Health and Wellness - “Bothersome Mole or Melanoma”

June 21st, 2010

Dermatologist can cosmetically remove ‘those bothersome ugly moles’, but are also trained to diagnosis and treat real skin cancer.

The following website mentions Dr. Dellavalle’s on-goings video series on melanoma. http://www.trueversy.com/melanoma-month-on-savantmdcom/ 

‘Melanoma – a serious skin cancer that causes more deaths among young adults in the U.S. than any other form of cancer – is the focus of this month’s video series on SavantMD.com, a leading health and wellness media site that features timely videos, podcasts and blogs by a multicultural team of medical professionals. The site, at www.savantmd.com, will feature seven videos this month conducted by Jodi Duke, a melanoma patient and public health professional, and her physician, Dr. Robert Dellavalle, a friend to SavantMD and a faculty member at the University of Colorado School of Medicine and the Denver Veterans Administration Medical Center. Each video will cover detection, treatment options, and psychological as well as physical approaches to the healing process.” Reference: http://www.trueversy.com/melanoma-month-on-savantmdcom/

Educate yourself.  This topic is too important to not mention again and again and again…..

 

Sunscreen Controversy

June 15th, 2010

 

For Immediate Release

 

Contact: Lynn Clark, lynn.gorham@ucdenver.edu, 303-724-3160

 

Colorado skin cancer researcher, dermatologist, say physician UV blockers are better than chemical blockers

Pacheco “does not disagree” with Environmental Working Group report that chemicals and additives in most sunscreens could be dangerous

 

            Aurora, Colo. (May 25, 2010)—When Dr. Theresa Pacheco, a Colorado cancer scientist and dermatologist, sends her three small children out to play this summer, they will be covered in sunscreen containing only zinc oxide or titanium dioxide.

 

Pacheco, member the University of Colorado Cancer Center and dermatologist at the University of Colorado School of Medicine, “does not disagree” with yesterday’s report from the Environmental Working Group that indicates chemical ingredients found in almost half of the most popular sunscreen products could be potentially dangerous.

 

The EWG says the danger lies in two ingredients: forms of Vitamin A and the hormone-disrupting chemical oxybenzone, which penetrates the skin and enters the bloodstream.

Sunscreens generally come in two forms: physical barriers and chemical barriers. Some products contain both types.

 

“Zinc oxide and titanium oxide are physical blockers that sit on the skin, reflecting the light, like the white stuff we used to see on the noses of lifeguards,” says Pacheco. “Oxybenzone and other chemical sunscreens block the UV rays, but it’s their little chemical structure that does it as it penetrates your skin.”

 

More than 1 million people in the United States will be diagnosed with skin cancer this year, according to the American Cancer Society. It is the most common form of cancer diagnosed.

 

Many research studies, some done at UCCC, have also shown that sun damage during childhood is a significant risk factor for melanoma, the deadliest form of skin cancer, which affects upwards of 67,000 Americans each year and is on the rise.

 

Pacheco, who is collaborating with other UCCC scientists to bring a new skin cancer protection product into clinical trials after successful tests in animal models, says that while it’s true that a 2008 Centers for Disease Control study showed 97 percent of people tested had oxybenzone in their blood, “it’s unclear that’s a bad thing. We don’t know that chemicals are worse. We just know there are better sunscreens.”

 

Just ask staff in a dermatology clinic what sunscreen they use, she suggests, and likely they’ll recommend products with physical versus chemical blockers.

 

“Zinc oxide and titanium dioxide are less irritating to the skin, and they simply provide better protection across the UV spectrum,” she said. “It’s what we recommend for people after cosmetic procedures because they need strong sun protection that’s non-irritating. Also, if you find a sunscreen that has these ingredients plus the chemical blockers there will probably be a lower level of chemicals in them.”

 

The EWG report points to an FDA study that demonstrates the other sunscreen additive in question, vitamin A, may actually cause skin cancer to develop when used on skin that’s exposed to sunlight. Pacheco, who also studies vitamin A as an anti-oxidant, is unclear why it would be included in sunscreen especially given those research findings.

 

SPF claims also come under fire in the EWG report, which calls SPF ratings misleading because “people apply about a quarter of the recommended amount. So in everyday practice, a product labeled SPF 100 really performs like an SPF 3.2.”

