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The Skin Enhancement Center

November / December 2005

Members of the “boomer” generation and others who are looking to rejuvenate their skin and slow down the signs of aging can find safe and effective treatments at the Skin Enhancement Center at Penn Medicine at Radnor. From unwanted birthmarks in children to telltale wrinkles in the elderly, solutions are cutting-edge and performed by board-certified dermatologists.

Leading the Center is Cherie Ditre, MD, Director of cosmetic dermatology. Dr. Ditre has received extra training in cosmetic dermatology and is a faculty member of Penn's Department of Dermatology, notably the oldest such department in the nation and the largest dermatological teaching and research facility in the region. Dr. Ditre is the developer of a glycolic acid peel system that is used worldwide in the treatment of acne, rosacea and aging skin.

Chemical peels have been safely used for more than 100 years to treat acne scarring, oily skin, sallow complexion, rough skin, melasma (“mask of pregnancy”), hyperpigmentation or uneven pigmentation, wrinkles, photo damage, sun spots, and age spots. They are performed in the dermatologist's office and usually take a few days to several weeks for a complete recovery.

Broken blood vessels in the skin (telangiectasis) and other face-reddening conditions, such as rosacea, are common complaints of both men and women who visit the Center. These conditions are treated with topical and oral therapies or with a vascular laser, depending on the amount of redness. “This is relatively new news,” says Dr. Ditre. “While we don't have any five-year study results yet, patients have told us how much the vascular laser treatments have helped them.”

The number one cosmetic procedure performed in the United States is the injection of a muscle relaxant called Botox. It is used to smooth frown lines, wrinkles and crows' feet and to prevent hanging or sagging jowls. A filler substance, such as Radiesse, Restylane or Sculptra, is often injected in conjunction with Botox.

“We have learned that the real problem with patients' faces as they age is that they are losing some of the fat and natural proteins that give that buoyant, chubby-cheeked, youthful look,” says Dr. Ditre. “A lot of people think they have to visit a plastic surgeon and get cut. They don't have to do that. Filler substances are proven to be effective and very safe.” The effects of filler substances can last from three months to as long as two years.

Hair removal is done at the Center by electrolysis, a long-standing method of permanent hair removal and by a new and very popular laser procedure that Dr. Ditre calls “a revolution in removal.” After about three laser treatments, hair is 75 percent gone and after six treatments, it is almost entirely gone.

Many patients visit the Center after their doctors have trivialized their concerns about cosmetic issues or after they have been told that nothing can be done. “People get distressed over marks that others can see,” says Dr. Ditre. “Sometimes, these conditions can be quite disfiguring and are not easily covered with makeup. Patients need to know there are other physicians who are interested in helping them.”

 


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