An unforeseen consequence of the Affordable Care Act is losing access to dermatologists, according to Dr. F. Victor Rueckl
Switching to Medicare Advantage may cost patients' access to their dermatologist
The Affordable Care Act was designed to provide access to medical treatment for every individual. To that end, a grand total of 11.4 million Americans signed up for private health insurance by the end of the second enrollment period. (1) This is tremendous news, but there have been some unforeseen consequences associated with the passage of the Affordable Care Act. Money has been taken from Medicare and used for the implementation of the ACA, and there has been some noticeable effects. One such effect is that many people are choosing to opt out of Medicare and go instead with a Medicare Advantage plan. On paper, such a decision looks like a sound one as the premiums may be lower or that their medical options will be expanded, but many are finding out too late that their network of doctors, especially dermatologists, are being restricted.
Dermatologists, such as Dr. F. Victor Rueckl of Lakes Dermatology in Las Vegas, are trying to inform their patients that changing their plan to a Medicare Advantage one may possibly end up with that patient losing access to their chosen dermatologist. Around the country, private insurers are cutting back on costs and are doing so by targeting physicians who incur higher costs. One such group is dermatologists who have a huge responsibility in treating skin cancer. In fact, almost five million people are treated for skin cancer every year in the United States. (2) The cost of treating such skin cancer can get quite high, especially if the doctor is aggressively treating the cancer in order to minimize the chance of it returning. This treatment option is more costly in the short term, but is far less costly in the long term as the patient will be less likely to need to seek further treatment for a reoccurrence or undergo further hospitalization for the cancer spreading. However, such facts are not part of the insurers' algorithms, so dermatologists are one specialty that is being targeted for removal from the network. In 2013 alone, United Healthcare sent out termination notices to over two thousand specialists from their provider networks in Connecticut. (3)
This unintended consequence may undo the great strides that have been taken over the last few decades in the awareness and treatment of skin care. It used to be that only older people would seek out a professional dermatologist, such as Dr. F. Victor Rueckl of Lakes Dermatology, in order to ascertain the health of their skin and to nip small problems in the bud before they developed into larger ones. That has now changed as younger people are now more used to wearing sunscreen outdoors and consulting with a dermatologist if any unusual spots or new moles are found. These young people are assuming that they'll have a lifelong association with a dermatologist that they trust and know, but the reality of such medical professionals being pruned from Medicare Advantage plans means that such will not be the case. Many patients are shocked to learn that their trusted dermatologist is no longer part of their network and, as such, are deprived of their services unless they wish to pay out of pocket.
Such situations are far too common these days. Dr. F. Victor Rueckl of Lakes Dermatology in Las Vegas notes, "I've had quite a few patients come into my practice happy that they've signed up for a Medicare Advantage plan, which results in lower costs and premiums for them. However, their happiness is short-lived when I'm forced to tell them that my practice is not on their plan due to the insurer terminating our services. It pains me to have to inform patients that I've been treating for years and have built up a solid relationship with that I can no longer treat them as part of their so-called 'new and improved' plan. They believe that they're getting a better plan with more options when they sign up for Medicare Advantage, but the painful reality is that they're usually restricting the doctors that they can see without paying out of pocket." (4)
The most important thing that one can do to ensure their choice of doctors is to thoroughly go over the benefits and drawbacks of the plans offered by Medicare and Medicare Advantage. This should be followed up by speaking directly to one's physicians, such as Dr. F. Victor Rueckl of Lakes Dermatology in Las Vegas, to find out what plans they are currently on. As people have become increasingly aware, prevention and early detection are a key component of reducing long-term medical costs, especially in areas such as skin cancer. Breaking the connection between patients and dermatologists in order to save a few pennies will prove more costly in the long term.
Dr. F. Victor Rueckl, Lakes Dermatology, Las Vegas, cautions that recent popular trends can be dangerous, as beauty trends on social media can go viral quickly
The Kylie Jenner Challenge can lead to bruising and scarring around the mouth
The reality of modern life is that we're living in a culture that is obsessed with celebrities. Many people follow the lives of various celebrities by reading gossip magazines, watching reality TV shows, and through the use of social media. One of the most popular celebrity clans is the Kardashians, whose recent season premiere episode attracted a total of 2.547 million viewers. (1) While the older sisters of that clan originally made their family a household name, it's the younger Kylie Jenner who has been generating a lot of attention over the last year. One of her key features that people go crazy for is her plump lips, which has led to a Twitter topic where young people attempt to plump their own lips by using a small glass and then sucking. However, this supposed beauty tip can be dangerous, as is attested to by licensed dermatologists, such as Dr. F. Victor Rueckl of Lakes Dermatology in Las Vegas.
The Twitter hashtag #kyliejennerchallenge has gone viral as a great deal of young people are attempting to artificially plump their lips. This is done by the person placing their lips within a small glass and then sucking as hard as they can. The result is that this action causes the lips toswell, but there are usually a number of negative effects as well. Pictures and videos of those attempting the challenge are showing that such a method is unsafe and, quite often, painful. Those who undertake the challenge are finding that their lips are often being bruised or even scarred from the experience. Sadly, the victims of this trend are mostly teens that are obsessed with celebrities and popular culture. Kylie Jenner is only 17 years old, but she has a total of 9.04 million followers on Twitter. (2) It's hard enough to deal with body issues when you're an adult, but it's especially hard when you're a teenager. Medical professionals, such as Dr. F. Victor Rueckl of Lakes Dermatology, are emphasizing that trying to change the features of your mouth in such a manner is unsafe and can lead to dangerous consequences.
In our culture today, young people look up to celebrities as role models, and, as such, want to imitate and look like them. A few years ago, it was Angelina Jolie that inspired young women to strive for fuller lips as those were seen as a key feature of her beauty. Now that baton has dropped to Kylie Jenner, and teenagers are willing to put themselves at risk to look anything like her. While most parents will put their foot down on their children asking for lip augmentation surgery, it requires no money or effort to grab a glass or bottle and attempt the Kylie Jenner challenge.
The sad thing is that young people are not aware of the risks that they're taking by following this viral trend. Dr. F. Victor Rueckl of Lakes Dermatology in Las Vegas notes, "The more you cause injury to your lips in doing things like this, the more of a chance you have to create long-term issues in the lips which will require surgery to remove. While this lip 'challenge' seems minor, improper blood flow, damage to arteries in the lips, and possible scar tissue are not something anyone is going to want to deal with in the future. Young people should avoid this so-called 'challenge' like the plague altogether." (3)
Trying to alter your features even on a temporary basis can be highly dangerous. The fact is that the bodies of young people are still growing and changing. Actions taken by teenagers to enhance their appearance can have tragic consequences. There are times when having a cosmetic surgical procedure is necessary in a young person, but consulting an experienced dermatologist, such as Dr. F. Victor Rueckl of Lakes Dermatology, is essential at such a time. They can properly examine the client and make a reasoned recommendation to them on how best to proceed. They can also fully outline the possible risks and side-effects that may occur from a procedure, as well as the best way to mitigate or lessen them. Licensed medical professionals have years of training and experience to determine the best, and safest, course of action, and going to them for cosmetic procedure advice is the smart thing to do. Following the suggestions of a Twitter hashtag or some other social media trend is not, no matter how popular the celebrity associated with it is.
3) Quote from Dr. F.Victor Rueckl, dermatologist at Lakes Dermatology
Rosacea is an incurable common skin ailment, but Dr. F. Victor Rueckl of Lakes Dermatology notes that there are new treatment options
Rosacea can be effectively managed through proper treatment Many people assume that the unsightly redness of their face is just simple sunburn or acne when the reality is that they're suffering from rosacea.
(PRWEB) April 21, 2015 People try many different things in order to look better. They may go to the gym more often, make sure that they wear sunscreen when going outdoors, and watch what they eat. One area of the body that is of particular concern to many people is their face. A face that glows with health is considered an attractive face. There are several afflictions that can impact our facial appearance, with the one that is most commonly considered is acne. However, there is another common skin condition that impacts 16 million people in the United States alone. (1) This condition is called rosacea, and one important thing to remember is that it is incurable. However, there are treatment options for those that suffer from it.
What exactly is rosacea? It's an acne-like skin condition that normally affects the central area of the face. This area is comprised of the cheeks, nose, and forehead, but rosacea can affect other areas as well, such as the neck, chest, ears, and so on. Rosacea has several symptoms, with the most well known being that of redness of the face. It can also encompass tiny pimples and fine lines on the face that are red, as well as a bulbous red nose called rhinophyma. Rosacea can also impact the eyes, with examples of conjunctivitis and swollen, red eyelids. A common misperception is that rosacea is just simply the occurrence of sunburn, rosy cheeks, or acne. That's why if such symptoms appear, it's vital to consult a licensed dermatologist, such as Dr. F. Victor Rueckl of Lakes Dermatology in Las Vegas.
