne, rosacea, undereye circles, etc).  Initially, the price points may cause sticker-shock, but keep in mind that these products have real science behind them.  I can (and have!) easily wasted a ton of money on less expensive ($40-$60-and not necessarily effective) products at makeup counters or Sephora, but these physician-dispensed products have actual clinical data to support them. 

Keep in mind, this list is only a starting point for understanding the wide world of cosmeceuticals.  It is generally tailored toward women 30 years and older and not meant to be a substitute for a thorough consultation and tailored regimen with a dermatologist or licensed medical aesthetician.  All of these products are physician-dispensed but non-prescription.  Please buy only from approved offices/retailers. 

*  indicates products that Dr. Anderson-Dockter personally uses as part of her skin care regimen

Growth Factor

*TNS Essential Serum (SkinMedica-- also has antioxidants)

Bioserum/Biocream (Neocutis)

 

 

Retinoid

*Avene RetrinAL (0.1% or 0.05%) cream

 

 

 

Repair

*Senté (Dermal Repair Cream with Heparan Sulfate)

 

 

 

Antioxidant

*CE Ferulic (serum by SkinCeuticals)

Protects against free radicals/brightens skin

Phloretin CF (SkinCeuticals)

Protects against free radicals/brightens skin

Rejuvaphyl rejuvenating complex (MDRejuvena-also has small amount of retinoid)

 

Specialty

Eye

Lumiere and Lumiere Riche (Neocutis)

Hydrates, reduces puffiness, and undereye darkness

Pigmentation

Lytera Skin Brightening  Complex (SkinMedica)

Lightens brown spots and evens out blotchy pigmentation

Neck Firming

Senté Neck Firming Cream

Redness

*Peche Redness Control (Neocutis)

& Rejuvaphyl Redness Recovery (MDRejuvena)

Sunscreen

Elta MD UV daily (tinted-SPF 40), UV Clear SPF 46 or UV facial SPF 30

*SkinMedica Total Defense and Repair (tinted or untinted also has antioxidants)—SPF 34