Winter Skin Care – Part One

Portrait of young woman throwing the snow outdoors. Smiling girl walking in a winter park and having fun on a cold sunny day.

With winter quickly approaching, it is important to know how to properly care for your skin during the chilly winter months. The change of seasons can be very stressful on your skin, especially when going from warmer summer months to cold, windy and drier winters. This transition most commonly makes your skin look dull and older than its years, but it can also spur flare-ups of skin conditions such as acne and eczema. Decreased temperatures mean a drop-in humidity levels, taking moisture not only out of the air, but also out of your skin.

One of the biggest mistakes people make with the change of seasons is neglecting to adjust their skin care routine, if they even have one in the first place. The good news is that there are simple changes you can make to prevent the stress of wintry weather from affecting your skin:

Maintain a Healthy, Balanced Diet. The best high-antioxidant fruits and vegetables will help feed your skin from the inside out and keep it looking its youngest, most beautiful best. Since dry winter weather robs your skin of moisture, it’s important to increase your intake of water and other fluids. Avoid caffeinated drinks like soda and coffee, which can have a diuretic effect. Some studies have also shown that dietary fatty acids such as omega-3 and omega-6 may help dry skin by replenishing your skin’s natural oils, so consider incorporating these foods and supplements into your diet.

Don’t Crank Up the Heat. Turning up the heat indoors seems like a natural response to chilly winter weather, but raising the thermostat indoors dries the air and skin out even more. The result is dry, flaky skin that is itchy and uncomfortable.

Winter Skin Care Part Two continued next week.

Posted: December 10, 2017 By:

Dermal Fillers Side Effects

Dermal FillersDermal fillers are generally considered to be an extremely safe and effective treatment. For the unlucky people that do experience any unwanted side effects, they are generally minor and short lasting. Dermal fillers are consequently considered to be one of the safest anti-aging treatments around and this is reflected in their increasing popularity over the past few years.

There are several types of dermal fillers and each has its own side effects. Side effects may show up at various stages. This will mostly depend on the type of dermal filler used and the length of time one is exposed to the product. The most common dermal fillers side effects are:

Bruising: This will affect just about everyone who has the procedure although the extent varies between individuals. The bruising is caused by the needle piercing the skin and is the same for any type of injection. This typically lasts for around 2-3 days and the healing time can be shortened by using a warm compress.

Allergic Reaction: Although uncommon, it is possible to have an allergic reaction to the dermal filler material. If you have a reaction, you can expect some swelling and redness to the treated area. Symptoms usually only last 2-3 days.

Tenderness: You can expect some tenderness around the treated area for a day or so.

Poor Results: Occasionally people do not respond to the treatment as expected and the effects may not be as good as was hoped.

Most patients find dermal fillers to be a painless, effective and safe treatment. Choosing an experienced practitioner can help reduce the chances of experiencing unwanted side effects because they will be able to choose the dermal filler product best suited for you. Contact The Center for Advanced Dermatology at 602-867-7546 or to schedule a consultation with Dr. Holy.

Posted: December 3, 2017 By:

Cosmetic Botox Injection Sites

Botox InjectionsCosmetic Botox is a nonsurgical treatment designed to reduce the fine lines and wrinkles that appear on the face over time. Also known as Botulinum Toxin Type A, Botox is a muscle paralyzing neurotoxin. When injected into a predetermined area, this product will temporarily relax the muscle and smooth facial creases.

The most common cosmetic Botox injection sites are between the eyebrows (to treat frown lines), at the corner of the eyes (to correct “crow’s feet”), forehead creases and wrinkles around the lips.

Administered through tiny injections directly into the targeted muscle area, Botox injections take less than 30 minutes in the office. Prior to a treatment in Phoenix, Dr. Holy will determine if you are a suitable candidate for Botox, which areas of the face will be targeted, and how much will be needed. Virtually painless, cosmetic Botox injections do not require an anesthetic. Patients normally report a slight pinch during each injection.