Rosacea usually is found in people who are between 30 and 50 years of age. In addition, women are three times more likely than men to get rosacea. (2) Scientists are still studying to find out what exactly causes rosacea. Some likely culprits include genetics, the immune system, how the body processes a specific protein (cathelicidin), and a bug (H pylori) that causes infections in the intestines. Even though no specific cause has been found yet, it is known that rosacea can flare up from time to time. There are also known triggers that can cause an outbreak: alcohol, stress, heat, and hot or spicy food. A vital consideration is that if rosacea is left untreated, it will become worse over time. That's why it's essential to visit an experienced medical professional, such as Dr. F. Victor Rueckl of Lakes Dermatology, in order to seek treatment as soon as possible.
While there is no cure for rosacea, it can be effectively treated and managed. There are a number of treatment options available due to the differing nature of each patient's particular symptoms. One treatment option is a topical medicine that is applied directly to the rosacea. Another is an emollient designed to help repair the skin. Antibiotics are also used, both in pill and application form, as well in the treatment of this irritating skin condition. Intense pulsed light treatments, such as Lumecca, are quite useful in combating the disfiguring appearance of rosacea. Dermatologists can also remove the thickening skin that may appear on the nose or other parts of the face through the use of lasers, dermabrasion, and electrocautery. As each particular case is unique, it's extremely important to consult a registered dermatologist, such as Dr. F. Victor Rueckl of Lakes Dermatology in Las Vegas, in order to determine the proper course of treatment for an individual patient. While suffering from rosacea is no laughing matter, the good news is that there are treatment options out there to help minimize its effects. Dr. F. Victor Rueckl of Lakes Dermatology notes, "Many people assume that the unsightly redness of their face is just simple sunburn or acne when the reality is that they're suffering from rosacea. While this condition will never go away, it can be treated in an effective manner. One procedure that I find highly effective is the use of intense pulsed light. I particularly like to use Lumecca with its 515 head as it targets the blood and vascular lesions much more effectively than any topical application ever could. As each patient's case is unique, I would urge a consultation with a licensed dermatologist before any steps are taken to treat the problem." (3)
While one can never rid themselves of rosacea, there are ways to treat and mitigate it. The most important consideration is for one to consult with an experienced dermatologist in order to get a proper diagnosis and to come up with a suitable treatment plan. Once the patient learns what can trigger an outbreak, they can take steps to avoid such triggers in the future. Flare ups may still occur, but the effects of rosacea can be treated through a variety of methods. One need no longer suffer in silence with rosacea as steps can be actively taken to combat it.
3) Quote from Dr. F. Victor Rueckl, dermatologist at Lakes Dermatology
It's normal for people to have moles, but Dr. F. Victor Rueckl recommends being aware of any changes
Knowing the ABCDE rule can help save your life
We're fortunate enough to live in a time where medical information is widely available and easy to access. With such information at our fingertips, there are times when we can become hyper-sensitive and blow things out of proportion. One such area where people can become unduly concerned is the appearance of moles on one's skin. People are constantly told by public service announcements on tv to be on the lookout for any changes, which can lead some people to worry needlessly over the moles that they have. It is true that melanoma, a type of skin cancer, can grow around or in a mole, but that does not mean that every mole will become cancerous.
In fact, it's quite normal for a person to have moles on their body. The American Academy of Dermatology states that it's not unusual for the average person to have between ten to forty moles on their skin. (1) Most moles actually appear early on in a person's life, usually when they're a young child and up through the first thirty years of life. While parents may worry when spotting a new mole on their child, it's really nothing to worry about. Moles will actually grow as the child grows up, and they can even darken or lighten. This does not normally mean that a young person is developing melanoma, but if a parent is concerned enough, they should consult a licensed dermatologist, such as Dr. F. Victor Rueckl of Lakes Dermatology in Las Vegas, to make sure that nothing is wrong.
A mole is a growth that occurs when cells in the skin grow in a cluster instead of spreading throughout the skin. There are several different types of moles. A common mole is known as an acquired nevus and is harmless. These moles appear as a flat, round spot that is one color throughout and grow symmetrically. A congenital mole can take several different forms. They can look like normal moles or as a bluish-gray spot that's usually called Mongolian spots. Congenital moles are mostly harmless, but there is a marked risk for developing melanoma if the mole is large (having a diameter of over 20 centimeters). Having a giant congenital nevus increases the chance of developing melanoma anywhere from 4.5% to 10%, with other studies suggesting an even higher percentage. (2) If your child has such a mole, you should immediately meet with an experienced dermatologist, such as Dr. F. Victor Rueckl of Lakes Dermatology.
Another mole type is the dysplastic mole, which is a classification for moles that do not look like normal moles. They may be asymmetrical, have an irregular border, have more than one color, or have a larger diameter. A spitz nevus is a mole that resembles melanoma. It is often a raised, dome-shaped lesion that is pink in color. It can bleed, ooze through an opening, and have a mix of colors. Most spitz nevi occur during the first two decades of a person's life, but any appearance of them should have one scheduling an examination with a medical professional, such as Dr. F. Victor Rueckl of Lakes Dermatology in Las Vegas, to make sure that everything is ok.
Moles can serve as an early warning system for melanoma. Skin cancer is the most common type of cancer, and the American Cancer Society estimated that around 76,000 cases of melanoma were diagnosed in 2014. (3) One can check for melanoma by using the ABCDE rule. These rules are:
- A - Asymmetry: This occurs when one half of a mole does not match the other half.
- B - Border: Check to see if the edges of the mole are ragged, blurred, or irregular.
- C - Color: Most moles are uniform in color. Look to see if the color changes or if there are different colors in the same mole.
- D - Diameter: Most moles are equal to or smaller than the size of a pencil eraser (about 1/4 inch). Be on the lookout if a mole is larger than that size.
- E - Evolving: If the mole changes in size, shape, or color, then meet with a medical doctor to let them know.
Moles are a fact of life, and something that people shouldn't worry excessively over. As Dr. F. Victor Rueckl of Lakes Dermatology notes, "Most people have a number of moles upon their skin that started in childhood. It's quite normal that children develop moles, but it is wise to keep track of their development to ensure that any warning signs are not missed. Melanoma is a very treatable cancer if caught early, so use the ABCDE rule to regularly give yourself a checkup. If you spot something troubling, schedule an appointment with a doctor immediately as there's no time to waste." (4)
Most of us have moles, and they develop early on in our life. While most moles will remain benign, it behooves us to keep a wary eye on them to ensure that all stays well. Still, there's a healthy distinction between being aware and being obsessive. There's no reason to panic if a new mole appears. If you do feel that there's a cause for concern, them make sure you consult an experienced doctor, such as Dr. F. Victor Rueckl of Lakes Dermatology in Las Vegas, to put your mind at ease.
4) Quote from Dr. F. Victor Rueckl, dermatologist at Lakes Dermatology
Media Hype Frozen Face Results of Botox, but Dr. F. Victor Rueckl Says Such Fears Are Misplaced Today at Lakes Dermatology in Las Vegas
Asking questions and being prepared leads to successful Botox treatments.
Dr. F. Victor Rueckl Warns of Rising Number of Cases of Melanoma, The Most Deadly Form of Skin Cancer and Urges Regular Skin Checks.
Tanning and sun exposure increases risk, but early detection is almost 100% effective.
Dr. F. Victor Rueckl Announced Today That Wrinkle Creams Can Be Effective, But Consumer Homework is Required
Which Ones Work? Which Ones Don’t, Wrinkle Creams; mostly bunk, or true miracles?
Lakes Dermatology, Las Vegas, Nevada Announces the Installation of Legacy by Venus Concept, a -0- Downtime Procedure to Lift and Sculpt the Face, Neck and Body
Radio frequency and magnetic pulse therapy has been used effectively in the treatment of fine lines, wrinkles, cellulite and pockets of fat on the body. Lakes Dermatology is the first to introduce Legacy in Las Vegas.
What more could a physician want in an anti-aging procedure? No downtime, no pain, no discomfort and terrific results," said Rueckl.
(PRWEB) January 29, 2014
"No matter your body shape, skin tone, diet or exercise plan, over time everyone's skin loses elasticity, collagen weakens and it becomes harder to lose certain pockets of fat. People develop wrinkles, fine lines and have a genetic predisposition to cellulite which becomes a common concern for both men and women," stated Dr. F. Victor Rueckl today. He continued, "We looked for a piece of equipment that would be comfortable and affordable for our patients. We wanted superior results with no downtime and we have found that equipment. It's called Legacy and is manufactured by the same people that brought us Venus Freeze which has been incredible for our clients too."
What is Legacy?
