The Dermatology Times – The Importance of Facial Dynamics When Using Dermal Fillers.
Dr. Vince Bertucci discusses injectables.
The Globe and Mail – Sun Awareness
There’s no question, the sun’s warmth feels pleasing. But deep down, the harmful effects of solar radiation on our skin range from premature aging to potentially lethal cancer. Instead of living in the dark, avoiding the serious risks associated with sun exposure begins with knowledge.
If the way you look matters to you, says Joel DeKoven, a dermatologist at Sunnybrook Health Science Centre in Toronto, you should know that up to 90 per cent of the skin damage we attribute to aging is entirely preventable.
In fact, it is not aging at all, but photoaging – preventable damage caused by ultraviolet rays from the sun and artificial tanning sources.
Prevention begins with awareness. “People often believe that sun damage occurs only when they go on vacation,” says Dr. Vince Bertucci, a dermatologist in Woodbridge, Ontario. “The reality is that it also occurs when you’re out in your backyard or just driving your car. You don’t need to be lying on the beach.”
To see the results of photoaging, advises Dr. Bertucci, compare the quality of the skin in the central upper chest area, which is almost constantly exposed except in the winter months, to skin in an area that is normally covered, such as on the upper, inner arm. “You can see how much sun damage has accumulated on a day-to-day basis over the years – perhaps without even trying to get a tan.”
Photoaging is measurable in people in their teens, and begins to manifest as wrinkles and discolouration as early as the twenties. But looking up to 90 per cent younger is easy: “Whether you’re walking the dog or just going out to do your grocery shopping, wearing protective clothing and a sunscreen with a broad-spectrum SPF makes a world of difference,” says Dr. Bertucci.
National Post – In search of youthfulness, millions turn to cosmetic procedures
Rachel Naud, For Canwest News Service
Every year, millions of people dissatisfied with some aspect of their appearance are undergoing non-surgical cosmetic procedures.
According to the American Society for Aesthetic Plastic Surgery, almost 10 million cosmetic surgical and non-surgical procedures were performed in the United States alone in 2009. Of those, non-surgical procedures made up 85 per cent of the total and increased by almost one per cent from the year before. The top five non-surgical cosmetic procedures in 2009 were: Botox injection (2,557,068 procedures); hyaluronic acid (1,313,038 procedures); laser hair removal (1,280,031 procedures); microdermabrasion (621,943 procedures) and chemical peels (529,285 procedures). (No Canadian figures were available.)
And there are many more choices for cosmetic rejuvenation without surgery beyond the top five. Dr. Earl Minuk, dermatologist at his SkinClinic and Laser Centre in Winnipeg, says Thermage, for example, helps improve skin tone, texture and tightness in one treatment. Thermage uses radio-frequency technology to safely heat the deep layers of the skin. This deep heating is said to stimulate the body’s natural skin renewal process and result in a more youthful appearance. Minuk says the ideal candidate is someone between 35 years of age and the mid-50s who still has a fair amount of elasticity in their skin.
“It’s not a facelift, although it can tighten the face and neck,” says Minuk. “It’s good for people who aren’t ready for a facelift or don’t want a facelift.”
Botox and other injectables, such as Restylane and Juvederm, continue to be popular, he says. Botox causes the relaxation of muscles and prevents them from contracting. Many patients have it injected between their eyes to reduce and eliminate the ‘No. 11’ that can appear there because of fine lines and wrinkles.
“There are two things pushing the non-surgical procedure market Ñ females and Botox,” says Minuk. “It has become almost like an entry-level treatment for people who are still anxious about coming in for a full treatment.”
Fillers such as Restylane, Juvederm and Voluma are used to replace volume where it has been lost Ñ most frequently around the smile lines, cheeks, lips and eyes. Soft Lift, meanwhile, is a new treatment intended to smooth deep wrinkles and fine lines, restore lost fullness and enhance facial contours. “People who get Soft Lift look fabulous,” says Minuk. “ It’ll blow your mind when you see it. It looks like they had a facelift. It can take a 65-year-old and make her look 50, if you use enough product.”
Facial peels are another popular non-surgical procedure that rejuvenates skin and corrects problem pigmentation and acne scars. There are three main varieties of facial peel Ñ superficial, medium and deep chemical peels.
