pinebelt

When a ‘Rash’ Might Be Something More Serious

Mon, 13 Apr 2026 14:30:30 GMT

When a ‘Rash’ Might Be Something More Serious

At Pine Belt Dermatology & Skin Cancer Center, we recognize that rashes are common and frequently resolve quickly with minimal treatment. However, some rashes may signify underlying conditions that require prompt medical attention. Identifying when a rash is more than a minor irritation is key to protecting your health.

Comprehending Common vs. Concerning Rashes
Most everyday rashes result from irritants, allergies, heat, or minor infections and typically improve within a few days with over-the-counter treatments. However, if a rash lasts longer, worsens, or appears with other symptoms, it may signal a more serious issue.

Identifying the difference between a routine rash and one that requires medical evaluation helps avoid complications and ensure appropriate care.

Warning Signs to Watch For
Certain features may indicate a rash requires clinical assessment, including:

Rapidly spreading or worsening rash
Severe pain, swelling, or blistering
Signs of infection such as pus, warmth, or red streaks
Fever or flu-like symptoms accompanying the rash
A rash that does not improve after several days of treatment
Dark, purple, or bruised-looking areas on the skin

For example, a rash with fever may indicate a viral or bacterial infection, whereas painful blistering can suggest conditions such as shingles. In rare cases, rashes may signal autoimmune disorders or severe allergic reactions.

Rashes That May Point to Underlying Conditions
Some rashes may be linked to broader health concerns, including conditions that cause inflammation in the skin and other organs:

Allergic reactions that may escalate into further severe responses
Infections that spread beyond the skin if untreated
Medication reactions that require immediate adjustment

Persistent or unusual skin changes may be early signs of skin cancer or precancerous conditions, especially if they do not heal or continue to change over time.

Why Early Evaluation Matters
Delaying care for a worrisome rash may allow the underlying condition to progress. Early diagnosis improves treatment outcomes and helps prevent discomfort and complications.

A dermatology specialist can assess the rash’s appearance, location, and progression, and may recommend diagnostic tests if needed. This approach assures treatment addresses the underlying cause, not just the visible symptoms.

When to See a Dermatology Specialist
If you are unsure about your rash, it is best to err on the side of caution. Consider seeking care if:

The rash is persistent, painful, or unusual in appearance
Over-the-counter treatments are not effective
You experience additional symptoms such as fever or fatigue
The rash interferes with your daily comfort or quality of life

At Pine Belt Dermatology & Skin Cancer Center, our experienced providers supply comprehensive skin evaluations and customized treatment plans. We take time to understand your symptoms and deliver clear, effective solutions tailored to your needs.

Protecting Your Skin and Your Health
While many rashes are minor, some may be early warning signs of more serious health concerns. Monitoring skin changes and pursuing prompt medical advice can produce a notable effect.

If you notice a rash that does not seem right, do not ignore it. Schedule a consultation with Pine Belt Dermatology & Skin Cancer Center for expert evaluation and peace of mind. Your skin is an important indicator of your overall health, and taking it seriously supports ongoing well-being.

The Link Between Stress & Skin Conditions

Sun, 01 Mar 2026 16:43:22 GMT

At Pine Belt Dermatology & Skin Cancer Center, we know that healthy skin is affected by more than just external care—it’s related to your overall health, and notably how your body responds to stress. While stress here and there is a typical part of life, chronic stress can take a visible toll on your skin, triggering or worsening a plethora of dermatologic issues.

Understanding the Skin-Stress Connection

Your skin and nervous system are very connected. When you get stressed, your body releases hormones like cortisol, which can trigger inflammation, increased oil production, and skin sensitivity. Over time, these changes can alter the skin’s natural barrier, making it easier to get irritated and flare up.

Research shows that stress not just affects how your skin looks, but also how it functions. It affects immune responses and skin cell behavior, which could lead to serious skin issues.

Common Skin Conditions Triggered by Stress

Many patients are shocked to know how frequently stress plays a role in their skin concerns. Some of the most common results linked to stress are:

Acne: Stress can increase oil production, which clogs pores and causes breakouts that may be more inflamed and take time to heal.
Eczema (Atopic Dermatitis): Flare-ups often happen during times of emotional or physical stress, causing redness, itching, and irritation.
Psoriasis: Stress is a common cause that can worsen symptoms or even trigger initial outbreaks in some people.
Hair Loss: Conditions like telogen effluvium and alopecia areata are known to be associated with increased stress levels.

Studies also show that individuals experiencing higher stress levels suffer more severe skin symptoms overall, thus proving the strong link between mental and skin well-being.

Breaking the Cycle of Stress and Skin Flare-Ups

One of the struggles with stress-related skin issues is the cycle they build. Skin flare-ups lead to frustration or self-consciousness, which increases stress worsening symptoms. To break this cycle, a comprehensive approach that addresses skin health and overall well-being is required.

Pine Belt Dermatology & Skin Cancer Center takes a patient-focused approach to care. Treatment plans may include:

Medical therapies designed to address specific skin conditions
Advice on gentle skincare routines to enhance the skin barrier
Lifestyle suggestions to help manage stress, like better sleep, hydration, and relaxation methods

When to See a Dermatology Specialist

If your skin worsens during stressful times or doesn’t respond to over-the-counter medications, it is time to seek care from a physician. Early evaluation can help define underlying causes and stop symptoms from becoming serious.

Our experienced professionals are here to help you understand the link between stress and your skin. We create effective, individualized solutions to improve both your skin’s health and your confidence.

Supporting Healthier Skin from the Inside Out

Stress management is vital for ensuring healthy skin. With top-notch dermatologic care and mindful lifestyle choices, the reduction of flare-ups is just around the corner.

If you’re dealing with constant skin concerns, schedule a consultation with Pine Belt Dermatology & Skin Cancer Center today. Healthier skin starts with knowing your body and taking the right steps toward balance and care.

UV Light Therapy for Scalp Psoriasis: A Winter Game-Changer

bberendsen@ideazonemarketing.com (Bob Berendsen) — Thu, 05 Feb 2026 19:01:54 GMT

UV Light Therapy for Scalp Psoriasis: A Winter Game-Changer

Cold weather often brings new challenges for people living with scalp psoriasis. Dry air, low humidity, and indoor heating make the skin tighter and more sensitive. Many people notice more itching, flaking, and redness as winter sets in. During this time, treatment often needs extra support, and one option that stands out is UV light therapy. This method uses controlled ultraviolet rays to slow down rapid skin cell growth, reduce inflammation, and calm stubborn plaques on the scalp.

Here’s how UV light therapy works, why it is useful for scalp psoriasis during winter, what to expect from treatment, and how to use it safely under medical guidance.

How UV Light Therapy Works

UV light therapy, also called phototherapy, uses specific wavelengths of ultraviolet light to slow the overactive skin cell cycle that leads to psoriasis plaques. In scalp psoriasis, skin cells multiply faster than usual. This leads to thick patches, itching, and scaling.

When UV light reaches the affected skin, it gently slows this process. It also reduces inflammation by affecting immune activity in the treated area. The most common types used for scalp psoriasis are UVB light and narrowband UVB. These forms target surface layers of the skin and support healing over time.

Doctors often recommend narrowband UVB because it uses a limited range of wavelengths that work well on psoriasis while lowering the risk of side effects. Treatment sessions are short and controlled, and they follow a schedule based on the patient’s skin type, severity, and response.

Why Winter Makes Scalp Psoriasis Worse

Winter creates an environment that makes psoriasis flare more often. The cold air outside and the warm, dry air inside remove moisture from the skin. Many people also get less natural sunlight during the winter months, which means the skin receives less UV exposure. Natural UV rays help slow skin cell growth, so reduced sun exposure can make symptoms stronger.

These seasonal triggers increase redness, flaking, and itching on the scalp. For some people, their regular routine is not enough during winter, and they need a treatment that targets the deeper cause of the flare. UV light therapy offers a reliable option because it delivers controlled UV exposure in a safe medical setting.

Why UV Light Therapy Helps Scalp Psoriasis in Winter

UV light therapy works well for winter flares because it gives the skin the same type of UV rays that natural sunlight provides, but in a measured way. During winter, the body receives much less sunlight, which means the natural healing effect of UV exposure is weaker. Phototherapy fills this gap.

Because doctors control the dose and timing, UV therapy delivers consistent support. This helps reduce plaque thickness, calm redness, and give relief from itching. Over several weeks, many patients see greater improvements than with topical creams alone. For those unable to use certain medications, UV therapy offers a safe and well-studied option that works through light rather than drugs.

Types of UV Light Therapy Used for the Scalp

Treating the scalp brings unique challenges because hair blocks light from reaching the skin. To handle this, dermatologists use tools and devices that part the hair or shine light directly on the scalp. Narrowband UVB is the most common option for this purpose.

Some patients use light-comb devices that separate the hair during treatment sessions. These devices allow targeted delivery, making it easier to reach thick plaques hidden under hair. In clinics, doctors may use larger machines designed for full scalp coverage. Treatment plans vary, but most people have sessions two to three times a week.

Each session lasts only a few minutes. The dose starts small and increases slowly based on how the skin responds. This steady progress helps the scalp adjust and supports lasting results.

What to Expect During Treatment

Starting UV light therapy may feel new, but the process is simple. At the first appointment, the dermatologist examines the scalp and prepares a schedule. They may ask about previous treatments, skin sensitivity, and medical history. This information helps them choose the right UV dose.

During each session, the patient sits or stands while the device directs UV light onto the scalp. Protective eyewear is worn. The light feels warm but not painful. Many people notice mild redness or dryness at the start, which usually fades as the skin adjusts. Consistency is important because each session builds on the one before it.

Improvement often appears after several weeks. Plaques start to thin, flaking reduces, and itching becomes more manageable. The treatment continues until the doctor sees stable progress.

Safety Measures for UV Light Therapy

UV therapy is widely used and safe when given under medical guidance. Dermatologists follow strict safety rules to protect the skin from too much exposure. They adjust the dose based on skin type and treatment response.

Patients are usually advised to protect unaffected skin when possible and report any unusual skin changes. Some people may feel slight dryness or redness, which is normal. Doctors may suggest soothing products that calm the skin without interrupting treatment.

Because UV therapy deals with controlled light exposure, following the treatment schedule is important. Skipping sessions or trying to combine the treatment with tanning beds or sunlight exposure without guidance can cause skin irritation. A steady and monitored routine brings the best results.

Benefits of UV Light Therapy for Scalp Psoriasis

UV light therapy offers several advantages for people who struggle with scalp psoriasis during winter. Many topical treatments cannot fully reach plaques under thick hair. UV devices and combs give direct access to the skin and make treatment more effective.

Over time, UV light therapy helps with:

Reducing Rapid Skin Cell Growth : This tackles the core cause of psoriasis plaques.
Lowering Redness and Inflammation : UVB light affects immune activity on the scalp and helps calm symptoms.
Improving Comfort and Daily Routines : With fewer flakes and less itching, daily tasks such as brushing, styling, or caring for the scalp become easier.
Supporting Long-Term Control : Regular sessions help keep symptoms stable through the cold months.

UV therapy can also work well alongside other treatments. Many people use it with topical medications to speed up results under medical direction.

Who May Benefit Most From UV Light Therapy

Doctors may suggest UV light therapy for people who have moderate to severe scalp psoriasis or those who have not responded well to creams, ointments, or shampoos alone. It is also helpful for individuals who experience strong seasonal flares.

People who want to reduce dependence on strong medications sometimes choose UV therapy because it uses light rather than drugs. It is also helpful for those who prefer a treatment that supports long-term control without systemic side effects.

Children, pregnant individuals, and people with certain medical conditions may or may not be candidates. This decision depends on the doctor’s assessment. A dermatologist evaluates skin type, hair density, treatment history, and overall health before recommending therapy.

How Long Results May Last

Results vary from person to person. Many patients see steady improvement with regular sessions. After completing a full course, the skin may stay calm for weeks or months. Winter symptoms often return without treatment, but UV therapy helps extend clear periods.

Maintenance sessions may be offered during the coldest months to support ongoing relief. These sessions follow a lighter schedule than the active treatment phase and help keep symptoms from returning too quickly.

How to Support the Scalp During UV Light Therapy

Good scalp care helps treatment work better. Gentle cleansing keeps scales from building up. Avoiding harsh hair products protects the skin from irritation. Some doctors may recommend medicated shampoos that work well with UV therapy. These steps support the light’s effect and keep the scalp comfortable during treatment.

Moisture also plays a major role in winter. Using simple, fragrance-free moisturizers can calm dryness caused by cold weather or UV exposure. Hydrated skin responds better to treatment and has fewer flares.

When to Talk to a Dermatologist

People should speak with a dermatologist if their symptoms get worse, if they feel burning or swelling after a session, or if they wish to adjust their treatment plan. Regular check-ins help monitor progress and keep the dose within a safe range.

UV therapy always requires medical supervision. A specialist will guide the timing, dose, and method to match each person’s needs.

Final Thoughts

Scalp psoriasis becomes more difficult to manage during winter, but UV light therapy offers a practical and reliable way to control symptoms. It slows rapid skin cell growth, reduces inflammation, and gives steady support when natural sunlight is limited. With proper medical guidance, this treatment can bring real relief and help people move through the winter months with better comfort and confidence.

If you are ready for steady progress with your scalp psoriasis, Pine Belt Dermatology is here to help. Schedule your appointment and move forward with confidence.

Dermatologist-Approved Tips for a Safe and Effective Skincare Routine

bberendsen@ideazonemarketing.com (Bob Berendsen) — Thu, 01 Jan 2026 11:00:12 GMT

Dermatologist-Approved Tips for a Safe and Effective Skincare Routine

With countless products, viral “miracle” hacks, and influencer-endorsed regimens, it’s easy to feel lost in a sea of conflicting advice. Unfortunately, what works for one person may not work for another, and trying to copy trends can sometimes do more harm than good.

Using the wrong combination of products can lead to irritation, breakouts, or worsening of chronic skin conditions like rosacea or eczema.

Dermatologist-Approved Tips For You

A truly effective skincare routine should be tailored to your needs, protect your natural barrier, and target concerns with proven ingredients. Here’s how to build a dermatologist-approved skincare plan that’s safe, simple, and designed for long-term results.

Cleansing the Right Way

Cleansing removes the buildup of oil, sweat, makeup, and pollutants that accumulate throughout the day. The key is to cleanse effectively, but don't overdo it. Over washing or using harsh foaming cleansers can strip away essential lipids that protect your skin, leading to dryness, redness, and inflammation.

If you wear heavy makeup or sunscreen, a double cleanse, starting with a gentle oil cleanser followed by a hydrating wash, can help remove residue without stripping moisture. The goal is always balance: a fresh, clean surface that feels soft, not tight. The ideal cleanser depends on your skin type and lifestyle:

Oily or Acne-Prone Skin: Choose a gentle, non-comedogenic formula. A cleanser with salicylic acid can help unclog pores and control excess sebum without causing you any irritation.
Dry or Sensitive Skin: Opt for creamy, hydrating cleansers with ingredients like ceramides or glycerin. Avoid fragrances and sulfates that can worsen sensitivity.
Combination Skin: Use a mild gel cleanser that balances hydration without feeling greasy.

Customizing Actives to Your Skin Goals

The treatment phase introduces “actives”, with ingredients that address your skin’s unique challenges. From acne and pigmentation to fine lines or redness, your treatment step is the most customizable part of your routine.

Acne and Breakouts

For mild breakouts, over-the-counter ingredients like benzoyl peroxide and salicylic acid can help unclog pores and reduce inflammation. But for persistent or cystic acne, you may need a stronger approach. Topical retinoids, such as tretinoin, are the gold standard for acne control because they normalize cell turnover and prevent clogged pores before they form.

For deeper acne issues, your dermatologist might recommend oral medications like isotretinoin or hormonal therapy. Once acne clears, chemical peels, microneedling, or laser resurfacing can help minimize scarring and improve overall texture.

Pigmentation and Sun Damage

Sunspots and uneven tone develop from chronic UV exposure or inflammation. During the day, Vitamin C serums protect against oxidative stress while brightening dullness. At night, retinoids or hydroquinone-based treatments can reduce dark spots and promote even skin tone.

For persistent pigmentation concerns like melasma, professional treatments administered by a dermatologist, such as chemical peels, microdermabrasion, or laser therapy, offer more effective solutions by targeting deeper pigment layers than at-home remedies.

Aging and Fine Lines

Aging skin loses collagen and elasticity, but science offers powerful ways to restore a youthful glow. Prescription retinoids remain the top-tier anti-aging ingredient, improving firmness and texture over time.

Complementing this, Botox and fillers can relax wrinkle-causing muscles, while hyaluronic acid fillers restore lost volume and smooth deeper creases. These treatments, when combined with medical-grade skincare, deliver subtle, natural-looking rejuvenation.

Sensitive and Chronic Skin Conditions

If you’re managing eczema, psoriasis, or rosacea, the focus should shift from aggressive actives to barrier support and inflammation control. Use ingredients like niacinamide, ceramides, and hyaluronic acid, which soothe and strengthen the skin. Avoid harsh acids and physical scrubs unless specifically recommended by your dermatologist.

In some cases, prescription topicals, including low-potency steroids or calcineurin inhibitors, may be necessary to manage flare-ups safely and effectively.

Locking In Hydration and Barrier Strength

Moisturizing does more than make your skin feel soft; it maintains the integrity of your protective barrier, the stratum corneum. This barrier prevents moisture loss and protects against harmful irritants. When it’s weakened, you may experience flakiness, redness, or itching. Applying moisturizer immediately after cleansing helps lock in hydration and maintain elasticity.

Dermatologists typically recommend moisturizers containing a blend of three ingredient types:

Humectants: Draw water into the skin (e.g., glycerin, hyaluronic acid).
Emollients : Fill in the spaces between cells, making skin smooth and flexible (e.g., ceramides, squalane).
Occlusives: Form a seal to prevent moisture loss (e.g., petrolatum, dimethicone).

Choose based on your skin’s needs:

Oily Skin: Lightweight, oil-free gels that hydrate without clogging pores.
Dry or Mature Skin : These are the rich, emollient creams that replenish lipids and prevent transepidermal water loss.
Eczema-Prone Skin : Fragrance-free, occlusive creams to calm irritation and prevent flare-ups.

Broad-Spectrum Protection

UV exposure contributes to over 80% of visible aging and is the leading cause of skin cancer. Even when it’s cloudy or you’re indoors, UVA rays can penetrate through windows and damage collagen. Use a broad-spectrum sunscreen with SPF 30 or higher, applied as the final step in your morning routine.

Reapply every two hours when outside, and don’t forget often-missed areas like your ears, neck, and the backs of your hands. This single habit prevents sunburn, hyperpigmentation, and premature aging, like wrinkles, discoloration, and loss of firmness, and drastically lowers your risk of skin cancer. There are two main categories:

Mineral (Physical) Sunscreens : Contain zinc oxide or titanium dioxide, reflecting UV rays off the skin. Ideal for sensitive or rosacea-prone skin.
Chemical Sunscreens: These kinds absorb UV radiation and convert it to heat. They’re often lighter in texture and blend more easily under makeup.

Common Skincare Mistakes Dermatologists Still See in 2025

Even with access to advanced products and endless online advice, many people unknowingly sabotage their skin health through routine mistakes. Today’s dermatologists emphasize that consistency, patience, and barrier protection matter far more than trending products or overnight fixes.

Over-Exfoliating and Barrier Damage

The idea that you can “scrub away” dullness or acne is one of the most harmful myths in skincare. Overuse of acids like glycolic, salicylic, and lactic acid, or combining them with retinoids, strips your skin’s protective barrier.

This leads to redness, burning, and even barrier collapse, where the skin can’t retain moisture or defend against irritants. Experts now recommend “barrier cycling,” alternating active nights with repair nights to restore balance.

Mixing Too Many Actives

Combining retinoids with AHAs or high concentrations of vitamin C often leads to irritation or reduced effectiveness. Dermatologists encourage “ingredient zoning,” using different actives in specific areas or alternating them on different nights to maximize benefits without damage.

DIY Skincare Gone Wrong

TikTok recipes using lemon juice, apple cider vinegar, or even toothpaste on acne have resurfaced—but these harsh, unregulated ingredients can burn or discolor skin.

Dermatologists stress that at-home concoctions lack controlled pH and safety testing. Always stick to professionally formulated products that protect your barrier instead of compromising it.

Overusing Microneedling and At-Home Devices

Microneedling pens, dermarollers, and LED masks have exploded in popularity, but when overused or unsanitized, they can introduce bacteria and trigger inflammation. True microneedling results require professional calibration to safely stimulate collagen without damage.

Neglecting the Neck, Chest, and Hands

Premature aging often starts below the chin. The neck, chest, and hands receive just as much UV and blue light exposure as the face, yet are often skipped in sunscreen and retinol application. Dermatologists recommend extending all antioxidant and SPF products to these areas daily for consistent tone and texture.

Skipping Professional Guidance

While over-the-counter care is essential, dermatologist-led check-ins, even once or twice a year, help tailor your regimen to changes in age, climate, or skin condition.

How We Integrate Clinical Strategy Into Everyday Skincare

At our clinic, we believe advanced skincare goes far beyond layering products. It’s about creating a clinical strategy that pairs your daily routine with targeted in-office treatments for deeper, longer-lasting results. We design every plan around three key pillars:

Energy-Based Rejuvenation

Topical ingredients work well on the upper skin layers, but many concerns, like deep sun damage, acne scarring, or redness, require targeted energy. That’s where our laser and light-based treatments come in.

We use precision devices such as IPL photofacials to fade pigmentation and vascular redness or fractional CO₂ lasers to resurface damaged tissue.

These technologies remodel collagen, reduce discoloration, and restore clarity from within, delivering results that creams alone can’t achieve. By combining these advanced modalities with your personalized at-home care, we ensure the skin improves both at its surface and structural levels.

Holistic Insight

Healthy skin isn’t just about what you apply; it’s influenced by your hormones, stress levels, and internal balance. We approach every diagnosis with this whole-body connection in mind, often referred to as the “skin-brain axis.”

Our specialists are dedicated to understanding your individual triggers, from hormonal shifts and stress to environmental factors, and how these elements impact your specific skin condition. This allows us to create smarter, more sustainable treatment plans that don’t just mask symptoms but address their source. By aligning clinical treatments like VBeam for redness or targeted light therapy for inflammation with lifestyle and stress management strategies, we help restore harmony inside and out.

Biostimulation and Structural Skin Repair

While your home routine supports collagen, our advanced treatments stimulate it. We focus on biostimulation, using controlled treatments to trigger your skin’s natural repair response.

Procedures like microneedling with the Strata Pen activate new collagen production to refine texture, reduce scarring, and minimize pore size. For more defined rejuvenation, we offer neuromodulators (like Botox) to relax dynamic wrinkles and dermal fillers to restore lost volume.

