Posts Tagged facial rejuvenation

Top 7 Myths about Rhinoplasty (Nose Job)

nose-eyes-640x511Rhinoplasty or more commonly referred to as “nose job” is one of the most commonly performed cosmetic procedures of today. Actually, according to the American Society of Plastic Surgery it is the second most popular procedures, with breast augmentation taking the first place. It seems like everyone else is getting their nose “done” but you shouldn’t jump right in without first doing your research. Like any other cosmetic surgery choosing the right experienced board certified plastic surgeon is key to reaching your ideal aesthetic goals.

Many myths surrounding Rhinoplasty have come up over the years, but we are here to set them straight! Here are the top 7 myths about Rhinoplasty:

1. It’s “just” a nose job

Many people think that because the procedure in itself only takes about 1-2 hours it is a simple procedure but in fact it is one the most challenging operations in all of plastic surgery. Not only because of the surgical expertise that is required but the artistic elements that come into play. It is all about proportions; solely removing a dorsal hump can make your tip look droopy or creating an extremely small nose that is not proportionate to the size of your face may look unnatural.

2. I will get horrible bruising

I’m sure we have all seen those pictures of people with black eyes after their rhinoplasty. Although some bruising is only natural, it all depends on the individual. Some people will need to have their nose fractured (broken) before surgery while others will only need a tip raise. Also some people just bruise more easily than others. The delicacy in which the doctor performs the surgery also plays into the amount of bruising patient’s experience.

3. It is extremely painful

You would think patients experience a lot of pain after rhinoplasty given the nature of the surgery but as a matter fact they don’t! Most patients experience discomfort rather than pain. After the anesthesia has subsided you may experience some degree of pain but this can be relieved through pain medicines. But most of the time patients say it feels similar to a cold because there nose is congested and they may have a sore throat due to the breathing tube placed down their throat during surgery.

4. I want my nose to look like that celebrities nose

One size fits all does not apply to noses. Just because it looks good on a person does not mean it will necessarily look good or natural on you. Having realistic expectations is instrumental to achieving a natural and beautiful nose.

5. Rhinoplasty will definitely be covered by my insurance

Most of the time insurance providers do not cover a rhinoplasty since they are mostly performed for cosmetic reasons. However, sometimes patients opt for a nose job because of functional issues such as problems breathing from a deviated septum, in which case insurance may cover the procedure.

6. Any plastic surgeon is qualified to perform a Rhinoplasty

Just like all plastic surgeons attended medical school and have their degrees, they all have a specialty. Meaning they perform certain types of surgeries more than others and are specialized in that type of procedure. Since rhinoplasty is such a complex procedure you should make sure your plastic surgeon has performed a large amount of plastic surgeries. This assures that they have a deep knowledge base on the aesthetic and functional components a Rhinoplasty requires.

7. The Downtime is way too long

A major concern for many people with busy schedules is surgery downtime. Rhinoplasty downtime is actually quite short. People usually return to work after two weeks and some after just one week, because they don’t mind going to work with bandages. About 80% of the swelling is gone 21 days after surgery. Strenuous exercise can be resumed 3-4 weeks following your surgery and driving usually up to 7 days after surgery.

Dr. Fuentes brings 20 years of experience providing cosmetic medical services and dedicates much of his practice to Rhinoplasties.

Dr. Fuentes brings 20 years of experience providing cosmetic medical services and dedicates much of his practice to Rhinoplasties.





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Facial Rejuvenation: Solving the Puzzle on How to Turn Back Time

COSMED’s  Team Approach to Beauty & Well-Being helps Solve the Puzzle on How to Turn Back Time with Facial Rejuvenation.

Face lift, Neck Lift Before and After Photos

Photo 1: Before Surgery   Photo 2: After Face and Neck lift Photo 3: After Dermabrasion, Lip Augmentation and Fat Transfer.  Total Facial Rejuvenation with CosMed took approximately 6 months.

Ever since one of our patients was featured in New You Magazine for her incredible “Looking the Way you Feel” plastic surgery success story, we’ve been getting a lot questions about how exactly the doctors at CosMed Clinic were able to turn back the time, and give Roberta a younger look, that matched the way she felt on the inside.  CosMed’s team approach to facial rejuvenation produced incredible results for this 67 year old patient.

