In the May 2013 issue of Vogue Magazine, PCA SKIN®‘s chief scientific officer, Dr. Jennifer Linder, is featured dispelling myths about chemical peels and assuring readers that they are the best thing you can do for your skin. The article, titled “Lift Off,” highlights Ultra Peel® I and explains the many benefits regular chemical peel treatments have on skin health, while amplifying the effects of daily care in the process.

“I always say, ‘You don’t have to peel with a peel,’” Dr. Linder says. Regarding Ultra Peel® I, she noted that following the treatment, “the skin takes on this lovely glow and looks more even.” When performed regularly, Linder said, “you can get to the same end points with peels as you can with lasers.”

Article Highlights:

  • The latest cocktails have yielded gentle peels for virtually every skin type and issue: Have sun damage or discoloration? There’s a peel for that. Bothered by fine lines? Or just dull skin? Get a peel. Is acne a problem? A peel will help.
  • The new thinking trades the no-pain-no-gain mentality for the more palatable slow-and-steady-wins-the-race: Combinations of multiple exfoliating acids in lower strengths encourage the skin to shed its top layers, along with dead, complexion-clogging surface cells and impurities.
  • Beyond the luminous, near-instant gratification achieved by so many peels, [there is] another reason to incorporate one into a regular regimen: They help pave the way for daily skin care to perform better by removing dead surface cells that may be impeding its absorption.

Linder ends the piece saying, “Peels are the one thing that every dermatologist can do to help their patient’s age gracefully. The experience is much like getting a facial, but you get more out of it. You’re actually doing something to change the long-term health of the skin [and] it’s such an easy thing to do.”

Pick up the May 2013 issue of Vogue, on newsstands now, to read the full article.


Did you know that nearly 80% of people will experience some form of acne during their lifetimes? Acne is the most common skin disorder in the United States, affecting 40–50 million Americans at any one time, according to the American Academy of Dermatology (AAD). Even mild acne can benefit from professional treatment. Here at the medspa we offer effective treatments such as chemical peels, Facials, Microdermabrasion, L.E.D Pulse light therapy, Laser Genesis, and we also offer Fraxel Dual which is very effective in the treatment of Acne Scars. Certain medications are also prescribed in helping treat the condition. There are many myths about acne but with the right treatment plan and staying educated you do not have to suffer. Schedule your free consultation today. For more information http://acnefoundation.org/acne-facts/basics/

June is National Acne Awareness Month


Deficient is not a word we like to hear used to describe us. Unfortunately, that’s what most of us are – in vitamin D, that is. It’s estimated that three out of four Americans are D-deficient. Yet, how to get the needed vitamin – and exactly how much of it – is up for debate. That’s why we scoped out the true lowdown on D.

“Although our body doesn’t make vitamin D on its own, it does create the precursor to it, referred to as vitamin D2,” says Jeffrey Morrison, M.D., founder of The Morrison Center in New York City. “Then, when we get ultraviolet exposure, that precursor is converted to the active form of vitamin D, which is vitamin D3.”

Morrison says that low vitamin D levels can cause some autoimmune-related diseases such as fibromyalgia as well as seborrheic dermatitis. And, studies show that pregnant women who had low D put their children at risk for asthma and type-1 diabetes. Plus, low D has been linked to an increase in seasonal affective disorder (SAD).

The only way to truly know if you are D-ficient is to get a blood test. The healthy range of D, number-wise, is broad because your body’s specific needs depend on a number of factors. However, if your results fall anywhere above 32, you’re fine in terms from a baseline health perspective. Still, Morrison notes that he prefers to see the number hit 50 to 100, as that’s the optimal range for disease prevention.

So, that brings us to the big controversy around D – namely, the sun. Because for the body to create active vitamin D3, the skin needs to come in contact with sunscreen-free UV light, and the sun’s rays, are of course, a known carcinogen that has been linked to skin cancer. While some experts say that all you need (on an average day) is about 10 minutes in the sun, others say if you were to add those 10 minutes up over your lifetime, it could be enough UV light to lead to skin cancer.

