Bolitho MD

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

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6Jan, 2017

A New Year of Youthful Possibilities

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A New Year of Youthful Possibilities

A new year is upon us and filled with possibilities. As many welcome 2017, some have undoubtedly either physically or mentally jotted down their goals for the new year. While a popular resolution is becoming healthier by way of diet and exercise, many are realizing how this is transcending to skin care health goals as well.

Here is a springboard of ideas for more luminous and younger looking skin in 2017.

It’s A Partnership

The first step in achieving skin care goals is teaming up with the right medical professional.  A partnership with a board-certified plastic surgeon or their aesthetic nurse specialist is an essential component for a variety of reasons. Not only will they be on the cutting-edge of new technologies, but they are incredibly adept and trained in the facial anatomy.

Ongoing education for these medical professionals is also at the forefront.

Patients can have peace of mind knowing that these experts will deliver cosmetic injections such as Botox, Kybella, or Juvederm, as intended with natural-looking results.

Patients will also be afforded with pharmaceutical grade skincare products which deliver results as well as top solar protection via sunscreen.

Laser Treatments

Teaming up with a plastic surgery office also means having access to top treatment such as Smart Xide Dot Laser. This type of laser procedure is considered by many to be in the lead since it offers optimal facial rejuvenation with a short recovery timeframe, typically lasting five days.

Top plastic surgeons seek lasers which have similar results to CO2 lasers but with less downtime. Lasers such as Smart Xide Dot Laser, which lasts about an hour, can promote a youthful canvas by the following:

  • Significantly reducing wrinkles
  • Removing pigmentation challenges
  • Stimulating new collagen
  • Eliminating sun damage

In the world of aesthetics, laser treatments can now be customized for a patient’s wishes and needs for their rejuvenation goals.

Endless Possibilities

The skin care treatments that patients are afforded at a plastic surgeon’s office are vast. While there is a variety to choose from, a consultation with either a plastic surgeon or their aesthetic nurse specialist is the first exciting step.

As briefly mentioned, these medical professionals realize that everyone has their own unique facial rejuvenation goals. With that in mind, each patient pathway must be tailored to ensure that these goals are met.

While cosmetic injections have proven to be excellent in terms of rejuvenation, the concept of skin rejuvenation must also be addressed to achieve youthful luminosity.  The types of nonsurgical treatments available to patients include the following:

When under the care of a plastic surgeon or aesthetic nurse specialist, patients feel assured that their skin care goals will be monitored on a regular basis as well as making certain that the right skin care products are being used at home.

After all, achieving gorgeous skin takes teamwork.

 

 

 

17Nov, 2016

Patient gives chemical peel kudos

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Patient gives chemical peel kudos

A month ago our patient visited the office and had a Voluma treatment with our aesthetic nurse specialist, Elizabeth Reed. Two weeks following her injection series, she made plans to return for her Juvederm treatment.

But that didn’t happen.

“I was expecting to get Juvederm, but Elizabeth was so honest with me by saying how I didn’t need it since the Voluma injections I received a couple weeks before to add volume to my cheek area had actually resolved my nasolabial folds,” Christina said. “As I was sitting there, Elizabeth asked when I’d be available to do a chemical peel because she thought I’d benefit from it.”

For Christina G., 50, a TCA peel (trichloroacetic acid) was going to be different than the type she had with Elizabeth months ago during a Break Time Peel. That one was a very light peel and Christina could immediately resume back to her day’s activities, and she didn’t experience any peeling. She didn’t know what to expect from a TCA peel.

“To be honest, I was a bit concerned about how I would look following a chemical peel. I had no idea how much and for how long I’d be peeling,” she said. “That little voice in my head wanted to put it off, but I hadn’t had any special events planned in the next few days so I had no reason to delay it. Besides, this was Elizabeth. She is specially trained as an aesthetic nurse, and I completely trusted her with my skin and cosmetic injections.”

Reed used a medium grade TCA peel. After she prepared Christina’s skin, she applied one layer at a time. Overhead, Reed had a handheld fan to keep Christina comfortable while assessing her skin.

“In typical Elizabeth fashion, her communication skills yet again exceeded my expectations. It was important to her that she knew what ‘tingle level’ I was at,” she said.

Once Reed determined it was time to neutralize the peel, she did so. Reed also instructed Christina to only use her SkinMedica Cleanser and SkinMedica TNS Ceramide Treatment Cream for the next five days. Following that time, she could then go back to her normal skin care routine which included her prescription Retin-A topical at night.

According to Christina, the chemical peel aftermath was completely doable and not at all what she thought it would be like.

“For the first two days, I didn’t have any peeling. On days three, four and five, I had flakiness around my whole face, particularly around my mouth. When the peeling was visible, I just applied my post-treatment cream and that lessened the appearance considerably,” she said.

Two weeks after her first chemical peel, Christina now raves about the results. Her skin is smoother, more even toned, and her brown spots have diminished considerably. And she agrees with Reed that completing a series would be optimal.

“It’s as if the chemical peel boosted my skin to a whole new level. It’s amazing,” Christina said.

 

5Nov, 2016

Fall into Beautiful Skin

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Fall into Beautiful Skin

Goodbye Summer. Hello Autumn. While many had the best of intentions to protect their skin during the summer months, they still may have had a little bit too much sun exposure.

With the season of fall officially here, there are ways to restore and rejuvenate the skin.