Below is a list of the facial rejuvenation procedures she had done  with board certified plastic surgeon Dr. Quiroz and dermatologist Dr. de la Fuente at CosMed Plastic Surgery Center in Mexico.

Step 1: Full face and neck lift
One of the first places to notice effects of aging is the face and neck. The effects of gravity, sun exposure, free radicals, weight loss and daily stress can become visible in the form of deep creases between the nose and mouth, slack jaw line, and fat deposits in the neck. A facelift can turn back time and improve/reduce the effects of aging. By tightening underlying facial muscles and removing areas of excess fat, CosMed’s medical doctors can help you achieve a more youthful and naturally refreshed look.

Step 2: Dermabrasion around the upper and lower lips
Dermabrasion helps to smooth the skin around the mouth and, in the process, removes fine wrinkles.

Step 3: Lip Augmentation with her own fat vs. a synthetic filler
To enhance contour and give the face a more youthful look, we do a procedure called fat grafting or fat transfer with stem cells. Fat is removed by liposuction from elsewhere on your body, appropriately prepared and then injected into the desired area. While synthetic fillers may be advised in certain areas from some patients, we felt that using her own fat would provide the best and most natural results.

reduce wrinkles around lipsStep 4 Fraxel re:store laser full face
Fraxel can remove years from your appearance with no additional surgery required. The revolutionary Fraxel re:store™ laser treatment improves skin tone, reduces discoloration, wrinkles and fine lines resulting in an overall smoother skin texture.

Fraxel re:store laser treatment uses points of light to precisely treat thousands of microscopic areas of your skin. The treatment penetrates deep into the skin to remove old, damaged skin cells, stimulates your body’s own natural healing process, and replaces the cells with fresh, glowing, healthy skin. Because the technology is so precise, Fraxel re:store treatment works not only on the face, but also on delicate skin areas like the neck, chest and hands. Fraxel re:storetreatment delivers dramatic results, fast healing and maximum safety. Safe and effective, the Fraxel re:store laser is cleared by the FDA and has undergone extensive testing in the lab and out in the field.

reduce wrinkles around eyes

Step 5: Maintenace skin care with Tri Retinol Complex, Ultra Sheer Moisturizer, TNS Illuminating eye cream and Sunscreen SPF30 from Skin Medica

Ongoing maintenance with high quality skin care products is important for keeping skin beautiful. We developed a regimen specifically for Roberta to help her maintain her new youthful look.

Beyond the cost saving benefits of having plastic surgery in Mexico, CosMed’s  wholestic approach to beauty and well-being allows the highest quality analysis from medical professionals including plastic surgeons as well as a dermatologist in order to achieve the best possible results.

Have more questions about these procedures? Ready to book your own consultation with CosMed? Get started by by filling out the Free, Online Virtual Consultation form, or contact CosMed directly through our web site

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Cosmesothérapie: A Look at the Newest Non-invasive, Anti-aging Skincare treatments to Soften, Brighten & Regenerate your Skin

A New Way to Rejuvenate your Face and BodyIn recent years, Laboratoires Filorga invented Cosmesothérapie, born from the encounter between the world of cosmetics and  aesthetic medicine. This new term is used to describe the efficiency of mesotherapy combined with the precision of the cosmetics but in a non-invasive way.

Each Cosmesothérapie treatment is stamped with Filorga’s medical expertise, materialized in an exclusive core formula: NCTF®, a high molecular weight hyaluronic acid that hydrates and regenerates tissues, and a poly-revitalizing complex of active ingredients:

  • 12 vitamins stimulate the vital functions of cells
  • 23 amino acids stimulate the construction of elastin & collagen
  • 6 coenzymes catalyse the bio-chemical reactions of tissues
  • 5 nucleic bases activate cell communication
  • 6 minerals overcome skin deficiencies
  • 1 anti-oxidant capture free radicals

