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Summer Has Arrived In Seattle--What Does August Bring PDCC

August Newsletter:

SEATTLE SUMMER: We hope you are all enjoying the beauty of Seattle’s summer!  Please be sure to come in for your annual skin check.  More than 3.5 million skin cancers are diagnosed annually in the US (there are more skin cancers diagnosed annually than any other type of cancer) so be sure to wear your sunscreen and get your skin checked annually.

NEW PRACTICE MANAGER:  We are thrilled to announce our new practice manager VICKI ROSELLINI.  She brings with her many years of Human Resources, Marketing & Sales, Business Consulting and Practice Management experience.  Her devotion to excellence in patient care and expertise and familiarity with cosmetic dermatology made her a terrific fit for our office.  She is a fantastic addition to our team, and we are happy to have her aboard.

AUGUST PROMOTION on FILLERS: We are celebrating summer by offering a mix and match FILLER SPECIAL in which you can purchase any two syringes of  Radiesse and Juvederm for only $950! Dr. Jacobson looks forward to seeing you Tuesday,  August 16 or Dr. Reichel looks forward to seeing you on Tuesday and Thursday, August  18.

NEW LASER HAIR REMOVAL SYSTEM: We are pleased to announce the addition of our amazing new laser for effective hair removal called the high speed LightSheer Duet. This device provides fast, easy and virtually pain free, long-lasting hair removal.  It combines a state of the art diode laser with vacuum-assist technology, allowing for faster treatment than comparable hair removal lasers and with greater comfort.  It also can be safely used on almost all skin types and hair types.  The DUET will be available this Fall!

NEWS FROM PROVIDERS:  Kelly Stevens PA-C recently attended the Pacific Northwest Dermatological 78thAnnual Scientific Conference held in Vancouver BC July 22-24.  She especially enjoyed hearing from Matthew Zirwas, MD (he spoke about use of barrier creams for eczema), Dirk Elston, MD (current President of the American Academy of Dermatology, who discussed the ways to properly perform biopsies of pigmented lesions), and Erin Moore, MD (who focused on complementary and alternative medicine in dermatology).  Kelly enjoyed seeing Stanley Park, Granville Island, and hearing about the dolphins at the Vancouver Aquarium where her husband and son spent time while Kelly attended the conference.

We are eagerly awaiting the arrival of BABY GIRL STEVENS this September.  We are so happy for Kelly and her family!

DYSPORT OFFER: If you are a patient who has not yet tried Dysport (an injectable used for smoothing frown lines and crow’s feet), we are offering a $50 discount for first-timers.  Alternatively, if you have had Botox in the last six months and have proof of purchase, you can have $100 off your next Dysport treatment.

SEPTEMBER EVENING OF BEAUTY: Finally, we are planning an official “Evening of Beauty” for early fall.  Please keep your eyes peeled for the official date which will be posted on our website in the next few weeks.  We will have generous discounts offered, as usual, for some terrific treatments.   Looking forward to seeing you there and having a relaxed night with raffle prizes, appetizers, drinks and beautification.

OTHER ONGOING SPECIALS: 1) Botox bank a vial: Buy 100 units of Botox at $12 a unit (regularly $15 a unit) if you buy all 100 units at once you pay only $1200, that's a $300 value.  This offer is good for 12 months (ie, all purchased Botox must be used within the year of purchase).

2) Latisse special: Buy one Latisse for $125 or two for $198.  Latisse is a prescription strength lash lengthener that is applied topically and sold in our office.

PATIENT SATISFACTION SURVEY:  In order to maximize our efficiency and patient care, we will be implementing a patient survey this fall.  We are always striving to offer excellence in patient care and look forward to hearing your feedback.

July is in the Air here at Pacific Dermatology & Cosmetic Center in Seattle

With summer comes a time to look your best, and to remember to wear sunscreen.

Please look for Dr. Reichel's page in the Seattle Metropolitan Magazine this month.  Only a few cosmetic practices are featured in the Seattle Met, be sure to mention her page when you schedule for a cosmetic consultation and the consult is FREE.

We are promoting a "Look Your Best" saving on August 16th and 18th. Receive 2 syringes of either Juvederm Ultra, or Radiesse for only $950. That is a savings of $300.

Best In Show At The Save The Girls Event 2011

We are proud to announce that we won Best In Show at the 3rd Annual Save The Girls Eventon June 12, 2011.  The event was held to promote breast cancer awareness, and proceeds were given to the Susan G. Komen for the Cure foundation.  Our wonderful staff members, Noelle Rimas and Sue Hickox designed our award winning bra.