Dr. Vince Bertucci, a dermatologist and medical director at Bertucci MedSpa in Toronto, says superficial or light peels are usually performed using alpha hydroxy acids and are procedures many people do as part of their regular facial regime. Alpha hydroxy acids have proven effective in treating dry skin, acne, liver spots or sun spots, lessening fine facial wrinkles, decreasing pore size and improving skin texture. This type of peel leaves the skin with a red glow that only lasts a day or so.
“They give you a nice glow,” says Bertucci. “People get them every month or every second month to help keep skin looking healthy, smooth and vibrant.”
Medium peels, usually performed with trichloroacetic acid, have the same benefits as light peels but also remove larger wrinkles and precancerous skin lesions because of deeper penetration.
The drawback is that a medium peel leaves you looking like you have a severe sunburn for one week.
“We tell those individuals that they’ll need some downtime and makeup,” says Bertucci. “You’ll look worse before you look better. But a realistic result is significant improvement in scarring, freckles, discoloration and crepey skin.”
Deep chemical or Baker’s Phenol Peels are not as common because they have a higher risk of complications, such as infection and permanent whitening of the skin. These procedures, which can smooth and bleach scars, involve chemicals such as acetone, phenol and trichloroacetic acid. These substances work by essentially burning the face and creating controlled injury to the skin. The skin is regenerated by the healing process that renews the skin’s surface, giving it a smoother, less wrinkled appearance.
The healing period after this peel is about two weeks but the skin can remain pink for months.
“You’re really going to look like you took your face and scraped it on the concrete,” says Bertucci. “Your skin is going to be very raw.”
More.ca – Gymnastics for the face?
Women who prefer to take a “natural is best” approach to aging can often feel alienated when confronted by the plethora of high-intervention and invasive anti-aging treatments out there. Tua Viso, a “facial gymnastics” gadget that counts supermodel Kate Moss as a fan, looks like it may be the happy medium.
Most women have heard about facial exercise to help tone the face - but if you want to take it up a notch, the Tuo Viso promises to give your face a full blown workout by using hydro-electronic stimulation to firm underlying muscles. They claim that after about 10 weeks, women will notice increased facial firmness and a reduction in wrinkles due to an increase in collagen and elastin production.
This product has been a huge success in the UK, touted by many leading magazines, newspapers and happy customers as a cure-all for the wrinkles that ail us.
But. (There’s always a but, isn’t there?) Although facial exercise devotees swear by them with the strength of a thousand newly toned mouths, some dermatologists aren’t convinced, saying that muscle movement makes dynamic muscles (those caused by repetitive movement, like frown lines) worse, not better.
Dr. Vince Bertucci, a dermatologist in Woodbridge, Ontario, believes that muscle movement can only make dynamic wrinkles worse.”One should avoid over-exercising the muscles that lead to certain facial expressions so as to avoid unwanted wrinkles.”
Bertucci says that facial “lifting” is actually a complex issue which is not just related to muscle tone. “The quality of the skin itself is very important,” he says. “Repeated sun exposure leads to looser, more wrinkled skin. Additionally, facial volume plays a very large role in facial appearance.”
Bertucci also noted that facial exercises cannot improve depleted collagen, elastin, or the skin’s fat layer, all of which contribute to static wrinkles.
I’d love to know if any of our readers have used facial exercise in the past and what results you’ve had!
Revive Magazine – Cosmetic Injections without Pain?
Whether you have had a dermal filler treatment in the past or are curious to try one for the first time, you will likely benefit from the addition of 0.3% lidocaine to the world's #1 selling dermal fillers; Restylane and Perlane. This June 2010 Medicis will launch the latest additions to the Restylane family of products that will now contain lidocaine—a numbing medication similar to Novocaine. Adding this numbing agent will dramatically reduce patient discomfort during and following filler procedures. In fact, treatments that might have otherwise required a full dental block (direct numbing of a facial nerve) can now be done safely and comfortably with the new filler alone.
But what about the needle itself? Many men and women would love to lessent the appearance of their deep wrinkles, nasolabial folds, marionette lines and tear troughs or enhance their lips with a filler procedure. However they also shy away because of fear of the needle. Thanks to the unique benefits of Medicis'new 'Terumo Thin Wall' needle, now even the needle will be a fear of the past.
