Kick back and enjoy this issue of SkinMatters! GO SOCIAL for the most up-to-date event information!

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Barbara Carson
5 years ago
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It changes every day, responding to fluctuating conditions

The highly trained professionals at Three Rivers Dermatology &

treatment of your individual skin care concerns.

technology, providing you with the very best skin products and

Sassmannshausen and the entire team are dedicated to

Welcome to the November 2016 issue of SkinMatters!

1 NEWSLETTER November, 2016 VOLUME 35 Skin is as complex as it is amazing. It changes every day, responding to fluctuating conditions inside and out. The highly trained professionals at Three Rivers Dermatology & Windy Ridge Skin Care Centre are dedicated to the successful treatment of your individual skin care concerns. We are committed to continuously researching and updating our technology, providing you with the very best skin products and solutions. Dr. Sassmannshausen and the entire team are dedicated to delivering the best care, aimed to exceed your expectations! Welcome to the November 2016 issue of SkinMatters! Of course, this time of year is about pie and presents (in that order). But it s also the time of year that most try to avoid the dreaded weight gain. We ve included some tips on ways to avoid it and how to maintain a consistent exercise program. It s also National Healthy Skin Month, so we are bringing you plenty of ideas for how to keep your skin in check during the frigid, dry winter months. From moisturizers, to facials, and of course a reminder to wear your sunscreen! Here s to a wonderful season and healthy skin! Kick back and enjoy this issue of SkinMatters! GO SOCIAL for the most up-to-date event information!

National Healthy Skin Month Written by: Jeffrey Sassmannshausen, MD According to the American Academy of Dermatology, November is National Healthy Skin Month.

Healthy skin can mean one thing to one person, and something very different to another, like a dermatologist.

Consider how in our teens we may believe that the person with the best suntan has the healthiest skin.

2 National Healthy Skin Month Written by: Jeffrey Sassmannshausen, MD According to the American Academy of Dermatology, November is National Healthy Skin Month. In light of that I would like to ask you this question: What does healthy skin mean to you? Healthy skin can mean one thing to one person, and something very different to another, like a dermatologist. Also, we can change our opinions and how we care for our own skin throughout our lives as we mature and learn how to care for ourselves. Consider how in our teens we may believe that the person with the best suntan has the healthiest skin. Or how a mom may think applying sunscreen to her children only at the pool in the summer will keep their skin healthy. Or how an elderly ex-truck driver may go in for his annual skin exams now after having skin cancer on his sun exposed arm. These contrasting scenarios are all too common in my practice. So first let me get to the basics about skin and then I can address how you may best care for this very essential, multi-functioning blanket for our bodies. Many people do not realize, that the skin is actually the largest organ of our body and is made of three layers: the outer epidermis, the middle dermis, and the fatty subcutis underneath. Each layer serves a specific role as our initial defense from things like heat and sunlight, and as protection from injury and infection. Skin also regulates body temperature and is home to many species of bacteria. As a committed dermatologist with your overall health in mind, I recommend taking care of the full package. Not just the top, exterior layers part of the time; but as a faithful regimen reaching deep down improving your complexion and your entire well-being. This means you must habitually follow these steps: Wear your sunscreen! I cannot emphasize enough the importance of daily application. Most people do not realize that you are exposed to UV rays every time you are not indoors and even if it is cloudy outside. One application is not sufficient for the day so reapply often. Ideally a broad spectrum formula with multiple benefits like SkinMedica Essential Defense SPF 47 will provide the best protection, and is available tinted if you prefer a hint of coverage. It is formulated by doctors and has the highest level of UVA protection available, combined in a skin-loving oil free, hypoallergenic formula. Another great product with excellent protection is Blue Lizard brand sunscreen, also offered at our skin care center. Stay away from tanning beds! Damage done from the UV rays may not show up until it is too late. The substantial increase of about 59% for melanoma and 100% guarantee of extra wrinkles are not worth the risk. We have an amazing, customized spray tan available if you would like a safe, sun-kissed glow without that orangey look of (over-the-counter) self tanners. Continue to page 3...