Theoretically, you’re probably getting enough incidental sun exposure, and that it could be enough to get enough D. But, the statistics suggest otherwise, because most of us are still low. Enter: fortified foods…right?

Unfortunately, outside of cod liver oil, there aren’t that many foods that naturally contain vitamin D3. Some foods, such as orange juice and most cereals, have had D added to them. Just be sure it isn’t laced with the cheaper and subpar precursor D2, which is harder for your body to convert.

RELATED: The Modern Girl’s Guide To Vitamins

Another no-brainer way to get D, which many experts say is the safest, is taking a supplement. “It can be very difficult to get ample D from sun exposure alone,” says Morrison, who notes the standard recommendation on D is about 400 international units (IU). However, he normally recommends around 1000 IU daily for those who aren’t at risk or have any health conditions related to low D – then it could go up to even 5000 IU. And, because vitamin D is a fat-soluble vitamin, it’s better absorbed by the body when taken along with a fat-based food, such as yogurt or a salad with olive oil dressing.

Bottom line: Go to your doctor to get a blood test to know where your levels stand. Then, ask her to recommend a daily supplement amount to be sure you get all the D you need. Finally, don’t be afraid to let the sun shine in – just a little bit.


May is Melanoma Awareness Month…take a look at some

important information and tips from SkinCeuticals.

melanoma awareness month


May has been declared Skin Cancer Awareness Month by the Centers for Disease Control. They remind us to increase awareness of the importance of the prevention, early detection and treatment of skin cancer. Each year, approximately 2 million persons in the United States are diagnosed with non melanoma skin cancers. Exposure to ultraviolet (UV) radiation and a history of sunburn are preventable risk factors. 90 % of visible premature aging is caused by environmental damage. Sunscreens are not enough. Even the best broad Spectrum Sunscreen only blocks

55% of uv-induced free radicals

NONE of IRA- induced free radicals


The sun emits radiant energy known as electromagnetic radiation. This energy travels in a wave-like pattern and is divided into three types: ultraviolet, visible light, and infrared radiation. Together these types of radiation make up the solar spectrum. Research has proven the photodamaging effect of UV and infrared radiation.


Photodamage is the premature aging of the skin caused by sun exposure, which leads to the generation of free radicals.


Unstable UV- and IR induced molecules that cause the formation of fine lines, wrinkles, hyperpigmentation, and laxity.



Damaging the outermost layer of the epidermis, UVB is

primarily responsible for skin reddening and sunburns.

  • Penetrates the epidermal layers of the skin
  • Most intense midday and during the Summer
  • Plays a key role in the development of skin cancers.


Accounting for up to 95% of the UV radiation reaching the earth and 30 to 50 times more prevalent than UVB, UVA is responsible for the destruction of healthy collagen and elastin fibers.

  • Present year-round and can pass through clouds and glass
  • Penetrates the skin 40 times deeper than UVB
  • Proven to induce premature aging in the skin.


Penetrating the skin deeper than UVA and UVB, IRA upregulates matrix metalloproteinase -1 ( MMP-1) expression, an enzyme that destructs healthy collagen 1 fibers.

  • Occurs beyond the light range UV filters can protect
  • 65% of the energy reaches the skin’s dermal layers, the tissue responsible for skin’s structure
  • Diminishes skin’s antioxidant capacity


Double Defense against premature aging. Purchase CE Ferulic, or Phloretin CF antioxidant treatment and receive a free Physical Fusion UV Defense Broad spectrum SPF 50 (value $32.00) while supplies last.


Should you be cultivating your good germs the same way a farmer cultivates crops?

Can antibiotics be bad for you because they kill off too many germs?

Science is at the dawn of a new era and the answers to these questions might surprise you! Your body is full of “good germs” that may help you avoid asthma, fight sinus infections, boost your mood, and even control your weight. You need to know how to care for these good germs so they can help keep you healthy.

As a baby, you were born “germ free.” By adulthood, you’ve got 3 lbs of germs, called your microbiome, living in and on your body – and they’re either helping or hurting you! Your human body is home to a community of bacteria and yeast that’s upwards of 10,000 different types of good germs. These cells outnumber the actual cells of your body by 10 to 1. Until recently, doctors and scientists have believed that altering your microbiome with antibiotics was inconsequential to your health. Evidence is mounting, however, that killing off your microbiome with antibiotics may be harmful to your health. It means that our modern love affair with antibiotics may be coming to an end.

