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					                            Do you suffering on acnes? Romove it now!
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WINTER 2009
                                     J OHN R. L UCKASEN , M.D.   !   B ERT C. F RICHOT III, M.D.   !   J ASON S. PAPENFUSS , M.D.




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   BEST-IN-CLASS

        A
     CNE REATMENTS
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                                                  T
               ith school in full swing, there’s no better time for parents            Aczone topical gel, which is especially good


 W
                                                                                       Q




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               and teens to get a handle on what can be a tough                               against inflammatory acne, because it
                                                                                     NEW! reduces inflammation by minimizing
               subject: finding the best acne treatment for your skin.
                                                                                       the very factors that result in irritated pores;
 It’s a topic that Midwest Dermatology aces – offering effective                       Q   Topical antibiotics like clindamycin and


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 education and treatments ranging from topical creams to oral                              erythromycin, that stop acne-causing
 antibiotics to the newest combination drugs.                                              bacteria and help reduce inflammation and swelling;
 INTRODUCTION TO ACNE                                                                  Q   Retin-A, which causes the skin to shed its top layer of cells.


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 You probably know it as pimples or zits, but acne is in fact a skin                       This in turn helps keep pores open so blackheads and
 disease that affects nearly all of us at one time or another. In fact, it’s               whiteheads don’t develop;
 estimated that 85 percent of young people between the ages of 12                      Q   Differin, a gentler alternative that slows the accumulation of
 and 24 have experienced the skin condition.

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                                                                                           skin cells inside the follicle. This prevents the clogged pores
 Acne occurs when the pores on your skin get plugged. It can show                          that lead to acne.
 itself in a variety of forms, including:
                                                                                      Topical treatments can be delivered to the skin via creams, gels,
      Whiteheads that show up when a pore gets clogged and closes;

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  Q                                                                                   lotions or liquid solutions. Knowing what type of skin is being
  Q   Blackheads, where a pore becomes clogged but stays open;                        treated – whether it’s dry or oily, for example – is key to choosing the
                                                                                      right type of topical.
  Q   Pimples, where sebum (oily substance produced in the hair



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      follicles all over the body), bacteria get under the skin and                    ORAL TREATMENTS 202
      cause an infection;                                                                          Oral treatments, in contrast, work by delivering acne-
  Q   Cysts and nodules, which are deep,                                                             fighting drugs to all of the body’s systems instead of just
      painful, inflamed bumps that may                                                                a single area on the skin.


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      cause scarring.                                                                                       Taken by mouth, antibiotics decrease the number of
 Most of the acne we see arises on the                                                                       acne-causing bacteria and reduce the inflammation
 face, with the next most likely affected                                                                     and redness that usually accompany acne


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 areas being the back, the neck, the chest                                                                    outbreaks. Oral antibiotics like tetracycline,
 and the shoulders. Cases of acne can range                                                                    erythromycin and minocycline are only available
 from mild to moderate to severe.                                                                                with a physician’s prescription.



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 Fortunately, today’s acne sufferers don’t have                                                                    Another oral medication that may only be
 to simply suffer through the condition. There                                                                     prescribed by a physician is Accutane.
 are a number of effective treatments avail-                                                                       Reserved and used to fight only the most
 able at Midwest Dermatology, including both                                                                          serious cases of acne, Accutane is a


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 topicals that are applied to the surface of the                                                                         powerful drug that attacks acne on
 skin and work their way down, and                                                                                         multiple levels, all at once. First, it
 oral medications that work from the                                                                                             reduces oil production and
                                                                                                                                       actually shrinks the oil-

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 inside out.
                                                                                                                                         producing sebaceous
 TOPICAL TREATMENTS 101                                                                                                                  glands. Next, it kills
 Topical treatments include                                                                                                            acne-causing bacteria.


