Lawrence A. Schiffman, D.O., FAOCD - Board Certified Dermatologist

Lawrence A. Schiffman, D.O., FAOCD - Board Certified Dermatologist


Is Botox Worth It? 7 Amazing Benefits of Getting Botox

Published October 28th, 2019 by Thepracticeagency

There is nothing wrong with wanting to look a little younger, and if you are asking the question "Is Botox worth it?", you are not alone. 

Since it's approval in 2002, Botox was the most popular procedure out of over 15.9 minimally invasive cosmetic procedures performed in 2018. In fact, Americans spent a whopping $16.5 Billion on cosmetic surgery in 2018. 

While Botox is primarily known for being an anti-aging miracle, it has come a long way since then. Of course, it is the best choice for reducing wrinkles without having to deal with an invasive and painful facelift.

However, there are actually many other clinical benefits that Botox can help you with, such as sweat reduction, migraine relief, a cure for cross-eyes, relief from muscle spasms, and more. 

Keep on reading to learn more about Botox and find the answer to your question, "Is Botox worth it?"

1. Reduction of Migraines

Did you know that over 28 million people suffer from chronic migraines? It can become so debilitating that it causes nausea, blurred vision, and sensitivity to the environment. 

Thankfully, receiving a Botox treatment once every three months is now known to reduce or completely eliminate migraines. Injections into the temples, bridge of the nose, forehead, upper back, neck, and back of the neck are the most common for migraine relief. 

2. Fewer Muscle Spasms

Muscle spasms are an uncomfortable condition, and most commonly happen as upper limb spasticity, cervical dystonia, or spasms of the eyelid. This is caused by a range of different conditions such as Multiple Sclerosis, strokes, Cerebral Palsy, or stress.

By injecting Botox into the triggering point of the muscle, it can reduce involuntary spasms and provide a lot of relief. 

3. Overactive Bladder

Unfortunately, about 25% to 45% of women suffer from some degree of urinary incontinence. This can make it extremely uncomfortable to workout, wear certain clothing, or even laugh.

This comes from a variety of causes, such as childbirth, pregnancy, and even menopause. 

Ultimately, this will negatively affect their level of self-confidence and living a less enjoyable life. 

Thankfully, doctors have discovered a way to inject Botox into the overactive bladder, relaxing the involuntary muscles and helping to desensitize the overactive bladder, retraining it to control the urinary output.  

4. Excessive Underarm Sweating

Excessive underarm sweating, or Hyperhidrosis, is an embarrassing disorder with no known cause or cure. It can affect someone's quality of life, limiting the clothes they can wear and their social life. 

By injecting Botox into the muscles responsible for releasing sweat to the surface of the skin, temporarily block the chemicals that stimulate sweat glands.

Finally, those with Hyperhidrosis can finally relax and enjoy their lives without the fear of sweat-stained clothing.

5. Reduce Fine Lines and Wrinkles

One of the most common known treatments for Botox is its ability to reduce fine lines and wrinkles. As we approach the age of 30, our bodies stop producing as much collagen which causes our skin to lose about 1% of its thickness every year. This causes wrinkles and deep fine lines over time, and for some, it can be as early as in their 20's.

Botox contains a naturally occurring bacterium called Clostridium botulinum toxin type A, that when injected into the muscles, causes temporary paralysis. This helps reduce wrinkles by making the muscle under the wrinkle relax and unable to move. Eventually, this forced-relaxing will help the wrinkles to soften and disappear. 

The more Botox someone uses when they are younger, the less they will need to use as they get older. If used over time, it will help to prevent deeper wrinkles from forming.

If someone starts with Botox in their 50's, they are less likely to reduce the deep creases that have already formed. By this time, fillers or facelift procedures may be the only remedy.

Ultimately, the longer you use Botox, the better it will be as you age. 

6. Vaginal Spasms

Vaginal Spasms, otherwise known as Vaginismus, is a painful condition that causes severe cramping of the vaginal walls. This can make something so sacred such as sex a very painful and unenjoyable experience. 

During intercourse, the vaginal walls start to spasm, preventing intercourse entry and causing extreme pain. This can prevent their ability to have children, and completely affecting their relationships, and quality of life. 

With Botox injections into the vaginal muscle tissue every two to six months, it will relax the overactive muscles. This will lead to relief from pain, and improve the patient's life. 

7. Crossed Eyes

Crossed eyes, or medically known as Strabismus, is a debilitating condition that prevents both eyes from looking at the same place at the same time. This is caused by unbalanced muscles that are pulling in opposite directions. 

