Happy Holidays and a Joyous New Year from DAA

The holidays are always cause for celebration at Dermatology Associates of Atlanta (DAA), not only because of the holidays themselves, but also because we can reflect back on yet another successful and exciting year in both general and cosmetic dermatology. In case you’ve been just as busy as we have, here are some highlights from 2016:

Happy Holidays and a Joyous New Year from DAANew Products and Services

We’re always on a mission to bring our patients the best and most advanced options for all their skin care needs from head to toe, and this year certainly didn’t disappoint. Take a look at our new additions:

  • Alastin Skin Nectar™ – This unique product focuses on a vital but often overlooked part of the skin called the extracellular matrix, and it does this with the TriHex Technology™ that Alastin developed after years of research. The result is younger-looking skin that is more protected against future damage.
  • New Chemical Peels: The Perfect Derma™ and melanage™ MiniPeel – Chemical peels are a patient favorite at Skin Medics™, our on-site medical spa, because they’re versatile and able to address a wide number of aesthetic concerns at once. This year, we added two new options: The Perfect Derma™ combines a number of successful ingredients for a powerful result, and the melanage™ MiniPeel is perfect for those just looking brighten and enhance their skin with a light peel.
  • Viviscal® Professional Hair Growth Supplements – Our Griffin Center of Hair Restoration and Research and Griffin Center for Women’s Hair Loss specialize in everything about hair loss and hair restoration. As a way to enhance the results of your treatments, we offer Viviscal® oral hair growth supplements.
  • Eyelash and Eyebrow Tinting – Coloring in your eyebrows and putting on mascara every morning can be frustrating and time-consuming, but if you want to make your brows and lashes darker and more noticeable (or if you simply want their color to better complement your hair and facial features), our licensed and experience aestheticians at Skin Medics™ Medical Spa are here to help.
  • DermaPlaning – Many of our patients already know how important it is to exfoliate regularly, and like microdermabrasion, dermaplaning offers a professional exfoliation to remove dead skin cells and surface debris. However, dermaplaning also removes the extremely fine vellus hairs throughout the face as well, leading to an impeccably smooth and soft feel.
  • BodyFX™ Non-Surgical Body Contouring and Cellulite Reduction – Nearly all of us have some unwanted fat we want to remove, but surgical liposuction can sometimes be difficult to fit into the schedule and the budget. BodyFX™ is a new method for non-invasive fat reduction which also reduces cellulite in the treatment area as well.
  • Fractora™ Facial Rejuvenation – This highly successful procedure combines two different ways to promote skin-firming collagen: miconeedling and controlled warmth. The ultrafine needles deliver radio frequency (RF) energy to the precise level of the skin where it’s needed to help your skin become firmer, smoother, and more youthful.
  • Lumecca™ Photo Rejuvenation – As a fantastic way to reduce the appearance of age spots, sun damage, rosacea or facial redness, spider veins, vascular lesions, and even freckles, photo rejuvenation uses a light which is absorbed by the skin without actually piercing the skin, so recovery time is minimal but the results are exceptional.
  • CoolMini™ – CoolSculpting® has long been a popular way to reduce excess fat in the abdomen, “love handles,” back, thighs, and more. But one area many people also struggle with is the “double chin.” This fat can be particularly resistant to diet and exercise, so this year, CoolSculpting® released their new CoolMini™ applicator designed specifically to address this common problem area.
  • Dermaflage® for Healing and Concealing Scars – As anyone with acne scars, surgical scars, or scars from injury knows, typical makeup doesn’t do much to conceal an indented scar. Used by professional makeup artists as well as medical personnel, Dermaflage® is a silicone scar filler that covers your scar so it blends in discretely with your natural skin, making it nearly or entirely invisible.
  • SkinCeuticals® Skin Care Products – At DAA, we’re dedicated to not only treating our patients’ skin while they’re in our office, but also to helping patients sustain and improve the health of their skin at home, too. A crucial part of this is offering the right skin care products to fit everyone’s needs, and to further improve the variety of products we carry, this year we added the well-known line SkinCeuticals® to the mix. As a brand that focuses on scientifically-supported methods and ingredients, SkinCeuticals® provides highly effective products to treat a variety of skin care issues.