I spoke to Dr. Bertucci, board-certified dermatologist and skin surgeon and Dr. Madronich, board-certified plastic surgeon, both prominent cosmetic physicians in the GTA, about the new lidocaine-added formulation, the new re-designed needle and the advantages of using Resylane-L and Perlane-L to reduce their patients' discomfort.
The Chronicle – Therapies set to reshape cosmetic dermatology
Canadian dermatologist predict that new therapies and devices will reshape the cosmetic treatment marketplace in 2010.
"The Botox [botulinum toxin] market may be in for some competition," says Dr. Vince Bertucci, an assistant professor at the University of Toronto in Toronto, past president of the Canadian Society for Dermtologic Surgery, and a dermatologist in private practice in the Toronto area. "The product Xeomin has been approved for medical use in Canada, and we may see off-label cosmetic use of the product in the near future."
Xeomin is similar in efficacy and duration to Botox, so the learning curve may not be so steep. Another possible future entry in the marketplace, Dysport, also has potential cosmetic applications. Clinicians will need to learn its unique administration techniques because Dysport, unlike Xeomin, will not be interchangeable with Botox, notes Dr. Bertucci.
Toronto Star – Men find pore problems hard to face
By Robert Cribb
Toronto dermatologist Dr. Vince Bertucci agrees there are gender differences that justify male-specific products. When the Head & Shoulders brand broke its unisex tradition to add a men's shampoo to its line, dubbed Hair Endurance for Men, Bertucci was the expert hired to explain the science.
"By virtue of the fact that men have shorter hair, that affects conditioning requirements," he says. "If men are using a product with rich conditioner, they're probably over-conditioning."
So, your girlfriend's fruity suds are weighing down your hair and actually creating the appearance of a less fulsome mane, he says.
Plus all this stuff is making you smell like a girl.
Elevate Magazine – Summer Lovin’
By Christina Caicedo
Sun's up! Get a beach-ready bod from head to toe.
Whether you're heading to a tropical island getaway or just hanging out in your hometown this summer, the hot weather can make you nervous about revealing your body's problem areas. Here's how the latest non-invasive treatments for your face, teeth and body can boost your confidence.
Even with concealer, under-eye hollows can be noticeable, since light reflects poorly off a concave surface.
THE CAUSE: Age and genetics, says Dr. Vince Bertucci, a dermatologist and the medical director of Bertucci MedSpa in Woodbridge, Ont.
THE SOLUTION: “You can improve hollows with fillers such as Restylane, which contains hyaluronic acid, a
natural substance that gives skin its volume,” says Bertucci.
SIDE EFFECTS: Though rare, you may experience brief redness, swelling and bruising, which can last for a
The Globe and Mail – Facing the future
Injectable cosmetic treatments usher in new era of facial rejuvenation
Botox was a revolutionary breakthrough product," says Dr. Vince Bertucci, president of the Canadian Society for Dermatological Surgery (CSDS). "It started the entire movement into non-invasive cosmetic makeovers, permitting the average person to safely and effectively improve facial wrinkles with a simple office-based procedure."
Although there are sometimes misconceptions and confusion around the treatments, Dr. Bertucci says Botox's 19-year safety history is extensive. Still, the CSDS reminds consumers that a successful treatment should always begin with proper research and education; consumers should consult a licensed, qualified physician and always ensure that cosmetic treatments are performed in an appropriate medical setting.
National Post – Aging: Knowing Your Options
This past February, push came to shove for Janet. The 50-year-old Newmarket, Ont., public servant was troubled each time she looked in a mirror. Inside, she felt vibrant, healthy, and unchanged from her 30s.
Her face, however, told a different story. There were those tell-tale signs of ageing: Deep laugh lines at the corners of her mouth, a pair of vertical furrows between her eyebrows and her cheeks no longer had the fullness of youth. She might feel great but she looked tired and a bit worn down.
Janet did something an increasing number of women — and men — are doing. She visited a dermatologist to see how to restore youthfulness to gently ageing faces. Dr. Vince Bertucci of Bertucci MedSpa in Woodbridge, Ont., north of Toronto, recommended a procedure called Soft Lift.