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 some of the most commonly                                                                                                                   Finally, it reduces
 known over-the-counter and                                                                                                                      inflammation.
 prescription-strength acne
 treatments, such as:                                                                                                                            Cont. on Page 3




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  Q   Benzoyl peroxide, which
      works by getting rid of
                                                                                                                                            midwestderm.com | 1
      dead skin cells and killing


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      bacteria on top of the skin;
         Do you suffering on acnes? Romove it now!
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                      Do you suffering on acnes? Romove it now!
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          why hibernate
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     WHEN YOU CAN REJUVENATE!
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     Emerge from winter with younger-looking skin
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      WHEN THE MERCURY DIPS AND THE     REVERSE      THE   YEARS                             But besides simply taking away the lines and
       BEARS BUNK DOWN, HUMANS ALSO     If you really want to reverse the effects of         spots that mar the skin, Deep FX and Active
                                        aging, consider fractional laser skin resurfacing.   FX stimulate collagen production! Instead of


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          HAVE A TENDENCY TO COCOON                                                          showing just a little improvement a few days
                                        Both Active FX and Deep FX boost the body
              AND CREATE A COMFORTING   so it starts producing new skin with:                after treatment, this new collagen growth
                                                                                             takes place over several weeks. This explains
         ENVIRONMENT FOR THEMSELVES.    !   Fewer wrinkles and fine lines                    why your skin’s appearance continues to get


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    MIDWEST DERMATOLOGY IS GLAD TO          around the mouth and eyes                        better and better
      HELP AND CAN PROVIDE YOUR SKIN    !   Less visible age spots and freckles              RESTORE YOUR APPEARANCE
      WITH ALL THE PAMPERING IT NEEDS                                                        Another way to make the most of any winter


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                                        !   Lightened acne scars
                                                                                             downtime, are cosmetic treatments that
          TO LOOK YOUNGER NEXT YEAR!    !   Areas that are plumper and fuller,               safely and easily help smooth away wrinkles
                                            thanks to new collagen                           and restore a more youthful appearance.


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                                        !   Smoother and tighter-looking                     First, there are BOTOX® Cosmetic injections
                                            appearance                                       that temporarily stop even the most stubborn
                                                                                             of frown lines between the brows.
                                          Active FX is most effective at treating


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                                          medium-deep wrinkles over a wider area of          For most of us, frown lines are the result of
                                         skin. Just like its name, Deep FX penetrates        years of using our face to express all kinds of
                                        the skin at a deeper level, so it’s especially       emotions. Delicate facial skin shows the
                                                                                             wear and tear over time and the lines stay


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                                        effective for deeper wrinkles and scars.
                                                                                             with us all the time – not just when we
                                        In both treatments, a fractional amount of           frown. BOTOX® Cosmetic is approved by
                                         laser energy – tiny microbeams – are used           the Food and Drug Administration as a safe
                                          to deliver very small laser pulses to the


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                                                                                             and effective treatment to smooth away
                                          skin. The lasered skin then knits together         these lines for up to four months.
                                          with surrounding healthy skin and helps
                                          problems like lines, discoloration and             The treatment process itself is simple. The
                                                                                             BOTOX® substance is injected into the


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                                          sagging skin.
                                                                                             forehead, around the muscles involved in the
                                        Best of all, FX treatments take less than an         frown lines, using miniscule needles by a
                                         hour to perform, resulting in just a few            doctor right in the office. Once inside the
                                                days of downtime and can positively

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                                                                                             body, BOTOX® Cosmetic works by slowing
                                                     transform your appearance with-         down the muscles that contract when you
                                                        in a mere seven days!                frown, and which ultimately cause the
                                                                                             wrinkles. What BOTOX® Cosmetic won’t do


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                                                                                             is “freeze” your face or leave you unable to
                                                                                             smile, raise your eyebrows, wink, squint and,
                                                                                             yes, even frown, whenever you want to.



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                                                                                             Because the procedure causes little dis-
                                                                                             comfort, no anesthesia is needed. In just 10
                                                                                             to 15 minutes, the procedure is complete.
                                                                                             Afterward, most patients report seeing


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                                                                                             improvement within days.




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       Do you suffering on acnes? Romove it now!
2 | midwestderm.com

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                                Do you suffering on acnes? Romove it now!
                                http://www.cureacnes.info        ag e 1
                                                                        A STUDENT OF YOUR SKIN


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                                                                                                           P
                                                                                                . F ro m              Almost everyone gets acne at some
                                                                                            Cont
                                                                                                                       point in their life. But even though
                                                                                                                  the disease is common, your acne isn’t
                                                                                                           like anyone else’s because your skin is unique.


    http://www.cureacnes.info                                                                              Midwest Dermatology’s skin specialists are
                                                                                                           experienced at diagnosing this condition and
                                                                                                           how it affects individual skin types. They can


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                                                                                                           design a treatment regimen that meets the
                                                                                                           specific needs of your skin and, equally
                                                                                                           important, fits your lifestyle.



