top 5 cosmetic treatments for men Torrance

Posted by & filed under Botox, cosmetic surgery, General, men's skin care, V-Beam, wrinkle treatments.

Cosmetic procedures for men are increasing in popularity.  There are many reasons for this, but primarily it seems to be a way to stay competitive in the workplace.  Non-surgical or minimally invasive procedures such as Botox or fillers are the preferred treatments for men looking to fight ageism. The share of people over 65 in the workplace has increased dramatically from 12% in 2000 to almost 19% in 2016. Simultaneously, there has been a 20% jump in all cosmetic procedures for men. It is not clear if there is a cause and effect, but I suspect it is connected.

According to the American Society for Plastic Surgery’s Statistics the top 5 non-surgical cosmetic procedures for men are: Botox, injectable wrinkle fillers, laser hair removal, photo rejuvenation,  (treatment for brown spots or facial redness) and non-surgical skin tightening.  Gentlemen, if you are considering cosmetic treatment options,  read on to see what treatments may be right for you.

Cosmetic procedures for men Botox, #1 in non-surgical cosmetic procedures for men:  Botox works equally well for men and for women, although men may require slightly more Botox to achieve the same results. Botox functions to smooth out lines in the upper face. The most common areas of treatment are frown lines on the forehead, between the eyebrows and “crow’s feet”.  Botox can help get rid of a scowling look and can make you look younger in a subtle way.  The part most men like is that the procedure takes 15 min and there is no “downtime”.  Treatment needs to be repeated every 4 months to maintain results. Cost varies depending on the number of treatment areas or units of Botox used as well as the zip code – range is $300-$600 per session.

Wrinkle Fillers or Soft Tissue Fillers:  Injectable filler treatments for men have increased in popularity from 2015-2016. There are specific fillers for improving the “sunken cheeks” in athletic men with low body fat, and there are fillers designed to improve the folds between the nose and corner of the mouth.  These treatments take 15-20 minutes in the office and are considered to have “no downtime”. Occasionally there may be temporary bruising or swelling at the treatment site. Cost is $600-$900 per vial of injectable filler depending on the product used.

cosmetic treatments for menLaser Hair Removal:  In the past, men did not remove hair on the back and chest unless they were bodybuilders or competitive swimmers. Not so now; more and more men are opting for thinning out hair on the chest, back and shoulders.  Laser hair removal  can accomplish this with a focused light beam that targets the pigment in the hair root and destroys the follicle. Treatment duration is 30-60 minutes depending on the treatment area. Six or more treatments are needed for permanent hair reduction. Best results are obtained with light skin and dark hair.  Laser hair removal does not work on blond or white hair.  African American skin types are successfully treated with the Nd:Yag laser.

Laser or Intense Pulsed Light (IPL) treatment for brown spots or redness:  Men with concerns about facial redness, broken blood vessels around the nose or brown age spots can opt for a laser or light treatment to improve their appearance.  Either the pulsed dye laser  or the IPL can gradually remove dilated blood vessels or brown spots over the course of a 4-6 treatments. Each treatment takes 15-20 minutes. There will be increased redness post treatment and possibly temporary darkening of brown spots for 7-10 days. Typically patients go to work the next day. Cost of treatment is $250-$400 per session.

Non-surgical skin tightening: This procedure is done using radiofrequency heat, ultrasound or lasers. It is growing in popularity for men and women and is now the 5th most popular non-surgical cosmetic procedure for men.While a facelift is the “gold standard” for improving a sagging neck, for those not ready for surgery there is now an effective option.  Ultherapy uses ultrasound to stimulate new collagen and repair the skin’s foundation. The result can be a more defined jawline, elevation of the eyebrows or reduced sagging in the neck. The procedure takes 1-1 ½ hours and costs in the range of $3000 depending on the area treated. We are pleased to offer this treatment at California Skin Institute Torrance within the next few weeks.

cosmetic treatments for men

Men want to look their best, too! To celebrate Men’s Health Month (and Father’s Day), we are offering specials on all of these procedures for first timers. Schedule your consultation now to learn which option is right for you.