According to the Venus Concept website, Venus Legacy features LiftFX™ and SculptFX™ are non-invasive and pain free solutions that utilize radio frequency, magnetic pulse therapy and VariPulse™ technology to treat all the patient's concerns in one program. The treatments deliver the frequencies to the skin and produce a dense and uniform heat matrix which causes collagen synthesis, contraction, fibroblast proliferation, neo-vascularity and lipolysis. In other words, tightening. The company states that it's equipment treats:
- Non-surgical Body Contouring
- Cellulite Reduction
- Wrinkle Reduction
- Circumferential Reduction
- Skin Tightening
How Many Treatments Will A Patient Need
The number of treatments will completely depend on the patient and their personal desires. The photos that we have included in this article show a variety of time periods.
Are The Treatments Safe?
Radio frequency and magnetic pulse therapy have been used in medicine for many years and are proven safe and effective technologies. Dr. Rueckl will review your medical history and your aesthetic goals to see if the LiftFX™ and SculptFX™ treatments are right for his patients.
Is There Any Downtime?
There is absolutely no downtime. A treatment to one area takes less than 30 minutes and has no adverse side effects. A patient is able to have a treatment during their lunch break and return to work right away.
"I am personally recommending these procedures to all my patients as the results are nothing short of incredible. What more could a physician want in an anti-aging procedure? No downtime, no pain, no discomfort and terrific results," said Rueckl.
For more information about Legacy, pricing and appointments contact Lakes Dermatology at 702-869-6667 or check their website at: http://www.lakesdermatology.com.
1). Dr. F.Victor Rueckl, Lakes Dermatology interview 1/21/14
Dr. F. Victor Rueckl, Lakes Dermatology, Las Vegas Announced “Prejuvenation” – A New Trend in Dermatology – Inject Wrinkle Areas Before They Actually Need Treatment
Botox, Dysport and Xeomin are used to counteract wrinkles. The products work by blocking the nerves that contract muscles and soften the appearance of wrinkles.
Lakes Dermatology Stated Today That Acne is Not Easily Cured Because Patients Lose Hope Before the Remedies Have Time to Work
Active acne is usually treated with antibiotics or Accutane, and both take time to work. A new treatment called "Fractora" is showing amazing results for post-acne discoloration and scarring.
F.Victor Rueckl, M.D. of Lakes Dermatology, Las Vegas Stated Today That Consumers Should Beware That Natural Cosmetics May Not Be Natural at All
A nationally renowned dermatologist, Dr. F. Victor Rueckl of Lakes Dermatology warned consumers today that so called "natural" products may not be any more natural than others on the market. Green packaging, suspect ingredients and other marketing tools are used to lure the customer into believing that the product is superior quality.
Natural Cosmetics are not necessarily "Natural"
Las Vegas, Nevada (PRWEB) June 19, 2013
Dr. F. Victor Rueckl held a news conference today in Las Vegas at Lakes Dermatology. His concern is that many manufacturers are appearing to be healthy or green and he expressed deep concern that consumers are being conned.
"With all of the false information on cosmetics labels it can be very difficult to determine which products are safe, which brands are handing the consumer a line and which ones will deliver results. The latest buzz in cosmetic advertising and marketing is to appear “all natural” or healthy without actually being any of those things. The packaging is green, the slogans are too and it’s nearly impossible to knows what’s healthy or not," stated Rueckl before his audience.
"The FDA (Federal Drug Administration) oversees cosmetics safety. In reality, cosmetics in our country are extremely under-regulated. For example, out of the over 10,000 cosmetic ingredients available for use, only about 10% have been actually tested for safety. The average person uses around 13 different cosmetic/personal care products daily. That number represents that only 2 of the products one uses regularly has actually passed safety testing. Loose or nonexistent rules on ingredient usage and labeling rules make safety in cosmetics a bit of a toss up," he went on to say.
"It's actually quite simple:Truly Natural Cosmetics Will Show ALL the Ingredients," Rueckl continued.
"The good news is that consumers can protect themselves by learning to read cosmetic labels and choosing which types of products are right for them," said Dr. Rueckl. "Ingredient listings can be confusing, and even misleading, but that is a red flag in itself. If a brand does not disclose a full ingredient listing for each of their products, the concerned consumer should be skeptical of the product's safety. A manufacturer creating safe, nontoxic products should be proud to display exactly what is in each product, in easy to read type", Rueckl stated.
"'Fragrance' or 'parfum' is actually an umbrella term for the dozens of ingredients that beauty manufacturers use to make a product's scent. Don't be fooled if the product is labeled "unscented"; “manufacturers use fragrance to mask any undesirable natural scents”, says Anne Steinemann, Ph.D., an environmental scientist and professor of public affairs at the University of Washington, who studies fragrance in consumer goods.
"Since these formulations are considered "trade secrets" under FDA cosmetic-labeling regulations, companies aren't required to list them all on the label. Dr. Steinemann's research suggests that as many as 30 percent of consumers are allergic or sensitive to fragrance ingredients; to avoid them, look for products labeled "100 percent fragrance-free" and double-check that you don't see the words fragrance or parfum anywhere on the list of ingredients," continued Dr. Steinemann.
Dr. Rueckl then said, "Most companies who use natural scent ingredients will say so on the product label or on their website. If that info is not readily available, give it the “sniff” test. Smell too strong to be natural? It’s probably synthetic."
According to Dr. Rueckl there are many ingredients to avoid.
"It would be nice if consumers had an easy to read and universally agreed upon list of cosmetic ingredients to avoid. The problem is that these ingredients go by several names and many manufacturers are efficient at hiding them in their ingredient listings, making them hard to read or just plain confusing," Rueckl continued.
"The United States has banned only 11 ingredients for use in cosmetics since the FDA began regulating personal-care products in 1938. The European Union, by contrast, has banned or restricted the use of some 1,100 ingredients known or suspected to cause cancer, genetic mutation, reproductive harm or birth defects. Many global beauty manufacturers formulate products without those ingredients for the European market, but sell products containing those same ingredients in the U.S. For more information about which ingredients may pose the most risks, visit the "Chemicals of Concern" page at the Campaign for Safe Cosmetics' Web site," Rueckl further continued.
Dr. Rueckl then explained, "The first ingredients listed on a product label are what the cosmetic contains the most quantity of or the base of the product. Check to see if the product is petroleum or mineral based, or if it is made of synthetic cleansers (usually sodium lauryl sulphate or something with “eth” in the name). Toward the end of the list will be any synthetic preservatives."
“I have seen many products who actually have a pretty clean ingredient list only to find preservatives as the last few listings. Preservatives are very important to certain products. Without them water-based products could grow bacteria, which is definitely not healthy. But there are safe preservatives out there,” said Dr. Rueckl.
"Natural beauty products don't necessarily perform better than standard cosmetic products, but they do tend to use sustainable ingredients and are therefore more beneficial to the environment than synthetic products," Rueckl said.
"Remember, though, that there's no hard-and-fast rule about what a "natural" brand has to do, so a concerned consumer will have to do some homework. Some good signs: that a company uses recyclable or biodegradable packaging made from re-purposed or recycled materials; that its manufacturing facilities are wind- or solar powered; or that its ingredients are mostly biodegradable and won't pollute waterways when you wash them off in the shower," Dr. Rueckl explained.
"If one cares about the environment and wants to reduce their own carbon footprint, these are all good reasons to choose natural, eco-friendly brands over their conventional counterparts. Natural brands that are committed to producing safer cosmetics have worked hard to find better alternatives to the many potentially toxic synthetic ingredients (such as formaldehyde, phthalates and parabens) found in many standard beauty-product formulations. But make sure that the natural brand of choice has figured out a way to protect the purity of its ingredients and give them a longer shelf life without synthetic preservatives, or those chosen favorite products could be breeding grounds for bacteria," Rueckl further explained.
"When formulators have to remove standard preservatives and use only naturally based ingredients to create all natural products, they increase the chance that the cosmetic will be contaminated and could cause disease," Rueckl warns. "Remember that disease-causing microbes are natural too." Some natural brands solve this problem by using inert minerals (which don't offer a hospitable environment for bacteria); others' products may simply have a shorter shelf life or even require refrigeration — akin to the way that you can't keep whole, fresh foods around as long as preservative-laden packaged goods."
Essential oils are a whole other subject and here's a link to a website that regularly updates dangerous oils to avoid or use with caution:
For more information about natural cosmetics, contact Lakes Dermatology at 702-869-6667. Be sure to download the list of dangerous ingredients to avoid.
Dr. F. Victor Rueckl Receives the RealSelf 100 Award for Online Commitment to Patients
Las Vegas doctor receives honor for his dedication to education on RealSelf - the world’s largest consumer source for cosmetic surgery information.
Las Vegas, NV (PRWEB) April 12, 2013
Local dermatologist, Dr. F. Victor Rueckl has been named one of 100 doctors to be included in the RealSelf 100, out of more than 5,000 Board-Certified plastic surgeons, dermatologists and licensed cosmetic dentists. The award from RealSelf, the world’s largest consumer source for cosmetic surgery information is granted to Dr. F. Victor Rueckl for his commitment to ensuring millions of consumers make informed decisions about cosmetic procedures.