 

“SPF 30 is your magic number,” Pacheco says. “Everything higher is marketing.”

She pointed out that sunscreens are currently registered with the FDA as cosmetics, which means manufacturers can make unproven claims—such as saying a product is SPF 100—and don’t have to disclose all the active ingredients. The agency in 2007 proposed new regulations that would make sunscreen an over-the-counter drug and would require listing of active ingredients and uniformed ratings. It would also ban manufacturers from labeling sunscreens with an SPF higher than SPF 50.

 

The EWG report says one in six brands of sunscreen now lists SPF values higher than 50.

 

Pacheco says if EWG’s report does nothing more than increase awareness that sun protection is important, that’s OK.

 

“You can use a hat, you can use sun-protective clothing, you can use sunscreen,” she says. “Just use something.”

About the University of Colorado Cancer Center

 

The University of Colorado Cancer Center is the Rocky Mountain region’s only National Cancer Institute-designated comprehensive cancer center. NCI has given only 40 cancer centers this designation, deeming membership as “the best of the best.” Headquartered on the University of Colorado Denver Anschutz Medical Campus, UCCC is a consortium of three state universities (Colorado State University, University of Colorado at Boulder and University of Colorado Denver) and five institutions (The Children’s Hospital, Denver Health, Denver VA Medical Center, National Jewish Health and University of Colorado Hospital). Together, our 440+ members are working to ease the cancer burden through cancer care, research, education and prevention and control. Learn more at www.uccc.info. 

 

 

 

 

Skin Cancer Awareness Slideshow

June 10th, 2010

Sun protection are media heavy topics in the spring and summer time. Although, sun exposure and tanning beds are the two biggest enemies to youthful skin they, can also lead to skin cancer.  Below are two of a seven-segment series of patient conversations conducted by our clinic’s dermatologist, Dr. Robert Dellavalle, with Jodi who was diagnosed with a melanoma when she was 19 years old.

 

Dr. Dellavalle discusses this topic in two amazing videos. He talks to a melanoma survivor about the diagnosis and stress the importance of seeing what’s right in front of you.

 

http://savantmd.com/2010/05/26/melanoma-what-is-it/

 

http://savantmd.com/2010/05/26/melanoma-what-was-it-like-to-have-a-melanoma/

Be sure to come back to view new segments that will be added this summer.

 

 

 

Choose Skin Health

April 29th, 2010

Choose Skin Health from Neutrogena has partnered with the Cosmetic Specialists dermatology volunteer members of the American Society for Dermatologic Surgery to encourage the public to choose healthy sun safe behaviors.

 

This goal of this new partnership with the American Society for Dermatologic Surgery and Neutrogena Choose Skin Health is to encourage the public to choose healthy sun safe behaviors, including skin cancer prevention, through free skin cancer screenings, using sunscreen regularly and practicing skin self exams. 

 

We invite you to choose skin health by having your skin examined for skin cancer by a dermatologist. 

 

We are conducting free screenings at our Cherry Creek/Denver clinic:

 

Location:

3773 Cherry Creek North Drive
Suite 685
East Tower
Denver, CO 80209

 

Dates:


May 25, 2010  Cory A. Dunnick, MD
June 17, 2010  
Robert Dellavalle, MD
July 21, 2010  
Theresa R. Pacheco, MD

 

Call the clinic 303-321-0737 to request a free skin cancer screening.

“Spring Training for Your Skin” Special Promotion During Month of April

April 8th, 2010

 
The University of Colorado Denver Cosmetic Specialists clinic is offering a “Spring Training for Your Skin” special promotion during the month of April. New and returning patients will receive a free skin assessment with package discounts available on cosmetic services.
 
For more information about the University of Colorado Denver Cosmetic Specialists, visit www.cucosmetics.com, and to schedule an appointment, call 303-321-0737.

Please share!

February 10th, 2010

 

As University of Colorado professors, we are often approached by the media for non-biased comments on cosmetic products, procedures and current cosmetic media stories.  We invite you to provide feedback on cosmetic subject (s) you would like our doctors to address. Additionally, we would love hearing about new products or procedures and your experience with them. Please share!

