Common Conditions

Advancements in skin care research, laser technology, light-based skin therapy, botulinum toxin and dermal fillers make it possible to dramatically improve common skin problems without surgery. Here are some common skin conditions and recommended treatments.

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Acne

Acne affects nearly everyone at some point during their lifetime. While acne usually dissipates by the time most of us reach our thirties, some people experience adult acne much later in life. Hormones definitely play a role in developing acne, and many women notice changes in their skin during pregnancy, post-partum and when approaching menopause.

The average acne treatment usually takes up to 6 to 8 weeks to see results. It’s important to remember to continue your treatment once your acne improves. Contact your health care provider if your skin is not responding to the prescribed treatment.

Treatment Options
  • Skin care products: There are several medical-grade skin care products that work well for acne. During your complimentary consultation, your provider will review your history and determine which product will be best for your skin.
  • Topical prescriptions: Medications such as benzoyl peroxide and salicylic acid have been used for many years to treat acne. Topical antibiotics and Retin-A are also effective treatments. There are both over-the-counter and prescription-strength topical medications available. Your provider will help find the right combination for you.
  • Oral antibiotics: If your acne is not responding to topical treatments, oral antibiotics may be added. These antibiotics are generally reserved for inflammatory or cystic acne. Your provider will review your options with you to find a safe and effective treatment.
  • Chemical peels: Chemical peels use such ingredients as glycolic acid or alpha-hydroxy acid to improve the skin’s tone and texture, improve acne and lighten age spots and melasma. Chemical peels stimulate new cell growth while naturally sloughing off dead cells.
  • Microdermabrasion: Microdermabrasion is a non-chemical skin exfoliation that uses a diamond-tip wand to gently exfoliate the skin and remove the dead skin cells. It can give your skin a healthy glow, especially in preparation for a special event.

Age Spots

Age spots are brown blemishes usually associated with aging and repetitive sun exposure. Age spots are sometimes referred to as brown spots, stains or liver spots. Age spots are flat and range in color from light brown to black. You can generally find these spots on the areas of your skin most exposed to the sun, such as your hands, arms, face, shoulders and forehead.

Treatment Options
  • IPL photofacial: Photofacials use a light-based device to target unwanted red and brown discoloration in the skin. IPL can be used for sun damage, brown spots, hyperpigmentation, facial flushing and rosacea. Because it has been shown to stimulate collagen, it is also used to rejuvenate the skin. Three to five treatments are typically recommended at intervals of one month apart. It is important to stay out of the sun and refrain from using tanning creams during your IPL treatments.
  • Microdermabrasion: Microdermabrasion is a non-chemical skin exfoliation that uses a diamond-tip wand to gently exfoliate the skin and light suction to remove the dead skin cells. It can give your skin a healthy glow, especially in preparation for a special event.
  • Chemical peels: Chemical peels are safe and effective treatments for age spots and other pigmentation problems. They use glycolic acid or alpha-hydroxy acid to gently remove the outer layer of skin. Chemical peels, which stimulate new cell growth while naturally sloughing off dead cells, can improve the skin’s tone and texture, improve acne and lighten age spots, freckles and melasma.

Dark Under-Eye Circles

Dark under-eye circles can be caused by age, allergies, heredity, broken blood vessels and fatigue. They can cause you to look tired and run down. Several treatments are available to give you a more refreshed look, but no treatment completely removes them.