A native Nevadan, Dr. F. Victor Rueckl, M.D. is a board-certified dermatologist and skin cancer surgeon. After obtaining a Bachelor of Sciences degree from the University of Southern California, Dr. Rueckl attended medical school first at the University of Nevada School of Medicine in Reno, and finished his degree at Tufts University School of Medicine in Boston, Massachusetts. After obtaining his degree, Dr. Rueckl moved to Santa Barbara, California, where he did an internship in internal medicine. The following year, Dr. Rueckl decided he wanted a more specialized field and applied to Brown University School of Medicine in Providence, Rhode Island. He was accepted into his first choice – dermatology – and obtained his specialized degree in 1982. Immediately following graduation, Dr. Rueckl moved to Southern California to complete a fellowship in Mohs surgery at UC Irvine School of Medicine.
Upon completion of schooling, Dr. Rueckl moved back to his hometown in Reno, Nevada and opened a private practice for dermatology and Mohs cancer surgery. Dr. Rueckl kept his private practice in Reno until 1996. Soon after, he moved to Bakersfield, California to work for Kaiser Permanente and run their dermatology department. After a few years, Dr. Rueckl decided he wanted to re-enter private practice and moved to Las Vegas to open Lakes Dermatology. He subsequently added to that practice by starting The Spa at Lakes Dermatology in May 2005.
Dr. Rueckl is board-certified by the American Board of Dermatology and the American Society for Mohs Surgery. He is also a fellow in the American Association of Cosmetic Dermatology. He has been licensed in Nevada since 1981. Dr. Rueckl obtains numerous certifications and attends trainings each year to stay abreast of changes and innovations in the cosmetic dermatology field.
"I am so pleased to receive this incredible award and will continue to keep my clients and residents of Nevada informed about their skin care. We have truly enjoyed working with RealSelf, as we believe they perform a very necessary and informative service to patients seeking medical care," stated Rueckl upon hearing of his award.
Through participation on RealSelf, Dr. F Victor Rueckl is helping prospective patients make confident decisions about cosmetic procedures they are researching. Dr. Rueckl has been reviewed by many patients on RealSelf.com and maintains a strong score of 4 out of 4 stars.
“Our Top Doctors are at the forefront of change in terms of how patients and physicians interact,” commented RealSelf CEO Tom Seery. “The amount of expertise and time they dedicate to the RealSelf community is unbelievable and, as a result, they have patients walking into their office with a level of trust already established. We hear anecdote after anecdote about patients feeling like they know their doctor because of interactions that began on RealSelf.”
For more information on Dr. F. Victor Rueckl, please visit Lakes Dermatology, 8937 West Sahara Avenue, Suite B, Las Vegas, Nevada 89117 or call 702-869-6667, and for the full list of RealSelf 100 Award winners, visit http://www.realself.com/in-the-news.
Do It Yourself Sunscreens Are A Very Bad Idea and Can Be Dangerous To Your Health, According to Lakes Dermatology Today
Sunscreens contain nano-particles that actually block the sun's rays. A Do It Yourselfer cannot control these substances in their kitchen or bathroom.
Las Vegas, Nevada (PRWEB) April 12, 2013
Sunscreen is a vital practice for preservation of one's skin especially for anti-aging purposes and prevention of skin cancer. While spending hours clicking through do-it-yourself projects on Pinterest, it was recently discovered that a very dangerous practice is taking place; homemade sunscreen recipes that made Dr. F. Victor Rueckl, dermatologist at Lakes Dermatology stop scrolling immediately.
With concerns about health risks associated with chemical sunscreens, it's no surprise that people are creating "natural" alternatives. Kitchens and bathrooms have become labs as ingredients like coconut oil, rosehip seed oil, shea butter, zinc oxide and titanium dioxide (the last two are well-known physical UV ray blockers) are mixed up for sun protection. But does "Do It Yourself" sunscreen really work? And how do you even measure its SPF levels?
Do-it-yourself is great... but not for sunscreen. "One of the explanations people use for DIY sunscreens is that they don't want to pay 20 bucks for on-the-shelf products," says Dr. Rueck of Lakes Dermatology in Las Vegas. "Though there are actual UV-blocking ingredients that one can purchase online, there is a chemistry and an art to making sure they are stable and safely mixed and possess the amounts necessary for true skin protection," he continued.
Dr. Rueckl explained that FDA regulations are very rigorous largely in part to testing measure companies employ in order to advertise a product as sunscreen. "There are SPF, water-resistant and hypoallergenic variables that I wouldn't recommend people trying in order to save a few dollars. It's worth paying for quality production, ingredients and preparation."
Be wary of DIY sunscreen SPF value charts.
Dr. Rueckl believes that there is no real good way to test SPF levels at home either, so why take the chance of not having the protection you need and desire?
"It's not simply throwing the ingredients into a bowl and stirring with a spoon. The appropriate measurements need to be present or the active ingredient will likely end up in a clump at the bottom of your mixture and you won't have enough sunscreen to protect your skin," says Dr. Rueckl. "You could even end up with a formula that is uneven and blotchy with some areas of the body getting enough protection and others not at all."
When it comes to sun protection, you can't go wrong with common sense.
Allergic reactions to chemicals found in traditional sunscreens have been used as an argument for not wearing it at all or going the DIY route. However, Dr. Rueckl warns that the risks of not wearing the appropriate sunscreen correctly, outweighs wearing it by far.
"Any substance can irritate the skin. There are people out there who have an allergic reaction to cotton, latex, detergents, rubber, nickel or gold. If you try a sunscreen and it irritates your skin, stop using it and pick a different brand," says Dr. Rueckl."In the past, a lot of the carrier chemicals and preservatives in store-bought sunscreens included PABA, or para-aminobenzoic acid, which was known to form rashes. But many of the do-it-yourself sunscreens have oils in them and their preparations can cause breakouts and bumps and create a worse problem than sunburn."
Dr. Rueckl's final words of advice: "When you're outdoors doing the things you enjoy, it's important to wear sunscreen every day, all day. Many applications of the product during the day works best and remember, even if the weather is overcast, still apply sunscreen. There is no scientific evidence that a particular brand or type of sunscreen works better than others. But the best sunscreen is actually the one you are actually going to wear." (Preferably, one that's SPF 30 or greater, has some water resistance and is easy to apply every two to three hours or after getting wet.)
If you would like more information about skin care, sunscreens and skin products, contact Dr. F Victor Rueckl at Lakes Dermatology. http://www.lakesdermatology.com 702-869-6667
Lakes Dermatology Annouces Installation of Only INVASIX Facial and Body Tightener System in NevadaThe best skin tightener in the business is now at Lakes Dermatology, Las Vegas, Nevada!
Fractora at Lakes Dermatology"I have never been so excited about any product or procedure before. We are seeing such remarkable results in all our patients that have tried the procedure," stated Katie Rueckl, manager of Lakes Dermatology, Las Vegas, Nevada.
Las Vegas, Nevada (PRWEB) April 01, 2013
Rejuvenate & Restore Skin with a Versatile Fractional Skin Treatment for your whole body and face.
Fractora, by Invasix, is the most advanced fractional radio-frequency treatment providing anti-aging improvements on skin tone and texture for a more radiant appearance through ablation and skin resurfacing. There are several attachments to this machine that make it a skin-tightening miracle worker. No matter one's concern, this machine appears to be the answer.
Lakes Dermatology installed a Fractora system (and other modular attachments for tightening the whole body and face) by Invasix last week and has seen remarkable results already. Fractora delivers RF energy to the skin through an array of pins producing localized heat and small micro-lesion dots in the treatment area. The gentle heat generated by the Fractora pins in the sub-dermal tissue promotes collagen restructuring for skin rejuvenation and an improved appearance in the skin. The methodical scattering of micro-lesions allows the skin to heal faster than if the entire area was ablated.
Dr. Rueckl of Lakes Dermatology can offer a versatile fractional treatment that provides non-ablative to minimally ablative results up to 1mm in depth.
Dr. Rueckl was specifically asked by Invasix to utilize this equipment in his practice as he has been a primary leader in the field of lasers and their results. Very few physicians have the knowledge and experience in this highly important field of skin tightening. Dr. Rueckl has performed more treatments than any other dermatologist in Las Vegas. The procedure can be done by the technicians as a lower-energy series, or by Dr. Rueckl, with a higher-energy setting, so one can really customize downtime after the procedure.
Fractora can be used in areas that demonstrate fine or deep wrinkles, scars or discolored red and brown skin tone. The most common areas of treatment are the lower eyelid, upper eyelid, smile lines, cheeks, mouth and neck.