Dr. Pacheco

 

Sulzburger Foundation’s 2010 Sunsafety Video Contest

January 6th, 2010

Sun protection is key to the prevention of skin aging and skin cancer. As you lather on sunscreen to prevent wrinkles, fine lines and brown spots - know that you are also protecting your skin from skin cancer.

 

The winning entry of the Sulzburger Foundation’s 2010 sunsafety video contest (http://sunsafetyvideocontest.org/).  The prize was awarded to the video producers at this years 2010 American Academy of Dermatology meeting in Miami in early March.

 

C) There’s nothing healthy about a tan:
http://www.youtube.com/user/sunsafety#p/f/3/qaMuwjYpXYk

Please take a look at the other top 2 entries.
A) Skin Cancer protection-it’s our way of life:
http://www.youtube.com/user/GPYRBRISBANE#p/a/u/1/pT1hImm-pA4
B) Australian Skin Cancer Public Service Announcement:
http://www.youtube.com/user/sunsafety#p/a/f/2/gIQviRco1m4
 

Bob Dellavalle, MD, PhD, MSPH
 

Good Hair

January 1st, 2010

 

Whether you like your hair straight or with a wave, a rich brown or golden blond; hair treatments that allow us to color and alter the texture of our hair can start to make one feel the second you finish, it seems like it’s time to start all over! I was interviewed by KOA Radio personality, Robbyn Hart, about hair products that damage the scalp in a segment called Good Hair.  Click on the following weblink to listen.

 

http://a1135.g.akamai.net/f/1135/18227/1h/cchannel.download.akamai.com/18227/podcast/DENVER-CO/KOA-AM/GOOD%20HAIR.wav

Though there are no quick fixes, choosing the right hair color or relaxer can make the burden easier. It makes sense that one should know what products are being used on our hair and scalp and whether we are causing harm. The Skin Deep Cosmetic Safety Database is a searchable database of toxic ingredients in cosmetic and personal care products. Click on its website http://www.cosmeticsdatabase.com/ to discover how to look up hair color and relaxers that are safe to use. Enjoy.

Theresa R. Pacheco M.D

 

Antioxidants and Skin Health

December 10th, 2009
 
Pass any beauty counter or open any magazine at the grocery store and you can’t miss the fact that many skin care products boast antioxidants—but you may not know what they are or why they are so important.
 
I lectured this week to my dermatology colleagues on Antioxidants and Skin Health at The Colorado Dermatologic Society monthly educational meeting. We discussed the scientific foundation of antioxidants in the skin. This lively dialogue made us all realize that we need better educate our patients on the role of antioxidants and skin health.

 

Oxidation in skin health is a very big topic and impossible to discuss in a few sentences. What I can tell you is that oxidation is thought to contribute to skin aging. Antioxidants protect cells from oxidative stress that occurs from a wide range of factors, including UV radiation from the sun, air pollution, medications, and cigarette smoke. There are many skin care products out there that tout antioxidant and anti-aging benefits. Some work and many do not for a variety of reasons such as packaging and formulation issues (they should be formulated with another antioxidant). Antioxidants work as a team, meaning they help each other by ‘recycling’ each other. Antioxidants are ‘green’ – makes sense? Also remember that antioxidants prevent wrinkles, but they don’t treat wrinkles that you already have. So if you want to use an antioxidant to prevent aging, here are some examples of antioxidants you will encounter:

 

Coenzyme Q10 (CoQ10) or synthesized analogue (idebenone)
Indications
Prevention of photoaging ONLY when formulated with another antioxidant
Available Topical Formulations
Eucerin Q10 Anti-Wrinkle Sensitive Skin
PREVAGE MD
Elizabeth Arden Prevage

 

Vitamin E
Indications
Prevention of photoaging ONLY when formulated with another antioxidant
Recommended Available Topical Formulations
SkinCeuticals C E (vitamin C  and vitamin E)
SkinCeuticals C E Ferulic (vitamin C, vitamin E and ferulic acid)
MDSkinCare Anti-Aging Vitamin C Gel (vitamin C  and vitamin E)
SkinMedica Vitamin C Plus E Complex (vitamin C  and vitamin E)
EmerginC 20 Vitamin C Serum (vitamin C  and vitamin E)
Perricone MD Vitamin C Ester Eye Serum (vitamin C  and vitamin E)

 

