Who needs skin care when you can just get Botox?

Who needs skin care when you can just get Botox?

The advent of Botox leaves many thinking they no longer have to worry about their everyday skin care.

Nothing could be farther from the truth.

In my practice, we start every Botox consult with a Visia skin analysis. This simple analysis uses cross polarized and UV light to give us an analysis of sun damage, texture, brown spots, and wrinkles in the form of a score in each category. The score is obtained by comparing you to peers in your age group. Just like a test, higher numbers are better. It is important to know this information since these are factors in skin aging.

Botox is a neuromodulator that is effective in reducing the appearance of forehead wrinkles, crow’s feet, and those pesky scowl lines between your eyebrows. It can also help turn your frown upside down by elevating the corners of your mouth. So, with all these amazing things that Botox can do, who needs skin care?

Importance of Skin Care

Botox only improves lines and wrinkles, but wrinkles are not the only reason that people look older. Youthful skin has smooth texture and an even skin tone without fine lines or wrinkles. Botox does nothing for the radiance, texture, and brown spots. Nourishing skin care will improve skin elasticity and texture while reducing brown spots. Exfoliating your skin and adding a retinol to your skin care regimen will help increase cell turnover, which greatly decreases as we age. Moisturizing your skin will improve its elasticity and enhance your Botox procedure.

Save Money with Proper Skin Care

Skin care can actually save you money! Botox can cost on average $300 or more every three months, depending on which areas you address and how deep your wrinkles are. In my practice, the patients that are diligent with skin care and sun protection typically spend less on Botox treatments when compared to clients who neglect their skin. Remember that all skin care is not created equal. Look for brands without harsh chemicals that contain plant-based active ingredients. Also, be careful not to base your decision solely on marketing and packaging!

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She Finds Features Dr. DePasquale’s Advice on the Worst Skincare Ingredients

She Finds Features Dr. DePasquale’s Advice on the Worst Skincare Ingredients

What are the worst ingredients in your skincare products? Dr. Kalpana DePasquale weighed in over on beauty site She Finds.

Click here to read the article on She Finds

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Posted in News, Skincare

Bustle Taps Dr. DePasquale for Advice on Cancer-Causing Chemicals in Skincare Products

Bustle Taps Dr. DePasquale for Advice on Cancer-Causing Chemicals in Skincare Products

Dr. Kalpana DePasquale recently provided her insights to women’s publication Bustle regarding chemicals to watch out for in your skincare products that may have links to certain types of cancer.

Read the full article on Bustle

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Dr. DePasquale Featured as an Expert on SheKnows

Dr. DePasquale Featured as an Expert on SheKnows

SheKnows featured Dr. DePasquale as an expert in their article on how to help a kid with allergies enjoy summer.

Click here to read the article on SheKnows

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The Makeup Crutch

The Makeup Crutch

I love makeup as much as the next girl – the new bold matte lipsticks, cat eyes, and long lush lashes. But I don’t feel like I need a full face of makeup to be seen by the world.

I am comfortable in my skin because I take care of it. At my age, I am proud to note makeup is a choice, not a necessity. My usual routine is minimal, and I can be ready to go in about five minutes.

Most women I know wouldn’t be seen without makeup. They won’t run to the grocery store or even out to the mailbox without it.

My teenage sons report they don’t recognize girls at school without makeup on because they look so different. My single male friends worry that their dates would be unrecognizable without their full face of makeup.

How did women get this way? Makeup should enhance us, not change us or hide us.

If your makeup routine leaves you concealing and contouring too much, it may be time to invest in taking care of your skin. Instead of covering texture irregularities, dark spots, fine lines and wrinkles, use good skin care to improve these imperfections so that your natural beauty can shine through.

There are a lot of women out there that state they are proud of their dark spots, wrinkles, and poor skin quality. They state it is their “Badge of Honor,” that the “lines tell their story” – a tale of a life well lived. I completely understand this opinion, but if they are being true to themselves, they wouldn’t wear makeup to cover any of those imperfections.

If these women want to show their poor skin off as a “Badge of Honor,” why do they spend hours covering it with makeup?

If you’re ready to transform your skin and restore its natural luster and beauty, check out my Clearly Luminous Kit.

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Posted in Beauty Wake Up Call, Skincare

Teen Acne Myths, Do’s and Don’ts

Teen Acne Myths, Do’s and Don’ts

Dr. D joined WXJT to discuss teen acne, busting the biggest myths and providing her list of do’s and don’ts.

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Posted in Skincare, TV Appearances

How to Talk to Your Teenage Daughter About Acne

How to Talk to Your Teenage Daughter About Acne

Teenage girls are known for their mood swings that can feel like an emotional rollercoaster for them and their parents. In the midst of this pubescent nightmare, your young daughter has moderate to severe acne which could be dragging her self-confidence down to an all-time low.