The NCTF® Chronospheres®: Identical to the formula injected in anti-aging mesotherapy, NCTF, genuine “red thread” of the line, is incorporated in each treatment, within the Chronospheres. These multi-layered microscopic spheres transport the ingredients to the centre of the skin and liberate them progressively. Originating from a discovery patented by the CNRS [French National Centre for Scientific Research], these spheres have been developed exclusively for Filorga. By breaking down progressively, Chronospheres gradually diffuse into the tissues for a precise and long lasting anti-aging efficiency, just like mesotherapy. This is how they work:

Sleep and peel

To the NCTF® and Hyaluronic acid cocktail are added 6 varieties of hydroxyacids (AHA and BHA) of different molecular sizes that guarantee progressive and controlled exfoliations. Liposome encapsulated Azelaic Acid and Pyruvic acid provide a hydrating and antioxidant triple action. Two matrikin peptides combined with brown algae and alpha arbutin provide a protective, lightening and efficient anti-aging action. The skin is intensely smoothed and brighten. It regains beauty and glow, and also complexion irregularities are reduced.

Meso C

The strong 8 % pure Vitamin C powder dose is kept in an air tight and light resistant packaging that preserves its properties until opened to use. This ultra powerful anti-oxidant form of Vitamin C reinforces collagen production, stimulates the tissues and provides brightness to the skin. It is associated to a trio of ultra-hydrating polysaccharides and NCTF® Chronospheres®, providing a reinforced “meso” action. Signs of tiredness are erased, the complexion is naturally enhanced, brighter and the skin looks rejuvenated.
Remember that all Filorga’s products contain Chronospheres with controlled time-release delivery of hyaluronic acid with high molecular weight, and also NCTF, a unique poly-revitalizing complex of 55 ingredients used in aesthetic mesotherapy (medical treatment consisting of micro-intradermal injections of revitalizing substances). In other words, it is mesotherapy but without needles! Now at CosMed, we are offering these exclusive innovative and non-invasive treatments, providing the best and most modern dermatological care for your skin. Interested in Cosmesothérapie? Ask our skin care specialist if these products are appropriate for your skin.

Not sure which facial rejuvenation procedure is right for you?
Start with a complementary Digital Complexion Analysis for the face with the Visia system. CosMed’s Digital Complexion Analysis is performed by a board certified dermatologist (not a technician!) who can give you a better understanding of the state of your skin, as well as a private consultation on how you can improve it.


Got a Dermatology Question? Ask an Expert!
Dr. Alberto de la Fuente García, M.D. is a Dermatologist experienced in both clinical and cosmetic Dermatology. Contact Dr. de la Fuente or visit to learn more about the best procedures to improve your skin.

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Plastic Surgery + Dermatology = Incredible Results in Anti-Aging, Facial Rejuvenation

plastic surgery mexico clinic

The new VIDA Wellness and Beauty Institute in Mexico includes a recovery boutique allowing patients to recover comfortably overnight under the supervision of a registered nurse.

There’s a new trend in anti-aging that is attracting women, and men alike, from all over the world to an internationally recognized Plastic-Aesthetic Surgery Center in Mexico. Located just minutes from San Diego in the upscale area of Tijuana,  board certified plastic surgeons are working hand-in-hand with experts in dermatology at the CosMed Plastic Surgery Center within the new VIDA Wellness and Beauty Institute. The collaboration is giving doctors the ability offer patients complete packages in facial rejuvenation.

This combination in expertise, all under one roof,  is producing incredible results. Plus, the new recovery boutique, which is also located within the VIDA wellness and beauty institute, allows patients to recover comfortably overnight under the supervision of a registered nurse.

Each Facial Rejuvenation “Package” at CosMed is customize to the patient’s individual needs. In the case of the following success story, the package included a Facelift, Neck lift, Brow Lift,  as well as dermabrasion and fraxel.

Patient Success Story:
The following story was submitted by a recent patient of CosMed Plastic Surgery Center at the VIDA Wellness and Beauty Institute.

face lift mexico

Integrated Medicine: Combining Plastic Surgery with Dermatology for a complete package in Facial Rejuvenation.

