Bolitho MD

9834 Genesee Ave Ste 311 La Jolla San Diego, California
Phone: (858) 458-5100


30Aug, 2016

Keep the Sunscreen Handy

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Keep the Sunscreen Handy

Even though the summer months are coming to a close, sunscreen should still be on hand every day of the year. While many won’t be headed to the beach or poolside like they did during the lazy days of summer, the fact of the matter is when one is outdoors, sunscreen must still be utilized. And this includes overcast days.

Cloudy days can certainly mislead people into thinking that sunscreen isn’t necessary. And that couldn’t be further from the truth.

According to the American Academy of Dermatologists, nearly 80 percent of UV rays will penetrate through the clouds. The two types of UV rays which cause damage to the skin are UVA and UVB.

UVA rays pierce through glass and clouds and are the culprit of negatively impacting the dermis portion of the skin. Without solar protection, premature skin aging such as fine lines, wrinkles, and sunspots will appear. Too much UVA exposure has also been known to compromise the immune system.

On the other hand, UVB rays cause immediate damage to the skin on its superficial layers and has a direct influence in developing skin cancer.

While sunscreen messages continue to swirl in the media, new cases of skin cancer still emerge. Ways to connect people and the sunscreen message is a continual goal. With this in mind, a research team hailing from the University of Surrey had an idea they pursued.

“They examined the way sun-safe messages are conveyed to young women to see what, if anything, might change their sun-worshipping ways. They found that if women could literally see the damage the sun does to their skin via technology that ages them — that’s what has the most impact,” reported Carleen Wild of LifeZette.

When the results of the study were revealed, Dr. Fosko of the Mayo Clinic in Florida, who serves as the chair of the dermatology department, shared his viewpoint. He’s clearly saying, “…a picture is worth a thousand words.”

He went on to share that when younger people are delivered a message that is punctuated with personalized relevancy, the impact is greater.

Wild reported, “Researchers found that after seeing their own face prematurely sun-aged through the use of technology, young women took two times the number of free sunscreen samples and three times the number of skin cancer leaflets, compared to those women who had read text information about sun damage. They also showed a 30-percent lower belief in the skin’s ability to heal.”

While this study was published in Cogent Psychology, it affords those in the medical profession another level of education in conveying the sunscreen message to their patients – an absolutely invaluable piece of information that will help promote skin care health.



29Jun, 2016

Top Summer Skin Care Tips

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Top Summer Skin Care Tips
While we are saying goodbye to June and entering July, some people haven’t switched over to their summer skin care defense yet. Through the hustle and bustle of summer activity that’s perfectly understandable, but it’s highly recommended by skin care professionals to get on track as soon as possible.

A jump start to summer skin care can be done right now to avoid premature skin aging and even help ward off skin cancer.

Here is a glimpse into 5 top tips:

The Freckle Halt
It seems that during the summer months, those little freckles around the nose and cheek area really make their grand entrance. This very well could be a sign that not enough or the right sunscreen is being applied for skin care protection. Consider this as a “cue” for seeking the advice of an aesthetic nurse or skin care specialist who can help guide someone in utilizing the right solar protection. Not only will it lessen the appearance of age spots, but handpicked products chosen for one’s specific skin type can add a barrier to premature skin aging which also includes fine lines and wrinkles.

Youthful Eyes
The sun can zap skin hydration on every part of the body including around the eyes. Add a boost of youth with the right topical ingredients to reverse those fine lines. With the assistance of an aesthetic nurse, those with persistent fine lines around the eyes could be candidates for Botox. And always remember to wear sunglasses when outdoors for extra protection.

Lip Care
While so many people have a solar defense placed with their sunscreen application, more times than not, lip care may be overlooked. Ultra violet rays can damage one’s lips so it really is vital to blanket them with an SPF 30 or more lip balm.

Overall Skin Hydration
With fun in the sun comes skin dehydration. One may notice more flaky skin on their arms and legs. While showering, use a body exfoliator. A hot shower will cause further hydration so as tempting as it may be, bring down that water temperature. Following a shower, apply a body moisturizer. An ultra-rich body butter is always a top choice.

*It’s especially important to note that a body exfoliator should never be used on the face since it will be too harsh. Please seek the advice of an aesthetic nurse or skin care specialist to assist in choosing the right facial topical treatments.

