Hyaluronic Acid Spring Lake, NJ

Reasons to Love Hyaluronic Acid

Many people have heard of hyaluronic acid because this nourishing carbohydrate molecule provides the foundation for many of the dermal filler products that are commonly used today. The body makes hyaluronic acid, or HA, as a way to cushion the joints and moisturize the eyes, connective tissue, and skin. As vital as hyaluronic acid is to beauty and wellness, the natural aging process depletes the body of this sugar compound. The gradual decline in the production of hyaluronic acid is, as you may know, a contributing factor to aging skin.

What Hyaluronic Acid Does for the Skin

Although one of the most recognized uses of hyaluronic acid involves reducing the appearance of lines and creases on the face and hands, several others benefits stem from making this an ingredient you demand for your skin.

Hyaluronic acid is:


It’s easy to see that hyaluronic acid improves hydration in the skin by observing what it does. Whether made naturally or introduced topically or sub-dermally, hyaluronic acid’s task is to bind with water molecules. This carbohydrate binds to 1,000 times more water molecules than its weight. That’s a lot of water, and it doesn’t only benefit the skin’s appearance from the inside out. Hyaluronic acid, when applied to the skin in a quality skin care product, adheres to the surface to hold moisture in.


The skin has a protective barrier that is made up of lipids. These are thicker than water and necessary for keeping pollutants and free radicals from greatly affecting the epidermis. Additionally, a strong lipid layer supported by HA offers a minor degree of UV protection (but you still need sunscreen). Because hyaluronic acid sits on the skin to preserve the moisture and lipid barrier, it is an ingredient that is particularly beneficial for people with eczema.


We don’t typically like things that are combative unless there is a measure of protection in it for us. What hyaluronic acid combats are aging and acne, two common problems that are difficult to avoid. When used as a skincare ingredient, HA inhibits the overproduction of oil, a major contributor to clogged pores and acne flare-ups. This ingredient also offsets the drying effects of benzoyl peroxide and salicylic acid, which are commonly found in acne-fighting products.

Get the help you need for your skin in our general and cosmetic dermatology practice in Spring Lake, NJ. Call (732) 449-0167.

Skin Rejuvenation Spring Lake, Monmouth County NJ

Sneaky Signs of Sun Damage You May be Overlooking

Skin Rejuvenation Spring Lake, Monmouth County NJMost people are now aware that spending too much time in the sun or tanning bed could do a lot of harm to their skin. Excess UV damage is widely recognized as the leading risk factor in skin cancer. More of us are taking better precautions with our skin, but we may fall short when we fail to recognize the various signs of sun damage. Here, we discuss some of the common ways that sun damage shows up on the skin so you better equipped to manage them if you see them on yours.


Sunburn is probably the most well-known type of sun damage. It is what we try to avoid by wearing sunscreen and tailoring our time outdoors to happen when the sun isn’t quite so bright and intense. If we stay in the sun long enough for our skin to turn noticeably red, we know we’ve done some damage. If redness paves the way to blisters and peeling, the damage that has occurred in secondary layers of the dermis could show up again many years later in the form of spots and even skin cancer.


The dermatologist’s stance on suntanning is that there is no such thing as a safe tan. The very reason the skin turns that golden brown we have been taught to observe as beautiful is because the skin is reacting to UV damage by producing more melanin to protect itself. Both UVA and UVB light can cause a suntan, which means each is also a contributing factor in premature aging and skin cancer risk.

Age Spots

We used to call them “age spots” or “liver spots,” but, really, those brown and grey patches that develop on aging skin are nothing more than the effects of sunlight. Even when we don’t actively tan, UV exposure without sunscreen causes melanin to build up beneath the surface of the skin. At some point, clumps of melanin reach the epidermis, where they may be impossible to hide.

