Follicular unit grafting

Hair transplantation utilizing the FUE, or follicular unit extraction technique, has one major problem: the tiny one millimeter punch often fails to follow the exact angle at which the hair shaft exits the skin. As a result, the hair bulb below the skin is often damaged or transected, and of course these hairs will not grow after reimplantation. The FUE technique can also leave hundreds of small round “shotgun” scars on the back of the scalp. In contrast, the standard and time-honored technique of follicular unit grafting often produces superior results! For details, please call the Hair Loss Clinic of Colorado at 303-744-1202 to schedule a consultation!

Do you have a “double chin”?

Chemical injections, and fat freezing, can often yield lumpy, uneven, or non-permanent results. The gold standard for fat removal in any area of the body remains Tumescent Liposuction, performed in the office under local anesthesia. Call us today for an appointment at 303-744-1202!

Do you have a receding hairline?

The best hairlines are achieved during hair transplantation with single hair grafts, dissected one by one under magnification. The theory of “donor dominance” makes this successful: the genetic program in each hair follicle is transferred from donor to recipient area, thus ensuring its continued growth! To schedule a consultation, please call us at 303-744-1202!

2017 Outreach clinic dates

La Junta: Sept. 7-8; Oct. 12-13; Nov. 9-10; Dec. 7-8.

Burlington: Sept. 15; Oct. 20; Nov. 17; Dec. 15.

All appointments are made at 303-744-1202.

See you there!

Warts: New Research

The Colorado Medical Research Center will soon commence a clinical trial utilizing a new topical investigational product for treatment of warts on the hands, feet, elbows, and knees. Qualified participants will receive free study medication and office visits. For further information, please call the research center at 303-744-7000.

Treatment of surgical scars

Surgical scars may, in some cases, be rendered less noticeable if treated within 4 to 6 weeks of the operation. Topical measures, including chemicals, may be beneficial if applied immediately after surgery. For details, please call us at 303-744-1202!

Treatment of leg veins

Tired of those unsightly spider veins? Sclerotherapy, via injection in the office, remains the gold standard for treatment. The use of hypertonic saline avoids the risk of allergy, and it is generally less expensive and less painful than lasers. For details, call us at 303-744-1202!

Colorado Dermatology Center outreach clinic dates

La Junta: July 13 and 14, August 10 and 11, and Sept. 14 and 15

Burlington: July 21, August 18, Sept. 22.

Appointments for both clinics are made by calling 303-744-1202. See you soon!

Can lasers treat acne scars?tw

Most, if not all, lasers are set to penetrate to a maximum depth of 100 microns (one-tenth of a millimeter), but many acne scars are one to two millimeters deep – ten to twenty times deeper than a laser can penetrate.

The gold standard for treatment of deeper acne scars has been, and remains, a combination of punch elevation, dermal grafting, and wire brush dermabrasion.

A picture is worth a thousand words! To schedule a consultation, please call us at 303-744-1202.

What causes aging of the skin?

Many studies have shown that aging changes such as wrinkles, uneven pigmentation, precancerous spots, and facial spider veins are the result of long-term exposure to ultraviolet (invisible) light. Dry skin, however, plays little or no role in permanent wrinkling – so use your sunscreen before you moisturize!

Psoriasis

Two new clinical trials are ongoing at the Colorado Medical Research Center for patients with psoriasis: one involves a new topical medication, and the other involves a new investigational oral medication. To see if you would qualify for either, please call us at 303-744-7000!

SUNSCREENS

Sunscreens are rated by their ability to prevent sunburn. If you normally burn in 30 minutes in midday, midsummer, the use of an SPF 29 sunscreen would mean that you would not burn for 14.5 hours ( 29 x 0.5 = 14.5 ). A sunscreen stick used on the face will prevent burning of the eyes; sprays are much more convenient than lotions for use on the body or for hard – to- reach areas. You may prevent a future skin cancer!