With Soft Lift, he would use a combination of injectable treatments: Botox Cosmetic to smooth the forehead wrinkles, crow’s feet and furrows from her brow; Juvéderm dermal filler to fill out sunken cheeks and chin, diminishing fine lines and creases.
“I think it only took an hour in his office. There were no after effects. I was able to go right back to work and the results were marvellous,” she says. “It was not transformational. What people noticed was that I looked fresher, almost carefree.
Fashion Magazine – Beauty Bailout
"Nothing is more perplexing for a grown woman than regularly scheduled breakouts. For this problem, no single treatment is right for everyone, explains Dr. Jang, noting that “acne is such an individual program.”
Start with a chemical exfoliant. “Use salicylic acid-based products, which work to clear comedonal acne,” says Dr. Jang, who also suggests an anti-bacterial wash that contains triclosan. That old standby, benzoyl peroxide, is available in gels and lotions in strengths up to five per cent over the counter.
“You could try a single product with only one of these ingredients and, if this fails, a second could be added later,” says Toronto's Dr. Vince Bertucci, medical director for Bertucci MedSpa. “A single product may not be enough for everyone.”
Anyone suffering through a multiplestep acne routine has wondered if a toner is necessary. “Toners are sometimes drying and need to be used with caution on sensitive skin,” advises Dr. Bertucci. “On the other hand, those with oily skin will appreciate their effects.” As for moisturizer, opt for one labelled “noncomodegenic.” Have a doctor assess acne that doesn't respond to over-the-counter preparations, as you may need prescription antibiotics to control breakouts."
Best Health – Cellulite: What it is and what you can do about it
Are you troubled by cellulite? Well, you're not alone. Learn about the science behind cellulite and how treatment options stack up
By Kyle Gordon
How common is cellulite?
“Cellulite is extraordinarily common. Most women, if not all, have it to some degree,” says Dr. Vince Bertucci, president of the Canadian Society for Dermatologic Surgery. It is believed that approximately 90 percent of women have cellulite.
Does gaining weight cause cellulite?
“Weight is not necessarily a factor," says Dr. Bertucci. "You can have people who are very thin and still have cellulite. Weight loss is not a treatment for cellulite.” Although not fully understood, cellulite is thought to be caused by the protrusion of fat against the skin while the connective tissue holds down other parts of the skin, leading to a classic orange-peel appearance. Unlike fat cells that cause us to fluctuate in size, these stubborn cells cannot be burned as fuel. Therefore, dieting and exercise won’t really help.
Treatment options for cellulite
According to Dr. Landells, there isn’t a whole lot we can do. Creams claiming to reverse the appearance of cellulite tend to be less effective than we'd like. Endermologie, a vacuum-like suction and massage roller that plumps the skin to smooth out dimples, and VelaSmooth, infrared and conducted RF energies that heat the skin to increases the metabolism of stored energy and shrink the size of the fat chamber, have not impressed Dr. Bertucci. Liposuction and Mesotherapy, injections of various chemicals such as phosphatidlycholine into the skin to disperse fat, have also proven a bust.
“This is an area of active investigation and there are a number of devices coming to the market that may be effective, but it’s too early to tell,” says Dr. Bertucci. “Cellulite is such a common thing, yet people become self-conscious and are willing to go to all lengths. Unfortunately, at this point in time, the promise holds more than the reality delivers.”
Women’s Wear Daily – The Beauty Report
Olay Goes Pro With Derm Skin Line
Development for Olay Professional began three years ago, following the infl ux of derm brands hitting department and specialty stores. These items, said Tim Bunch, Olay Professional brand manager, “did not deliver on their promises to consumers. We thought that there was more to the idea of what professional should be.”
Dr. Greg Hillebrand, a biochemist with P&G, explained that the overall mission of Olay Professional is to
“make the skin respond as it did when it was younger.”
Hillebrand said while it was benefi cial to have the alliance to explore ideas and recruit input — members
include Dr. Stephen Mandy of Miami Beach, Fla., Dr. Doris Day of New York and Dr. Vince Bertucci of
Toronto — it wasn’t always harmonious. “We didn’t all agree. There were some arguments. So we changed and made some [more] changes along the way. This was a healthy development for us."