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                                                                                                           To take advantage of the area’s best-in-class
                                                                                                           acne treatments, schedule an appointment
                                                                                                           today at (402) 552-2555.

               smooth away
    http://www.cureacnes.info                      THE
                                                benefitsDRUGS
BABY YOUR SKIN
in just 1 hour! THE SEASON                                  OF
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              idwest Dermatology also offers
                                                COMBINATION
                                               Treatment takes just 20 to 30 minutes and


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              a host of other treatments
              designed to pamper your skin       ADD UP
                                               patients can return to their daily activities
                                               immediately, even applying makeup the same
                                               day. All those around you will notice is that
                                                                                                              f one acne treatment is good, two may be
 this fall and winter and help all parts of


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 your body look their best next year.
 Peels ranging from mini “lunch hour”
                                                I
                                               your skin looks more radiant and youthful!
                                               Vein therapy for varicose and spider veins
                                               can transform tired-looking legs into one
                                               of your best assets! What’s more, vein
                                                                                                              better. That’s the thinking behind combin-
                                                                                                              ation drugs that represent the latest advance
                                                                                                           in treating acne.
 procedures to intensive TCA peels are                                                                     Basically, combination acne drugs bring


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                                               therapy at Midwest Dermatology resolves
 perfect for removing damaged top layers                                                                   together the best features of two different
                                               the blood circulatory problems that are
 of skin to reveal smoother, younger-                                                                      topical medications in a single treatment.
                                               typically present with varicose veins.
 looking layers underneath. The gentlest                                                                   Considering that oftentimes patients have a
 type peels use a light solution made from     Depending upon the size, location and type


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                                                                                                           mix of acne lesions, combination drugs may
 fruit acids. These glycolic peels (also       of the veins to be treated, our board-                      be the best way to treat a patient’s skin.
 known as alphahydroxy, or AHA peels)          certified dermatologists may use sclero-
                                                                                                           SOME OF THE MOST COMMON
 slough away dead skin cells and reveal a      therapy, which involves the injection of a
                                                                                                           COMBINATION DRUGS INCLUDE:


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 fresher, younger-looking complexion.          specialized solution directly into the
                                               problem vein. The solution causes the                           Q   BenzaClin, Duac and Clindoxyl, which
 Microdermabrasion gently buffs away
                                               affected vein to close off. When that                               are different brand name combinations
 the very top-most layer of the epidermis,
                                               happens, the blood that had been pooling in                         of benzoyl peroxide and clindamycin,


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 along with many of the signs of aging that
                                               the varicose, or enlarged, vein re-routes                           an antibiotic, in gel form;
 reside there.
                                               through normal veins and flows efficiently
 Microdermabrasion treatment is affordable,                                                                    Q   Epiduo, which pairs benzoyl peroxide
                                               once again. Sclerotherapy is often the
 totally non-invasive and conveniently done                                                                        and Differin;
                                               treatment of choice for larger varicose veins.

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 right in the Midwest Dermatology office.                                                                      Q   Benzomycin, which combines benzoyl
                                               Remember, instead of just waiting out the
 Experienced technicians use a small hand-                                                                         peroxide and erythromycin.
                                               cold-weather months, take advantage of
 held device with a head made out of tiny
                                               this time. And rejuvenate your skin – and


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 crystals to exfoliate the skin and remove:                                                                These new combination drugs are effective
                                               your appearance – at Midwest                                because they lower the likelihood that a
  "   Fine lines and wrinkles                  Dermatology. Call                                           patient’s skin will become resistant to one of
  "   Patchy skin tone and age spots           (402) 552-2555                                              the drugs used alone.