These aren’t cosmetic add-ons; they’re essential components of a modern, clinical skincare plan that rebuilds strength, firmness, and balance from within.

Why Dermatologist Guidance Matters

Skin is a living organ, and it changes with age, stress, hormones, and even the weather. What works today may not be what your skin needs six months from now.

Board-certified dermatologists understand how different ingredients interact with your skin’s physiology, how to treat chronic conditions safely, and how to combine at-home care with in-office procedures for optimal outcomes.

Partnering with experts like our Pine Belt Dermatology helps you skip the trial and error and move straight to a regimen effective, safe, and made for you. Schedule your consultation with us to create a dermatologist-designed routine that helps you look and feel your best every day!

Managing Rosacea, Eczema, and Psoriasis During the Winter Season

bberendsen@ideazonemarketing.com (Bob Berendsen) — Tue, 02 Dec 2025 13:59:28 GMT

Managing Rosacea, Eczema, and Psoriasis During the Winter Season

Winter often feels like a welcome relief from the intense summer heat, but for your skin, it can be a tough season. The cold, dry air outside combined with indoor heating can strip away your skin’s natural moisture, leaving it tight, flaky, and more vulnerable to irritation. For anyone living with rosacea , eczema, or psoriasis , these environmental shifts can trigger flare-ups that are uncomfortable, itchy, and difficult to manage.

By understanding what causes these seasonal changes and adjusting your skincare approach, you can enjoy the season with healthier, calmer skin.

Understanding Why Winter Worsens Skin Conditions

The outer layer of your skin, called the stratum corneum, acts as a protective barrier that locks in moisture and keeps irritants out. When humidity drops in winter, this barrier loses water content and becomes weaker. The cold air outside, combined with dry indoor heat, draws moisture from your skin faster than it can be replaced.

When your barrier is compromised, allergens and irritants can penetrate more easily, triggering inflammatory flare-ups that lead to redness, burning, and itching. That’s why even subtle shifts in temperature or humidity can dramatically affect your comfort and appearance during winter.

Strengthening Your Skin Barrier with Targeted Moisture

When temperatures drop, your skin needs extra protection and nourishment. This is the time to transition from lightweight summer formulas to richer, more barrier-supportive skincare. This includes:

Choose a Moisturizer That Works for You

Look for thick, ointment-based moisturizers rather than water-based lotions. Key ingredients to look for are ceramides, which are lipids that naturally occur in the skin and are essential for a healthy barrier; hyaluronic acid, which draws moisture from the air and holds it in the skin; and glycerin, a humectant that helps the skin retain moisture.

Apply Using the “Soak and Seal” Method

The best time to apply moisturizer is immediately after a shower or bath. Using a soft towel, gently pat your skin dry, leaving it slightly damp.. Then, apply a generous layer of moisturizer to seal in the hydration.

Gentle Cleansing

Many cleansers, especially those that foam, contain harsh surfactants like sodium lauryl sulfate (SLS) that can disrupt the skin's acid mantle and degrade its barrier. Instead, opt for pH-balanced (around 5.5), non-foaming, creamy, or oil-based cleansers. Limit showers to 10 minutes with lukewarm water to prevent further dehydration.

Modify Your Bathing Routine

Long, hot showers may feel relaxing, but they can deplete the skin’s protective oils. Keep showers short, about 10 minutes, and use lukewarm water instead of hot. Consider adding colloidal oatmeal or bath oils to help soothe inflammation and relieve itching. Always follow up with moisturizer immediately after stepping out.

Limit Exfoliation

Exfoliating too frequently can irritate already-sensitive skin. Use a gentle enzyme-based exfoliant once every one to two weeks if tolerated, and avoid harsh scrubs altogether during flare-ups.

Building a Skin-Friendly Indoor Environment

Indoor heating systems lower humidity levels dramatically, and this dry air can undo even the best skincare routine. You can:

Use a Humidifier Daily

Central heating systems can reduce indoor humidity to below 20%, far lower than the ideal 30–50%. Running a humidifier in your bedroom and main living areas helps maintain balanced moisture levels and prevents your skin from drying overnight.

Be Mindful of Fabrics

Rough or synthetic fabrics like wool can irritate sensitive skin. Choose soft, breathable materials such as cotton, bamboo, or silk for your clothing and bedding. If you love wool sweaters, wear a light cotton layer underneath to minimize irritation.

Adjust the Thermostat Gradually

Keep your thermostat comfortable but avoid blasting hot air. Extreme heat can cause your skin to lose moisture faster and trigger redness, especially if you have rosacea.

Proper Use of Sunscreen

Many people shelve their sunscreen in the fall, which is a critical error. UVA rays, the primary driver of premature aging and a known trigger for rosacea, remain potent year-round.

Furthermore, snow can reflect up to 80% of UV radiation, intensifying your exposure. Opt for mineral-based sunscreens with zinc oxide or titanium dioxide, as they are less likely to irritate sensitive skin than their chemical counterparts.

Apply sunscreen to all exposed areas, not just your face, but also your neck, ears, lips, and hands. For added convenience, select a formula that includes hydrating ingredients so it doubles as your daytime moisturizer. Even on cloudy or cold days, make SPF application a consistent habit.

When At-Home Care Requires Professional Reinforcement

A strategic at-home routine is the foundation of winter skin management, but persistent or severe symptoms often require the advanced therapeutic options available through a dermatologist . If your skin is not responding, it is time to seek expert care.

For Rosacea Management

Treatments like Pulsed Dye Laser (PDL) or Intense Pulsed Light (IPL) can significantly reduce persistent redness and eliminate visible blood vessels (telangiectasias). Beyond standard metronidazole, newer formulations containing ivermectin or azelaic acid provide powerful anti-inflammatory and anti-parasitic action to control papules and pustules.

Low-dose oral antibiotics can also be prescribed for their anti-inflammatory effects, not their antibacterial properties, to manage flare-ups.

For Eczema (Atopic Dermatitis) Control

Medically supervised exposure to narrowband UVB light in Phototherapy can effectively calm the overactive immune response in the skin, reducing inflammation and itch. Non-steroidal options, such as topical JAK inhibitors or PDE4 inhibitors, can control inflammation without the long-term risks associated with topical steroids.

For moderate-to-severe eczema, injectable biologics precisely target specific inflammatory pathways (like IL-4 and IL-13) to provide profound and lasting relief.

For Psoriasis Relief

Excimer Laser is a form of UVB phototherapy that allows for the treatment of localized psoriasis plaques without affecting the surrounding healthy skin. A revolutionary class of injectable medications, including TNF-alpha, IL-17, and IL-23 inhibitors, can target the specific immune system drivers of psoriasis, resulting in clear or nearly clear skin for many patients.

Common Winter Skincare Mistakes to Avoid this 2025

Even small missteps can undo your progress during the winter. You can maintain healthy, comfortable, and glowing skin throughout the winter by implementing a few easy changes and maintaining consistency. Here are a few habits that you should not avoid this winter:

Overusing Active Ingredients

While ingredients like retinoids, AHAs, and BHAs can improve texture and tone, using them too frequently in winter can strip your skin and weaken its barrier. Reduce their use to a few times per week or switch to gentler formulations. Always buffer actives with a rich moisturizer to minimize irritation.

Ignoring Barrier-Rebuilding Ingredients

Many people rely solely on hydrating products but forget those that rebuild the skin’s barrier. Look for formulas with niacinamide, squalane, or panthenol. These support barrier repair and reduce inflammation, which is critical for rosacea, eczema, and psoriasis.

Using Alcohol-Based Toners or Astringents

Toners that contain alcohol or witch hazel may feel refreshing but can dry and sensitize the skin further in winter. Opt for alcohol-free, hydrating toners or essences that replenish moisture and balance pH instead.

Neglecting Nighttime Repair

Skin repairs itself most effectively overnight. Skipping your nighttime moisturizer or sleeping in a dry, heated room without humidity support can accelerate dehydration. Apply a thicker night cream or a sleeping mask before bed to strengthen your barrier as you rest.

Not Cleaning Makeup Brushes and Pillowcases Regularly

Bacteria buildup on brushes, pillowcases, and phone screens can worsen inflammation and clogged pores, especially during flare-prone months. Clean brushes weekly and change pillowcases twice a week to maintain a clean skin environment.

Your Step-by-Step Winter Skin Action Plan

Even with diligent care, you may experience flare-ups that require medical attention. If redness, scaling, or itching persists, or if your symptoms begin to impact your confidence or daily comfort, it’s time to consult a dermatologist. Follow these steps to have a clear action plan to keep your winter skin healthy and moisturized.

Audit and Upgrade Your Products

Review your current skincare. Replace harsh, fragranced, or foaming cleansers with gentle, pH-balanced options. Switch lightweight lotions to thick, ceramide-rich creams or ointments that lock in moisture and repair your skin barrier.

Manage Stress and Support Sleep

Elevated stress levels trigger cortisol, a hormone that increases inflammation and skin sensitivity. Prioritizing consistent sleep routines, relaxation techniques, and stress-reducing practices such as meditation or gentle yoga can help your skin repair itself overnight and reduce the likelihood of irritation during the day.

Blue Light and Digital Exposure

With more time spent indoors in winter, exposure to blue light from screens can contribute to oxidative stress and aggravate redness or sensitivity.

Incorporating antioxidant-rich serums, such as those containing niacinamide, green tea extract, or vitamin C, into your morning routine can help protect your skin. Some modern mineral sunscreens also offer added blue-light defense, supporting overall skin resilience.

Support Skin Barrier from the Inside

Omega-3 fatty acids, antioxidants, and adequate hydration strengthen your skin’s barrier and reduce inflammatory responses.

Include foods such as salmon, walnuts, leafy greens, and berries in your winter diet, and consider supplements like vitamin D or oral ceramides if recommended by a dermatologist. A nutrient-focused approach helps your skin stay resilient and better withstand environmental stressors.

Monitor Triggers and Environmental Factors

Track your routines, products, and environmental conditions in a journal or a skin-tracking app. Over time, you’ll be able to spot patterns, understand what affects your skin most, and make proactive adjustments to your winter skincare routine.

Schedule a Professional Consultation

A consultation at Pine Belt Dermatology allows you to receive personalized guidance, fine-tune your routine, and explore professional treatments if needed. Early intervention can help control symptoms, prevent worsening conditions, and ensure your skin stays healthy, comfortable, and resilient throughout the winter.

If you’re finding it difficult to manage your skin this winter, professional care can make all the difference. The board-certified dermatologists at our Pine Belt Dermatology provide advanced, personalized treatment plans to help you regain control and confidence in your skin. Schedule your consultation and start your journey toward a calmer, healthier, and flare-free winter today!

Winter Skin Survival Guide: How to Combat Dryness, Itchiness, and Flare-Ups

bberendsen@ideazonemarketing.com (Bob Berendsen) — Tue, 04 Nov 2025 20:26:26 GMT

Winter Skin Survival Guide: How to Combat Dryness, Itchiness, and Flare-Ups

When the chilly air rolls in, it’s not just your hands and feet that feel the effects—your skin does too. The colder months can strip away your skin’s natural moisture, leading to dryness, itchiness, flakiness, and even flare-ups of conditions like eczema, psoriasis, and rosacea.

At Pine Belt Dermatology , we understand how winter weather affects your skin and how frustrating it can be to deal with the discomfort that comes with it. The good news is that with a few smart skincare adjustments, you can protect your skin and keep it healthy, hydrated, and comfortable all season long.

Why Winter Wreaks Havoc on Your Skin

Winter weather creates the perfect storm for dry and irritated skin. Several environmental and lifestyle factors combine to rob your skin of its moisture and natural oils:

Low humidity: Cold air holds less moisture than warm air, which means there’s less hydration available for your skin.
Indoor heating: While it keeps you warm, artificial heat lowers indoor humidity even more, drying out the air—and your skin.
Hot showers: Scalding water may feel comforting after being in the cold, but it strips your skin’s protective oils and worsens dryness.
Wind and cold exposure: Cold winds and freezing temperatures can damage your skin barrier, making it harder for your skin to hold in moisture.

If you already have a skin condition like eczema or psoriasis, these factors can easily trigger flare-ups and increase irritation.

Common Winter Skin Problems

1. Dryness (Xerosis): Skin becomes rough, tight, and flaky, especially on the hands, legs, and face.

2. Itchiness: Dry skin often leads to itching, which can worsen irritation or even cause small cracks in the skin when scratched.

3. Flare-ups of chronic conditions: Eczema, psoriasis, and rosacea commonly worsen during winter because of temperature changes and lack of humidity.

4. Chapped lips: The delicate skin on your lips can crack and peel without proper moisture and protection.

5. Rough, cracked hands: Frequent handwashing and exposure to cold air leave hands dry and painful.

Your Winter Skin Survival Plan

Here’s what you can do to restore balance and protect your skin this season.

1. Change the Way You Bathe

Keep showers short and warm—not hot. Aim for 10 minutes or less with lukewarm water. Hot water strips away your skin’s protective oils.
Use gentle cleansers. Choose fragrance-free, mild soaps or body washes that are formulated for sensitive or dry skin.
Pat, don’t rub. Gently pat your skin dry with a towel to avoid irritation.
Moisturize immediately after bathing. Apply a rich, creamy moisturizer within 3 minutes of getting out of the shower to lock in hydration.

2. Upgrade Your Moisturizer

Lotions are great in summer, but they’re not strong enough for harsh winter conditions. Switch to thicker creams or ointments that provide a stronger barrier against moisture loss. Look for ingredients like:

Ceramides: Help repair the skin barrier.
Hyaluronic acid: Attracts and retains moisture.
Glycerin: Draws water into the skin for deep hydration.
Shea butter or petrolatum: Seals in moisture and protects against dryness.

Apply moisturizer at least twice a day, especially after washing your hands or bathing.

3. Use a Humidifier Indoors

Since indoor heating dries out the air, adding a humidifier can help restore moisture levels. Run it in your bedroom or main living area, particularly at night when your skin naturally loses more hydration.

4. Protect Your Skin from the Elements

Bundle up. Wear gloves, scarves, and long sleeves to protect your skin from windburn and cold air.
Use sunscreen—even in winter. UV rays are still strong enough to cause damage and premature aging, especially when reflected off snow.
Avoid harsh fabrics. Wool can irritate sensitive skin, so wear a soft cotton layer underneath.

5. Hydrate from the Inside Out

When it’s cold, you might forget to drink enough water, but hydration is just as important in winter as it is in summer.

Drink water throughout the day to help maintain moisture from within.
Eat foods rich in omega-3 fatty acids (like salmon, walnuts, and flaxseeds) to support your skin’s barrier.
Limit alcohol and caffeine, which can dehydrate your skin.

6. Be Gentle with Your Skin

Avoid over-exfoliating, which can worsen dryness and irritation. Instead, exfoliate gently once a week to remove dead skin cells, allowing your moisturizer to absorb more effectively. Use mild, non-abrasive scrubs or chemical exfoliants recommended by your dermatologist.

7. Manage Skin Conditions Proactively

If you have eczema, psoriasis, or rosacea, staying ahead of flare-ups is key.

Use prescribed creams or medications as directed by your dermatologist.
Stick to your regular skincare routine, even when your skin feels better.
Avoid sudden temperature changes, which can trigger flare-ups.
Keep track of your triggers—whether it’s certain foods, products, or weather conditions—so you can avoid them when possible.

At Pine Belt Dermatology, our dermatologists specialize in treating these conditions and can help you develop a plan to keep symptoms under control through the winter months.

When to See a Dermatologist

Sometimes, dry or itchy skin is more than just seasonal discomfort. You should schedule an appointment if you experience:

Cracked or bleeding skin that doesn’t heal.
Persistent itchiness that interferes with sleep or daily life.
Painful or inflamed patches of skin.
Rashes, bumps, or changes in skin color or texture.

Professional care can help identify underlying causes and provide stronger treatments—such as medicated creams, ointments, or light therapy—tailored to your needs.

Extra Tips for Healthy Winter Skin

Apply hand cream after every wash.
Use lip balm with SPF protection.
Avoid fragranced products, which can irritate dry skin.
Wash clothes with gentle, fragrance-free detergents.
Continue using sunscreen daily, even on cloudy days.

Small changes in your daily habits can make a big difference in how your skin feels during the colder months.

Final Thoughts

Winter doesn’t have to mean itchy, dry, uncomfortable skin. With the right skincare routine, protection, and professional guidance, you can keep your skin healthy, hydrated, and glowing all season long.

At Pine Belt Dermatology , we specialize in diagnosing and treating all types of skin concerns—from seasonal dryness to chronic conditions like eczema and psoriasis. If your skin needs a little extra care this winter, contact Pine Belt Dermatology today to schedule an appointment. Our expert team is here to help you achieve smooth, healthy, and radiant skin—no matter what the weather brings.

Fall and Acne: Why Breakouts Increase in Cooler Weather & How to Prevent Them

bberendsen@ideazonemarketing.com (Bob Berendsen) — Wed, 01 Oct 2025 10:00:07 GMT

Fall and Acne: Why Breakouts Increase in Cooler Weather & How to Prevent Them

Acne is often thought of as a summer skin concern, triggered by heat, sweat, and excess oil production. However, many people notice that their breakouts actually worsen in the fall. As temperatures drop, humidity levels change, and your skin’s environment shifts, the body’s natural defenses and balance can be disrupted — creating the perfect storm for acne flare-ups.

Understanding the connection between seasonal changes and acne can help you take targeted steps to prevent and manage breakouts before they start.

Understanding Acne and Its Triggers

Acne occurs when hair follicles become clogged with excess sebum (oil), dead skin cells, and bacteria. While hormones play a significant role, environmental factors — including seasonal weather changes — can directly influence the skin’s condition.

During fall, the cooler, drier air alters skin physiology in several ways. Sebaceous glands may respond by overproducing oil, skin cell turnover patterns change, and protective barriers weaken. This makes fall an important time to adapt your skincare and lifestyle habits to the new conditions.

Why Acne Breakouts Worsen in Fall

As the seasons shift, your skin undergoes subtle but significant changes. Fall’s cooler air, fluctuating temperatures, and lifestyle adjustments disrupt the skin’s natural balance, creating conditions that favor clogged pores and inflammation. These changes aren’t always obvious at first, but together they can set the stage for more frequent or intense breakouts — a pattern that becomes clearer when you look at the specific factors at play.

Seasonal Drop in Humidity

Fall weather often comes with a decrease in humidity, both outdoors and indoors due to heating systems. Low moisture levels can cause the skin to dry out, leading to flakiness. These dry, dead skin cells can accumulate and mix with oil, blocking pores and creating an environment for acne-causing bacteria to thrive.

Overcompensation by Sebaceous Glands

When skin loses moisture, sebaceous glands may overcompensate by producing more sebum. While this is the body’s natural way of trying to restore balance, the excess oil can combine with dead skin cells and lead to clogged pores and inflammation.

Increased Use of Heavy Skincare Products

In response to dryness, many people switch to richer moisturizers or occlusive skincare products in the fall. If these products are comedogenic (pore-clogging), they can exacerbate acne breakouts, especially in individuals prone to oily or combination skin.

Immune System Changes

Seasonal changes can subtly affect the immune system. The stress of temperature fluctuations, shorter daylight hours, and even mild seasonal illnesses can increase systemic inflammation, which may trigger inflammatory skin conditions like acne.

Stress and Lifestyle Shifts

Fall often brings schedule changes — back-to-school routines, end-of-year work demands, and holiday preparations. Increased stress can elevate cortisol levels, which in turn can stimulate oil production and worsen inflammatory acne.

The Role of Skin’s Barrier Function in Fall Acne

Your skin’s barrier is its first line of defense against environmental stressors, and seasonal changes can put that defense to the test. In fall, the combination of cooler air, wind exposure, and indoor heating can weaken this protective layer, making it more vulnerable to irritation and imbalance. When the barrier is compromised, even minor triggers can have a greater impact on skin health — including the development and persistence of acne.

How the Skin Barrier Works

The skin barrier, composed primarily of lipids, proteins, and cells, helps retain moisture and protect against irritants, allergens, and pathogens. A healthy barrier supports clear skin by preventing transepidermal water loss and limiting entry of acne-causing bacteria.

Barrier Damage in Cooler Weather

Colder temperatures and dry winds strip away natural lipids, making the barrier more permeable. This increases skin sensitivity and susceptibility to irritation, redness, and inflammation — all of which can exacerbate acne.

Connection Between Barrier Disruption and Acne

When the barrier is compromised, the skin’s ability to regulate oil production becomes unstable. Additionally, inflammation from barrier damage can intensify existing breakouts and prolong healing time.

How to Prevent and Manage Fall Acne

While fall acne can be frustrating, it’s not inevitable. By making thoughtful adjustments to your skincare routine and daily habits, you can counteract the seasonal changes that trigger breakouts. The key lies in maintaining balance — keeping skin hydrated without clogging pores, supporting its natural defenses, and addressing potential irritants before they cause problems.

Adjust Your Cleansing Routine

Over-cleansing or using harsh cleansers can strip the skin of natural oils, causing rebound oil production. In fall, opt for gentle, pH-balanced cleansers that remove impurities without over-drying the skin. Cream or gel-based cleansers with soothing ingredients like glycerin or aloe vera can be beneficial.

Choose the Right Moisturizer

Hydration is crucial for preventing the overproduction of oil. Select non-comedogenic moisturizers that provide moisture without clogging pores. Ingredients like hyaluronic acid, squalane, and ceramides help replenish the skin barrier while keeping breakouts at bay.

Incorporate Humidity Control Indoors

Using a humidifier can help maintain optimal indoor humidity levels, reducing skin dryness and flakiness. This can minimize the accumulation of dead skin cells that contribute to clogged pores.

Exfoliate Mindfully

In the fall, exfoliation remains important but should be approached with care. Over-exfoliating can damage the skin barrier, but avoiding it altogether can lead to buildup. Use mild chemical exfoliants like salicylic acid or lactic acid once or twice a week to keep pores clear while maintaining barrier integrity.

Monitor Your Skincare Ingredients

Some heavier skincare and cosmetic products marketed for colder weather may contain oils, waxes, or emollients that are comedogenic. Look for labels that indicate “non-comedogenic” and avoid ingredients known to clog pores, such as certain mineral oils or isopropyl myristate.

The Role of Diet and Hydration

What you put into your body can be just as important as what you put on your skin — especially during seasonal transitions. Fall’s comfort foods and reduced water intake can subtly influence oil production, inflammation, and overall skin clarity. Maintaining the right nutritional balance and staying hydrated can help your skin better withstand the seasonal stressors that contribute to acne.

Nutritional Considerations in Fall

Fall often brings comfort foods high in sugars and refined carbohydrates, which can cause spikes in insulin and trigger increased oil production. Maintaining a balanced diet rich in omega-3 fatty acids, antioxidants, and vitamins A, C, and E can help regulate inflammation and support skin health.