Eventually, Strabismus can lead to blurry vision, double vision, eye soreness, inability to focus, and lack of depth perception. This could prevent someone from being able to work, drive, or exercise, as well as affecting their confidence levels.

Doctors have discovered a way to reduce Strabismus by injecting Botox directly into the eye muscle. This can completely realign the eyes and reduces the Strabismus by up to 100%!

This can be a painful procedure, which is why there is numbing eyedrops added to the eyes before it begins. Treating Strabismus was actually the original purpose of Botox, before the realization of how many other conditions it can treat.

Is Botox Worth It? Now you Know

Since its discovery in the 1970s, Botox has come a long way. Who knew that this neurotoxin would be so beneficial when administered the right way? 

Now it is being used to treat a variety of muscular conditions and reduce the signs of aging, in other words, could Botox be the fountain of youth?

So, is Botox worth it? Our patients sure think so

If you would like to learn more about what Botox can do for you, feel free to contact us at any time to set up a consultation.

Topical Cannabis in Dermatology

Published August 8th, 2017 by Sahil

Topical Cannabis Could Help Your Skin

Skin problems such as acne, atopic dermatitis (AD), and psoriasis are prevalent and require various treatment methods to cure them. The high presence of these diseases has led to the introduction of topical marijuana as one of the methods that can treat skin problems. The use of cannabis based products has risen after the legalization of the herb in many states in the US. The legalization is mainly for medicinal reasons although some states allow cannabis use for recreational purposes.

Cannabinoids are components of the cannabis plant that can treat some maladies on the skin. The nature of cannabinoids improves their absorption by human bodies, and that is why they have an effect when consumed by people in whatever form. The human body produces its cannabinoids through its endocannabinoid system which have been found to affect appetite, skin sensitivity, and memory. When people consume plant cannabinoids, they get absorbed into the blood stream resulting in better functioning of the endocannabinoid system.

Topical Cannabinoids and Treating Skin Problems

The skin's vulnerability to harsh weather conditions can lead to health problems. Cannabis cream can address the problems by applying it to the affected areas of the skin. The cannabinoids contain multiple anti-inflammatory properties that boost the healing process of skin ailments. Topical cannabis could lower the time it takes to heal a wound using ordinary treatment options.

Topical marijuana has antibiotic properties that help the healing of burns, rashes, and other skin problems. The products developed from the cannabis plant are ideal for various uses even though more research about them is being undertaken. Some of the ailments the products have been found to heal include analgesic and anti-inflammatory effects. It has also been found to have a relaxing effect on muscles and other body tissue.

Cannabis cream has many uses for humans which explain the reason more people use it. The products are available in the form of balms, sprays, oils, and salves. You can select the form that suits your lifestyle. Topical treatment for skin cancer is another popular use of cannabis products because many people suffer from the problem and require a cure.

Why Choose Miami Skin Dr for Topical Treatment

Miami Skin Dr is a leading practice with a state-certified physician capable of submitting qualifying patients’ information to the state of Florida. Once a qualifying patient submits the necessary forms and payment to the State, the State of Florida will then issue a medical cannabis ID card. After receiving a medical cannabis ID card, patients can then visit any state-approved dispensary to receive their order of medical cannabis, including topical creams.

Miami Skin Dr is a trusted and dependable medical cannabis doctor who is licensed to recommend medical cannabis as a treatment modality for patients who qualify.

The experts at the clinic, led by Dr. Lawrence A. Schiffman, make sure they match the medical symptoms with the right modality.

For medical marijuana evaluations in Miami, FL click here. Alternatively, call us on 305.615.2440.

Medical Cannabis for ALS Patients

Published July 20th, 2017 by Sahil

What is ALS?

ALS, also known as Amyotrophic Lateral Sclerosis or Lou Gehrig's Disease, is a neurodegenerative disease that worsens with time. It impacts the brain and the spinal cord, and can have a devastating impact on patients and their families. ALS destroys motor neurons that reach from the brain to the spinal cord, as well as from the spinal cord to the rest of the body. Motor neurons are extremely important because they help transfer signals throughout the entire body. The slow degeneration of these integral components leads to death for many patients with ALS.

In patients with ALS, muscles become malnourished and waste away. Some early signs of the disease are tripping and falling, clumsiness, muscle weakness, slurred speech, and trouble swallowing. Eventually patients are unable to walk or carry out daily activities. Muscle movement deteriorates and eventually fails completely, and in later stages of the disease, patients lose the ability to speak, eat, and even breathe.