Actinic Keratosis

A spot on the skin that feels rough or scaly is a spot that your dermatologist needs to examine. This type of sun damage is called actinic keratosis; it is an indication of abnormal cell growth on the skin that could precede skin cancer. Like early stage skin cancers, actinic keratosis is easy to treat. Even better, when this type of sun damage is treated, skin cancer can be prevented in that part of the skin.

Several treatments in our Spring Lake, NJ office may be performed to promote healthy skin and offset the damage caused by sun exposure. To schedule a consultation with us, call (732) 449-0167.

BOTOX® COSMETIC Spring Lake, Monmouth County, NJ

Is Botox Still the Frontrunner in Cosmetic Dermatology?

Most people have heard of Botox, the wonder drug that changed the anti-aging scene forever. Botox is the injectable solution that millions of people turn to every year to take years off of their face. As cosmetic dermatology and surgery techniques have evolved, though, there have been murmurs of an upset in the anti-aging arena. Could Botox be outdone by alternatives that have been developed over the years? Let’s see.

What is Botox?

Botox Cosmetic is the most well-known botulinum toxin A product, and the first to use the neurotoxin for aesthetic purposes. Before Botox, botulinum toxin A was used only for therapeutic results. The way that this ingredient works is by attaching to receptors in muscle tissue that accept messages from nerve cells. For messages to transfer, they need a vehicle, and that is the chemical acetylcholine. When botulinum toxin A is injected into the muscle, acetylcholine production is temporarily disabled. As a result, the treated muscle does not contract as strongly.

Why Botox has been so Popular

It is no surprise that, even with early concerns related to the botulinum toxin, Botox has been a massive hit around the world. The ingredient in this product is not only purified, but it has been widely studied for therapeutic value. When the cosmetic benefits of botulinum toxin A were discovered, there was no looking back. Botox treatment takes only a short office visit every few months. Injections are administered with such a tiny needle that discomfort is kept to the bare minimum. After treatment, there is no downtime, and results appear gradually over about a week.

Alternatives are Making Waves

As advantageous and convenient as Botox is, there are a few alternatives that are getting attention lately.

  • Light and energy-based technologies, such as Sublime skin contouring, have become increasingly popular in the past few years. These treatments deliver controlled energy through the epidermis to the underlying tissue where collagen is produced. As collagen is remodeled with healthy new cells, skin looks smoother and younger.
  • This injectable treatment is also based on botulinum toxin A, but has no additional ingredients. They call Xeomin the “naked injectable” because it has no protective proteins to weigh down the neurotoxin. The benefit of this is that a patient is far less likely to develop antibody resistance against the wrinkle-reducer.

Can innovative new treatments de-throne Botox as the King of all injectables? Probably not. However, it is beneficial to know what your options are so you can choose the most appropriate way to keep your face looking fresh.

Schedule a consultation in our Spring Lake office at (732) 449-0167.

Chemical Peel Spring Lake | Brick, NJ

Which Chemical Peel is Right for Me?

Chemical peels provide men and women with a straightforward way to refresh the surface of their skin. Most chemical peels are performed on the face, and each gently disrupts the uppermost layer of cells to reveal more radiance and smoothness. Ideally, our skin cells would slough off on their own, but they usually don’t. This results in a dull complexion and poor texture. A buildup of dead and damaged cells also prevents your skincare products from doing their job.

In our Spring Lake, NJ office, we can develop chemical peels around your needs for brighter, smoother skin. The question you may be asking is “which type of chemical peel is right for me?” The good news is that your peel is customizable. The real question that needs to be answered is how much improvement you want and how much downtime you can schedule.

Superficial Peels

Superficial chemical peels are usually formulated with an alpha hydroxy or a beta hydroxy acid combination. Examples of alpha hydroxy acids include lactic acid, glycolic acid, and citric acid. Salicylic acid is an example of a beta hydroxy acid. Many of the ingredients commonly used in superficial peels are derived from plants and fruit enzymes, making them organic and ultra-nourishing.