For a limited time, get 15% off any of these 5 top procedures that you have not previously received at CSI Torrance.



sunscreen update 2017

Posted by & filed under Beauty Tips, General, Skin care products, Sunscreen.

The official start of summer activities is Memorial Day. It is time to think about serious sun protection! With so many sunscreen products on the market and so many different reviews and rating systems, it is hard to know what to choose.

Here are my top 3 sunscreen choices for beach and outdoor activities based on the reviews from CR (Consumer Reports), EWG (Environmental Working Group) and my own personal experience:

  • La Roche Posay Anthelios #60: This product is rated 100 by CR despite the $36 price! It is a chemical sunscreen from L’Oreal , Europe’s top consumer products company.                                                                                                                                                       sunscreen -best for beach
  • Neutragena Sheer Zinc Dry-Touch Sunscreen SPF #30: This non-chemical or zinc based sunscreen is a top choice of EWG. Inexpensive!
  • Blue Lizard Australian Sunscreen, Sensitive SPF #30+: This zinc based sunscreen is a top choice of EWG with good UVB/UVA protection and low levels of health concern. Also inexpensive!

For children or babies my top choices, recommended by EWG are:

  • Neutragena Pure and Free Baby Sunscreen, SPF 50: A  zinc oxide sunscreen, safe for kids and babies over 6 months.
 sunscreen for babies-top rated
  • Blue Lizard Australian Sunscreen, Baby SPF 30 + : zinc based and very water resistant

Sunscreen FAQ’s:

  • Are sprays as effective as lotions?
    • Typically they are applied more thinly and do not have as good coverage. The alcohol based or liquid sprays are usually less sweat or water resistant than thicker lotions
  • How long do sunscreens stay on during sports activities?
    • Sport sunscreens are labeled 40 min or 80 min sweat or water resistant. A product labeled 80 minutes sweat resistant should be re-applied every 80 minutes for complete protection
  • Are Sunscreen ingredients safe?
    • The EWG and expert dermatologists disagree about the safety of several key sunscreen ingredients. Here are the issues:
      • Oxybenzone is a chemical sunscreen filter present in many products. Although early studies in rats showed that the ingredient interfered with hormone levels, this was disproved in later studies in humans. According to experts at the SKIN CANCER FOUNDATION, this ingredient is FDA-approved based on exhaustive safety reviews.
      • Zinc oxide and titanium dioxide are physical sunscreen ingredients which have been formulated in small particles or “nanoparticles”. The small particles help the product appear clear rather than white on the skin.  Some toxicologists are concerned about nanoparticles penetrating the skin.  However,  studies have shown that nanoparticles sit on the surface and not penetrate the skin.
      • If you have any concerns about safety, non-chemical ingredients such as Zinc Oxide and Titanium Dioxide are considered the safest, even for babies and pregnant women.
  • Should sunscreens be used every day?
    • Yes! In southern California, we get sun every day while driving or walking from our cars or at an outdoor cafe. I recommend that everyone, regardless of skin type, select a daily facial moisturizer with SPF 30 or more and use it every day!
    • There are many excellent products to choose from.  Many of my patients love our Ca Skin Institute moisturizer with SPF #50 and antioxidants for skin repair.                               sunscreen with antiaging

For optimal sun protection, don’t depend on sunscreen alone!

Shade and clothing offer much better sun protection. Here are my tips:

  • Wear a hat with a 3’ brim whenever possible. My husband now sports the Tilley hat for hiking and outdoor activities in the sun. Coolibar has one of the largest selections of attractive, sun protective hats for women and men. And, don’t forget UV protective sunglasses.
  • Sun protective clothing has come a long way. For hot days there are sun protective sleeves for biking, tennis, golf or fishing. And, there are sun protective shirts or rash guards that you can swim or surf in as well as special sun shirts for tennis.
  • If you love outdoor activities and want to avoid leathery sun damaged skin, try to get out early and avoid midday sun.

sunscreen and sun protective clothing used by Christina McHale pro tennis player


Have a great summer and do follow these tips to be safe in the sun.

Hair Regrowth Treatment Torrance

Posted by & filed under General, Hair Loss, Hair tips.