Vitamin C
Indications
Prevention of aging ONLY when formulated with another antioxidant
Wrinkle treatment (effect is unrelated to its antioxidant effect but rather because of its effect in promoting collagen)
Recommended Available Topical Formulations
SkinCeuticals C E (vitamin C  and vitamin E)
SkinCeuticals C E Ferulic (vitamin C, vitamin E and ferulic acid)
SkinCeuticals Phloretin CF (vitamin C, ferulic acid  and phloretin)
Cellex-C Advanced C Serum (vitamin C, ergothioneine, resveratrol, and grape seed extract)
MDSkinCare Anti-Aging Vitamin C Gel (vitamin C  and vitamin E)
SkinMedica Vitamin C Plus E Complex (vitamin C  and vitamin E)
EmerginC 20 Vitamin C Serum (vitamin C  and vitamin E)
Perricone MD Vitamin C Ester Eye Serum (vitamin C  and vitamin E)

 

Green Tea
Indications
Prevention of aging ONLY when formulated with EGCG in high concentrations
Recommended Available Topical Formulations
Topic Replenix Caffeine Enhanced Green Tea Cream

 

Silymarin
Indications
Prevention of aging.
Recommended Available Topical Formulations
Skinceuticals Antioxidant Lip Restorative Repair Treatment (silymarin and vitamin E)

 

Coffeeberry Extract
Indications
Prevention of aging.
Available Topical Formulations
RevaleSkin Cream 1% Coffeeberry
RevaleSkin Cleanser 0.1% Coffeeberry

 

Polypodium Leucotomos
Indications
Treatment of sunburn
Inhibition of the phototoxic reaction
Prevention of aging
Prior to intense sun exposure - i.e. a day of skiing or hiking in Colorado
Recommended Oral Formulations
1 or 2 capsules of Heliocare should be taken 1 hour prior to sun exposure

 

Ergothioneine
Indications
Prevention of aging ONLY when formulated with another antioxidant
Recommendations
Recommended Available Topical Formulations
Cellex-C Advanced-C Serum (vitamin C, ergothioneine, resveratrol, and grape seed extract)

 

The Colorado Dermatologic Society is a statewide association of dermatologists dedicated to quality, safety, and collegiality in the delivery of dermatologic care and is great resource to those interested in the skin health of the people of Colorado. Go to http://www.coloradodermatology.org/ for more information.

 

Theresa R. Pacheco, MD

Dermatology, Laser Surgery and Skin Care Resources

October 21st, 2009

Not a day goes by where a patient, friend or family member does not ask about skin care products or cosmetic procedures. The amount of print and electronic content out there is overwhelming, even I get confused! Sometimes, my brief answers are sufficient to satisfy their inquiries but other times I realize referring them to reputable content is best.  

 

The following websites contain information from colleagues with expert knowledge in the fields of dermatology, laser surgery and skin care.

 

Click on the links below to start reading.

 

www.hairremovaljournal.org/

Patient Resource for hair removal.

Information on removing unwanted hair.

 

http://www.wrinkles.org

Patient Resource for Aging Skin

Information on fine lines and aging skin.

 

http://www.stretchmarks.org

Patient Resource for Stretch Mark Removal

Information regarding the effects of pregnancy,diet,and hormones.

 

http://www.rosaceatreatment.org

Patient Resource for Telangiectatic Rosacea

Includes details on causes, treatments, flare-ups,and medications.

 

http://www.collagen.org

Patient Resource for Dermal Fillers

Information on side effects, application areas, and differences in the injectables.

 

http://www.agespots.net

Patient Resource for Sun-related Spots

Preventive information on spots relating to sun damaged skin, treatment options, and effects of tanning.

 

http://www.acnescars.net

Patient Resource for Acne Scarring

Scar prevention, removal, treatment recovery times, and doctor Q&A’s.

 

http://www.chemicalpeel.org

Patient Resource for Skin Peels

Information regarding different application areas, types of peels, side effects, and recovery times.

 

http://www.freckles.org

Patient Resource for Brown Spots

Resource for prevention, removal, laser treatment, and topical solutions.

 

http://www.microdermabrasion.net

Patient Resource for Dermabrasion

Resource on application areas, side effects, before and after photos, and common results.

 

Go to our home website www.cucosmetics.com Resource section under the NEWS tab for additional resources.

 

 Theresa R. Pacheco, MD