07.13.17 Health Matters

Health Matters

Observer

JULY 2017

SKIN DEEP

From skincare and anti-aging to cancer and yes, even tattoos, there is much to learn about our largest organ.

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Nationally certified hip and knee replacement.

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Observer Publisher / Dawn Willis, dwillis@ OrangeObserver.com Executive Editor / Michael Eng, meng@OrangeObserver.com Design Editor / Jessica Eng, jeng@OrangeObserver.com Senior Sports Editor / Steven Ryzewski, sryzewski@ OrangeObserver.com Community Editor / Amy Quesinberry, amyq@OrangeObserver.com News Editor / Gabby Baquero, gbaquero@OrangeObserver.com Staff Writer / Danielle Hendrix, dhendrix@OrangeObserver.com Staff Writer / Brittany Gaines, bgaines@OrangeObserver.com Advertising Executive / Michelle Gentry, mgentry@OrangeObserver.com Advertising Executive / Cyndi Gustafson, advertising@OrangeObserver.com Advertising Executive / Ann Marie Vibbert, avibbert@OrangeObserver. com Creative Services / Tony Trotti, ttrotti@OrangeObserver.com Creative Services / Kathleen Carreiro, kcarreiro@OrangeObserver.com Customer Service Representative / Allison Brunelle, abrunelle@ OrangeObserver.com

CONTACT US The West Orange Times & Observer and Windermere Observer are published once weekly, on Thursdays. They provide provides subscription home delivery. The West Orange Times also can be found in many commercial locations throughout West Orange County and at our office, 720 S. Dillard St., Winter Garden.

If you wish to subscribe to the West Orange Times, visit our website, OrangeObserver.com, call (407) 656-2121 or visit our office, 720 S. Dillard St., Winter Garden.

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JULY 2017

HEALTH BRIEFS

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Courtesy photos

Bridget Hickle, whose 7-month-old daughter Ainslee Lynn Fielder was born premature, talked about the impact that the care and education provided by Community Health Centers Inc. have had on their lives.

FLORIDA HOSPITAL GIFTS BUILDING TO COMMUNITY HEALTH CENTERS Florida Hospital on May 31 gifted a 6,500-square-foot building housing a pediatric clinic to Community Health Centers Inc. Community Health Centers has operated the clinic out of the building since 1996. By donating the building, Florida Hospital transfers an estimated $500,000 in assets to CHC. CHC has been in Apopka since 1972 and offers dental services, family medicine, OBGYN, pharmacy and more in a pair of neighboring buildings.

More than 5,000 children receive treatment at the pediatric clinic each year.

“There’s a great need for the services we provide to the uninsured here in Apopka,” said Margaret Brennan, president and CEO of Community Health Centers. “And we’re glad that this building transfer will allow CHC to continue to carry out this crucial work.”

Florida Hospital Apopka Administrator Tim Cook added that ensuring access to health care is a key part of Florida Hospital’s mission.

“Ensuring people can get the care they need is part of our focus on whole-person health — treating the mind, body and spirit,” Cook said.

During the handover, which was attended by dignitaries including Apopka Mayor Joe Kilsheimer, Cook gave Brennan a ceremonial key representing the transition in ownership.

“Together, we will continue to ensure all Apopkans have access to the medical care they need,” Brennan said.

ORLANDO HEALTH ADDS NANOKIFE Oncologists at UF Health Cancer Center Orlando Health are deploying NanoKnife as a new weapon in the battle against pancreatic cancer.

NanoKnife gives patients with the most advanced forms of the disease a new treatment option that can improve survival rates. Surgical removal of a tumor gives pancreatic cancer patients the greatest chance of survival, but that option is often not possible in locally advanced cases.

Using NanoKnife, oncologists are able to apply a tissue ablation technique called irreversible electroporation, where a low-current, high-voltage electrical field surrounds the tumor to punch holes in the cancer cell membrane and cause cell death. The electrical

current is delivered through probes positioned around the tumor during an open surgical procedure. It affects only the cancer cells, allowing oncologists to treat the tumor while preserving vascular and ductal tissues that surround the pancreas and other vital organs.

The American Cancer Society estimates that more than 53,000 people were diagnosed with pancreatic cancer in 2016 in the United States. The fiveyear survival rate for stage III pancreatic cancer is about 3%.

Stage IV pancreatic cancer has a five-year survival rate of about 1%.

caps a yearlong search process facilitated after May’s retirement announcement in 2016.

May has served as CEO since 2008.

“I’m honored, and I’m grateful to the board for the opportunity to lead this exceptional organization of leaders and pioneers in orthopaedic care — a true destination medical practice,” Wiggins said. “They have a strong history of innovation and high-quality personalized care, and a tradition that impacts the world far beyond Central Florida. This is a terrific opportunity that any leader would welcome.”

JEWETT ORTHOPAEDIC SELECTS NEW CEO Jewett Orthopaedic Clinic’s executive board named C. Chad Wiggins as the organization’s next chief executive officer.

Wiggins succeeded Charles M. May, who retired June 30.

“After thorough succession planning and a comprehensive search process, the board is pleased to have found the best individual to assume leadership of our world-renowned orthopaedic practice,” said Dr. Michael Jablonski, president of Jewett Orthopaedic Clinic.

“Chad has a track record of strong leadership in medical administration. This, combined with his deep medical knowledge and executive tenure, makes Chad uniquely qualified to lead Jewett Orthopaedic successfully into the future.”

The selection of Wiggins

FLORIDA HOSPITAL WELCOMES DR. MOIN KOLA Florida Hospital Medical Group announced the addition of Dr. Moin Kola to the Central Florida Hepatology and Gastroenterology medical team.