In this post, I want to share with you a fascinating article titled Germs Are Us that was published in the October 22,2012 issue of The New Yorker magazine. Yes, The New Yorker – not my usual scientific journal, but the article is an excellent overview of new scientific research into the human microbiome, and the information is important to your health.

A long-time patient of mine brought me the article. She knew that I’d be interested, because I’m a big fan of probiotics. I know that every antibiotic prescription I write for a patient alters their microbiome. I counsel my patients on rebalancing their “flora and fauna” with probiotics after antibiotics. Now it seems that the impact of antibiotics on human health may be even bigger than I thought. For his article, journalist Michael Specter, interviewed the leading scientists studying the human microbiome. What they’re learning will undoubtedly surprise you.

First, you need to know that this is serious science, not wacko hucksters trying to sell you probiotic personal care products. The heavy hitters in research are putting significant research funds and focus towards this subject; the NIH, the European Commission, and China are all avidly studying it.

So far, what we know is that the germs of your microbiome colonize every surface of your body. Most are in your gut, but you’ve got them in your nose, sinuses, ear canals, on your skin, etc. The variety of microorganisms, which are mostly bacterial, are huge. We also know that each person has their own unique set of “good” microbiome germs.

At this point, most of the exciting research is focused on the germs living in the human gut. This subset of your microbiome is called your enterotype. Eventually doctors will be able to test and define your enterotype much like they can your blood type. They’ll be able to know which germs are good for your unique body, and which are actually bad for you. I imagine we’ll have the same sort of typing for your skin too, and the other colonized parts of your body as well.

So, what are the first exciting discoveries about your good (symbiotic) germs?

#1. Good Bacteria May Help You Fight Obesity

The most mind-blowing discovery for me is that some bacteria might help make you skinny. Yes, your gut germs may play a role in what you digest after every meal, including calories!

It is believed that at the beginning of the 20th century almost every person had a germ called H. pylori in their stomach. In developing countries, people still commonly have this stomach germ; but, now, only 1/5th of U.S. kids have it, probably because the germ is killed by antibiotics. In our country, kids receive, on average, 10-20 courses of antibiotics by the time they grow up; these antibiotics may kill off H.pylori, and the consequences may explain part of the obesity epidemic!

H. pylori is a bacterium that, up until recently, we thought was always bad. It’s associated with stomach ulcers and some other health problems. But now, it looks like some types of H. pylori might be good for your health because they play a role in managing your weight and more. H. pylori appears to be important for the formation of a hormone that tells you when you’re full, so that you stop eating. It may be that “a whole generation” of kids today are growing up without this bacteria regulating their levels of this hormone, meaning the message to stop eating doesn’t reach their brain.

Adding intrigue to this new observation, mice absorb more calories from their food and gain weight when they are given the same sort of antibiotic dosages use to treat a child’s ear infection. Yep, they get fat; no change in diet, just antibiotics, and it’s fat mice. Apparently, the antibiotics kill the germs in the gut, which leads mice to “absorb more calories from the same amount of food and rapidly become obese.”

Taking the weight/antibiotic/gut bacteria connection one step further, the meat industry uses 3/4 of all antibiotics consumed in the US. Scientists speculate that the antibiotics fed to these animals (poultry, cows, and pigs) are probably bringing the animals to market weight fast because of the impact they have on gut bacteria and weight gain, not because the drugs are preventing or treating diseases to keep animals healthy.

#2. Good Bacteria May Impact Your Risk of Asthma and Allergies

It looks like H. pylori may protect against asthma and allergies too. Scientific researchers have correlated that the people with asthma are far more likely to NOT have H. pylori in their gut. In the laboratory, they also found that mice without H. pylori reacted more severely to dust mites and other allergens compared with mice with H. pylori.

#3. Good Bacteria May Help

You Prevent Sinus Infections

Researchers have found that a bacterium called Lactobacillus sakei may actually help prevent sinusitis. People who have this germ in their sinuses seem to be protected from sinus infections. The germ is killed by antibiotics.

