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1022 First Street North Suite 201
Shelby Dermatology opened May 1, 2006 to serve Shelby County, Birmingham and surrounding areas, with the goal of providing the finest in dermatologic care in a comfortable and friendly atmosphere. We have two excellent facilities located, for your convenience,... more.
Director of Cosmetic Dermatology
Our Doctors | Aesthetic Dermatology
Dr Marian Northington
Dr. Marian Northington Practice Doctor Dr. Marian Northington grew up in Florence, Alabama and graduated from University of Alabama summa cum laude with a major in biology and minor in psychology. She graduated with AOA honors from the University of Alabama School of Medicine. After completing an internship in internal medicine at UAB, she then completed a dermatology residency at UAB. Dr. Northington was accepted into a highly distinguished fellowship in San Diego with one of the world's most innovative, talented cosmetic dermatologists and laser surgeons, Dr. Richard Fitzpatrick. Dr. Northington was able to spend a year with Dr. Fitzpatrick and his colleagues to develop her expertise in laser resurfacing, laser treatments for vascular and pigmented lesions, injectables such as soft tissue fillers, and botulinum toxin, Mohs surgery and other dermatologic surgery and liposuction. Dr. Northington moved back to Alabama after the fellowship and returned to UAB as the Director of Cosmetic Dermatology. She was able to teach and give national lectures on cosmetic dermatologic procedures during her academic career.
Recent Releases - AAD News Releases
At the American Academy of Dermatologyâ€™s Summer Academy Meeting 2010 in Chicago, dermatologist Marian E. Northington, MD, FAAD, assistant professor of dermatology at the University of Alabama in Birmingham, presented a new approach to achieving aesthetic balance to the aging face by combining soft tissue fillers and skin tightening techniques.
â€œDermatologists no longer view the aging face as specific wrinkles or folds, but instead look at the face as a whole with what can be imagined as soft tissue scaffolding below the skin surface that supports the deep underlying fat,â€ said Dr. Northington. â€œWith this perspective, we now appreciate that cheek volume is a key component in re-establishing the facial balance and proportions most patients seek in a youthful appearance. Whatâ€™s more, volume loss of this deep cheek fat tends to create a more pronounced nasolabial fold, adding to a downward descent of the facial soft tissues.â€ As a first step, Dr. Northington noted that she asks her patients what bothers them about their face so together they can openly decide how best to address their age-related concerns. In the case of soft tissue fillers, Dr. Northington explained that while fillers were first used on targeted lines and creases, today deeper, thicker fillers â€" such as polylactic acid, calcium hydroxylapatite, polymethyl methacrylate, and hyaluronic acid â€" can be used in large areas to rebuild the lost volume in the cheek. In so doing, the added volume in the cheek lifts the face and diminishes the affected nasolabial folds. â€œThe more we learn about facial anatomy, particularly the different fat compartments of the cheek â€" or the superficial and deep areas of discrete fat extending toward the middle of the face â€" the greater precision we can bring to our ability to restore fullness, shape and contour the cheek and accomplish volumetric lifting,â€ said Dr. Northington. â€œIn fact, volumetric enhancement using thicker, deeper fillers is fast becoming the primary cornerstone of our facial rejuvenation approach for those who seek a youthful look without major surgery.â€ According to Dr. Northington, another new technology that shows promise for skin tightening and moderate lifting of the lower face employs fractionated bipolar radiofrequency (RF) energy. Dr. Northington noted that it appears from initial results that using fractionated bipolar radiofrequency technology allows the RF energy to be delivered in a more controlled manner, as the heat can be placed precisely in the deep dermis where it can produce significant impact with minimal disruption to the top layer of skin. â€œThe fractional treatment patterns and unique energy delivery system of this technology hold potential for improved skin tightening and skin texture,â€ said Dr. Northington. â€œAs the technology progresses and clinical results become more predictable, I expect fractional radiofrequency will play a significant role in our approach to cosmetic skin rejuvenation and offer dermatologists an effective complement to injectable fillers for restoring lost cheek volume in the aging face.â€ Dr. Northington advised those with concerns about aging skin to discuss the most appropriate preventative strategies with their dermatologist, such as the daily use of a broad-spectrum sunscreen with a Sun Protection Factor (SPF) 30 or higher, and the latest topical, non-surgical and surgical treatment options.
Marian Northington, a dermatologist at the University of Alabama, Birmingham, says she often tries different procedures over time with her patients to deal with issues as they arise.
For instance, she may combine a laser treatment, to remove wrinkles and brown spots, with fillers or Botox for expression lines. "I have patients who feel very competitive in the job market and want to look as youthful as their younger counterparts, but they don't want anyone to be able to tell what they've done," she says. Linda Brantley, a 46-year-old physician's assistant, sees Dr. Northington for occasional laser-resurfacing treatments, which use radiofrequency waves to heat deep layers of skin.
Tri For Life
UV rays can induce cataracts, says Marian Northington, MD, assistant professor of dermatology at the University of Alabama.
Rub sunscreen into exposed areas, advises Dr. Northington.
Dermatologist Marian Northington, MD, encourages her patients to make wearing sunscreen daily a habit.
"To protect against skin cancer, wear a moisturizer with SPF 30 every day, even on cloudy days," explained the UAB associate professor of medicine. "The rule to follow is: If you are not using a flashlight, you need sunscreen." Northington added that investing in a wide-brimmed hat for full-face sun protection-instead of a baseball cap-is best.
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