 

Best Dermatology Practice in Atlanta

Another high note in 2016 is that DAA was awarded the title of Atlanta’s Best Dermatology Practice in Best Self’s annual survey. Each year, Atlanta residents nominate and vote on their favorite businesses and practitioners for a number of health and wellness-related fields, from plastic surgeons to yoga instructors. It was a great honor to hear that our patients have been so happy with our services that they felt we were deserving of this exciting award.

All of us at DAA have so much to be grateful for this holiday season, including all of you, our valued patients. We’re honored to help you strive for your medical and aesthetic goals, and we look forward to continuing to do so in 2017. To learn more about our practice or to see all our monthly special offers, follow Dermatology Associates of Atlanta on Facebook, Twitter, and Google+. Or, contact us to schedule an appointment today.

What is the Difference Between Hormonal and Bacterial Acne?

Our board-certified dermatologists and physician assistants at Dermatology Associates of Atlanta are constantly seeing patients who ask, “My friend used this facial wash and it cleared his acne right up, but I’ve been using it for months with no results. Am I doing something wrong?” The reality is that acne is a much more complex condition than patients realize, and even though it can look the same to the untrained eye, each patient’s acne has its own unique set of causes. Today, we’ll delve a little deeper into some of these causes and how they affect your acne treatment options.

One of the key players in acne is sebum—the oil your skin naturally produces. Acne blemishes can form primarily from one of two different issues:

  1. A hormonal imbalance is causing your body to produce more sebum than it needs. The excess sebum then clogs your pores, cutting off their oxygen and leading to the inflammation that makes a pimple look red and puffy.
  2. Certain types of bacteria infect your pores and create acne blemishes.

For some, acne is actually a combination of both hormones and bacteria. Sebum allows acne-causing bacteria to thrive, so if you have excess sebum, not only could it clog your pores on its own but it also provides an excellent environment for the acne-causing bacteria as well.

The first step toward treating your acne is determining the underlying causes that are contributing to your condition, because different treatments address different causes, from acne laser treatments to topical and oral antibiotics for acne and other types of medications like spironolactone (diuretic), Aczone® (antibacterial & anti-inflammatory), and even Accutane if necessary. Check out our chart below to get a better idea of which acne treatment options are well-suited for the various types of acne:

What-is-the-Difference-Between-Hormonal-and-Bacterial-Acne

The explanations above are a bit simplified in order to make them more clear and accessible to patients who haven’t had the years of specialized training and experience our providers have. Still, they’re a great starting point to help you better understand your acne and why it’s so important to use treatments that are recommended for your specific condition—because your friend’s acne may have an entirely different cause than yours. To start treating your acne in a more targeted and personalized way, schedule an appointment at Dermatology Associates of Atlanta. Or, for more skin care tips and our monthly special offers, follow us on Facebook, Twitter, and Google+.

Your Options for Body Contouring

Who doesn’t wish they could just make unwanted fat vanish from one “problem area” or another? At Dermatology Associates of Atlanta, we’re big proponents of diet and exercise as the best way to reach and maintain a healthy weight. The problem, though, is that you can’t choose where your body loses fat from, so you can be perfectly healthy and fit while still having stubborn pockets of fat dragging your self-confidence down. If you’re happy with your weight but you’re not so crazy about your shape, modern medicine has plenty of help to offer.

At DAA, we offer four different options for body contouring, ranging from an enhanced version of traditional liposuction to entirely non-invasive procedures (meaning there are no incisions or injections). To help you compare, below is an overview of the fat reduction treatments we offer: BodyFX™, CoolSculpting®, UltraShape®, and liposuction with SlimLipo™.

your-options-for-body-contouring

For some patients, the most difficult part of becoming confident in their appearance is figuring out which treatment option is best for them. But rest assured, you don’t need to make the decision on your own. Get started with a fat reduction consultation at Dermatology Associates of Atlanta, which one of our licensed and experienced providers can explain your options and recommend the procedure that is best suited to your goals. If you’re looking for more answers about the many general and cosmetic dermatology services we offer, from detecting and treating skin cancer to Botox® injections, follow us on Facebook, Twitter, and Google+.