He is now seeing patients in Winter Garden (2000 Fowler Grove Blvd., third floor) and Apopka (201 N. Park Ave., Suite 206, Apopka).

Kola is a board-certified, fellowship-trained gastroenterologist and internal medicine physician who has served the Orlando area since 2009. A diplomate of both the American Board of Internal Medicine and the American Board of Gastroenterology, he is also a member of the Royal College of Physicians of the United Kingdom.

For more, call (407) 303-1812 or visit CentralFloridaGI.com.

NATIONAL NURSES WEEK

First Baptist Church Winter Garden shared gifts recently with the nurses of Florida Hospital Winter Garden in honor of National Nurses Week.

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AMAZING FACTS ABOUT YOUR SKIN Local dermatologist Dr. Farooq Lateef shares some of the most interesting aspects about your body’s largest organ.

The thinnest skin is on the eyelids, and the thickest skin is on the bottom of the feet.

AMY QUESINBERRY COMMUNITY EDITOR

M

ost people can tell you about their own skin — how

easily it burns or tans, whether it is dry or oily — but they might not know about some of these interesting facts. Dr. Farooq Lateef, of Orlando Dermatology, 6000 Tur-

Body odor is caused by bacteria on the skin, not sweat. However, bacteria thrive in moist areas, like the underarms.

facts about the skin.

The skin houses more than

1,000 different species of microbes (bacteria) that are generally harmless.

Warts are caused by a virus — not frogs or toads.

Everyone has the same number of

melanocytes (the cells that produce and distribute melanin, the protein that causes pigment).

Your skin color is determined by the amount of activity by the melanocytes.

Normal hair loss is about 100 hairs per day.

key Lake Road, Orlando, shared some amazing

UV rays can damage the DNA in the skin cells.

Peeling after a sunburn is the body’s way of getting rid of this damaged DNA before it can replicate.

Tanning can make acne worse longterm, because the body will produce more oil to compensate for the drying effects of UV rays.

Skin is the largest organ and accounts for about 15% of your body weight.

Hairstyles that constantly pull tightly on the hair can cause a type of hair loss called “traction alopecia.”

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MILLION Americans will declare bankruptcy due to medical bills*

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*According to a 2013 study completed by Truven Health Analytics

HEALTH MATTERS

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JULY 2017

Take good care From essential oils and creams to lasers and microdermabrasion, there’s a wide variety of skincare regimens and products for all skin types.

W

hen it comes to keeping skin vibrant and healthy, skincare regimens come in all varieties, from creams to lasers. As the largest organ of the human body, skin can

take quite a bit of effort to maintain, but, according to many local skincare specialists, it’s all about finding the right kind of treatment for each person’s skin. “It’s about when you see the results and you’re blown away,” said Brandi Phillips, an esthetician at Gentle Touch MediSpa and Wellness in Ocoee.

BRITTANY GAINES STAFF WRITER

AU NATURAL

Due to a long list of unpronounceable ingredients on the labels of drugstorebrand skincare products, many people are turning to more natural products for their skincare needs.

“It’s almost trending,” said Jessica Robbins, owner of Wildflower Beauty by Jessica, a natural skincare boutique in downtown Winter Garden. “Everyone is going natural, because it’s better for your body.”

The list of natural skincare products is nearly endless and includes a variety of minerals, essential oils, herbs and enzymes.

“It’s about getting the body to get back in balance,” said Michele Miller, owner of Divine Wellness.

Miller’s own journey into natural skincare came after decades of battling lupus and taking a long list of medications.

“I got so frustrated in my lifetime after going to dermatologists telling me everything was dermatitis,” she said.

After doing months of research, Miller began using into essential oils and enzymes. And her top three products for curing skin ailments are silver sulfadiazine, which is anti-bacterial, anti-viral and anti-fungal; enzyme sprays; and essential oils. Some of the best essential oils for improving skin health are lavender, tea tree and pachouli, Miller said.

“It’s nature’s first-aid kit,” she said. “You don’t have to live with all this junk in your skin.”

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AT-HOME REGIMENS

Some of the more traditional skincare regimens come in the form of washes, creams and lotions, and brands such as Arbonne and Rodan & Fields are known for quality skincare products.

“We have four regimens that treat just about any issue people come up with for their skin,” said Coral Mohler, an executive consultant with Rodan & Fields.

“People start out with the eye cream or lash boost, then, when they start seeing how great the

product is, they want to get a regimen.”

Of all the skin concerns, Mohler said most people are either concerned about getting rid of fine lines and wrinkles or getting rid of sun damage.

“Everybody starts seeing changes in their skin once they reach a certain age,” she said. “And being that we’re in Florida, people get a lot of sun exposure, start to have concerns and come looking for a solution.”

Mohler started using the products herself and, after about 60 days, started noticing a difference.

“I just could not believe how my skin was firmer,” she said. “It was beautiful looking. It was a great improvement, especially with the eye cream.”

And she’s not alone. Many of her clients have said the products have given them more radiant skin.

“The biggest compliment I got was from a client who purchased a regimen that she didn’t think she needed,” Mohler said.

“About 10 weeks later, she sent me a note thanking me because she never really thought that it would change her life the way it did.”

DEEP-TISSUE TREATMENT

To reach the deeper layers of skin, treatments such as peels, microdermabrasion and even laser treatments are popular options.

“They penetrate deeper, and different lasers do different things,” Phillips said. “But it’s a rejuvenation from the inside out.”