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                                               for an appointment.
  "   Sun damage                                                                                           Also, consider that combination drugs may
                                                                                                           be more convenient for busy, active teens.
  "   Acne scarring
                                                                                                           Instead of going through two or three skin


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 Described by some as an “instant                                                                          care steps, one combination drug may work
 facelift,” microdermabrasion has                                                                          instead. But do remember, combination drugs
 the added advantage of tricking                                                                           aren’t for everyone. Whether they are used
 the body into replacing the                                                                               depends upon the severity of acne, skin type


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 recently removed dead skin cells                                                                          and the presence of other health conditions.
 with new, healthy skin.                                                                                   To find out if combination acne drugs are
                                                                                                           right for you or your teen, talk to the acne


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                                                                                                           specialists at Midwest Dermatology today.
                Do you suffering on acnes? Romove it now!                                                                             midwestderm.com | 3
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                          Do you suffering on acnes? Romove it now!
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  L
  OOK ETTER             B
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                                                                                       VA-
                                                                                      for VA V
                                                                                         the OL
                     the natural way
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            estoring volume is another way to For each of us, skin starts out full of
                                                                                            Ho UM
                                                                                               lida E
                                                                                                   ys!

R
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            correct wrinkles and folds in the
            skin, and Restylane and Juvaderm
   are great ways to do it!
                                                      elasticity, collagen and moisture. As we age,
                                                      our skin shows wear and tear due to factors
                                                      ranging from diet to lifestyle to simply
                                                      expressing emotions. In a single treatment,


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                                                      Restylane and Juvaderm can revitalize aging
   Restylane and Juvaderm are a little different
                                                      skin by plumping up wrinkles and folds and
   than other dermal fillers because they
                                                      helping attract the water molecules under
   feature hyaluronic acid, a manmade sub-


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                                                      the skin that provide volume.
   stance that is just like the naturally occurring
   substance in the body that gives youthful          Restylane has been used by millions of
   skin its smooth and supple appearance.             people worldwide since 1996 because of
                                                                   both its effectiveness and its

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      THESE DERMAL FILLERS
      ARE IDEAL FOR:
                                                                    safety. Juvaderm is newer,
                                                                     but also proven effective,
                                                                       especially enhancing lips.


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         Filling lines between the nose
         and corners of the mouth
                                                                                                         Results from either product can be seen
         Enhancing lips                                                                                  instantaneously after treatment, and are


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                                                                                                         very long lasting. Restylane results last
         Shaping cheeks and chin                                                                         up to 9 months while Juvaderm’s effects
         Erasing frown lines between                                                                     last for up to a year!



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         the eyebrows

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                                                                                                       midwestderm.com
                                                                                                       Sound Advice
                                                                                                         Medically


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                                                                                                        24/7

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http://www.cureacnes.info                                                                                                         Ph: (402) 731-1403
                                                                                                                                  Bellevue, NE 68005
                                                                                                                                  720 Fort Crook Road North



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                                                                                                                                  BELLEVUE OFFICE:
                                                                                                                                  Ph: (402) 778-5560
                                                                                                      Ph: (402) 371-3564          Omaha, NE 68144
                                                                                                      Norfolk, NE 68701           2727 S. 144th St., Ste 225



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                                                                                                      109 North 15th Street       OMAHA – OAKVIEW OFFICE:
                                                                                                      NORFOLK OFFICE:             Ph: (402) 758-5522
                                                                                                  Ph: (308) 382-2713              Omaha, NE 68130
                                                                                                  Grand Island, NE 68803          Ste 218



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                                                                                                  1917 West Faidley               17030 Lakeside Hills Plaza
                                                                                                  GRAND ISLAND OFFICE:            OMAHA – LAKESIDE OFFICE:

                                                                                                                              !



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Permit No. 678                                                                                    Ph: (402) 552-2555
 Omaha, NE
PAID                                                                                              Omaha, NE 68131
                                                                                                  4242 Farnam Street, Suite 360
U.S. POSTAGE



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                                                                                                  Doctors Building North Tower
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 STANDARD
  PRESORT                                                                                       OMAHA – MIDTOWN OFFICE:

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                        Do you suffering on acnes? Romove it now!
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 IT DOESN’T
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   HAVE TO BE THE
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Season for Psoriasis
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I
    f you’ve got psoriasis, you know that        Most patients
                                                 with moderate to
    winter can be rough, with flare-ups
                                                 severe psoriasis