Savings to Complete Your Winter Wonderland

new skin care specials at DAAEven if you’re more of a “summer-loving” person, there’s something undeniably joyful about the holidays. Perhaps it’s because we’re all looking forward to reconnecting with family and friends, or perhaps it’s the joy of giving. Whatever it is that you love about the holiday season, the perfect way to top it all off is by feeling confident in your appearance as you head into all those holiday parties. If that requires a little extra preparation, our monthly specials and events at Dermatology Associates of Atlanta can let you scoop up the treatments and products you love for less.

daa-phone-day-saleSanta’s Secret Phone Sale: December 13th, 2016

Back by popular demand, our phone sale is the perfect opportunity to stock up on all your favorite skin care products. All you need to do is give us a call and make your purchase from the comfort of your couch to receive 40% OFF ALL skincare products by Revision®, SkinMedica®, and SkinCeuticals®, as well as Alastin Skin Nectar ™.

Cosmetic Days: December 7th and 14th, 2016

If you’re looking for an effective solution for your fine lines and wrinkles, don’t miss our TWO Cosmetic Days this month! Be sure to schedule your appointment in advance so you can receive the exclusive discounts on Restylane®, Botox®, Juvéderm®, and a number of other cosmetic facial injectables.

daa-december-2016-cosmetic-daysChemical Peels

The key to a good chemical peel is finding the ideal solution to fit your needs, and at our medical spa, there are plenty of options to choose from. Because peels work best as a series, we’re offering two separate discounts on chemical peels this month, each offering you a great deal for a series which will give you the best possible results.

Restylane® and Perlane®

Facial fillers have become immensely popular because of their ability to fill in most lines and wrinkles throughout the face with nearly immediate results, just a brief appointment (often just 15-30 minutes long), and little to no post-procedure downtime. This month, you can save hundreds on two of our most popular fillers: Perlane® and Restylane®.

skin-medics-december-2016Products of the Month: Société® Triple C and Alastin™ Skin Nectar

An ongoing daily regimen with the right skin care products tailored to your skin type is one of the most essential parts of having healthy, beautiful skin. To help you save in the process, we feature discounts on select products each month, and this December is the perfect time to stock up on Société® Triple C and one of our newest additions, Alastin™ Skin Nectar.

The downside to the holidays is that unfortunately, they can be a bit of a drain on your wallet. But with some planning and the right timing, special offers like these can really ease the financial burden. Check out our flyers for all the details, and be sure to schedule your appointment at Dermatology Associates of Atlanta today, especially because our schedule fills up quickly around the holidays. To hear about all our future monthly specials and for daily skin care tips, follow us on Facebook, Twitter, and Google+.

Your Kybella® Questions Answered

There’s a fact that becomes abundantly clear to anyone who’s accumulated hundreds of hours at the gym or who has successfully lost weight yet still finds themselves frustrated by the same “lumps and bumps” they had before. While you can cause your body to drop fat, you can’t choose which areas that fat comes from. This is the frustration that gave rise to a wave of non-surgical fat reduction technology, like UltraShape®, CoolSculpting®, BodyFX™, and Kybella®. While the first three procedures can treat a wide variety of body areas through a lengthier process, Kybella® is unique because not only is it an injectable with an extremely quick treatment time, but it also focuses solely on the “double chin.” What to learn more? You’re not alone, and our experts at Dermatology Associates of Atlanta (DAA) are answering some of the most common questions our patients ask:

Your Kybella® Questions AnsweredWhat is “submental fullness?”

The words “submental fullness” and “submental fat” appear all over the Kybella® research, and these terms simply refer to excess fat under the chin. While it may appear as the result of weight gain, simple genetics can cause people to carry more weight under their chin than in other areas, and aging can contribute to the problem as well. Fat in this area can be particularly stubborn and resistant to diet and exercise, so Kybella® injections target these fat cells directly.

How does Kybella® work?

The injection is a synthetic form of deoxycholic acid—a naturally-occurring solution your body uses to break down dietary fat. When it’s injected directly into the fat under the chin, this acid destroys the fat cells in the area so that they can no longer store fat. As a result, the fat they were storing is flushed out through your body’s natural processes, and you’re left with a slimmer profile.

Is Kybella® fat reduction safe?

Kybella® has been FDA-approved as safe and effective for reducing submental fat. However, it’s important to note that this is only true when the injection is used properly by a fully trained professional. At Dermatology Associates of Atlanta, our very own Dr. Edmond Griffin and Kathryn Filipek, PA-C are both board-certified medical professionals who have been trained by Kybella® themselves to perform the procedure safely and successfully (and in fact, were among the first in Atlanta to become qualified to use Kybella®).