Treatment Options
  • Staying hydrated: The area under the eye is extremely susceptible to dehydration. Drinking adequate amounts of water and refraining from caffeine and alcohol can do wonders for under-eye skin.
  • Concealer: Makeup is the most common treatment for dark circles under the eyes. Use a good hydrating eye cream prior to applying your concealer or makeup.
  • Topical treatments: Dark pigment under the eye is often inherited. If you have this condition, you may see it in other members of your family. Topical bleaching creams can lighten the under-eye skin.
  • Dermal fillers: If you’re seeing dark circles under the eyes from volume loss, then a dermal filler may be the best treatment. Fillers lift the skin and prevent light from accumulating in the hollows. Filler treatment can cause bruising, so give yourself two weeks to recover before any big event.
  • Lasers: Laser resurfacing can improve the skin tone around the eyes. These procedures have significant downtime and involve keeping the skin covered with ointment until it heals.
  • Surgery: Lower eyelid surgery or a lower blepharoplasty may be needed if you have excess skin or fat deposits under the eye. Your complimentary consultation will determine if you’re a good surgical candidate. If so, we will refer you to a facial plastic surgeon.

Facial Veins

Facial veins typically appear on and around the nose and cheeks. They are usually seen in fair-skinned individuals, especially those with Irish or Scottish heritage. Pregnancy, puberty, age and sun damage all can cause an increase in facial vessels. These vessels are not part of the venous system, so they can be treated without worrying about blood supply to the face.

Treatment Options
  • Laser treatment: Laser and light-based treatments are the best solution for small facial veins. The light energy is absorbed by the red blood cells in the vessels. The heat generated breaks up the capillaries and your body absorbs them. It can take one to two weeks for the vessel to be completely absorbed. During that time, your skin may have a dark red or bruised appearance where the vessel was treated.

Freckles

Freckles are harmless tan spots of melanin common in people with fair complexions. Freckles are genetic in nature and can be triggered by exposure to sunlight. There are several treatments to lighten or remove freckles. Keep in mind that all of your skin should “match,” so if you have freckles on your arms and chest, don’t remove them from your face.

Treatment Options
  • IPL photofacial: Photofacials use a light-based device to target unwanted red and brown discoloration in the skin. The IPL wavelength is absorbed by the unwanted spot and breaks up the pigment. These fragmented pigments are either absorbed back into the body or flake off after a few days. IPL can be used for sun damage, brown spots, freckles, facial flushing and rosacea. Because it has been shown to stimulate collagen, it is also used to rejuvenate the skin. Three to five treatments are typically recommended at intervals of one month apart. It is important to stay out of the sun and refrain from using tanning creams during your IPL treatments.
  • Chemical peels:  Chemical peels are safe and effective treatments for age spots and other pigmentation problems. They use glycolic acid or alpha-hydroxy acid to gently remove the outer layer of skin. Chemical peels, which stimulate new cell growth while naturally sloughing off dead cells, can improve the skin’s tone and texture, improve acne and lighten age spots, freckles and melasma.
  • Microdermabrasion:  Microdermabrasion is a non-chemical exfoliation for the skin that uses a diamond-tip wand to gently exfoliate the skin and light suction to remove dead skin cells. It can give your skin a healthy glow, especially in preparation for a special event. For best results, a series of treatments is recommended.
  • Topical bleaching creams: There are several over-the-counter and prescription skin-bleaching agents available today. The most widely used bleaching cream is hydroquinone.

Large Pores

Large pores are, for the most part, genetic. The best way reduce pore size is to keep them clean through proper cleansing twice a day. Pores can become clogged, especially during times of hormonal changes, such as pregnancy and post-partum.

Treatment Options
  • Microdermabrasion:  Microdermabrasion is a non-chemical skin exfoliation that uses a diamond-tip wand to gently exfoliate the skin and light suction to remove the dead skin cells. It can give your skin a healthy glow, especially in preparation for a special event.
  • IPL photofacial: Photofacials use a light-based device to target unwanted red and brown discoloration in the skin. IPL can be used for sun damage, brown spots, hyperpigmentation, facial flushing and rosacea. Because it has been shown to stimulate collagen, it is also used to rejuvenate the skin. Three to five treatments are typically recommended at intervals of one month apart. It is important to stay out of the sun and refrain from using tanning creams during your IPL treatments.
  • Chemical peels: Chemical peels are safe and effective treatments for age spots and other pigmentation problems. They use glycolic acid or alpha-hydroxy acid to gently remove the outer layer of skin. Chemical peels, which stimulate new cell growth while naturally sloughing off dead cells, can improve the skin’s tone and texture, improve acne and lighten age spots, freckles and melasma.