While some lasers treat sun damage, wrinkles and acne scars, others treat stretch marks and even out skin tone.

“It keeps bringing the fresh

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skin up,” said Olga Heylek, director at Gentle Touch MediSpa and Wellness.

And although the medical spa uses fillers as a way to decrease fine lines and wrinkles, those are only a temporary fix, Heylek said. For a more permanent fix, lasers are the way to go.

“A lot of people here want the results so they go to the best and highest treatment, which are the lasers,” said Catalina DeMendoza, an esthetician and massage therapist at Gentle Touch MediSpa. Post-laser treatment, many clients go through a microdermabrasion treatment — an exfoliation process that uses a diamond tip — to get rid of dead skin cells.

It usually takes between four and eight weeks before results start to show, Phillips said.

For those who still want a deep-skin treatment, but without the lasers, there’s a variety of wraps and peels to choose from.

“We have happy customers,” DeMendoza said.

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JULY 2017

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SHOP SMART WHAT TO LOOK FOR: Coconut oil, shea butter, titanium dioxide, zinc, rosemary extract, argan oil, rice brain, magnesium stearate, grapeseed powder, essential oils, cocoa powder, rosemary, elderberry, coconut wax, jojoba wax, palm wax, jojoba oil, micas, granulated sugar. Also look for brands that are vegan, gluten-free, kosher, organic and all natural and that don’t test on animals WHAT TO AVOID: Sulfates, parabens, gluten, soy, corn, talc, carmine, synthetic fragrances, alcohols, silicone, phenoxyenthol, bismuth, phthalates and glycols

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JULY 2017

Clever cosmetics Not all cosmetics are created equally. Learn how to choose your products and make your makeup work with your skin, not against it.

CLEVER COSMETICS SHOPPING

DANIELLE HENDRIX STAFF WRITER

Makeup is a daily routine for many women, but what they may not realize is that what they put on their skin gets absorbed into the body.

In fact, it can be a contributor to skin problems such as acne, blackheads, clogged pores and excessively dry or oily skin.

When Winter Garden resident Jessica Robbins began realizing how important all-natural skincare was five years ago, she began making her own, all-natural skincare products. Now she owns her shop, Wildflower Beauty by Jessica, located in downtown Winter Garden, and recently released a small makeup collection.

Photos by Danielle Hendrix

Jessica Robbins has created skincare, haircare and makeup lines, as well as baby care products. She is pictured with her daughter, Annabella.

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Before shopping for makeup, she said, know what’s in your cosmetic products. Every product has a list of ingredients, and the key is to identify and know exactly what you’ll be putting on your face. A general rule of thumb, Robbins said, is to shy away from products with ingredients that you can’t pronounce.

“When you’re dealing with lipsticks or blush, it’s literally a dye or chemically created stain,” she said. “Just reading the ingredients is an indicator, because when you start reading through and can pronounce none of them, that’s a big sign that it’s all chemical.

When it’s all natural, it’ll have the scientific name but then the natural name in parentheses.”

Another red flag when dealing with cosmetics is silicone-based ingredients. These will typically end in the suffix “-cone,” such as dimethicone. Silicone-based ingredients contain plastics,

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HEALTH MATTERS

which can be harmful to the skin.

Additionally, look for products that are free of parabens, sulfates and dyes. Parabens are essentially preservatives that aid in stopping fungus, bacteria and other microbes from growing in the product when it’s stored in a warm or moist environment.

Although there is not yet enough scientific evidence to cement the theory, it has been debated among scientists and cosmetic manufacturers that there might be a link between cancer and the paraben chemicals.

Sulfates are aggressive detergents that contain sulfur-infused mineral salts. They both can attract oil and water, which is effective in lifting grease and dirt off a surface, but they also wash away the natural antimicrobial peptides, proteins and waterproofing oils the body creates.

Terms to watch out for include sodium lauryl sulfate, sodium laureth sulfate and anything containing the terms “sodium” or “sulfur.”

CUSTOM LINE

Robbins creates skincare products that are 100% natural, meaning there aren’t any ingredients in

WILDFLOWER BEAUTY

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them that are not naturally created. Most of her ingredients are actually edible — cocoa powder, cinnamon, olive oil, cocoa and shea butters, for example — and her makeup products are simply an extension of that.

“I started expanding based on what I was missing,” she said.

“A lot of the products I make are products customers ask me for.

Part of the cheek and lip stains I have, it was actually made for a customer, and it became so popular that I started carrying it permanently.”

Currently, Robbins’s cosmetics line includes powder foundation, tinted primer and her cheek and lip stains. The stains don’t contain chemical dyes — rather, they get their hues from different colors of clay.

Products that are generally better to use are labeled as vegan, gluten-free and not tested on animals. Even products labeled “all natural” or those that contain natural ingredients are better than the ones without, Robbins said.

Also, price point is not necessarily an indicator of quality.

“Just because it’s expensive doesn’t mean it’s any better,” she said. “You could go to the mall

and buy an under-eye cream for $95, look at its ingredients, compare it with something you buy at the grocery store, and it could be similar.”

PROPER PROCEDURES

While knowing what products you are using is essential, so is the application process. Before applying makeup, ensure your face and hands are washed and your tools — brushes, sponges, etc. — are as clean as possible. Use an oil or sunscreen-based moisturizer before applying anything.

Try to use lightweight products and avoid layering heavy products, like liquid foundations and creams, to avoid breakouts and clogged pores.

At the end of the day, you’ll need to take the makeup off completely and wash your face. Robbins suggests using an exfoliating scrub once or twice a week to get rid of dead skin and help bring sweat and excess oil out.