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    accompanying the colder, drier air that is   usually require a
a hallmark of the season. To keep outbreaks M W  combination approach to keep                                      OLE             ATCH          ®

under control, try sticking to a regimen that    their condition under control. Depending
                                        your first time
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                                                 upon environmental and lifestyle triggers,
brings together the three things psoriasis-      individual treatment regimens may need to
affected skin needs most – effective medical     be adjusted on an ongoing basis.                 SKIN CANCER EVALUATION
                                                                                                  To schedule a FREE no-obligation,

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treatment, light and moisture.                   LET THERE BE LIGHT
                                                 One of the most effective psoriasis treat-
                                                                                                  initial skin cancer examination, contact
TREAT SKIN RIGHT                                                                                  Midwest Dermatology. MoleWatch is
Psoriasis is a chronic, or lifelong skin         ments is a light therapy called PUVA.
                                                 PUVA, brings together psoralen, a                an initial screening for first-time patients


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condition that shows itself as unsightly                                                          only, and cannot be used as a substitute
thick, scaly patches of skin that can develop    medication that makes skin sensitive to
                                                 light, with exposure to UVA, otherwise           for an annual skin examination.
anywhere on the body, but most likely on
the elbows, knees, lower back and scalp.         known as ultraviolet A light rays. Together      Please check the location you prefer


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                                                 the medication and the light interact at         and then mail this coupon back today:
Unfortunately, psoriasis can’t be cured, but     the cellular level, and help slow down the
it can be treated very effectively. For          body’s excessive growth of skin cells.                  [   ] Omaha – Midtown
decades, Midwest Dermatology’s specialists       When the cell growth slows, the plaques                 [   ] Omaha – Lakeside


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have helped patients with the condition          don’t build up.
improve the appearance of their skin and,
                                                                                                         [   ] Omaha – Oakview
at the same time, reduce the inflammation,       Although PUVA treatment requires patient                [   ] Bellevue
swelling and uncomfortable itching that          commitment because the light exposure is                [   ] Grand Island


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usually accompanies psoriasis. To treat          done over several sessions, it has proven to
                                                 be an effective treatment. Another factor        You will be contacted within two weeks
psoriasis, our dermatologists use:
                                                 in its favor is convenience. The light           of returning this form.
!   Topical over-the-counter solutions such      therapy can be done right inside Midwest


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    as salicylic acid and coal tar. Salicylic    Dermatology’s offices in Omaha and
    acid causes the outer layer of skin to       Grand Island.                                   name:

    shed, while the natural substances in
    coal tar reduce the rapid growth of skin     MAXIMIZE MOISTURE                               date oF birth (month/date/year)




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    cells and repair the skin’s appearance.      Even in mild climates, winter weather
                                                                                                 address:
!   Prescription topical treatments              means there is less humidity, or moisture,
    like Tazorac, as well as topical             present in the air. So the best advice for      City:




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    steroid treatments.                          psoriasis patients is simple – do everything
                                                 you can to get moisture deep into your          state:                             ziP:
!   PUVA light-sensitive medication
                                                 skin. The dermatologists at Midwest
    treatment (see details below!).              Dermatology can recommend the best              telePhone (daytime):




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!   Traditional oral medications that            products for retaining and maximizing
    work throughout the body to fight            moisture in your skin.                          Cell number:

    moderate to severe psoriasis.
                                                 Finally, don’t think you have to suffer         email:
!   Biologic medications. Biologics like


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                                                 through winter weather or psoriasis on your
    Humira and Amevive are protein-based         own! If you’re unhappy with your appear -                    MIDWEST DERMATOLOGY
    drugs that target specific parts of the      ance or find yourself itching constantly,                     SKIN CANCER CLINIC
    immune system instead of the entire          consult with a Midwest Dermatology               4242 FARNAM ST., STE 360 | OMAHA, NE 68131



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    body system. Biologics battle psoriasis      specialist on the ideal combination of treat-    Includes only examination of moles and skin growths. Any
    by blocking the T cells and proteins in      ments to clear up your psoriasis.               additional diagnostic testing or treatment will be provided at
                                                                                                   the regular charge. Patients with additional dermatologic
    the immune system that are behind the                                                           problems will be charged for that portion of their visit.
    development of psoriasis.