Wow--5 Years for Pacific Dermatology & Cosmetic Center

Our practice opened in July of 2006, that's 5 years this month.  From the first day, we have offered top-notch dermatology, skin cancer, and cosmetic surgery care to our patients.  Without our patients, we wouldn't be here.  It has always been my motto to put patient care first, and I strongly believe that we achieve this goal here at Pacific Dermatology & Cosmetic Center.  With the help of a wonderful staff and caring providers, we believe in taking the extra step for patients.  I want to take this news corner space to thank all of our fabulous patients, and staff.  Our practice has grown strong with internal referrals from patients, and referrals from other physicians in the community.  My desk is covered with thank-you cards and notes from patients and staff thanking us for doing a great job.  Well, thank you back.

Dr. Jennifer Reichel, owner and Director, Pacific Dermatology & Cosmetic Center

Clinic News

We are sad to announce that our Practice Manager, Carla, is moving this month.  She has been with us since we opened and has been a positive influence on all aspects of the practice.  Thank you Carla for all that you have done to manage and build my practice.  you will be truly missed by the office.  We wish you the best of luck in Scottsdale, Arizona.

We have done an active search for a new Practice Manager/Operations Officer.  We are excited to announce that we have found the perfect fit in Vicki Rosellini.  Vicki has extensive experience in upper level management in Cosmetic Dermatology and human resources.  She will do a fantastic job in management and in continuing our mission of placing patient care as number 1. Welcome Vicki.

Both Dr. Reichel and Dr. Jacobson will be hard at work this year as they prepare for their American Board of Dermatology recertification to take place in 2012.  All Board certified Dermatologists are required to undergo many hours of continuing medical education and to take a recertification exam every 10 years.  Wish us luck.

Dr. Reichel has completed her tenure as the president of the Seattle Dermatology Society.  "I had a wonderful time leading the monthly meetings of our society and standing at the helm for the past year. I feel that my goal to get young dermatologists interested and active in the Seattle Dermatology community was successful."

Summer + Sun = Sunscreen

Summer is quickly approaching; it’s time to get out your flip-flops, the grill, the kiddy pool and most importantly the sun screen!  Choosing the right sun protection can be a daunting task considering the vast selection, complicated ingredients and the media influence.

There are two types of ultraviolet rays, UVA and UVB.  Both rays contribute to photo aging (i.e. wrinkles, sagging, rough skin, brown spots) and in the development of skin cancers, therefore both rays need to be blocked.  You will need to look for a broad spectrum physical blocker or a combination of physical and chemical filters to span the UVA/UVB spectrum.

The physical components of sunscreen used in the United States are zinc oxide and titanium dioxide.  Now, these are no longer your “Baywatch,” thick, white pastes used in the 1980s.  Both products can now come as micronized particles which will be transparent when applied to the skin.  Our new favorite in this category is Skinceuticals Physical Fusion UV Defense SPF 50.  This ultra-light tinted formulation goes on in a sheer fluid that dries quickly and perfectly blends into any skin color and type.  This product contains both micronized zinc and titanium dioxide to span the full UVA/UVB spectrum alone without using any chemical filters.

The chemical components of sunscreen have taken a hit over the past few years by the Environmental Working Group (EWG).  Their concern is regarding the possible free-radical-generating properties and estrogenic actions of some components.  There is, however, no good evidence that topical use of sunscreens is toxic to humans.  Many of our favorite sunscreens contain chemical components and when used as directed, pose no risk.

What does that SPF mean anyway?  Sun Protection Factor is an indication of a sunscreen’s effectiveness at preventing sunburn related to the length of time in the sun.  It only accounts for UVB rays.  An SPF of 100 blocks 99% of the UVB rays, SPF 50 blocks 98% of UVB rays, SPF 35 blocks 96-97% of UVB rays, SPF 15 blocks 93% of UVB rays and SPF 2 blocks 50% of UVB rays.  What do we learn from this?  SPF 15 or higher should be used on a daily basis and an SPF higher than 50 does not provide very much extra protection.

In recent years we are also starting to understand the importance of antioxidants in the protection against photoaging.  UV rays create free-radicals which cause damage, but, luckily antioxidants can neutralize them and can provide repairative effects.  To get the best possible protection for your skin, you should incorporate a serum antioxidant into your skin care regime every morning.  Skinceuticals makes two highly acclaimed products for just this purpose, CE Ferulic and Phloretin CF.  Your provider will be able to help you choose which product is right for you based on your skin type.