No downtime is required after a cosmetic Botox treatment; patients can return to their usual activities immediately after a treatment. Minor bruising may occur at the injection site, although this will quickly resolve. The results from a Botox treatment can first be noticed in five to seven days. The full benefits from a treatment will appear in approximately two weeks. Results last between three to four months; after which time, patients will need a repeat treatment to maintain results.

Cosmetic Botox injection treatments are beneficial for men and women of any age and safe for all ethnicities and skin types. People frustrated by the early signs of aging due to facial lines and wrinkles should find that cosmetic Botox injections provide excellent results.

Cosmetic Botox injections can be performed alone or in conjunction with other aesthetic treatments to achieve optimal results. To learn more about products and services available in Phoenix to further improve the look of your skin, contact The Center for Advanced Dermatology at 602-867-7546 or

Posted: November 26, 2017 By:

Aging Skin Prevention

Senior Woman Relaxing In Chair At HomeAging skin prevention is important but often overlooked. If practiced properly, it can reduce the amount of anti-aging treatments or aesthetic products needed to keep skin young looking.

In Phoenix, Dr. Holy recommends a proactive approach to aging skin prevention. Let’s take a closer look at some skin aging prevention tips that will help maintain your skin in a healthy and young looking state.

Sun Exposure:

Properly dealing with sun exposure helps prevent many skin aging problems ranging from wrinkles to skin cancer.

  • For maximum skin aging prevention, avoid sun exposure on the skin during the hours that the sun is most intense.
  • Wear a hat, protective clothing and sun ray blocking glasses to guard against exposure, especially during peak hours.
  • Use appropriate sunscreen offering UVA and UVB protection (broad spectrum protection). Sun Protection Factor (SPF) should be greater than 15 and applied at least 20 minutes before the skin is exposed to the sun; sunscreen should be reapplied after swimming or heavy sweating.
  • Use antioxidant topical products (usually include ingredients such as vitamins A, C, E, selenium, coenzyme Q10 and alpha-lipoic acid) to protect the skin from sun damage and premature aging; antioxidants neutralize free radicals which will cause damage to skin cells.
  • Avoid using tanning beds.
  • Avoid sunburns.

Diet and Health:

  • Adequate fluid intake (6 to 8 glasses of water per day) is essential for hydrating skin, flushing out toxins from the body and for aging prevention.
  • A diet with plenty of whole grains, fresh fruits, vegetables, use of healthy oils such as olive oil or flax seed oil and reduction of saturated fats helps protect the skin.
  • Exercising regularly helps promote capillary functioning, bringing oxygen to the skin which is important for healthy skin as well as flushing out body toxins.
  • Avoid stress.
  • Avoid large weight fluctuations.
  • Get adequate sleep.
  • Quitting smoking is effective in skin aging prevention.
  • Not smoking prevents the formation of skin wrinkles, yellowing of the skin, certain types of skin cancer and the breakdown of collagen in the skin.

Dry Skin and Itching:

  • Clean the skin, exfoliate the skin surface gently to remove dead skin cells and moisturize the skin regularly especially in cold and dry climates to prevent dry skin.
  • Avoid the use of fabric preservatives, harsh detergents, bleaches and harsh soaps in order to prevent allergic type itching.

The skin you have now is the only skin you’ll ever get. Keeping it at its best starts with how you treat it every day. With proper skin care to pamper skin from the outside and with a good diet to nourish from within, healthy skin is achievable with these simple steps. Should you ever notice any problems, get medical attention to resolve them quickly and avoid putting your skin at risk. If you have concerns about aging skin or would like more information about aging skin prevention, contact The Center for Advanced Dermatology in Phoenix at 602-867-7546 or

Posted: November 19, 2017 By:

How Long Does a Liquid Facelift Last?