Hair loss due to hereditary factors affects both men and women. It can cause emotional and social distress. If you are experiencing early signs of hair loss due to genetics and hormones, there is a  hair regrowth treatment that may help you!

Topical Hair Regrowth Treatment

The best way to prevent thinning hair from getting thinner is to use Minoxidil at the first sign of hair loss.  Minoxidil Foam 5% is safe for men and women. Men’s Rogaine or Minoxidil is prescribed for twice a day vs  Women’s Rogaine or Minoxidil is for once a day. The best bargain Minoxidil is at Costco Kirkland RegrowthTreatment Minoxidil Foam for Men. (women can use it also- only once a day!) It works to increase blood flow to the scalp. In that way it limits the amount of hair in the shedding phase and moderately thickens existing hair. And, you don’t need a prescription to try it.

Hair regrowth treatments Torrance

Oral Hair Regrowth Treatment

Propecia ,  also known as Finasteride, is the only other FDA-approved medicine to treat hair loss. The drug, which was originally created to treat prostate enlargement, works by blocking production of a male hormone in the scalp known as dihydrotestosterone or DHT. This hormone functions to cause hair follicle atrophy and shedding, the cause of male pattern hair loss. Blocking DHT decreases hair shedding and stimulates existing hairs to grow thicker.

Hair regrowth treatment in Torrance

A small percentage of men experience side effects such as lack of sexual desire or impotence. This is rare and tends to resolve. This medication is not safe for women. Guys,  be aware; using Propecia is a lifetime commitment (as is Minoxidil). The hair regrowth will gradually return to the pretreatment level if you discontinue the medication.

Non-Surgical Hair Regrowth Treatment  –Platelet Rich Plasma (PRP)

PRP is a safe, non-surgical method of stimulating hair regrowth, naturally using growth factors from your own platelet rich plasma. The PRP preparation process is FDA approved. However the use of PRP for hair regrowth is considered “off –label”. Nevertheless, there are recent small clinical trials showing that it works.

  • How does it work?

After a preparation process, small amounts of concentrated plasma with your own growth factors are injected into the scalp at the level of the hair follicle. The procedure takes 15-20 minutes. The only common side effect is  mild discomfort during or after the injection which is relieved with over the counter medications such as ibuprofen.

A series of 3 or 4 monthly treatments will be needed to stimulate hair growth. Following that, maintenance treatment several times a year is sufficient to stabilize the benefit .  The growth factors in the PRP help to thicken existing hair follicles and decrease shedding.

Hair regrowth treatment in Torrance

At this time the procedure is not covered by insurance. Cost can vary by region of the country and provider. The range is $400-$750 per session.

If you are using Minoxidil or Propecia, it can be continued as the results will be enhanced.

Surgical Hair Regrowth Treatment

  • How is the procedure done?

Hair restoration is done by moving hair follicles from the back of the  scalp to the front where hair is thinning.  Typically a half inch wide section of hair from the posterior scalp is excised and sutured closed. The donated follicles are divided into “follicular units” of 1-5 hairs which are transplanted to the bald or thinning area. The result is a natural appearing hairline when healed.

The disadvantage of hair transplantation is that it is costly. And, since the hair thinning process continues, ongoing maintenance procedures are needed .Good news:  PRP can be used after transplantation to speed up growth of hair transplants and to slow down age related hair loss. Hair transplant surgeons also recommend that their patients take Finasteride or use Minoxidil for ongoing maintenance.

Natural Hair Regrowth Treatment

Most “natural” hair treatments can be costly and have little or no benefit!  No specific vitamins or combination of vitamins have been shown to regrow hair. But, there  are a few things that may help:

  • For post-menopausal females-if your hair loss started with menopause, you may be a candidate for low dose hormone replacement. Consult with your Ob-gyn to see if this option is right for you.
  • For vegans, vegetarians or anyone on a diet-make sure you are taking in an adequate amount of protein The recommended daily amount is three 3 ounce servings of meat, chicken or fish or 4-5 servings of dairy and beans.

If your hair loss has not improved with topical or oral therapy and you are seeking a non-surgical option, schedule a consultation with Dr Goodlerner at California Skin Institute Torrance to see if PRP therapy is right for you.