“For several years I have dreamed of getting a face lift and thought I would try to aim for my 60th birthday. I ‘m a Cosmetologist Instructor and work with beautiful young women and men every day. We are surrounded with mirrors, and being a woman, I’m always checking to see if I look OK. Many times I would just look away disappointed, thinking about how nice it would be if I just didn’t have all those wrinkles! Like every other women over 40, I too, have placed my hands on my face and pulled the skin back like a very tight ponytail and wished I could look younger. I’m very energetic and just wished I could look as young as I feel. Since I am single and really don’t have a lot of money, I thought it would never happen for me….only wealthy people can afford to get facelifts.

I started researching and discovered that one of my former students, her mother and her grandmother all had some form of plastic surgery done in Tijuana, Mexico at Cosmed Clinic over a period of 20 years. Dr Quiroz has beautified all three generations! Now that was a recommendation! PLUS, I was told I could get a 10% discount by just going to their Facebook page and clicking “like”. I knew after I counted all my pennies, I would have just enough to pay the full amount before the end of the month. I was so excited and decided to keep it a secret even from my family until the last minute.

I couldn’t resist the opportunity to see if I could actually do it for myself. Then after a short consultation on the phone, I decided I wanted to see the facility and meet the doctor face to face. Accompanied by my student’s mother, I was able to make an appointment and we made our short journey from San Diego into Tijuana. It was so easy to find the clinic and we were all set. I found the Doctor Alejandro Quiroz to be tremendously personable and easy to trust. And after talking with Joyce, I was convinced I had made the right decision. So we booked the date, not realizing the surprise that was ahead for me.

The months seemed to drag by, but finally September came and I took off work for 3 weeks. It just happened that after several years, a dream was also coming true for the doctors and staff at Cosmed Clinic. Their brand new state of the art facility was ready and they were moving in at last. So I was one of the very first people to have surgery and spend the night there. How exciting to see it all come together bit by bit and be a part of their success story too.

Returning to work was a bit scary since I was still quite swollen and out of sorts. I felt very self conscious and really didn’t want people to see me yet. But when I arrived at the school, I got nothing but encouragement and supportive comments. It was wonderful. Almost every day someone tells me how much better I look or that I look 20 years younger. People even say I’m gorgeous! Who doesn’t want to hear that??? Well, to be honest, I had a hard time getting used to my new look, but now after 8 weeks, I am starting to feel at home and happy with myself.
The first time my daughter saw me 3 weeks after surgery, she broke out crying and said, “I want the face of my beloved mother back!”…but happily, I can now report that the last time I saw her she told me I looked great!

The “before picture” is how I looked a couple of months ago when I first got up in the morning. I am rather good at putting on makeup, but WOW, now I can wear less and still look nice. Some of my good friends have told me that I just look so good…and after I tell them I had a facelift, they are surprised! They say I just look so refreshed and bright. So I’ve decided not to mention it and just take the compliments and say a big “thank you” under my breath for Dr. Quiroz and his staff for doing such a great job!

My dream finally came true 7 years later than I had hoped, but it is one of the most life-changing birthday presents I’ve ever received! You do the math and you be the judge! I think this is definitely a success story that needed to be told. Thank you for clicking “like.””


For more plastic surgery success stories, before and after photos, and information on how you can book your own appointment, visit

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2012 Trends: A Look at Anti-Aging, Beauty and Plastic Surgery Trends for 2012

Plastic Surgery is no longer an exclusive beauty secret of the rich and famous. As more and more people realize the incredible results the right plastic surgeon and dermatologist can provide, more people are opting in – and telling all of their friends and family about it. Just take a look at CosMed Clinic’s Facebook page this past year. In just a few short months after we launched it, we have patients sharing success stories and helping new patients ease uncertainties.   We also have our own board certified plastic surgeons and dermatologist answering questions and posting important updates on beauty and anti-aging trends.

And with Michelle Obama’s recent interview declaring that it is safe to travel to Mexico, we expect even more Americans and Canadians alike to make the journey to our brand new, state-of-art facility in Mexico.

