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Spotlight on Skin Health: Up Close and Personal with Dermatologist Dr. Lydia Evans

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Photo by Carolyn Simpson
Photo by Carolyn Simpson

By Stacey Pfeffer

Nestled on a tree-lined section of King Street close to downtown Chappaqua is the office of dermatologist Lydia Evans, M.D.. From the minute you walk into her cozy, yet state-of-the art office, it’s evident that you’ll be given individualized treatment and that she truly takes her time to know her patients’ concerns. Dr. Evans has been practicing both medical and cosmetic dermatology for more than two decades in this location and is passionate about treating families in our area.

Dr. Evans was initially studying both internal medicine and oncology and clearly remembers her rotation through dermatology. Although she fell in love with treating skin conditions, at that point she was already committed to completing her oncology residency. After practicing oncology though for six years, she decided to switch to dermatology.

“Oncology at that point was not what it is today. There are lots of significant strides made forward in the past years but when I was practicing it was not the case. I knew oncology was not the long-term answer for me so that’s why I went back and completed another residency in dermatology and that was clearly the best move I’ve made,” Dr. Evans notes.

Working in the local community for so many years, she’s had the privilege of treating multi-generational families. “I think my longest relationship is with one family, where I see five generations of them, including a very senior grandmother and a relatively new baby. That’s just one of the many things that I love about my job,” remarks Dr. Evans.

As the warmer months approach and sun exposure increases, many patients come in asking about skin cancer prevention. But taking care of your skin “is really a life long proposition,” explains Dr. Evans. “People tend to be very careful with their children about getting their kids to use sunscreen but are not so diligent themselves. A lot of proactive work will save a great deal of aggravation ultimately in terms of skin health such as preventing cancers and the cosmetic aspects.” If patients haven’t been careful about sun protection, visible signs of aging can begin to appear in their early 30s.

Dr. Evans believes that sunscreen should be a daily ritual year-round like flossing your teeth. “Two minutes of prevention equals long-term remarkable benefits,” she notes. She recommends that people look for a sunscreen with both ultraviolet-A (UVA) and ultraviolet-B (UVB) protection. UVA light penetrates glass and UVB light does not but it is the most burning part of light. The intensity of UVA light does not change that much from season to season but driving in your car you are still exposed to it. “Unfortunately exposure to UVA light is associated with cosmetic signs of aging and melanomas,” Dr. Evans said.

In her practice, she recommends that people use an SPF at least in the 30s or 40s. Higher SPFs don’t necessarily protect better, they just protect for a longer period. There is some controversy about the higher SPF numbers because people assume that reapplication isn’t necessary. In reality, sunscreen sometimes gets toweled or perspired off. Dr. Evans suggests that her patients “reapply every 90 minutes, maybe two hours if using a really high SPF.” In addition to sunscreen, Dr. Evans is a proponent of antioxidant serums, which can prevent sun damage in the future. She also recommends that patients have an annual skin check exam to look for moles.

Very often Dr. Evans has patients that come in initially for a skin health exam and then want to find out about other cosmetic procedures to improve their skin’s appearance. Dr. Evans’ practice offers a variety of procedures such as Botox, fillers, Coolsculpting and Ultherapy but her number one rule is patient safety first. “I’m the first guinea pig, so we test everything here personally before it ever is given to a patient. If I’m going to discuss a procedure I want to be able to answer does it work? What’s the recovery like? What’s the downside?” Her office receives many products to sample but Dr. Evans estimates that she only brings in probably one out of eight products that have passed her stringent tests.

Botox and fillers are extremely popular with her patients but are used for different purposes. Botox is used for lines of motion (e.g. crow’s feet, forehead creases) whereas fillers are used to help with lines of rest and help to reshape and recontour the face. “We have a number of different products so treatment can now be very individualized.”

Another procedure that is gaining traction among Dr. Evan’s patients is Coolsculpting for fat reduction. Researchers have now figured out the exact temperature that freezes fat. It can treat a specific site and only takes an hour. About three months post-treatment, patients can expect to lose 25 percent of the fat on a specific area of the body. Besides stubborn belly fat, the company is evolving their technology, so that Coolsculpting can be used under the neck or by the side of the knee where you have smaller pockets of fat that are hard to target with diet and exercise.