3 Get suspicious spots checked! If a mole starts itching, or changing color/shape, get it checked out. You should start seeing a dermatologist regularly in your mid-twenties and schedule your appointment around your birthday to remember it is time for your annual full skin exam. Melanoma can show up in any crack or crevice, even if the area has not been exposed to the sun, so put your modesty aside to possibly save your life. Most insurance will cover this as preventative care. Moisturize and exfoliate! Our skin goes through a cycle of shedding and regeneration every 28 days so it is important to exfoliate the rough, outer exterior to reveal the healthy cells underneath for your best appearance. One way to do this is through monthly chemical peels and facials. Chemical peels will reduce skin damage by releasing dead skin cells and clearing pores, thoroughly cleaning and uncovering youthful skin. Layers of skin-damaged dry, dull skin will be sloughed off with special ingredients tailored to fit your specific concerns. Our chemical peels are very superficial and require little to no down time or peeling. They are an amazing non-invasive way to achieve noticeable results for a radiant appearance after just one treatment. Our custom, personalized facials use anti-aging ingredients to deeply hydrate and increase oxygenation and suppleness. They reduce those fine lines and uneven tone or texture you may have from sun damage, allowing your skin to glow from within. Pores will appear smaller and blackheads removed to give you a flawless, polished appearance ready for a night on the town or special event. Don t forget about your lips! This is an area many people neglect and tend to ignore. The cooler weather can mean dry, cracking lips so use an exfoliating lip scrub and lip balm with broad spectrum sunscreen. We have great lip glosses and lip plumpers available at Windy Ridge Skin Care Centre with luxurious, top of the line anti-aging ingredients for the perfect pout. You can also schedule a Youthful Lip Smoothing Treatment that will redefine the lip contour, while polishing and refining wrinkles for velvety soft lips. Maintaining, preserving, and protecting your largest organ, the skin, is one of the best steps you can take to achieving your health goals. Skin must be cared for from the inside out so drink plenty of water, get a good night s rest, and make these steps part of your daily routine.

Avoiding the Holiday Jiggles Everyone knows that the key to avoiding weight gain is to eat in moderation, avoid high calorie foods and to exercise regularly.

Studies have shown that the typical person gains anywhere from four to ten pounds over the course of the winter season.

Sometimes, feeling tired or stressed is mistaken for feeling hungry. Exercising regularly each week and getting 7 to 9 hours of sleep every night will stave off hunger pangs.

4 Avoiding the Holiday Jiggles Everyone knows that the key to avoiding weight gain is to eat in moderation, avoid high calorie foods and to exercise regularly. However, with the holiday season just around the corner, many of us will find ourselves surrounded by festive foods, delectable desserts and delicious drinks - many of which are hard to resist. Studies have shown that the typical person gains anywhere from four to ten pounds over the course of the winter season. The best way to avoid gaining weight over the holidays is to limit food portions, maintain a consistent exercise program and follow these helpful tips: Stick To A Regular Sleep And Exercise Routine. Sometimes, feeling tired or stressed is mistaken for feeling hungry. Exercising regularly each week and getting 7 to 9 hours of sleep every night will stave off hunger pangs. Take It Easy On The Alcohol. Most people don t realize that alcoholic beverages contain quite a few calories that contribute to excess weight gain when consumed in large quantities. Drinking seltzer with a fruit twist or a glass of water between alcoholic drinks helps to cut calories and will keep you hydrated. Eat Small Nutritious Meals. It's a common misconception that you ll lose weight by skipping large meals. The truth is, your metabolism actually slows down, causing your body to store fat if calories are limited for too long. Eating smaller meals a few hours apart will prevent you from overeating later. Reach For Veggies, Fruit Or Crackers. If you get hungry at a party, reach for the vegetables and fruit platter or nosh on some crackers as these snacks are filling and you won t be as tempted to eat the high calorie-laden foods. Eat Slowly And Chew Your Food More. It takes about 20 minutes for your stomach to register that it s full and to signal your brain that it's had enough. Slow down and listen to your body. Eat Foods Containing Protein. Quality protein includes lean meats, seafood, chicken, turkey, eggs, yogurt and low-fat cheeses. The protein in these foods will help you feel full and work well to control your appetite. Avoid Eating High Calorie Foods. This is actually easier than you think! By substituting foods high in calories with whole grains, steamed vegetables and baked lean meats, you ll feel more satisfied at every meal and won t crave calorie-laden starches, sauces or fried foods. Always Remain Positive And Determined. If you do fall off the wagon and have a bad food day or forget to exercise, don't worry about it! Just get back on track the next day and continue on from there. Take Your Supplements. Since some people don t consume certain foods often enough or on a consistent basis, taking your vitamin supplements regularly will ensure that you re getting the appropriate nutrients and in the proper amount. Avoiding the holiday jiggles this season will be easier if you follow these helpful suggestions. And who knows, maybe, this January will be the year that your New Year's Resolution doesn't include wanting to drop those extra holiday pounds!

Dry, cold weather is the hallmark of the winter season.

Proper planning will enable you to fight back against the drying effects of the winter months and keep your skin moisturized year-round: Take Tepid Showers.

Taking lukewarm showers and using a good moisturizer afterwards will help your skin stay soft and smooth. Choosing Quality Products.

Transforming dry skin is about replenishing lost moisture both from within and via the application of hydrating skin care products.

5 Dry, cold weather is the hallmark of the winter season. Your skin begins to work hard at retaining its moisture while cold winds and indoor heating undermine your efforts to maintain what s left of your skin s summer suppleness. Proper planning will enable you to fight back against the drying effects of the winter months and keep your skin moisturized year-round: Take Tepid Showers. Although taking hot showers in the winter time makes you feel warm, this is one of the main reasons your skin becomes dry. Taking lukewarm showers and using a good moisturizer afterwards will help your skin stay soft and smooth. Choosing Quality Products. Ask one of our skin care experts who can suggest which products work best at keeping your skin moisturized. Transforming dry skin is about replenishing lost moisture both from within and via the application of hydrating skin care products. Drink plenty of water and incorporate fruits and vegetables with high water content into your diet, such as cucumbers, melon, spinach and strawberries. Treat your skin to products containing ingredients known to help retain moisture, like hyaluronic acid, glycerin and ceramides such as SkinMedica HA5 Rejuvenating Hydrator. HA5 supports the skin s ability to replenish its own HA for overall skin health. HA5 has a proprietary mix of five HA forms that smooth the skin, thereby decreasing the appearance of fine lines and wrinkles. The 5 HA's work synergistically to provide immediate smoothing and continuous hydration throughout the day. Facial Skin Care. Use non-foaming cleansers and hydrating masks in the cold winter months and refrain from using alcohol-based toners since they draw moisture away from your skin. Consult with your aesthetician as to which types of facials are best for hydrating and moisturizing your skin. Schedule facials regularly, at least once a month - your face will thank you! Hands and Feet. You may notice that your hands and feet are drier than usual in colder weather. In between trips to the spa for hydrating manicures and pedicures, you should always wear protective gloves when you re outside. Remember to regularly exfoliate, buff and moisturize your feet. Sun Protection. Don t stop your sunscreen routine. Just because it s winter, that doesn t mean the risk of sun damage has gone away. Protect yourself with an SPF 30 sunscreen and wear sunglasses often. Following these tips will help your skin stay soft and supple this holiday season. Reserve a consultation at Three Rivers Dermatology & Windy Ridge Skin Care Centre and let us advise you on more ways you can moisturize and nurture your skin during the cold winter months!

Let them gaze in wonder of how you did it all flawlessly. If the stress of this season has you feeling down, turn to us to lift you up!

6 Be the HIGHLIGHT of the Season! The holiday season has arrived and we want you to radiate brighter than last year s lights! We have the perfect treatments to lift you up and make sure you shine this holiday. With so much to get done and almost no time for any fun, zero downtime is a must! Let them gaze in wonder of how you did it all flawlessly. If the stress of this season has you feeling down, turn to us to lift you up! Looking for last-minute treatments with no downtime and big results? Today there are many options to suit your unique needs: Botox is a great way to rid you of those stress marks caused by the holiday shuffle. Typically, Botox is injected from the nose up, focusing on forehead lines and crow's feet to clear up that age-old question. You will see results within 3-10 days. Fillers, such as Juvéderm/Voluma, can rid you of that unwanted mother-in-law crease. Those frown lines are the perfect place for fillers to erase! Typically lasting 6 months-2 years, we are sure your folds will disappear. This treatment will create volume and fullness, giving you a more youthful appearance. How about a chemical peel? These vary in terms of intensity, and the amount of peeling you experience. The SkinMedica Illuminize peel can be done just 1-2 days before your event. This treatment will leave your skin feeling soft and a healthier glow. Our stronger peels require more downtime due to dryness and peeling, but will have a greater effect on reversing the sun damage and exfoliating dry unhealthy skin. Kybella will ensure that the only gizzard neck you'll see is the one stuffed in the turkey! This innovative treatment destroys fat cells under the chin to improve your profile! With very little downtime, you can embrace the holidays head on. CoolSculpting will transform and reshape those problem areas you keep covered up. With no downtime, you can step into your little black dress with confidence! With our newest applicator we can offer even faster treatment times, which will get you in and out and on your way while experiencing the same great results! Word of advice, don't shop for injectables by price, but rather by expertise and results!

In Their Own Words... I was treated very well. Everyone is so friendly and greets me with a smile. I loved the tour I got of the Windy Ridge Skin Care.

Sass was amazing. Thanks! Nancy I love getting a live person on the phone whenever I call. The staff is always kind and professional. My son had a good visit with Dr. Sassmannshausen.

They explained the procedure and the costs up front so there were no surprises.

7 In Their Own Words... I was treated very well. Everyone is so friendly and greets me with a smile. I loved the tour I got of the Windy Ridge Skin Care. I didn't know that was all back there. Thank you to all the staff for being so kind. Donna The visit was everything that I had anticipated and then some. The staff was great and Dr. Sass was amazing. Thanks! Nancy I love getting a live person on the phone whenever I call. The staff is always kind and professional. My son had a good visit with Dr. Sassmannshausen. Austin They have the nicest staff of any office I have ever been to. Very kind and informative on every level. They explained the procedure and the costs up front so there were no surprises. I recently moved here from a large city and wish I could have found an office like Three Rivers Dermatology there. I will definitely recommend them to everyone. Thank you! Terrie My first visit to this office and I was so impressed. They were on time and everyone that I had contact with were very friendly. Would recommend them to anyone. So nice to go to a doctor who is on time and organized! Read More Guest Reviews Tonia

Turkey Tomato Wraps Prep Time/Total Time: 15 minutes Yield: 8 servings Calories: 345 After the traditional Thanksgiving

Get creative with this delicious and healthy Turkey Tomato Wraps recipe that is quick and easy to make.

Ingredients: 2 whole grain tortillas (10 inches) 8 oz. Sliced turkey 1 cup fresh romaine lettuce leaves 2 tsp.

rosemary Directions: STEP 1 Spread 1 teaspoon of honey mustard on each whole grain tortilla.

8 Turkey Tomato Wraps Prep Time/Total Time: 15 minutes Yield: 8 servings Calories: 345 After the traditional Thanksgiving Day feast, there will be plenty of turkey leftovers. Get creative with this delicious and healthy Turkey Tomato Wraps recipe that is quick and easy to make. Serve these flavorful appetizers at your next party or get-together! Ingredients: 2 whole grain tortillas (10 inches) 8 oz. Sliced turkey 1 cup fresh romaine lettuce leaves 2 tsp. honey mustard 1/2 cup chopped tomatoes 1/4 cup chopped red pepper 1/8 cup chopped scallions scallion stalks sprigs of rosemary Directions: STEP 1 Spread 1 teaspoon of honey mustard on each whole grain tortilla. STEP 2 Layer each tortilla with sliced turkey, romaine lettuce, tomatoes, scallions and red pepper; roll up tightly. STEP 3 Slice each rolled up tortilla into 4 parts. STEP 4 Secure and tie each turkey roll with a scallion stalk. STEP 4 Garnish with sprigs of rosemary if desired. Serve immediately. ENJOY!

9 Dedicated and hard working... two things that describe our November Employee of the Month! Kayla worked hard and recently completed her schooling at Aveda Fredric's Institute and has received her Aesthetics license. She always does an amazing job with a smile on her face and is a huge asset to our team! We couldn t be luckier to have her with us full time now! Congratulations Kayla!

GO SOCIAL for the most up-to-date event information! Welcome to the November 2017 issue of SkinMatters! NEWSLETTER. November, 2017 VOLUME 44

GO SOCIAL for the most up-to-date event information! Welcome to the November 2017 issue of SkinMatters! NEWSLETTER. November, 2017 VOLUME 44 NEWSLETTER November, 2017 VOLUME 44 Skin is as complex as it is amazing. It changes every day, responding to fluctuating conditions inside and out. The highly trained professionals at Three Rivers Dermatology