In fact, we are in the processe of scheduling appointments for 2012. CosMed is offering 10% off all surgical fees to new patients when you schedule your first appointment and pay in full by January 31, 2012. Surgery must be completed by March 31, 2012 to take advantage of this special offer. (Contact CosMed Clinic now to take advantage of this special offer)

Here’s a look at some of the most popular plastic surgery and beauty procedures for 2012:

2011 was a big year for plastic surgery. Our patient, Tammy, was featured in Oprah Magazine after her procedures with Dr. Quiroz of CosMed Clinic in Mexico

Liposculpture (Lipoplasty/Suction Lipectomy)

Liposculpture continues to be one of the most commonly requested surgical procedures. It can sculpt and develop the shape of the body by removing unwanted fat from the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. Since it has become popular within the past decade, liposculpture has benefited from additional studies and refinements of the previous technique.

“While some plastic surgeons recommend Zeltiq, we still believe we can achieve better results through Liposculpture, or UAL (Ultrasound Assisted Liposculpture). In addition we can use the fat for grafting to face or hands for rejuvenation, butt or breast for augmentation. With Zeltiq fat gets destroyed.” explains CosMed Clinic’s Dr. Carlos Castaneda

Today, many different techniques and approaches of liposculpture exist to provide the optimum results for many different patients. Those who have struggled with diet and exercise can now attain desired results from liposculpture and finally remove their stubborn areas of fat.

Tummy Tucks

This major surgical procedure is typically performed with general or local anesthesia and a sedative. During a “tummy tuck,” our board-certified plastic surgeons will remove excess skin and fat from the middle and lower abdomen and tighten the muscles of the abdominal wall. This procedure has been preferred by women who want to improve stretched skin and muscles from pregnancy, and also to reduce the appearance of a protruding abdomen.

The incision from abdominoplasty will leave a permanent scar between the hips, which can easily be concealed with a bikini. Abdominoplasty is commonly performed within approximately two to five hours, with a recovery range of around two weeks to a few months. Combined with a balanced diet and regular exercise, your tummy tuck results can last for many years


Thermage is a non-invasive procedure that helps tighten and contour your skin in a single treatment. This is a non surgical procedure and no injections are needed. Benefits of Thermage include:

1. Tighter, smoother skin …
2. Softened wrinkles and lines …
3. Younger looking appearance.

“We recommend Thermage instead of skin rollers. While the idea is the same, triggering collagen production, it can also be done on any part of the body,” says Dr. Castaneda.

Thermage allows patients to get tighter and smoother skin with little to no downtime. Thermage uses unique radiofrequency (RF) technology to safely heat the deep layers of your skin, while cooling the surface of your skin to keep it intact during the procedure.

This deep heating stimulates your body’s natural skin renewal process, which helps tighten existing collagen and form new collagen. Over time, sagging or wrinkled skin is replaced with smoother, tighter skin; improved tone and texture; and an overall younger looking appearance.

With more and more people understanding the benefits of cosmetic surgery in 2012, we also expect to see more Fat grafting for facial rejuvenation, IPL, lasers and fat grafts for hand rejuvenation. We are also seeing more male plastic surgery.

For more information about any of these procedures, please contact CosMed Clinic directly, or fill out our private, free online virtual consultation form. A board certified plastic surgeon or dermatologist will help you determine which procedures is best for you.

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Anti-Aging Skincare Terms Defined

Understanding top Skincare terms

With so many different skin care terms and techniques, the quest for great skin can get confusing. This list of common terms helps you sort through the information-overload.

In the quest for flawless skin, anyone can get overwhelmed with all the latest terms and trends in skincare and anti-aging techniques. CosMed Clinic’s Dermatologist, Dr. de la Fuente has put together a list of dermatology terms to help answer some common questions.

Botulinum toxin: The product of a bacteria named Clostridium botulinum. The growing bacteria produce the neurotoxin (botulinum toxin), which inhibits the release of acetylcholine and results in the flaccid paralysis of the affected muscles. The available types of botulinum toxin type A are named OnabotulinumtoxinA (BOTOX®/ BOTOX®Cosmetic) and AbobotulinumtoxinA (Dysport). Botulinum toxin has beneficial effects only on wrinkles caused by muscular contractions.