Lovely Locks
While sunscreen can help keep skin youthful, there are tips to help hair from becoming dry, brittle and frizzy during the summer months. For starters, swim caps are making a comeback, and it’s the perfect retro look for protecting hair from chlorine and saltwater.

When outdoors, tuck those locks under a hat or wear a ponytail. A couple times a week, use a deep conditioner to promote hydration. And when possible, let hair dry naturally in lieu of using a hair dryer. For hair that’s drying naturally, spritz on a conditioner and scrunch for a beachy look.

23Jun, 2016

The Sunscreen Defense

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The Sunscreen Defense

Skin safety education is a vital component to skin care health.

Summertime is officially here. As everyone begins retreating outdoors for some fun in the sun, arming oneself with a solar defense bears repeating. A regular application of sunscreen can empower people to promote their own skin care health and prevent premature sun damage.

Elizabeth Reed, a registered nurse who specializes in aesthetics, is a huge proponent in patient education. She works alongside with San Diego plastic surgeon Dr. D. Glynn Bolitho. It’s important for Reed to empower her patients with sunscreen knowledge. In turn, her patients naturally educate their own children when they learn that most experience their largest amount of sun exposure under the age of 18.

Skin safety education is a vital component to skin care health.

Reed pointed out that according to the American Academy of Dermatology, a regular application of sunscreen when outdoors can lower a person’s risk of developing skin cancer. Sobering statics reveal that 1 in 5 individuals will be diagnosed with skin cancer.

For discerning individuals who want to shield themselves from sun damage, they generally utilize a sunscreen for their body and another for their facial area. Healthcare professionals recommend that people seek a water resistant sunscreen which has a Sun Protection Factor (SPF) of 30 or more.

While some believe that using their sunscreen from last summer is a good idea, it’s highly recommended to purchase a new bottle. Ingredients are usually less potent after it’s been opened for a few months or longer.

There are numerous sunscreens to choose from. Yet, Reed admitted that she has her own preferred choice when it comes to facial solar protection.

“My favorite facial brand is Skin Medica Total Defense & Repair which comes in a tinted and un-tinted version. It’s a SPF 34,” Reed said. “Not only will it protect you from the sun, but it will help with fine lines and wrinkles, too.”

Reed noted there is a difference between chemical and physical sunscreens. While broad spectrum chemical sunscreens absorb UVA and UVB rays, physical sunscreens block them from penetration. Ingredients listed on physical sunscreens are generally zinc and titanium dioxide.

Some find it helpful to know that a physical sunscreen of SPF 30 can generally deflect up to 97 percent of ultra violet rays.

Other helpful safety tips Reed shared include the following:

  • Apply sunscreen about 10 to 20 minutes before going outdoors.
  • Apply about an ounce of sunscreen which equals the amount of a shot glass.
  • Reapply sunscreen every two hours.
  • Reapply sunscreen immediately after swimming, water sports, or sweating.
  • Apply sunscreen even on overcast days.
  • Wear a wide-brimmed hat and sunglasses when outdoors.
  • Seek shade when possible especially when the sun is most intense (11:00 am and 2:00 pm)
  • Apply and reapply every couple hours a SPF 30 lip balm.

From an aesthetic point of view, when one is diligent with their sunscreen application, it can be a powerful tool in lessening the appearance of wrinkles, fine lines, sun spots, and hyperpigmentation.

When sunscreen becomes a daily habit, in turn, it becomes second nature to help promote a youthful beauty and overall wellness.

11May, 2016

Skin care treatments following a facelift

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Skin care treatments following a facelift

Over the years, operative facial rejuvenation procedures have become incredibly refined. Be it a facelift or lower limited facelift, a board certified plastic surgeon can adeptly create both youthful and natural looking results. Operative facial rejuvenation is a blend of sheer artistry and skill. It requires years of dedication for a plastic surgeon to reach this level of perfection.

When a patient embarks on the operative facial rejuvenation journey, they will be delighted with their refreshed appearance. However, skin care treatment is an important part in maintaining those youthful results since a facelift does not alter the skin per se.

Different ways to enhance those facial features may include the following:

  • Chemical Peels
  • Dermaplaning
  • Botox

As mentioned, one way to rejuvenate the skin is by way of a chemical peel.