RF energy heats the skin in a controlled schema to remodel deep collagen and improve the appearance of the skin. Histological studies show that skin ablation can reach a depth of 1mm with a coagulation zone of up to 100 microns around the crater. During treatment a controlled ablation zone is surrounded by coagulated tissue. Active phagocytosis indicates healing at five days post treatment and new restructured collagen is observed in the deep dermis.
The benefits are many, but here are just a few:
*Versatile parameters which can be tunable for light or more intensive fractional resurfacing
*Reduces appearance of wrinkles
*Addresses fine lines, deep lines, texture and pigment irregularities and redness.
"I have never been so excited about any product or procedure before. We are seeing such remarkable results in all our patients that have tried the procedure," stated Katie Rueckl, manager of Lakes Dermatology, Las Vegas, Nevada.
The equipment has been found to be really great for acne scars as well. Lakes Dermatology has treated 3 patients to date. One patient had Fraxel with minimal results, and one had a series of Matrix before, and one had deep pock marks all over. To date, all have stated that the results are amazing and can already see dramatic improvements. The equipment has a pin tip that goes deep enough to actually treat deep pock marks and greatly improves the face immediately with little downtime and pain.
The procedures were demonstrated on the Dr. Oz show recently and are truly remarkable. Dr. Anthony Youn was demonstrating the effectiveness of the Fractora and another attachment called Firm and one can see clearly the immediate lifting effect after only one treatment.
For more information, prices and a discussion of your skin, call Lakes Dermatology at 702-869-6667.
Botox or Faux-tox? Can You Really Stop Aging with a Cream?
By Jackie Burns | February 14, 2013
From the moment we see that first dreaded wrinkle on our delicate skin, our beauty product stash morphs from an acne-fighting armory to an anti-aging arsenal. So it’s no wonder Global Industry Analysts reported that the Global Anti-Aging Products Market is projected to reach $291.9 billion by 2015. One of the latest-and-greatest “stop-aging-miracle” ingredients that has made its way onto the market as a so-called “liquid Botox” is a peptide called Acetyl Hexapeptide-8 (AH-8 or Argireline©). Like Botox, AH-8 weakens the muscles, and, in turn, reduces wrinkles; however, unlike Botox, AH-8 is available in creams and not as an injection, making it very appealing to anyone fearing needles or who is averse to injecting botulinum neurotoxin into his or her face. But is this peptide too good to be true? We got the dish from board-certified dermatologist F. Victor Rueckl, M.D., of The Spa at Lakes Dermatology in Las Vegas, Nevada.
Myth or Miracle?
While many have been calling AH-8, “liquid Botox,” Dr. Rueckl doesn’t buy it. “It is impossible for something topical to ever be as effective as something injected. The muscle simply doesn’t have the ability to absorb something applied on the skin versus something injected directly into the muscle,” he says. Dr. Rueckl went on to bring up other Botox-alternative claims from products in the past.
“Remember Strivectin from several years back and its claim: ‘Better than Botox’? No, quite simply, it wasn’t even close.” While Strivectin doesn’t contain AH-8, Dr. Rueckl points out that most companies are just trying to sell us a product, so by using words and terms that we all know to work, like Botox, they can at least get us to dish out our money to give it a try. “No one will probably repurchase it, but it will drive sales initially,” he adds. Side note: Dr. Rueckl shared that Strivectin was, in fact, sued by Allergan, the manufacturer of Botox, for claiming it was in any way similar. And more so, Allergan will not allow any AH-8 products to have the name “topical or liquid Botox.”
Ok, fair enough that AH-8 cannot possibly have the immediate and lasting effect (up to four months) of injectables like Botox, but can it provide a viable supplement to injections, or would it work in between visits to maintain a wrinkle-free face? “[AH-8] may help with thinner-skinned areas like crow’s feet, but it won’t help with larger muscles or areas like the forehead or glabella. It simply won’t be potent enough to alter those muscles,” explains Dr. Rueckl. (The glabella is that tiny space between our eyebrows and nose that tends to be a prime location for wrinkles, and yes, I totally had to Google it.)
Dr. Rueckl also expressed that his main concern wasn’t so much that AH-8 wouldn’t work as a topical anti-aging ingredient, but rather that consumers would misuse it.
“Botox is a medical device that needs to be used by professionals only,” he says. “Many people tend to overuse products, and so if something says it’s ‘like Botox,’ I’m concerned with where or how much people will use. A lot of people hate lines around their mouths, and they often think Botox can work there. But if injected with too many units or improperly, the mouth simply won’t function correctly. That means that you couldn’t eat, smile, drink, or even talk properly. So a product that in any way can inhibit muscle function, applied topically at home, screams to me that we are going to have problems with people overusing it or putting it on [the wrong areas].” Scary stuff!
Keep in mind, there is no set dosage amount for AH-8 at this time so while some products contain 10 percent, others can contain 100. “What consumer is going to know or understand the difference in those and what effect might different concentrations, or other added ingredients, have?” Dr. Rueckl continues. “It’s simply unknown, and could be terrible.”
If you’re set on trying out AH-8 creams instead of going for the injectable alternative, you should expect less than a 30 percent change, and likely only in a thin area like your crow’s feet, depending on the cream’s concentration of AH-8 and proper usage, Dr. Rueckl says. As well, “it would probably take a minimum of 30-45 days to see change. This is the most common amount of time it takes for changes to begin when using topical products of any kind,” he continues.
Out of curiosity I asked Dr. Rueckl if there were any other topical cream or gel ingredients that would give similar results to commonly used fillers—for instance, Juvederm, which has proved to give lips a plumper, more youthful appearance—and if, in his experience, there were “natural” products that could be as effective as chemical ones. “Hyaluronic acid, what Juvederm and Restylane are made of, is a natural product. It’s found in every human’s body. So it’s about as natural as you can get,” he tells us. Many consumers don’t realize that while products marketed as “volumizing” lip treatments, including Juvederm and Restylane, do contain things that are “natural,” these products are still made in labs, so they are, in fact, chemical versions of natural products. In fact, lip plumpers specifically aren’t actually volumizing our lips at all. “They contain ingredients that cause immediate swelling; think of a bee sting,” Dr. Rueckl says. “So no volume is actually being changed or added—it’s simply swelling to an irritant, and it goes away quickly.”
We’re in the process of trying out a few AH-8 creams (safely) and will be sure to post our findings. So if you’re interested in the so-called “liquid Botox” to stop aging, be sure to come back and read our results.
What are your thoughts on AH-8? Let us know!
Lakes Dermatology Announces Hyaluronidaise, An Injection That Reverses the Adverse Effects of Badly Injected Facial Fillers
Finally, a product that reverses a bad filler procedure that works immediately.
Las Vegas, Nevada (PRWEB) February 25, 2013
Dr. Rueckl of Lakes Dermatololgy explained that many patients arrive at his office with less than desirable results after receiving filler in all the wrong places. "My lips look ridiculous. Is there anything you can do?" questioned a recent patient. Overfilling or misplaced filler can result in a misshapened cupids bow or nasolabial fold (parenthesis next to nose and lips).
Lakes Dermatology, Las Vegas, Nevada Introduces Hyaluronidase
Making adjustments to fillers is nearly as much as an art form as injecting fillers to begin with. Because of his surgical skill and his artistic cosmetic abilities, Dr. Rueckl is often sought after to fix fillers gone awry from other injectors. There are issues, particularly in Nevada, with under-experienced injectors doing fillers, which can lead to various problems including over- or under-filling, putting fillers into the wrong facial contours, using the wrong types of fillers, blocking blood flow, and generally creating odd looks. It is the opinion of Lakes Dermatology that one should always seek a board-certified core injector for fillers, Do not shop for the cheapest price, but instead, the most experienced physician. All filler injections and adjustments to fillers are done by Dr. Rueckl at Lakes Dermatology.
Dr. Rueckl is skilled at doing many types of corrections. Hyaluronidase only works on fillers that are composed of hyaluronic acid. In cases where the patient doesn't have hyaluronic acid filler, but instead have RADIESSE®, Sculptra, or even silicone, Dr. Rueckl has surgically removed and corrected many issues with these. A consultation would be needed for this type of procedure because each case is unique. However, if the patient has had hyaluronic acid fillers, like Restylane®, JUVÉDERM®, Belotero, or others, hyaluronidase is an injectable enzyme that breaks down these types of fillers with a more simple procedure.
What is hyaluronidase and what does it do?
Hyaluronidase is an enzyme (compounded by special pharmacies) that causes hydrolysis (breakdown) of hyaluronic acid. It is often referred to as a reversal agent for hyaluronic acid-based fillers. When the enzyme is injected it dissolves the synthetic hyaluronic acid filler, leaving the patients own hyaluronic acid intact.
In some cases, for full correction of fillers, Dr. Rueckl may recommend fixing a patient's filler by adding another syringe(s) of filler into one area, and removing some filler from another. This is recommended when filler is placed into the wrong area to begin with. One cannot have additional filler added and get hyaluronidase on the same day—the enzyme doesn't know which filler is new and which is old, and it will start dissolving both. Therefore, if you need more filler added, as well as some taken out, multiple visits will be required. This is often the case with filler correction.