Chemical Peels: Substances that produce an accelerated exfoliation or skin damage induced by caustic or acid agents that cause controlled damage, followed by the release of cytokines and inflammatory mediators, resulting in thickening of the epidermis, deposition of collagen, reorganization of structural elements, and increases in dermal volume. This process decreases solar elastosis and replaces and reorients the new dermal connective tissue. The result is an improved clinical appearance of the skin, with fewer rhytides and decreased pigmentary dyschromia.

Visia: A complexion digital analysis software and camera used for the face as a cosmetic tool to measure and track spots, pores, wrinkles, evenness, redness, porphyrins, UV spots and photodamage.

Laser: This word is an acronym derived from the phrase “light amplification by stimulated emission of radiation.” A laser-equipped device can generate a high-intensity light that is monochromatic, unidirectional, and parallel. These unique characteristics make the laser useful for medical applications. Lasers work by selective photothermolysis on the skin. This is a method for localizing tissue damage to a specific chromophore or target (pigment, blood or water on the skin) at the cellular level; therefore, it can be used to minimize undesired thermal damage to the surrounding tissue caused by thermal diffusion.

Ablative laser: So – called “ablative” or skin resurfacing lasers briefly direct an intense burst of laser energy onto the surface of the skin. This energy heats water within the surface layers of the skin, causing both the water and the tissue of the skin to turn to vapor. Every time the laser passes over the skin, all the outermost layers of the skin are removed in a precise and controlled way to the appropriate depth.

Non-ablative laser:  These lasers have lower energy levels than ablative lasers (which resurface or remove the outer layer of skin completely), and try to cause damage within the dermal layer of the skin without removal of the outer epidermal layers. That is to say that the laser treats the layers of skin under the surface without damaging the surface too much.

Fractionated laser: Also named fractional photothermolysis, seeks to only damage certain zones, (producing many tiny dot-like treated areas on the skin), leaving the other zones within it perfectly intact; hence only causing fractional damage. This allows the skin to heal much faster than if the whole area was treated.

Non-fractionated laser: Also known as continue wave lasers, they produce a single beam where the whole of the selected target area is damaged.

CO2 laser: An ablative laser with a 10,600-nm wavelength which main target is the water content from tissues, hence used for resurfacing or destroying the superficial skin layers in a non-selectively way.

Fraxel Re:store laser: A non-ablative laser that produces fractional photothermolysis, based on creating spatially precise microscopic thermal wounds using a 1550-nm erbium fiber laser that targets water-containing tissue to effect the photocoagulation of narrow, sharply defined columns of skin known as microscopic thermal zones. It is used for facial and nonfacial photodamage, atrophic acne scars, hypopigmented scars, and dyspigmentation.

Intense pulsed light: A high-intensity light source like a laser, but instead of a single wavelength of light, it uses a bright light in front of which filters are placed which filter out most wavelengths except those taken up by pigment and blood vessels, depending on the filter used. The light energy penetrates just below the skin’s surface, damaging either the melanin (skin pigment) or blood vessels.

Thermage: A noninvasive nonablative device that uses monopolar radiofrequency energy to bulk heat underlying skin while protecting the epidermis to produce skin tightening. It is used for the treatment of rhytids on the face including the periorbital region and lower face, and more recently, for off-face applications. Radiofrequency energy passed through cooled epidermis allows for radiofrequency-induced thermal damage to the dermis and deep dermal collagen (fibrous septae). The remodeling of the collagen leads to clinically discernible improvement in the sagging skin and skin quality; the remodeling of deep dermal collagen (fibrous septae) allows modeling of contours and improvement of the cellulite appearance. It is an efficacious and safe nonsurgical alternative for treating mild skin laxity.

Cryotherapy: Also known as cryosurgery, is a commonly used in-office procedure for the treatment of a variety of benign and malignant lesions by the use of a freezing substance. The most commonly used is liquid nitrogen. The mechanism of destruction in cryotherapy is necrosis, which results from the freezing and thawing of cells.

Electrosurgery: It is a surgical technique used to destroy benign and malignant lesions, to control bleeding, and to cut or excise tissue. Modern, high-frequency electrosurgical devices transfer electrical energy to human tissue via a treatment electrode that remains cool. The electrical resistance of human tissue helps convert this electrical energy into molecular energy, which causes denaturation of intracellular and extracellular proteins, resulting in coagulation or desiccation effects.