Dr. Lydia Evans and her husband Arnold Toback, M.D., who is also a dermatologist along with being an actor.
Dr. Lydia Evans and her husband Arnold Toback, M.D., who is also a dermatologist along with being an actor.

Ultherapy is another technology that improves the skin’s appearance. It is based on deep ultrasound that stimulates collagen production deep under the skin and is used for sagging. It’s offered as a single treatment and results on average can last 2.5-3.5 years. “There’s no question it works and you can tell that because I’ve had my machine for five years and I’ve had many people come back for a second treatment and people don’t do that unless it works. It’s fun to see these much less invasive, much less aggressive non-surgical technologies that offer alternatives. You want a change that takes off five to ten years and makes you look more vibrant, more alive. You don’t want people to say, ‘Oh, you got a facelift,’” said Dr. Evans.

One of the main reasons younger patients come to Dr. Evans office is for acne treatment. “Acne is a genetically driven condition that needs persistence. Some people have a relatively minor problem and some carry it in adulthood, so there is almost a spectrum of conditions within acne,” she explains. Dr. Evans believes that treatment should take into account a patient’s lifestyle, convenience and how much the patient is invested in improving. “I may have ten patients come in for acne treatment and there may be eight different treatment regimens because it’s not all the same. It is not formulaic.”

She also considers how the patient’s skin will look in the future and if scarring is present, she will offer more aggressive treatments than for someone with mild acne. Dr. Evans is committed to learning about the newest products in the dermatological field and attends professional meetings regularly to keep abreast of the latest skincare trends. Recently she saw a sunscreen product that is used as a shower gel and bought some samples home to evaluate it. It is supposed be left on for two minutes in the shower but Evans wonders if people will really leave it on for a full two minutes. “It’s a great idea conceptually but you have to think how will this work in practice?”

“It’s an exciting time to be involved in the field and it really pleases me from both the medical and the cosmetic aspect to see such great strides forward. I feel blessed to practice at this juncture because when I compare now what’s available to 25 years ago it’s exponential and I think that’s only going to continue,” concludes Dr. Evans.

Stacey Pfeffer and her husband and three young kids are New Castle residents. With summer on the horizon, she’s hoping her children will be less difficult this year with sunscreen application.

Finding a New Spiritual Home at FCC

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Michelle Best
Michelle Best

By Michelle Best

In the fall of 2010, my husband passed away three weeks after a cancer diagnosis, when the first dose of chemotherapy proved fatal. I found myself a widow, with six- and eight-year-old daughters. Since he was a building superintendent in Manhattan, our home was linked to his job; once he passed, the nuns from our church, which owned the building, gave me only six weeks to vacate our home, eventually serving me with eviction notices on Christmas Eve. My church no longer felt like home, and in my hour of need. Unbelievably, they even asked me to increase my volunteering. I needed comfort. I also needed help and to learn how to receive it. Fortunately, my community outside of what I had thought was my church family, surrounded me and took me into their arms. Manhattan is more neighborly than you might think.

Janet Girardeau, one of the most loving women I knew in my Midtown neighborhood, suggested that my girls and I accompany her to her friend’s “marvelous church” in Chappaqua. Knowing that I was Catholic, she said that I would not even have to attend the service, but that I would “really enjoy the drive and it will do you some good to get out to the country and see the fall foliage and breathe some fresh air.” Smiling, she described a playground for my kids where “they can climb a tree and play out in the fresh air; it’s simply beautiful.”

Needing the spiritual boost, I accepted, and we set out from Times Square towards Chappaqua. Decompressing with each mile, I began to breathe as I took in the trees, golden and red and orange. An hour later we pulled into the giant parking lot of the First Congregational Church. I attended the service and was welcomed without any pressure. It felt familial and warm. Very low key, as though I’d stumbled into a meeting of people who genuinely knew the secret of how to live, and how to be kind. And a miraculous thing happened; my children had a great time at church!

Later, they begged me to return. “Can we please go back to that place? It was fun!” We returned the following week, and afterwards witnessed the most beautiful thing. An elderly parishioner was dying, in his last months or even weeks. At coffee hour after the service, his family and friends, even his hospice nurse, were welcomed. The men of the church, his closest friends, honored him, memorializing his name while he was still alive to hear it.