Where is hyaluronidase used?
Hyaluronidase is used to dissolve hyaluronic acid fillers that have been placed incorrectly, excessively, or unevenly. It is injected into the same locations where the filler already is. It does not remove all of the filler entirely, and Dr. Rueckl will decide how much hyaluronidase to inject based on how much filler needs to be removed.
What is a hyaluronidase treatment like?
Hyaluronidase is injected, along with lidocaine (and sometimes epinephrine), into the area where the filler needs to be dissolved. The injection is very easy for most people to tolerate, but it can sting a bit, so the lidocaine is used for numbing purposes to alleviate this sensation.
There have been a few reports that some people may have an allergy to hyaluronidase, which happens to those who are allergic to bee stings. "We have never had anyone have an issue with hyaluronidase injections in this office. The most common side effect is bruising, which can happen with any type of injection. Bruising should resolve within a week or two," stated Rueckl.
The most difficult aspect of using hyaluronidase is judging the amount required to dissolve a certain amount of filler, so over- or under-dissolving can occur, which means the patient may need to return to the office for follow-up procedures. Remember that it's nearly as much of an art to remove filler as it is to inject it in the first place.
Hyaluronidase works very quickly, with most of the effect taking place within 24 hours. The patient should be able to see defined improvement and less filler in the area injected, beginning within a few hours.
After a few days if the patient still has areas that need correction, that patient can see Dr. Rueckl for another round of hyaluronidase, or for additional syringes of filler to be added. Remember that the patient cannot have hyaluronidase done and additional filler added into the same area, on the same day.
How much does a hyaluronidase treatment cost?
Each round of hyaluronidase costs between $100-$200 for the enzyme injection, depending on how much is needed. It may require more than one session to achieve adequate filler dissolving. Adding any additional fillers would cost the regular prices of those syringes, on another day.
For more information, contact Lakes Dermatology 702-869-6667.
Lakes Dermatology Announces the Addition of The Soprano XLi for Virtually Painless Hair Removal Today
The Soprano XLi delivers constant energy for stronger, faster and less painful hair removal treatments.
Las Vegas, Nevada (PRWEB) February 22, 2013
A virtually painless diode laser hair removal machine has been installed at Lakes Dermatology today in Las Vegas, Nevada.
Laser hair removal is the #1 non-invasive aesthetics treatment available today with an estimated growth rate of 18%. With nearly 3.1 million laser hair removal treatments performed in 2006 alone, hair removal is one of the most desired treatments in cosmetic dermatology practices.. While there are many methods to eliminate unwanted hair, very few can eliminate hair regrowth while leaving the surrounding skin undamaged. And photoepilation is quickly becoming the most popular. Lasers and light sources use the principle of selective photothermolysis to eliminate hair and its potential regrowth without damaging the surrounding skin. During a laser hair removal treatment, light passes through the skin and is absorbed by the melanin in the hair shaft. This absorption raises the temperature of the hair follicle and thermally destroys the cells responsible for regrowth. The attributes of the light (wavelength, pulse duration and power) are chosen to ensure damage to these cells and not to the rest of the skin.
The Soprano®XLi, that was installed this morning at Lakes Dermatology, with its SHR mode solution enables their technicians to provide Alma's patient-friendly Pain-Free, Hair-Free hair removal procedures. SopranoXL uses 810-nm diode laser technology, the gold standard in laser hair removal since its introduction in 1998. Unlike earlier systems, however, SopranoXLi energy penetrates deep into the dermis (where the hair follicle is located) with high average power and a rapid 10 pulse-per-second repetition rate.
The unique pulse structure of SopranoXL incorporates two discrete pulses. The first is a preheated long pulse that safely heats the tissue; the second short pulse effectively destroys the hair follicle and its surrounding vasculature.
For more information about this product, call Lakes Dermatology 702-869-6667 in Las Vegas, Nevada.
Acne Treatment, Isotretinoin (Accutane) Is Completely Safe and Offers An 85% Cure Rate, According To Lakes Dermatology's Dr. Rueckl Today
"Accutane" (isotretinoin) must be administered by a dermatologist and monitored on a regular basis for total effectiveness.
Las Vegas, Nevada (PRWEB) December 31, 2012
Acne is one of the most frustrating conditions for people of all ages. While many people think of it as a “teenage problem”, people can get acne at any age, and any point in life. And no matter what age it comes, people want it to go away fast.
"Considering the chronic nature of many patients’ acne, Accutane (isotretinoin) is truly one of the best medications in all of medicine. It cures acne. Most medications for chronic diseases suppress the disease or symptoms. These medications are usually taken for the patients’ entire lives. There are many examples of medications like this including high blood pressure and high cholesterol. Accutane isn’t like these medications in that it only needs to be taken for a specific amount of time to achieve a cure rate. Many other acne medications, oral and topical, treat only active acne – and sometimes not all that effectively – so the cure rate doesn’t exist. If patients stop these types of medication, the acne returns. Accutane cures acne," stated F. Victor Rueckl, M.D., Board-certified Dermatologist in Las Vegas, Nevada.
“Accutane came out in the early 1980s, and I have been using it to treat acne for 30 years. It is by far the most effective treatment for acne. Essentially it always works. Occasionally patients need a second or even third course but if taken in the proper doses it cures acne in 75-85% of patients with one course of treatment,” says Rueckl.
Not all dermatology offices will prescribe Accutane. The Federal government became involved in the ability to dispense Accutane about seven years ago, implementing the iPledge Program. This program requires strict oversight from physicians, monthly patient visits, monthly pregnancy tests for females of childbearing potential, and dispensing of the medications by pharmacies within a tight time frame. Some offices simply don’t have the time or ability to handle all that’s required with the program, so they look to other medications that are less strict. “It’s a hard, but necessary program to comply with,” says Rueckl, “While there are specific steps and procedures, I’m willing to do them and willing to make my patients stick to them because the medication is simply worth it," Rueckl continued.
"Another problem with Accutane is the cost. Pharmacies charge $300-$800 for a one month’s supply of isotretinoin. There are different brands of isotretinoin, and some can be as low as $10 a month with insurance, but the cost can be a hindrance to those without insurance. Isotretinoin brands include: Sotret, Claravis, Roaccutane, Amnesteem, Absorbica, and others. The brand-name Accutane is no longer in production," Rueckl explained.
The third issue stated about Accutane is the severity of side effects. In the past years there have been hotly publicized legal cases against the manufacturers of isotretinoin medications regarding Crohn’s disease, bowel problems, liver problems, and depression. Dr. Rueckl states, “Do people with acne have depression? Absolutely. They come into my office devastated because they have acne. By the time they’ve finished the Accutane regimen, they are happy, healthy people again. But acne is simply devastating.” New research has shown that the link between the other stated issues and isotretinoin may have been incorrect and overstated as well. “I’ve been on Accutane myself over the years; I’ve put all of my children on it and many of my family members,” Rueckl comments. “I wouldn’t do anything to harm any of them or myself, or any of my patients. Isotretinoin leaves your system quickly if you stop taking it; there aren’t long-term side effects because the medication itself has a half-life of a single day.” The skin side effects that all physicians will agree exist are dry skin (use a good moisturizer every single day, multiple times a day), dry lips (use Dr. Dan’s Cortibalm with hydrocortisone in it), sunburns (apply a good sunscreen every day, no matter what), and dry eyes (any saline drops will help re-moisturize the eyes). And finally, fetal deformities absolutely occur if women become pregnant while taking isotretinoin. Females must remain on birth control or be abstinent while taking isotretinoin and for 30 days after.
One final and critical condition of Accutane’s effectiveness is patient compliance. Patient compliance is always a hotly discussed topic amongst physicians, and it’s key with isotretinoin as patients need to get a specific mg of the medication over a specific timeframe, or the regimen is ineffective. Rueckl commented, “I use a total dose of 1mg per kilogram of weight per day calculated for a 20 week course (5 months). However since I live in Las Vegas where the humidity is extremely low, I give my patients the total dosage over 7 to 10 months instead of 5. Extending the course makes the side effects much more tolerable.” Other physicians are of the mindset to get as much medication in over the shortest amount of time, but this can lead to patients not liking side effects, stopping follow-up visits, and thus not getting a full course of the medication. “Often times I see patients who started on an isotretinoin course with another physician and come to me a year or so later. They will state they tried Accutane and it ‘didn’t work’ but the truth is that they didn’t do a full course because they got an initial breakout that scared them, they hated the drying side effects, they just weren’t compliant” says Rueckl. “It’s a fine line that we walk as prescribing physicians between what will work and what a patient will tolerate. Accutane is a great medication, but only if people are taking it as prescribed.”