She may find comfort online by watching Dr. Pimple Popper and getting acne advice on YouTube. After watching hundreds of makeup videos, her makeup case turns into a suitcase. She won’t leave the house without a full face of makeup and contouring. With all this caked on makeup, she appears as if she is in her twenties and you wonder if she’ll start attracting the wrong kind of attention.

What is a mother to do? How can you help your daughter without making her feel more insecure?

Here are my tips to help ease the conflict.

Have an open line of communication with your daughter

Approach the conversation without judgment and with a willingness to help. Make sure you start the conversation when both of you are calm and willing to talk and listen. Start with open ended questions like:

  • How does your skin make you feel?
  • How do you feel about yourself without makeup on?
  • How can I help you with this?

Discuss what she knows about acne and treatment options

Discuss what she has seen on social media and discuss her online findings.

Does she feel that these methods are reliable and safe? Make sure she understands that you are not there to judge, just to understand and support.

Give your daughter alternative recommendations to consider

Some suggestions you can make to your daughter:

  1. Better skin care without the harsh chemicals that over dry her skin
  2. Facials with extractions performed by a medical esthetician
  3. Salicylic Acid peels performed by a medical esthetician

You can also check out the tips I shared recently on WJXT:

Last but not least, be sure that your daughter knows that she is beautiful with or without acne and with or without makeup.  Make sure she understands that improving her acne is a goal that you can work on together so she can eventually use makeup to enhance her beauty instead of using it to cover her acne.

Looking for new products for your teen? My Avanti Rx products are perfect for both teenage girls and boys. 

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Posted in Parenting, Skincare

Nutritional Supplements — Are They Necessary?

Nutritional Supplements — Are They Necessary?

Some of us faithfully suck down our vitamin supplements every morning, while others do not believe supplementation is necessary. These people state that they do not feel a difference or improvement in their health when they do take their supplements. Why do we need to take supplements? Don’t we get all our nutrients from our food?

Declining Nutritional Value in Our Food

A landmark study, conducted by Donald Davis at the University of Texas published in the Journal of American College of Nutrition in December 2004, compared nutritional data from 1950 to 1999 that compared different fruits and vegetables. There were reliable declines in the amount of protein, calcium, phosphorous, iron, riboflavin, and Vitamin C in our produce. This decline can be attributed to pesticides and efforts to breed crops to provide greater yield. There have also been declines in other nutrients, such as magnesium, Vitamin B-6, and E.

Healthier soil undoubtedly leads to healthier produce. But, to keep soil healthy, fields should be alternated between growing seasons because it gives the land time to restore. Pesticides and fertilizers are avoided in organic growing methods, and therefore, vegetables and fruits are more nutritious.

Supplements to Bridge the Gap

As much as this is preferable, it can be difficult to achieve for those of us who live in an urban setting. This is where supplementation can bridge the gap by providing essential nutrients not found in our food.

But, do supplements really work? Are they all created equal? These are the common questions that most of us need to know the answers to prior to making an informed decision.  

In the US, prescription and non-prescription drugs are regulated by the Food and Drug Administration (FDA). Supplements are treated more like special foods, not drugs, so they are not put through the same safety and effectiveness requirements that drugs are.  Supplements do not have to be proven effective before being sold.

The Recommended Daily Allowance (RDA) is the minimal daily allowance of nutrients necessary to prevent disease. It isn’t necessarily the amount of that nutrient that is required for optimum performance, as we have been lead to believe.  

Self-Regulated Supplement Industry

The supplement industry itself is not well regulated.  Therefore, it is the responsibility of the supplement company to maintain a standard and be self-regulated. As you can imagine, this is costly, and therefore not a common practice.

There are multiple issues with supplement distributors.  Most supplements do not even contain the actual supplement noted on the label or the amount claimed. Additionally, herbal suppliers may mix or substitute their crops with less expensive or more readily available plants. There is accidental contamination when one plant grows in with others or mistaken identity – when one plant looks like another.  

Now, let’s take a closer look at what really happens.  In 2013, researchers in Toronto sampled and analyzed 44 herbal supplements sold in the US and Canada that contained single herbs. DNA bar coding analysis was used to test the supplements and less than 48% contained any of the herb listed on the label. More than half contained substitutions, fillers, or contaminants.

In 2015, the New York Attorney General sent warning letters to major retailers selling supplements that were mislabeled after performing a DNA analysis. Some herbal supplements have even been found to contain prescription drugs or other compounds not listed on the labels.  

What’s in Your Supplements?

Needless to say, once I found this information, I relocated all my supplements to the trash bin and started searching for effective and safe supplements. After months of research, I found high-quality, effective supplements good enough for my family and patients.