Staying Hydrated

Even if you’re not sweating as much as in summer, your skin still needs hydration from within. Drinking enough water supports overall skin function and helps flush out toxins that can contribute to breakouts.

Managing Stress to Reduce Acne Flare-Ups

Seasonal changes often bring shifts in routine, workload, and even mood — all of which can raise stress levels. This internal pressure doesn’t just affect your mental well-being; it can also influence hormonal activity that fuels breakouts. Understanding and managing this connection can make a noticeable difference in keeping fall acne under control.

Understanding the Stress-Acne Connection

When the body experiences stress, cortisol and androgens increase, stimulating sebaceous glands. This not only leads to excess oil but also increases inflammation, making acne more severe.

Stress-Reduction Techniques

Incorporating stress-management habits such as regular exercise, meditation, deep breathing, and adequate sleep can help reduce hormonal fluctuations that lead to acne.

Special Considerations for Different Skin Types in Fall

Not all skin reacts to fall weather in the same way. The mix of cooler air and lower humidity can leave some complexions oily and congested, while others become dry and irritated. Recognizing your skin type’s unique response to the season allows you to tailor your approach, ensuring both acne prevention and overall skin health.

Oily and Combination Skin

People with oily or combination skin may notice a shift toward increased oiliness in certain areas, even as other areas become dry. Balancing products, such as lightweight moisturizers for oily zones and richer creams for drier patches, can help maintain equilibrium.

Dry and Sensitive Skin

Those with naturally dry skin are at greater risk for barrier disruption. Gentle hydration-focused routines and avoidance of strong acne treatments (like high concentrations of benzoyl peroxide) can prevent irritation.

Acne-Prone Skin

For individuals prone to frequent breakouts, continuing acne treatments such as topical retinoids or salicylic acid is important. However, formulations may need to be adjusted to prevent excessive dryness.

Professional Treatments for Fall Acne

Sometimes, seasonal adjustments at home aren’t enough to fully control breakouts. In these cases, professional treatments can offer targeted solutions that address both active acne and lingering concerns like scarring or uneven texture. Fall can be an ideal time to explore these options, as reduced sun exposure often supports better healing and results.

Chemical Peels

Gentle chemical peels using salicylic acid or glycolic acid can remove dead skin buildup, reduce oiliness, and improve skin texture without excessive downtime — making them a good option during fall.

LED Light Therapy

Blue light therapy targets acne-causing bacteria, while red light helps reduce inflammation. This non-invasive treatment can be effective for persistent fall breakouts.

Microneedling and Laser Treatments

For acne-prone skin with post-inflammatory hyperpigmentation or scarring, microneedling and certain laser therapies can improve skin tone and stimulate collagen production, while also supporting overall skin health.

When to See a Dermatologist

If fall breakouts become severe, persistent, or painful, professional evaluation is essential. A dermatologist can determine whether underlying conditions — such as hormonal imbalances or skin disorders — are contributing to the flare-ups. Prescription-strength topical or oral medications, including retinoids, antibiotics, or hormonal treatments, may be recommended.

Long-Term Acne Prevention Strategies

Acne prevention is not just about reacting to flare-ups — it’s about maintaining a consistent, adaptive skincare and lifestyle approach year-round. As seasons change, so should your skincare routine. By proactively adjusting your regimen, supporting your skin barrier, and maintaining a healthy lifestyle, you can minimize seasonal acne fluctuations.

Don’t let seasonal breakouts affect your confidence this fall. Our expert team at Pine Belt Dermatology offers personalized acne treatments tailored to your skin’s unique needs. Schedule your consultation today and take the first step toward clearer, healthier skin.

Sun Damage Doesn’t Stop in Fall: Why Year-Round SPF Is Essential for Skin Health

bberendsen@ideazonemarketing.com (Bob Berendsen) — Mon, 01 Sep 2025 10:00:16 GMT

Sun Damage Doesn’t Stop in Fall: Why Year-Round SPF Is Essential for Skin Health

As the summer sun fades and fall settles in, many people make the mistake of setting aside their sunscreen. But the truth is, ultraviolet (UV) radiation doesn’t go on vacation. It remains a year-round threat to your skin’s health. Neglecting sun protection during the cooler months can accelerate aging and increase your risk of skin cancer.

This blog explores why SPF isn’t just a summer essential—it’s a daily requirement, no matter the season. We’ll break down the science of UV radiation, the risks of exposure in the fall, and how to protect your skin effectively all year long.

Understanding UV Radiation: The Invisible Threat

Even when it’s cool or overcast, UV rays continue to affect your skin at a cellular level. They can pass through clouds and glass, making protection vital beyond just sunny days.

The Two Faces of UV Rays: UVA and UVB

UVB rays are more intense during the summer and cause visible sunburns, but UVA rays—responsible for premature aging—are present all year long. UVA rays penetrate deeper into the skin and contribute to long-term damage like wrinkles and DNA mutations.

While UVB is partially filtered by the ozone layer, UVA rays reach the earth in large amounts regardless of the season or weather. This makes it necessary to wear a broad-spectrum sunscreen every day, even in fall and winter.

The Misconception of Seasonal Safety

Cooler temperatures can fool people into thinking sun protection is unnecessary. However, your skin doesn’t feel UV radiation—it reacts to it over time. Even when skies are gray or the air is chilly, UV rays silently cause damage that accumulates and may not show up for years.

The Long-Term Impact of UV Exposure

Sun damage goes beyond the immediate effects like tanning or burning. Over time, it can alter your skin’s structure, function, and health in ways that are difficult or impossible to reverse.

Photoaging: The Unseen Aging Process

Consistent UV exposure accelerates skin aging in a process known as photoaging. This includes fine lines, sagging, discoloration, and a rough or leathery texture—effects that may not become obvious until years later.

Photoaging occurs when UV rays break down collagen and elastin fibers, which are essential for skin firmness and elasticity. The result is skin that appears older than it should, even in your 30s or 40s, if SPF hasn’t been part of your daily routine.

The Link to Skin Cancer

UV radiation is the leading environmental cause of skin cancer. While summer sunburns are an obvious risk, the cumulative damage caused by daily, unprotected exposure in other seasons is just as dangerous.

Even brief, regular exposure without sunscreen—such as walking the dog or running errands in fall—can lead to DNA mutations that cause skin cells to grow abnormally. Over time, this can result in basal cell carcinoma, squamous cell carcinoma, or melanoma.

Why SPF Matters Year-Round

Sun protection isn't seasonal—it’s essential every day of the year. The fall sun may feel weaker, but the damaging rays that accelerate aging and cause cancer remain as strong as ever.

SPF: What It Really Means

SPF measures protection against UVB rays, but not UVA. That’s why it’s important to choose a broad-spectrum sunscreen that covers both types. An SPF 30 sunscreen filters out about 97% of UVB rays when applied properly.

However, SPF doesn’t account for how often sunscreen is reapplied or whether it’s washed off. A common mistake is assuming SPF once in the morning is enough for the entire day. For full effectiveness, sunscreen must be used generously and reapplied as needed.

Reflective Surfaces and UV Intensity

Autumn often brings outdoor activities like hiking or apple picking. But it also introduces reflective surfaces—like wet roads, glass, and even fallen leaves—that can bounce UV rays back onto your skin, increasing exposure without your awareness.

In winter, snow becomes a major reflector, nearly doubling your UV exposure. Even in fall, when light angles are lower, UV radiation can reach the skin with surprising intensity, particularly on the face and hands.

The Role of Daily Sunscreen in Skincare Routines

Wearing sunscreen doesn’t have to be a chore. With so many lightweight, non-greasy, and cosmetically elegant options available, it's easy to find a product that suits your skin type and fits seamlessly into your routine.

Building a Consistent Habit

Incorporating SPF into your morning regimen is one of the most impactful habits for lifelong skin health. Just like cleansing and moisturizing, applying sunscreen should become second nature.

Making it a part of your daily schedule ensures protection against unexpected exposure. Whether it’s walking to the car, sitting near a window, or stepping out for lunch, these small moments can add up to significant cumulative damage over the years.

Layering with Other Skincare Products

SPF doesn’t interfere with other skincare steps—it complements them. In fact, sunscreen is most effective when layered over your moisturizer and before makeup.

While some products like foundations or moisturizers may contain SPF, they rarely offer enough coverage or protection. A dedicated sunscreen applied evenly and in the right amount is still necessary, especially for prolonged or daily exposure.

Addressing Common Misconceptions

Misinformation around SPF use is one of the biggest reasons people fail to protect their skin adequately. Clearing up these myths can lead to better habits and healthier skin.

“I Don’t Burn Easily, So I Don’t Need Sunscreen”

Melanin does provide some natural protection, but it’s far from complete. People with darker skin may not burn as quickly, but UV radiation still causes damage deep beneath the surface.

In fact, because skin cancers are often detected later in people with darker complexions, outcomes can be more severe. Year-round sunscreen use is necessary regardless of your natural skin tone.

“Cloudy Days Mean Less UV Exposure”

Cloud cover blocks light but not all UV radiation. Up to 80% of UV rays can still reach your skin through clouds, meaning that a gloomy or rainy fall day still carries risk.

The cool breeze may mask the sun’s intensity, but UV rays continue to impact your skin’s health. That’s why sunscreen should be applied daily, rain or shine.

“I Work Indoors, So I Don’t Need Sunscreen”

Windows don’t stop UVA rays, which are the main contributors to aging and long-term DNA damage. Whether you’re driving, working near a window, or walking through a sunlit hallway, your skin is still being exposed.

Even brief moments in the sun can contribute to cumulative damage. Applying SPF in the morning before leaving home ensures you’re protected throughout the day—even indoors.

Choosing the Right Sunscreen for Fall and Beyond

Different seasons call for slight adjustments in your skincare, but sunscreen remains a constant. Fall is an ideal time to choose a formula that not only protects but also hydrates.

What to Look For

The most important feature of any sunscreen is broad-spectrum protection, ensuring coverage against both UVA and UVB rays. Aim for SPF 30 or higher, even on overcast or chilly days.

In fall, look for sunscreens with moisturizing ingredients to combat seasonal dryness. Products with hyaluronic acid, glycerin, niacinamide, or ceramides offer added skin benefits without compromising UV protection.

Application Tips for Maximum Effectiveness

Most people apply far too little sunscreen, reducing its effectiveness. A nickel-sized amount for the face and a shot-glass amount for the body is recommended for full coverage.

Sunscreen should be reapplied every two hours when outdoors, or more often if you’re sweating or wiping your face. For indoor days with limited sun exposure, one thorough application in the morning may suffice.

Encouraging Lifelong Skin Health

Protecting your skin doesn’t end with summer—it’s a lifelong commitment. Daily SPF use is one of the most powerful preventive measures you can take for healthy, youthful skin.

Early Protection, Lasting Results

The benefits of sun protection build over time. Starting in your teens or 20s can delay visible signs of aging and reduce your risk of skin cancer later in life. But even if you’re older, it’s never too late to start protecting your skin.

Within weeks of consistent use, many people notice improvements in skin texture, reduced sensitivity, and a more even tone. Long-term use results in fewer sunspots, less wrinkling, and stronger skin resilience overall.

Annual Skin Checks and Dermatological Guidance

Sun protection is only one part of the equation. Annual skin checks with a dermatologist are vital for early detection of skin cancer and sun damage. Fall is an excellent time to schedule a check-up, especially after a summer of increased exposure.

Dermatologists can also recommend personalized SPF products, assess your skin type, and identify areas that need extra care or monitoring.

Sun Safety Is a Year-Round Commitment

Fall may bring cooler temperatures and shorter days, but the sun’s ultraviolet rays remain as potent as ever. Dismissing sunscreen during these months invites long-term damage that can age your skin prematurely and increase your risk of skin cancer.

Protecting your skin doesn’t stop when summer ends—it’s a daily act of care that should continue through every season. Incorporating broad-spectrum SPF into your routine not only preserves your skin’s appearance but also its health and integrity. By making sun protection a non-negotiable part of your day, you’re investing in a healthier, safer future for your skin.

Ready to take the next step in protecting your skin year-round? At Pine Belt Dermatology , our team of board-certified dermatologists is here to help you build a personalized skincare routine that includes the right SPF for your skin type and lifestyle. Whether you're looking to prevent premature aging, reduce your risk of skin cancer, or simply maintain healthy, radiant skin, we offer expert guidance and advanced care tailored to your needs. Schedule your consultation today and make year-round sun protection a seamless part of your daily wellness.

Post-Summer Skin Repair: How to Reverse Sun Damage and Hyperpigmentation

bberendsen@ideazonemarketing.com (Bob Berendsen) — Fri, 01 Aug 2025 10:00:37 GMT

Post-Summer Skin Repair: How to Reverse Sun Damage and Hyperpigmentation

As summer fades and the cooler months approach, many of us are left with visible reminders of the sun-soaked days—uneven skin tone, stubborn dark spots, and a rough texture that wasn’t there before. Sun damage, especially in the form of hyperpigmentation, is one of the most common skin concerns post-summer. Fortunately, with the right approach and treatments, you can begin reversing these effects and restore your skin’s health and radiance.

Understanding Sun Damage and Hyperpigmentation

Before diving into solutions, it’s important to understand what happens to your skin during prolonged sun exposure. The sun emits ultraviolet (UV) rays, primarily UVA and UVB, both of which can harm the skin in different ways. UVB rays cause sunburn, while UVA rays penetrate deeper and are largely responsible for premature aging and hyperpigmentation.

Hyperpigmentation occurs when your skin produces excess melanin in response to UV exposure. This results in dark patches, freckles, and sunspots, particularly on areas most exposed to the sun like the face, chest, shoulders, and hands.

The Signs of Post-Summer Skin Damage

Sun damage can manifest in various forms, and recognizing these signs early helps in planning effective treatment.

Uneven Skin Tone and Texture

The sun can lead to an uneven distribution of melanin, making the complexion look patchy or dull. At the same time, UV exposure breaks down collagen and elastin fibers, contributing to a rougher texture.

Dark Spots and Melasma

Dark spots or sunspots are flat brown patches that develop on sun-exposed areas. Melasma, a form of hyperpigmentation often triggered by sun exposure and hormonal changes, presents as blotchy, brownish areas primarily on the face.

Fine Lines and Wrinkles

UV radiation accelerates the aging process by degrading the skin's collagen network. This leads to the development of fine lines, wrinkles, and sagging skin.

Step-by-Step Guide to Reversing Sun Damage

Repairing your skin post-summer requires consistency, patience, and a combination of treatments designed to promote regeneration, fade discoloration, and strengthen the skin barrier.

Step 1: Gentle but Effective Cleansing

The foundation of any skincare routine begins with proper cleansing. Post-summer skin may be sensitive, so it’s essential to use a gentle cleanser that removes impurities without stripping away natural oils. A cleanser with mild exfoliating properties, such as those containing lactic acid or polyhydroxy acids (PHAs), can help slough off dead skin cells without causing irritation.

Step 2: Exfoliation for Cell Turnover

Exfoliation is key to reversing sun damage, as it accelerates the shedding of discolored, damaged skin cells and promotes the growth of new ones. Chemical exfoliants like alpha hydroxy acids (AHAs) and beta hydroxy acids (BHAs) are more effective and safer than harsh physical scrubs.

Glycolic Acid for Surface Renewal

Glycolic acid is a small AHA molecule that penetrates the skin easily and helps improve texture and tone. Using a glycolic acid serum or toner 2–3 times a week can aid in reducing pigmentation and boosting radiance.

Salicylic Acid for Acne-Prone Skin

For individuals who experience post-summer breakouts due to sweat and sunscreen buildup, salicylic acid can be beneficial. It penetrates deep into pores, clearing out debris and reducing inflammation.

Step 3: Incorporating Brightening Serums

To directly address hyperpigmentation, brightening serums are essential. These products are packed with active ingredients that inhibit melanin production and fade existing dark spots.

Vitamin C for Antioxidant Protection

Vitamin C is a powerful antioxidant that not only helps lighten hyperpigmentation but also protects against further UV damage. Look for stable forms like ascorbyl glucoside or magnesium ascorbyl phosphate in concentrations of 10–20%.

Niacinamide for Even Skin Tone

Niacinamide, or vitamin B3, helps reduce the transfer of melanin to skin cells and improves the appearance of blotchy skin. It’s also known for its anti-inflammatory properties, making it suitable for sensitive skin types.

Licorice Root and Kojic Acid

Natural ingredients like licorice root extract and kojic acid are effective at targeting pigmentation without causing irritation. They work by inhibiting tyrosinase, the enzyme involved in melanin production.

Step 4: Retinoids to Boost Cellular Turnover

Retinoids, derived from vitamin A, are among the most powerful tools in reversing sun damage. They accelerate cell turnover, reduce fine lines, and help fade dark spots by pushing fresh, new skin cells to the surface.

Choosing the Right Retinoid

For beginners, over-the-counter retinol or retinaldehyde are effective yet gentler options. For more severe sun damage, dermatologists may recommend prescription-strength tretinoin.

Building Tolerance Gradually

Because retinoids can cause dryness or irritation, it’s best to start with a low concentration and use it every other night. Pairing it with a moisturizer can minimize side effects while maintaining efficacy.

Step 5: Deep Hydration and Barrier Repair

Sun exposure depletes the skin of moisture and weakens its barrier function. Replenishing hydration is essential for allowing the skin to repair itself and function optimally.

Hyaluronic Acid for Hydration

Hyaluronic acid attracts water into the skin, plumping it up and reducing the appearance of fine lines. Use it on damp skin and follow with an occlusive moisturizer to lock in hydration.

Ceramides and Fatty Acids for Repair

Moisturizers containing ceramides, cholesterol, and fatty acids help rebuild the skin’s lipid barrier. A healthy barrier not only reduces irritation but also enhances the effectiveness of active treatments.

Professional Treatments to Accelerate Results

While at-home skincare forms the foundation of post-summer repair, professional treatments can significantly speed up the healing process and provide more noticeable results.

Chemical Peels

Chemical peels use stronger concentrations of exfoliating acids to remove the outermost layers of damaged skin. They are especially effective for treating hyperpigmentation, fine lines, and uneven texture.

Light Peels for Mild Damage

Light peels, such as those with lactic or mandelic acid, are suitable for minor pigmentation and sensitive skin. These require little downtime and can be repeated every few weeks.

Medium to Deep Peels for Stubborn Spots

For more persistent sun damage, medium-depth peels with TCA (trichloroacetic acid) or Jessner’s solution may be recommended. These peels offer dramatic improvement but require a longer recovery time.

Laser Treatments

Laser therapy targets pigment directly and can break down melanin clusters without harming surrounding tissue.

Intense Pulsed Light (IPL)

IPL is a non-invasive treatment that uses broad-spectrum light to reduce redness, brown spots, and uneven skin tone. It’s ideal for treating superficial sun damage on the face, chest, and hands.

Fractional Lasers

Fractional lasers like Fraxel penetrate deeper into the skin, stimulating collagen production and resurfacing the skin. They are effective for both pigmentation and textural concerns.

Importance of Sun Protection Moving Forward

Repairing your skin after summer is only part of the equation. To maintain results and prevent further damage, sun protection must become a non-negotiable part of your daily routine—even during cloudy or cooler months.

Choosing the Right Sunscreen

A broad-spectrum sunscreen with SPF 30 or higher is essential. Mineral-based sunscreens containing zinc oxide or titanium dioxide offer physical protection and are less likely to cause irritation or clog pores.

Reapplication Is Key

Even the best sunscreen needs to be reapplied every two hours if you’re spending time outdoors. For those who wear makeup, powder or spray sunscreens can be convenient for touch-ups throughout the day.

Protective Clothing and Accessories

Wide-brimmed hats, UV-protective sunglasses, and long-sleeved clothing offer an additional layer of defense. Staying in the shade during peak sun hours also reduces your cumulative UV exposure.

Nutrition and Lifestyle Support for Skin Repair

Your skin’s ability to heal and regenerate is deeply connected to your internal health. A balanced diet and supportive lifestyle habits can enhance the effectiveness of your skincare efforts.

Antioxidant-Rich Diet

Foods high in antioxidants, such as berries, leafy greens, nuts, and green tea, help neutralize free radicals generated by UV exposure. Vitamins A, C, and E are particularly beneficial for skin repair.

Adequate Hydration

Staying well-hydrated supports cellular function and maintains skin elasticity. Aim to drink at least eight glasses of water daily and limit dehydrating beverages like alcohol and caffeine.

Sleep and Stress Management

Chronic stress and lack of sleep impair the body’s ability to repair itself, including the skin. Prioritizing quality sleep and stress-relief techniques like yoga or meditation can improve overall skin appearance.

When to See a Dermatologist

While many cases of sun damage and hyperpigmentation can be treated at home, certain conditions warrant professional evaluation . If you notice rapidly growing dark spots, changes in the shape or color of moles, or areas that bleed or itch persistently, consult a dermatologist. These could be signs of precancerous lesions or melanoma.

Your Post-Summer Skin Recovery Starts Now

The end of summer is the perfect time to reevaluate your skincare routine and address the effects of months spent in the sun. With a structured regimen that includes exfoliation, targeted serums, hydration, and sun protection, you can reverse much of the visible damage and restore your skin’s natural glow. For stubborn concerns, consider professional treatments that can dramatically enhance your results.

Don’t let sun damage define your complexion. With consistency, patience, and the right support, your healthiest skin is within reach.

If you’re struggling with sun damage or hyperpigmentation after a long summer, our experts at Pine Belt Dermatology are here to help you restore and rejuvenate your skin with expert care and advanced treatment options. Our board-certified dermatologists specialize in personalized skincare plans that target discoloration, improve texture, and protect your skin’s long-term health. Don’t let sun damage become permanent— schedule your consultation today and take the first step toward a clearer, more radiant complexion with us.

Heat and Acne: How to Prevent Summer Breakouts and Oily Skin

bberendsen@ideazonemarketing.com (Bob Berendsen) — Tue, 01 Jul 2025 10:00:37 GMT

Heat and Acne: How to Prevent Summer Breakouts and Oily Skin

Summer is a time for beach trips, backyard barbecues, and sunshine-filled adventures, but for many people, it also brings along an unwanted guest: acne. Rising temperatures and increased humidity can wreak havoc on your skin, making it feel greasy, congested, and irritated.

If you’ve ever noticed more breakouts during the summer months, you’re not alone. The good news is that you don’t have to let the heat control your complexion. With the right skincare approach and lifestyle habits, you can enjoy the season without sacrificing your skin’s health.

Why Summer Heat Triggers Acne

When the weather heats up, your body naturally produces more sweat to keep you cool. This sweat mixes with the natural oils on your skin, known as sebum. The combination of sweat, oil, and bacteria can easily clog pores, creating the perfect environment for acne to develop. Add in the friction from hats, sunglasses, or helmet straps, and your skin faces even more irritation and potential for breakouts.

