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How young is “too young”, to use retinol? Interview w/ Dr. Solomiya Grushchak, MD, FAAD, FACMS

Particularly in the last couple years we have seen content creators on the mobile app TikTok inspire a number of cultural trends among all ages everywhere. Because of advancements in dermatology and the reach social media has, the beauty & aesthetic industry has exponentially grown. Beauty influencers can be attributed to this growth because they’ve built their followings reviewing everything from skincare products, to makeup, to the latest aesthetic treatments [ which then can become trendy ]. Many dermatologists and estheticians have also created followings on social media by reacting to product or aesthetic treatment reviews to state if what the original creator does is safe and effective, or not. Now, we are seeing children be influenced by this type of content to want whichever trendy product their favorite creator enjoys. Unfortunately, not all viral skincare is suitable for children or pre-teens. The office of Assemblymember Alex Lee states, “Young children exposed to this content are driven to buy trendy products, including anti-aging skincare, that are targeted to adult skin concerns, without receiving proper information about the effects or science behind the skincare.” No matter your age, it is important to cleanse & protect your skin with sunscreen. But how young is too young to be using anti-aging skincare? As people have studied dermatology and the importance of sunscreen, it has become cultural to incorporate a skincare regimen into their daily lives for healthy, clear skin. Traditionally the skincare industry created their products for adults to not only maintain & protect overall skin clarity, but to combat signs of aging, texture or discoloration. In recent years due to social media’s influence, the latest trend is the goal to have glowing glass skin. Ingredients in trending skincare which influencers claim to give glass skin can include many types of Vitamin A derivatives (AHA/BHA), Vitamin C, or Retinol. The ingredients mentioned can be harsh on sensitive skin - even for an adult. In most cases, a pre-teen using a product with one of these ingredients would be far too aggressive. Recent reports have detailed individuals under the age of 13 showing adverse effects to improperly using skincare with harsh ingredients suitable for adult skin. Media outlets such as ABC & BeautyMatter published news of a proposed bill, California AB 2491, authored by Assemblymember Alex Lee of San Jose. The bill, AB 2491, would effectively ban the sale of products that contain vitamin A or its derivatives, including retinol and retinoids, or an alpha hydroxy acid, including glycolic acid, ascorbic acid (vitamin C), or citric acid to be sold to anyone under the age of 13. Dr. Solomiya Grushchak, our Board-Certified Dermatologist & Fellowship-Trained Mohs Micrographic & Cosmetic & Laser Surgeon at Chicago Cosmetic Surgery & Dermatology shares her insight.  “Having an age restriction on topical vitamin A or AHA/BHA for young patients is a sensible approach to enhancing consumer safety and ensuring proper product use. These ingredients can cause significant irritation and sensitivity, especially in younger individuals with sensitive and delicate skin. Additionally, pre-teens often don’t need potent treatments as their skin naturally exfoliates and doesn’t show signs of aging. Age restrictions would ensure users are better informed and thus prevent misuse or overuse, and fostering responsible retail practices that prioritize long-term skin health.” Since, on May 16th the bill was denied. However, this effort does raise awareness that being a conscious consumer of skincare is important. Just because a certain product may work for one person, it may not work for you. [ & that’s okay!] Everyone’s skin is different. Which his why consulting with an esthetician or dermatologist is important when choosing the right products. In conclusion, if you are wanting clear and healthy skin, or need new strategies to combat acne. You should first, consult with a Board-Certified Dermatologist or a Licensed Esthetician to receive a skincare plan that’s right for your skin type! When it comes to choosing a regimen, it’s important to learn which products should be included, and the proper use for these products. Improper use of any product can result in adverse effects and is why it’s important to make sure you are properly educated. If you’re looking for the right recommendations from the experts - Come to Chicago Cosmetic Surgery & Dermatology to see one our our experienced providers, and shop at Chicago Skin Science afterward! Chicago Skin Science is located within our practice and sells our products online as well. We offer domestic shipping & same day delivery within 10 miles. All products available are selected by our Board Certified Dermatologists to guarantee you’re only getting the best. Chicago Cosmetic Surgery & Dermatology "Where our goal is to help you feel great in your own skin." Written by: Corey Lantz

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Is CoolSculpting Safe?