Skin biopsy: It is a surgical technique in which a small amount of skin is cut and removed for its microscopic analysis by a Pathologist. It can be done under local anesthesia with a regular surgical blade (excisional or incisional) or with a round blade (punch).

AHAs, alfa hydroxy acids: Organic elements that improve skin tone by clearing dead skin cells and lightening spots, and also can induce the production of collagen (glycolic acid and lactic acid are most common).

BHAs, beta hydroxy acids: Organic elements that help shed dead skin cells and serves as an anti-inflammatory agent (salicylic acid and ascorbic acid are most common).

Retinoids: Vitamin A derivatives with anti-acne, anti-wrinkle, anti-sun damage and anti-skin cancer properties that help in the regularization of the skin’s cell cycle.

Sunscreen: Any substance or material that protects the skin from ultraviolet (UV) radiation.

SPF, sun protective factor: It is a rating system only for UVB protection. It is calculated by comparing the amount of time needed to producesunburn on protected skin to the amount of time needed to cause a sunburn on unprotected skin.

Actinic keratosis, solar keratosis: Precancerous dry, rough and adherent scaly lesions that occur on sun exposed skin of adults, usually on a background of photodamage. They can progress to skin cancer if not treated.

Skin cancer: The developing of malignant cells arising from the skin. It is the most common form of cancer worldwide. They are classified as non-melanoma skin cancers (basal cell or squamous cell carcinomas) and melanomas. The most common form is basal cell carcinoma.

Lentigos, sun spots: Circumscribed 1- to 3-cm brown spots resulting from a localized proliferation of pigment cells due to acute or chronic exposure to sunlight.

Nevus, mole: Benign skin tumors or spots usually less than 1 cm formed by the accumulation of circumscribed pigment or “nevi” cells. They can be congenital (since birth) or adquired.

Rosacea: A common chronic inflammatory acneiform disorder that is coupled with an increased reactivity of facial blood vessels leading to flushing and telangiectasias.

Photodamage, sun damage: Repeated solar injuries from overexposure over many years without sun protection. The skin appears wrinkled, wizened, leathery, with spotty despigmentation or darkly pigmented, giving a “prematurely aged” appearance.

Mesotherapy: A series of nutraceutical injections to the middle layer of the skin to dissolve fat and reduce cellulite. Mesotherapy is a non-invasive procedure that must be administered by a medical professional.

Stretch Marks: Streaks or stripes on the skin, specially on the abdomen, caused by distension of the skin from gaining weight or during pregnancy.


Got a Dermatology Question? Ask an Expert!
Dr. Alberto de la Fuente García, M.D. is a Dermatologist experienced in both clinical and cosmetic Dermatology. Contact Dr. de la Fuente or visit to learn more about the best procedures to improve your skin.

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Is Organic Necessarily Better?

Contributing author Dr. Alberto de la Fuente García, M.D
organic and natural body care products

While concerns over the impact on health and the environment are driving more consumers to buy organic, is the choice to go green necessarily better?

Today, more and more consumers are choosing to buy organic making the trend to “go green” mainstream.  While the health conscious individual may pay a premium for eco-friendly foods and products free of potentially harmful chemicals and pesticides, it may come to a surprise that in some cases, organic may not necessarily be better.What does organic really mean?

The expression “organic” was first coined by J.I. Rodale back in 1940 following his publication Organic Farming and Gardening. Until 1992, the Organic Certified Label applied largely to agriculture foods and practice.  Today, it encompasses topical products in the health and beauty sector where consumers can now purchase skin, body, and hair products with the organic seal.  But what does it REALLY mean when a product is labeled organic?Certified organic products are made with ingredients that are grown free of synthetic pesticides, hormones, herbicides and are not derived from genetically modified crops.  They do not contain additives such as petroleum waxes, fillers and potentially harmful artificial chemicals.