According to Elizabeth Reed, a registered aesthetic nurse who works for San Diego plastic surgeon Dr. D. Glynn Bolitho, a chemical peel can also help prepare the skin prior to surgery.

And following surgery, it can be an excellent protocol in controlling fine lines, wrinkles and brown spots.

“A chemical peel can give patients a nice healthy and youthful glow to their skin,” Reed said.

This type of luminosity is a skin care goal. According to Reed, following an operative facial procedure, she typically recommends a series of three chemical peels.

“You can space those about a month apart, and then the maintenance can be once every three months,” she said.

Another popular procedure that Reed likes to employ for patients is dermaplaning. Gently, she utilizes a stainless steel tool and delicately glides it along the face to remove both dead skin cells and vellus hair.

There is no downtime to dermaplaning and it can be performed on a monthly basis. With the right type of skin care navigation, an aesthetic nurse can map out the right anti-aging regimen. A few times a year, it may be suggested to combine both a dermaplaning and chemical peel. Performing a dermaplaning prior to a chemical peel will allow for better product penetration and optimal results.

“Following a dermaplaning, your skin is super soft,” she said. “So when you’re washing your face or you are putting on your makeup, you are noticing a wonderful smoothness to your skin.”

Another pathway for maintaining facial rejuvenation following a facelift or lower limited facelift is by implementing a regimen of cosmetic injections. Botox is highly sought after since it helps diminish the appearance of fine lines.

Every patient is unique and their skin care should be just as distinct. Prior to starting skin care treatments, an aesthetic nurse should thoroughly examine a patient’s face while listening to their patients’ skin care goals.

For Reed, this begins with makeup removal and then utilizing a bright magnifying light to afford a better skin care analysis. And then a suggested customized treatment plan can begin.

“It’s based on what the patient is looking for, and then I tailor the treatment for you,” she said. Reed added, “And it’s not always the same for everyone.”

Partnering with an aesthetic nurse can help achieve and maintain a youthful facial canvas.

16Feb, 2016

How Botox Addresses All Generations

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How Botox Addresses All Generations

The advent of Botox has afforded numerous possibilities for patients worldwide. Its uses have been phenomenal and have ranged from treating migraines, cervical dystonia, hyperhidrosis, muscle stiffness in the upper and lower limb regions, eyelid spasms, and more.

And Botox has made aesthetic headlines in temporarily smoothing out facial wrinkles for up to three months or more.

Nicole Dowler, a registered nurse who specializes in aesthetics and cosmetic injections, shared how cosmetic injections such as Botox serve people of all ages. It’s just not isolated to one core age group as many may have thought.

It’s far more reaching than that.

According to Dowler, one can start Botox in their late twenties for preventive measures. Using Botox prior to getting wrinkles in common areas can actually help ward off the deep wrinkles that people typically get as they age.

“In your thirties and forties, Botox can help someone maintain a younger look with these injections before having operative facial rejuvenation procedures such as a facelift,” she said. Dowler continued, “So it starts off as preventive and then turns into prolonging any type of facial surgery.”

And for those who have undergone a facelift, Botox can help maintain those youthful results. In other words, when someone undergoes operative facial rejuvenation, they can turn to Botox at some point for continued benefits.

“A facelift is actually removing skin and tightening facial features,” she said. Dowler continued, “Patients typically seek Botox for those fine lines around the eyes and along the forehead.”

Dowler went on to say that those who have had a facelift will also want to incorporate fillers into their aesthetic roster to really maintain the results from the facelift.

Each age range has a specific need for Botox. The right dosage amount assists in preventive care, promotes a youthful appearance, and maintains optimal results following an operative rejuvenation procedure.

Dowler also pointed out the need for patients to do their due diligence when they do decide to embark on cosmetic injections. It’s highly important that individuals delivering Botox and fillers are medically trained and certified.

“Someone who is medically trained will know the anatomy of the face and will also be aware, especially with Botox, how much to inject,” she said.

Injecting too much may cause a “heavy feeling” in the forehead region. While this sensation will disappear, it’s an uncomfortable feeling.

“You really want somebody with experience,” she said.

Dowler also wants people to be on guard in being “oversold” with treatments. The goal is to have natural, youthful beauty and not to appear “overdone” in the cosmetic injection outcome.