I strongly believe supplementation is vital to those of us who wish to thrive. Obtaining the RDA of some nutrients isn’t enough for some of us who want to live the best and healthiest life possible!  

The company I chose personally sources their raw materials.  Additionally, the supplements are manufactured in an FDA facility which has stricter standards. They have multiple seals from Leaping Bunny, Good Manufacturing Practices, Natural Products Association and many others. The supplements are non-GMO, gluten-free, and do not contain soy, binders, fillers, chemical slurries or artificial sweeteners. Finally, my search has ended!

Want to check out the company I trust for my supplements? Click here to view my store

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That Time I Became a Car Racing Enthusiast

That Time I Became a Car Racing Enthusiast

My husband is a car enthusiast. He has been this way since the day I met him 25 years ago. He drove a Plymouth Sundance Turbo with a modified exhaust which made the car sound like a hot rod.


He has collected Car and Driver and Motor Trend magazines since 1993, and he knows everything about cars – how they work, how to make them look, sound and drive better, and how to fix them. Horsepower, torque, and stance used to be foreign terms to me, but now they are common household conversation amongst our two sons.  Although my husband can’t remember names of people he has met, he can remember everything about them once he knows the car they drive.


Throughout my life, I have been drawn to car enthusiasts. Two of my best friends in medical school were wired the same way – obsessed with cars.  Needless to say, they got along great with my husband. I could not understand the obsession, so I thought it was silly. I was everything but supportive.  


My friends finally persuaded my husband to go to the track so that he could drive in a safe manner. They assured me that this would reduce his erratic driving on public highways. It seemed counterintuitive – how could driving on a track with a bunch of testosterone crazed men trying to one-up each other be safe?


One day, I finally decided to see what the hype was all about.  I went to a track event in Georgia, only to find that the drivers were considerate and most weren’t there for their ego but to fuel a passion.  The drivers were required to point by to allow a faster driver/vehicle to pass, and the point by’s were mandatory.  


Driving on the track isn’t as much about speed as it is finesse.  There is a driving line for the track that you must learn to properly execute each turn safely and efficiently.  Until this is mastered, you cannot increase speed safely.  


I took it a step farther and signed up for a track event where I drove.  The atmosphere was exhilarating; hearing the sounds of the race cars, and the visceral sensation of executing each turn properly was intoxicating.  The weekend was full of nonstop excitement.  Even though, I was exhausted from all the focus and adrenaline, I was hooked and signed up for another weekend.  


I think I finally understand what all the hype was about.

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That Smell!

That Smell!

Breakfast on the griddle, jasmine in the garden, your lover’s favorite perfume – No doubt each of these conjure a particularly pleasing emotion. After all, our sense of smell, more than any of the other senses, is psychologically linked with memory and can have a profound effect on the ways in which we connect with the world around us.


Common Reasons for Olfactory Loss

So, imagine for a moment, that you’ve lost your sense of smell. Scary, isn’t it? Unfortunately, it’s an all-too-common occurrence. Among the top direct or indirect contributing factors to a partial or full loss of the ability to smell are:


  • Nasal obstruction
  • Degenerative nerve disease
  • Exposure to hazardous chemicals, such as pesticides or solvents
  • Head and neck cancers and related radiation treatments
  • Chronic respiratory infections
  • Oral disease
  • Radiation therapy
  • Dementia, Parkinson’s or Alzheimer’s
  • Traumatic head injuries
  • Hormonal disturbances
  • Diabetes
  • Hypertension
  • Obesity
  • Multiple Sclerosis
  • Cigarette smoking
  • Certain medications or drug abuse
  • Advanced age


Dangers of Olfactory Loss

Any of these conditions can negatively affect the functionality of not only our olfactory nerve cells (those responsible for your sense of smell) but also your gustatory nerve cells (those responsible for taste). That loss of functionality can affect not only your quality of life, but your safety, and perhaps your very life, as well. For example, the smell of certain gasses, smoke, or spoiled foods can alert us to danger, allowing us to act before it’s too late. And, research on the psychology of smell shows that body odor, produced by the genes which make up our immune system, can help us subconsciously choose our life partners.


While most people would report a loss of sight or hearing as a top worry, it’s clear that the loss of smell is a far underestimated misfortune. Fortunately, however, help is available.


Treatment Options

If you suspect you’re beginning to lose your sense of smell, a highly-trained otolaryngologist can perform a thorough examination of your head and neck to pinpoint signs of infections, inflammation, or physical obstruction that may be affecting your sense of smell or taste. Treatment options may include prescription or over-the-counter medications, including decongestants or antibiotics, or surgery to remove nasal polyps or other obstructions.


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