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                                                                                                                                   midwestderm.com | 5
        Do you suffering on acnes? Romove it now!
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             REMOVE HAIR
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              for a flawless face
http://www.cureacnes.info          hat if you could rid your          GentleLase is both fast and effective. A


                    W
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                                   cheeks of not-so-cute peachy
                                   fuzz? Or finally purge your
                      jawline and chin of those stubborn, wiry
                                                                      single treatment can keep your face
                                                                      smooth and hair-free for up to three
                                                                      months! An added bonus is that as
                                                                      GentleLase removes hair, the laser also


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                      hairs? Now you can get a flawlessly             weakens the hair follicles. This means
                                                                      that as hair regrows, it comes back finer,
                      smooth, hair-free face you’ve always
                                                                      less dense and more slowly.
                      wanted thanks to laser hair removal at
                                                                      The procedure is so gentle that no


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                      Midwest Dermatology.                            anesthesia is required. To ensure your
                      The solution is GentleLase, an advanced         comfort, Midwest Dermatology uses the
                      laser technology that’s so safe and kind        Dynamic Cooling DeVise® throughout the


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                      to your skin that it’s perfect for use on       entire session. Afterward, you can get right
                      the delicate facial areas like:                 back to your life – errands, appointments,
                                                                      work – without any downtime.
                      !   Cheeks                !   Upper lip


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                                                                      To find out if GentleLase is right for you,
                      !   Chin                  !   Forehead          schedule a consultation at 402-552-2555.
                      !   Ears and nose



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                      YOU’LL LOVE YOUR LASHES
http://www.cureacnes.info  W I T H L A T I S S E !

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                                   hat woman hasn’t wished            What’s certain is that patients are loving


                    W              she had longer, fuller, darker
                                   eyelashes at some point in
                                                                      Latisse®. In a recent trial of 278 people
                                                                      who used the product, 25 percent


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                                                                      reported an increase in lash length, 18
                      her life? Now Latisse®, a prescription treat-   percent reported an increase in lash
                      ment available at Midwest Dermatology,          darkness and all reported an increase in
                                                                      lash thickness!


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                      can help you get the lashes you’ve
                                                                      Notably, the effect of Latisse® is gradual
                      always wanted.
                                                                      and natural looking. Although you may
                      Approved just a year ago for use by the         see progress in eight weeks, full results


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                      Food and Drug Administration, Latisse®          are visible 12 to 16 weeks after starting
                      represents a real innovation for anyone         treatment. Likewise, if you stop using
                      who is dissatisfied with the condition          Latisse®, its effects will gradually fade
                      and appearance of their eyelashes.              away and your lashes will return to their


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                      That’s because Latisse can boost the            pre-treatment state over the course of
                      growth of lashes that are thicker, darker       several weeks or months.
                      and longer.
                                                                      Of course, as with any prescription


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                      Latisse® is a liquid medication that is         treatment, there are possible side effects.
                      brushed on using a sterile applicator to        The specialists at Midwest Dermatology
                      the base of the upper eyelashes each            can provide you with the information
                      night. Applied regularly, it works from         you need to figure out if Latisse® can


http://www.cureacnes.info
                      the inside out. Its active ingredient – a       help give you lashes you love!
                      drug called bimatoprost – increases
                      the length of the eyelash growth cycle


http://www.cureacnes.info
                      and increases the number of eyelash
                      hairs formed.




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     Do you suffering on acnes? Romove it now!
     http://www.cureacnes.info
                                                                                             midwestderm.com | 6

				
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Description: acne, acne medications, acne treatment reviews, acne message boards, clear skin acne,acne treatment,acne treatments,whitehead,blackhead,pimple,skin pores,follicle,sebum,sebaceous,adult acne,acne vulgaris,acne care,acne solutions,acne scars,treatment acne,treatments acne,solutions acne,acne free,how to get rid of acne,cystic acne,pimples,zits,acne medications,severe acne Information on acne, acne treatment reviews, and treatment of scars. Includes a regimen to help clear your acne. Acne — Comprehensive overview covers causes, acne treatments, including adult acne treatments, and prevention.
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