Results like this simply mean that the person delivering the injections puts too much in an individual’s face. Dowler cannot stress enough finding a medical professional who is an expert in the anatomy of the face.

In addition to the anatomy, Dowler mentioned medical professionals will know the areas to avoid when injecting Botox. Conversely, these professionals will know which veins and arteries to avoid with injection fillers.

“It’s important to do your research before you get injections,” she said, noting to also avoid Botox coupon deals.

Cosmetic injections are a medical procedure and must be performed by certified medical professionals for the best aesthetic outcome.

17Sep, 2015

Summer Is Over But Not The Sunscreen

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Sunscreen by stockimages by stockimages

While the lazy days of summer are officially coming to a close, by no means is it a time to pack away the sunscreen. For many, although they may not be spending as much time outdoors, they still require solar protection when they are.

As the hot months begin to drop in temperature, it’s important to maintain solar protection diligence. One cannot be reminded often enough how the sun can wreak havoc on the skin. In addition to causing premature aging with wrinkles, fine lines, sun spots and hyperpigmentation, unprotected sun exposure is still considered the leading cause of skin cancer.

Here is a quick review to ensure skin care health not only in the summer, but all year long.

Skin Protection Strategies

There are indeed methods one can implement to promote their skin care health. They include combining the following guidelines to help ensure the best possible protection:

  • Seek shade when possible.
  • Apply a waterproof broad spectrum sunscreen with a SPF of 30 and active ingredients of zinc and titanium (SPF 30 can block out up to 97 percent of ultra violet rays).
  • Avoid outdoor hours between 11:00 a.m. to 2:00 p.m. when the sun is most powerful.
  • Wear wide-brimmed hats and sunglasses when outdoors.
  • Apply sunscreen even on overcast days.
  • Apply sunscreen while in the car since windows cannot ward off all ultraviolet rays.

When sunscreen becomes a daily ritual, it becomes habitual in nature.

Skin Care Health Myths

Undoubtedly, there are skin care myths floating around in and out of cyberspace. However, when it comes to one’s health in avoiding skin cancer, the quicker the myths are discredited, the better.

An annual appointment with a dermatologist will allow a doctor to perform a skin check. Some think that melanoma is found on the face. However, for women it is generally found on the legs, and for men, on the back.

On the other hand, basal cell carcinoma and squamous cell carcinoma are generally located on the neck and face.

Another skin care myth is that individuals get majority of their sun exposure when they are children. According to health care professionals, 25 percent is received in a person’s first 20 years of their life. And the other 25 percent of exposure is between the ages of 20 to 40 years of age.

So in essence, it’s never too late to begin a healthy skin care regimen.

Another myth is regarding the shelf life of sunscreen. They do not last for years. Do pay attention to expiration dates and discontinue the use when a bottle has exceeded those dates. Active ingredients in sunscreen become less effective after expiration dates.

Skin Care Health Awareness:

As the effort of skin care health continues in the nation, this spurs individuals to make wiser decisions. As people are living healthier lives, it’s only natural that sunscreen is a piece to the puzzle.

And while checking one’s skin on a monthly basis is wise, it’s never a substitute for an annual appointment with a dermatologist.


26Aug, 2015

Keeping Babies Sun Safe

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FreeDigitalPhotos By Tom Clare

FreeDigitalPhotos By Tom Clare

It is estimated that roughly 5 million Americans are diagnosed with skin cancer every year. These are staggering numbers, and this data remains a reminder of the importance of staying sun safe. Plastic surgeons are proponents of skin safety since they perform reconstructive surgery on skin cancer patients requiring skilled procedures, particularly on the face. Firsthand, they know how detrimental ultraviolet ray exposure can be.

Recently the American Academy of Dermatology’s Annual Meeting in New York revealed some disconcerting news from a study. Moms and dads are diligent in keeping their babies safe with car seats and “childproofing” the home, but when outdoors, this diligence falls short with their solar protection.

This year board-certified dermatologist Dr. Keyvan Nouri and fellow researchers at the University of Miami utilized a survey including 95 parents regarding skin safe practices for their babies. The study revealed that less than 15 percent were on point with the Academy’s sun safety practices for babies.