Liquid FaceliftLiquid facelift is a non-invasive cosmetic procedure that uses injectables to minimize noticeable signs of aging. Most liquid facelifts involve a combination of products like BOTOX, Juvéderm, Restylane, Perlane and Sculptra. If you are concerned about wrinkles, loss of facial volume and other signs of aging, yet you are hesitant to commit to a surgical procedure, liquid facelift with Dr. Holy in Phoenix may be a great option for you.

A liquid facelift will noticeably rejuvenate the face — but only temporarily. Exactly how long the results last depend on several factors, including the specific products used, where they are placed, the severity of the wrinkles (or volume loss), the technique of the injector and how quickly the body metabolizes the products. Everyone tolerates liquid facelift injectable products a little differently, but typical results last one to two years.

Though you cannot control exactly how your body breaks down the injectable products used in your liquid facelift, there are a few things you can do to prolong the results of your procedure:

  • Stay out of the sun
  • Avoid smoking and using other nicotine products
  • Inquire about medical-grade skin care or complementary treatments with your skin care team

Touch-up treatments can also prolong the results of your liquid facelift. Over time, regular touch-ups can help you enjoy the anti-aging effects of your liquid facelift with less product and fewer treatments.

Contact The Center for Advanced Dermatology at 602-867-7546 or to learn more about liquid facelift or to schedule a consultation. Dr. Holy can evaluate your particular areas of concern and recommend a treatment plan tailored to your unique needs and goals.

Posted: November 12, 2017 By:

SilkPeel and Acne

SilkpeelAcne is one of the most common, damaging and challenging skin conditions for men and women of all ages. Even people who were fortunate enough to have clear skin throughout their teenage years can suddenly develop acne later in life.

Acne results from the obstruction and inflammation of the sebaceous glands, and it affects 80% of the human population. Acne typically begins in adolescence with hormonal changes. However, there are many older individuals who suffer from adult acne.

While for most of us, the odd zit here or there might not seem like such a big deal, for those who suffer or have suffered with moderate to severe acne, the damage is much more than just skin deep. The effects of deep cystic acne can affect your confidence, self-esteem and self-image to a degree far beyond what most people might even imagine. Even after the acne has subsided, many people remain scarred both physically and emotionally.

SilkPeel is a safe and painless skin care procedure that treats and improves the appearance of various skin conditions, including acne. The procedure provides non-invasive exfoliation and delivery of skin-specific topical solutions under pressure, leaving patients with fresher-feeling and better-looking skin. Compared to other skin care procedures that use chemicals, lasers or other invasive treatment, SilkPeel does not use crystals or other abrasive particles that can irritate or bring discomfort to the skin. The procedure is more comfortable with mild treatment that leaves the skin smooth to the touch.

SilkPeel is suitable for all skin types, including individuals that have sensitive skin. The treatment gently exfoliates dead skin and gets rid of impurities on the skin. In addition to improving acne scars, the range of services offered by SilkPeel includes treating excessively oily skin, wrinkles, uneven skin tone, dull and dehydrated skin.

Although SilkPeel is a gentle and safe treatment, your skin will look slightly reddish during and after the procedure but this should disappear within a few hours. Your skin will also slightly peel off as a result of exfoliation of impurities and dead skin; it will feel smooth to the touch after.

To schedule a SilkPeel treatment with Dr. Holy in Phoenix, contact The Center for Advanced Dermatology at 602-867-7546 or

Posted: November 5, 2017 By:

Fillers Under Eyes

A common complaint from patients is the appearance of dark circles under the eyes. Some dark circles can be the result of shadows from bulging under-eye fat (bags under the eye) or from under-eye hollowness. Under-eye hollowness can be caused by either a weak cheek bone and deficient orbital rim or from deficient under-eye fat.

Topical products can help, to an extent, with the appearance of this area (things like discoloration and crow’s-feet), but when volume loss is the reason for this less-than-desirable hollowed-out effect, fillers under the eyes may be the answer.

