Laser Hair Removal

Six months after FDA approval, Dr. Mosser answers questions about why silicone breast implants are back to being the most popular choice.

In November 2006 the US Food and Drug Administration approved the use of silicone gel breast implants for breast augmentation, lifting their 14-year ban. The FDA approval was eagerly awaited by both plastic surgeons and patients and - six months later - silicone gel implants have in fact become the preferred choice over saline-filled implants in Dr. Mosser’s practice.

Silicone gel implants had been allowed only for breast cancer reconstructive surgery and approved medical trials in the US, but continued to be used widely in Europe and many other countries around the world for breast augmentation.

Throughout the 1990s silicone gel implants became probably the most exhaustively tested and studied medical devices in US medical history. Independent studies concluded that this type of implant was not associated with connective tissue disease or cancer, and no convincing evidence was found of any link to health problems such as lupus or rheumatoid arthritis. Numerous scientific studies over the years, both in the US and abroad, have shown that silicone gel-filled implants are both safe and effective for breast augmentation and reconstruction.

Q: Why do women prefer silicone now that it’s available?

A: Probably the major reason for choosing silicone is that it simply looks and feels much more natural than saline. Trends in breast augmentation are towards obtaining not just an increase in breast size but in achieving a natural, balanced appearance.

Q: Which is safer, saline or silicone?

A: Saline-filled implants have enjoyed a fine safety record over the past 14 years, but confidence has now been restored in the safety of silicone. Also, improvement in the texture of the silicone gel used has also lessened risks of leakage if the implant is ruptured, previously a concern.

Q: Which lasts longer, saline or silicone?

A: There is evidence that silicone implants may last longer. It should be remembered however that breast implants, whether filled with saline or silicone, are not considered lifetime devices and may need to be replaced at some time in the future. It is interesting to note that in most other countries, where both saline and silicone implants have been available throughout the past 14 years, the vast majority of women choose silicone, a trend that is now returning to busy practices in the United States like Dr. Mosser’s.

To learn more about breast augmentation or to schedule a consult with Dr. Mosser, please call his office at (415) 398-7778, or visit www.drmosser.com.

Cleansiderm by Obagi

Dermatologist Dr. Obagi developed a skin care product over 15 years ago that to this day is one of the most effective treatment programs for the treatment of melasma and uneven pigmentation called Obagi Nu Derm. This product is used worldwide and is especially popular in the Asian and Middle Eastern countries.

Now Obagi has developed an acne treatment product line that is becoming equal in popularity as the Nu Derm system. This 3-step program is safe and effective in fighting the bacteria involved with acne. At the Epi Center MedSpa, we take it a step further by combining the two Obagi systems and helping those who suffer from pigmentation and scars as a result of their acne.

Of course products alone are not the answer. A product and treatment combination therapy is customized for each individual for optimal results. Often Microdermabrasion or chemical peels accelerate the process allowing the Cleansiderm program to quickly affect the problem areas.

Schedule a Microdermabrasion or Classic Exfoliation and our clinical aestheticians will develop a program to follow the treatment that will result in clean, clear skin! Buy products on-line at our website.

Visit our on-line store.

Introducing Obagi CLENZIderm M.D.™, the only prescription-strength, physician dispensed acne system with a patent pending 5% liquefied benzoyl peroxide.

CLENZIderm M.D.™ is clinically proven to better penetrate the follicles for rapid lesion reduction and effective P. acnes bacteria reduction.*

A breakthrough acne treatment, CLENZIderm M.D.™ is a three-step system. It is the only liquefied form of 5% benzoyl peroxide solubilized to 1/10,000 the size of any other benzoyl peroxide on the market for deeper follicular penetration.

Most benzoyl peroxides are formulated with insoluble macro-crystals that, when applied, remain largely on the surface of the skin because they are too big to penetrate the follicle.

CLENZIderm M.D.™ Serum Gel utilizes patent pending SoluZyl™ Technology in which benzoyl peroxide converts into liquid form on contact with the skin. As a result, CLENZIderm M.D.™ delivers more benzoyl peroxide deep into the follicle — for better results!

* Postered at the 2007 Annual American Academy of Dematology Meeting. Click here to view the full study.

Comparison Chart

The chart illustrates the size of the average benzoyl peroxide particle, the size of the benzoyl peroxide in CLENZIderm M.D.™ and the size of a hair follicle.

• Macro-size benzoyl peroxide crystals
  (insoluble, irregular shapes and sizes) range from 0.01-0.1 mm
• Average follicle size is 0.05 mm

CLENZIderm M.D.™ benzoyl peroxide is 10-7 mm

• Homogeneous solution for better follicular penetration.