Hormones also affect acne, especially during the warmer months. Some people experience a spike in oil production during the summer due to increased activity levels and higher body temperatures. If you already have oily or acne-prone skin, this excess oil can quickly lead to inflammation and clogged pores.

How Heat Affects Oily Skin

Oily skin tends to become more problematic in hot weather. The sebaceous glands, which produce oil, ramp up activity in response to heat and humidity. While sebum helps keep skin moisturized and protected, too much of it can be a problem. Excess oil sits on the skin’s surface, attracting dirt and bacteria that contribute to acne.

Heat can also increase blood flow and inflammation in the skin, which may make breakouts appear redder and more irritated than usual. For those with acne-prone skin, summer often feels like a balancing act between preventing oil buildup and maintaining healthy hydration.

The Importance of Cleansing the Right Way

Over-washing or using the wrong cleanser during the summer months can make your skin worse. Cleansing too often or with harsh products can strip your skin of its natural oils, which triggers it to produce even more oil to compensate.

Make sure to use a gentle, non-comedogenic cleanser that removes sweat, dirt, and oil without over-drying your skin. Cleansing in the morning and evening is usually all you need, but if you’ve had a particularly sweaty day or worked out, it’s smart to rinse your face shortly afterward. Just take the time to follow up with a light moisturizer to keep your skin balanced.

Moisturizing Oily Skin Is Still a Must

It might sound a little backwards, but oily skin still needs moisture. When your skin is dehydrated, it actually tries to compensate by producing more oil. Skipping moisturizer during the summer could leave you with even shinier skin and more breakouts.

The trick is to choose the right moisturizer. Look for formulas that are oil-free, lightweight, and labeled as non-comedogenic. Gel-based moisturizers are often ideal for summer because they hydrate the skin without making it feel greasy or heavy. A well-moisturized face is better equipped to handle heat and less prone to inflammation.

Sunscreen Without the Breakouts

Sunscreen becomes a daily must in the summer. For those who are prone to acne, the challenge is to find a sunscreen that won’t clog your pores or cause breakouts. Some traditional sunscreens contain heavy oils or thick ingredients that can trap sweat and bacteria on your skin.

If you have acne-prone skin, choose a mineral sunscreen or one labeled as oil-free and non-comedogenic. These formulas are designed to sit on the skin without sinking into pores. If you’re using acne treatments like retinoids or benzoyl peroxide, sunscreen is even more important, as these products can make your skin more sensitive to the sun.

Managing Sweat and Preventing Pore Clogging

Sweating is a natural and necessary way for your body to cool down, but letting sweat sit on your skin for too long can lead to breakouts. After exercising or spending time in the heat, try to rinse off as soon as possible. If a full face wash isn’t convenient, using gentle cleansing wipes can help remove excess sweat and oil in the meantime.

Wearing breathable fabrics can also make a difference. Tight clothing and gear can trap sweat against your skin, especially in areas like your back, chest, and shoulders. Try to choose lightweight, loose-fitting clothing that allows your skin to breathe and keeps sweat from lingering.

Avoiding Makeup Meltdowns and Clogged Pores

In hot weather, heavy makeup can mix with sweat and oil, increasing the likelihood of clogged pores and acne. Foundation and concealer can melt into your skin, making breakouts worse and drawing attention to any existing blemishes.

If you choose to wear makeup during the summer, go for lightweight, oil-free, and non-comedogenic formulas. Mineral makeup is often a great choice because it doesn’t suffocate the skin and usually contains fewer irritating ingredients. And always remember to remove your makeup thoroughly before bed to give your skin a chance to recover overnight.

Keeping Your Hands and Hair Off Your Face

It might seem like a small thing, but touching your face throughout the day transfers dirt, oil, and bacteria from your hands to your skin. This can lead to clogged pores and new breakouts, especially during the summer when sweat adds an extra layer of grime.

Hair products can also be a culprit. If you use gels, pomades, or sprays, make sure they don’t come into contact with your forehead or temples. These products can cause breakouts along the hairline, which is a reaction commonly referred to as pomade acne. Try pulling your hair back during especially hot days, and wash your hair regularly if it gets oily quickly.

The Role of Diet and Hydration

What you eat and drink can have a noticeable impact on your skin, particularly during the summer. Staying hydrated helps your body flush out toxins and keeps your skin looking plump and healthy. When you're dehydrated, your skin can become dry and irritated, which may trigger more oil production and breakouts.

In terms of diet, consuming too much sugar, dairy, or highly processed foods can lead to inflammation and acne flare-ups in some people. Summer is the perfect time to take advantage of fresh fruits and vegetables that provide vitamins and antioxidants that support clear skin. Including foods like salmon and walnuts, which are rich in omega-3 fatty acids, can also help reduce inflammation and keep acne in check.

The Benefits of Professional Skincare Treatments

Sometimes, despite your best efforts, breakouts persist. If over-the-counter products aren’t delivering results, or if summer makes your acne significantly worse, a visit to a dermatologist can help. Professional treatments can target the root causes of your acne and provide relief that drugstore products can’t match.

Options like chemical peels, laser therapy, or prescription medications can make a big difference in controlling acne and preventing new breakouts. Dermatologists can also recommend medical-grade skincare products that are better suited for your specific skin type and summer concerns.

When to See a Dermatologist

It’s common to experience a few breakouts here and there, especially during the summer months. But if you’re dealing with painful, cystic acne or if your skin issues are affecting your confidence, it may be time to seek professional help. A dermatologist can assess your skin, rule out underlying conditions, and create a customized treatment plan.

Getting on top of acne early can help prevent scarring and reduce the stress that often comes with persistent skin issues. You don’t have to navigate the challenges of summer skin alone. A professional can guide you through the right treatments and skincare adjustments to help you enjoy clear, healthy skin year-round.

Creating a Summer Skincare Routine That Works

The secret to managing summer acne lies in consistency. A good skincare routine doesn’t have to be complicated, but it should be tailored to meet your skin’s changing needs. In the warmer months, focus on gentle cleansing, light moisturization, and daily sun protection. Avoid over-exfoliating or using too many products at once, which can irritate the skin and worsen breakouts.

It’s also a good idea to listen to your skin. If you notice a new product is causing irritation, it may not be right for your skin type. Stick with trusted ingredients like salicylic acid, niacinamide, and benzoyl peroxide, which are known for their acne-fighting properties. And always patch test new products before applying them to your entire face.

Stay Confident and Comfortable in Your Skin This Summer

Acne can be frustrating, especially when it seems like you’re doing and trying everything right. But remember, summer skin challenges are extremely common and manageable. With a bit of effort, the right products, and support from a dermatologist when needed, you can maintain a glowing complexion even on the hottest days.

At Pine Belt Dermatology , our team of experienced dermatologists understands the unique skin challenges that come with warmer weather. If you need personalized skincare advice, professional acne treatments, or solutions tailored to your skin type, we’re ready to support you. Reach out to us today and take the first step toward clearer, healthier skin and getting the most out of this summer as you possibly can!

How Chlorine and Saltwater from Pools and Beaches Affect Your Skin and What to Do About It

bberendsen@ideazonemarketing.com (Bob Berendsen) — Fri, 23 May 2025 18:23:27 GMT

How Chlorine and Saltwater from Pools and Beaches Affect Your Skin and What to Do About It

Whether you're diving into a chlorinated pool or splashing in the salty waves of the beach, summer fun often comes with hidden consequences for your skin. While swimming is an excellent way to stay active and cool off, the effects of prolonged exposure to chlorine and saltwater can leave your skin dry, irritated, and vulnerable to damage.

How Chlorine Disrupts Your Skin’s Barrier

Chlorine is an effective disinfectant, but it's also a harsh chemical. When it comes into contact with your skin, it strips away the natural sebum—the protective oil your body produces. Without that natural barrier, your skin loses moisture more quickly and becomes vulnerable to irritants.

Over time, repeated exposure can lead to chronic dryness, flaking, and even premature aging due to oxidative stress. People with eczema, rosacea , or sensitive skin often see flare-ups after just one swim in chlorinated water.

The Real Effects of Saltwater on Your Skin

Unlike chlorine, saltwater from the ocean contains minerals like magnesium, calcium, and potassium that may benefit your skin—at least in moderation. These elements can gently exfoliate dead skin cells and have mild anti-inflammatory properties. Saltwater sometimes offers short-term relief for people with acne , eczema, or psoriasis.

Salt pulls moisture from your skin, often leaving it tight and dry—especially if you have sensitive skin. For some, saltwater can sting open cuts or exacerbate conditions if not rinsed off quickly.

How Different Skin Types React to Chlorine and Saltwater

Chlorine and saltwater affect skin differently, depending on your skin type. Knowing how your skin responds helps you care for it properly after a swim.

Dry or Sensitive Skin

Dry or sensitive skin tends to lose moisture quickly in pool or ocean water. Chlorine and salt both strip natural oils, leading to tightness, flaking, or itching. If you have eczema or rosacea, swimming may trigger flare-ups. The skin barrier is already fragile and can become more irritated with repeated exposure.

Oily or Acne-Prone Skin

Chlorine can temporarily reduce oil and improve acne, but this effect doesn’t last. The skin often overcompensates by producing more oil, which can lead to breakouts. Saltwater may reduce surface bacteria, but it can also irritate pores or cause inflammation, especially with frequent exposure.

Combination Skin

Combination skin can be tricky to manage after a swim. The T-zone (forehead, nose, and chin) may feel oily or clogged, and the cheeks may get tight and dry. This dual reaction requires a balanced skincare routine that addresses both moisture loss and oil control.

Using gentle cleansers, hydrating serums, and non-comedogenic moisturizers can help restore balance and soothe all areas of the face effectively.

Skin with Pre-Existing Conditions

If you have a condition like eczema, psoriasis , or frequent sunburns, swimming may worsen symptoms. Chlorine and salt can cause stinging, redness, or increased irritation. Those prone to sunburn, allergic reactions, or chronic irritation may find these symptoms are heightened after swimming. If symptoms worsen, consult a dermatologist for barrier creams or prescription treatment.

What to Do Before You Swim

A solid pre-swim routine prepares your skin to handle chlorine, salt, and sun—minimizing moisture loss, irritation, and long-term damage. This includes:

Apply a Barrier Cream

Use a layer of cream with petrolatum, dimethicone, or silicone to create a protective seal. This barrier prevents excessive water absorption and shields the skin from harsh chemicals. Choose fragrance-free options for sensitive skin, and apply 10–15 minutes before swimming to let it settle.

Hydrate Internally

Drinking water before swimming supports your skin’s hydration from within. Dehydrated skin loses moisture faster and becomes more prone to tightness and peeling. Aim for at least 16 oz of water an hour before extended time in the pool or ocean.

Rinse with Fresh Water

Pre-rinse with fresh water to reduce chlorine or salt absorption and help prevent dryness or irritation. Especially for those swimming in treated pools.

Use Mineral Sunscreen

Mineral sunscreens with zinc oxide or titanium dioxide provide a physical layer that reflects UV rays and reduces chemical penetration. Water-resistant options with SPF 30+ are best. Apply at least 15 minutes before exposure, and don’t forget often-missed areas like ears, the back of the neck, and the tips of the feet.

Protect Vulnerable Areas

Apply thicker ointments to irritated areas, such as hands, knees, elbows, or eczema patches. These spots lose moisture faster and can crack or become inflamed more easily. A layer of balm adds extra defense where it’s needed most.

Post-Swimming Recovery Routine

After leaving the water, your skin begins to dry out and react to whatever it’s absorbed. Acting quickly can prevent lingering irritation, dryness, or breakouts. Your goal: cleanse, calm, and restore the barrier.

Rinse Off Immediately

Shower as soon as you can, using lukewarm water to remove chlorine, salt, and sunscreen residue. This stops further chemical activity on your skin and prevents irritation from particles left behind. Avoid hot water, which can increase dryness and redness.

Cleanse Gently

Use a sulfate-free, pH-balanced cleanser to wash without stripping natural oils. Look for ingredients like glycerin or oat extract to calm and hydrate while cleansing. Harsh soaps can worsen post-swim dryness and interfere with healing.

Moisturize While Skin Is Damp

Moisturizing immediately after towel drying helps trap hydration in the skin. Apply thick creams with ceramides or hyaluronic acid within 5 minutes of showering to lock in moisture and repair your barrier.

Soothe Irritated Areas

If you notice flare-ups, redness, or itching, use a targeted treatment. Hydrocortisone, colloidal oatmeal, or aloe vera gel can calm inflammation. For chronic skin conditions, apply prescribed medications immediately after rinsing and moisturizing.

Replenish with Antioxidants

Chlorine and UV exposure create oxidative stress, which can damage skin cells. Antioxidant serums with vitamin C, E, or ferulic acid help fight free radicals and promote healing. Use these in your morning or evening routine after moisturizing.

Advanced Skincare and Sun Protection for Frequent Swimmers

Without proper protection, repeated exposure can lead to hyperpigmentation, premature wrinkles, and even skin cancer . A proactive routine that combines advanced skincare solutions with effective sun protection is essential for long-term skin health and resilience.

Neutralize Residual Chlorine with Vitamin C Rinses

Even after showering, trace amounts of chlorine can continue to react with your skin, contributing to dryness, irritation, and oxidative stress. A rinse or spray containing ascorbic acid (vitamin C) binds to and deactivates chlorine on contact.

These products are especially beneficial for people with eczema, sensitivities, or anyone experiencing post-swim itching or flaking. They’re safe for both skin and hair and are easy to apply immediately after swimming to prevent lingering chemical effects.

Strengthen the Skin Barrier with Replenishing Serums

After cleansing and moisturizing, using a well-formulated serum can accelerate barrier repair and reduce inflammation. Niacinamide is particularly effective at calming redness, minimizing pore visibility, and improving moisture retention.

Panthenol adds deep hydration and supports healing, while centella asiatica encourages collagen production and soothes irritation. Together, these ingredients help restore your skin's resilience, especially when used consistently after outdoor swimming.

Rehydrate Overnight with Intensive Moisture Masks

To combat cumulative dehydration, apply overnight masks two to three times a week. These products deliver slow-release hydration using ingredients like ceramides, cholesterol, fatty acids, and humectants such as glycerin or hyaluronic acid.

This overnight approach allows your skin to heal more effectively, especially after prolonged exposure to sun, wind, and salt or chlorinated water. Look for fragrance-free, non-comedogenic formulas to avoid irritation on sensitized skin.

Gently Exfoliate to Remove Residue and Stimulate Turnover

Exfoliating once or twice weekly helps remove chlorine residue, dead skin buildup, and uneven texture without damaging your skin’s protective barrier.

Opt for chemical exfoliants like lactic acid (an AHA) or gluconolactone (a gentle PHA), which work by dissolving the bonds between dead cells rather than scrubbing them off. This allows smoother, clearer skin to emerge without the microtears caused by physical exfoliants, which are too harsh for post-swim skin.

Reverse Cumulative Damage with Professional Treatments

When sun exposure and repeated swimming begin to take a visible toll—such as increased sensitivity, roughness, or discoloration—professional treatments can deliver more targeted results. Hydrating facials replenish lost moisture, while enzyme peels or mild chemical exfoliations help refresh tone and texture.

For deeper issues like sunspots, fine lines, or barrier breakdown, dermatologists may recommend laser therapy, microneedling, or prescription-strength serums tailored to your specific skin needs.

When to See a Dermatologist

While many swim-related skin issues can be managed with at-home care, some conditions require professional evaluation. A dermatologist can also recommend customized skincare routines, prescribe medicated products, and suggest in-office treatments to support long-term skin health for frequent swimmers.

If you experience any of the following, it may be time to consult a board-certified dermatologist:

Persistent Inflammation or Irritation: If redness, burning, or itching persists for more than a few days after moisturizing and avoiding triggers, this could be a sign of an underlying condition that needs medical attention or a more serious breakdown of the skin barrier.
Painful or Stinging Skin: Discomfort during or after water exposure may suggest compromised barrier function, chemical sensitivity, or subclinical inflammation that can worsen without proper intervention.
New or Changing Skin Lesions: Any new spots, rough patches, moles, or areas of discoloration that appear or evolve over time should be examined promptly to rule out precancerous changes or skin cancer—especially if you've had high UV exposure while swimming.
Ongoing Sensitivity to Skincare Products: A sudden increase in skin reactivity or allergic responses to routine products may point to a compromised barrier or sensitized skin that needs targeted, professional care.
Chronic Dryness, Cracking, or Delayed Healing: If the skin remains excessively dry, cracked, or slow to heal—even with consistent hydration and moisturization—it could indicate deeper skin dysfunction or a need for prescription-strength treatments.

You shouldn’t have to choose between summer fun and healthy skin. Our experts, at Pine Belt Dermatology , can help you restore your skin's health seamlessly with proven treatments, real guidance, and results you can feel. Book your consultation today!

Everything You Need to Know About Genital Herpes

bberendsen@ideazonemarketing.com (Bob Berendsen) — Thu, 01 May 2025 10:00:33 GMT

Everything You Need to Know About Genital Herpes

One of the most prevalent STIs in the world is genital herpes . Despite its prevalence, there is still a great deal of misinformation surrounding the virus. If you or someone you know has been diagnosed with genital herpes, understanding the condition can help with management and prevention.

Though lifelong, the infection can be managed with treatments that reduce symptoms and transmission. Here's everything you should know about genital herpes.

What Is Genital Herpes?

The herpes simplex virus (HSV) causes genital herpes and is classified into two types: HSV-1 and HSV-2. While HSV-1 is commonly associated with cold sores around the mouth, it can also cause genital infections through oral-genital contact. HSV-2 is more commonly linked to genital herpes and spreads primarily through vaginal, anal, or oral sex.

The virus enters the body through mucous membranes or small skin abrasions. Once inside, it remains in nerve cells and can reactivate periodically, causing recurrent outbreaks. Genital herpes is highly contagious, even when no visible sores or symptoms are present.

How Common Is Genital Herpes?

According to the World Health Organization (WHO), the infection affects a significant portion of the global population:

Over 500 million people worldwide are living with genital herpes caused by HSV-2.
Approximately 3.8 billion people under age 50 have HSV-1, which is commonly associated with oral herpes but can also lead to genital infections through oral-genital contact.
Many individuals remain asymptomatic or experience mild, unrecognized symptoms, leading to unintentional transmission.

Why is this important?

If you’ve had unprotected sexual contact, a new partner, or any symptoms—no matter how mild—getting tested is crucial. Early diagnosis allows for effective management, reduces outbreaks, and lowers the risk of passing the virus to others. Understanding your risk and seeking medical advice when needed can help control the spread of herpes and promote safer sexual health.

What are the Symptoms of Genital Herpes?

Not everyone with genital herpes experiences symptoms, and some may carry the virus without ever having an outbreak. However, when symptoms do occur, they can range from mild discomfort to severe pain, depending on the individual's immune response and whether it is a first-time outbreak or a recurrence.

Primary Outbreak Symptoms

The first outbreak, known as the primary episode, typically occurs 2 to 12 days after exposure and is often the most severe. Symptoms may last for 2 to 4 weeks and include:

Clusters of painful blisters or open sores on the genitals, inner thighs, buttocks, or anus, which may break open and ooze before scabbing over.
Itching, tingling, or burning sensations in the affected area, often serving as a warning sign before blisters appear.
Flu-like symptoms, including fever, chills, swollen lymph nodes (especially in the groin), headaches, and muscle aches.
Painful urination, particularly if sores develop near the urethra, makes it difficult to pass urine.
General discomfort and fatigue as the body fights off the initial infection.

Women may also experience vaginal discharge and pain during intercourse, while men might notice sores on the scrotum or penis. The first outbreak can be physically and emotionally challenging, but symptoms gradually subside as the body builds an immune response.

Recurrent Outbreaks

After the initial infection, the herpes virus remains dormant in nerve cells and can reactivate at any time. While recurrences are usually less severe and shorter in duration—often lasting 5 to 10 days—they can still cause discomfort. Common signs of a recurring outbreak include:

A Warning Sensation (Prodrome): Many individuals notice tingling, burning, itching, or mild discomfort in the affected area one to two days before blisters appear. Some may also feel an ache or tightness in the lower back, buttocks, or legs, which signals an impending outbreak.
Smaller Clusters of Sores: Unlike the widespread lesions of the primary outbreak, recurrent sores are typically fewer in number, smaller in size, and heal more quickly. They may still be painful but are generally less inflamed than those in the first outbreak.
Mild Flu-like Symptoms: Some people experience low-grade fever, mild fatigue, headache, or muscle aches, though these symptoms are typically much less intense than during the primary infection.
Swollen Lymph Nodes: The lymph nodes in the groin may become slightly swollen during a recurrent outbreak, though not as prominently as in a first episode.
Painful Urination: If sores develop near the urethra, urination can cause burning or stinging, but this is usually milder than in a primary outbreak.

What are the Factors That May Trigger a Recurrence?

While herpes outbreaks cannot always be completely prevented, identifying personal triggers and taking proactive steps to reduce exposure to them can help in managing the condition effectively. While triggers vary from person to person, understanding what may prompt an outbreak can help in managing the condition and reducing frequency.

Emotional or Physical Stress

High levels of stress—whether due to work pressure, major life changes, relationship difficulties, or emotional distress—can weaken the immune system, making it easier for the virus to reactivate. Practicing stress management techniques, such as meditation, deep breathing, or regular exercise, can help reduce outbreak frequency.

Weakened Immune System

Any condition that compromises the immune system, such as colds, flu, chronic illnesses, or immune-suppressing medications, can trigger an outbreak. Maintaining a healthy lifestyle, proper nutrition, and adequate rest can help strengthen immune defenses.

Hormonal Fluctuations

Changes in hormone levels, particularly during menstruation, pregnancy, or hormone therapy, can influence outbreaks. Some individuals notice a pattern of recurrences right before or during their menstrual cycle, making it helpful to track symptoms and adjust self-care accordingly.

Lack of Sleep or Chronic Fatigue

Inadequate rest and prolonged exhaustion put stress on the body, making it harder for the immune system to suppress viral activity. Prioritizing consistent sleep schedules and proper relaxation can help minimize outbreaks.

Friction from Sexual Activity or Tight Clothing

Prolonged friction, irritation, or excessive heat in the genital area—whether from sexual activity, tight-fitting underwear or synthetic fabrics—can aggravate the skin and lead to a recurrence. Opting for breathable cotton underwear and using lubricants during intimacy may help reduce irritation.

Excessive Sun Exposure or Extreme Weather Conditions

Prolonged UV exposure, extreme heat, or cold weather can stress the body and weaken immunity, increasing the risk of an outbreak. If sun exposure is a trigger, using sunscreen and staying hydrated can help minimize the risk.