ACTINIC KERATOSES

Actinic (= sun-related) Keratoses (= rough, scaly spots) are precancerous spots that in up to 10% – 15% of cases can turn into squamous cell carcinoma. This type of tumor can potentially spread (metastasize) to the surrounding skin, lymph nodes, or other organs of the body. Other skin cancers treated at our center include basal cell carcinoma, Bowen’s Disease (carcinoma in situ), and malignant melanoma.

MOHS SURGERY for skin cancer

MOHS  Surgery is now the standard of care for treatment of many types of advanced skin cancers. The skin cancer is traced out microscopically, layer by layer, under local anesthesia, until clear margins are obtained. Once the cancer is clear, the area can be repaired with sutures or with a skin graft.

Do you have  a suspicious spot or mole? Let us examine it as soon as possible!

AAD Convention

Dr. Swinehart attended the recent international convention of the American Academy of Dermatology in Orlando, Florida. Half of the attendees were foreign, recognizing that American medicine is the best in the world! Dr. Swinehart took courses in Melanoma, MOHS surgery, skin cancer, chemical peels, acne scars, wrinkles, surgical repairs, quality control, and new medications for psoriasis, actinic keratoses, and other skin conditions. Call us for details!

DERMAL GRAFTING for deep wrinkles and acne scars

Instead of using an expensive filler that disappears in six months, why not use your own dermis and fat to fill up those areas?  This tissue, taken from under the skin behind your ears, can, in many cases, provide permanent correction of deep wrinkles or acne scars. For a consultation, call us at 303-744-1202!

WRINKLES

Have you ever wanted to erase those lines on your face?

With a variety of methods, we can “fill up the valleys” and “smooth down the ridges” utilizing laser-free techniques. Call 303-744-1202 today for a consultation!

WARTS

Warts are growths induced by the human papilloma virus, or HPV. They can be treated with liquid nitrogen, by cautery, or by various prescriptions – call us at 303-744-1202 for more details!

dry skin

ordinary moisturizers(even pricey ones) simply grease down the skin – but ammonium lactate/lactic acid creams and lotions actually remove dead skin before moisturizing it. For details, call us!

New Psoriasis Clinical Trial

Dr Swinehart is the principal investigator in a new psoriasis study that will be starting soon. The study will be testing an investigational oral medication for treatment of moderate to severe chronic plaque psoriasis. For further information concerning the study, please call the Colorado Medical Research Center at 303-744-7000, M-F 9AM – 5PM.

Moles – When To Remove?

Moles may be removed if:

1. There is an abnormal appearance;

2. For recent changes such as pain, itching, bleeding, crusting, uneven shape, or darkening;

3. A suspicion or “sixth sense” on your part.

Call 303-744-1202 for a mole check!

Spider Veins

Are you tired of those unsightly purple leg veins? Do your legs look like road maps?Many can be improved or eradicated with SCLEROTHERAPY! Call us today!

Wrinkles

Would you like to permanently be rid of your facial lines, creases, sun damage, and wrinkles? We have the answers! Call us today to schedule a consultation, at 303-744-1202

Saddle Bags

Do you wish to empty those saddle bags and lighten your load? Tumescent Liposuction is the gold standard, under local anesthesia. It is superior to, and less expensive than, freezing, lasers, ultrasound, and chemical injections. Call us at 303-744-1202 to schedule a consultation!

Love Handles

Uneven results, and higher expense, may occur with freezing, lasers, ultrasound, and chemical injections. The “Gold Standard” remains the technique of Tumescent Liposuction – see before and after photos at www. coloderm.com!

Large pores

Large pores on the nose and elsewhere can be treated with the CROSS technique! Call us to schedule a consultation at 303-744-1202.

Double Chins

“Fat-dissolving” injections are of limited benefit, and can cause uneven or lumpy outcomes. Instead, the fat can be removed in the office via tumescent liposuction. View before and after photos at www.coloderm.com!