Improvement and downtime: The level of improvement that is achieved with a superficial peel is minimal to moderate. The benefit of light peels is that they can be obtained routinely, every month or two. The cumulative effects of routine peels lead to progressive improvement rather than a dramatic change right away. Because superficial peels affect only the uppermost layer of skin cells, there is virtually no downtime. The skin may be slightly red for a short time, but many people go right back to work after treatment.

Medium Peels

Medium and deeper chemical peels contain precise concentrations of Trichloroacetic acid, or TCA. This type of acid penetrates the deeper layers of skin cells for a more dramatic effect. A medium peel may involve a pre-treatment of topical numbing cream to reduce the stinging or burning sensation that may occur as the controlled solution sits on the skin.

Improvement and downtime: Deeper penetration of the skin leads to a more noticeable improvement than what is possible with a superficial peel. However, because a more considerable amount of tissue is affected, redness will linger for at least a few days. The skin may also appear swollen and peeling or flaking may occur. Post-treatment skin care is crucial to infection prevention and optimal results. Downtime usually does not extend beyond one week.

We are proud to offer customized chemical peels to meet our patients’ needs. To learn more, call (732) 449-0167.

Micro Needling Spring Lake, Monmouth County, NJ

What Microneedling Has to Offer Your Skin

The skin can be affected in many ways by several different factors. Surging hormones may cause cystic acne. Cystic acne may cause scars. Depleted hormones lead to lines, wrinkles, and sagging. So does sun damage, by the way. The reactivity of the skin to the countless internal and external factors it faces leaves millions of people in need of solutions. In recent years, we have learned that there is one vital substance that may hold the key to correcting many problems: collagen.

Collagen is something the body makes naturally. It can be consumed in certain foods and supplements, but they must be of the utmost quality to notice any substantial benefit. In most forms, collagen cannot be applied topically to the skin with any positive effect due to the size of protein particles. Besides, the gains from collagen use occur deep beneath the surface where most topical products never reach.

We know we need collagen, and now we have a proven way to get it. We are pleased to offer microneedling services in our Spring Lake office. Both with and without platelet-rich plasma, this straightforward skin care service provokes significant change in the tone and texture of the epidermis.

First, what is it?

To know how microneedling can help you, it’s necessary to look at how it works. A microneedling treatment slightly injures the uppermost layers of the skin. These injuries are mild and do not cause scarring. What they do cause is stimulation in the fibroblast cells that live deep beneath the surface. It is in these cells where collagen is made, so we want them to be active for a prolonged period of time.

Results of microneedling are almost immediate. After initial redness has disappeared, slight inflammation remains just below the surface. This plumps the skin and gives it a radiant glow. Patients appreciate being able to see an improvement in their skin, but this initial response doesn’t last. The real benefit of microneedling is that it stimulates the ongoing collagen production that is needed for the skin to look better over time. In one study, researchers measured a 400% increase in the amount of collagen and elastin in the skin six months after microneedling.

Why See Us for Microneedling

Microneedling is not new and not something that you have to have done in your doctor’s office. When performed at home, though, there is no mechanical factor involved. Home treatment involves rolling a needle-clad drum over the skin. Yes, it is uncomfortable. Also, the needle depth is not as impactful as what we can achieve in the office with numbing cream.

Take the first step toward better skin. Call (732) 449-0167 to schedule your microneedling treatment.

BOTOX® COSMETIC Spring Lake, Monmouth County, NJ

Summer is a Great Season for Botox

When summertime rolls around, warmer weather and tropical vacation plans turn a lot of people’s attention to the idea of body contouring. We shouldn’t limit ourselves! Summer is actually an excellent time for Botox. The increase in social activity during this time of year means we all want to feel great about our appearance. Feeling confident in social situations doesn’t always mean that we fit into a certain pants-size, bikini, or bra size. In many instances, it means we look fresh, youthful, and full of life. Here, we want to point out a few reasons why summertime Botox is beneficial.