#4. Bad Bacteria May Increase Your Risk of Dental Cavities

Cavities may now be an infectious disease! A germ called Streptococcus mutans, which lives in the mouth, releases acid in the presence of sugar. This acid corrodes teeth. The next big question is, could cavities be eradicated by a mouthwash that kills S. mutans? Maybe. Can probiotic-rich foods provide good bacteria to crowd out the bad ones? Interesting question.

I believe that it’s the beginning of a new era in medicine, and it’s complicated!

The scientific studies are still evolving, but while we’re waiting for more information to emerge, what can you do to boost your body’s good germs?

We don’t know for sure. Not every probiotic bacterium is good for every person. For example, Lactobacillus GC appears to reduce the risk of eczema in babies, but for people who have Crohn’s (a severe intestinal disease) it can worsen their disease. We also know that your bacterial population is dynamic, changing over the course of your life.

The two questions I think we can answer right now are:

  1. Is there some stewardship you can/should be doing to “cultivate and nurture” your microbiome to maximize the presence of your good germs while discouraging the bad ones?
  2. Should you start using every product labeled to contain “probiotics”?

The answers are common sense, but none-the-less important. I break them down into 2 steps, and they are my opinion only.

Step 1. Avoid antibiotics unless they are clearly needed to treat an infection. I’d also recommend avoiding them in the dairy and meat products you consume. To do this you need to eat organic alternatives only. Organic meat and dairy is more expensive. You can keep this from breaking the budget bank by eating half as much as you normally would, and increasing the less expensive alternative foods such as veggies, whole grains, and legumes. There are other great reasons to tweak your diet in this direction too. (To read more, click here for my post The Best Diet For Healthy Skin in 2012.)

Step 2. Include probiotic-rich foods in your diet. (Ask your doctor if you have a complex disease such as Crohn’s, an autoimmune disease, are immunosuppressed, or think this might not be safe for you to do.) Probiotic organisms are the fermenters used to preserve foods by our ancestors. They were eaten regularly because they were an essential part of food storage in a time when people did not have refrigerators, preservatives, and sterilization techniques. It means that the human body learned to live symbiotically with these organisms over thousands of years.

Naturally probiotic rich foods are fermented foods that have not been cooked, because cooking kills the good germs. I prefer fermented foods over supplements labeled as “probiotics”, or foods with “probiotics” added as “fairy dusting” sales gimmick. I analogize probiotic cultures to a gold fish – you only want them if they are alive, and you want to see proof. With a gold fish, you can tell if it’s alive because it’s swimming. When probiotics are alive, they ferment food (like make yogurt out of milk, sauerkraut out of veggies, etc). Eat probiotics that you know are alive like live-culture yogurt, kefir, barrel fermented sauerkraut, etc. (To read more, click here for my post Kefir, The Best Probiotic For Healthy Skin.)

Will we see probiotics added to skin care products in a meaningful way?

Maybe. We don’t know enough to make any recommendations yet though. Like probiotic supplements and “fairy dusted” probiotics in foods, I think the personal care product/probiotic chapter can’t be written until scientists figure out more of the details


If you’re like most people, you want smooth, healthy skin, but maybe you don’t want to wade through hundreds of chemically laden products to get it. That’s where antioxidants can help. Incorporating the right antioxidants into your diet and skin care routine can have a positive effect on your skin.

Antioxidants are nutrients (vitamins and minerals) and enzymes (proteins inside your body) that can help

to prevent and repair damage to your body’s tissue. Antioxidants do this by slowing or preventing the effect of free radicals, which start oxidation — a process that causes damage from oxygen that can lead to cell dysfunction. If you’ve seen a peeled apple turn brown, you’ve seen oxidation in action. As antioxidants block the effects of free radicals, they end up being oxidized. This is why it’s important to constantly replenish your supply of antioxidants.

Free radicals may also play a role in heart disease, cancer and other conditions [source: American Dietetic Association]. You can find antioxidants — such as beta-carotene,

lutein, lycopene, selenium and vitamins A, C and E — naturally in many foods, including fruits and vegetables, nuts, grains, some meats, poultry and fish [source: MedlinePlus].