Getting it “Right”

They stood with a microphone and told stories of their years together, remembering the things he had done for the community, for the building we were in, for the world. A living funeral. These people, this church, was getting it RIGHT! They were honoring his life, right to him. Not waiting until it was too late to tell him about all that he had meant to the congregation.

I had found a new church community at FCC. And its sole mission was to make people feel good by doing good for one another. Even my children could see and feel that simply doing good for and with a group of people is the best medicine for a broken heart. We had found healing, in people, in this beautiful place, with beautiful nature. It became our spiritual home for good.

Years later, this remains our church. We don’t make it up to Chappaqua every week, but when we do we are welcomed and feel like we’re home. People at FCC don’t judge when life interferes with churchgoing; I always feel good when I walk through the doors, whether it’s been a week or a month since my last visit. At FCC everyone shares their thoughts, everyone is involved, and even during “the homily” (as we called it in my Catholic church) we are encouraged to raise questions and discuss our role in making the world a better place.

After a wild night of trick-or-treating and a sleepover, I was willing to let my kids off the hook one Sunday morning. To my surprise, it was not to be. My 12-year old convinced her friend to come with us. “Don’t worry, it’s not like a regular church, it’s actually really fun…the only thing we do is really fun things and then it helps people and you get to play and run around and it’s awesome.” My 14-year old, normally only interested in Snapchat, added that “we get to make backpacks for poor kids who can’t afford school supplies and we put together packed lunch for homeless people, and we had a car wash and stuff, and we get to sell Christmas trees to people, too.” Their friend was excited to join us, and left FCC having had the promised fun.

FCC gets things right: the world can use a spiritual place for good. Everyone, even kids, like to help other people–it just feels good. The more people we have the more good we can do, for ourselves and for one another.

Michelle Best is a writer, director and actor living in Manhattan. 

For more information about the First Congregational Church, please visit: fcc-chappaqua.org

Health Reasons to Groom your Dog

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Inside Wags and Whiskers on King Street: Chappaqua's Tracey Appel with Charlie, a Kerry Blue Terrier
Inside Wags and Whiskers on King Street: Chappaqua’s Tracey Appel with Charlie, a Kerry Blue Terrier

Editor’s Note: Christine Meyer, owner of Wags and Whiskers in Chappaqua since May 1991, says her shop now grooms approximately 100 dogs weekly. We asked Christine to explain the different health benefits of grooming your dog. Here is some advice that Christine shared!

“A good groomer will always check for skin issues, ear infections, and toenails (long nails can impede the dogs ability to walk properly) and are often the first people to let a dog owner know that a trip to the vet is a must. Dogs not groomed regularly can end up with “hot spots,”–shaved dogs can act out badly from sensory overload plus act traumatized (and be prone to biting) because they aren’t accustomed to it. All pups should start a grooming routing at around 16 weeks of age to get used to all aspects: brushing, bathing, teeth brushed, blow dryers…all of which can be scary, so getting acclimated early is critical.

The average non shedding dog should be groomed every 4-8 weeks depending on the length of coat and how much maintenance is done at home. To make an appointment for your pet, call Wags and Whiskers at 238-0244 or visit http://www.wagsnwhiskersdoggrooming.com/. 

Midpoint: Recovering from a Hip Replacement

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image002By Susan Hodara

I was optimistic. I could make the six weeks into a rare opportunity. That’s how long I was to be restricted to a walker as I recovered from a hip replacement. Unable to drive, I would have limited distractions. I wasn’t teaching, and my husband, Paul, and I had kept our social calendar empty. Other than visits from my physical and occupational therapists and from generous friends who promised to stop by with food and companionship, my days would be open. Surgery, it turned out, was a great excuse to shirk all kinds of obligations, leaving me with a rare freedom to focus on writing, reading and healing.

The first week I was fatigued, and just getting to and from the bathroom was a chore. But by the end of the second week, I could begin to think about other things, starting with an article I had been assigned to write.