Under-eye fillers are an effective way of restoring volume to the eye area – reducing the appearance of hollow eyes, puffy eyes and dark circles. Fillers also hydrate the skin from the inside, leading to improvements in skin quality and collagen production.

Fillers can be permanent non-autologous (e.g. Sculptra, Aquamid) or permanent autologous (e.g. fat) or even temporary (e.g. Restylane, Juverderm).

Filler injections are usually painless. When treating wrinkles the filler is injected under the skin, for volume loss it can be injected on the bone or deep in soft tissue with a very thin needle or cannula. These injections give natural volume and a typical treatment takes about 10-15 minutes, with immediately visible results.

Side effects of under eye fillers vary depending on the type. Potential temporary side effects include:

  • Bruising and or redness of the skin at the site of injection
  • Lumpiness and or granuloma formation
  • Swelling and or Overfilling
  • Migration
  • Blindness
  • Skin Necrosis
  • Allergic Reaction

Fillers under the eyes are not for people who have a known allergy to the product or lidocaine, have an active infection at the injection site, are pregnant or are breastfeeding.

To learn more about fillers under the eyes or to schedule an appointment in Phoenix, contact The Center for Advanced Dermatology at 602-867-7546 or

Posted: October 29, 2017 By:

Chemical Peel Treatment

A chemical peel treatment is a procedure that involves the application of a chemical to the face, neck or hands. A predefined chemical solution is applied to the area to be treated to diminish imperfections by peeling away the skin’s top layers. It also stimulates the production of new collagen for a smoother more even complexion.

Chemical peels can be used to treat:

  • Acne
  • Uneven Pigmentation
  • Mild Scarring
  • Fine Wrinkling
  • Dry Skin
  • Skin Texture
  • Sun-Damaged Skin
  • Age Spots
  • Freckles
  • Dark Patches

There are three main types of chemical peels; light, medium and deep, categorized by the differing levels of peeling and utilizing varying amounts of chemicals for the desired results.

A light chemical peel is most commonly performed and is the mildest of the peel formulas that uses Alpha hydroxy acids. You may experience a slight tingling or warming sensation of the skin. AHA may be applied weekly or at longer intervals to achieve the desired results.

A medium chemical peel is performed using a trichloroacetic acid. Medium deep peeling can sting mildly with much warmer sensations on the skin. Because of deeper penetration, it can remove larger wrinkles and precancerous skin lesions; however, this peel can also make the skin temporarily look like a sunburn.

Deep chemical peels, using Phenol acid, are rarely performed. The application is very painful and is done under a general anesthesia.

Severe wrinkles may not respond well to chemical peel treatment. They may require other kinds of procedures such as laser treatments or Botox.

Chemical peels are generally performed in our Phoenix office. Immediately after a chemical peel treatment, the surface of the skin will appear whitish and you may experience a warm to hot sensation followed by a stinging sensation. Cool compresses can be applied to help alleviate any discomfort. In the following days, your skin will feel tight and dry. After 4 to 6 days, the tight skin will begin to peel. After about 7–10 days, the skin should appear normal again.

At The Center for Advanced Dermatology, Dr. Holy will discuss an appropriate treatment plan with you based on your specific skin problem and desired results. Contact us at 602-867-7546 or to schedule your chemical peel treatment today.

Posted: October 22, 2017 By:

What is Botox?

BotoxToday, the word Botox usually brings only one thought to mind: wrinkle reduction. However, you may or may not know that Botox, or Botulinum Toxin Type A, is a derivative of botulism; a substance sometimes more associated with horror than help.

Botulism, a toxic bacterium, has been known to man for thousands of years. Occurring naturally, especially in improperly preserved foods, the toxin can cause severe illness and even death. In ancient times, men learned how to extract botulism from rancid meat, such as dried blood sausages, to poison their enemies.

Roughly 200 years ago, scientists and physicians began to study the toxin in depth. They discovered that within 18-36 hours of ingestion, subjects would experience double vision, slurred speech, muscle weakness, and ultimately, death.