For more information about acne and various cures and remedies, contact http://www.acne.org. Their most recent blog is all about Accutane as well.
BEWARE of Dermatology Products You Buy on the Internet, According to Dr. Rueckl, Lakes Dermatology, Las Vegas
People are performing dangerous peels, wart removal and hair removal without the guidance of a dermatologist and it can lead to scarring and more.
Las Vegas, Nevada (PRWEB) September 28, 2012
"One can buy insanely strong peels online especially eBay. In the past month, we've had 3 different people in with severe, possibly permanent burns that will lead to scarring, from things they bought online. One person's product label told her to apply cool water after use, when in all actuality, that drives this kind of peel in deeper if you don't combine it with baking soda first," reports Dr. Rueckl of Lakes Dermatology in Las Vegas. He continued, "Plus people think if something is like 70% instead of like 30% that's better - when actually the 30% could be deeper and stronger depending on the chemical and its other ingredients. People are budgeting their money, which is great, but buying things that are dangerous and shouldn't be allowed." Everyone has different skin and needs and the dermatologist will look at the patient's skin and determine what is best.
At Home Hair Removal Kits
"We had a patient in this summer who bought a home hair removal device that has a maximum of 7 joules. But medical office units have 50 joules, so she was upset she wasn't getting good results and so she started using it everyday, multiple times. Unfortunately she was hoping to remove hair in her private areas and she now a a very blistered and uncomfortable area."
Rueckl also stated, "People think that just because it's online it's 1. true and 2. safe, and it's just not. There are reasons we don't put chemicals on people's faces - and they're doing it at home.Don't risk serious injury to save a few bucks. This is one place where it is wise to consult the professionals."
"The "at-home" companies are NOT going to tell you what your results will be. They can't. If the company is allowing you to do it at home, it must be safe. Right? Dead Wrong! However, if something bad does happen. and with the help of the "professionals" you tried to avoid, you can most often return to the norm, Why take a chance scarring your beautiful face and besides that, there are many other great treatments that work quickly and deliver better results," continued Rueckl.
Moles & Warts
"We have had people tell us that they used Apple Cider, Aloe Vera and Dental Floss tied around the base of the mole. A mole or wart has a great deal of growth below the skin and while you might be successful, not for long. That wart or mole must be removed below the surface of the skin to be successful. And I tell many of my patients not to bother, as some will leave scars," said Dr. Rueckl.
"Some moles are actually warty growths called seborrheic keratoses. Dermatologist treat these by freezing or burning them off. True moles (nevi) cannot be removed except by surgery. Beware: surgery on the chest leaves some of the worst scars of any area on the body, so sometimes it is better to keep the mole, unless your dermatologist is worried about malignancy. Evaluation First: Moles should be evaluated by a dermatologist. If the dermatologist determines that it is indeed a mole, then the question comes up what to do about it. After years of experience we can usually determine immediately what needs to be done, We can then determine whether the mole is suspicious enough to warrant its removal."
"Based on this knowledge the dermatologist may advise you to have the mole excised. There are principally three options: a shave excision, a punch excision or a regular surgical excision. In a shave the dermatologist will tangentially cut the mole off with a sharp scalpel blade. No sutures required. In the punch biopsy, the dermatologist will use a small cookie-cutter apparatus and twist the mole plug out. One or two fine sutures follow. If the mole is larger a surgical excision will be performed. Have the dermatologist determine if the mole is benign first before trying any crazy at home methods. You could be playing with fire."
Botox, Silicone & Fillers
"I am just going to set the record straight. You are not buying legal Botox, Silicone or Fillers on the internet. Allergan, the manufacturer of Botox and Juvederm ensures that only physicians and physician licensed offices receive these drugs. If someone offers to sell you these products they are most probably out of date and will not create the look you want. Secondarily, you may remember where your doctor injected you, but did you remember the depth of the needle or amount of product he injected? Probably not. You can get yourself into a big problem with these drugs and I urge you to seek professional assistance for these anti-aging products," Rueckl urged.
Lakes Dermatology Announces Newest Treatment Options For Hyperhidrosis (Sweating)
Eliminate Embarrassing Sweating Problems, Virtually Overnight!
Are You Embarrassed by Uncontrollable Sweating?
"This treatment [Botox] is effective within just a day or so, and will last up to a year for most people."
Las Vegas, NV (PRWEB) September 17, 2012
Humans have 2 million to 5 million sweat glands, with an average density of 150 to 340 per square centimeter of skin, a space about one-third the area of a dime.
Hyperhidrosis is a medical condition in which a person sweats excessively and unpredictably. People with hyperhidrosis may sweat even when the temperature is cool or when they are at rest. This condition is often embarrassing and with today's treatment choices, virtually unnecessary.
Causes, incidence, and risk factors:
Sweating helps the body stay cool. In most cases, it is perfectly natural. People sweat more in warm temperatures, when they exercise, or in response to situations that make them nervous, angry, embarrassed, or afraid. There are areas in the country where it's nearly impossible to sweat, such as in the mountains or desert where the air is so dry the perspiration evaporates before it's an issue. But if you live in Miami, there's just no quick solution. Until now.
However, some excessive sweating occurs without such triggers. Those with hyperhidrosis appear to have overactive sweat glands. The uncontrollable sweating can lead to significant discomfort, both physical and emotional.
When excessive sweating affects the hands, feet, and armpits, it's called primary or focal hyperhidrosis. Primary hyperhidrosis affects 2 - 3% of the population, yet less than 40% of patients with this condition seek medical advice. In the majority of primary hyperhidrosis cases, no cause can be found. It does seem to run in families.
"Medications and prescription antiperspirants like CertainDri can have positive effects," said Dr. Rueckl of Lakes Dermatology in Las Vegas.
Antiperspirants also work. Excessive sweating may be controlled with strong anti-perspirants, which plug the sweat ducts. Products containing 10% to 20% aluminum chloride hexahydrate are the first line of treatment for underarm sweating. Some patients may be prescribed a product containing a higher dose of aluminum chloride, which is applied nightly onto the affected areas. Antiperspirants can cause skin irritation, and large doses of aluminum chloride can damage clothing. Note: Deodorants do not prevent sweating, but are helpful in reducing body odor.
Rueckl continued, "Botox can be used in the scalp for excessive sweating (usually about 75 units or $750) and underarms (usually about 100 units or $1000). I do injections in a grid-like pattern across the area. And a Chiller is used to reduce the pain of the injections along with a topical numbing cream. This treatment is effective within just a day or so, and will last up to a year for most people."
Botox. Botulinum toxin type A (Botox) is FDA approved for the treatment of severe underarm sweating, a condition called primary axillary hyperhidrosis. Small doses of purified botulinum toxin injected into the underarm temporarily block the nerves that stimulate sweating. Side effects include injection-site pain and flu-like symptoms. If you are considering Botox for other areas of excessive sweating talk to your doctor in detail. Botox used for sweating of the palms can cause mild, but temporary weakness and intense pain.
"Botox is really good for people who do several things: 1. lots of work presentations and meetings, where sweating is just plain embarrassing, 2. people who exercise a lot, and 3. people who are on stage - we have some patients who are performers who swear it is the best thing they've done," said Katie Rueckl, office manager for Lakes Dermatology in Las Vegas.
Iontophoresis. This FDA-approved procedure uses electricity to temporarily turn off the sweat gland. It is most effective for sweating of the hands and feet. The hands or feet are placed into water, and then a gentle current of electricity is passed through it. The electricity is gradually increased until the patient feels a light tingling sensation. The therapy lasts about 10-20 minutes and requires several sessions. Side effects include skin cracking and blisters, although rare.
Endoscopic thoracic sympathectomy (ETS). In severe cases, a minimally-invasive surgical procedure called sympathectomy may be recommended when other treatments fail. The procedure turns off the signal that tells the body to sweat excessively. It is usually done on patients whose palms sweat much more heavily than normal. It may also be used to treat extreme sweating of the face. ETS does not work as well for those with excessive armpit sweating.
Medication. Anticholinergics drugs, such as glycopyrrolate (Robinul, Robinul-Forte), help to prevent the stimulation of sweat glands. Although effective for some patients, these drugs have not been studied as well as other treatments. Side effects include dry mouth, dizziness, and problems with urination. Beta-blockers or benzodiazepines may help reduce stress-related sweating.
If the sweating occurs as a result of another medical condition, it is called secondary hyperhidrosis. The sweating may be all over the body, or it may be in one area. Conditions that cause second hyperhidrosis include:
- Anxiety conditions
- Carcinoid syndrome
- Certain medications and substances of abuse
- Glucose control disorders
- Heart disease
- Lung disease
- Parkinson's disease
- Spinal cord injury
- Tuberculosis or other infections
- Support Groups
- International Hyperhidrosis Society, http://www.sweathelp.org
- Call your health care provider if you have:
- Prolonged, excessive, and unexplained sweating
- Sweating with or followed by chest pain or pressure
- Sweating with weight loss
- Sweating that most often occurs during sleep
Sweating with fever, weight loss, chest pain, shortness of breath, or a rapid, pounding heartbeat - these symptoms may be a sign of an underlying disease, such as hyperthyroidism
Dr. Rueckl, Lakes Dermatology Warns, Be Careful Using Over The Counter Products Versus Medically Tested and Prescribed Products
Purchase "Medically Tested" products from a dermatologist to ensure stability and effectiveness. You may be buying product that will produce little or no results.