When using makeup products, ensure you close any lids, tubes or bottles tightly to prevent bacteria. Store products in a cool, dry place — this means you may want to keep them away from the bathroom.

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MORE INFORMATION

You can find Robbins’s entire line of skincare, haircare, makeup and baby products at her store at 100 W. Plant St., Winter Garden.

HOURS: Closed Monday and Tuesday; 11 a.m. to 6 p.m. Wednesday and Thursday; 1 to 8 p.m.

Friday; 10 a.m. to 5 p.m. Saturday; 1 to 5 p.m. Sunday WEBSITE: wildflowerbeautybyjessica. com

Charles S.C. Garnette M.D., F.A.C.S.

www.orlandoveins.com

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HEALTH MATTERS

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FIVE SUNSCREEN MYTHS

1

Using last year’s bottle of sunscreen is fine.

All sunscreen bottles come with an expiration date, so be sure to check yours.

Ingredients will deteriorate over time, losing their power.

Even if you have some left over from last year, that’s an indicator that you might not be using enough. According to WebMD, you know you’re using the product right when you don’t have any left.

2

The SPF is what matters. While the Sun Protection Factor is important, it only addresses ultraviolet B, or UVB, rays.

Dr. J. Matthew Knight, chief of dermatology at Orlando Health, said UVB rays cause sunburns and are largely responsible for squamous cell carcinoma. However, he said, many sunscreens don’t perform well in protecting against ultraviolet A, or UVA, rays, which is believed to cause wrinkles, basal cell carcinoma and malignant melanoma. Choose a broadspectrum sunscreen that protects against both UVA and UVB rays.

3

You only need sunscreen on sunny days.

Even if there is cloud cover outside, those clouds don’t block all of the sun’s ultraviolet radiation; in fact, they can reflect UV rays and expand their reach. Even if it doesn’t feel as warm or look as bright out, slather on some sunscreen before heading outside.

4

Sunscreen is enough to protect you from the sun’s UV rays. It isn’t. Be sure to wear protective clothing, use an umbrella and avoid the sun between the peak hours of 10 a.m. and 2 p.m., he said.

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JULY 2017

One application is enough. Even if sunscreen is labeled as “waterproof,” “water resistant” or “sweatproof,” you still need to reapply every two to four hours. Apply the product generously, too — according to WebMD, you would need to fill a shot glass with sunscreen to cover your body.

SHADES OF SKIN:

Does color make a difference?

GABBY BAQUERO NEWS EDITOR

T

ips on keeping skin radiant and healthy are not hard to find, but few health and beauty magazines emphasize the role your skin type and color play in your resilience to harmful sun rays or your choice in skincare products.

Dermatologists constantly warn of the damage sun can cause to your skin over time and recommend several products to combat conditions such as acne.

But color of your skin and your type of skin also have a lot to do with how well you age and how careful you should be when you leave your home.

Dr. Allison Arthur, of Sand Lake Dermatology Center, is a board-certified dermatologist by the American Academy of Dermatology. She is a firm believer in making sure the skin care products her patients use match the type of skin they have.

“I do agree with tailoring your skin-product regimen to whether you have, you know, dry skin, oily skin, sensitive skin or acneprone skin, but a lot of my recommendations would be based on that and not necessarily your skin color.”

When it comes to sun protection, Arthur strongly suggests using sunscreen on a daily basis, no matter how light or dark one skin color may be. However, for those individuals who have lighter skin, meaning less melanin, she recommends extra precaution.

Because their amount of melanin is a bit higher, people with darker skin have more natural protection from the sun’s harmful effects. But she recommends that people with darker skin not rely only on their natural protection, particularly if they are out-

WHAT IS MELANIN? Melanin is substance that gives the skin, hair and eyes its color. The amount of melanin in your skin is what determines your skin color. The more melanin you have, the darker your skin will be. In human skin, melanin is formed by cells called melanocytes as part of the process of metabolizing an amino acid called tyrosine. A melanin deficiency can result in various types of albinism and is associated with increased mortality rates.

side for an extensive amount of time.

“Melanin is like a built-in sun protection,” she said. “So the more melanin you have in your skin, the more natural protection you have. We do recommend sun protective measures for people of all skin colors, but for people with fair skin, they have to be a lot more careful.”

To drive the point home with her patients about the importance of proper sun protection, Arthur often shows the effects of the sun’s ability to damage and age skin prematurely by asking them to compare the skin that receives the most sun exposure to the skin on those areas of their bodies that receive the least amount.

“A lot of those changes that we see with aging are caused by the sun, so a lot of the fine lines and wrinkles are created when collagen and elastic tissue in the skin break down,” she said. “And although some of that happens naturally as part of our chronological aging process, a lot of it occurs simply because of sun exposure.”

SKIN PIGMENTATION DISORDERS n MELASMA: Sometimes called the “Mask of Pregnancy,” this disorder is seen in both men and women, but is typically more common in woman. It is characterized by brown patches on their cheek, nose, upper lip and forehead. It is thought to be related to a combination of sun exposure and hormones. n LENTINGINES: Known as sun spots, these show up as brown freckles on areas of the body that are commonly exposed to the sun, such as arms, back of the hands, face, and shoulders. n VITILIGO: This is an autoimmune condition in which the immune cells attack the cells in the skin that make melanin, leaving behind white patches on one’s skin. n POST-INFLAMMATORY HYPERPIGMENTATION: This disorder typically shows up a dark print that is left behind from a previous rash or injury. n GUTTATE HYPOMELANOSIS: Known as reverse freckles, this pigmentation disorder is characterized by white confetti-like spots that show up in areas that see a lot of sun and is commonly seen on the top of one’s forearms and shins.