Poor Diet and Dehydration

Nutrient deficiencies, excessive alcohol intake, processed foods, or dehydration can weaken the body’s ability to keep the virus dormant. A balanced diet rich in vitamins, minerals, and hydration can help maintain overall immune health and reduce the likelihood of recurrences.

How Is Genital Herpes Diagnosed?

If you suspect you have genital herpes, consulting a medical professional is the best way to confirm the diagnosis. They include:

Visual Examination: A doctor may diagnose herpes based on visible sores.
Viral Culture or PCR Test: A sample from a sore is tested for the presence of HSV.
Blood Test: Detects antibodies against HSV to determine past or current infection.

Early diagnosis is crucial for managing symptoms and reducing transmission risks. If you’re sexually active, regular STI screenings can help detect infections even if you have no symptoms.

Treatment and Management

While there is no cure for genital herpes, effective treatments help control symptoms, reduce outbreaks, and lower transmission risks.

Antiviral Medications : Acyclovir, valacyclovir, and famciclovir speed up healing, shorten outbreaks, and decrease viral shedding. They work best when taken at the first sign of symptoms or as a daily preventive measure for frequent outbreaks. These medications also help reduce asymptomatic viral shedding, lowering the risk of transmission.
Suppressive Therapy: For those with frequent or severe outbreaks, daily antiviral medication reduces recurrence by up to 80% and lowers the risk of passing the virus to a partner. This approach is often recommended for individuals in long-term relationships or those with weakened immune systems.
Episodic Therapy: This approach involves taking antiviral medication only when symptoms appear to shorten the duration and reduce the severity of an outbreak. It is most effective when started at the first sign of symptoms, such as tingling or itching, and can help speed up healing while minimizing discomfort.
Pain Relief: Ibuprofen and acetaminophen help relieve discomfort, while warm baths with Epsom salts can soothe irritation. Lidocaine or aloe-based creams may provide temporary relief from itching and burning. Wearing loose, breathable clothing can also prevent further irritation.
Lifestyle Adjustments: Managing stress through exercise, meditation, or therapy, maintaining good sleep habits, staying hydrated, and eating a nutrient-rich diet help strengthen the immune system and reduce outbreaks. Avoiding excessive sun exposure, alcohol, and smoking may also lower recurrence rates.

Psychological and Social Impact

Seeking mental health support, joining support groups, or speaking with a therapist can help individuals manage these emotional challenges. Honest communication with partners also plays a key role in maintaining healthy relationships.

How We Support You

Our team offers confidential counseling to address emotional concerns, reduce stigma, and build confidence in relationships. We also provide partner communication coaching, helping you have open, informed conversations about herpes with loved ones.

Additionally, our tailored wellness programs focus on immune-boosting strategies and preventive care, ensuring you have the tools to manage outbreaks effectively and live confidently.

Whether you are experiencing a recurring infection or dealing with a stubborn case, we, at Pine Belt Dermatology , can help you restore your skin's health seamlessly. Visit our services page to learn more about our treatments for your skin problems and a tailored treatment plan from our experts. Book your consultation today!

Skin Deep: How Your Skin Can Reveal Underlying Health Issues

bberendsen@ideazonemarketing.com (Bob Berendsen) — Mon, 07 Apr 2025 13:41:25 GMT

Skin Deep: How Your Skin Can Reveal Underlying Health Issues

Your skin, the body's largest organ, is a vital indicator of your overall health. Changes in its appearance can signal underlying medical conditions that may require attention. Whether it’s ensuring you’re getting the right nutrients, managing stress, or seeking professional care, being attuned to what your skin tells you makes it easier to stay on top of your health.

Why Understanding Skin Conditions Is Crucial for Your Health

The skin often reflects what’s going on internally, from persistent rashes to discoloration or unusual bumps. Recognizing these signs early can help address underlying health concerns of your skin and prevent long-term complications.

Here are some skin symptoms that may indicate underlying health issues:

Persistent Acne and Hormonal Imbalance

Acne is typically associated with adolescence, but if it persists into adulthood, particularly around the jawline, neck, and chest, it can indicate hormonal imbalances. These imbalances can arise from various factors such as stress, diet, or underlying conditions like polycystic ovary syndrome (PCOS).

It is a common condition among women and presents with symptoms like irregular periods, hair growth, and acne. Similarly, during pregnancy or menopause, fluctuating hormone levels can lead to acne flareups. If you're experiencing dry, flaky, and irritated skin despite using moisturizers, thyroid dysfunction could be to blame. In addition, you may experience other symptoms like fatigue, weight gain, or hair thinning.

Dark, Velvety Skin Patches and Insulin Resistance

Acanthosis nigricans (AN) is a condition characterized by dark, velvety patches of skin that often appear in body folds such as the neck, armpits, and groin. While AN itself is harmless, its presence can indicate underlying health problems, especially insulin resistance. This occurs when your body’s cells no longer respond to insulin, leading to elevated blood sugar levels.

It is often an early warning sign of metabolic syndrome—a group of risk factors that increase the likelihood of developing cardiovascular disease, stroke, and type 2 diabetes.

Yellowing of the Skin and Liver Problems

The liver is responsible for filtering out toxins from the blood, and any dysfunction can lead to the buildup of bilirubin. When the skin turns yellow, this may indicate jaundice, which is caused by an accumulation of bilirubin in the bloodstream. It is a yellow substance produced when the liver breaks down red blood cells.

Jaundice can be a sign of hepatitis, cirrhosis, or even liver cancer. It can also be associated with blockages in the bile duct or issues with the gallbladder. Early detection of liver issues can significantly improve treatment outcomes.

Redness and Rosacea

Persistent redness on the face, particularly on the cheeks, nose, and forehead, may be indicative of rosacea . This condition can present itself as visible blood vessels, acne-like pimples, or thickened skin. Rosacea is often triggered by environmental factors such as sun exposure, hot weather, alcohol, spicy food, and stress.

Though rosacea is not life-threatening, it can be embarrassing and uncomfortable. It has also been linked to certain health issues, including gastrointestinal conditions like small intestinal bacterial overgrowth (SIBO) and cardiovascular diseases. Through medications and lifestyle adjustments, you can help manage rosacea and improve skin appearance.

Butterfly Rash and Lupus

A butterfly-shaped rash across the cheeks and nose is a telltale sign of systemic lupus erythematosus (SLE), an autoimmune disease. Lupus occurs when the body's immune system mistakenly attacks healthy tissues, causing inflammation and damage. In addition to the facial rash, its symptoms may include fatigue, joint pain, photosensitivity, and kidney problems.

They can manifest in various ways, and the severity of symptoms can differ. If you notice this rash along with other potential lupus signs, it's important to consult with a healthcare provider for a comprehensive evaluation and proper management. Early diagnosis can help control the disease and prevent complications.

Non-Healing Sores and Skin Cancer

One of the warning signs of skin cancer is the development of sores or wounds that do not heal. These persistent sores may be a sign of basal cell carcinoma, squamous cell carcinoma, or even melanoma.

Basal cell carcinoma is the most common type of skin cancer and often appears as a pearly bump or a red patch that bleeds or crusts over. Squamous cell carcinoma may appear as a thickened, scaly patch, while melanoma is characterized by an irregularly shaped, dark mole that can change in size or color. If you notice any suspicious changes to your skin, especially sores that persist, it’s important to have them examined by a dermatologist.

Nail Changes and Systemic Conditions

Your nails are also an important indicator of your health, and changes in nail appearance can provide clues about internal issues. For instance, spoon-shaped nails, known as koilonychia, can signal iron deficiency anemia. If the nails are soft and spoon-shaped with raised edges, this condition warrants a blood test to check for anemia.

Clubbing, or the rounding of the nails, is another nail change that can indicate problems with the heart, lungs, or liver. Conditions like chronic obstructive pulmonary disease (COPD), cystic fibrosis, or cirrhosis are often associated with nail clubbing. Any sudden or unexplained nail changes should prompt you to seek medical advice to rule out systemic conditions.

Skin Tags and Metabolic Syndrome

Skin tags are small, benign growths of skin that typically appear in areas where skin rubs against skin, such as the neck, armpits, and groin. While they are usually harmless, an increased number of skin tags can be a sign of metabolic syndrome. This syndrome is a cluster of conditions, including high blood pressure, high blood sugar, abnormal cholesterol levels, and excess abdominal fat, which together increase the risk of heart disease and type 2 diabetes.

Metabolic syndrome is a growing concern worldwide, and managing the underlying risk factors can prevent the progression to more serious conditions. If you notice a sudden increase in skin tags, it may be a good idea to consult a healthcare provider for an evaluation of your metabolic health and risk for cardiovascular diseases.

Frequent Bruising and Nutritional Deficiencies

Frequent bruising or easy bruising is often linked to nutritional deficiencies. For example, a lack of vitamin C can lead to weakened blood vessels, causing the skin to bruise more easily. Vitamin K is also essential for blood clotting, and a deficiency can result in excessive bruising.

Iron deficiency can contribute to skin pallor and easy bruising as well. If you notice bruising with minimal impact, it's important to check for possible deficiencies. Blood tests can help identify any vitamin or mineral imbalances, and dietary changes or supplements may be recommended to restore optimal health.

How Dermatologists Can Help You

Dermatologists are experts in diagnosing, treating, and managing a variety of skin conditions. Your skin is a reflection of your overall health, and seeing a dermatologist makes sure you’re addressing both cosmetic and medical concerns.

Here’s how dermatologists can be an invaluable resource for your skin health:

Diagnosing Skin Conditions

Many skin conditions have overlapping symptoms, making self-diagnosis difficult. Dermatologists use advanced tools like skin biopsies, allergy testing, and imaging techniques to pinpoint the exact cause of your skin concerns. Whether it’s acne, eczema, rosacea, or a more serious condition, an accurate diagnosis is the first step to effective treatment.

Treating Chronic Skin Conditions

Once a dermatologist diagnoses your skin issue, they can recommend treatments that may include topical creams, oral medications, or advanced procedures like light therapy or laser treatments. They can address chronic skin conditions such as eczema, psoriasis, and acne, providing more effective solutions than over-the-counter treatments. They can also guide you in managing flare-ups and improving skin health long-term.

Managing Acne Beyond Drugstore Treatments

Stubborn acne often requires more than just over-the-counter solutions. Dermatologists can prescribe medical-grade treatments like topical retinoids, oral antibiotics, or advanced therapies like chemical peels and laser treatments to reduce breakouts and minimize scarring.

Addressing Cosmetic Skin Concerns

From wrinkles and fine lines to hyperpigmentation and acne scars, dermatologists offer cosmetic treatments like Botox , fillers, microneedling, chemical peels, and laser therapy. These procedures help improve skin texture, tone, and overall appearance with safe, medically supervised solutions.

Additionally, they assess your skin type and concerns to recommend effective, science-backed products that support long-term skin health.

Proactive Steps to Maintain Healthy Skin

Taking the right preventive measures can help maintain its strength, prevent premature aging, and reduce the risk of serious skin conditions. Here’s how you can actively protect your skin and keep it in the best condition:

Monitor Skin Changes for Early Detection

Regular self-examinations are essential for identifying potential skin issues before they escalate. Pay close attention to new moles, persistent dryness, discoloration, or changes in existing spots. Warning signs such as asymmetry, irregular borders, or rapid growth should prompt a consultation with a dermatologist for further evaluation.

Implement Daily Sun Protection Measures

Applying broad-spectrum sunscreen with SPF 30 or higher daily—regardless of weather conditions—provides essential protection. Additional defense strategies include wearing protective clothing and incorporating antioxidants such as vitamin C to combat UV-induced oxidative stress.

Prioritize Restorative Sleep for Skin Regeneration

Insufficient rest can lead to increased inflammation, a dull complexion, and accelerated aging. Establishing a consistent sleep schedule and incorporating reparative overnight treatments, such as peptides and hydrating serums, can enhance skin recovery.

If you notice changes in your skin or simply want to improve your skincare routine, consulting our experts at Pine Belt Dermatology can guide you to step toward optimal skin health. Book your appointment with us today to keep your health vibrant!

Beyond Acne: Understanding and Treating Adult Skin Conditions

bberendsen@ideazonemarketing.com (Bob Berendsen) — Tue, 01 Apr 2025 10:00:04 GMT

Beyond Acne: Understanding and Treating Adult Skin Conditions

While acne is often associated with teenagers, adults are not immune to skin conditions that affect their confidence and overall well-being. Beyond acne, a wide range of dermatological issues can emerge due to aging, environmental exposure, genetics, or underlying health conditions. Understanding these conditions, their causes, and available treatments is essential for maintaining healthy skin.

Let’s explore common adult skin conditions, their symptoms, potential causes, and effective treatment options.

Eczema

Eczema, also known as atopic dermatitis, is a chronic inflammatory skin condition that leads to redness, dryness, and intense itching. It can occur at any age but is often seen in adults who have a history of allergies or asthma.

Causes of Eczema

It is thought that both environmental and genetic factors contribute to eczema. The condition is more common in people who have a family history of hay fever, asthma, or eczema. Environmental triggers such as allergens, pollutants, harsh chemicals, and extreme weather conditions can worsen symptoms. Stress and hormonal changes may also play a role in flare-ups.

Common Symptoms

Eczema manifests as dry, red, and itchy skin that can become cracked or inflamed. In severe cases, the affected areas may weep or develop scabs. The itching can be intense, often leading to excessive scratching that further damages the skin barrier, increasing the risk of infections. The condition commonly appears on the hands, elbows, knees, and face, though it can affect any part of the body.

Treatment Options

Managing eczema involves a combination of lifestyle changes and medical treatments. Moisturizing regularly with hypoallergenic creams helps restore the skin barrier and prevent dryness. Prescription-strength corticosteroids or immunomodulators can reduce inflammation, while antihistamines may help control itching. In some cases, biologic medications may be recommended for severe eczema. Identifying and avoiding triggers, such as fragrances or extreme temperatures, is crucial for long-term management. Maintaining a skincare routine with gentle, fragrance-free products can also help minimize flare-ups.

Rosacea

Rosacea is a chronic skin disorder characterized by persistent redness, visible blood vessels, and acne-like bumps, particularly on the face.

Causes of Rosacea

The exact cause of rosacea is unknown, but it is believed to result from a combination of genetic, environmental, and immune system factors. Triggers such as sun exposure, spicy foods, alcohol, hot beverages, and stress can lead to flare-ups. An overactive immune response and the presence of certain skin mites (Demodex) have also been linked to the condition.

Common Symptoms

Rosacea often presents as facial redness, swollen blood vessels, and small, red, pus-filled bumps. Some individuals experience eye irritation, dryness, or a burning sensation. In more severe cases, the nose may become thickened and bulbous, a condition known as rhinophyma.

Treatment Options

Dermatologists often recommend topical treatments like metronidazole or azelaic acid to reduce redness and inflammation. Oral antibiotics such as doxycycline may be prescribed for severe cases. Laser therapy is an effective option for reducing visible blood vessels. Patients are advised to use gentle skincare products, apply broad-spectrum sunscreen daily, and avoid known triggers.

Psoriasis

Psoriasis is an autoimmune condition that accelerates the skin cell turnover process, leading to scaly, inflamed patches, often on the elbows, knees, and scalp.

Causes of Psoriasis

Psoriasis is linked to an overactive immune system that causes the rapid buildup of skin cells. Genetic predisposition plays a significant role, with many affected individuals having a family history of the condition. Triggers such as stress, infections, cold weather, and certain medications can lead to flare-ups.

Common Symptoms

The symptoms of psoriasis include thick, red areas that are covered in silvery scales. The affected skin may be itchy, painful, or prone to cracking and bleeding. Some individuals develop nail changes or joint pain, a condition known as psoriatic arthritis.

Treatment Options

Mild cases can be managed with topical corticosteroids and vitamin D analogs like calcipotriene. For moderate to severe cases, systemic treatments such as biologic drugs (e.g., adalimumab, secukinumab) that target immune responses are often used. Phototherapy, which involves controlled exposure to ultraviolet (UV) light, can also help reduce symptoms.

Hyperpigmentation

Hyperpigmentation refers to the darkening of certain areas of the skin due to excessive melanin production.

Causes of Hyperpigmentation

Hyperpigmentation can be caused by sun exposure, hormonal changes (such as melasma during pregnancy), inflammation from acne, or skin injuries. Certain medications and medical conditions, such as Addison’s disease, can also contribute to the condition.

Common Symptoms

Dark patches or spots appear on the skin, commonly on the face, hands, and other sun-exposed areas. The discoloration may range from light brown to deep black, depending on skin tone and severity.

Treatment Options

Topical treatments containing hydroquinone, kojic acid, or vitamin C can lighten dark spots over time. Chemical peels, microdermabrasion, and laser therapy are effective in promoting skin renewal and reducing pigmentation. Daily sun protection is crucial to prevent further discoloration.

Hives

Hives (urticaria) appear as raised, itchy welts on the skin and can result from allergic reactions to foods, medications, insect bites, or even stress. Chronic urticaria, lasting longer than six weeks, may indicate an underlying autoimmune disorder.

Causes of Hives

Hives occur when the body releases histamines in response to allergens, stress, or infections. Certain medications, food additives, extreme temperatures, and insect stings can also trigger outbreaks. In chronic cases, autoimmune disorders may play a role.

Common Symptoms

Hives present as red or skin-colored welts that can vary in size and shape. They may appear suddenly and move around the body, often causing itching or a burning sensation. In severe cases, swelling of the lips, eyelids, or throat (angioedema) may occur.

Treatment Options

Antihistamines, such as cetirizine or loratadine, are commonly used to manage symptoms. For severe cases, corticosteroids or biologic drugs like omalizumab may be prescribed. Identifying and avoiding potential allergens is key to preventing recurrences. In cases of life-threatening allergic reactions, epinephrine injections may be necessary.

Skin Cancer

Skin cancer, including basal cell carcinoma, squamous cell carcinoma, and melanoma, is one of the most serious adult skin conditions. Prolonged sun exposure, tanning beds, and genetic factors increase the risk.

Causes of Skin Cancer

Skin cancer develops when DNA damage from ultraviolet (UV) radiation or other carcinogens leads to uncontrolled cell growth. Risk factors include prolonged sun exposure, fair skin, weakened immune function, and family history of skin cancer.

Common Symptoms

The most common signs include changes in moles, new growths, or non-healing sores. Basal cell carcinoma often appears as a pearly bump, while squamous cell carcinoma may present as a scaly, red patch. Melanoma is the most aggressive type, characterized by asymmetrical, dark, or irregularly bordered moles.

Treatment Options

Early detection is critical for effective treatment. Surgical removal, cryotherapy, or Mohs surgery are common treatment methods. Advanced cases may require radiation therapy, chemotherapy, or immunotherapy. Regular skin checks and consistent use of sunscreen are essential preventive measures.

Contact Dermatitis

Contact dermatitis occurs when the skin reacts to an irritant or allergen, leading to redness, itching, and blistering. Common triggers include soaps, fragrances, cosmetics, and certain metals like nickel.

Causes of Contact Dermatitis

Contact dermatitis is triggered by direct skin exposure to irritants (e.g., detergents, solvents) or allergens (e.g., latex, poison ivy). Individuals with sensitive skin or a history of allergies are more susceptible.

Common Symptoms

Symptoms include redness, itching, swelling, and blistering of the affected area. In severe cases, the skin may crack, ooze, or become thickened from repeated exposure.

Treatment Options

Avoiding the offending substance is the primary solution. Over-the-counter hydrocortisone creams and antihistamines can relieve mild symptoms. Severe cases may require prescription corticosteroids. Patch testing by a dermatologist can help identify specific allergens.

Perioral Dermatitis

Perioral dermatitis manifests as red, bumpy rashes around the mouth and nose. It is often linked to overuse of topical steroids, hormonal changes, or certain skincare products.

Causes of Perioral Dermatitis

Triggers include prolonged use of topical steroids, excessive use of heavy skincare products, hormonal fluctuations, and bacterial or fungal infections.

Common Symptoms

The condition presents as clusters of red, inflamed papules around the mouth, nose, and occasionally the eyes. The rash may cause burning or mild itching.

Treatment Options

Discontinuing topical steroids and using mild, fragrance-free cleansers can improve symptoms. Dermatologists may prescribe oral antibiotics like tetracycline or topical treatments like metronidazole.

Seborrheic Dermatitis

Seborrheic dermatitis leads to flaky, itchy skin, primarily on the scalp, face, and chest. It is associated with yeast overgrowth and excess oil production.

Causes of Seborrheic Dermatitis

This condition is linked to an overgrowth of Malassezia yeast, excessive oil production, and genetic predisposition. Cold, dry weather and stress can exacerbate symptoms.

Common Symptoms

Seborrheic dermatitis causes yellowish, greasy scales on the scalp, eyebrows, sides of the nose, and behind the ears. Itching and redness are common, and in severe cases, the skin may crack or become inflamed.

Treatment Options

Antifungal shampoos containing ketoconazole or selenium sulfide are effective in managing symptoms. Topical corticosteroids and calcineurin inhibitors can help reduce inflammation. Regular washing with mild cleansers can prevent flare-ups.

Preventative Measures for Healthy Skin

Taking proactive steps can help prevent and manage many adult skin conditions:

Sun Protection: Use broad-spectrum sunscreen (SPF 30 or higher) daily to prevent UV damage and hyperpigmentation.
Hydration and Nutrition: Drinking plenty of water and consuming a diet rich in antioxidants, omega-3 fatty acids, and vitamins supports skin health.
Gentle Skincare Routine: Avoid harsh products that strip the skin. Opt for fragrance-free, non-comedogenic cleansers and moisturizers.
Stress Management: Chronic stress can exacerbate skin conditions. Practices like yoga, meditation, and adequate sleep can help.
Regular Dermatologist Visits: Routine skin checkups help detect issues early, allowing for prompt treatment.

If you're struggling with persistent skin conditions beyond acne, our expert dermatologists at Pine Belt Dermatology are here to help. We provide personalized treatment plans tailored to your unique skin needs, whether you're dealing with eczema, rosacea, psoriasis, or other chronic concerns. Book your appointment with us today and take the first step toward healthier, clearer skin.

Most Common Mistakes When Washing Your Face

bberendsen@ideazonemarketing.com (Bob Berendsen) — Fri, 14 Feb 2025 13:32:19 GMT

Most Common Mistakes When Washing Your Face

Achieving healthy, glowing skin begins with an effective cleansing routine. However, small mistakes can disrupt your skin’s natural balance, leading to irritation, breakouts, or premature aging. Avoiding these common errors and incorporating advanced techniques can significantly impact your skincare journey .

Face Washing Mistakes That Are Hurting Your Skin

Washing your face might seem like a simple daily task; however, one mistake can hinder your skin’s natural function. Here are some common facial-washing mistakes to avoid, as well as practical solutions to improve the health and appearance of your skin:

Washing Your Face Too Often

To strike the right balance, cleaning your face at appropriate intervals is important. Most skin types generally benefit from washing their faces twice a day—once in the morning and once before bed. There are certain situations where washing your face more than twice a day might be necessary, such as after exercise.