To carry the certified organic label, the U.S. Department of Agriculture (USDA) set rigorous standards that require the manufacturer or farmer to document soil care and seed selection and monitor its ingredients and derivatives through packing, handling, and processing.  Products which are labeled 100% organic do not contain ingredients grown with pesticides, hormones, synthetic fertilizers or synthetic products.  Products that carry the label “Certified Organic” contain 95% or more organic ingredients while those containing 75%-94% organic ingredients may carry the label “made with organic ingredients”.

To confuse the matter  more, products labeled as “natural” aren’t necessarily organic.  Though the product may include ingredients found in nature such as aloe or vitamin E, it may also contain synthetic chemicals intended to act as preservatives or to improve its texture.The truth about organic topical products Natural and organic products often contain irritaing ingredients such as fragrances and essential oils that cause allergic reactions.  Talk to your healthcare professional about which topical products are best  for your skin type, especially if you have sensitive skin or an allergy history.

Did you know that coconut oil, a popular organic ingredient in both skin and hair care products, can cause acne in some individuals?  Many natural and organic products contain fragrances and essential oils that can cause dermatitis. Commonly used essential oils like peppermint or rosemary or oil of bergamot, balsam of Peru are highly allergenic and could irritate and inflame the skin of sensitive individuals.  Even chamomile, generally considered a gentle and soothing herb, can be highly anaphylactic in certain individuals sensitive to the Asteraceae/Compositae family of plants.

It is important to talk to your dermatologist to determine a beauty regimen tailored according to your skin type.  If you’re unsure about your skin type, have a CosMed’s board certified dermatologist give you a free digital skin analysis.

Non-organic ingredients can be helpful too

Often, it is only the chemical ingredients, such as retinoids, that confer a desired benefit, and no analogous organic alternative exists. Dermatologists love retinoids! We’ll never give them up because of its usefulness in combating the signs of photoaging (wrinkling, collagen damage and elastin increase).  Why should people who choose to be cautious and avoid non organic products miss out on beautiful skin?

It is important to guide patients in making decisions and explain the benefits of nonorganic products such as retinoids. A person using retinoids can supplement his or her skin regime with a natural or organic product, thereby enhancing exposure to beneficial ingredients while limiting the use of synthetic ingredients to only the ones needed.

To Buy or Not to Buy Organic:  Choosing the right products for your skin type

Although some patients may express preferences regarding the selection among organic, natural, and conventional products, such considerations should be superseded by identifying a patient’s skin type and allergen history. For example, an organic body lotion containing whole soy oil could be suitable for a patient with non pigmented skin. But for a patient with pigmented skin, the same product could exacerbate the tendency to melasma and pigmentation. For such people, a nonorganic product is recommended.  Patients with pigmented skin who want to obtain the benefits of soy, need to look for products with fractionated soy (also known as “active soy”), which has been processed to remove the pigment-inducing estrogenic components.  This makes the product no longer “organic” though the benefits of soy can still be experienced.

Sometimes, people suffering from dry, wrinkled skin using conventional products could benefit from products incorporating organic or natural ingredients such as green tea.  Conversely, a patient who strictly uses organic products and who has oily, wrinkle-prone skin might benefit from using retinoids, a non organic ingredient used to fight oil and acne and reverse the effects of photodamage.  Limiting the use of synthetic ingredients to only the ones needed and supplementing with natural or organic products can maximize the benefits that both worlds have to offer –  assurance that production is gentle to the earth and safe to health while optimizing effects best suited for your skin type.

The bottom line?  Get advice on what cosmetics are safe for you by talking to your healthcare professional.   Together, you can make a decision about which products are best for your skin and your eco-friendly conscience.  Hopefully, you’ll walk away thinking about how combining organic, natural and non organic ingredients can help you get the most out of your beauty products while being assured that what you purchase is gentle to the earth and safe to your health.

Have a question about your skin?  Share your question or comment with us or book your free digital complexion analysis to get started.


Dr. Alberto de la Fuente García, M.D

Dr. Alberto de la Fuente García, M.D

Dr. Alberto de la Fuente García, M.D. is a Dermatologist at CosMed Clinic. He is experienced in both clinical and cosmetic Dermatology.  You can contact him at

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