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FITZPATRICK SCALE Developed in 1975, the Fitzpatrick Scale is a skin-color classification system that categorizes human skin into six different skin tones. The scale, which factors a person’s skin reaction to sun exposure and the color of their skin, hair and eyes is widely used by dermatologists to determine how at risk a person might be for skin cancer. Patients who fall under category one or two on the scale generally have a higher rate of skin cancer compared to people with skin color classified as a five or six on the scale.

I: IVORY

II: BEIGE

III: LIGHT BROWN

CHARACTERISTICS: Pale skin, light or red hair, prone to freckles. Burns easily and rarely tans.

SUN PROTECTION: At the greatest risk of developing skin cancer. Needs to protect skin, preferably with clothing.

CHARACTERISTICS: Fair skin, likely to have light hair, blue or brown eyes. Some have dark hair but fair skin. Usually burns but may tan gradually.

SUN PROTECTION: At the greatest risk of developing skin cancer. Needs to protect skin, preferably with clothing.

CHARACTERISTICS: Light olive skin with dark hair and brown or green eyes. Burns with long exposure to the sun but generally tans easily.

SUN PROTECTION: Should project themselves in strong sunshine.

IV: MEDIUM BROWN

V: DARK BROWN

VI: VERY DARK BROWN

CHARACTERISTICS: Brown eyes and dark hair. Burns with very lengthy exposures but always tans easily.

SUN PROTECTION: Should protect themselves in strong sunshine.

CHARACTERISTICS: Naturally brown skin, brown eyes and dark hair. Burns only with excessive exposure to the sun.

Skin darkens further easily.

SUN PROTECTION: Protect themselves when outdoors in the sun for a long time.

CHARACTERISTICS: Black skin with dark brown eyes and black hair. Burns only with extreme exposure to the sun. Skin darkens further easily.

SUN PROTECTION: Protect themselves when outdoors in the sun for a long time.

Source: National Foundation for Ectodermal Dysplasias

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Tattoo trends When it comes to getting some ink and what it means for your skin, there is plenty to know before and after having the work done — as well as in the event that you would later like the tattoo removed.

T

attoos are more commonplace and cultur-

STEVEN RYZEWSKI

ally accepted now than perhaps ever before.

SENIOR SPORTS EDITOR

Accordingly, there are some basic things to know

BEFOREHAND

There are several things to consider when scouting out a location to get a tattoo.

According to Jack Mihoover, the owner of Atomic Tattoo on Turkey Lake Road in Dr. Phillips, you’ll want to start by checking into some online reviews and,

and keep in mind when it comes to decisions made before and after getting a tattoo — and in the event that you want an existing tattoo removed.

upon arrival, assessing the cleanliness of a shop. Beyond that, though, you’ll want to seek out somewhere where you will feel comfortable.

“It’s all about the experience for the customer,” Mihoover said.

“You should go somewhere where you feel comfortable and where they’re nice to you and receptive to your ideas. If someone just immediately dismisses what you

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want to do … you might want to consider going somewhere else.”

In general, Mihoover suggests that potential customers asses the general vibe and energy of a shop.

“You can walk in to a place, and you can tell if the people that work there are happy to be there,” he said.

AFTERWARD

Once you’ve received your new ink, you’re going to want to keep it looking great.

To do that, the days immediately following the tattooing are crucial.

“You’re going to want to follow the artist’s after-care instructions,” Mihoover said, adding that most artists take pride in their work and want to see it age well.

For most, this means staying clean, bathing regularly and applying an ointment or lotion to aid as the skin heals.

After the initial healing, the maintenance becomes much less intensive, but there’s still a factor you’ll want to keep in mind when it comes to the health and vibrance of your tattoo — the sun.

“Using sunscreen is really important,” Mihoover said. “The sun, over time, will fade your

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tattoo. The sun basically does a slowed-down version of what laser tattoo removal does.”

With a little bit of awareness and attention, though, it is possible to keep a tattoo looking as good as the days after you initially had the work done.

“It really depends on the individual and how much time they spend in the sun,” Mihoover said.

“I have tattoos that I’ve had for 25 years and the color is still vibrant.”

REMOVAL

For any variety of reasons — from wanting to look more presentable in a professional workplace to wanting an ex-lover’s name to vanish — people regularly are looking for tattoo-removal services.

Historically, the process has been associated with being both painful and not always effective.

That has changed, though, according to Kevin Kingsley, a certified physician’s assistant at Breeze Laser Center in Dr. Phillips.

“We have seen huge, huge advances,” Kingsley said. “The lasers that are out now are so much more advanced than what we had five or 10 years ago.”

Laser removal technology now can reliably and completely remove unwanted tattoos while leaving behind smooth and healthy skin. The pain or discomfort associated with the procedure has been minimized, as well.

“Most people say it’s about the same as having a tattoo done,” Kingsley said.

Depending on several factors, including the size and colors used for a tattoo, Kingsley said most can be removed during three to 10 sessions. The sessions are short, completed within five or 10 minutes, and there are usually four to six weeks between each session to allow the skin to properly heal.

Kingsley said there are some factors to consider when choosing

where to get a tattoo removed. It is important to research which lasers are the newest and most effective — Breeze Laser Center uses the Astanza Duality Laser, for instance — and it is important to consider a facility’s reputation.

And although tattoos are more commonly accepted in popular culture, Kingsley said there is still a consistent flow of clients looking to have work removed for any of many reasons. In Central Florida, trends within the hospitality industry also have played a role.

