- Shower or bathe only once per day
- Showers should be 5-7 minutes in length (no more than 10 minutes)
- Do not use washcloths or poufs
- Use lukewarm water
- Use gentle soap such as Dove. Avoid Ivory, Lever, Irish Spring, Dial or others that are not formulated for sensitive skin.
- After showering, pat skin lightly with a towel, then apply a generous palm full of moisturizers for moderately dry skin.
- Moisturizers should be applied to the skin within 2-3 minutes of washing.
- If you have been supplied medication for your rash you should apply moisturizer first as noted above, then apply medication on top of the moisturizer.
- Medications are NOT meant to replace moisturizers
- Please remove the dressing that was applied in our office in 24 hours. Gently wash the surgical site with mild soap daily. Apply a small amount of Bacitracin, Polysporin, Triple Antibiotic Ointment, or Vaseline/Petroleum Jelly, all of which are over-the-counter, and cover the wound with an appropriate-sized bandage.
- Occasionally, wounds bleed spontaneously or from trauma. Apply pressure with a tissue or sterile gauze pad for ten minutes by the clock and the bleeding will stop.
- Redness around the wound site is normal. However, pain and swelling, with a larger area of redness, might indicate a wound is becoming infected. Call the office promptly.
- If your biopsy procedure required sutures, you will return in approximately 1-2 weeks for suture removal (as specified by the Provider or Medical Assistant).
- We will call you with your biopsy results in about 1 week. If you do not hear from us within 2 weeks, please call our office for your results.
- Stop all prescriptions and over the counter acne products that were not prescribed to you at the time of your visit.
- Use only the products recommended by your doctor.
- Wash your face twice daily with gentle Dove soap, Cetaphil Cleanser or CeraVe are all good choices. Place the soap or cleanser on your hands then wash your face gently using your hands only. Use cool to lukewarm water, NO washcloths, and NO rubbing or scrubbing.
- At night, wash your face as noted above and let dry for 15 minutes, then apply a thin layer of moisturizer to your clean skin:
- Cetaphil Facial Moisturizer, Aveeno Positively Radiant Facial Moisturizer, DML Facial Moisturizer and CeraVe AM Moisturizer all work well
- Take a pea-sized amount of medication and spread it all over the face on top of the moisturizer. Treat your entire face, not just the acne.
- In the morning, wash your face. If you are dry, apply moisturizer. DO NOT use your medication unless instructed.
- IMPORTANT: If using a new Topical Retinoid (ie tazarotene, adapalene, tretinoin), USE every other night for the first two weeks. Increase to every night as tolerated.
It is common to notice a few more breakouts during the first two (2) weeks of treatment. It takes 12 weeks for any effective acne treatment to work. Be patient and don’t panic.
If you have been prescribed an oral antibiotic make sure to take it with food and wash it down with a large glass of water. DO NOT take immediately before bedtime and DO NOT take with milk or yogurt.
Both the topical medication and antibiotic may make you more likely to burn in the sun. Therefore, use extra sunblock and be extremely careful.
If you notice dryness, redness or peeling, decrease the frequency of your topical retinoid use (ie. tazarotene, adapalene, tretinoin)
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- Liquid Nitrogen is a cold liquefied gas with a temperature of -197 degrees centigrade. It is used to freeze and destroy superficial skin growths such as warts and keratoses. Liquid Nitrogen causes stinging and mild pain while the growth is being frozen and then thaws.
- After Liquid Nitrogen treatment, your skin may become swollen and red, it may also blister. The blister may be punctured with a sterile needle (heat needle tip with a flame and let cool). Apply a thin layer of bacitracin or polysporin – (no prescription needed) to the site twice daily.
- If the site is subject to irritation, cover with a band aid. After the blister resolves, a scab will form and fall off by itself in one to three weeks. The skin growth that was treated will fall off with the scab, leaving healthy new skin. You can wash skin as usual and use makeup or other cosmetics immediately after treatment.
- Sometimes Liquid Nitrogen treatment has to be repeated if the growth remains after 3-4 weeks. Please make a return appointment.
- Be SunAWARE!
- A – Avoid unprotected exposure to sun light, seek shade, and never indoor tan.
- W – Wear sun protective clothing, including a long-sleeved shirt, pants, a wide brimmed hat, and sunglasses year round.
- A – Apply recommended amounts of broad-spectrum sunscreen.
- R – Routinely examine your whole body for changes in your skin and share your concerns with your healthcare provider.
- E – Educate your family and community about the need to be SunAWARE
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.
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Check Your Skin
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.
In The News:
Dermatologists warn consumers about the dangers of buying cosmetic injectables — such as fillers — online
Research underscores harmful and serious side effects associated with purchasing unregulated filler, neurotoxin products on e-commerce sites.
“With non-surgical cosmetic treatments increasing in popularity, we’ve seen more patients in our practices who have experienced complications from procedures that have either been performed by unqualified individuals or involved illicit products,” says article author and board-certified dermatologist Brian Morrison, MD, MS, FAAD, assistant professor of dermatology at the University of Miami. “To help find out why this was happening, we started searching online forums and quickly realized there’s a growing trend of unregulated cosmetic injectables readily available for purchase by the general public.”
After performing searches for neurotoxins and fillers for sale at common online retail giants and marketplaces, researchers were able to easily purchase the items from both domestic and international vendors without needing to provide any medical license information, which is required by federal law.
“We were shocked to see these types of products available online for the public, as it puts consumers at risk for devastating side effects, like infection and blood clots that can cause permanent damage to your soft tissue and skin,” says lead article author Dr. Marina Li, MD, MS, dermatology resident at the University of Miami. “It’s extremely worrisome that patients are getting cosmetic treatments with unregulated, potentially harmful products from untrained individuals— or worse, attempting to self-inject these products at home.”
Posted on the AAD website, on Sept 15, 2020.