Are the results of Kybella® permanent?

Once fat cells are destroyed, they will not return, so the results of Kybella® are expected to be permanent. However, keep in mind that the surrounding fat cells are still able to accumulate fat, so it’s important to maintain a healthy weight in order to keep your slender look.

As with all cosmetic treatments, the success of your Kybella® injections will depend largely on two factors: whether you’re truly an appropriate candidate, and whether your provider has the skills, knowledge, and experience to produce exceptional results. If you’re ready to discuss the details of your Kybella® treatments, schedule a consultation at Dermatology Associates of Atlanta. Or, for more skin care tips and special offers, join us on Facebook, Twitter, and Google+.

What Factors Increase My Risk of Skin Cancer?

What Factors Increase My Risk of Skin CancerIt may seem odd that we’re writing a blog about skin cancer when autumn has fully set in, but that’s exactly the reason for it. Most people know that skin cancer is primarily caused by sun damage, so it’s in the back of their minds throughout the summer when they’re spending much of their free time outdoors. But sun exposure is just as dangerous during the cooler months, therefore it’s important not to put your skin protection on the back burner. Skin cancer is the result of accumulated sun damage over time, but as convenient as it would be to say “this is how many hours of sun exposure it takes to develop skin cancer,” the fact is that everyone’s skin has a different amount of damage it can tolerate (naturally depending on a number of unique risk factors). To help you know and take control of your risk factors, we’ve compiled ten common elements to consider:

  1. Skin Type

Pigment in your skin serves as a barrier to absorb light before it reaches and damages the deeper layers of skin. In other words, the lighter your skin color, the more damage you tend to sustain. This is particularly true for people who have lighter skin along with light-colored eyes and naturally blond or red hair.

  1. Age

Generally, the older a person is, the more sun damage they have accumulated in their lifetime. However, there has been a recent surge in melanoma amongst young adults (even those in their 20s), so never take your skin’s health for granted.

  1. Gender

Overall, men have a higher rate of skin cancer in the US than women do but interestingly enough, this is affected by your age as well. Among those under age 50, women have a higher risk of skin cancer, whereas men have a higher risk in those over the age of 50.

  1. Arsenic

Exposure to arsenic increases your likelihood of developing skin cancer, which means the risk is higher for people who work with certain insecticides as well as those exposed to industrial tar, coal, paraffin, and certain oils.

  1. Medical History

If you’ve had skin cancer in the past, it means you’re at a higher risk of developing it again. However, your chances are also increased if your medical history includes radiation therapy (such as the type used to treat cancer), a significant number of sunburns, actinic keratoses (pre-cancerous skin lesions), and certain immune conditions (see #7 for more details).

  1. Family History

Unfortunately, skin cancer susceptibility does tend to run in families. Researchers have discovered a number of genetic situations which cause a higher risk for the disease, including certain hereditary conditions like xeroderma pigmentosum, basal cell nevus syndrome, and familial atypical multiple mole syndrome (FAMMM). Even without any diagnosed genetic conditions, if there is a history of melanoma in your family, you have a higher risk as well.

  1. Immune Deficiency

If your immune system is compromised, your body is less able to repair and fight off sun damage. This includes people with weakened immune systems due to anti-rejection medications after an organ transplant, as well as those with immune-compromising diseases like HIV/AIDS.

  1. Smoking

It may not come as a surprise that that smoking carries a significant risk for lung cancer, but it’s important to note that it also has been identified as a risk factor for a certain type of skin cancer called squamous cell carcinoma.

  1. Moles

While simply having a mole (or many moles) is not a reason for panic, it has been found that people with a higher-than-average number of moles are more likely to develop skin cancer. This is another important reason to regularly see a board-certified dermatologist or dermatological physician assistant for cancer screenings, especially if you have abnormal moles, called dysplastic nevi.

  1. Climate

People tend to sustain more sun damage if they live in sunny climates (like Georgia) or higher altitudes.