I remember that day. I was still spending most of my time in the dining room, where Paul had moved one of our daughters’ twin bed until I could more confidently negotiate the stairs. It was lovely there, just off the kitchen, with the bathroom mere steps away. My view was the forest behind our house. I kept the windows opened to fill the room with summer breezes, the chirps of birds and, sometimes, the sweet aroma of newly mowed grass.

Propped up on pillows, legs outstretched under the blankets, computer on my lap, I wrote a few sentences. It might have taken me 45 minutes to an hour, but that wasn’t unusual, and besides, I had nowhere else to be. I took a break to read my book, which made me sleepy enough to curl up and nap for a bit. When I awoke, I was ready to write a few more sentences. Time bobbed calmly on the sea of the afternoon. It was perfect–well-paced, productive enough, healthy, and utterly up to me.

A week has passed since then (though it seems like much longer). I finished the article. I finished the book and started another. I have checked Facebook too many times, gone through the entire new season of Orange is the New Black and watched the final episodes of Nurse Jackie.

I don’t think twice about going to the bathroom now. I can get up and down the stairs as needed; I can fix my own meals and clean up afterwards; I can shower by myself whenever I want. I’ve taken care of all kinds of tasks that my physical limitations permit.

But the midway point has lasted a long time. I started saying it two days before the official date: “Three more weeks to go!” It is now the day after the date, and it’s still three more weeks to go. I am having trouble retaining my optimism. Funny thing is, I know it’s not the surgery. This is a too-familiar feeling. It flits like a persistent gnat around the edges of my awareness, waiting for its cue to descend. The hunger for a job to do or a problem to solve morphs in an undetectable second into a sense of purposelessness and futility that is instantly truer than whatever wellbeing came before.

It would be reasonable to attribute this malaise to six weeks at home, unable to shop, visit, exercise and do all the assorted errands that I usually resent but that give my life its consequence. But I’m reluctant to do so. I’m determined to face head-on what I live beside anyway: the relentless demand for significance, without which I sink into darkness.

Epilogue: The six weeks did finally pass, and I now appreciate daily my newfound and pain-free agility.

Susan Hodara is a journalist, memoirist, editor and teacher. Her articles about the arts have appeared in The New York Times, Harvard Magazine, Communication Arts, and others. Her memoirs are published in a variety of anthologies and literary journals. She is a co-author with three other women of Still Here Thinking of You, memoirs about mothers and daughters. www.susanhodara.com.

Giving Back to Her Community Is a Way of Life for Armonk’s Susan Geffen

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geffin oneBy By Stacey Pfeffer

When it comes to giving back to their community, there are certain people in Armonk who go above and beyond. They choose to spend their time volunteering for the betterment of the community and are passionate about making a difference for the town. Susan Geffen, a longtime Armonk resident, is exactly this type of person and will be the recipient of the Armonk Chamber of Commerce Citizen of the Year award later this month at the Whippoorwill Club. She will be honored at a special event there on May 23rd featuring lunch and a golf outing as well as cocktails and a dinner reception.

“Susan has enriched the community through her long-standing volunteer commitment to the arts, town beautification, etc. Because of her, the town has become a much better place. She envelopes everything good about the Town of North Castle and Armonk; she lives it and loves it,” said Neal Schwartz, President of the Armonk Chamber of Commerce. The Chamber has extensive knowledge of who has been active in Armonk organizations throughout the years and also gains input from town residents on potential nominees.

Geffen, originally from Mount Vernon, grew up in a civic-minded family. Her father, a lawyer, was always doing pro bono work for people and her mother was also actively involved in the community. Geffen’s four children and even her nine grandchildren are following in her footsteps, with all of them deeply involved in their communities. “All of them are very civic-minded. That is part of my legacy and that is thrilling,” Geffen explains.

As a full-time interior designer raising a family here, Geffen did not have a lot of time for community involvement when she first moved to this “sleepy hamlet” in 1972, though she was involved in volunteer efforts through her children’s schools. “When you move into Armonk and are raising kids here you are pulling out of the community. You are taking and then there’s a moment when you have to give back to the community,” says Geffen. For Geffen, her turning point came after living abroad for three-and-a-half years in Japan in the 1980s with her now-deceased first husband, an attorney for IBM. Upon their return to Armonk, they decided that it was time to give back and both dove into helping the community on various projects.