“What’s happening now is, especially in Orlando, you have a lot of people with tattoos in the service industry and a lot of companies are requiring people to cover them up,” Kingsley said.

Courtesy photos

Advances in laser tattoo removal have made it possible to remove any kind of tattoo completely.

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What does skin cancer look like?

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Melanoma is a serious form of skin cancer of the cells that produce melanin, a dark, protective pigment. Individual lesions might appear as a darn brown, black or multi-colored growth with irregular borders that can become crusted and bleed.

Melanoma can affect all ages and can occur anywhere on the body. People with fair skin, light hair and eye color, a family history of melanoma or who have had melanoma in the past are at an increased risk.

These tumors can arise in or near a pre-existing mole or might appear without warning.

This skin cancer can spread to other organs, making it essential to treat it early.

SKIN CANCER WARNING SIGNS The ABCDEs of melanoma:

A: B: C: D: E:

Asymmetry One half does not match the other half Border irregularity The edges are notched or ragged

Color Varied shades of tan, black and brown Diameter Greater than 6 millimeters

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MALIGNANT MELANOMA

Evolving Change in size, shape or shade

HEALTH MATTERS

SKIN SELF-EXAM

No X-rays or blood tests are necessary to detect skin cancer early. In fact, all you need are your eyes and a mirror.

Here are some warnings signs for which to look: BASAL AND SQUAMOUS CELL CANCERS Basal cell cancers and squamous cell cancers are most often found in areas that get exposed to a lot of sun, such as the head, neck, and arms, but they can develop anywhere on the body. Look for new growths, spots, bumps, patches, or sores that don’t heal after several weeks.

Shaving cuts that don’t heal in few days sometimes turn out to be skin cancers, which often bleed easily. (They are not caused by shaving.)

Basal cell carcinomas can appear in a number of different ways: n Flat, firm, pale or yellow areas, similar to a scar n Raised reddish patches that might be itchy n Small, pink or red, translucent, shiny, pearly bumps, which might have blue, brown, or black areas n Pink growths with raised edges and a lower area in their center, which might have abnormal blood vessels spreading out from them n Open sores (which may have oozing or crusted areas) that don’t heal, or that heal and then come back Squamous cell carcinomas can appear as: n Rough or scaly red patches, which might crust or bleed n Raised growths or lumps, sometimes with a lower area in the center

BASAL CELL CARCINOMA

Basal cell carcinoma is the most common form of skin cancer and accounts for eight out of 10 skin cancers, according to the American Cancer Society. It occurs most frequently on sun-exposed regions of the body. Although this skin cancer rarely spreads to other organs, it can cause destruction of surrounding tissue.

Most basal cell carcinomas are caused by chronic sun exposure, especially in people with fair skin; light hair; and blue, green or gray eyes. In a few instances, there are other contributing factors, such as burns, exposure to radiation, arsenic poisoning or chronic dermatitis.

Basal cell carcinoma might have several different appearances on the skin. Some warning signs that might indicate basal cell carcinoma are an open sore, a reddish patch with an elevated border and a central indentation, a bump or nodule and a scar-like area.

SQUAMOUS CELL CARCINOMA

Squamous cell carcinoma that arises from the outer layer of the skin and mucous membranes and occurs most commonly on areas exposed to the sun.

If untreated, squamous cell carcinoma can penetrate and destroy underlying tissue. In a small percentage of cases, this tumor can spread to distant organs and can be fatal.

Chronic sun exposure is the leading cause of this cancer, especially in people with fair skin and light hair and eyes.

Other factors include burns, scars, exposure to radiation or chemicals, chronic inflammatory conditions and immunosuppression.

Signs that could indicate the presence of squamous cell carcinoma include scaly red patches, elevated growth with a central depression, wart-like growths, nodules and open sores. All of these types of lesions can develop a crusted surface or bleed.

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n Open sores (which may have oozing or crusted areas) that don’t heal, or that heal and then come back

Source: American Cancer Society

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Skin-friendly foods Eating a balanced diet can help enhance overall skin health.

BRITTANY GAINES STAFF WRITER

Hippocrates once said, “Let food be thy medicine and medicine be thy food” — and his words still ring true today. When it comes to improving skincare, certain foods and vitamins have been proven to enhance overall skin health.

As Michele Miller, owner of Divine Wellness, likes to say,

ANTI-WRINKLE FOODS: n Flaxseeds n Soybeans n Pumpkin seeds n Tofu n Walnuts n Sunflower seeds n Brazil nuts n Pine nuts

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“Look within,” when it comes to skin health.

As a general rule, always drink plenty of water and follow the food pyramid guidelines, said Brandi Phillips, an esthetician at Gentle Touch MediSpa and Wellness in Ocoee.

But especially follow the sugar rule.

According to the American Academy of Dermatology, a high-sugar diet can trigger a breakdown of elastin and collagen molecules, which leads to wrinkles and sagging skin.

To keep skin happy and healthy, here’s a list of skin-friendly foods.

ANTIOXIDANT-RICH FOODS HELP PROTECT SUN-DAMAGED SKIN FROM WRINKLING: n Pecans n Artichoke n Blueberries n Kidney beans n Cranberries n Beans n Lentils n Peanuts

BOOST SKIN HEALTH WITH VITAMIN C: n Green bell peppers n Red bell peppers n Kale n Broccoli n Brussels sprouts n Strawberries n Grapefruit n Oranges

ANTI-ACNE FOODS: n 100% stone-ground whole wheat or pumpernickel bread n Oatmeal n Sweet potatoes n Corn n Yams n Lima beans n Peas n Carrots

SOURCE: American Academy of Dermatology, American Diabetes Association

HEALTH MATTERS

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Winter Park’s Dr. Ruth Hill Yeilding has become an expert on youthful eyes.

