Magazine for the professional nail industry.
Issue link: http://nailsmag.epubxp.com/i/271273
130 | NAILS MAGAZINE | APRIL 2014 } HEALTH A Day in the Life of a Nail Expert In this month's column, Dr. Stern talks about cutting-edge cosmetic procedures to make hands look more youthful. BY DR. DANA STERN Dermatologists treat skin, hair, and nails. I am a board-certifi ed dermatologist and one of the country's only nail specialists. My practice is focused on the treatment of nail disorders including nail infections, infl ammatory diseases of the nail, cosmetic issues related to the nail, nail cancers, nail surgery, and sports-related nail injuries. I spend a large part of my day examining hands. Apart from the face and neck, the hand is the most visible unclothed area of the body, and hands are a telltale sign of aging. I began to notice that many of the women coming to see me for nail issues had beautiful youthful faces but when I went to examine their hands there was a tremendous discrepancy in appearance. Faces were plumped, even, smooth, and radiant in contrast to hands with pronounced veins, sun-spots, wrinkles, and volume loss. In today's hand-held world we are always handling a device and consequently our hands are more relevant to appearance than ever before. I began to offer my patients a variety of the most cutting- edge cosmetic procedures for the hands. For hand recontouring, which restores volume and stimulates collagen regrowth, I use injections of Radiesse, an FDA-approved volumizing fi ller used mostly for moderate to severe facial wrinkles. The product is mixed with an anesthetic and so there is minimal discomfort experienced by the patient. Results are instantaneous and can last up to a year or longer. Possible side effects include bruising and swelling, both of which gradually go away. In addition to fi ller, I offer several laser options for hands. For the removal of brown spots, I use an NdYag laser. Depending on the extent of pigmentation, patients may need between one and several treatments. After the procedure, patients are advised to avoid sun in order to prevent re-pigmentation. Fraxel, the go-to laser for facial resurfacing, can be used on the hands for a smoother, more even skin texture and a softening of wrinkles. A numbing cream is applied prior to the procedure and oftentimes two or three treatment sessions are recommended. Additionally, regular chemical peels can also be very successful in brightening and evening the skin tone and pigment of the hand. The fi nal result: beautiful, youthful hands that are ready for that perfect coat of polish that is sure to get your clients' hands noticed! 1 2 1. In this 68-year-old female, note the prominence of veins and wrinkled appearance of the skin distal to the wrist. 2. Two months post treatment with Radiesse. The veins are signifi cantly less prominent and the hand has an overall more youthful appearance. Whether your clients' needs are related to a nail disorder or strictly cosmetic, it's important to have a relationship with a medical professional (maybe more than one) you can refer to. A relationship with a local dermatologist or podiatrist is mutually beneficial since referrals can flow both directions. Gaining a doctor's trust is a matter of convincing her that your salon meets the highest sanitation standards and that you understand your job is not to diagnose or treat, but to recognize and refer. — Ed. PARTNERING WITH A DERMATOLOGIST: For more in building a relationship with a medical professional, read "Get a Doctor in Your Corner" at www.nailsmag.com/doctor. 1 2 1. Pre-treatment: In this 75-year-old female, note the prominent veins and tendons and the wrinkled appearance of the skin. 2. Immediately post treatment with Radiesse. The tendons and veins are less prominent. There is a small bruise from the injections that will resolve in a few days. The overall appearance of the hand is more supple and youthful and will continue to improve once the initial swelling resolves. n a 0 4 1 4 n a i l e x p e r t . i n d d 1 3 0 na0414nailexpert.indd 130 2 / 2 5 / 1 4 1 : 2 9 P M 2/25/14 1:29 PM