Other things to remember about sunscreens:

*  Sunscreens are not meant for children under 6 months of age.

*  Sun can be reflected by water, snow, pavement and sand.

*  70% of UVA rays can penetrate through clouds and fog.  Therefore, daily use is needed…even here in Seattle!

*  Get your vitamin D safely by taking a supplement.  Discuss the proper dose for you with your healthcare provider.

*  And, by all means- avoid tanning beds!

Other news around the office

For Your Eyes Only—Reserve your spot with Dr. Reichel or Dr. Jacobson July 14th & 19th for an amazing “Eyes Only” cosmetics package.  Receive 1 kit of Latisse, 25 units of Botox, and an Obagi or Skinceuticals Eye Serum, all for a Special Package Price!  Limited spots available, call now to secure yours, 206.859.5777.

In the Month of May, we participated in the ASDS skin cancer screening program partnered with Neutrogena’s “Choose Skin Health” campaign.  We had a very positive response with patient screenings and education on skin cancer awareness.

Kelly Stevens and Andrea English, our physician assistants are staying busy doing many skin cancer screening exams.  As you shed your winter layers and see more of your skin, be sure to do a self-exam to look for new or unusual moles or spots on your skin.  Kelly and Andrea will be happy to give those spots a professional look and check all of your hard to see places.  Call our office at 206-859-5777 to make your appointment for a full skin cancer screening exam today.

Sunscreen reference:

Samuals, L.  The Truth About Sunscreen and Effective Patient Education.  Practical Dermatology 2011 Mar; 8(3): 27-32.

Happy Spring to all our Patients

Happy Spring to all our Patients

The first day of May in the Seattle area was welcomed with beautiful blue and sunny skies.  When the sun comes out we all spend more time outdoors whether it involves playing sports, gardening, walking the dog or enjoying time with family and friends.  This time outdoors also means more sun exposure.

Since May is Melanoma Awareness Month, we think it is important to remind our patients about one of the many dangers of the sun.  Studies have confirmed that sun exposure is responsible for the development of at least two thirds of all melanomas.   Some other astounding facts about melanoma:    1 –in-50 Americans has a lifetime risk of developing melanoma and melanoma is considered one of the fastest growing cancers in the United States and worldwide.

The good news is that if melanoma is detected and treated early, it is often curable.  Besides practicing safe sun habits (like wearing SPF 30 sunscreen regularly, seeking shade and wearing sun protective clothing), please remember to examine your skin often and take note of any new or changing moles.  We are always available for prompt and timely evaluations of skin lesions or for skin cancer screenings.

As one of our commitments to early skin cancer detection, the providers at Pacific Dermatology and Cosmetic Center are participating in the American Society for Dermatologic Surgery’s sponsored free skin cancer screenings.  These screenings will be offered in the afternoons on May 3rd and 19th.  Our appointments fill quickly, so please call to inquire about availability (206) 859-5777.

We are excited to see the results on our treated patients with our new Fraxel Dual laser treatment.  The Fraxel Dual effectively targets unwanted brown spots and improves skin texture and tone.  The treatment has minimal downtime with most patients seeing results within several days.  Both Dr. Jacobson and Kelly Stevens, PA-C had the treatment done recently and have loved the results (you can read more about the details in April’s News Corner).  If you have any questions about whether you could be a good candidate for this treatment, please call for a consultation.

Both Dr. Reichel and Dr. Jacobson attended the annual meeting in Las Vegas of the American College of Mohs Surgery April 28th- May 1st.  As fellowship trained Mohs surgeons they attend this annual meeting to learn more about the latest advances in the treatment and surgical removal of skin cancers.

Promotions this month:  We have our ongoing Botox Bank a Vial.  You can purchase a 100 unit vial of Botox for $1200 ($12.00 per unit).  The vial is good for 18 months.  BOGO: On May 24th, Dr. Laurie Jacobson is offering a buy one get one free offer on Restylane wrinkle filler; please call 206.859.5777 to reserve your appointment time.

Pacific Dermatology Welcomes Spring!

April 2011:

The recent and ongoing tragedy in Japan has alerted our attention to the risks of radiation exposure and its potential after effects.  Radiation exposure is one of many causes of skin cancer, and there are a number of ways in which we can be exposed to radiation that we often don’t think about or may be unaware of.

One of my recent patients had a large skin cancer on her foot which is not a common location for skin cancer development.  As it happens, she grew up in the era when it was commonplace to obtain xrays when buying shoes to be certain that the fit was good.  What they didn’t know back then was that the cumulative effects of this radiation can contribute to skin cancer development in later years.