Lipoatrophy

Facial lipoatrophy, or facial fat loss, is a condition that typically develops with age, weight loss and immunodeficiency diseases. Lipoatrophy is the loss of facial fat tissue, which is a key component for a youthful facial appearance. As we age, our natural collagen and connective skin tissues start to break down, causing a natural thinning of the face. Fortunately, dermal fillers can temporarily restore some of the facial volume that is needed to look younger.

Treatment Options
  • Hyaluronic acid dermal fillers: Dermal fillers are used to improve volume and treat wrinkles. The most common names of hyaluronic acid fillers are Juvederm, Restylane and Perlane. These smooth gel fillers are comprised of hyaluronic acid, which lasts in the skin for roughly six months. Most hyaluronic acid gel fillers are mixed with lidocaine to improve discomfort. Ice and numbing cream may also be used to make the treatment more tolerable. Many patients come in for treatment and return to work the same day. There is always a risk of bruising with any injection, so stay away from aspirin and such anti-inflammatories as Motrin, Ibuprofen and Aleve prior to your treatment. These over-the-counter products can make you more prone to bleeding and bruising.
  • Calcium hydroxylapatite: This is a volumizing filler that uses a calcium-based product to improve volume and treat wrinkles.  The common name for calcium hydroxylapatite is Radiesse. Radiesse is a gel comprised of calcium-based microspheres that is injected under the skin to create a scaffold and provide structure. It has been shown to stimulate collagen and typically lasts for up to one year. Lidocaine, a numbing medicine, is often mixed in the syringe to alleviate discomfort. Ice and topical numbing cream also can be used to make the treatment more tolerable. Many patients come in for treatment and return to work the same day.  There is always a risk of bruising with any injection, so stay away from aspirin and such anti-inflammatories as Motrin, Ibuprofen and Aleve prior to your treatment. These over-the-counter products can make you more prone to bleeding and bruising.
  • Poly-l-lactic acid: This replaces collagen. The common name for poly-l-lactic acid is Sculptra. It is injected once a month, in a series of three to five treatments. Results are subtle, gradual and typically evident within four and six months, and last for two years. It was first FDA approved for HIV lipoatrophy in 2004 and later approved for cosmetic use in 2009. It can be used to correct smile lines and contour deficiencies and other facial wrinkles. Sculptra is mixed with lidocaine to improve comfort. The fluid injected causes slight swelling, which subsides within 24 hours. It is important to massage the treated areas for five minutes five times a day for five days. There is always a risk of bruising with any injection, so stay away from aspirin and such anti-inflammatories as Motrin, Ibuprofen and Aleve prior to your treatment. These over-the-counter products can make you more prone to bleeding and bruising.

Rosacea

Rosacea is a chronic skin condition that produces redness, flushing and small veins on the face that can be associated with breakouts. Rosacea typically occurs between the ages of 30 and 50, and affects fair-skinned individuals.

Treatment Options
  • Skin care products: Medical-grade skin care products are available to treat the redness and flushing caused by rosacea. During your complimentary consultation, your health care provider will review your history and help determine which product is best for your skin.
  • Topical prescriptions: There are prescription options, such as metronidazole or azelaic acid, to treat inflammatory lesions or bumps and blemishes associated with rosacea.
  • Oral antibiotics: If your rosacea is not responding to topical treatments, oral antibiotics may be added. Your provider will review your options with you to find a safe and effective treatment.
  • IPL photofacial: Photofacials use a light-based device to target unwanted red and brown discoloration in the skin. IPL can be used for sun damage, brown spots, hyperpigmentation, facial flushing and rosacea. Because it has been shown to stimulate collagen, it is also used to rejuvenate the skin. Three to five treatments are typically recommended at intervals of one month apart. It is important to stay out of the sun and refrain from using tanning creams during your IPL treatments.