It’s Not Just About Frown Lines

Two of the most common elements of summer are water and sunshine. This combination is incredible in a lot of ways but also presents us with countless reasons to squint. Squinting, as you may know, is a significant contributor to crow’s feet and other lines around the eyes. Bright sunlight also makes some people squint in a way that forms frown lines. Why allow your summer fun to put a damper on your youthful appearance? Visit our office in Spring Lake, NJ for a quick Botox treatment to prevent excessive squinting.

Quick and Virtually Painless

Most people we meet are quite busy throughout the summer months, leisurely making their way from one summer gathering to another. Between road trips, faraway vacations, and backyard barbeques, the summer flies by in a flurry of socializing. Fitting in time for a major cosmetic makeover may be out of the question. Botox, on the other hand, takes less than an hour (less than 30 minutes in many cases!) and does not keep you down for any length of time. It is possible to get Botox on your lunch hour or way to a dinner party because side effects like redness and swelling diminish quickly.

No Hiding

Some cosmetic treatments are more appropriate for Fall and Winter, such as microdermabrasion and laser resurfacing. Botox, however, doesn’t react to UV exposure. This injectable solution absorbs into muscle tissue and attaches to neuroreceptors. While it is wise to wear sunscreen and a hat to prevent sun damage that degrades collagen, there is no need to hide from the sun to protect the results of Botox treatment.

Look radiant and refreshed all summer long. Call (732) 449-0167 to schedule Botox treatment in Spring Lake.

Dr. Lobuono

Dr. LoBuono Has Been Featured In An Article!

Dr. Philip LoBuono has been featured in a Zwivel article called “Eczema and Diet: What Is the Link? We Asked the Experts.” In this article, Dr. LoBuono comments on what in your diet could lead to eczema.

Interested in finding out more? You can read the article HERE!

Dermatology Services Monmouth County NJ

Living with The Intention of Having Great Skin

We hear a lot today about living with intention; about being mindful about what we are doing with our lives. There are so many ways we can expand from that general concept. Whichever way you go about it, living with intention has its benefits. Here, we want to touch on how intentional practices might revolve around the desire to have great skin. We also discuss how to bring the idea of deliberate practice to life so your skin looks great now and for your lifetime.

Skin Care Begins with an Idea

The idea behind good skin care, meaning what you do to care for your skin each day, is that taking care of your skin will provide aesthetic rewards. Wash, moisturize, and protect, and your skin will be more resilient against the early signs of aging. Sure, we’ve got an array of corrective treatments that can lift brows and erase dark circles and much more; but prevention is still the best medicine. Why wait until the evidence of collagen loss is unmistakable? Set the wheels in motion now to benefit later.

How to be Intentional about Your Skin

Our appearance changes as we age. This we cannot control. What we can control, though, is how and when those changes happen. Genetics, aside, aging skin is also a matter of intention. The good news is that we don’t have to go to great lengths to postpone the signs of aging. We also don’t have to spend thousands of dollars. Some of the best ways to get a leg up on aging include:

  • Maintain skin by maintaining health. If you didn’t already have enough reasons to load your plate with fresh fruits and vegetables, here’s another. Leafy greens and fresh fruits support cell function, which in turn supports firm, glowing skin.
  • Care for skin with well-chosen products. More people are learning that medical-grade skin care has the magic their skin needs. This is because skincare isn’t just about washing makeup off at night; it’s also about using the strongest and safest ingredients to fight free radicals and other factors that degrade collagen.
  • Boost anti-aging power with periodic professional treatments. Again, these don’t have to be costly. Microdermabrasion and chemical peels are excellent treatments for promoting ongoing collagen production.

We’ve got what your skin needs. Call our Spring Lake office at (732) 449-0167 for cosmetic and general dermatology care.

Dermal fillers Monmouth County NJ

Are You Still Making Friends with Fillers?