Dr. F. Victor Rueckl
Quote startMedical products have a different stability factor to them. When Vitamin C products from a store like Target or Walgreens or whatnot are exposed to the air, the Vitamin C becomes chemically altered and its effectiveness is essentially no longer existent -Quote end
Las Vegas, Nevada (PRWEB) August 23, 2012
Dr. F. Victor Rueckl, of Lakes Dermatology, Las Vegas, Nevada is making sure that his patients know what their getting when they buy over-the-counter products.
"Products that are medically tested means often times, skin biopsies are done pre and post use. This shows, down to the molecular level, what's happening and what's working or not. This is why I prefer medically tested products - the proof that they work has been done, and on human skin, not lab animals..."
Rueckl went on to say, "Medical products have a different stability factor to them. When Vitamin C products from a store like Target or Walgreens or whatnot are exposed to the air, the Vitamin C becomes chemically altered and its effectiveness is essentially no longer existent - all from air. Products like SkinCeuticals are stabilized so that they maintain their effectiveness from the first drop, to the last, and they have a shelf life of years!"
"To maximize dollars, cosmeceuticals or pharmaceutical-grade cosmetic products will be a patient's best bet, and they will be available from physician's offices, like your dermatologist or plastic surgeon. Everyone wants to purchase products that improve their skin - tone, texture, discoloration, wrinkles, etc. While there is not one magic product that will work for all your skin's needs, there are ingredients to look for that will maximize your purchases."
Here are just a few:
The effectiveness skincare products depends in part on the active ingredient or ingredients. Here are some common ingredients that may result in more improvement in skin tone, texture, discoloration, and wrinkles.
• Vitamin C. Vitamin C, in order to be stabilized, must also contain L-Ascorbic Acid. While Vitamin C is available in many forms and is relatively cheap as an ingredient, L-Ascobic Acid is more expensive, and therefore products with both, will cost a bit more. However, unstablized Vitamin C loses its potency so quickly that the bottle won't have active ingredients after just a few days of use. Vitamin C antioxidants neutralize free radical damage and protect against oxidative stress - the factors that lead to premature aging, loss of elasticity, and hyperpigmentation. Vitamin C makes sunscreens more effective too. SkinCeuticals makes great Vitamin C products including CE Ferulic, Phloretin CF, and Phloretin CF Gel.
Retinol. Retinol is a vitamin A compound, the first antioxidant to be widely used in nonprescription wrinkle creams. Antioxidants are substances that neutralize free radicals — unstable oxygen molecules that break down skin cells and cause wrinkles. Retinol is less potent than the vitamin A derivative tretinoin, a topical treatment approved by the Food and Drug Administration (FDA) for treating wrinkles. Tretinoin is available only by prescription, but Retinol is available in various over-the-counter and medical skincare products. Avoid vitamin A derivatives if you are pregnant or may become pregnant, because they may increase the risk of birth defects. Retinol helps with fine lines and wrinkles, and promotes quicker cell turnover. Make sure that the Retinol purchased is dispensed in very specific airtight pump containers; they should not be exposed to the air or the Retinol loses potency.
• Hydroxy acids. Alpha hydroxy acids, beta hydroxy acids and poly hydroxy acids are synthetic versions of acids derived from sugar-containing fruits. These acids are exfoliants — substances that remove the upper layer of old, dead skin and stimulate the growth of smooth, evenly pigmented new skin. Because hydroxy acids increases susceptibility to sun damage, one should always wear sunscreen during use. Hydroxy acids which are time released can be used daily, or one can get a more intensive hydroxy peel at a dermatologist's office. Most hydroxy acids are a clear substance and are in the form of a serum, like SkinCeuticals Blemish & Age or Retexturing Activator.
• Coenzyme Q10. Coenzyme Q10 is a nutrient that helps regulate energy production in cells. Some studies have shown reduction in fine wrinkles around the eyes with no side effects. Other studies show that application before sun exposure protects against sun damage. Sometimes referred to as CoQ10, this ingredient is available in some skincare products, but it can be more effective when taken as an oral supplement.
• Copper peptides. Copper is a trace element found in every cell. In products applied to the skin, it's combined with small protein fragments called peptides. Copper peptides enhance wound healing. They also stimulate production of collagen and may enhance the action of antioxidants.
• Kinetin. As a plant growth factor, kinetin may improve the appearance of wrinkles and uneven pigmentation with minimal irritation. It's unclear how it works, but it may help reduce wrinkles by helping skin retain moisture and by stimulating the production of collagen. It may also be a potent antioxidant. There's still more to discover about Kinetin but product lines like Kinerase and ProTherapy are using it in many of their skincare products now.
• Tea extracts. Green, black and oolong tea contain compounds with antioxidant and anti-inflammatory properties. Green tea extracts are the ones most commonly found in wrinkle creams.
Topical pharmaceuticals are drugs that penetrate through the stratum corneum barrier into the epidermis to have a measurable effect on the structure and function of the skin, and to reverse the disease state. FDA approval requires proof of effectiveness by double-blind randomized prospective controlled clinical trials in hundreds of people. The study should be conducted by an independent research group to prevent bias, even though it is paid for by the company sponsoring the drug. Product development costs usually exceed $230 million and take seven to 12 years for approval of a single prescription drug by this New Drug Application (NDA). Safety and stability studies of the products must be completed prior to the final (phase III) clinical trials. Which is probably why most products are not willing to go the distance.
So in the end, take Dr. Rueckl's advice and contact his office if you are in Las Vegas, or contact your local dermatologist for the very best in products that result in good anti aging prevention.
Lakes Dermatology Announces Allergan's New 5ml Latisse in Las Vegas, Nevada
Latisse is available in a larger size, which saves money for women who wish to grow their eyelashes longer and fuller.
Share on TwitterShare on FacebookShare on Google+Share on LinkedInEmail a friend
Long Lustrous Lashes in 12 Weeks
Quote start"There are savings associated with a larger volume of Latisse
The list price in our office of the 5 mL Latisse is $179 which represents $4.20 savings per mL over the previous 3 mL version's list price."Quote end
Las Vegas, NV (PRWEB) August 15, 2012
Lakes Dermatology Is offering Allergan's new 5 mL Latisse. Allergan launched on August 1, 2012, a larger 5 mL bottle of Latisse in the USA. The original sized bottle is 3 mL.
Latisse (bimatoprost ophthalmic solution) is a FDA approved drug to treat inadequate and aging eyelashes.
Approved in December 2008, over 3 million kits have been sold with approximately 500,000 users. It is estimated that 1 Latisse kit is sold every 30 seconds.
The new 5 mL Latisse comes with 140 brushes for 10 weeks of manufacturer suggested usage, as opposed to the 3 mL version which comes with 60 brushes for about 4 weeks of manufacturer suggested usage. At this point, there is a choice to purchase 5ml or 3ml bottles of Latisse. The suggested retail for physicians is $179 for a 5mL bottle versus $120 for a 3ml bottle. But, it's not just the price and volume of Latisse that has changed. The brush to Latisse volume ratio has changed too. Patients now get more brushes per ml than before. There are 28 brushes per mL as opposed to 20 brushes per mL. "I think many patients will appreciate having more brushes - especially those who are using one brush per eye as recommended by Allergan," says Katie Rueckl of Lakes Dermatology in Las Vegas.
The suggested weeks of usage to Latisse volume has changed. For a 5 mL bottle, the usage is suggested for 10 weeks. For a 3ml bottle, the usage is suggested for one month (roughly 4 weeks). With the increased size, there is 67% more volume in the new product.
Rueckl continues, "There are savings associated with a larger volume of Latisse.
The list price in our office for the 5 mL Latisse is $179 which represents $4.20 savings per mL over the previous 3 mL version's list price. Plus, the patients get the added value of having more brushes. At this list price for the larger Latisse, it is the equivalent of buying the smaller Latisse at $107.40 considering only the volume of Latisse. Also, we feel better about selling this larger size, because it really does take about 12 weeks for most women to see the changes to their lashes."
Patient Leslie S. of Nevada also states, "At first I thought I would see a small change, but as if by magic I had long lashes and when you add a little mascara....it's remarkable how different you look. I actually heard that one of my friends had to cut her lashes because they were so long!"
So if you live in Las Vegas, and need the newest size of Latisse, give Lakes Dermatology a call. They are one of the first offices to offer this new product