Making Use of Items Not Suitable for Your Skin

Skincare products work best when they address your skin type and concerns. For example, a foaming cleanser for dry or sensitive skin can strip away essential oils and worsen dryness. Similarly, opting for a cream-based cleanser when you have oily or acne-prone skin may clog pores.

Dry skin: Look for hydrating ingredients like glycerin, ceramides, or hyaluronic acid.
Oily skin: Choose gel-based cleansers containing salicylic acid or benzoyl peroxide to reduce excess oil.
Sensitive skin: Opt for fragrance-free and hypoallergenic formulas with calming agents like chamomile or aloe vera.
Combination skin: Use a balancing cleanser that addresses oily areas without drying out the skin.

Skipping Pre-Cleansing on Heavy Makeup Days

When you wear heavy makeup, such as foundation, waterproof mascara, or long-wear products, a single cleanse is often not enough to fully remove all traces of makeup. Start with gentle micellar water or a cleansing balm, both of which are highly effective at breaking down and dissolving stubborn makeup, including waterproof mascara and long-lasting foundation.

Micellar water works by attracting and lifting away dirt, oil, and makeup without irritating the skin, while a cleansing balm melts into your skin and easily removes makeup without stripping it.

Using Alcohol-Based Products

Alcohol-based cleansers are often marketed as powerful options for cleansing and controlling oil, but they can have a detrimental effect on your skin. To avoid the negative effects of alcohol-based products, choose alcohol-free cleansers and skincare products that hydrate and soothe your skin. Look for formulas that contain moisturizing ingredients that will keep your skin hydrated and smooth.

Relying Solely on DIY or Over-the-Counter Products

While these products may seem like an easy solution, they often don’t address specific skin concerns like acne, melasma, or aging. Using the wrong products or washing techniques can irritate the skin or even worsen certain conditions.

Proper facial cleansing involves more than just picking up a cleanser off the shelf. It’s important to understand your skin type and choose products that are specifically designed to treat your individual needs. Without the right knowledge or professional guidance, you could be unknowingly causing more harm than good to your skin.

Ignoring the Double-Cleansing Method

This method is recommended by dermatologists for effectively removing makeup, sunscreen, and pollutants. The first step involves using an oil-based cleanser to dissolve makeup, excess oil, and impurities. This is followed by a water-based cleanser to deep-clean pores and eliminate residual debris.

It is especially beneficial for individuals who wear makeup regularly or live in urban environments with high pollution levels. Neglecting this step can lead to clogging of pores with product residue and cause skin issues.

Cleansing With the Wrong Water Temperature

Dryness and irritation result from the skin losing its natural oils when exposed to hot water. On the other hand, cold water isn’t effective at removing sebum or loosening dirt. Lukewarm water is ideal because it’s gentle enough to cleanse without compromising the skin’s protective barrier.

After cleansing, splashing cool water on your face can help tighten pores, leaving your skin looking refreshed and balanced.

Over-Exfoliating

Removing dead skin cells and promoting skin renewal is important, but overdoing it can compromise the skin’s texture and appearance. Relying on harsh scrubs with large granules creates micro-tears in the skin and leads to redness, irritation, and increased sensitivity.

Limit exfoliation to 1–2 times per week, depending on your skin type and the exfoliant used. Use exfoliants that are mild enough to avoid damaging your skin. Opting for chemical exfoliants like alpha-hydroxy acids (AHAs) and beta-hydroxy acids (BHAs) can be effective and less abrasive than physical scrubs.

Neglecting the Neck and Jawline

These regions are often ignored during cleansing routines, even though these areas are particularly prone to aging and congestion. They are equally vulnerable to dirt, oil buildup, and early signs of aging. The skin here is more delicate, and neglecting these regions can result in premature wrinkles, sagging, and an uneven skin tone that contrasts with a well-maintained face.

Incorporate the neck and jawline into your cleansing routine, using upward motions to cleanse thoroughly. Treat these areas with the same care as your face by moisturizing and applying sunscreen daily.

Using Dirty Towels or Reusing Makeup Removers

Reusing towels, makeup removers, or cotton pads introduces bacteria and environmental dirt to freshly cleansed skin. Using contaminated materials can quickly lead to breakouts or irritation, undoing all the benefits of your cleansing routine.

To prevent this, always use freshly laundered towels and opt for disposable cotton pads or sanitized microfiber cloths to remove makeup. Likewise, when reusing wipes, ensure they are thoroughly washed to avoid reintroducing grime and bacteria.

Overlooking the Importance of pH Balance

Using cleansers with an alkaline pH can disrupt your skin’s natural acidic barrier, making it harder for your skin to retain moisture and protect against bacteria.

To keep your skin healthy and balanced, choose cleansers with a pH level between 4.5 and 6.5. Unbalanced pH levels can lead to conditions such as eczema and acne . For added support, follow up with a pH-balancing toner to restore harmony to your skin’s microbiome and strengthen its natural defenses.

Skipping Sun Protection

UV exposure is the leading cause of premature aging, hyperpigmentation , and skin cancer. Even on cloudy days, harmful rays can still penetrate your skin, causing long-term damage.

Incorporate a broad-spectrum sunscreen with SPF 30 or higher as the final step of your morning routine to protect your skin effectively. For added convenience, opt for moisturizers or makeup products with built-in sun protection to simplify your skincare regimen without compromising on safety.

Failing to Customize Your Routine Over Time

Your skin's needs evolve due to factors like aging, climate changes, stress, and hormonal shifts. Sticking to the same skincare regime for years might not effectively address your current concerns, leading to persistent issues like dryness, acne, or dullness.

To keep your skin looking its best, regularly evaluate your skincare products and their effectiveness. If you're noticing ongoing problems, consulting a dermatologist can help. They can recommend advanced treatments like chemical peels, laser therapy, or other procedures tailored specifically to your skin's unique needs. Refreshing your routine ensures you're giving your skin the care it truly deserves.

How Dermatology Can Help You Regain Your Skin's Radiance

With advanced treatments and personalized care, dermatologists can address a wide range of skin issues, from pigmentation and acne scars to fine lines and aging. Here’s how professional dermatological services can help restore your skin’s radiance and overall health:

Personalized Skin Analysis and Diagnosis

A dermatologist performs a comprehensive skin analysis to understand the specific factors contributing to your skin’s lack of radiance. Through this personalized approach, they can suggest tailored treatments and skincare regimens, making sure that you don’t waste time or money on ineffective products.

Advanced Dermatological Treatments

They can recommend professional-grade skincare products and treatments that are proven to improve skin health and radiance. By addressing your concerns about your unique skin type, dermatologists can create plans where your skin receives optimal care, contributing to long-term skin health.

For those seeking more immediate results, dermatologists offer a range of professional treatments that can help restore your skin’s youthful glow. These treatments include procedures that stimulate collagen production, which is important for maintaining firm, smooth skin.

Addressing Aging Skin Concerns

Dermatologists can offer treatments like Botox or dermal fillers to restore volume and smooth out wrinkles, giving the skin a rejuvenated and more radiant appearance. Additionally, they can recommend anti-aging skincare ingredients like retinoids and antioxidants that boost cell turnover and fight the signs of aging.

Ongoing Skin Health Management

Regular visits to a dermatologist allow for personalized adjustments to your skincare routine, making sure it aligns with your skin’s current needs. Through routine check-ups and follow-up treatments, dermatologists help you address concerns early, prevent new issues from developing, and preserve your skin’s radiance. With expert advice, you can confidently navigate your skin's changing needs, staying on track for long-term, healthy results.

Curious to know how you can change your face-washing routine for the better? At Pine Belt Dermatology , we can offer you a personalized skincare consultation from our expert dermatologist to restore your natural glow. Book your appointment for a detailed assessment of your skin health today!

What Happens to My Skin During Dry January (No Alcohol)?

bberendsen@ideazonemarketing.com (Bob Berendsen) — Mon, 06 Jan 2025 17:06:39 GMT

What Happens to My Skin During Dry January (No Alcohol)?

For many individuals, participating in Dry January offers a chance to reset habits and embrace a healthier lifestyle. Giving up alcohol for a month can do wonders for your overall health, but it also leads to noticeable changes in your skin.

If you’re considering this, it’s important to understand what happens to your skin when you remove alcohol from the equation and why this reset can bring long-lasting benefits.

How Alcohol Impacts the Skin

When you have a pause on alcohol, your skin gets the opportunity to heal, rejuvenate, and reveal its healthiest version. Understanding how Dry January transforms your skin goes beyond surface-level observations.

Here are some of the ways your alcohol habits can affect your skin:

Dehydration and Its Visible Effects

Alcohol acts as a diuretic, pulling water from your body and causing dehydration. This lack of moisture has immediate and visible consequences for your skin. Dehydrated skin loses its plumpness and elasticity, making fine lines and wrinkles more pronounced.

Additionally, a dull, tired complexion often replaces the skin’s natural vibrancy. Hydration is the cornerstone of healthy, radiant skin, and by eliminating alcohol, your body is better able to retain water. This leads to noticeable improvements in your skin’s suppleness and glow.

Alcohol and Inflammation: The Hidden Enemy

Alcohol consumption triggers an inflammatory response within the body, which has significant effects on your skin. This inflammation can worsen existing skin conditions like acne , rosacea, and psoriasis while also contributing to puffiness, redness, and irritation.

Moreover, it breaks down collagen, a key protein responsible for keeping skin firm and youthful, resulting in sagging and the formation of wrinkles. By removing alcohol from your system, inflammation is reduced, paving the way for clearer, calmer, and healthier-looking skin.

The Impact on Skin Nutrition

Alcohol can deplete the body of essential vitamins and nutrients that are vital for skin health. Key nutrients like vitamin A, which aids in skin repair and renewal, and vitamin C, which is necessary for collagen production and protection against free radicals, are significantly compromised. Additionally, zinc, which supports wound healing and reduces blemishes, is also depleted by frequent alcohol consumption.

A break from alcohol, such as during Dry January, allows your skin to replenish these vital nutrients, enhancing its ability to heal, renew, and protect itself. This restoration leads to stronger, more resilient, and healthier skin overall.

Week-by-Week Changes to Your Skin During Dry January

By cutting out alcohol, you give your body the chance to repair the damage caused to your skin. As you go on this journey, each week brings noticeable transformations to your skin, reflecting the progress your body is making beneath the surface.

Here’s how your skin heals and thrives during this no-alcohol season:

Week 1: Rehydration Begins

In the first week, the skin starts to retain more moisture, resulting in noticeable improvements in texture and tone. Fine lines caused by dehydration begin to soften, and dry patches gradually fade away. To support your skin during this phase, increase your water intake and use a hydrating moisturizer to amplify the benefits of rehydration.

Week 2: Inflammation Subsides

The inflammatory effects of alcohol begin to diminish, leading to a reduction in redness and puffiness. Your skin starts to appear calmer and more evenly toned, while conditions may show signs of improvement. To further soothe your skin, incorporate skincare products with calming ingredients like aloe vera or chamomile.

Week 3: Detoxification in Full Swing

Your liver is functioning more efficiently, removing toxins from your body and contributing to healthier skin. As a result, breakouts and clogged pores become less frequent, revealing a clearer and brighter complexion. To support this detoxification process, consider gently exfoliating to slough away dead skin cells and uncover fresh, radiant skin.

Week 4: Collagen and Elasticity Rebound

Your body’s collagen production begins to improve, helping to restore the skin’s elasticity and firmness. Signs of aging, such as sagging and fine lines, become less noticeable, leaving your skin feeling tighter and more rejuvenated. To improve collagen synthesis, incorporate skincare products rich in peptides or retinol into your routine for long-term benefits.

Skin Conditions That Improve During Dry January

Your skin acts as a barrier, protecting your body from external threats while also reflecting your internal health. Alcohol can significantly impact skin health, contributing to various skin conditions.

Here’s how stopping it can benefit some common skin conditions:

Acne

Alcohol can contribute to acne by increasing oil production and disrupting hormone levels, which can lead to clogged pores and inflammation. During periods of reduced alcohol consumption, such as Dry January, your skin experiences less oiliness and improved hydration, which helps reduce blemishes and promotes a smoother complexion.

Rosacea

Alcohol is a common trigger for rosacea flare-ups, leading to increased redness, irritation, and the appearance of visible blood vessels. Taking a break from alcohol can significantly reduce these symptoms, calming the skin and minimizing visible signs of it, leading to a clearer, more even complexion.

Psoriasis

Alcohol consumption can exacerbate this by triggering increased inflammation, which can worsen flare-ups and cause more severe scaling. By cutting back on alcohol, many people experience a reduction in psoriasis patches and scaling, allowing the skin to heal and become more manageable.

Hyperpigmentation

Alcohol can impact blood sugar levels, which may worsen hyperpigmentation and lead to dark spots. Reducing alcohol intake gives the skin an opportunity to repair itself, gradually lightening dark spots and promoting a more even skin tone. Additionally, certain treatments can help speed up this process and enhance skin radiance.

How Can You Personalize Your Dry January Results With Professional Services?

During these times, as your skin begins to respond positively to the absence of alcohol, it’s important to maximize those results with tailored dermatology care. Here’s how professional dermatology services can assist in improving your skin health during this season:

Hydrafacial

These are an excellent treatment for boosting hydration and rejuvenating your skin. This non-invasive facial deeply cleanses, exfoliates, and infuses essential hydrating serums into your skin. The result is instantly radiant, refreshed, and thoroughly hydrated skin, making it a perfect treatment during this period to maintain your skin's health and glow.

Laser Treatments

This treatment effectively targets your skin inflammation, redness, and conditions like rosacea. The precision of these treatments helps to calm irritated skin and promote an even skin tone, especially as your skin detoxifies during Dry January. This advanced technology ensures long-lasting results, leaving your skin smoother and healthier.

Chemical Peels

When it comes to reversing the signs of aging caused by excessive alcohol consumption, chemical peels are the ideal solution. This procedure exfoliates the skin’s outer layer, revealing a fresh, youthful complexion beneath. By stimulating collagen production, chemical peels help reduce the appearance of fine lines, wrinkles, and uneven skin tone, allowing your skin to look firmer and more rejuvenated.

Customized Skincare Plans

Whether you are looking to target flare-ups, wrinkles, or overall skin restoration, a personalized regimen makes sure that you get the most effective treatments and products suited to your unique skin type. This plan will support your skin’s health throughout Dry January and beyond.

Preventative Care

This primarily focuses on proactive measures to maintain long-term skin health. Routine skin assessments and regular check-ups will help catch any emerging skin concerns early on. Preventative care allows for your skin to remain glowing, clear, and youthful, keeping you on track with your skincare goals and addressing any issues before they become visible problems.

Mohs Surgery

Mohs surgery is a highly precise procedure for removing skin cancer. It works by removing the cancerous tissue layer by layer while preserving as much healthy skin as possible. This technique has the highest cure rate for skin cancer and minimizes scarring, offering an effective solution for patients with specific types of skin cancer.

Botox and Dermal Fillers

For those looking to smooth fine lines and restore volume, Botox and dermal fillers are excellent options. These treatments are minimally invasive, providing quick results with little downtime. They help rejuvenate the skin by reducing the appearance of wrinkles and restoring a youthful look, all while enhancing facial contours and overall texture.

Acne Treatment

Effective acne treatment options target the root causes of breakouts, providing clear, healthy skin. With a range of therapies, including topical treatments, oral medications, and laser options, treatments can be tailored to individual needs. Whether dealing with occasional breakouts or chronic acne, these solutions are designed to give long-lasting, visible improvements in skin clarity.

Eczema and Psoriasis Treatment

For those with chronic skin conditions like eczema or psoriasis, customized treatments can help manage flare-ups and soothe irritated skin. Through a combination of prescription therapies, topical treatments, and specialized care, these conditions can be controlled, improving skin comfort and overall appearance.

Skin Cancer Screenings

Routine skin cancer screenings are essential for early detection and prevention. Regular check-ups allow dermatologists to monitor skin changes and identify potential issues before they become serious. Early intervention can significantly increase treatment success rates and offer healthier skin in the long term.

Want to explore more skin care options to care for your Dry January skin? We at Pine Belt Dermatology offer you a personalized skincare consultation where you can feel your skin recover to look and feel its best before the season ends. Schedule an appointment with us today!

Makeup Tips for Maintaining Healthy Skin

bberendsen@ideazonemarketing.com (Bob Berendsen) — Wed, 04 Dec 2024 20:08:45 GMT

Makeup Tips for Maintaining Healthy Skin

With its power to enhance features and boost confidence, makeup has become essential to many people's daily routines. However, regular makeup can also affect your skin's health, leading to breakouts, dryness, or other issues if you're not careful.

Here’s a look at how makeup can impact your skin and some tips for preserving your skin health.

The Delicate Balance Between Makeup and Skincare

Makeup can be a powerful tool for boosting confidence and self-expression, but it can also cause problems for your skin. Many makeup products contain chemicals, oils, and preservatives that can clog pores, irritate sensitive skin, or contribute to dryness. Foundations and concealers, especially those with heavy, occlusive ingredients, can trap dirt and oil on the skin’s surface, leading to acne or premature aging. Here are some ways how makeup impacts your skin:

Comedogenicity: Some makeup products contain comedogenic ingredients, which can clog pores and lead to breakouts. This can be more common in people with oily or acne-prone skin.
Irritation: Fragrances, preservatives, and certain chemicals in makeup can irritate sensitive skin, causing redness, dryness, and itching.
Barrier Disruption: Harsh application techniques or frequent cleansing to remove makeup can disrupt the skin's natural barrier, leaving it vulnerable to environmental damage and dehydration.

Applying makeup can also offer some protective benefits. For instance, many foundations and powders include SPF, helping protect your skin from harmful UV rays. Plus, with advancements in skincare-infused cosmetics, some products now offer moisturizing, anti-inflammatory, or anti-aging properties. However, this doesn't mean makeup is a substitute for proper skincare.

Makeup Tips for Healthy Skin

Maintaining that delicate balance between makeup and healthy skin means adopting a routine that cares for your skin before, during, and after you apply your favorite beauty products. Let’s explore some tips that can help you preserve the balance:

Always Start with Clean Skin

Cleansing removes dirt, oil, and previous product residues that can clog your pores when mixed with makeup. Opt for a gentle cleanser suited to your skin type—whether it's oily, dry, or sensitive. This prepares your skin to absorb moisturizer and primer more effectively and helps it adhere better without causing irritation.

Apply a Primer

A primer acts as a shield between your skin and your makeup. It creates a smooth surface, helps your makeup last longer, and prevents your foundation from sinking into fine lines or pores. Some primers also come with added benefits such as hydration or oil control. You can choose color-correcting or blurring primers if you struggle with redness or uneven texture.

Don’t Ignore Hydration

Moisturizing can help balance your skin's natural oils and improve the appearance of your makeup. For example, using a cream or serum with hyaluronic acid (HA) will help draw moisture into the deeper layers of your skin and prevent the surface from drying out.

Even with oily skin, moisturizing ensures your skin remains hydrated and doesn’t overproduce oil. Choose a lightweight, non-comedogenic moisturizer if you're prone to acne, and let it fully absorb into your skin before applying makeup.

Limit Heavy Coverage

You should start with a light foundation layer and build coverage only where needed. This allows your natural skin to breathe and prevents makeup from looking cakey. Heavy foundations can lead to clogged pores, especially if worn for extended periods. This can result in breakouts, redness, and skin irritation.

Choose Non-Comedogenic Products

Non-comedogenic makeup is formulated to avoid clogging pores, which is especially important if you have acne-prone or oily skin. Focus on finding products like foundations, concealers, and powders with a non-comedogenic label. These products are typically lighter and designed to allow your skin to breathe, reducing the risk of breakouts and irritation.

Avoid Harsh Products

Be careful when purchasing makeup, especially those containing harsh ingredients like parabens, fragrances, alcohol, or silicones. These can irritate the skin and disrupt its natural barrier. Instead, you can opt for products infused with skin-loving ingredients like hyaluronic acid, antioxidants, or vitamins. These makeup-skincare hybrids can provide hydration, reduce inflammation, and offer anti-aging benefits. For example, foundations with SPF protect your skin from UV rays, while powders containing antioxidants combat free radical damage.

If you’re in doubt, your dermatologist can provide the best recommendation based on your skin type.

Remove Makeup Before Bed

Your skin undergoes a repair process overnight, and having makeup on can block your pores, leading to breakouts, irritation, and dullness. Use a gentle remover or micellar water to remove them, followed by a thorough cleanse to ensure your skin is free of dirt and impurities. It is also recommended to wear waterproof makeup around your eyes since your skin is most delicate in this area.

Consider Your Skin Type

Your skin’s reaction to makeup can differ depending on your skin type. Those with dry skin should choose moisturizing foundations, primers, and powders that don't emphasize dryness. Oily skin benefits from oil-free, mattifying products to control shine without disrupting the skin's natural balance. It's important to consider your unique needs when choosing products.

Exfoliate Regularly

Exfoliation helps to remove dead skin cells that can accumulate and make your makeup look cakey or patchy. Regular exfoliation (once or twice a week) can help smooth out your skin's texture, allowing for better makeup application. However, over-exfoliating can strip your skin of its natural oils, so be mindful of the products you use and your skin’s reaction.

Consult your dermatologist to determine which type of exfoliation (chemical or physical) best suits your skin. Remember, it’s always best to let your skin recover before applying a new layer of makeup.

Avoid Sharing Products

Makeup is a personal process, and sharing your products with others may lead to the transfer of bacteria, oil, and dead skin cells from one person to another. This can increase your risk of skin infections, breakouts, or even eye infections. Always use your own products, and make sure they are kept clean and stored correctly. This is especially true for foundation, brushes, sponges, and mascara.

Give Your Skin Breaks from Makeup

Even if you love wearing makeup, giving your skin time to breathe is essential. Wearing makeup daily without a break can prevent your skin from repairing itself naturally. Try to have at least one or two makeup-free days a week to let your skin rest. On these days, focus on hydrating and nourishing your skin with moisturizers, serums, and SPF protection.

If you're prone to breakouts, taking breaks from makeup can help reduce irritation and inflammation.

Invest in Sunscreens

One of the major causes of premature aging and skin cancer is sun damage. Opt for a broad-spectrum sunscreen with at least SPF 30 and apply it after your moisturizer but before your primer. This extra layer of protection shields your skin from sun damage, preventing dark spots, wrinkles, and even cancer. If you're worried about sunscreen making your skin oily, you can choose lightweight, non-greasy formulas that won't interfere with your makeup application.