What are other sources of radiation that may cause skin cancer as early as 10-15 years after exposure?  Acne patients as well as those with scalp fungal infections were commonly treated with radiation years ago.  Also, patients who have had radiation for cancer treatment are also at risk years later within the treatment field.  If you have had to undergo a great deal of imaging such as CT scans, x rays, or PET scans, those areas should be screened.  And of course, tobacco also has low level radiation.

Drs. Reichel and Jacobson will be attending the annual Mohs College meeting in Las Vegas this spring to get skin cancer and surgery updates.  The Mohs College is a select group of fellowship trained physicians who have obtained one extra year of accredited training in treating skin cancers of the head and neck.

We all look forward to enjoying spring with our young families.  Dr. Reichel has twin one-year old daughters and a 3 year old son, Dr. Jacobson has a 5 year old daughter and 6 year old son, Kelly Stevens, PA has a 2 year old son and Andrea English, PA has a 2 year old son as well.  As the warm weather approaches and the layers come off, please remember to wear your sunscreen and hats.

Kelly Stevens, PA and Dr. Jacobson each had the new Fraxel Dual laser treatment. The Dual is a new addition to the traditional Fraxel laser which provides excellent results for unwanted pigmentation and sun damage.

Kelly had significant improvement of her melasma (unwanted pigmentation which can be secondary to hormones) and Dr. Jacobson had her brown sun spots effectively zapped away.

Both of us had some post-treatment redness and fine scaling afterwards and a smooth recovery. We both were very pleased with our results. What's terrific about the Dual is it can be used on all skin types and also safely used on the neck and chest. Come in for a consultation to see if you might be a good candidate for this novel procedure.

Promotions corner:  For 2 Days Only in May, Dr. Reichel and Dr. Jacobson are offering Restylane Buy 1 get 1 Free 1.0 ml Syringes.  Treatments must be done during the visit, and cannot be combined with any other offers.

Non-Surgical Methods For Tightening/Removing Excess Skin

Lately, many of my patients have been inquiring about non-surgical methods for removing excess skin and/or belly fat. For extra belly skin, and/or fatty deposits on the abdomen, the options range from liposuction, to surgical tummy tucks,to non-surgical laser devices meant to tighten the skin.

I have to admit, after having twin baby girls a year ago, I personally decided to try a Thermage treatment for my abdomen.  The Thermage is a radio-frequency device (like a laser) that helps to smooth and tighten skin. On the abdomen, it can also help to decrease excess fat. Last year, Thermage came out with a new “Body Tip” that heats a larger area and works better for the body than the previous Thermage. I was amazed. It worked great for me and I lost about 1 inch of excess fat and skin. I have always questioned how well the non-invasive tightening devices work as I have seen some patients who only get minimal improvement (about 10% of the time). But, I think the new body Thermage is really great. It is best for people who have only mild to moderate loose skin or fat, and it won’t take the place of an abdominoplasty; yet, it is non-invasive, very safe, and doesn’t leave any scarring. It is somewhat painful during the treatment, but we can give you a mild sedative (like valium) before the procedure to make it more comfortable. You will feel like you have a sun-burn and will be a little tender for a few days. For the tummy, you do need to wear a compression garment after the treatment for about a week, and should avoid any heavy exercise during that time.

For some people, the right answer is to do liposuction for excess skin and fat. In fact, liposuction alone can cause some skin tightening and certainly is less invasive than a full tummy tuck. Often times I recommend Thermage post tummy liposuction to give that extra bit of tummy tightening.

Jennifer Reichel MD, Pacific Dermatology & Cosmetic Center

What's New In Eye Rejuvenation

Aging eyes are among our patients' top cosmetic complaints.  Fortunately, no-knife techniques energize tired eyes with minimal downtime to the patient.  Eye rejuvenation depends on a fourfold approach: resurface, tighten, volumize and enhance.  Lasers are a great great choice for men and women who want to tighten moderate bags and add youthful contours to their lids and brows.  Using monopolar radiofrequency, Eyes by Thermage produces results in a single treatment, and can treat the lids themselves.  Monopolar RF addresses deep skin damage, so it's beneficial to combine Thermage with Fraxel to target surface photoaging.  As one of the few clinics in Seattle to have the newest Fraxel, the Dual, this laser can specifically treat concerns such as wrinkles and acne scarring that are deeper in the skin layers.  Fraxel Dual also effectively targets sun spots, age spots, as well as tone and texture, which are more superficial.