Appointments

Same-day appointments may be possible – call us at 303-744-1202!

When To Biopsy, and When to Freeze?

These are only generalities – but if a lesion is lumpy or has texture, this implies invasion, and may need a biopsy. If it is flat and scaly, liquid nitrogen may suffice. However, if an existing skin cancer is frozen, the nitrogen may remove only the top; the portion under the skin remains and will continue to spread!

2016 outreach clinic schedule

La Junta: Sept. 8&9;Oct. 13&14; Nov. 10&11; Dec. 8&9.
Burlington: Sept. 16; Oct. 21; Nov. 17; Dec. 16. For appts. call 303-744-1202

body fat

tumescent anesthesia, under local anesthesia, remains the gold tumescent liposuction, under local anesthesia, remains the gold standard for fat removal, in spite of less precise and more expensive methods such as freezing, injections, ultrasound, and lasers. for details, call us at 303-744-1202!

AGE SPOTS

Many new treatments exist for treatment of dark spots or sun spots, including fading creams, peels, lasers, sanding, freezing, and others – for a consultation, please call!

HAIR LOSS: what really works?

You could stay up all night reading about purported “treatments” for growing hair, but only three have been proven to work: minoxidil, finasteride, and hair transplantation!

LARGE PORES

Large pores, on the nose or face, can be treated with the “CROSS” technique, and with punch elevation or punch grafting!

WRINKLES

can wrinkles truly be erased? many options and new techniques exist – for a consultation, call us at 303-744-1202!

ACNE SCARS

To treat acne scars, one must first “fill up the valleys”, via dermal grafting, and then “sand down the mountains”, with derma sanding or dermabrasion. For a consultation, please call us at 303-744-1202!

LARGE PORES

Do you have large pores on your nose or face? We have a number of techniques for treating these – for details, contact us!

Cellulite Release Technique

To find out more about how to treat cellulite “dimples” on the

thighs or backside, call us at (303) 744-1202 for a consultation!

Dr. Swinehart Speaks at AAD Annual Meeting in Denver March 21, 2014

Dr. James Swinehart was a moderator at the centerpiece symposium of the annual convention of the American Academy of Dermatology, held in Denver, Colorado, on March 21, 2014. This course, one of the highlights of the gathering, demonstrated the use of skin fillers and botulinum products. Actual patients were injected by dermatologists, while a simultaneous demonstration of the involved muscles, nerves and vessels was demonstrated on stage by a Ph.D. anatomist. Dr. Swinehart was responsible for selecting and screening most of the patients for this program.

Click here to download the full press release pdf.

Skin Cancer Update

MOHS surgery is now the standard of care among dermatologists for treating most skin cancers. With this technique, precise serial frozen sections are utilized to microscopically trace out the tumor until its margins are free of cancer cells, often providing a cure rate of 95-98%. Dr. Swinehart has specialized in this procedure for a number of years, and is a Fellow of the American Society for Mohs Surgery.

 

Outreach Clinics

Dr. Swinehart will be in Burlington on the following dates:

  • May 19-20, 2016
  • June 16-17, 2016
  • July 21-22, 2016
  • August 18-19, 2016

Dr. Swinehart will be in La Junta on the following dates:

  • May 12-13, 2016
  • June 9-10, 2016
  • July 14-15, 2016
  • August 11-12, 2016

For appointments please call the Denver office at (303) 744-1202

Neck and Jowl Lift

Dr. Swinehart has perfected a Neck and Jowl Lift, combined with tumescent liposuction through 3 tiny incisions, performed in the office on an outpatient basis! To schedule a consultation, please call (303) 744-1202.

Case Studies- Anterior Thinning of Scalp Hair

Click here to view the original newsletter in pdf format.

We have all seen unfortunate patients with older “bristle brush” hairlines from larger plugs.  However, you may also have heard about the newer “follicular unit grafting” techniques utilizing micrografts produced under a stereotactic dissecting microscope.  Since commencing this procedure several years ago, our level of patient satisfaction is the highest that it has been in the 26 years that I have performed hair replacement surgery.