TIM FREED ASSOCIATE EDITOR

Your appearance and confidence go hand in hand. Just ask Dr. Ruth Hill Yeilding of YMD Eye & Face.

Yeilding has been in the practice of cosmetic surgery for the past six years and is nearing four years of work in Central Florida.

YMD Eye & Face deals in both surgical and nonsurgical treatments of the face and neck. Whether it’s peels and facials; Botox and fillers; or laser treatments and surgery, there’s an option to best suit your needs.

But Yeilding’s particular specialty is treating hooded eyelids, giving eyes with heavy upper eyelids and puffy lower eyelids a more youthful and rested appearance.

Eyes are one of the most critical features when it comes to the face, Yeilding said.

“We pretty much strictly focus on other people’s eyes when we’re talking to them,” she said, as per many eye-tracking studies. “It’s eyes and a little bit of mouth, and then you go back to the eyes.

The eyes are extremely important because it’s how you’re presenting yourself to the world and to other people.”

Yeilding always has had an interest in conducting surgery since she was young, and the surgery of the eyes themselves fascinated her the most.

“I was drawn to the eye surgeries because the ophthalmologists were very meticulous and detailoriented,” she said. “The surgeries inside the eye are very perfect.

I though the surgeries were really beautiful, even the surgeries around the eye.”

Board certified by The American Board of Facial Cosmetic Surgery and The American Board of Ophthalmology, Dr. Yeilding had fellowship training in oculoplastics and facial cosmetic surgery. It was during her fellowship training that she became an expert with the use of a laser.

Yeilding said she understands how significant the decisions is to undergo cosmetic surgery.

“What I usually tell the patients first is you have to be bothered by whatever the issue is enough to say, ‘OK, I want to undergo sur-

Courtesy photo

Dr. Ruth Hill Yeilding is a specialist in treating hooded eyelids, giving patients a more youthful and rested appearance.

gery,’ and be willing to accept the risks that are involved in all surgical procedures,” Yeilding said.

“They also need to choose the right surgeon. You want someone who has the experience, and they need to have experience in the surgery you’re getting.”

There are plenty of practical steps that can be done outside of the doctor’s office to help keep your skin healthy, she said. Chief among those are applying sunscreen regularly and not smoking.

“Those two things make a huge difference,” Yeilding said. “The next thing is taking good care of your skin early. If you can start early doing little things along the way, instead of just letting everything go and then wanting something done all at once, those are patients that have the best outcome.”

In the end, an appearance that lends itself to confidence is valuable, Yeilding said. She remembers one male patient in his 60s last year who went to her looking to reverse a “tired” look around his eyes. He was looking to return to the workforce and was having difficulty hearing back from employers.

After an upper and lower eyelid lift, the patient had eight interviews and landed a new job.

“Confidence is such an important thing for everyone,” Yeilding said. “When you lose confidence in how you are presenting yourself to others or you hear negative feedback from other people … that makes a big impact on people. Being able to change that can make a big difference.”

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THURSDAY, JULY 20

HEALTH CALENDAR

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JULY 2017

AARP DRIVER SAFETY PROGRAM 9 a.m. to 3 p.m. Thursday, July 20, and Friday, July 21, at Health Central Park, 411 N. Dillard St., Winter Garden. Take a driver’s license and AARP membership card, if you are a member. AARP, (888) 2277669.

THURSDAY, JULY 27

PRENATAL YOGA 6 p.m. Thursday, July 27, at the Windermere Branch Library, 530 Main St., Windermere.

Enjoy gentle poses and movements to keep you healthy, fit and comfortable during pregnancy with yoga instructor Carrie Tavris. Prepare your body and mind for birth while bonding with baby and other expecting mothers. For more visit, yogababy.weebly.com.

WEDNESDAY, AUG. 2

NATIONAL COLORING BOOK DAY — FOR ADULTS 2 to 3:30 p.m. Wednesday, Aug. 2, at the West Oaks Branch Library, 1821 E. Silver Star Road, Ocoee. Are you a coloring book fan? Do you have a

favorite coloring book (or two)?

Celebrate National Coloring Book Day. Bring your favorite and see what coloring books other coloring fans enjoy. The third volume of the OCLS Adult Coloring Book will be given to all attendees. (407) 835-7323.

SATURDAY, AUG. 7

PRENATAL YOGA 9 to 10 a.m. Saturday, Aug. 5, at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden. This class is designed to increase vitality, decrease pregnancy discomfort, and prepare for labor and delivery of baby. Instructor will teach expecting mothers relaxation methods and posture modifications of beneficial yoga poses geared toward pregnant women. Ages 18 and older. Cost is $32 for residents or $40 for non-residents each month. (407) 6564155.

TUESDAY, AUG. 8

CAREGIVING MATTERS WORKSHOPS 6 p.m. Tuesday, Aug. 8, at Health Central Hospital, 10000 W. Colonial Drive, Ocoee.

The Alzheimer’s & Dementia Resource Center holds caregiver support group meetings at locations around Central Florida. A facilitator from ADRC guides the meeting, which lasts between one and two hours.

For more information, call (407) 843-1910 or info@ADRCcares.org.

SATURDAY, AUG. 12

FUEL FUN FITNESS 10:30 a.m. Saturday, Aug. 12, and 5 p.m. Tuesday, Aug. 22, at the Winter Garden Branch Library, 805 E. Plant St., Winter Garden. What are the best foods to eat to fuel your body before a fun workout? Come find out, eat a snack and get active. For ages 6 to 12. (407) 835-7323.

