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Before Clear + Brilliant 1 Month After 6 Treatments Before Isolaz After 6 Treatments Before Fraxel 1927/1550 1 Month After 3 Treatments Before After Before After Clear + Brilliant indications for use: Dermatological procedures requiring the coagulation of soft tissue and general skin resurfacing procedures. Talk to your doctor for more infor- mation about Clear + Brilliant, and s ee www.clearandbrilliant.com for additional details. Fraxel DUAL 1550/1927 indications for use: 1550 nm: The Fraxel 1550 nm laser is indicated for use in dermatological procedures requiring the coagulation of soft tissue, as well as for skin resurfacing procedures. It is also indicated for treatment of dyschromia and cutaneous lesions, such as, but not limited to lentigos (age spots), solar lentigos (sun spots), actinic keratosis, and melasma, and for treatment of periorbital wrinkles, acne scars and surgical scars. 1927 nm: The Fraxel 1927 laser is indicated for use in dermatological procedures requiring the coagulation of soft tissue, treatment of actinic keratosis and treatment of pigmented lesions such as, but not limited to lentigos (age spots), solar lentigos (sun spots) and ephelides (freckles). Talk to your doctor for more information about Fraxel, and see www.fraxel.com for additional details. Isolaz indications for use: The treatment of mild to moderate acne, including pustular acne, comedonal acne and mild to moderate inflammatory acne (acne vulgaris) in all skin types (Fitzpatrick I-VI). Talk to your doctor for more information about Fraxel, and see www.fraxel.com for additional details. ®/TM are trademarks of Valeant Pharmaceuticals International, Inc. or its affiliates. Any ot her product or bran d names and logos are the prop- erty of their respective owners. • Skin cancer screenings and treatment • Mohs Surgery • Fraxel® laser skin treatments for a younger looking you • Clear +Brilliant® laser to help prevent the signs of aging • Isolaz® system for the treatment of acne • Botox, facial fillers, laser hair removal, and photofacials • Plus all the most advanced skin care procedures, products, and treatments from a caring staff in a state of the art office! Dr. Rebecca Lu is a Board-Certi- fied Dermatologist and Fellow- ship-Trained Mohs Surgeon specializing in the treatment of skin cancer, laser surgery, and non-surgical facial rejuvenation. She has performed thousands of surgeries and has a reputa- tion for excellence. 7 Mt. Bethel Road, Warren, NJ 07059 We are in the same building as Coldwell Banker (across from Starbucks) 908-787-8088 • eliteskinmd.com All Before and After photos have not been retouched. Individual results may vary based on the aggressiveness of treatment and skin condition. Clear + Brilliant helps prevent the signs of aging and improve skin tone and enlarged pores: • Visibly illuminated skin tone • Renewed, ultra-soft and smoother texture • Naturally radiant and glowing skin • Improved tone, texture and radiance Isolaz is a unique acne treatment: • Helps remove dirt, blackheads, dead cells and excess oils • Reduces the appearance of pores • Improves skin tone and texture Fraxel can help: • Improve skin tone and texture • Reduce wrinkles around the eyes • Lighten brown spots • Improve the appearance of acne scars and surgical scars Laser Hair Removal: • Permanently decrease the hair growth on your face or body with a series of treatments • Suitable for all skin types • Vacuum-assisted technoloy is fast and nearly painless Intense Pulsed Light (IPL): • A laser photorejuventation treatment for brown spots, redness, broken capillaries, sun damage and more. Call now for an appointment! 908-787-8088 We Now Offer Laser Tattoo Removal TYPES OF VOICE DISORDERS By: Todd A. Schneiderman, M.D. F.A.C.S. We all have experienced hoarseness during a cold, bronchitis, allergy attack, or after cheering at a sports event. Even a chemical irritant in the air can cause a raspy or lost voice. These are temporary causes of vocal prob- lems, and your voice will return to nor- mal within a day or so. Certain vocal disorders are more criti- cal, and require medical attention. If you have experienced a hoarse voice for more than 2 to 3 weeks, you should see a physician. Vocal disorders include laryngitis, which is inflammation of the larynx (voice box). Often, a viral infection is the cause. However, backflow of stomach acids (reflux) can also cause laryngitis. LET’S LOOK AT SEVERAL MORE VOICE DISORDERS: Vocal Cord Polyps and Nodules Nodules are like calluses on your vocal cords, whereas polyps are similar to blisters. Nodules are benign (noncancerous) growths that begin as soft, swollen spots and develop into harder growths. Polyps may be a swelling or bump (like a nodule), a growth, or a lesion (like a blister). Polyps are often larger than nodules. Nodules and polyps are treated several ways – with medications to reduce the size, surgically to remove the growth, and/or with voice therapy. In voice therapy, you will learn about reducing vocal abuse as well as altering pitch, loudness, or breath. Stress reduction and relaxation are often taught as well. Vocal cord paralysis With this condition, one or both vocal cords are unable to vibrate, causing voice, breathing and swallowing difficulties. If you have bilateral vocal cord paraly- sis, both vocal cords have become stuck between open and closed. Med- ication can help relieve the paralysis. In some cases, surgery is necessary. When only one vocal cord is paralyzed, you will be unable to speak very clear- ly or loudly. This condition is more common than bilateral paralysis. Med- ications, injections and surgery are all options. You can also benefit from voice thera- py, and learn to alter your voice pitch to increase breath and loudness. Research has shown that voice therapy is an effective intervention after diag- nosis, to help you function until the problem is resolved. Paradoxical Vocal Fold Movement Often confused with asthma, this dis- order causes wheezing and breathing difficulty. This is because the vocal cords have closed. Coughing, shout- ing, acid reflux, exercise, and breathing cold air, smoke and pollen can trigger these episodes. Stressful situations can also cause an episode. Identifying the triggers, and avoiding them, is an important goal. Medication can help relieve the problem, as well as relaxation training. Spasmodic Dysphonia This chronic voice disorder causes the voice to be jerky, quivery, hoarse, tight or groaning. This is a neurological dis- order that affects the larynx (voice box) muscles. These muscles inside the vocal folds experience sudden spasms which interfere with vocal folds ability to vibrate and produce voice. The result is a broken, strained voice. Repeat injections of small doses of bot- ulinum toxin (Botox) into one or both vocal cords can help relax laryngeal muscles and create a smoother voice. For more information and descriptions of various vocal disorders contact: Todd A. Schneiderman, M.D. F.A.C.S. 215 Union Avenue Suite C Bridgewater, NJ 08807 908-725-5050 www.drschneiderman.com