With microscopic dissection, our surgical staff is able to precisely create micrografts with 1, 2, 3, or 4 hairs.  We then create a “density gradient” with single hairs only for the hairline, a zone of 2-hair micrografts in the front of the scalp and 3-4 hair micrografts for the crown.  As a result, extremely natural outcomes are now possible.

These follicular units can be placed into the frontal forelock and into lateral and posterior zones of thinning to counteract future hair loss and to prevent the future appearance of baldness.  Very fine cloned hairs can be placed at the hairline for a feathered look.

I would like to share with you the following case studies illustrating how natural hair replacement can look in patients with  ANTERIOR  THINNING.  You can view many  more photographs at www. coloderm.com.


James M. Swinehart, M.D., President
Colorado Dermatology Center

Case Studies – Creation of Fine, Natural Hairlines

Click here to view the original newsletter in pdf format.

Next in our series of case studies shall be clinical examples of the creation of fine, natural HAIRLINES.  A zone of single hairs, consisting of 100-200 follicles, is implanted at the desired location.  This is closely followed by a zone of 100-180 2-hair micrografts immediately behind the single hairs.  The anterior hairline zone is then covered with      3-hair micrografts.  Follicular units (intact donor groupings) of 1, 2, or 3 hairs are dissected under magnification and are implanted using magnifiers into needle slits with ultrafine jeweler’s forceps.

If you viewed only the “after” photos in these three cases, could you tell that they had received transplants?  If not, then you can appreciate the attention to detail necessary in creation of beautiful hairlines in hair restoration surgery:  300 or more micrografts have been placed into a frontal zone only 1 cm wide!

You may schedule a free hair transplant consultation by calling (303)744-1202.


James M. Swinehart, M.D., President
Colorado Dermatology Center

Case Studies – Diffuse Thinning of Scalp Hair

Click here to view the original newsletter in pdf format.

Patients with DIFFUSE  THINNING of the scalp hair, due to male pattern baldness or female pattern alopecia, may have already tried Rogaine®.  Men may see some benefit on the posterior scalp with Propecia® – but must take this for the rest of their lives in order to maintain the growth.

Now, with extensive micrografting utilizing microscopic follicular units containing 1-4 hairs each, we can prevent the visual appearance of baldness.  The existing hairs are left undisturbed –but the tiny bundles of follicular bulbs are meticulously inserted under magnification into tiny needle holes in between the patient’s remaining scalp hairs.  We can also recreate the “whorl” on the posterior crown, and graft into areas of anticipated future thinning at the edges of the balding scalp.

Micrografting is both an art and a science.  Recently, the insertion of 1,720 micrografts took us 7 hours for the physician and four surgical assistants.  We have performed over 1,500 grafts in a single session in a female with familial thinning, and over 1,800 micrografts in several men.  However, the fruits of this labor are well worth the effort.

Enclosed please find case studies of my patients with diffuse thinning of the scalp hair.   Patients may view more photos as www.coloderm.com.


James M. Swinehart, M.D., President
Colorado Dermatology Center

Soon to Start: Acne and Skin Care Clinic

The Colorado Dermatology Center will soon be starting an acne and skin care clinic in La Junta and Burlington, Colorado. Check our web site for details!

Tumescent Liposuction

Within the past week, Dr. Swinehart has performed tumescent liposuction for excessive sweating in the armpits, and also on a man to remove excess abdominal and chest fat. See photos in our gallery!

 

Dermabrasion for Acne Scars

 

 

On July 21,2011,  Dr. Swinehart performed a full-face wire brush dermabrasion for acne scars. Dr. Swinehart is the only dermatologic surgeon in Colorado who performs this surgery. Dermabrasion represents the state of the art for treatment of acne scars, and generally delivers superior results to laser treatment.