The survey also revealed the following statistics:

  • A total of 83% of parents sought shade for their infants.
  • A total of 43% of parents dressed their baby in wide-brimmed hats.
  • A total of 40% of parents routinely dressed their baby in sun protective clothing (i.e., long-sleeved shirts and pants).
  • A total of 29% of parents admitted to using sunscreen on their baby who was younger than 6 months old.
  • One-third of the parents admitted to allowing their infant to develop a sun tolerance with routine outdoor time.
  • A total of 12% of parents admitted that their infants had tanned skin whereas 3% admitted that their infant succumbed to a sunburn

Dr. Nouri said in the report, “Some parents may think they’re helping their children by exposing them to the sun, but actually, the opposite is true. Unprotected sun exposure can damage the skin and lead to skin cancer.”

The annual meeting underscored that parents are not taking the “proper steps” to shield their babies from ultraviolet rays.

Raising awareness is incredibly important for all families.

In Science Daily, the report highlighted while ultraviolet radiation is the leading cause of skin cancer, it is indeed the most avoidable. Unprotected solar exposure can cause the following:

  • Sunburns
  • Skin cancer
  • Premature skin aging

And childhood exposure can trigger the above. This news warrants a new skin care protocol for parents. The tips the Academy conveyed include the following:

  • When possible, keep babies 6 months old and younger away from the sun.
  • When outdoors, keep babies in shady areas.
  • On warm days and when outdoors, dress babies in lightweight long-sleeved shirts and pants.
  • Place a wide-brimmed hat on babies to help block out UV rays.

The study went on to say that, “Sunscreen use should be avoided if possible in children younger than 6 months.” It continued, “Parents of infants and toddlers 6 months and older may apply a broad-spectrum, water-resistant sunscreen with an SPF of at least 30 to their children’s exposed skin; sunscreens containing zinc oxide or titanium dioxide are most appropriate for the sensitive skin of infants and toddlers.”

Although parents apply sunscreen, the American Academy of Dermatology still advises to keep children sun safe in the shade and having them wear clothing that is sun-protective. Healthy skin care practices are critical for infants, children, teenagers and adults of all ages.

19Jun, 2015

Sizzling Summer Special

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As we get ready for summer, receive 10% off Dr. Bolitho’s inventory of MD SolarSciences™ for the entire month of June! MD SolarSciences™, a lightweight product, is the leading sun protection manufacturer with active ingredients of titanium dioxide and zinc oxide. While it shields, it promotes healthy skin.

We have an array of sunscreen products to protect the whole family.

Call the office at (858) 458-5100 or email us at to place your order.

This summer special ends on June 30, 2015. And if you’re in the area, please stop by for a visit!

18May, 2015

May is Melanoma/Skin Cancer Detection and Prevention Month

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Surfer girl surfing looking at ocean beach sunset. Beautiful sex

As we head into summer, May marks Melanoma/Skin Cancer Detection and Prevention Month. Skin cancer is considered the most common forms of cancer in our nation. The ultraviolet rays from the sun are the main cause. Healthcare professionals say that ultraviolet rays can also be found in tanning booths and sunlamps.

Skin cancer is the most common type of cancer in the United States. Ultraviolet (UV) radiation from the sun is the main cause of skin cancer. UV radiation can also come from tanning booths or sunlamps.

The most serious form is called melanoma. But when detected and treated early, the outcome can be promising for patients.

The number of skin cancer cases is climbing each year. So, it’s extremely important to regularly check our skin from “head to toe.” By doing so, if any skin areas change, we’ll be alerted to get it checked with a healthcare provider.

Many people often wonder what malignant melanoma looks like.

Generally, it’s when an existing mole or new growth on your skin changes in size, color or even shape.

One of the best guidelines is following the “ABCD” skin cancer warning signs.

These easy-to-follow rules include:

A = Asymmetry: when the growth on the skin has unmatched halves

B= Border: blurred and not clearly defined edges

C= Color: a blotchy appearance with colors ranging from brown, black, tan, red, white or even blue

D= Diameter: a skin growth larger than 6 millimeters or concerning size increase

If any of the above rules are present, seeking the advice of a healthcare professional is highly advised. And remember, a regular self-skin check is never a substitute for it being done by a dermatologist or plastic surgeon.

Let’s raise awareness this month and keep one step ahead in our skin care health.