“We all have choices in our lives and I found that by giving back I was getting so much more out of it. I’ve made incredible friends on the boards that I sit on and learned about different organizations and different subjects such as landmark preservation,” Geffen notes. Marian Hamilton, a longtime resident involved in community activities with Geffen on the Friends of the North Castle Public Library and the Armonk Outdoor Art Show, explains that “Susan epitomizes all that is special and meaningful in community-mindedness. Her volunteer contributions of her 40-plus years of living in Armonk have been widespread, from how our town looks (thanks to being on the Architectural Review Board), to our library (being President and board member of the Friends of the North Castle Public Library), President of the Whippoorwill Association, member of the Historical Society and the Armonk Outdoor Art Show. She even gets dressed in colonial garb twice a year to teach fourth graders how to make butter. She is the cream of the crop!” Hamilton will be one of the speakers at the Chamber of Commerce event.

Geffen is deeply committed to promoting the arts in Armonk. During the 1990s, Geffen became involved with the North Castle Library when she was designing a theater and a children’s room for it. After working on the project for two years, the President of the North Castle Friends of the Library asked her to join the board of the organization. The North Castle Friends of the Library organizes the Armonk Outdoor Art Show, an annual event held in the fall. Net proceeds from the event, now in its 55th year, benefit the library. Geffen’s keen eye for design has been very useful for the Art Show as she sits on the jury with twelve other members reviewing all of the show’s entries. “Here’s this little town that puts on this phenomenal show. It is now ranked as one of the top 50 art shows in the country by various arts organizations. It’s just a terrific accomplishment,” comments Geffen.

The Friends of the Library also funds the Armonk Players, a community theater group. Geffen, a lifelong theater lover, first became involved with theater production while living in Japan. Barbara Simonetti, another Armonk resident who was also living in Tokyo at the time, asked Geffen to stage-manage a show for the Tokyo Players, a theater group. Although Geffen had no theater background, she loved the experience and wound up doing two more productions for the group while living abroad. When she returned to Armonk, she was excited that the library was building a theater and helped put on the theater’s first production, Love Letters, a two person reading by A.R. Gurney.

“The town embraced that production and we thought, ‘How can we [The Friends of the Library] take this to the next level?’ And we formed the Armonk Players,” Geffen reminisces. “Turns out there are a lot of talented people in the community and we [the Armonk Players] are now coming up to our 35th or 36th production.”

Geffen is also pleased that she was instrumental in getting the Friends of the Library to become the “angel” for the Armonk Players. “Part of the Friends of the Library’s mission is to bring culture to our community, so that the Armonk Players never have to worry about fundraising, which so many other local theater groups spend a great deal of time on.” Noting that Armonk also has two additional theater groups, Geffen remarks that “you can go to the theater three times a season here and never even leave town.” When she does leave town, Geffen doesn’t venture far. She can often be seen at ArtsWestchester events or attending a show as a board member at the Copland House in Cortland Manor.

With Geffen’s background in interior design, she also sits on the town’s architectural review board. When Armonk Square opened, she worked with the developers to maintain a certain aesthetic and the board has ensured that all local businesses adhere to signage guidelines that help preserve the town’s beauty.

Despite her busy schedule serving on various town boards and organizations, Geffen still prefers to not be in the spotlight and instead work quietly and “remain under the radar.” She feels honored, though, to accept the award and several of her children will be in attendance on May 23rd at the Whippoorwill Club event.

When speaking with Geffen, it’s obvious that she loves this town and cares deeply about it. Because some of her children now live in other parts of the country, she often travels to visit them. “People always ask me, ‘What’s my favorite trip?’ I always say, ‘Home from the airport.’ There’s nothing better than getting off Exit 2 on 684 and driving past the reservoir. It’s just beautiful here. I want the future of Armonk to be a place where we preserve our amazing open space, maintain a good balance of our community organizations and ensure that our kids can get a good education.” With volunteers like Geffen, Armonk’s future is certainly in good hands.

To attend the Armonk Chamber of Commerce Citizen of the Year event which is open to the public, please visit: armonkchamberofcommerce.org.