“I love to start with a series of chemical peels,” said aesthetic nurse specialist Elizabeth Reed, who works alongside San Diego plastic surgeon Dr. D. Glynn Bolitho. “I think that’s a great way to remove some of the dead skin that we’ve accumulated during the summer.”

Reed shared that typically skin care professionals don’t do chemical peels during the summer months because people retreat outdoors. Now is the perfect time to start that series.

According to Reed, a great way to see real improvements in one’s skin is by implementing a series of three chemical peels which are tailored to a person’s skin type.  These peels would be done every month.

“During this time, we’d also talk about a person’s skin care regimen and see what changes, if any, would be recommended,” she said. “And if someone is interested in Botox to address their fine lines and wrinkles, we would assess that to determine if they would be a good candidate. But really, starting with a series of chemical peels is a great way to fall into beauty.”

While people begin to change their skin care routine for the new season, Reed shared that there are three skin care staples that never changes. They are the following:

  • Vitamin C
  • Retin-A
  • Sunscreen

An application of Vitamin C in the morning and throughout the day helps hydration and photoaging protection from the sun.

“It also helps with pigmentation challenges such as dark spots, age spots or sun damage,” she said.

Reed’s second go to product is Retin-A which is a medical grade form of Vitamin A.

“Retin-A actually helps reduce some of the effects of sun damage and helps stimulate collagen,” she said. Reed added, “It will help with fine lines and wrinkles as well as exfoliating the skin to help rid it of brown spots.”

Retin-A comes in different grade levels. Reed likes to start patients off with a lower dose, and as one’s skin becomes accustomed to it, the dose level is increased.

The third item on the list is sunscreen which should be tailored to a person’s specific skin care type. A solar protection is imperative to help ward off future damage and help maintain the skin care treatments a person is receiving.

“I usually pick something that has a high percentage of zinc, because zinc oxide is our physical sunscreen,” she said.

14Sep, 2016

Skin Care Product Awareness

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Skin Care Product Awareness

During the early part of summer 2016, the Food and Drug Administration (FDA) warned consumers to research their skin care products for a harmful ingredient: Mercury. And this warning was not the first of its kind.

In 2012, the FDA made this announcement regarding the toxic ingredient which they claim was in possibly 35 products which were manufactured overseas. These skin care products claimed to have anti-aging properties as well as the ability to treat acne. The New York Daily News reported the FDA findings underscoring the harmful effects of mercury. These toxic products were found in various states such as New York, California, and Texas.

According to FDA reports, these mercury-containing skin care products are seeping into the states once more. Yet again, these legally imported products are claiming to perform the following:

  • Skin lighteners and enhancers
  • Lessening the appearance of fine lines and wrinkles
  • Lessening the appearance of age spots
  • Treating acne prone skin

These skin care items also come in the form of topical facial creams, lotions, and soap bars.

In an article written by Michael Roizen, MD and Mehmet Oz, MD, in the King Features Syndicate, the doctors conveyed that these products are also sold and promoted on the internet. And oftentimes, they may have no ingredients listed which should raise a red flag for the consumer – the FDA’s protocol is that all ingredients must be labeled on the product.

The ingredients to be on the lookout for include following:

  • Mercury
  • Mercurous chloride
  • Mercuric
  • Mercurio
  • Calomel

If the ingredients are missing and/or not in a language that a consumer understands, the best course of action is not to use the product. On the other hand, if one of the above ingredients is detected, immediately dispose the product by placing it in a sealed bag or container and contact the FDA for further instructions.

“The danger is that you’ll absorb mercury through your skin, and what accumulates can take decades to get rid of. That can trigger heart and neurological problems,” the doctors wrote. They continued, “If you’re nursing and use these products, you can pass mercury through your breastmilk. The mercury can quickly damage a baby’s developing brain and nervous system. Those skin products also produce mercury vapors, or you may leave residue on a towel and can make family members ill, too.”

Both consumers and healthcare professionals are incredibly thankful that the FDA has released this news once again and that doctors Michael Roizen and Mehmet Oz raised awareness level. It serves as a concrete reminder regarding the importance of teaming up with medical professionals who implement sterling patient care.

Dermatologists, plastic surgeons, and aesthetic nurse specialists will navigate patients toward exceptional and safe skin care products while incorporating a variety of treatments for anti-aging goals.  Teaming up with a healthcare professional helps ensure that they have a patient’s best interest at heart.

1Sep, 2016

SCRIPPS CAMPUS APPRECIATION MONTH

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SCRIPPS CAMPUS APPRECIATION MONTH

For the entire month of September, let Elizabeth Reed, Dr. Bolitho’s aesthetic nurse specialist, reveal a more youthful and luminous you. In addition to a complimentary skin care evaluation, Scripps Campus staff members have the opportunity to also receive 20% off the following:

*Botox

*Voluma

*Juvederm

*Kybella

 

This 20% discount also applies to skin care treatments and skin care products which include:

*Micro-needling

*Chemical Peels

*Dermaplaning

*SkinMedica

*MDSolarSciences

*Alastin

And for all that you do, please accept our appreciation by dropping by to receive your VIP Card which grants you 10% off of the above mentioned services and products all year long!

*Please note that Scripps Campus Appreciation Month ends on September 31, 2016. Discounted services apply to nonsurgical treatments with Elizabeth Reed, RN and skin care products. Year-round VIP 10% discounts cannot be applied to other specials.

 

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.