We asked Dr. Carolyn Jacob is CoolSculpting safe, and what patients should be aware of prior to getting this FDA-cleared fat reduction treatment. [embed][/embed] What is CoolSculpting? CoolSculpting is the only FDA-cleared, non-invasive body contouring procedure that uses controlled cooling, or cryolipolysis, to target and permanently destroy fat cells. The treatment can eliminate up to 20%-25% of stubborn fat in 9 different areas of the body. This includes under the chin and jawline areas, thighs, abdomen and flanks, along with bra fat, back fat, underneath the buttocks, and upper arms. Are there any side effects with CoolSculpting? The FDA-cleared fat freezing treatment has an excellent safety profile, with over 8 million treatments performed to date. However, like any medical procedure, there is always the risk of potential complications; one of which is Paradoxical Adipose Hyperplasia (PAH). PAH is extremely rare1 and causes visibly enlarged tissue volume in the treated area. It is important for providers to be transparent and inform you of any potential risks when receiving this treatment. Being transparent about these risks is something we pride ourselves on. PAH is shown to be treatable via tumescent liposuction which can be performed in the safety, comfort and privacy of our own office. CoolSculpting Safety at Chicago Cosmetic Surgery and Dermatology CCSD has performed thousands of CoolSculpting treatments since 2010. Under the guidance and direction of Dr. Carolyn Jacob, our extremely knowledgeable Physician Assistants have been extensively trained, not only with the CoolSculpting device, but also on contraindications or potential side effects one may experience with this treatment. We now have CoolSculpting Elite, the newest and most advanced fat reduction technology yet! In addition to treating up to four areas at once, Elite’s c-shaped applicators cover up to 18% more skin surface than CoolSculpting Legacy, providing a more gentle and effective contouring result. Ready to learn more? Our experienced Physician Assistants can answer all of your questions and determine if you are a good candidate for CoolSculpting during your complimentary consultation. You can schedule a consult on our website or by calling 312-245-9965, and our Patient Entry staff will be happy to help start your CoolSculpting journey! Jalian HR, Avram MM, Garibyan L, Mihm MC, Anderson RR. Paradoxical Adipose Hyperplasia After Cryolipolysis. JAMA Dermatol. 2014;150(3):317–319. doi:10.1001/jamadermatol.2013.8071

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Ask My Derm: New Cellulite Injectable Qwo With Dr. Jacob

Mark your calendars! A new, FDA-approved injectable for cellulite is coming soon! We asked Dr. Carolyn Jacob more about the exciting new cellulite injectable Qwo (pronounced “Kwoh”) and how it will differ from other cellulite treatments currently available. Q: What is Qwo? Dr. Jacob: Qwo is a revolutionary, non-surgical injectable treatment for cellulite. Three  treatments separated three weeks apart, can lead to improvement of even moderate to severe cellulite. Q: What is the difference between Qwo and other cellulite treatments? Dr. Jacob: Cellulite bands pull down on the skin, forming dimples. Qwo uses an enzyme to break down the bands that hold the skin down into a dimple position, releasing it and allowing the skin to be smoother. Other cellulite treatments like cutting the bands, can be more invasive requiring numbing medication. Other options can focus more on the thickening of skin, or utilize massaging lymphatic systems to improve the appearance of cellulite. Q: Where can Qwo be used? Dr. Jacob: Currently it is FDA approved for moderate to severe cellulite on the buttocks of adult women, however further studies are underway for the thighs. Q: How do you know that Qwo is effective? Dr. Jacob: 3-D photographs and standard photography were used during clinical trials to scientifically grade improvement in the appearance of cellulite Q: When will this new injectable be available? Dr. Jacob: Early 2021! Can't wait until early 2021 to treat your cellulite? Learn more about our currently most requested cellulite treatment, Emtone! [embed][/embed]

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Ask My Derm: Hair Loss With Dr. Ibrahim