Spider Veins

Spider veins are tiny blood vessels near the skin’s surface that occur on the face or legs. Spider veins are caused by hormonal changes, pregnancy, hereditary factors, sun damage and rosacea. If the veins are located on the face, then laser treatment is recommended. If the undesired veins are found on the legs, then sclerotherapy is a better treatment option.

Treatment Options
  • Laser treatment for facial veins: Lasers and light-based treatments are the best solution for small facial veins. The light energy is absorbed by the red blood cells in the unwanted vessel. The heat generated breaks up the capillaries and your body absorbs them. It can take one to two weeks for the vessel to be completely absorbed. During that time, your skin may have a dark red or bruised appearance where the treated was performed.
  • Sclerotherapy for leg veins: Sclerotherapy is a non-surgical method of removing spider veins from the legs. It involves injecting a sclerosing agent into the undesired vessel with a very fine needle. The sclerosing agent irritates the vein and causes it to collapse. Two to four treatments are typically necessary and scheduled every six weeks. Redness, swelling and bruising are to be expected. Compression stockings are worn for the first 24 hours and then daily for one week after the treatment. Activity is restricted during that first recovery week, then may be resumed.

Sun Damage

Sun damage can cause unwanted brown spots, discoloration to the skin and even skin cancer.  It can cause the skin to have a thick weathered appearance and accelerate the aging process.

Treatment Options
  • Sunscreen: Using sunscreen daily can prevent sun damage and brown spots from getting darker.
  • Chemical peels:  Chemical peels are safe and effective treatments for age spots and other pigmentation problems. They use glycolic acid or alpha-hydroxy acid to gently remove the outer layer of skin. Chemical peels, which stimulate new cell growth while naturally sloughing off dead cells, can improve the skin’s tone and texture, improve acne and lighten age spots, freckles and melasma.
  • Microdermabrasion: Microdermabrasion is a non-chemical skin exfoliation that uses a diamond-tip wand to gently exfoliate the skin and light suction to remove the dead skin cells. It can give your skin a healthy glow, especially in preparation for a special event. For best results, a series of treatments is recommended.
  • IPL photofacial: Photofacials use a light-based device to target unwanted red and brown discoloration in the skin. IPL can be used for sun damage, brown spots, hyperpigmentation, facial flushing and rosacea. Because it has been shown to stimulate collagen, it is also used to rejuvenate the skin. The IPL (intense pulsed light) wavelength is absorbed by the unwanted spot and breaks up the pigment. These fragmented pigments are either absorbed back into the body or flake off after a few days. Three to five treatments are typically recommended at intervals of one month apart. It is important to stay out of the sun and refrain from using tanning creams during your IPL treatments.

Unwanted Hair

Unwanted hair can occur any where on the face or body. Both men and women struggle with unwanted hair on the arms, legs, back, chest, stomach, underarms, buttocks, face and bikini areas. People often remove unwanted hair by temporary means of trimming, shaving, waxing or tweezing. Now there is an option for permanent hair reduction with laser hair removal.

Treatment Options
  • Laser hair removal: This procedure passes laser energy through the skin to target pigment in the hair follicle. The heat is absorbed by the hair follicle and it is destroyed. Since hair grows in different cycles, it is important to repeat treatments every four to six weeks to treat each cycle of hair growth. It is ideal to be clean shaven for laser hair removal and to stay out of the sun. The procedure’s time varies based on the size of the area treated. Laser hair removal does not work for blond, red, grey or white hair.

Wrinkles

Facial wrinkles are fine lines or creases in the skin that usually result from a combination of factors, such as sun and environmental exposure, smoking and the natural aging process. Wrinkles can be dynamic and created by movement or they can be static and present when the face is still. Dynamic wrinkles are best treated with Botox; static wrinkles are most commonly treated with dermal fillers.