After years of study, researchers learned that the toxins in botulism come in many forms, and that not all were bad. In the early 1980s, San Francisco ophthalmologist Dr. Alan Scott was the first to utilize Botulinum Toxin Type A. Looking for a cure for Amblyopia and Strabismus, or crossed eyes, Dr. Scott noticed that in small doses, the Botulinum Toxin Type A had the unique ability to relax targeted muscles, thus releasing the effected eye.

In 1987, two Vancouver doctors accidentally uncovered the unexpected aesthetic properties offered by the toxin. Dr. Jean Carruthers was an eye doctor, treating blepharospasm (uncontrollable blinking) with a diluted version of Botulinum Toxin Type A. Over time, she noticed that when the toxin was injected closer to the forehead, wrinkle lines between the brows would go away. Dr. Carruthers’ husband was a dermatologist, and was quick to use his wife’s anti-wrinkle discovery in his own practice. This pair of physicians became pivotal researchers, further developing the Botox we use today across a variety of cosmetic and medical needs.

Approved by the Food and Drug Administration for cosmetic use more than 10 years ago, Botox has grown to become a billion-dollar industry. Today, Botox is America’s number one non-surgical aesthetic treatment. Aside from the cosmetic benefits of modern Botulinum Toxin Type A, smoothing facial lines and wrinkles, the substance is now used to eliminate chronic migraines, ease a spastic bladder, and improve a variety of muscle/movement disorders.

To learn more about Botox, contact The Center for Advanced Dermatology at 602-867-7546 or

Posted: October 15, 2017 By:

Chemical Peel Side Effects

Chemical PeelA chemical peel is a facial resurfacing technique that uses a chemical solution to improve and smooth the texture of the facial skin by removing its damaged outer layers. It involves the application of toxic chemical solutions to the skin in a controlled manner, producing controlled tissue death and resulting in a superficial wound. As the tissue damage is repaired by the natural healing process, the skin’s appearance is improved.

Chemical peels can cause various side effects, including:

  • Redness. Expect some redness of the skin after a chemical peel. With deeper peels or with certain skin types, redness can be severe. It may fade within a few weeks, or it may last several months. The strength of the solution used for the chemical peel will determine how much redness will occur and how long the redness will last.
  • Changes in skin color. A chemical peel can cause treated skin to become darker than normal (hyperpigmentation) or lighter than normal (hypopigmentation).
  • Crusts or scabs may develop on areas treated with any type of chemical peel as the skin reacts to the trauma of having a mild acidic solution applied to it. Phenol peels can be expected to result in some crusting as the old layer of skin exfoliates and the underlying layer of skin emerges.
  • Sensitivity to Light. A chemical peel can increase a patient’s sensitivity to sunlight so avoidance of sun exposure is usually advisable for several months after the treatment. Wearing sunscreen is highly recommended following a chemical peel.
  • Rarely, a chemical peel can cause scarring – typically on the lower part of the face. Antibiotics and steroid medications can be used to soften the appearance of these scars.
  • A chemical peel can cause a flare-up of the herpes virus – the virus that causes cold sores. Rarely, a chemical peel can lead to a bacterial or fungal infection.
  • Heart, kidney or liver damage. A deep chemical peel uses carbolic acid (phenol) which can damage the heart muscle and cause the heart to beat irregularly. Phenol can also harm the kidneys and liver.
  • Flaking and Peeling. Flaking and peeling are normal chemical peel side effects that are temporary and relatively minor. A patient must not pick at the flakes and peeling skin because pulling off peeling skin before it is ready can result in infection and scarring.

Patients should have an understanding of potential chemical peel side effects prior to treatment to help them make an informed decision about undergoing the procedure. The best way to determine if you are a candidate for a chemical peel is through a consultation with Dr. Holy at The Center for Advanced Dermatology in Phoenix. For more information about chemical peel side effects or to schedule an appointment, contact us at 602-867-7546 or

Posted: October 8, 2017 By: