By Z Aesthetic Dermatology
February 05, 2018
Category: Skin Care
Tags: Adult Acne  

Bad habits are hardly ever unique to just you—and the same goes for the ones you are making with your skin. Celebrity aesthetician Renee Rouleau says she sees these blunders all the time. Here’s how to break them. 

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Mistake #1: Caring for your blemishes—the wrong way

Call them zits, pimples, acne or blemishes. Bottom line: Most people will get them at certain periods in their life, and some will get them more severe than others. “Where most people go wrong is in how they treat the blemish once it appears,” Rouleau says. “Picking at it—or what I like to refer to as ‘performing minor surgery in the mirror’—applying spot treatments at the wrong phase of thebreakout, and using the wrong breakout treatments on the wrong kinds of blemishes. All of these will result in a blemish lasting longer and leaving a post-breakout red or dark scar than can linger for months.”





Mistake #2: Using too many exfoliating products too often

In reference to skin care products, Rouleau says she has recently noticed the "If it’s not burning or stinging, it’s not working" trend. “In the quest to look younger and have smoother skin, people are doing too many aggressive exfoliating treatments that are actually injuring their skin. Too much exfoliation can cause a damaged moisture barrier, resulting in flaking, dehydration and inflammation, possible destruction of healthy cells, and a stimulation of melanin activity causing increased hyperpigmentation.”





Mistake #3: Not wearing sunscreen daily and not applying it generously enough

For starters, the number-one reason why your skin will get premature aging is from sunlight, daylight and UV rays—period—and Rouleau says 78 percent of those rays come from incidental exposure. “These are all the times when you don’t think you’re getting the damaging rays, like driving in the car, sitting in your home or office near windows or walking outside on a cloudy winter day when people don’t feel like they need sun protection. If you want to prevent wrinkles, wearing sunscreen365 days a year, rain or shine, inside or out, is a must. But in order for the SPF to truly protect your skin and prevent the harmful UV rays from damaging it, the formula has to be applied generously or it will not provide adequate protection. If you have a sunscreen that feels too heavy on your skin, you’ll probably only apply a small amount and you’re not doing your skin any good.” Her advice: Find one you love (she likes her Daily Protection SPF 30) and load it on every single day.





Mistake #4: Either using alcohol-based toners or skipping this step in your routine entirely

“Toners are an important step in a skin care regimen and should be used daily,” Rouleau says, but adds that, using one loaded with alcohol will only dehydrate your skin and cause an increase in dull cell buildup. "If you’re not using one, it’s usually because you notice that it leaves your skin feeling dry, so you’ll skip it completely and miss out on important skin benefits. Alcohol-free toners should be used after every cleansing because they offer the following benefits: They give your skin a drink of moisture when left damp on the skin before applying moisturizer, they remove drying chlorines and minerals found in tap water, and because damp skin is 10 times more permeable than dry skin, when left damp, they can carry the active ingredients of your serum and moisturizer (applied after) deeper within your skin.”





Mistake #5: Not taking care of your neck

Most women know to apply moisturizer daily and nightly to their neck, and many do. But the mistake: Treating your neck as an afterthought. “A woman will typically rub moisturizer onto her face and then whatever is left over on her fingertips will extend down onto her neck,” Rouleau says. Sound like you? “While the intention is good, it’s truly not helping that much in the quest for smooth, moist skin on the neck. This particularly applies with sunscreen, which is considered to be the best anti-aging product in the world. The little amount being applied as an afterthought is hardly enough to do its intended job because sunscreen needs to be applied generously in order to offer full sun protection.”





Mistake # 6: Using skin care products incorrectly

When instructions are given to you by an aesthetician or skin care professional or written on the product itself, Rouleau says it’s very important to follow them. “Many issues created by skin care products that seem to not work or cause non-favorable reactions, can be resolved by simply using the product correctly. For example, some people feel that when they are using products to reduce breakouts, it’s best to use them more often so that they will work better. However, in the case of acid serums, this is not a good practice. Acid serums, like those that contain glycolic, salicylic or lactic acid, are designed to reduce clogged pores and breakouts to promote clearer skin. They should not be overused because too much exfoliation can actually increase breakouts for some people due to irritation and inflammation. I cannot stress the importance of making sure that you thoroughly read the instructions on the back of skin care products before using them on your skin. Cosmetic formulators create products with certain intentions and using them as directed will give you the best results.”





Mistake #7: Not using the right skin routine to care for both wrinkles and breakouts

This one is common for those who are 25–35 who still get clogged pores and breakouts, yet they are noticing fine lines and wrinkles. “Their home routine is either only addressing the breakouts with drying acne products, or they don’t have anything to prevent blemishes and they are using heavier anti-aging products,” Rouleau says. “I realize that this type of skin is probably the most challenging because what your skin really needs is the best of both worlds. Any acne product that leaves your skin feeling tight, dry and irritated is most definitely a no-no, as this creates dry skin cell buildup on the surface that traps oil and bacteria within the pores and can lead to more breakouts. Any anti-aging product that feels remotely greasy on your skin is not good either because acne-prone skin needs less oil because oil breeds bacteria and bacteria leads to breakouts. I would say the best strategy for managing all your skin’s needs is to use a gentle salicylic acid exfoliant under moisturizer three nights a week.”





Mistake #8: Not wearing foundation daily

“Some of my clients hide their wrinkles, blemishes, scarring and brown spots under makeup, and they come to me with the goal of perfecting their skin so they can go makeup-free,” Rouleau says. “Other clients don’t have much they want to cover up, so they think that wearing foundation makeup is not needed and that not wearing it is helping their skin by letting it 'breathe.' For starters, the skin doesn’t have a respiratory system, so thinking that the skin breathes is a total myth. I like to educate my clients to think of makeup as a skin care product because during daylight hours it protects your skin from UV light and environmental damage. Most forms of liquid or powder foundations contain ingredients like titanium dioxide that act as a natural sun protectant. Even if your makeup doesn’t indicate it has SPF, it is definitely still guarding your skin from the sun’s rays.”





Mistake #9: Not exfoliating often with the right type of exfoliant

Most people have a facial scrub in their bathroom, but they only use it “when they remember.” Rouleau says, “Exfoliation is one of the best things you can do for your skin, so you’re missing out on some major skin improvement when you only use it once in a while. I like facial scrubs—using them three times a week is really beneficial—but I encourage my less-disciplined clients to instead use an exfoliating acid serum underneath their moisturizer three nights a week. An acid serum uses ingredients like glycolic, lactic and salicylic acids; when applied to the skin and left on overnight, they work deeply to dissolve the glue that holds dead cells together, revealing a brighter, smoother and clearer appearance in the morning.  If you’re going to take the time for an extra step in your routine, you might as well make it one that’s really going to benefit your skin the most, and an acid serum is the BEST way to go.”

Photo Credits: Shutterstock | Model Used for Illustrative Purpose Only

Grinding your teeth (aka bruxism) can be a big problem—pain in the jaw, headaches and the fact that you're pretty much slowly destroying your smile by wearing down and even chipping your teeth aren't great selling points. What's more, according to Atlanta cosmetic dentist Ronald Goldstein, DDS, most people don't even know they're doing it, and he estimates that 85 percent of the population clench their teeth at some time, both during sleeping hours and while they're awake.

It's a bad habit for sure, but a recent study (funded by Allergan, maker of onabotulinum toxin-A) reports that Botox Cosmetic may help you break it.

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As published in Neurology, a study of 22 people found that "those who received shots of onabotulinum toxin-A were more likely to improve on assessments of their teeth grinding and clenching symptoms than people who received a placebo injection."

“This is a very common problem with no established treatment, so these results are encouraging,” said study author William G. Ondo, MD of Houston Methodist Hospital in Texas and a member of the American Academy of Neurology. “A larger study is needed to confirm these exciting results.”

By Z Aesthetic Dermatology
January 23, 2018
Category: Dermatologist
Tags: Hair Loss Therapy  

Although it is most commonly associated with men, hair loss and baldness also affects women. According to the American Hair Loss hair lossAssociation, women account for up to 40% of hair loss sufferers. Hair loss can range from mild to severe depending on a number of factors like age and type of hair loss. Dr. Ann Zedlitz, a dermatologist in Baton Rouge and Prairieville, LA, offers hair loss therapy to treat hair loss and baldness in men and women.

Hair Loss Diagnosis and Hair Loss Therapy in Baton Rouge and Prairieville, LA

Everyone loses a certain amount of hair on a daily basis. On average, most people lose anywhere between 50 - 100 strands per day, which is considered normal. This is known as shedding, which is different than hair loss. Shedding more hair than is considered normal may be a sign of a condition known as telogen effluvium or excessive shedding.

The condition can result from a number of factors like stress, illness, or hormone fluctuations (giving birth or going off birth control pills for example). Though it can persist for months depending on the cause, hair shedding is typically temporary and usually resolves once the stress or hormone levels return to normal.

When Should You Be Concerned About Your Hair Loss?

Hair loss differs from shedding in that it prevents hair from growing altogether, and can be temporary or permanent depending on the cause. Some of the most common causes of hair loss and balding include:

  • Heredity/family history
  • Aging
  • Illness or infection
  • Medications (chemotherapy)
  • Lifestyle factors like poor diet and nutrition
  • Chemical treatments/abrasive hair treatments/styling methods

Signs of Hair Loss

The most common signs and symptoms of hair loss/balding are:

  • Hair gradually becoming thinner at the scalp
  • Bald spots or patches
  • Large amounts of loose hair that appears to fall out in "clumps"
  • Hair loss on other parts of the body

Find a Dermatologist in Baton Rouge and Prairieville, LA

For more information about hair loss therapy, contact us today by calling (225) 778-7540 to schedule an appointment with Dr. Zedlitz in Prairieville or Baton Rouge, LA today.

By Z Aesthetic Dermatology
January 22, 2018
Tags: Untagged

Leading Dermatologists Reveal The Most Trending Noninvasive Procedures Based On Your Zip Code

Noninvasive treatments—procedures that don’t require going under the knife—are becoming more commonplace than ever before, and just like fashion trends tend to vary based on your zip code, so do the requests that surface inside the doors of doctors’ offices. Curious to see how these treatments fluctuate, we reached out to 16 top dermatologists from six different regions (Northeast, Southeast, Northwest, Southwest, Midwest and Florida) to see which procedures were the most commonly requested in their area. From fat melting and body sculpting to fillers and lasers, you might be surprised to see what’s trending in your backyard.

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In the Northeast, it’s all about fillers (both in the lips and face) paired with facial and body contouring for an all-around more youthful appearance.

“While patients come in asking for all sorts of noninvasive procedures varying from fillers, lasers and basic skin care, etc., if I had to pick one thing that is prevalent, it would be fillers. Lip fillers are extremely popular in both younger and older patients—people mostly ask about Juvéderm, Restylane and Voluma. Younger patients are looking for a fuller lip and older patients are looking to put back the volume that's been lost over time.” —New York dermatologist Rebecca Baxt, MD

“My number-one requested noninvasive cosmetic procedure is fillers, and the top patient complaint from patients is usually dark circles under the eyes or the combination of marionette lines and nasolabial folds. By replenishing the areas of lost volume with filler starting with the cheeks, we rarely, if ever, have to inject the nasolabial folds. My patients don’t want to look like they’ve had work done, so less is always more. I’ll add a procedure like Thermage if their skin is healthy enough to continue the improvement, and if they need a more significant lift, a combination of Ultherapy and Silhouette Lift delivers a nonsurgical option.” —New York dermatologist Heidi Waldorf, MD

“I have a large amount of both female and male patients coming in for noninvasive body sculpting, ranging from facial contouring with fat-reducing procedures to treatments like Kybella and CoolSculpting Mini. I love to pair these treatments with a secondary skin-tightening procedure, such as Ultherapy, for a complete contouring treatment. Many patients are also interested in noninvasive fat reduction in the traditional areas such as the abdomen or flanks, but are also looking for treatment in other areas like the inner and outer thighs, the ‘bra fat’ area, arms, male chest, banana roll, etc.” —Norwalk, CT, dermatologist Deanne Mraz Robinson, MD



In the Southeast, all eyes are on skin tightening and fat reduction for a taut bod year-round.

“I do a lot of Icon Laser treatments for firming skin and improving discoloration and acne scarring. We are also doing SculpSure for fat reduction and body sculpting and are extremely happy with the outcome as well.” —Charlotte, NC, dermatologist Charles Brown, MD

"Over the past few years, I’ve noticed a major uptick in patients seeking noninvasive solutions for the aging neck, specifically for tightening of the skin without a necklift or for fat reduction without liposuction. For the former, radio frequency can help if the laxity isn’t too far advanced, and there are a couple of devices I prefer to use: Infini and ThermiTight. When it comes to noninvasive fat reduction in the neck area, I will typically recommend Kybella or CoolSculpting, depending on several patient-specific factors such as lifestyle, budget and/or goals." —Charlotte, NC, dermatologist Gilly Munavalli, MD

“By combining the treatments Ultherapy and Sublative RF we are able to use ultrasound and radio frequency to improve the skin from the inside out. Performing the procedures the same day yields optimal results. Ultherapy uses ultrasound technology to target laxity, lift drooping brows and tighten the skin around the eye. Sublative uses radio frequency to improve fine lines on the eyelids and under eyes and crepey skin, tone and texture; shrinking pores; and reducing scars and stretch marks. Both noninvasive treatments use the body’s own natural healing process to stimulate collagen growth at multiple depths, which gives the skin its youthfulness by keeping it firmed and toned.” —Baton Rouge, LA, dermatologist Ann Zedlitz, MD



In the Northwest, the top treatment is a tie between Botox Cosmetic and fillers for aging and hollows, and lasers treatments for uneven skin texture.

“Patients come into my office seeking many noninvasive rejuvenation procedures for an overall refreshed yet natural appearance. We often start with Botox Cosmetic to relax the frown and crow’s-feet lines, and fillers like Juvéderm Voluma are used to lift the cheeks and replace lost volume. Once the midface is lifted, then less filler such as Juvéderm is needed for nasolabial folds and marionettes. Tear troughs are a common area of hollowness, which can be corrected with Belotero or Juvéderm Volbella. Lips can be rejuvenated with Juvéderm, Restylane or Juvéderm Volbella. Lasers are recommended for texture, pigment and pore size—the most popular being the Picosure laser, which involves very little to no downtime for the patient.” —Fresno, CA, dermatologist Kathleen Behr, MD

“Toxin procedures, such as Botox Cosmetic, still remain the most frequent noninvasive procedure requested by my patients. Most commonly, patients are requesting treatment for frown lines, forehead lines, and crow's-feet, but more frequently, patients are starting to request treatment in neck lines, while also requesting toxin procedures to prevent the formation of fine lines. Filler procedures are the second most frequent noninvasive procedure requested by my patients (they usually request filler to help treat their mid face and under-eye area). Patients want to look more refreshed and less tired and address the hollowness in these areas (cheeks, midface and tear troughs), so using filler is very helpful and provides natural-looking results. Lip filler also remains popular, as does filler to nasolabial and melolabial folds (laugh lines). Laser procedures remain quite popular. IPL treatments are frequently used to treat dark spots. Vbeam or Excel laser treatments are used to treat redness or broken blood vessels, which are commonly seen on the nose and cheeks. For texture and fine lines, patients are opting for laser treatments with less down time such as a Clear + Brilliant laser or a Fraxel laser instead of fractionated CO2 procedures.” —Los Angeles dermatologist, Jeanette Black, MD



Light and laser treatments for glowing skin coupled with Botox Cosmetic to prevent signs of aging is the cocktail of treatments taking over the Southwest.

“Patients of different ages have different concerns. Someone in their 30s may want a minimal downtime pick-me-up, such as a freshening glycolic facial chemical peel or nonablative light treatment (like IPL, Cutera Excel V, radio frequency, or ultrasound) to rejuvenate skin and create a healthy glow. For younger patients seeking to target specific dynamic lines, Botox Cosmetic delivers. And while dermal fillers are preferred to address deeper perioral lines and facial volume, we’ve seen an increase in patients seeking fillers to add volume to their lips, define their Cupid’s-bows, and attain a more glamorous, ‘celebrity’ pout. Individuals above the age of 40 (or with more mature and sun-damaged skin), often come in with a more 'global concern,' asking what I can do to improve their skin. Blotchiness and pigment irregularities are common concerns, like brown spots and/or rosacea—most are looking to improve the texture and quality of their skin. My current go-to procedure for those who want a global improvement in color and texture, fine lines and wrinkles with minimal-to-modest downtime is a procedure utilizing the Sciton Halo device.” —Tucson, AZ, dermatologist Gerald Goldberg, MD

“My most common requested procedure is Botox Cosmetic (by name). There has been a rise in patients asking for preventive and natural treatments. For instance, I am seeing a greater number of women in their 20s and men in their 30s who come in looking for preventive measures against aging. In some cases, I discuss the use of a neuromodulator (Botox Cosmetic, Dysport or Xeomin) to help prevent static lines (those lines that are apparent without facial expression). For women in their 30s and 40s and for men in their 40s and 50s, I discuss the use of fillers or collagen stimulators to maintain their facial structure and shape. I have also seen a significant increase in potential patients asking about noninvasive body contouring. Patients are curious to what procedures we can offer without surgery or even liposuction.” —Houston, TX, dermatologist Suneel Chilukuri, MD



Laser resurfacing and Botox Cosmetic are sweeping the Midwest.

“Many of my new consult patients come in to the office asking for a 'laser' procedure or 'laser resurfacing.' Generally, these patients have some expectations that lasers are what they need and end up finding that the use of Botox Cosmetic, fillers or some other assortment of truly noninvasive options are better suited for them due to time considerations or cost factors.” —Omaha, NE, dermatologist, Joel Schlessinger, MD

 “Botox Cosmetic and Dysport in the glabella, forehead and eyes. Filler would be second, then IPL for the face and chest.” —Prospect, KY, dermatologist, Tami Buss Cassis, MD

“The procedures people request the most in my office are, as always, Botox Cosmetic and fillers. The most popular facial laser treatment is a combination of Forever Young BBL (Broad Band Light), Halo and platelet-rich plasma (PRP). BBL turns on a more youthful gene expression in the skin, as well as correcting reds and browns, and when combined with Halo, which is a laser resurfacing treatment, a more youthful glow is restored in the skin while diminishing pore size and fine wrinkles. PRP, known as the Vampire facial when done with microneedling, uses your own natural growth factors to speed healing from laser resurfacing treatments by a day or two, as well as boosts the results. On the other side of the spectrum, my patients have also shown a huge wave of interest in laser vaginal rejuvenation. As women age, the vaginal mucosa becomes thin, dry and fragile. After menopause, this process becomes even more pronounced and can eventually lead to vaginal irritation and painful intercourse. Laser vaginal rejuvenation restores youthful moisture, tissue resiliency and pleasurable sensation to the vagina. The is not painful and takes about five minutes and three days of restricted activity to renew your love life.” —Chicago dermatologist Dr. Quenby Erickson



Noninvasive fat reduction and filler in all areas of the face and neck are all the rage right now in Florida.

“The most common noninvasive procedures asked about and performed in my office all revolve around creating a natural-appearing improvement for both their face and body. For body treatments, the most commonly sought-after treatment is noninvasive fat reduction and shaping. With the newest Cool Advantage applicators from CoolSculpting, our patients get a simple, effective and efficient treatment to create a more desirable shape of just about anywhere on the body and face. We are also seeing more inquiries for body skin tightening, for which we are using Ultherapy, Profound microneedling radio frequency and Cellfina with good success.” —Delray Beach, FL, dermatologist Dr. Janet Allenby

Botox Cosmetic—now not only for forehead, crow's-feet and frown lines, but for the neck, too! Fillers in general are always popular. I think more and more women in their 20s to 30s are loving lip enhancement, women from 30 to 50 want a refresher, while those 50 and up want to prevent saggy skin and/or treat it—all can be done with fillers. It's a blend, but the trend is baby Botox and baby fillers (one syringe) and take it up a notch every decade!” —Coral Gables, FL, dermatologist Dr. Janice Lima Maribona

By Z Aesthetic Dermatology
January 15, 2018
Category: Skin Care
Tags: Anti-Aging  

12 Famous Women on the Anti-Aging Procedures They Love

Celebrities—regardless of age or ethnicity—all seem to strangely age at a much slower rate than the rest of us. Whether it’s due to a regular laser appointments or a heavy diet of Botox Cosmetic and fillers, Hollywood’s elite clearly have the whole anti-aging process down to a science. So, below we gathered information about 12 high-profile women—from Kim Kardashian to Betty White—to reveal the anti-aging procedures they swear by for keeping their complexion as youthful as possible. 

To finance these and other in-office or spa procedures, visit

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Chelsea Handler

Not one to usually flaunt her favorite beauty treatments, Chelsea Handler surprised fans by posting a before-and-after image of her skin after undergoing a ProFractional laser treatment, captioning the jaw-dropping results with, “It's f-- awesome and no one is paying me to tell you about it.




Christie Brinkley


When it comes to remaining youthful, Christie Brinkley is pretty conservative with her cosmetic treatments. So far, the former model has only admitted to occasional Botox Cosmetic, fillers in “super tiny doses” and laser treatments which she dubs as “miraculous.” 




Jane Fonda


"I wish I were brave enough to not do plastic surgery, but I think I bought myself a decade,” Fonda once said in an interview, referring to a cosmetic procedure she had in order to remove the bags under her eyes.






Jennifer Aniston


In a world of overly injected celebrities, Jennifer Aniston stands out as one of the more natural-looking movie stars in Hollywood. However, it’s not just good genes that gave her that ageless skin, Aniston uses a dermaroller to ensure her serums penetrate better, giving her more significant anti-aging results over time. But that's not all, she also had a nose job to fix a deviated septum when she was in her 20s. 





Kim Kardashian West

From facial cupping to lasering her belly button, Kim Kardashian West has tried almost every cosmetic procedure available on the market. However, one of her most beneficial treatments thus far has been the vampire facial, aka a platelet-rich plasma (PRP) treatment, that helps stimulate collagen production for a more fresh-faced glow.





Linda Evangelista

Hoping to erase hyperpigmentation, Linda Evangelista has admitted to getting Fraxel laser treatments regularly.






Plenty of celebrities put an emphasis on anti-aging their face, but Madonna makes it a priority to keep her hands wrinkle-free as well. According to the Mirror, Madonna uses a treatment called redermalization mesotherapy, as well as Botox Cosmetic to give her hands a more youthful appearance. 





Betty White

At 95 years old, Betty White has been a part of Hollywood longer than high-profile celebrities like Kim Kardashian West have even been alive, so she certainly knows a thing or two about anti-aging. “In 1976 I had my eyelids done," White wrote in her memoir If You Ask Me, referring to the upper blepharoplasty she had decades ago. "I scolded myself forever, but now I'm glad I did it.” 




Courtney Love

After supposedly listening to advice from actress Goldie Hawn, Courtney Love got a facelift at 35 years old.




Iggy Azalea

Although she’s only 27 years old, Iggy Azalea seriously knows the importance of preventive anti-aging. The singer revealed that she relies on platelet-rich plasma (PRP) therapy and Thermageskin-tightening treatments to keep her skin looking youthful and healthy.



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