When it comes to caring for your skin, antioxidants can help to protect your skin from the damaging effects of the sun. Unlike sunscreens and moisturizers, antioxidants can protect your skin from the inside out by guarding your cells from damage. Vitamins A, C and E and the mineral selenium are thought to be particularly helpful in skin care. In addition to helping fortify cells against free radicals, vitamins A and C also encourage cell and tissue growth, helping the body to repair itself. This is very helpful to the skin, which is constantly shedding and regrowing cells. For this reason, any antioxidants that protect cells and encourage cell growth could be helpful in an anti-aging regimen, as they may help fight fine lines and wrinkles [source: WebMD].

Just like when adding any supplement to your diet, be careful when incorporating antioxidants into your daily routine. Though they are naturally good for you, antioxidants taken in excess can be harmful — so be sure to follow the recommended amounts. In most cases, all you need to fulfill your body’s quota for antioxidants is a healthy and balanced diet. In fact, it’s a good idea to talk to your doctor before increasing your intake of any supplement. Free consultations are available…727-518-1000


Looking for the perfect gift for Mom?If you haven’t yet, make sure you check out Dr. K’s Mother’s Day Specials!

Our Mothers Day specials are here!


What Is Rosacea?

Rosacea (pronounced roh-ZAY-sha) is a common but poorly understood disorder of the facial skin that is estimated to affect well over 16 million Americans — and most of them don’t know it. In fact, while Rosacea is becoming increasingly widespread as the populous baby boom generation enters the most susceptible ages, a Gallup survey found that 78 percent of Americans have no knowledge of this condition, including how to recognize it or what to do about it. Many have observed that it typically begins any time after 30 years of age with redness on the cheeks. In some cases, Rosacea may also occur on the neck, chest, scalp or ears.

In surveys by the National Rosacea Society, more than 76 percent of Rosacea patients said their condition had lowered their self-confidence and self-esteem, 41 percent reported that it had caused them to avoid the disorder had adversely affected their professional interactions, and 51 percent said they had even missed work because of their condition.


While the cause of Rosacea is unknown and there is no cure, today medical help is available that can control the signs and symptoms of this potentially life-disruptive disorder. Any one of the following warning signs is a signal to see a dermatologist or other knowledgeable physician for

diagnosis and appropriate treatment before the signs and symptoms become increasingly severe:

  • Redness on the cheeks, nose, chin or forehead.
  • Small

    visible blood vessels on the face.

  • Bumps or pimples on the face.
  • Watery or irritated eyes
  • Food
  • Temperature
  • Skincare products
  • Alcohol
  • Emotions
  • Weather

How do you treat Rosacea?

We offer effective treatments such as IPL and calming facials, products such as Skinceuticals and Jane Iredale, that can control or reverse its signs and symptoms. Choose products that have calming agents in them such as licorice root extract, chamomile, and green tea extract. Zinc oxide is believed to encourage the healing of skin disorders and is found in many ointments as an antiseptic and protector from skin diseases.
If you have Rosacea or have symptoms of Rosacea you don’t have to suffer. Check out this month’s special and take advantage of this great offer through April 30th. Free consultations are available…727-518-1000


Just like your skin caring for your hair and nails is important. As we age our hair can thin or fall out, nails can be brittle and dry, can yellow in color and be prone to fungus especially in smokers. The appearance of glossy hair, strong nails, and smooth skin is a sign that your eating the right kinds of foods rich in vitamins and minerals. Essential Vitamins include Vitamin A, Beta Carotene, omega-3 fatty acids, Zinc, Vitamin E, Vitamin C, and Vitamin Bs. Here is a article we find interesting on foods that could be to blame for unhealthy hair and nails.

The Worst Diet Mistakes For Hair And Nails – Huffington Post


With Medspas around every corner its hard to decide which one is right for you. Here at Drksmedspa we are commited to offering the most advanced aesthetic FDA approved technologies and products that science has to offer. Our team of highly trained licensed professionals will help you reach your goals with a treatment plan that will be tailored to your lifestyle, health, and well being. (more…)