Wondering what you should do if some of these risk factors apply to you? Fortunately, skin cancer is highly treatable, especially if it’s diagnosed quickly, so it’s all about early detection and future prevention. It is recommended that everyone (children and adults alike) receive annual skin cancer screenings from a board-certified dermatologist in addition to monthly self-checks, although patients with a higher risk are typically recommended to receive their screenings more frequently. If you’re ready to take control of your skin health, schedule a skin cancer screening at Dermatology Associates of Atlanta. For more health tips and all our special savings offers, follow us on Facebook, Twitter, and Google+.

Our Newest Products at Dermatology Associates of Atlanta

The new medical advancements in the world of dermatology never stop amazing us at Dermatology Associates of Atlanta (DAA). As part of our goal to offer our patients everything they need for their skin care from head to toe, we offer a wide variety of skin care products available right in our own office, and we’re constantly adding new products that can benefit our patients. Check out some of our latest additions:

Our Newest Products at Dermatology Associates of AtlantaAlastin Skincare™

Alastin has developed a unique blend of peptides and other ingredients called TriHex Technology™, and they’ve used it to create two distinct types of products: kits designed to enhance the results of professional cosmetic treatments (one for non-invasive treatments like FotoFacial® rosacea treatments and another for invasive procedures like laser skin resurfacing) and a line of age-defying products for your daily skin care routine.

Oxygenetix Oxygenating Foundation

Even relatively mild skin treatments like Réjuvapen® micro needling typically produce some degree of redness for a few days, and most patients are eager to know when they can put on makeup and resume their normal day-to-day activities. While we typically recommend allowing a certain healing period (depending on the procedure and the patients’ sensitivity) before using typical makeup, Oxygenetix has created a foundation which is not only safe to use post-treatment, but it actually enhances and accelerates the healing process, so you can enjoy your results more quickly.

Dermaflage® Topical Scar Filler

Pitted scars can be a frustrating cosmetic problem, because they can be difficult to remove and they can distract from your appearance. While we do have a variety of treatment options available like surgery, laser treatments, and Infini™ skin rejuvenation to improve the long-term appearance, we also understand that there are times when you need a cover-up. That’s where Dermaflage® comes in. This unique product is a topical filler made of silicone, and you can simply apply it to the skin and use a texturing pad to give it the same look and feel as your surrounding skin. It is both elastic and water-resistant, allowing it to stand up to all of your daily activities.

The Perfect Derma™ Peel

Chemical peels are highly popular, partly because they’re so customizable. There is a nearly endless number of different formulas and strengths so that we can offer each patient the ideal option for their aesthetic goals. As a medium peel, The Perfect Derma™ Peel offers exceptional results for acne, scarring, brown spots, fine lines, wrinkles, and more. This new peel also has its own line of aftercare products to maximize your results.

Remember, while professional treatments by our board-certified dermatologists, physician assistants, aestheticians, and other providers can have a powerful impact on your skin, their results are limited by the quality and consistence of your daily skin care routine. To learn more about the procedures we offer and to discuss the ideal products for you, schedule an appointment at Dermatology Associates of Atlanta. Or, to keep up with our future additions as well as our monthly specials and events, follow us on Facebook, Twitter, and Google+.

 

Fall Savings for Facial Skin Care

new skin care specials at DAAThe weather might seem to be jumping from season to season, but the calendar (and the countdown to the holidays) leaves us with no doubt that fall has arrived and winter is on its way. While we don’t advocate for the strategy of “letting yourself go” during the winter and trying to catch up at the gym when spring arrives, we also recognize that your figure isn’t exactly front and center at the moment, so many of our patients use this as an opportunity to focus on their face. If you’re using this strategy, our November specials at Dermatology Associates of Atlanta (DAA) have you covered.

daa-november-2016-cosmetic-dayInjectables

Facial cosmetic injections are among the most common cosmetic treatments in the country, and for good reason. They’re a quick and rather simple way to reduce the appearance of wrinkles, and they involve little to no recovery time, so they’re perfect for those of us who are on a tight schedule. Whether you’re looking for Botox® or Dysport® to smooth frown lines and crow’s feet, or fillers to soften “parentheses,” hollowness under your eyes, and other concerns, look no further than DAA. Our Cosmetic Day offers exclusive, one-day-only specials on nearly all of our injectables, and this November, we also have month-long specials on Restylane® and Perlane®.