Use Clean Tools and Brushes

Dirty makeup brushes and sponges can harbor bacteria, which can transfer to your skin and cause breakouts or infections. Make it a habit to clean your brushes and tools at least once a week with a gentle cleanser or brush cleaner. This will help maintain your skin’s health and provide better makeup application since clean brushes apply makeup more smoothly and evenly.

Watch Out for Expiration Dates

Expired makeup can lose effectiveness and even become a breeding ground for bacteria. Using expired products can lead to irritation, infections, and breakouts. Make sure to regularly check the expiration dates on your makeup, especially on liquid products like foundation and mascara.

As a general rule, replace mascaras every three months and foundations every six to twelve months. Sticking to fresh products keeps you from exposing your skin to harmful bacteria or ineffective ingredients.

Hydrate from the Inside Out

Makeup can only do so much if your skin isn’t healthy from within. Drinking enough water throughout the day helps keep your skin hydrated and glowing. Dehydration can make your skin look dull and flaky, and no amount of makeup can fully cover that up. So, stay hydrated and maintain a balanced diet rich in fruits, vegetables, and antioxidants for healthier skin.

Consulting a Dermatologist

A dermatologist can provide valuable insights if you’re experiencing persistent skin issues despite following a good skincare and makeup routine. They can help identify underlying skin conditions that may require specific treatments, such as acne, rosacea, or eczema. They can also recommend products suited to your skin type and lifestyle, ensuring you get the most out of your skincare and makeup routines.

Moreover, dermatologists can offer guidance on treatments like chemical peels, laser therapy, or prescription medications that may improve skin texture, reduce pigmentation, or minimize the appearance of pores. If you love makeup but want to avoid damaging your skin, a dermatologist's advice can make all the difference.

Remember, the best makeup routine for your skin is the one that works for you. While the tips above offer a foundation for healthy makeup practices, individual skin concerns may require personalized solutions. At Pine Belt Dermatology , we can provide tailored advice and treatment plans to address your skin needs. Contact us today to book a consultation!

Treatment Tips for Dry Skin

bberendsen@ideazonemarketing.com (Bob Berendsen) — Fri, 25 Oct 2024 12:25:30 GMT

Treatment Tips for Dry Skin

You’ve likely felt it in your life: that uncomfortable feeling of tightness, flakiness, and sometimes even itchiness that can make your skin look and feel less than its best. But what exactly causes dry skin, and how do you treat it? Don’t fret because we’ve put together some treatment tips that can help your dry skin regain its moisture.

What Causes Dry Skin?

When it comes to dry skin, there can be many potential underlying causes:

Cold weather, low humidity, and harsh winds are notorious for stripping the skin of its natural moisture. Even indoor heating can dry out the air, leaving your skin feeling parched.
As relaxing as they are, long, hot showers and baths can also be a major culprit in causing dry skin. The hot water strips away your skin’s natural oils, which are needed to maintain moisture.
Using soaps, detergents, or shampoos that are too harsh for your skin can disrupt its natural barrier, leading to dryness. Ingredients like sulfates, which are common in many household products, can be particularly drying.
As we age, our skin naturally produces less oil, which is why dry skin is more common in older adults. The thinning of the skin also reduces its ability to retain moisture.
Certain skin conditions, like eczema and psoriasis, can cause extremely dry, flaky skin. These conditions often require specialized treatment beyond just moisturizing.

Treatment Tips for Dry Skin

To help treat dry skin, try these treatment tips:

Moisturize Regularly

Combating dry skin is easy, so long as you can maintain a consistent and effective moisturization routine. Look for a moisturizer that’s rich and creamy, preferably one that contains ingredients like hyaluronic acid, glycerin, and ceramides. These ingredients help draw moisture into the skin and lock it in, preventing it from evaporating.

Apply your moisturizer right after you shower or wash your face while your skin is still damp. This helps to trap moisture on your skin. For extra dry areas, you can layer your moisturizer with an oil or balm to create an additional barrier against moisture loss.

Choose the Right Cleanser

Choose a gentle cleanser that won’t strip your skin of its natural oils, such as those with alcohol, fragrances, or harsh chemicals. Cleansers with these ingredients can exacerbate dryness.

Cream- or oil-based cleansers are excellent choices because they cleanse your skin without leaving it feeling tight or dry. Cleansers with aloe vera, chamomile, or oat extract are also great choices, as the ingredients are very soothing.

Incorporate Hydrating Serums

Hydrating serums are lightweight, water-based products that deliver a concentrated dose of moisture deep into your skin. Hyaluronic acid serums are particularly effective because they can hold up to 1,000 times their weight in water, making them incredibly hydrating.

Apply your serum after cleansing and before moisturizing to maximize its benefits. You can also layer different serums to target multiple skin concerns, provided you apply the thinnest one first.

Use a Humidifier

A humidifier adds moisture to the air, which can be particularly beneficial during the winter months or in arid climates. By keeping the air in your home or office humid, you’ll help prevent your skin from drying out. This is especially important if you use indoor heating, which tends to dry out the air.

Place a humidifier in your bedroom or any other room where you spend a lot of time to keep your skin hydrated throughout the day and night.

Avoid Hot Water

As tempting as it is to take a hot shower or bath, try to use lukewarm water instead. Hot water takes the natural oils away from your skin, which leads to dryness. If you love long showers, try to limit them to 10 minutes or less, and always moisturize immediately afterward.

If you can’t resist a hot bath, add a few drops of moisturizing bath oil to the water. This simple step will help prevent your skin from drying out by locking in moisture.

Exfoliate Gently

Exfoliating removes dead skin cells that can make your skin look dull and flaky, but it’s best to exfoliate gently, especially if you have dry skin. Over-exfoliating or using harsh scrubs can damage your skin’s protective barrier, leading to even more dryness.

Choose a gentle exfoliant that contains alpha-hydroxy acids (AHAs) like lactic acid or glycolic acid. These ingredients help to exfoliate the skin without being too abrasive. Exfoliate once or twice a week to keep your skin smooth and ready to absorb moisture.

Opt for Hydrating Masks

Incorporating a hydrating mask into your skincare routine can give your skin an extra boost of moisture. Look for masks that contain ingredients like hyaluronic acid, aloe vera, and honey, all of which are known for their hydrating properties.

Use a hydrating mask once or twice a week, depending on how dry your skin is. You can also use it as a spot treatment on particularly dry areas like your cheeks, forehead, or around your mouth.

Drink Plenty of Water

Hydration starts from the inside out. Drinking plenty of water therefore keeps your skin hydrated. When your body is dehydrated, it can show up in your skin, making it look dull and dry.

Aim for at least eight glasses of water a day, and consider increasing your intake if you’re in a particularly dry environment or physically active. Adding fruits and vegetables with high water content to your diet, like cucumbers, watermelon, and oranges, can also help.

Avoid Harsh Ingredients

Certain ingredients can worsen dry skin, so it’s important to avoid them if possible. Alcohol, fragrances, and sulfates are common culprits that can strip your skin of its natural moisture, so look for products that advertise that they do not contain such components.

If you have sensitive skin in addition to dry skin, try using products that are formulated specifically for sensitive skin. These products are usually free of irritants and are designed to be gentle on your skin.

Seal in Moisture Overnight

If you’re looking for a great time to give your skin some extra TLC, nighttime is perfect. Before bed, apply a thicker, more occlusive moisturizer or a hydrating overnight mask to lock in moisture while you sleep.

For an extra boost, it is advisable to use a humidifier in your bedroom to keep the air moist. This can help prevent your skin from drying out overnight, leaving you with soft, hydrated skin in the morning.

Limit Exposure to Chlorine

Swimming in chlorinated pools can be incredibly drying for your skin. If you’re a frequent swimmer, make sure to rinse off as soon as you get out of the pool and apply a moisturizer right away.

You might also apply a barrier cream or oil before swimming to protect your skin from the drying effects of chlorine. Look for products that are water-resistant and designed to be used before swimming.

Incorporate Omega-3 Fatty Acids

Omega-3 fatty acids help strengthen your skin’s barrier, keeping moisture in and irritants out. Incorporating foods rich in omega-3s into your diet, like salmon, walnuts, and flaxseeds, can help improve your skin’s hydration levels.

If you’re not getting enough omega-3s from your diet, you might consider taking a supplement. Ask a healthcare professional, though, if you’re planning to start a new supplement regimen, just to be safe.

Try a Hydrating Toner

A hydrating toner can be a great addition to your skincare routine , especially if you have dry skin. Toners help to balance your skin’s pH and provide an extra layer of hydration before you apply your serum and moisturizer.

Look for toners that are alcohol-free and contain hydrating ingredients like rose water, glycerin, or hyaluronic acid. Apply your toner with a cotton pad or gently press it into your skin with your hands for maximum absorption.

Use a Soothing Lip Balm

Don’t forget about your lips! The skin on your lips is thinner and more prone to dryness than the rest of your face. Keep your lips soft and hydrated by applying a moisturizing lip balm throughout the day. Look for balms that contain nourishing ingredients like shea butter, beeswax, and vitamin E.

If your lips are particularly dry or chapped, it is better to use a lip scrub to gently exfoliate the dead skin before applying your balm. This will help the balm absorb better and keep your lips looking smooth and healthy.

Keep Stress in Check

Stress can take a toll on your skin, leading to dryness and other skin issues. When you’re stressed, your body produces more cortisol, a hormone that can cause your skin to produce less oil and become dry.

Incorporating stress-relief practices like meditation, yoga, or deep breathing exercises into your daily routine can help keep your skin in balance. Taking time for yourself to relax and unwind is not only good for your mental health but also for your skin.

Consider Professional Treatments

If your dry skin is persistent and not responding to over-the-counter treatments, you might consider seeking professional help. Dermatologists can offer specialized treatments like prescription creams, light therapy, or even hydrating facials that can provide more intensive relief. They can also help identify any underlying conditions that might be contributing to your dry skin and recommend a treatment plan tailored to your specific needs.

If you want to put dry skin in your past, our team at Pine Belt Dermatology can help. Contact us today and say goodbye to dryness; your skin will thank you!

At What Age Should You Start Using Retinol and Vitamin C?

bberendsen@ideazonemarketing.com (Bob Berendsen) — Wed, 02 Oct 2024 16:29:45 GMT

At What Age Should You Start Using Retinol and Vitamin C?

When it comes to skincare, there always seems to be countless products promising youthful, radiant skin. Among them, retinol and vitamin C stand out as two of the most effective ingredients. However, because they’re so strong, users need to be aware of when the best time to introduce them to your skincare routine and how much to introduce when you do.

What are Retinol and Vitamin C?

Before we discuss the ideal age to start using these ingredients, let's break down what they are and why they matter in skincare. Retinol is a derivative of vitamin A, and it's widely recognized for its ability to accelerate cell turnover. This process helps to reduce the appearance of fine lines, wrinkles, and hyperpigmentation , making it a go-to ingredient for those aiming to maintain youthful skin. Retinol also works to unclog pores, which can help prevent acne and improve overall skin texture.

Vitamin C, on the other hand, is a powerful antioxidant that plays a key role in collagen production. It brightens the skin, reduces the appearance of dark spots, and protects against environmental damage like pollution and UV rays. When used consistently, vitamin C can give your skin a more even tone and a natural glow.

When to Start Using Retinol

Retinol is often seen as a potent anti-aging ingredient, but its benefits extend beyond just wrinkle reduction. Because of its ability to boost cell turnover and clear pores, retinol can be beneficial for a range of skin concerns. Regular use of retinol can help minimize the appearance of fine lines, improve skin texture, and reduce hyperpigmentation, but needs to be used with care.

The age at which you should start using retinol depends largely on your skin type and goals, so let’s take a closer look at a few age ranges:

Teens and Early 20s for Prevention and Acne Control

In your teens and early 20s, your skin is likely still producing plenty of collagen and elastin, so wrinkle prevention might not be top of mind. However, this is a great time to start using retinol if you struggle with acne . Retinol can help regulate skin cell turnover, preventing clogged pores and reducing breakouts.

For those dealing with persistent acne, a dermatologist might recommend a prescription-strength retinoid, which is a stronger form of retinol. But for most people in this age group, a lower concentration of over-the-counter retinol products can be effective.

Mid- to Late 20s for Early Anti-Aging

As you enter your mid- to late 20s, your skin's natural cell turnover begins to slow down, which is when early signs of aging may start to appear. This is an ideal time to introduce retinol into your skincare routine, even if you’re not yet seeing visible signs of aging. Using retinol at this stage can help delay the appearance of fine lines and maintain the smooth texture of your skin.

Start with a lower concentration, around 0.25% to 0.3%, and gradually increase as your skin builds tolerance. The key is to start slow—introduce retinol once or twice a week, and then increase frequency as your skin adjusts.

30s and Beyond for an Anti-Aging Powerhouse

By the time you reach your 30s, your skin may start showing more noticeable signs of aging, such as fine lines, wrinkles, and uneven texture. This is when retinol becomes an essential part of your skincare arsenal.

In your 30s, you can consider using a higher concentration of retinol, typically around 0.5% to 1%. However, if you have sensitive skin, you may want to stick with a lower concentration or consult a dermatologist to find the right strength for you.

When to Start Using Vitamin C

Vitamin C is a versatile ingredient that offers benefits for all ages. It’s a great addition to almost any skincare routine, but knowing when to start can help maximize its benefits.

Let’s break it down by looking at the different age ranges once again:

Teens and Early 20s for Brightening and Protection

In your teens and early 20s, your skin is usually at its peak in terms of collagen production and natural radiance. However, factors like sun exposure, pollution, and stress can still take a toll on your skin, leading to dullness and early signs of damage.

Introducing vitamin C into your skincare routine during this time can help brighten your complexion and provide an extra layer of protection against environmental stressors. Vitamin C neutralizes free radicals—unstable molecules that can damage skin cells—helping to prevent early signs of aging and keeping your skin looking fresh and vibrant.

Vitamin C serums are generally well-tolerated by younger skin, so you can start using them daily. Look for a serum with a concentration of around 10% to 15% for the best results.

Mid- to Late 20s for Collagen Boosting and Tone Correction

As you enter your mid- to late 20s, your skin's collagen production starts to decline, and you might begin to notice subtle changes in your skin's tone and texture. This is an excellent time to ensure that vitamin C is a staple in your skincare routine.

Vitamin C not only boosts collagen production, helping to maintain skin elasticity, but it also works to fade dark spots and hyperpigmentation that may have developed due to sun exposure or acne. By regularly using vitamin C in your mid- to late 20s, you can help maintain an even skin tone and prevent further damage.

You might consider increasing the concentration of vitamin C in your products as your skin ages. Serums with a concentration of 15% to 20% vitamin C are highly effective for people in this age group.

30s and Beyond for Advanced Anti-Aging and Protection

Once you enter your 30s, the effects of aging and environmental stressors become more apparent, making it a great time to introduce vitamin C into your skincare routine. The antioxidant properties of vitamin C help protect the skin from further damage, while its collagen-boosting abilities help to combat the visible signs of aging.

At this stage, using a high-potency vitamin C serum with a concentration of 20% or higher can provide the best results. In addition to applying it in the morning to protect against daily environmental damage, you might also consider using it at night to maximize its benefits.

How to Incorporate Retinol and Vitamin C into Your Skincare Routine

Now that you know the ideal age to start using retinol and vitamin C, let’s talk about how to incorporate these two ingredients into your skincare routine effectively:

Start Slow and Build Tolerance

Both retinol and vitamin C can be potent, especially if your skin is new to them. To avoid irritation, it's crucial to introduce these ingredients gradually. Start with a lower concentration and use them a few times a week, slowly increasing the frequency as your skin builds tolerance.

For retinol, applying it at night is ideal since it can make your skin more sensitive to sunlight. Vitamin C, on the other hand, is best used in the morning because of its protective antioxidant properties.

Layering Retinol and Vitamin C

There’s often confusion about whether you can use retinol and vitamin C together. The answer is yes, but how you layer them matters.

Vitamin C works best in the morning under sunscreen, providing a layer of protection against free radicals and UV damage throughout the day. Retinol, however, should be used at night, as it can increase your skin’s sensitivity to the sun.

If you want to use both in the same routine, consider applying vitamin C in the morning and retinol at night. Alternatively, you can alternate nights if your skin is sensitive, using vitamin C one night and retinol the next.

The Importance of Moisturizing and Sunscreen

Both retinol and vitamin C can be drying, so it's necessary to follow up with a good moisturizer to keep your skin hydrated. For retinol users, a moisturizer that contains ceramides or hyaluronic acid can help soothe and repair the skin barrier.

Sunscreen is non-negotiable when using either retinol or vitamin C. Retinol can increase your skin's sensitivity to the sun, while vitamin C can be less effective if your skin is exposed to UV rays without protection. Use a broad-spectrum sunscreen with at least SPF 30 every morning to protect your skin from sun damage.

Choosing the Right Products

When it comes to selecting retinol and vitamin C products, quality matters. Look for products from reputable brands that use stabilized forms of these ingredients. Consider these tips for choosing the right products:

For Retinol: Start with a lower concentration if you're new to retinol. Look for formulations that include soothing ingredients like niacinamide or hyaluronic acid. Consider encapsulated retinol, which is often less irritating and more stable.
For Vitamin C: Choose a serum with a concentration of 10% to 20% vitamin C for best results. Look for vitamin C in the form of L-ascorbic acid, which is the most effective. Make sure the product is packaged in an opaque, airtight container to maintain its potency.

At Pine Belt Dermatology , we can help make sure your skin stays healthy and clear, no matter your age. Contact us today!

Acne in Adults

bberendsen@ideazonemarketing.com (Bob Berendsen) — Wed, 04 Sep 2024 18:55:10 GMT

Acne in Adults

Adult acne can be frustrating and persistent, so understanding its causes and exploring effective treatments is essential. Unlike common teenage breakouts, adult acne often demands a different approach. Explore the causes of adult acne and discover solutions for clear, healthy skin.

Why You're Still Breaking Out

Acne is not just a teenage problem. Many adults struggle with breakouts well into their 20s, 30s, and beyond. Understanding the underlying causes of adult acne can help develop an effective treatment plan:

Hormonal Fluctuations

Hormonal changes are one of the primary causes of adult acne. Hormonal acne typically appears on the lower face, including the jawline and chin, and is often related to menstrual cycles, pregnancy, or menopause. Hormonal imbalances can lead to increased oil production, which clogs pores and results in acne.

Fluctuations in estrogen and progesterone during menstrual cycles can cause the sebaceous glands to produce more oil. Similarly, hormonal changes during pregnancy can trigger acne flare-ups. Menopause, marked by a decline in estrogen levels, can also lead to breakouts due to a relative increase in androgens. Polycystic Ovary Syndrome (PCOS) is another condition that can cause hormonal imbalances and result in persistent acne in adults.

Stress and Its Impact on Skin

Stress acne is another significant factor contributing to adult breakouts. When stressed, your body produces more cortisol, increasing oil production and inflammation, leading to acne. Managing stress through mindfulness, exercise, and relaxation techniques can benefit your skin.

Cortisol, a stress hormone, is released by the adrenal glands in response to stress. It can lead to increased oil production by the sebaceous glands, making the skin more prone to breakouts. Chronic stress can also disrupt other hormonal balances, exacerbating acne. Practicing stress management techniques such as yoga, meditation, and regular physical activity can help reduce the impact of stress on your skin.

Diet and Its Potential Role in Breakouts

Maintaining a balanced diet rich in fruits, vegetables, and whole grains can help reduce breakouts. High-glycemic foods, such as sugary snacks and beverages, can cause spikes in blood sugar levels, leading to increased insulin production. This, in turn, can stimulate oil production and inflammation, contributing to acne. Dairy products, especially those containing hormones, can also trigger acne in some people. Switching to a low-glycemic diet and reducing dairy intake may help improve adult acne.

Other Contributing Factors

Several other factors can contribute to adult acne, including certain medications and the use of comedogenic (pore-clogging) cosmetics.

Medications such as corticosteroids, lithium, and some anticonvulsants can cause acne as a side effect. Non-comedogenic skincare and makeup products can help prevent clogged pores and reduce acne. Environmental factors such as pollution and exposure to harsh chemicals can also irritate the skin and lead to breakouts.

Identifying and avoiding potential acne triggers is important to maintain clear skin. We all react differently to triggers as well, so keep an eye out for how your skin reacts to things and see if there are treatments to help if you cannot avoid them.

Building a Skincare Routine for Adult Acne

An effective skincare routine tailored to adult acne can make a significant difference. Here’s how to build a regimen that keeps breakouts at bay and promotes healthy skin:

Choosing the Right Cleanser for Your Skin Type

A gentle, non-comedogenic cleanser removes excess oil and impurities without stripping the skin of its natural moisture. Look for cleansers containing salicylic acid or benzoyl peroxide, which effectively treat acne.

Salicylic acid is a type of beta-hydroxy acid (BHA) that removes dead skin cells, unclogs pores and can help with acne. Benzoyl peroxide is an antibacterial agent that reduces acne-causing bacteria and inflammation. Using a cleanser with these active ingredients can help keep acne under control.

Choosing a cleanser that suits your skin type, whether oily, combination, or sensitive, is important to avoid irritation.

Friend or Foe?

Regular exfoliation helps remove dead skin cells and stops pores from getting clogged. But exfoliating too much can irritate your skin and worsen acne. Try exfoliating 1-2 times a week using a gentle exfoliant.

Physical exfoliants, such as scrubs with small granules, can be too harsh for acne-prone skin. Instead, opt for chemical exfoliants containing AHAs or BHAs, which gently dissolve dead skin cells without irritating them.

Glycolic and lactic acids are popular AHAs that promote cell turnover and improve skin texture. Incorporating a mild exfoliant into your routine can help prevent clogged pores and reduce the frequency of breakouts.

Moisturizing for Balanced, Healthy Skin

Even acne-prone skin needs moisture. To keep your skin hydrated without clogging pores, use a moisturizer that will not cause acne. Ingredients like hyaluronic acid and niacinamide are excellent choices for maintaining skin balance.

Hyaluronic acid is a strong moisturizer that attracts and holds moisture in the skin, keeping it hydrated and full. Niacinamide, or vitamin B3, helps regulate oil production, reduce inflammation, and improve the skin barrier. A lightweight, non-comedogenic moisturizer can help maintain skin hydration and prevent excess oil production, reducing the risk of breakouts.

Spot Treatments for Targeted Action

Spot treatments can help make pimples smaller and less red. Ingredients like benzoyl peroxide, salicylic acid, and sulfur can target acne directly and speed up healing.

Benzoyl peroxide and salicylic acid are effective spot treatments for reducing inflammation and killing acne-causing bacteria. Sulfur, another common ingredient in spot treatments, helps dry out pimples and absorb excess oil. Applying a spot treatment to active breakouts can help speed healing and prevent new pimples from forming.

Essential for All Skin Types

Daily sunscreen protects your skin from UV damage, which can worsen acne and lead to scarring. Choose a broad-spectrum, non-comedogenic sunscreen to avoid further clogging of pores.