SUNDAY, AUG. 13

COMMUNITY YOGA 3 p.m. Sunday, Aug. 13, at the West Oaks Branch Library, 1821 E. Silver Star Road, Ocoee. Yoga is a great way to improve the health of

your body and mind. Studies show that regular yoga practice can strengthen muscles, improve bone density, increase cardiovascular health and reduce stress. Children ages 12 and younger must be accompanied by an adult. (407) 835-7323.

MONDAY, SEPT. 11

STORIES AND STRETCHES 10:3 0 a.m. Monday, Sept. 11, at the Southwest Branch Library, 7255 Della Drive, Orlando. Calling all little yogis and wiggle worms: Join the library for a special movement storytime focusing on motor development.

For ages 2 to 5. (407) 8357323.

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FRIDAY, SEPT. 15

SAVVY CAREGIVER TRAINING SERIES 1:30 to 3:30 p.m. Friday, Sept. 15, at Golden Pond Communities, 400 Lakeview Road , Winter Garden. The Alzheimer’s & Dementia Resource Center is offering this free seminar in partnership with the West Orange Health District.

Learn more about caring for, family members and friends with Alzheimer’s disease or other progressive dementias. Caregivers will learn to develop new strategies for both caring for the person, as well as for themselves.

The strategies and skill-building has been shown to decrease the stress of caregiving and increase well being for both the caregiver and the person who is receiving the care. For more, visit healthywestorange.org.

CLASSES & GROUPS

18+ OPEN GYM VOLLEYBALL 7:30 p.m. Tuesdays and 7 p.m.

Wednesdays at Jim Beech Recreation Center, 1820 A.D. Mims Road, Ocoee. This program is offered year-round and offers the community a great way to have fun and exercise at the same time. Cost is $2.50 per day or

$25 annually (Ocoee residents) $4.50 per day or $40 annually (non-residents). For more, visit ocoee.org.

50+ FITNESS AEROBICS CLASSES 10:45 a.m. Mondays and Wednesdays at St. Luke’s United Methodist Church, 4851 S. Apopka-Vineland Road, Orlando.

Exercise mats are provided. Cost is $2. For more information, email to fit4ever40f@cfl.rr.com or visit st.lukes.org.

ALZHEIMER’S & DEMENTIA SUPPORT 6 p.m. the second Tuesday of the month, in the second-floor conference room at Health Central Hospital, 10000 W. Colonial Drive, Ocoee. For more, call (407) 843-1910.

CHILDBIRTH EDUCATIONAL CLASS Held weekly in Health Central Hospital’s Gleason Room, 10000 W. Colonial Drive, Ocoee. These classes are designed to prepare expectant parents for the childbirth experience. Participants are encouraged to bring at least two pillows, a blanket, a coach, a

drink and a snack. Registration is required, and classes are free for Healthy Start and MomCare participants. Visit healthystartorange.org to register.

FITNESS BELLY DANCE FOR LIFE 7 to 8:30 p.m. Thursdays at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden.

This program is designed to incorporate technique, cardio fitness and weight training — all while learning the art of belly dance. For ages 18 and older.

Cost is $5 for Winter Garden residents and $6 for non-residents per class. (407) 656-4155.

HEALTH CENTRAL WALKERS 8:30 a.m. daily, at the West Oaks Mall, 9401 W. Colonial Drive, No. 728, Ocoee. Walkers meet at the food court entrance. Put on a pair of walking shoes and join friends and neighbors for a brisk stroll.

The group also hosts a monthly breakfast. Attendees are asked to bring at least one canned food donation for Second Harvest Food Bank. Donations may be dropped off at the Community Relations department, fourth floor, Health Central Hospital,

10000 W. Colonial Drive, Ocoee.

HIP-HOP DANCE 10:15 a.m. Saturdays at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden.

The next monthly session begins April 6. Each week encompasses different routines and music. Participants will improve on rhythm, coordination and overall dance skills during this hourlong cardio dance workout. For ages 13 and older. Cost is $4 for residents and $5 for non-residents per class, or $15 for residents and $18 for non-residents per month.

Next session begins Aug. 5. For more, call (407) 656-4155.

MOMS RUN THIS TOWN The Central Florida chapter of this women’s running club invites local women to get together to run/walk/jog and socialize. All skill levels are welcome. To join the group or for more information, visit facebook.com/groups/ centralflorida.mrtt, email mrttcentralfl@gmail.com or visitmomsrunthistown.com/centralfl.

PILATES 6 p.m. Tuesdays at the Jessie Brock Community Center, 310 N.

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Dillard St., Winter Garden. The next four-week session begins April 4. For ages 16 and older.

Cost is $8 for residents and $10 for non-residents per class, or $30 for residents and $36 for non-residents per four-week session. Next session begins Aug. 7.

For more information, call (407) 656-4155.

SYSTEMA 7 to 8:30 p.m. Mondays, at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden.

The next session begins April 3.

This Russian martial art focuses on self-defense methods, greater strength and endurance. Cost is $15 per class; or $45 for residents and $55 for non-residents per month. Next session begins Aug. 7. For more, call (407) 6564155.

TAI CHI 9 a.m. Tuesdays and Thursdays at the Jessie Brock Community Center, 310 N. Dillard St., Winter Garden. The next session begins April 6. Cost is $50 for residents and $55 for non-residents per month. Next session begins Aug. 1. For more information, visit returntogoodhealth.20fr.com.

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