Dermal fillers and other injectables have been a part of medicine for quite a few years now. The popularity of these non-surgical solutions is widely known – so widely known that it may seem like you’re the only one not on the bandwagon at the moment. Obviously, that’s not true. We continually meet patients who are new to the injectable trend. Many of them report that they hesitated for months because they had questions that they simply didn’t ask. If you have questions about dermal fillers and other injectables, we encourage you to contact our office for a personal consultation. In the meantime, we’ll answer a few common questions here.

Exactly what is a dermal filler?

A dermal filler is a product that smooths lines and creases by adding volume. There are various fillers on the market these days, each of which may restore volume with a unique ingredient. The most common ingredient found in dermal fillers is hyaluronic acid. This is the base ingredient for the Restylane® products that we use when treating facial aging. The introduction of hyaluronic acid into subdermal tissue invites water molecules to plump the skin. Because hyaluronic acid particles bind to water molecules, the skin stays smooth for months at a time. We also use Radiesse®, a filler that is made with micronized granules of calcium hydroxyapatite.

Will I look fake if I get dermal fillers?

It’s unfortunate that such as thing as “bad Botox” and poorly-done dermal fillers exists. The fact is, there are many high-profile people who have made it seem as though dermal fillers will augment areas of the face too much. This isn’t the norm. Let’s say you would like to correct the natural deflation of your lips by enhancing them with dermal fillers. When you visit our office, this process can restore just the right amount of fullness to give more definition to your lip line and more symmetry to your mouth. There is no need for dermal filler treatment to look “done.”

How much does it cost to get dermal fillers?

Many patients are surprised at just how affordable dermal filler treatment is. The overall cost is determined by the amount of filler that is used to achieve your unique goals. Generally, one to two syringes is all that is needed to reduce lines and wrinkles or enhance the lips. Cheek augmentation may require slightly more, but this varies on a case by case basis.

Are you ready to get friendly with fillers? Call (732) 449-0167 to schedule a no-obligation consultation in our Spring Lake, NJ office.

Botox and Xeomin Monmouth County, NJ

Is Xeomin Better than Botox?

The demand for non-surgical, minimally-invasive treatments to correct the signs of aging has been high for decades and seemed to have been met fully and completely with the development of BOTOX Cosmetic. While we offer BOTOX in our Spring Lake dermatology practice, we are also proud to provide wrinkle-reduction with Xeomin. Here, we want to discuss how the two products differ in an attempt to answer the question “is Xeomin better than Botox?”

Botox was first approved by the FDA in 2002, and only for the treatment of frown lines between the eyebrows. Oh, how times have changed! Today, we routinely use this and other neuromodulators for lines on the forehead and around the eyes, for migraine headaches and excessive sweating, and to restore a nice upward curve to the corners of the mouth. Xeomin is the “new kid on the block,” having gained FDA approval in 2010. It is important to note that, like many other cosmetic treatments, Xeomin was widely used in other countries as early as 2005.

Same neurotoxin, Different Protocols

One of the reasons that there may be a bit of confusion regarding BOTOX and Xeomin is that each product contains a purified form of botulinum toxin A. This means that, when injected into the muscles on the face, neck, or another area, the mechanism of action is the same. Both BOTOX and Xeomin inhibit the release of a chemical that enables nerve endings to receive neurotransmission. These products blunt the receptors in muscles so they do not contract as they normally would. This has huge therapeutic and cosmetic value. So, why would we have more than one product that does the same thing?

The primary difference between these two cosmetic prescription drugs is that Xeomin has been developed uniquely. Whereas BOTOX is purified and then compounded with preserving proteins, Xeomin is purified so extensively that no preservatives are needed. This is why Xeomin is described as the “naked BOTOX.” As a result of purification, Xeomin may work better in cases where the desired outcome was not achieved with another neuromodulator.

The Bottom Line

The good news about BOTOX and Xeomin is that it’s not an “either/or” thing. One is not better than the other. While Xeomin is more purified, there are cases for which BOTOX may be better suited. To determine which product is most appropriate for you, Dr. LoBuono performs a thorough consultation before treatment.

Call (732) 449-0167 to schedule your consultation to see how we can help you love the way you look.