With new injectables making their way into derm offices, treating the face is becoming a highly bespoke science. “People have different lines and muscle functions,” NYC-based dermatologist Francesca Fusco, MD, says. “Having new options gives me a more individualized approach to each patient.”

Freeze Frame: The FDA recently approved Xeomin, a third type of botulinum toxin, for treating frown lines. “Xeomin is just pure botulinum toxin, Fusco says. “No addictives means less chance of antibodies being formed. If someone develops a strong antibody response, the injection may not work.”

Whiteout: A recent study presented at the World Congress of Dermatology suggests a new use for hardworking eyelash serum Latisse: treating vitiligo (patches of depigmented skin) and UV-induced white sunspots (which are harder to banish than brown spots). “The main ingredient, bimatropost, causes cells to produce more melanin,” Fusco says, which explains why eyelids may darken when treating lashes with the serum. Initial study results were promising: The 10 trial participants saw 100 percent repigmentation on the treated facial areas.



If sun salutations and SoulCycle spin sessions haven’t whittled down trouble spots, in-office toning and fat-blasting procedures can pick up the slack.

Tighten Up: NYC dermatologist Neil Sadick, MD, opts for Venus Freeze, a body-contouring treatment that uses radio frequency to build new collagen and tighten skin on the arms, legs, and tummy. “It is easy, painless, and has no downtime,” says Sadick, who suggests up to five treatments to see results. For ultraprecise (and faster) contouring, both Fusco and Brandt recommend Exilis. The machine is equipped with an ultrasound guidance system, so the powerful radio waves can be delivered to exact locations in the dermis (up to two centimeters beneath the surface) for precise lifting and tightening. Fusco says a series of three or four treatments— each session a few weeks apart— is necessary to achieve desired toning.


Source: Elle. October, 2011.