May, 2011 | Dr. Forley
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Archive for May, 2011


Tuesday, May 31st, 2011

With the recent introduction of  Ulthera®, the first energy-based device to be cleared by the FDA with a non-invasive “lift” indication, we are now able to offer a trio of non-surgical treatments that work to lift the skin and rebuild collagen that has been damaged with aging. Ulthera® joins the Fraxel® re:store Dual Laser and Sculptra®Aesthetic to provide an innovative platform of minimally invasive treatments to restore a more youthful appearance to your face. These three anti-aging treatments can be used in a combined non-surgical strategy that unlocks the potential of your own skin to produce a natural, more youthful appearance that is long-lasting.


The sound waves generated by the Ulthera® deviceresult in an innovative non-surgical treatment, Ultherapy®, that safely lifts and tones the skin without any downtime.  The sound waves produce a focused ultrasound energy that is delivered in a pattern that targets the deep layers of the face and neck with a series of thermal coagulation points. The  image on the viewing screen allows Dr. Forley to see precisely at what level the energy is being delivered. Because the sound waves pass directly below the surface of the skin, the deep support layer responsible for sagging is tightened without disrupting the skin. Contraction of the skin is immediately visible and treats the loss of elasticity and firmness that has occurred with aging.   The building of new collagen occurs gradually over the next two to three months as visible improvement progresses. Most patients require one treatment but a second session might be recommended for additional benefits when more severe skin sagging is present. Discomfort during the procedure is variable but there is no aftercare necessary and you may resume normal activities following your treatment. The combination of contraction of the tissues and new collagen formation can counter the effects of gravity on the skin and achieve significant lifting results that can persist for up to two years.

Fraxel®The Fraxel® re:store Dual Laser uses two wavelengths of laser energy to treat wrinkles and age spots in the skin. Both wavelengths work to improve collagen by stimulating the “collagen cascade” effect that results in the deposition of thickened, healthy collagen fibers to improve skin tone and firmness and to diminish pore size.  Brown spots are lightened and a more even skin complexion can be achieved. The face, neck, chest, and hands can be safely treated with this light energy-based technology in a series of four monthly treatments with short-term redness and swelling over 2-4 days. The duration of effect varies depending on the pre-existing quality of your skin with maintenance treatments recommended at 18-24 month intervals.

Sculptra®Aesthetic Sculptra®Aesthetic is composed of an injectable biocompatible material, poly-L-lactic acid, that creates a gradual and very natural appearing restoration of facial volume by stimulating the collagen producing cells of the skin. Youthful facial contours are achieved as the volume that has been lost or has shifted with aging is replaced by  skin that has been thickened by the newly formed collagen. Generally, a series of 2-3 treatments at 6-week intervals are necessary to achieve the desired effect. The results from the treatment can last up to 3 years at which time maintenance treatments will be necessary. Sculptra is quickly becoming the injectable of choice for patients looking for non-surgical facial rejuvenation. Dr. Forley and Philadelphia dermatologist, Dr. Ringpfeil report an increase of non-surgical procedures over the past few years.

A consultation with Dr. Forley will provide you with further insight into how this non-surgical trio of treatments can be used to address your concerns.  A sequence of treatment sessions that is customized for your specific needs will be discussed and the time frame necessary to achieve your goals will be determined.

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Wednesday, May 25th, 2011

Free radicals are destructive molecules that contribute to aging and disease by the tissue damage that they produce. Unfortunately, every time we go outdoors, free radicals are generated in our skin from the sun’s ultraviolet rays. A significant part of the aging process is actually the continued progression of damage caused by free radicals. The presence of these unstable molecules results in an ongoing cycle in which they seek to become more stable by stealing an electron from other molecules in the body. Collagen that has been damaged by free radicals will eventually weaken and lead to a loss of elasticity and sagging of the skin.

PROTECTING YOUR SKIN FROM FREE RADICAL DAMAGEAn essential component of our effort to combat premature aging is to reduce free radical damage through a combination of sunscreen use and antioxidant protection. A broad spectrum sunscreen alone only shields you from about half of the free radical damage produced by UV exposure. The addition of a topical antioxidant to your daily regimen provides up to eight times the skin’s own natural protection from the harmful effects of UV rays not blocked by sunscreen. Antioxidants are able to neutralize the destructive free radical molecules by donating an electron without becoming free radicals themselves, thereby preventing further damage to the skin’s matrix and slowing the aging process.

SkinCeuticals Process

SkinCeuticals is an industry leader in topical antioxidant protection.  C E Ferulic and Phloretin CF provide an advanced environmental defense against UV rays with a synergistic antioxidant combination of Vitamins C and E to both optimize protection and stimulate collagen production. SkinCeuticalsUV induced collagen breakdown is reduced by the penetration of these antioxidant products into the deep layer of the skin.  We recommend the highly effective protection provided by the combined daily use of a topical antioxidant and a broad-spectrum zinc-based sunscreen. Our next blog will address the multitude of sunscreens available and give you advice on finding the ideal combination for your skin type and lifestyle.

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Tuesday, May 17th, 2011

As the weather continues to get warmer and we find ourselves outdoors more frequently, it becomes increasingly important to guard against the sun’s ultraviolet (UV) rays. Protecting yourself against UVA and UVB radiation will help reduce the likelihood of developing skin cancer and help prevent premature aging changes of the skin.

UV rays are the primary cause of skin damage known as photoaging and are responsible for 90% of all visible changes associated with aging. UVA rays account for 95% of all ultraviolet radiation. They are present in equal amounts throughout the day and can pass through clouds and glass. They are primarily responsible for the cell and collagen damage that leads to premature wrinkling, pigmentation, and loss of skin elasticity because they penetrate deeper than UVB rays.


Damage to the elastic fibers accumulates and the skin begins to sag, stretch, and lose its ability to snap back. Photodamage may not be noticeable in your twenties, but will start to appear in your thirties and progressively worsen.


While UVA rays are responsible for aging, UVB rays mostly affect the outer layer of the skin promoting “burns.”  They are most abundant in the warm summer months during the hours of 10am-4pm, but are unable to penetrate through windows or glass. The tan or burn that follows extensive sun exposure is a marker for damage that has occurred in your skin cells.   The consequences of cumulative skin cell damage over time not only produces aging changes but increases your risk of developing skin cancer by causing genetic mutations. According to The Skin Care Foundation, one in five Americans will develop skin cancer in the course of a lifetime. Over the past 31 years, more people have had skin cancer than all other cancers combined.

The good news is that UV exposure is largely preventable.  The next few blogs will address the proper precautions to take, especially in the summer months ahead when UV radiation is at its strongest. If you are suffering from sun damage, we recommend visiting the skincare experts at Ringpfeil Dermatology in Philadelphia. Consult with Dr. Ringpfeil about how you can reverse the signs of sun damage and aging with their non-invasive and minimally invasive treatments.

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