Although ALS is a devastating disease that causes great hardship for those who suffer from it, medical marijuana can help to alleviate symptoms. Medical cannabis can also increase the quality of life for many patients, and may even slow the progression of the disease according to some studies. Medical marijuana lacks many of the dangerous side effects of many prescription drugs, and can provide fast and lasting relief for sufferers of ALS.

How Can Medical Cannabis Help Patients with ALS?

Medical cannabis has been proven to alleviate many symptoms of ALS. It can act as a muscle relaxant, saliva reducer, bronchodilator and analgesic. Medical marijuana can also be used as an appetite stimulant, and even reduces symptoms of insomnia and depression. Furthermore, regular, controlled doses of cannabis oil have even been shown to slow progression of ALS in certain patients.

Many of the debilitating muscular symptoms of ALS can be relieved by medical marijuana. Talking to a doctor who can prescribe medical marijuana can greatly improve quality of life for ALS patients and possibly even prolong their lives in some cases. Since it can be difficult for ALS patients to eat, the appetite-stimulant qualities of medical cannabis can also be a huge benefit. Patients will find it much easier and more appealing to eat, and will not be at such high risk for malnutrition.

Since many ALS patients suffer from depression because of their short life expectancy, medical marijuana can also greatly improve their mood and alleviate symptoms of depression in many cases. Depression can be debilitating for ALS patients and can make them completely lose faith in their future. By working with a doctor who can prescribe medical marijuana, symptoms of depression can be managed and even eliminated.

Many ALS patients worry about the legality of medical marijuana. They may be concerned with getting in trouble with the law, or with not being able to access their medication because of restrictive legislation. However, laws have taken a progressive turn in recent years and it's much easier for ALS patients to obtain medical marijuana. In the state of Florida, it's legal to use medical marijuana to treat ALS. Doctors are allowed to prescribe medical cannabis for patients with ALS. Florida Amendment 2 defends this right, and sufferers of ALS don't have to worry about getting in legal trouble for treating their condition. Because of Amendment 2, there's no way patients can be targeted by the law for using medical cannabis.

Medical Marijuana Is Legal in Florida

Medical marijuana can be extremely helpful for people suffering from ALS, and is completely legal in the state of Florida thanks to Amendment 2. By talking with a doctor who can prescribe medical cannabis, ALS patients can greatly improve their future and effectively treat their symptoms.

For more information about medical marijuana in Stuart, FL click here or call us on 305.615.2440.

Legislation Changes Medical Marijuana in Florida

Published June 29th, 2017 by Sahil

Here’s What You Need to Know about the New Updates on Amendment 2 in Florida

On June 23, 2017 Florida Governor Rick Scott signed for the implementation of Amendment 2. Florida’s “Compassionate Medical Cannabis Act of 2014” was restrictive and only allowed patients with cancer or conditions causing chronic seizures to receive low-THC marijuana and medical marijuana was only given to patients with terminal illness. In November 2016 Florida passed the less restrictive Amendment 2 with 71% majority. Amendment 2 legalized the medical use of marijuana. This implementation comes with a few changes from the original bill that was passed. Below are some of the biggest changes for medical marijuana in Florida:

  • Being a qualified patient for medical cannabis is no longer limited to Florida residents. The new change includes seasonal Florida residents to be qualified as well. (Snowbirds and part-time residents.)
  • There will be no wait time of 90 days for qualified patients to receive and use their medical marijuana. (Once approved by the Medical Marijuana Use Registry.)
  • There is no more sales tax on medical products, including those needed for medical cannabis consummation.
  • The list of qualifying conditions are:
  1. ALS (Lou Gehrig’s disease)
  2. Cancer
  3. Crohn’s Disease
  4. Epilepsy
  5. Glaucoma
  6. HIV Positive Status
  7. Multiple Sclerosis
  8. Parkinson’s
  9. PTSD
  10. Any type of terminal condition

And now also includes:

  • Chronic nonmalignant pain
  • Any condition that is a similar type or class of the 11-conditions listed above. An example is PTSD and Anxiety are similar types of conditions.

