RECENTLY IN THE NEWS:
NBC News (3/5/2015) reports on its website that "family practioners, gynecologists and even dentists are getting into the cosmetic procedure business, and dermatologists say they're seeing the side effects." Several dermatologists "from around the country told NBC News that they've had to the fix the mistakes of physicians who are dabbling in their specialty." In a statement, the American Academy of Dermatology said, "A dermatologist is a licensed medical doctor and the only residency-trained physician fully educated in the science of cutaneous medicine, which includes medical and surgical conditions of the skin, hair, nails, and mucous membranes."
DRY SKIN CARE:
Keep your bathing to a minimum! Wash with lukewarm water and keep your bathing to less than 10 minutes. Wash with a soapless cleanser such as Dove and avoid harsh soaps such as Ivory or Irish Spring. After bathing, moisturize within a few minutes of patting dry with a towel. Moisturize with a sensitive-skin moisturizer without fragrance. If you have a skin condition such as eczema, you will need to moisturize a few times per day.
The day after your procedure, allow the cleanser and water to wash over the site. That is adequate cleaning of the wound. Thereafter, apply a generous layer of petroleum jelly (Vaseline) or another greasy substance such as Aquaphor healing ointment. If the area is in contact with clothing, we advise you to cover it with a dressing. Repeat the same procedure the next day and every day until the wound has healed.
HOW TO APPLY YOUR TOPICAL RETINOID (ACNE PATIENTS):
Topical retinoids include adapalene (Differin), tretinoin (Retin-A, Atralin, Ziana, Veltin, Tretin-X). Apply a pea-sized amount to your entire face a few minutes after washing your face at bedtime (since most retinoids are inactivated by sunlight). If your face is dry with the retinoid, apply a moisturizer prior to the application of the retinoid.
CARE FOR SKIN IN THE SUN:
Use a daily moisturizer with a sunscreen of SPF 15 or higher on the areas that will be exposed. If you're going to be directly out in the sun, wear an SPF of 30 or higher and make sure the sunscreen says that it is "broad spectrum." Remember to reapply after two hours and after swimming or any exercising. Physical sunscreens which contain titanium dioxide and/or zinc oxide are gentle and will not react with the skin. Seek shade between the hours of 10 am-4 pm.
Check your skin for any new, changing, non-healing or itching lesions four times a year or every major holiday. If you notice anything that is new or changing or not healing, please call and get it checked.
Our team of professionals and staff believe that informed patients are better equipped to make decisions regarding their health and well-being. For your personal use, we have created an extensive patient library covering an array of educational topics, which can be found on the side of each page. Browse through these diagnoses and treatments to learn more about topics of interest to you.
As always, you can contact our office to answer any questions or concerns.
Rosacea is a chronic skin condition that causes facial redness, acne-like pimples, visible small blood vessels on the face, swelling and/or watery, irritated eyes. This inflammation of the face can affect the cheeks, nose, chin, forehead or eyelids. More than 14 million Americans suffer from rosacea. It is not contagious, but there is some evidence to suggest that it is inherited. There is no known cause or cure for rosacea. There is also no link between rosacea and cancer.
Rosacea generally begins after age 30 and goes through cycles of flare-ups and remissions. Over time, it gets ruddier in color and small blood vessels (like spider veins) may appear on the face. If left untreated, bumps and pimples may form, the end of the nose may become swollen, red and bulbous and eyes may water or become irritated.
Rosacea occurs most often among people with fair skin who tend to blush or flush easily. It occurs more often among women than men, but men tend to suffer from more severe symptoms. Most patients experience multiple symptoms at varying levels of severity. Common symptoms include:
- persistently red skin on the face
- bumps or acne-like pimples
- visible blood vessels on facial skin
- watery or irritated eyes
- burning, itching or stinging of facial skin
- skin roughness and dryness
- raised red patches
- swelling (edema)
These symptoms may also appear on the neck, chest, scalp and ears.
Research conducted by the National Rosacea Foundation found that the leading triggers for rosacea are:
- sun exposure
- hot or cold weather
- emotional stress
- heavy exercise
- spicy foods
- hot baths
- heated beverages
- some skin care products
- indoor heat
While there is no cure for rosacea and each case is unique, your doctor will probably prescribe oral antibiotics and topical medications to reduce the severity of the symptoms. When the condition goes into remission, only topical treatments may be needed. In more severe cases, a vascular laser, intense pulsed light source or other medical device may be used to remove any visible blood vessels and reduce excess redness and bumpiness on the nose.
To help reduce the incidence of flare-ups, a gentle daily skin care routine is recommended that includes the use of mild, non-abrasive cleansers, soft cloths, rinsing in lukewarm water (not hot or cold), and blotting the face dry (not rubbing). Additionally, individuals with rosacea need to protect themselves from sun exposure by using sunscreens with SPF 15 or higher and sunblocks that eliminate UVA and UVB rays. Patients are also encouraged to keep a record of flare-ups to try and determine the lifestyle and environmental triggers that aggravate the condition.