Mole check Torrance

Posted by & filed under General, skin cancer, Skin exam, Sun protection.

Mole checkWho should have a skin cancer check or mole check?

Joe has just started a new workout routine.  He noticed that a mole at the waistband of his gym shorts that has been there forever is now red and irritated. Should he get a mole check?

No urgency here. The change in the mole is likely due to rubbing, not cancerous change.  If the mole is bothersome, it can be removed.

Kristen, who is fair skinned and has a lot of moles, noticed a new, small very dark mole. It is not irregular or two different colors like the melanoma images she has seen online. Although she uses sunscreen and is generally sun safe now, she went to a tanning salon more than a dozen times in college. Should Kristen schedule a mole check?

Early melanoma can appear as a uniform dark spot. If it looks different than Kristen’s other moles (ugly duckling sign) it is of concern. Use of tanning beds more than 10x increases the risk of melanoma by 30%. Her fair skin and the fact that she has a lot of moles are also risk factors. She should make an appointment in the next week to have That mole checked. 

The first step in monitoring your skin is to do a skin self-exam. Here is what you need to look for.

What are the Warning Signs of Skin Cancer?

  • New moles or growths
  • Growths that change, itch, bleed or don’t heal
  • ABCDE signs of melanoma- It is so important to catch melanoma early that physicians have a warning system to help you. Any one of these signs should prompt you to make an appointment
    • A=Asymmetry : if a vertical line is drawn down the middle, the sides are not mirror images
    • B-Border –irregular border
    • C=Color –moles with more than one color
    • D=Diameter-melanoma is often > than the size of a pencil eraser, (early melanoma may be smaller
    • E=evolving –moles that change over time

Mole check in Torrance

  • Ugly Duckling Sign: More recently an additional sign has helped doctors detect melanoma earlier. Moles on each person have a certain typical pattern and melanoma often deviates from that pattern i.e. is an outlier. See the image below for an example

Mole check in Torrance

To do a better self-exam, you may download this body chart. And, check out the videos on skin self exam.

If you have not noticed any warning signs but you have one or more risk factors, a skin cancer check is a good idea. Here is what you need to know:


Melanoma claims 10,000 lives every year. Early detection can save lives; melanoma has a 95% cure rate when detected early.  So, if you have any risk factors for melanoma and non-melanoma skin cancer, a mole check is a good idea. And, if you have a skin growth that has any of the warning signs of skin cancer, have it checked.

Do you have risk factors for skin cancer?

The most common factors that may increase your risk for skin cancer are:

  • Fair skin. If you have blond or red hair and light-colored eyes and you freckle or sunburn easily you are more likely to get skin cancer than someone with darker skin

Mole Check Excessive Sun exposure. If you spend a lot of time outdoors for work or play, you are at higher risk for skin cancer. Use of Indoor tanning beds increases the risk of melanoma, squamous cell and basal cell skin cancers. Studies have shown that using indoor tanning beds before the age of 35 increases the risk of melanoma by 59%!

  • People who have many moles or a history of abnormal moles are at increased risk. Regular self- exams of the skin can help you detect changes.
  • Precancerous skin lesions. If you have precancers or actinic keratosis (crusty growths on sun exposed areas that appear pink or red) your risk of developing skin cancer is increased.
  • Family history of skin cancer. If one of your parents or siblings has had a skin cancer you may be at increased risk.
  • Personal history of skin cancer. If you have had a previous skin cancer, you are 30% more likely to have a new skin cancer.
  • A weakened immune system. If your immune system is suppressed due to medication taken after an organ transplant or for certain types of cancer, you have a greater risk of developing skin cancer.
  • Exposure to radiation. Patients who received radiation many years ago for acne or for cancers such as Hodgkin’s Disease have an increased risk of skin cancer. ( Radiation performed now is more focused and less likely to be a risk)

May is melanoma and skin cancer awareness month, a good time to have a skin exam. Get the most out of your skin check by doing a self-exam first and making note of any concerning lesions. Write down your 3 most pressing questions. And, schedule your appointment today with a board certified dermatologist.