Other changes to Medical Marijuana in Florida

  • Tele-medicine visits are now prohibited; All behavioral and medical health examinations must be performed in person by a qualifying physician, like us.
  • Now qualifying patients can obtain up to three 70-day (210-day) supply limits of medical cannabis after being certified by a qualifying physician compared to previously patients only being allow 45-day supply limit.
  • Medical marijuana was previously only administered by:
  1. Inhalation
  2. Oral (example Capsule, Sublingual or Syringe)

And now also includes:

  • Edibles
  • Flower-like product that is sealed in a tamper-proof container

The new changes, in addition to all laws pertaining to Amendment 2, will take effect on June 24, 2017. Please remember that the following still applies: Under Florida medical marijuana laws, the use of medical marijuana does not include:

  • Possession, use or administration of medical marijuana by smoking
  • Transfer of medical marijuana to a person other than the qualified patient for whom it was ordered, or their legal representative
  • Use or administration of medical marijuana on any public transportation, in public space, in qualified patient’s place of employment (if restricted by the employer), in state correctional institutions, on the grounds of preschools, primary and secondary schools or on any school bus or vehicle.

The Florida legislation also paves the way for 10 more medical marijuana treatment centers by Oct. 3, which is the deadline for the new medical cannabis rules to be enacted, in addition to the seven already operating.

For more information on medical marijuana in Miami, Florida or more information on changes to Amendment 2 click here. You can also contact our qualified medical cannabis physician's office at 305.615.2440 for an appointment.

Medical Cannabis for Chronic Muscle Spasms

Published June 22nd, 2017 by Sahil

Medical Cannabis can help chronic muscle spasms

Infrequent, isolated muscle spasms are normal. They become an issue when they are reoccurring, intense, and start to affect your everyday life. To understand muscle spasm, it's important to recognize their causes and physiology of spastic muscles.

A muscle spasm is when your muscles forcibly contract and do not relax like normal. Most only last for a couple of seconds and can be alleviated with light stretching, while some episodes can go for several minutes. Muscle spasms can affect one type of muscle or a group of interconnected muscles. Muscle spasms not only affect those who enjoy contact sports since it can also be a chronic problem with those leading a sedentary lifestyle.

There are several factors when it comes to spasms. As you age, you increase your chances of having a spasm and those who overuse a particular muscle group for an extended period. Chronic dehydration is also coupled with cramps, as the trace elements that replenish engaged muscles tend not to be as abundant. Some of these trace elements include low potassium, calcium, and magnesium levels.

Thankfully, the onset of marijuana has positioned it as a holistic, safe path to approaching muscle spasms. Compared to addictive opioids and muscle relaxants, the active ingredients can help alleviate discomfort without the risk of addiction.

What Is Florida Amendment 2?

Florida has finally passed legislation on the legality of marijuana. Even though the legalization of marijuana was primarily supported at the ballot box, with 6.5 million votes in November of 2016, the Department of Health wasn't too sure how it will implement written provisions.

Florida Amendment 2 directs the Department of Health to issue 10 additional permits for marijuana services and businesses. Out of those ten permits, several are for nurseries, and the Department of Health will issue the rest. The bill also requires that license holders keep up and implement seed-to-sale tracking for all of its products if it wants to keep its license. Marijuana will be tested for potency and other contaminants right before dispensing it to be public. The bill is also good news for patients - they do not have to wait a 90 day period to forge a relationship with a practitioner or doctor.

How Does Marijuana Help With Pain?

The science behind marijuana usage and pain relief have been well studied. But how tetrahydrocannabinol - or THC - interacts with your body's nervous system is sometimes overlooked. THC affects your endocannabinoid system.

The endocannabinoid system consists of a system in the body and brain that affects different functions, including how you feel and react to pain. Neurotransmitters communicate pain to your brain. Since cannabinoids act on the presynaptic cells between neurons, they have the ability to control what happens when a cell is activated. They function by limiting the number of neurotransmitters shooting messages to each other. THC connects to the receptors throughout your body and brain, subsequently nullifying pain.

Benefits of Marijuana For Spasm

The active ingredient in marijuana can also help with muscle spasms. Researchers at the American Academy of Neurology have found that the application of medical marijuana in the form of oral sprays or pills reduced muscle spasms associated with multiple sclerosis.

THC acts relatively quick, with minimal side effects. However, before you start a rehabilitative regimen with the help of THC products, it's important that you contact a medical marijuana physician that is cognizant of Florida laws and legislation, as one of the covered conditions is muscle spasms.

For more information on medical marijuana in Miami, FL click here. Alternatively, call our office on 305.615.2440. We're standing by to help eliminate your pain.

For Patients