Ever wondered what signs you’re supposed to look for if you think you’re experiencing hair loss or what treatments are available if you are experiencing hair loss? We asked our very own hair loss expert, Omer Ibrahim, MD, FACS, to give us the scoop! Q: How would people know if they're experiencing a normal amount of hair shedding versus actual hair loss that requires treatment?Dr. Ibrahim: If you notice more hair in the shower, in the sink, on the pillow, on your clothes, on their desks, or in your food even – and have never noticed it before – this likely means you have increased shedding. Most cases of shedding will resolve within 3-4 months and return to normal. However, lots of patients can cycle into chronic shedding (greater than 3 months), and those patients should come in to seek treatment. Another subset of patients don’t even notice shedding, but notice gradual thinning of the hair overtime and see more of their scalps than they used to see years ago. These patients, if bothered by the thinning, should seek treatment sooner than later. The quicker hair loss is treated, the easier it is to prevent further shedding and response to treatment will be more robust. Q: What are the most common causes of hair loss you see in your clinic for women? For men?Dr. Ibrahim: In patients (men and women) with just generalized thinning, the most common cause is of course, genetics and hormones. A very complex interaction between the two leads to hair thinning over time. In women, this can worsen and accelerate once they reach menopause. In men, taking testosterone supplementation will accelerate hair thinning. In patients with increased acute shedding (telogen effluvium), the most common cause is an emotional or psychological stressor 3-6 months prior; these can include anything from starting a new job and moving to a new city, to the loss of a loved one. Q: At what point is it most ideal to prevent or reverse hair loss? Is it ever too late?Dr. Ibrahim: In the majority of cases, it is never too late. The sooner the better (within the first 5 years), but of course all my patients get full treatment because it never hurts to try. It is too late once the hair follicles are completely inactive, and this is seen mainly in men that have completely lost the hair follicles and have a shiny scalp. However, as mentioned, the vast majority of patients can stand to benefit from a hair loss treatment of some sort. Q: What treatments for hair loss do you perform/prescribe the most to your patients?Dr. Ibrahim: There are an array of options available:  • Some sort of vitamin supplement like Viviscal Pro or Nutrafol - for men and women (which one we choose depends on the patient, the goal, and what we are treating).  • Minoxidil – either topical or oral – one of the oldest, gold standard treatments that works time and time again  • Finasteride in men  • Spironolactone in younger women. Dutasteride in older women with other medical conditions we need to be conscious of.  • PRP (Platelet-Rich Plasma) injections – an in-office procedure where the growth factors in plasma are harvested and injected back into the scalp – in order to normalize shedding, and regrow and thicken hair. It is used in conjunction with the aforementioned at-home medical treatments. To help all of our patients battle hair loss, we are offering a FREE 1-month supply of Viviscal Professional when you buy a 3-month supply ($60 value) until 8/31/20 or while supplies last! Call or text our office (312-245-9965 option 2) to schedule your hair loss consultation and get a treatment plan customized just for you! [wpforms id="10755" title="true"]

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Client Reviews

Thank you to the friendly staff at CCSD for always making my visits pleasant and efficient! An even bigger thank you to Dr. Jacob for the phenomenal job she did all but erasing a scar on my face from skin cancer, and the amazing job she always does defying Mother Nature keeping my face looking young and alert!

— Christopher

Dr. Ibrahim is AMAZING. He has such a wonderful “bed side manner” and his experience is multifaceted. I go to him for both regular skin concerns and cosmetic reasons and he has been able to help with every issue I have! He is by far the best dermatologist I have been to and I recommend him 100%!

— Maddy

Loved results..and my daughter had microdermabrasion and beautiful results..they r so professional and very organized..appointment times right on waiting. I would say this is the best place in Chicago..for any needs of the face. They are the experts..

— Rosalina

What a great experience! I love this office, every time I come everyone has a great smile, and the office is always bright and clean. Dr. Pritzker is awesome, she is so fast and efficient and knows exactly how to combat those pesky wrinkles.

— Valarie


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