While Thermage and Fraxel can diminish mottled pigmentation and crepiness, injectables enhance laser procedures by adding volume to sunken eyes and prevent further wrinkling.  Periorbital wrinkles are caused by a combination of photo-aging and contraction of the orbicularis oculi muscles.  Neurotoxins, such as Botox and Dysport, can help maintain laser resurfacing results; the goal here is to weaken, not paralyze, the muscles.  As we age, our periorbital skin thins, revealing dark under-eye circles; hyaluronic acid-based fillers, such as Juvederm and Restylane, offer promising results to this very noticeable area with minimal downtime.  We can also enhance results topically using light chemical peels and retinol products.  These topical treatments help maintain cosmetic procedure results and offer subtle skin tightening for people not ready to undergo laser or injectable treatments.  The icing on the cake for eye rejuvenation is eyelash enhancement.  Latisse is an FDA approved,  prescription strength treatment for eyelash growth, making them grow longer, thicker, and darker.

While we cannot stop the aging process, we can certainly help it along with lasers, injectables, and topical treatments offered at Pacific Dermatology & Cosmetic Center servicing the greater Seattle area.

Provider Tidbits

We once again welcome Dr. Laurie Jacobson who has now been with us here at Pacific Dermatology & Cosmetic Center for almost six months. She brings with her specialized expertise in cosmetic dermatology as well as skin cancer detection and treatment, including Mohs surgery. She trained with Dr. Roy Geronemus in Manhattan who pioneered skin laser surgery and with him worked on many studies involving new laser treatments. She has written chapters for textbooks such as Mohs Micrographic Surgery and Cancer of the Skin and appeared on television and in magazines. She enjoys providing comprehensive dermatologic care from skin cancer screenings to skin cancer treatment and cosmetic dermatology as well.

Dr. Jacobson lives with her two children (ages 4 and 6) and her husband Dr. Howard Willson, who heads up the Emergency Department at Swedish Hospital. She enjoys running, pilates, and travel and is very happy to be a new member of the Pacific Dermatology team.

She will be hosting a special event on Sept. 28th from 11 am to 2 pm during which time you can receive a $50 rebate on a Botox treatment and receive a boxed lunch to go. Think about coming in to smooth away unwanted forehead or frown lines, crow’s feet, ‘orange peel’ chin, upper lip lines and more.

Congratulations to Dr. Reichel on being asked to give a talk on eyelid rejuvenation and blepharoplasty at the Pacific Northwest Dermatology Meeting in July, 2010. She is enjoying her summer with her 6-month-old baby girls, their older brother and her husband, Dr. Shah. She wants to remind all of the patients at Pacific Dermatology & Cosmetic Center to continue to wear sunscreen and come in for a skin exam in the fall if you have any concerning spots, or just want your moles checked.

Kelly Stevens PA-C has been busy attending two dermatology conference in the past few months. In June Kelly went to Colorado Springs, CO, to the national cosmetic dermatology meeting, Cosmetic Bootcamp, to learn the very latest in cosmetic procedures including laser treatment updates, new and current filler technology, enhanced Botox and Dysport techniques along with chemical peels and topical medication information. Kelly also attended the Washington State Dermatology Association annual meeting in Vancouver, WA. This meeting focused on general dermatology with many great lectures including several on atopic dermatitis (eczema), psoriasis and skin cancer.

Dr. Reichel to Speak at Symposia

Dr. Reichel is back in full swing. As the director and owner of the clinic, Dr. Reichel specializes in skin cancer surgery and cosmetic procedures. She has been asked to give a lecture on blepharoplasty (eye rejuvenation) at the Washington State Dermatology Association meeting in July. She will also head a lecture on “running a cosmetic practice” at the next American Society for Dermatologic Surgery meeting in the fall. Congratulations Dr. Reichel on your national activity in cosmetic dermatology. At home, Dr. Reichel and her husband are happily caring for their two new twin girls, Anya and Jaya and her 2½-year-old son, Sai.

Saying Goodbye and Welcome

Our very gifted friend and clinic RN, Rachelle, is leaving Pacific Dermatology. She, her husband and daughter are returning to their roots in Portland. We are all sorry to see her go and she will be missed.

We are happy to be able to say that Elle, who was on staff at the clinic in 2008, will be rejoining us as our newest RN. Elle will be our “cosmetic RN”. So in addition to caring for patients and assisting the doctors on procedures, she will help you with cosmetic questions and scheduling. Welcome Elle.

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Thank you for choosing Pacific Dermatology & Cosmetic Center, we look forward to providing you with the very best skin care.