Finer Things – Your Body
Ask the expert: Beauty corner with Dr. Vince Bertucci
Dear Dr. Bertucci:
I'm thinking of trying Botox to treat some wrinkles that bother me, but I've heard that it may be unsafe. Should I be worried? - Thanks, Jill
First and foremost, you should know that use of Botox to treat wrinkles is safe. Botox has been around now for 18 years and is used all over the world in millions of patients. It is a safe and well-researched treatment.
When you are doing research about treatment, it's important to distinguish between Botox and Botox Cosmetic: Botox is used to treat patients with a variety of medical conditions, like neurological conditions, which require higher doses. Botox Cosmetic is used in much smaller doses. It is approved in Canada for the treatment of glabellar lines (the vertical "frown lines" between the eyebrows), upper facial rhytides (wrinkles) and lateral canthus (crow's feet).
Botox smooths unwanted wrinkles on your face to give you a more rested and youthful look. Results are very natural-looking and you start to see them gradually over a one- to two-week period. The benefits generally last for three to four months.
National Post – When sweat is no small stuff
By Dave Lackie
Twenty-six years ago, I walked into high school for the first time and promptly began perspiring. It wasn't the sweat-on-the-brow kind of perspiring that happens when you are momentarily nervous. I suddenly had soaked armpits that left dark, rings on my shirt and left me uncomfortable and embarrassed.
According to new Procter and Gamble research, I'm not alone. Eighteen per cent of the population consider themselves "heavy sweaters", a condition the medical community calls hyperhidrosis or over active sweat glands.
"Imagine standing at the front of a boardroom making a presentation and constantly worrying about the wet rings under your arms. Or having to shake a business peer's hands and having sweaty palms," says Dr. Vince Bertucci, a Toronto-based dermatologist and consultant to P&G Beauty. Bertucci has even had clients who had difficulty holding tools because of sweaty palms.
Fashion Magazine – Beauty Roundup
The Big Chill - By Lesa Hannah
"You went and got burned, so the least you can do is help your poor skin recover. That, and don't ever let it happen again.
Whether you didn't think to reapply your sunscreen or were simply being an idiot and not wearing any, a slap on the wrist isn't the only thing you'll get for developing a sunburn. According to Woodbridge, Ontario-based dermatologist Dr. Vince Bertucci, you'll acquire blisters, peeling and thickened skin, as well as depleted Langerhans cells (important in immune surveillance) and sunburn cells. Porcelain-skinned people are the most susceptible to being scorched, Bertucci says, as they have "limited" ability to produce melanin, also known as pigment, which is important in protection from UV rays."
Fashion Magazine – Face Value
The Straight Shooter - Dr. Vince Bertucci
He was one of the first in Canada to use Botox cosmetically, but don't expect Bertucci to promise you lips like Angelina Jolie's. He's not about false hope.
What are you recognized for?
"There is nothing better than the truth. That doesn't mean being rude but explaining what you really can and can't achieve with the different things that are available. I'm not a salesperson. I'm not going to pitch you something just because it's the latest, hottest thing."
What's your skin care philosophy?
"Less is more. Do no harm. Looking at the whole picture and individualizing treatment, because what may work for one individual may not work for another."
Any exciting new products?
"Injectable fillers similar to Restylane and Perlane will soon be introduced to the marketplace; [they] might potentially last longer and are changing the way we look at the face. Before we were just like, 'Let's fill this line and stop it from forming.' Now we're looking at the whole picture and what's happening as we age. Like volume loss: our face is becoming a balloon that's deflating. So you can give volume not by doing a facelift and removing skin, but by filling where there's a deficit."
Why is the dermatologist's medical role so important?
"There are many rare conditions that are best diagnosed by a dermatologist. Diseases like lupus might show up first in the skin before they [show] internally."
Chatelaine Magazine – Magic Lotions
Put your hands together for moisturizers that soothe dry, itchy skin.
As you may have guessed, Mother Nature (in charge of our cold, wind and low humidity) is the main cause for your dry skin - but she can't take all the blame. "Indoor heating, allergies and frequent bathing also contribute to skin irritation and dryness," says Dr. Vince Bertucci, medical director of the Institute of Dermatology & Cosmetic Surgery in Woodbridge, Ontario. " We wash our hands daily, and some detergents and soaps remove dirt as well as our skin's natural protective oils," he says.