Kybella® Fat Reduction under the Chin

The “double chin” is an aesthetic problem which affects people of all ages and sizes (after all, there is a very specific reason why so many people take selfies from above). And the frustrating part is that submental fat (the name for fat under the chin) can be highly stubborn and resistant to diet and exercise. Fortunately, a quick series of injections now exists to specifically address this problem, and it’s called Kybella®. This month, our very own Kathryn Filipek, PA-C is offering an exceptional package including Kybella® and wrinkle reduction injections, so check out our specials flyer for the details.

november-2016-webSkin Care Products

Professional treatments can work wonders for aging skin, but the results won’t last as long or be as successful if you don’t have the right daily skincare routine at home. This month, we have two featured Products of the Month, and both of them focus on fighting wrinkles and giving you firmer, brighter skin: Revision® Nectifirm® and HydroPeptide® Power Lift. And here’s a tip: skin-firming products like these can be the perfect complement to your Kybella® treatments, so you can get rid of the fat and then tighten the contours.

Whether you want to head into the holidays with your face looking younger or thinner (or both), the rule of thumb is to visit us for a consultation as early as possible in order to plan your treatment far enough in advance to ensure that any necessary healing has finished and the results are in their prime. To get started, schedule a consultation at Dermatology Associates of Atlanta today. Or, for more info about our monthly specials and upcoming events, follow us on Facebook, Twitter, and Google+.

How Infini™ Facial Rejuvenation Works

Beautiful skin is the foundation of looking your best, so the concept of treatments designed to enhance the youthful, smooth texture of the skin is nothing new. But as medical technology advances, researchers are finding better and better ways to achieve this same goal, which also opens the opportunity for more and more people to experience the benefits. A perfect example of this is Infini™ facial rejuvenation, a procedure we offer at Dermatology Associates of Atlanta (DAA) which combines micro needling with radio frequency (RF) energy, stimulating the healing process to improve the appearance of fine lines, wrinkles, sagging skin, and acne scars without the need for lasers, and here’s how:

Infini skin tightening Atlanta, dermatologist Georgia, Atlanta facial rejuvenation, Atlanta skin care, Atlanta skin treatments

One of the best perks of Infini™, according to our providers at DAA, is that it offers an opportunity for patients who aren’t ideal laser candidates (e.g., those with dark skin or tanned skin, and those with active acne) to love the look of their skin once again. If you want to learn more about Infini™ and whether it may be the best option for you, schedule an appointment with Dermatology Associates of Atlanta. Or, to keep up with all the latest news at DAA and in the world of skin care, follow us on Facebook, Twitter, and Google+.

Dermatology Associates of Atlanta Voted Atlanta’s Best Dermatology Practice

As a dermatology office, our focus is on combining the advantages of a large practice with those of a specialized provider. This is why we’re structured as a collaborative practice between our five board-certified dermatologists, three physician assistants, and numerous aestheticians, electrologists, laser technicians, and other practitioners. While patients can receive nearly any service they can think of for their skin, hair, and nails under one roof in any of our nine specialty centers, each provider has their own areas of expertise, so patients also enjoy the advantage of having specialized care. But today, we need to take time to offer a special “thank you” to our patients for voting us Atlanta’s Best Dermatology Practice of 2016!

dermatology-associates-of-atlanta-voted-atlantas-best-dermatology-practiceEvery year, Best Self magazine holds an Atlanta-area contest known as their “Best of 2016” competition. Members of the metro Atlanta community can nominate health and wellness-related businesses, practices, and professionals for over 120 different categories, from “Best Allergist” to “Best Cycling Shop.” After the nominees are collected, the polls are made open to the public to cast their votes for a winner in each category. This year, all of us at DAA are honored to receive the award for Best Dermatology Practice.

The most rewarding part of this honor is knowing that we were nominated and selected by the very people we prioritize the most—the patients we’ve been serving for nearly 40 years. From the bottom of our hearts, we would like to thank you, our valued patients, for both placing your votes in this contest as well as placing your trust in us to address your medical and cosmetic skincare needs.

We are committed to continuing our reputation for excellence by exceeding your expectations at every step of the process, from scheduling to patient care to follow-up communication. To discuss what we can do for you in terms of skin condition treatments, non-surgical body contouring, hair restoration, facial rejuvenation, or any of our dozens of other services, schedule an appointment at Dermatology Associates of Atlanta. Or, for more of the latest dermatology news, skin care tips, upcoming events, and special offers, follow us on Facebook, Twitter, and Google+.