SPRING 2010 295 Posada Lane. Suite B Templeton. CA 805/ 434-5960 Featured Treatment BOTOX® Cosmetic vs. Dysport® - What's the Difference? Since its introduction last June, how does the newest wrinkle remover Dysport¨compare to rival BOTOX¨ Cosmetic? Both products are derived from botulinum toxin Type A; both are used to relax muscles in patients; both must be injected every 3 to 4 months; both have gradual onset; and both have been in use for years—BOTOX in the United States, Dysport in Europe (as Reloxin). BOTOX and Dysport are both FDA-approved for cosmetic uses in the glabellar frown lines and can also be used for other parts of the face and body. So, with all those similarities, is there a real difference? According to Plastic Surgery Practice (PSP), the two products are essentially the same drug with the main difference in the effective unit measurement. Although not all physicians agree on the exact unit conversion, all agree that Dysport is as safe and effective as BOTOX. However, are they the same in terms of how long they last? "The length of time that the Dysport treatment lasts seems comparable," says Terry Perkins, MD, founder of the Cosmetic Surgery Center and Evolutions Medical Spa in Santa Barbara. "I have had some patients claim that Dysport lasts longer and others who feel that BOTOX lasts longer. We typically tell patients that we expect similar results with both, educate them about the differences in terms of onset of action and price, and then let them decide which product they prefer. I am not actually trying to push someone one way or the other. That said, most of our patients decide to try Dysport at least once to see how it works for them." According to Dr. Bukachevsky, the introduction of Dysport has been a favorable addition to the market because it's the first year that BOTOX maker Allergan has not raised the cost of it's famous wrinkle remover. Perhaps the consumer is the ultimate judge of how well a new product performs against the competition. According to Dr. Perkins, both BOTOX Cosmetic and Dysport are excellent treatments. "I have been administering BOTOX for almost 15 years, so there is definitely a comfort level there… However, and what may be most significant is that I think I may end up preferring Dysport. It stings less, has a quicker onset of action, and is a better value for both the physician and patient." At the end of the day, to the patient, these may be the most significant differences of all. Content Source: Plastic Surgery Practice Magazine Latest News Skin Cancer: The Key to Prevention and Treatment Skin cancer is the most common type of cancer in the United States. According to current estimates, 40% to 50% of Americans will have skin cancer at least once by the time they are age 65, with 93% to 97% of all skin cancer occurring on a highly visible part of the body such as the head, face, ears, neck, hands, and arms - the parts of the body which typically receive the most sun exposure. The greatest risk for developing all types of skin cancer comes from sunburns. That’s why it’s important to use sunscreen with sun protective factor (SPF) 15 or higher, and both UVA and UVB protection. A dermatology biopsy is the only way to correctly diagnose skin cancer. If your doctor suspects skin cancer, they will remove a small amount of tissue from the abnormal area on your skin. The biopsy results will help your doctor make a diagnosis and plan your treatment. Treatment of Skin Cancer While certain types of skin cancer can be treated with cryotherapy (freezing), and even topically applied chemotherapy, others require a surgical procedure called an excision. Often the best way to accomplish skin cancer excision, while preserving as much normal tissue as possible in highly visible areas, is to undergo Mohs surgery. A Mohs surgeon is a dermatologist who has received at least one year of additional specialized training in the surgical removal of skin cancer lesions. Although your Mohs surgeon can sometimes simply close the wound left after excision, it is quite likely that the cosmetic result of a simple close will be less than satisfactory. Many patients, especially when it concerns their face, will desire the help of a facial plastic surgeon to restore their appearance as close to normal as possible. How to Find the Right Surgeon for Reconstruction Reconstructive surgery should be performed by a facial plastic surgeon who specializes in this type of surgery. It is recommended that you seek the services of a facial plastic surgeon who is certified by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). Dr. Bukachevsky is dedicated to providing surgical care for patients requiring skin cancer reconstruction. He has performed numerous aesthetic reconstruction surgeries with very successful results. If you or someone you know requires skin cancer reconstruction, contact Dr. Bukachevsky for a consultation. Content source: Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion and the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS); About.com: Plastic Surgery. New Technoloy Introducing ZERONA ® Surgery-Free Body Slimming Remove fat and reduce inches fast. Sound too good to be true? Not with ZERONA®! It’s the new, clinically-proven treatment to remove fat, and reduce inches with ZERO pain, ZERO surgery, and ZERO downtime. During clinical trials, ZERONA ® has been scientifically proven to result in an average of 3.6 to 5.5 inches lost from patients’ waist, hips and thighs. Unlike invasive weight loss surgery, ZERONA ® is a revolutionary method that is applied externally without the dangers associated with surgery or other non-invasive devices which rely on heating the tissue. The new technology has been proven to reduce inches from target areas such as the tummy, back, Before hips, thighs, buttocks, chin, neck and arms; contour and reshape the body; and tighten and tone loose skin. The Bukachevsky Center is the first and only practice in San Luis Obispo County to offer the new technology. The introduction of ZERONA ® provides those seeking a safe alternative to surgery with a body contouring program that causes no bruising, scarring or discomfort. The simple procedure consists of six 40-minute treatments over a two-week period. Clinical studies demonstrated that the ZERONA ® low-level laser targets adipose tissue (fat storing cells) and stimulates the fat cell to liquefy the fat within the cell. A small pore is then naturally created in the protective membrane of the fat cell enabling the fatty matter to seep out of the cell until absorbed by the lymphatic system. The excess fat is then passed out of the body during its normal course of detoxification which results in millions of fat cells becoming smaller and inches being reduced. After Photo courtesy of Santa Barbara Medical For more information on the ZERONA treatments at the Bukachevsky Center, ® Innovations call 805/ 434-5960. To learn more about ZERONA®, visit www.MyZerona.com.