Using sunscreen helps prevent sunburn, premature aging, and skin cancer. However, choosing a sunscreen that won't clog pores or cause breakouts is important for acne-prone skin. Look for sunscreens labeled as non-comedogenic and oil-free, and choose a lightweight formula that won't leave a greasy residue. Daily sunscreen can protect your skin from harmful UV rays and prevent post-acne hyperpigmentation.

Treatment Options for Adult Acne

Various treatment options can help clear breakouts and reduce acne scars. Finding the right approach often requires patience and consistency.

Over-the-Counter Acne Treatments

OTC treatments containing benzoyl peroxide, salicylic acid, and alpha hydroxy acids (AHAs) can effectively reduce acne. These ingredients help to unclog pores, reduce inflammation, and exfoliate the skin. Benzoyl peroxide kills acne-causing bacteria and reduces inflammation, while salicylic acid exfoliates the skin and unclogs pores. AHAs, such as glycolic and lactic acids, promote cell turnover and improve skin texture. Using OTC treatments consistently can help reduce the frequency and severity of breakouts.

Prescription Medications

Topical retinoids, derived from vitamin A, are powerful acne treatments that promote cell turnover and prevent clogged pores. Prescription antibiotics, such as doxycycline and minocycline, can reduce inflammation and kill acne-causing bacteria. Hormonal treatments, including birth control pills and spironolactone, can regulate hormone levels and reduce acne in women. A dermatologist can prescribe the most appropriate treatment based on the severity and type of acne.

Professional Treatments

Chemical peels use exfoliating acids to remove the top layer of skin, promoting cell turnover and reducing acne. Light therapy, including blue and red light treatments, can kill acne-causing bacteria and reduce inflammation. Laser treatments , such as fractional laser and intense pulsed light (IPL), can target acne scars and improve skin texture.

The Importance of Consistency and Patience

Skincare products and treatments take time to show results, so sticking with a routine and giving it a chance to work is necessary. Acne treatments typically take several weeks to show visible improvements. It's important to follow your skincare routine consistently and avoid switching products frequently, as this can irritate the skin and worsen acne. Be patient, give treatments time to work, and consult a dermatologist if you don't see improvements after a few months.

Lifestyle Tweaks for Clearer Skin

These lifestyle changes can complement your skincare routine and help prevent adult acne:

Managing Stress for Improved Skin Health

Stress management techniques can help reduce cortisol levels and prevent stress-related breakouts. Yoga and meditation promote relaxation and mindfulness, while regular exercise releases endorphins and improves circulation.

Dietary Adjustments for Acne-Prone Skin

Eating a balanced diet with plenty of fruits, vegetables, and whole grains can improve skin health. Omega-3 fatty acids in fish and flaxseeds have anti-inflammatory properties that can reduce acne. Antioxidants, such as vitamins C and E, protect the skin from free radical damage and promote healing.

Maintaining Good Sleep Hygiene

Sleep is needed for better overall health and well-being, including skin health. During sleep, the body repairs and regenerates skin cells, reducing inflammation and promoting healing. Poor sleep can increase stress levels and exacerbate acne.

Avoiding Picking and Popping Blemishes

Picking and popping pimples can introduce bacteria into the skin, causing infections and worsening acne. Scarring and dark spots can also occur. Instead of picking at blemishes, use spot treatments and allow your skincare products to do their job.

For professional advice and personalized treatment options, consult our team at Pine Belt Dermatology . We offer services that address adult acne and help you achieve clear, healthy skin. Visit us to learn more and book an appointment today.

Your Guide to Summer Sun Safety Month

bberendsen@ideazonemarketing.com (Bob Berendsen) — Wed, 26 Jun 2024 18:37:31 GMT

Your Guide to Summer Sun Safety Month

As the temperature rises and the days grow longer, summer invites us outdoors to enjoy its warmth and embrace the beauty of nature. However, amidst the excitement of outdoor adventures and leisurely days spent basking in the sun, it's important to prioritize sun safety. With August being designated as Summer Sun Safety Month, there's no better time to look into the details of safeguarding ourselves from the sun's powerful rays.

Keep reading to learn the importance and benefits of maintaining sun-safe habits throughout the year.

Understanding the Importance of Sun Safety

Here are the reasons why understanding sun safety is important:

The Risks of Sun Exposure

While the sun is a vital energy source, it emits ultraviolet (UV) radiation that can harm human health. Two primary types of UV rays reach the earth:

UVA Rays : These rays penetrate the skin more deeply and are primarily responsible for premature aging and wrinkling of the skin.
UVB Rays : These rays are the main cause of sunburn and play a key role in developing skin cancer.

Excessive and unprotected exposure to UV radiation can lead to several health issues, including the following:

Skin Cancer : The most common form of cancer in the United States, with basal cell carcinoma, squamous cell carcinoma, and melanoma being the major types.
Premature Aging : UV radiation accelerates the skin’s aging process, leading to wrinkles, age spots, and loss of skin elasticity.
Eye Damage : Prolonged exposure can cause cataracts, macular degeneration, and other eye conditions.
Immune System Suppression : Excessive UV exposure can weaken the immune system, reducing the skin's ability to protect against infections.

Key Tips for Sun Protection

Here are some effective tips for sun protection:

Use Sunscreen Effectively

Sunscreen is an important tool for protecting your skin from harmful UV radiation. Here’s how to use it effectively:

Broad-Spectrum Protection : Choose a sunscreen labeled “broad-spectrum,” meaning it protects against UVA and UVB rays. While UVB radiation can burn your skin, UVA radiation can prematurely age your skin, resulting in wrinkles and age spots. Both types can cause skin cancer.
SPF 30 or Higher : For adequate protection, opt for sunscreen with a Sun Protection Factor (SPF) of 30 or higher.
Generous Application : Apply a thick layer to all exposed skin for 15 minutes before going outside. Don’t forget the ears, neck, and tops of the feet as well, as these are often missed areas. You'll want to use about an ounce (a shot glass full) of sunscreen per application for adults.
Reapplication : Reapply every two hours after swimming, sweating, or towel drying. Water-resistant sunscreens can last longer but must be reapplied regularly, especially after water activities.

Wear Protective Clothing

Clothing can provide an excellent barrier against the sun’s rays. Consider the following:

Long-Sleeved Shirts and Pants : Tightly woven fabrics offer better protection than loosely woven fabrics. Darker colors usually offer more protection than lighter ones.
Hats : Wide-brimmed hats provide shade and protect the face, neck, and ears. An ideal brim extends all the way around.
Sunglasses : To protect your eyes and the delicate skin around them, choose sunglasses that block 100% of UVA and UVB rays. Seek out labels that state that they provide 100% UV protection.
UPF Clothing : Some clothing is designed with an ultraviolet protection factor (UPF) for added safety. UPF-rated clothing provides tested and certified levels of UV protection.

Seek Shade During Peak Hours

The sun's rays are strongest and most harmful during midday, which occurs between 10 a.m. and 4 p.m. Plan outdoor activities in the early morning or late afternoon to avoid these peak hours.

If you are out during peak hours, utilize natural shade from trees or artificial structures like umbrellas, gazebos, or canopies. Portable shade structures can be particularly useful for outdoor events or beach outings.

Avoid Tanning Beds

Tanning beds emit UV radiation that can be even more intense than the sun, significantly increasing the risk of skin cancer and premature aging. UV radiation from tanning beds can cause melanoma, the deadliest form of skin cancer, and other types of skin cancer. It also accelerates skin aging, leading to wrinkles and age spots.

If you desire a tanned appearance, consider alternatives like self-tanning products or spray tans. These do not involve UV exposure and are safer for your skin, and they can still provide you with the same toned coloring you’re looking for.

Take Precautions Around Water, Snow, and Sand

These surfaces reflect and intensify UV rays, increasing the chance of sunburn. Therefore, extra precautions are necessary when spending time in these environments. Use a high SPF sunscreen when in such areas, and apply more frequently to assure proper coverage.

Besides sunscreen, wearing UPF-rated—or Ultraviolet Protection Factor-rated—clothing, wide-brimmed hats, and UV-blocking sunglasses can help mitigate the effects of reflected UV radiation.

Additional Tips for Sun Protection

These comprehensive sun protection strategies can significantly reduce your risk of skin cancer, premature aging, eye damage, and other UV-related health issues:

Hydrate Regularly

Staying hydrated helps your skin stay healthy and more resilient against sun damage. Drink plenty of water throughout the day, especially if you spend extended periods outdoors. Hydration supports overall skin health and helps prevent heat-related illnesses.

Check the UV Index

Check the daily UV index before planning outdoor activities. The higher the UV index, the greater the potential for skin and eye damage. On days with a high UV index, take extra precautions or consider rescheduling outdoor activities to minimize UV exposure.

Educate and Advocate

Spread awareness about the importance of sun protection to friends, family, and community members. Advocate for sun safety programs in schools, workplaces, and community organizations. Education can lead to better sun protection habits and lower the risks of UV-related health issues.

The Benefits of Sun Safety Practices

Practicing sun safety reduces the risk of immediate sunburn and has long-term benefits for your health and well-being:

Reduced Skin Cancer Risk

Protecting your skin from UV radiation significantly lowers your risk of developing skin cancer. Early prevention is key, as skin cancer can be highly treatable when caught early but becomes more dangerous as it progresses.

Healthier Skin Appearance

Protecting your skin from the sun helps maintain a youthful appearance. Reduced exposure to UV rays prevents premature aging, keeping your skin smoother and more resilient.

Better Eye Health

Wearing UV-blocking sunglasses reduces the risk of cataracts and other eye-related issues, preserving your vision as you age.

Enhanced Immune Function

Limiting excessive sun exposure helps keep your immune system strong, allowing your body to fend off infections and illnesses better.

Special Considerations for Different Groups

While everyone should practice sun safety, certain groups must take extra precautions due to the higher risks of UV exposure. Children, for example, have more sensitive skin than adults, making them more susceptible to sunburn. Ensure they wear protective clothing, hats, and sunscreen, and limit their direct sun exposure, especially during peak hours.

Aging skin is thinner and more fragile, increasing the risk of UV damage. Older adults should use high-SPF sunscreen and protective clothing to safeguard their skin.

Individuals with fair skin, light-colored eyes, and blond or red hair have less melanin, the pigment that provides some protection against UV radiation. They are at a higher risk for sunburn and skin cancer and should be diligent about sun protection.

Those who work outdoors, such as construction workers, farmers, and landscapers, are exposed to prolonged sun as well. Regular breaks in the shade, protective clothing, and high-SPF sunscreen are important for these individuals.

Technological Aids and Innovations in Sun Safety

Recent advancements in technology have made it easier to practice sun safety. Here are a few innovations that can help you stay protected:

Wearable UV Sensors

Wearable UV sensors are wearable devices that monitor UV exposure and alert you when it’s time to seek shade or reapply sunscreen, which can be highly effective. These sensors are often integrated into bracelets or patches that sync with your smartphone.

Smart Clothing

Clothing with built-in UV sensors and high UPF ratings is becoming more common. These garments block UV radiation and monitor your exposure levels, providing an added layer of safety.

Final Words

Summer Sun Safety Month is a timely reminder of the importance of protecting ourselves from the harmful effects of UV radiation. By incorporating sun safety practices into our daily routines, we can enjoy the sun's benefits while minimizing the risks to our health. Sun protection is not just for the summer months but a year-round commitment to maintaining healthy skin and overall well-being. So, as you plan your summer activities, prioritize sun safety and enjoy the sunshine responsibly.

At Pine Belt Dermatology , your skin's health is our top priority. As we celebrate Summer Sun Safety Month, we invite you to schedule a comprehensive skin check and consultation with our expert dermatologists. Our team is dedicated to providing personalized care and education on effective sun protection strategies to keep your skin safe and radiant year-round. Contact us today to safeguard your skin and enjoy a healthy, sun-safe summer!

Summer Skincare Routine: Dermatologist-Approved Tips for Glowing Skin

bberendsen@ideazonemarketing.com (Bob Berendsen) — Tue, 28 May 2024 17:14:46 GMT

Summer Skincare Routine: Dermatologist-Approved Tips for Glowing Skin

It’s almost summer! While it’s the perfect time to replenish our levels of vitamin D by basking in the sunlight, we should remember to take care of our skin.

Our team of dermatologists came up with a comprehensive guide to a summer skincare routine that is friendly to those with no prior knowledge of what skincare is all about. Our guide also has tips for those of you out there who may have such skin conditions as rosacea , hyperpigmentation, melasma, and acne .

Common Skin Problems during the Summer

To begin with, let’s take a look at the most common skin problems that summer has in store for us:

Eczema

For many, summer means lounging by the pool or frolicking in the salty waves of the ocean. However, while the cool water provides relief from the scorching heat, it can wreak havoc on sensitive skin, particularly for those prone to eczema. Chlorinated pool water and seawater have a notorious reputation for stripping the skin of its natural oils, leading to dryness, irritation, and triggering eczema flare-ups.

Skin Irritations

As spring transitions into summer, the air becomes heavy with the scent of blooming flowers and freshly cut grass. While the vibrant colors may delight the senses, they can spell trouble for allergy sufferers. Pollen, mold spores, and other allergens may trigger allergic reactions that can lead to itchy and irritated skin.

Acne

While winter often causes dry, flaky skin, summer presents the opposite challenge: excessive oil production. The combination of heat, humidity, and sweat can lead to clogged pores and increased sebum production, paving the way for acne breakouts and blemishes.

Risk of Skin Cancer

As we bask in the sun's warm embrace, it's important to remember the hidden dangers lurking within its rays. Prolonged exposure to ultraviolet (UV) radiation increases the risk of skin cancer.

How to Choose and Use Sunscreens

When selecting a sunscreen, you might wonder what UVA, UVB, and SPF stand for.

What Are UVA and UVB?

UVA and UVB are both types of ultraviolet radiation emitted by the sun. While they may sound similar, they have different properties and effects on the skin.

UVA (Ultraviolet A): UVA rays have longer wavelengths and penetrate deeper into the skin compared to UVB rays. They are responsible for causing premature aging, such as wrinkles and age spots, and can also contribute to the development of skin cancer. UVA rays are present throughout the day and can penetrate glass, making them a constant threat even when indoors.
UVB (Ultraviolet B): UVB rays have shorter wavelengths and primarily affect the outer layers of the skin. According to dermatologists, UVB rays are the main cause of sunburn. They are also dangerous because they play a key role in the development of skin cancer. UVB radiation is most intense during the midday and summer months.

What Is SPF?

SPF stands for Sun Protection Factor. It measures a sunscreen's ability to protect the skin from UVB rays. Contrary to popular belief, SPF does not indicate the level of protection against UVA rays.

The SPF number on sunscreen labels indicates how long it would take for UVB rays to redden the skin when using the sunscreen compared to not using any sunscreen at all. For example, if it takes 10 minutes for your unprotected skin to start turning red, using sunscreen with SPF 30 would theoretically extend that time to 300 minutes (10 minutes x SPF 30).

However, this is not an exact science, as factors like sweating, swimming, and towel drying can reduce the effectiveness of sunscreen. So, remember to reapply the sunscreen every two hours or after engaging in water-related activities.

Different Types of Sunscreen Formulas

Broadly categorized into chemical and physical formulations, each type offers distinct mechanisms of protection:

Chemical Sunscreens

Chemical sunscreens contain active ingredients like oxybenzone and octinoxate. These compounds absorb UV radiation before it penetrates the skin. Upon application, the chemical ingredients undergo a chemical reaction, converting UV rays into harmless heat, which is then released from the skin. Some of the chemical ingredients include the following:

Oxybenzone: This chemical is effective against both UVA and UVB rays. It's commonly used in sunscreens due to its ability to provide broad-spectrum protection.
Octinoxate (Octyl methoxycinnamate): Primarily protects against UVB rays and is often combined with other chemical filters to achieve broader protection.

Chemical sunscreens are favored for their lightweight texture and ease of application. They tend to be more transparent on the skin, making them suitable for everyday wear. However, some individuals may experience skin irritation or allergic reactions to certain chemical filters.

Physical Sunscreens

Physical sunscreens, also known as mineral or inorganic sunscreens, rely on active ingredients like titanium dioxide and zinc oxide. Instead of being absorbed into the skin, these ingredients sit on top of the skin's surface and create a physical barrier that reflects and scatters UV radiation away from the skin. Typical ingredients in physical sunscreens include the following:

Titanium Dioxide: Effective at blocking both UVA and UVB rays, titanium dioxide is a mineral that provides broad-spectrum protection. It's known for its gentle nature, which makes it suitable for sensitive skin types.
Zinc Oxide: Like titanium dioxide, zinc oxide offers broad-spectrum protection against UVA and UVB rays. It's known for its anti-inflammatory properties and is often recommended for individuals with sensitive or acne-prone skin.

Physical sunscreens are popular for their excellent broad-spectrum protection and suitability for sensitive skin. In contrast to chemical sunscreens, physical sunscreens are less likely to cause skin irritation or allergic reactions. Additionally, physical sunscreens are considered reef-safe, as they do not contain chemicals known to harm coral reefs.

What Sunscreen to Choose

Dermatologists recommend that you choose a broad-spectrum formula that protects against both UVA and UVB radiation.

Look for ingredients like avobenzone, zinc oxide, titanium dioxide, or Mexoryl SX, which offer UVA protection. Additionally, ensure the product has at least an SPF of 30.

Dermatologists also recommend opting for a sunscreen that has a combination of physical and chemical blocking components.

Sunscreen Application Tips

For optimal protection, apply sunscreen at least 15 to 30 minutes before sun exposure. By doing so, you will give the sunscreen plenty of time to fully absorb into the skin and form a protective barrier.

Tips for Those with Hyperpigmentation or Melasma

When selecting a sunscreen that is friendly for hyperpigmentation or melasma, you should opt for formulations that contain iron oxide. This is a key ingredient in all tinted sunscreens.

Iron oxide plays a role in blocking blue light, which is known to exacerbate hyperpigmentation. Mineral sunscreens infused with iron oxide are particularly recommended for preventing hyperpigmentation, as they not only shield against UV rays but also offer protection against visible light.

Visible light exposure can worsen hyperpigmentation, especially in individuals with darker skin tones. Therefore, prioritizing sunscreens with iron oxide can help mitigate this risk and maintain healthier skin.

How to Transition to Summer Skincare

If you do not have a skincare routine established, it’s worth having a brief overview of the basics:

What Does a Standard Skincare Routine Consist of?

As a rule of thumb, you want to have the following four products in your bathroom cabinet: a cleanser, toner (optional), serum, and moisturizer.

Cleanser

The cleanser removes dirt, oil, makeup, and other impurities that accumulate on the skin throughout the day. However, not all cleansers are created equal. The right formula cleanses your skin without stripping away essential, healthy oils. Look for gentle cleansers that maintain the skin’s natural pH balance, leaving it clean and refreshed.

Toner (If You Choose)

Applying a toner helps to remove any leftover traces of dirt or makeup while also balancing your skin’s pH levels. Moreover, toners can be a good way to incorporate specific ingredients that may not be present in your other products, such as hydrating hyaluronic acid or soothing botanical extracts. Think of toner as an extra layer of skin replenishment, preparing your skin for the next steps in your routine.

Serum

Serums are packed with active ingredients that help address various skin problems. Whether you’re battling dark spots, fine lines, or dullness, there’s a serum out there tailored to your needs. Serums penetrate deeply into the skin, delivering antioxidants and vitamins.

Moisturizer

Last but certainly not least, moisturizer seals in all the goodness from your previous skincare steps. The primary function of a moisturizer is to hydrate and soften the skin, preventing water loss and maintaining a healthy moisture barrier. Moisturizers work by replenishing the skin’s natural oils and moisture, keeping it supple and smooth. They also help to support the skin’s protective barrier, enhancing its ability to defend against environmental stressors and irritants.

Don’t Change Ingredients, Change the Method of Delivery

When it comes to transitioning your skincare routine from winter to summer, we have the following advice. Maintaining effective ingredients is key. Focus on changing the vehicle or delivery method to suit the changing seasons.

For instance, if a rich, moisturizing cream was your go-to during the dry winter months, consider switching to a lighter gel or serum moisturizer for the summer. This adjustment ensures hydration without the heaviness typical of winter creams.

Opting for a moisturizing sunscreen can also provide lightweight protection against summer rays, completing a skincare regimen tailored for the warmer months.

At Pine Belt Dermatology , our experienced dermatologists are ready to help you take care of your skin during summer. Don’t hesitate to reach out to us to schedule an appointment !

A Comprehensive Guide on Understanding and Managing Yeast Infections on the Skin

bberendsen@ideazonemarketing.com (Bob Berendsen) — Fri, 26 Apr 2024 15:21:15 GMT

A Comprehensive Guide on Understanding and Managing Yeast Infections on the Skin

Yeast infections on the skin can be uncomfortable and persistent if not properly managed. Medically known as cutaneous candidiasis , a yeast infection on the skin arises when a fungus called Candida albicans overstays its welcome. While a small amount of Candida naturally lives on our skin, an imbalance can lead to an itchy, red, and uncomfortable rash.

Keep reading to learn the causes, symptoms, treatments, and when to seek medical attention for yeast infections on the skin.

Understanding Yeast Infections on the Skin

Yeast, a fungus, naturally inhabits the skin and resides in the digestive system. However, an overgrowth of yeast on the skin or other regions can lead to an infection. This infection is also called candidiasis. Understanding the dynamics of yeast infections on the skin is essential for recognizing symptoms, seeking timely treatment, and implementing preventive measures to maintain skin health and overall well-being.

Causes of Yeast Infections on the Skin

Yeast infections on the skin develop when there is an imbalance in the microbial flora, allowing Candida yeast to proliferate. Several factors contribute to the development of yeast infections on the skin:

Candida Albicans Overgrowth

Candida albicans is a fungus that thrives in warm, moist environments. It makes areas of the skin with skin folds, such as the groin, armpits, and beneath the breasts, particularly susceptible to infection. When conditions favor its growth, such as prolonged moisture or compromised skin integrity, Candida albicans can multiply rapidly, developing a yeast infection.

Warm and Moist Environments

Yeast infections on the skin often flourish in warm and moist environments, creating an ideal breeding ground for fungal growth. Sweat-inducing activities, like exercise or wearing tight clothing for an extended period, can create ideal conditions for yeast growth. Additionally, humid climates or excessive moisture from swimming or bathing without proper drying can exacerbate the risk of developing a yeast infection.

Weakened Immune System

A weakened immune system can compromise the body's ability to ward off infections, including yeast infections on the skin. Individuals with conditions such as HIV/AIDS, diabetes, or autoimmune disorders are particularly susceptible to fungal infections due to their impaired immune response. Moreover, certain medications, such as corticosteroids or immunosuppressants, can further weaken the immune system, increasing the likelihood of yeast infections.

Underlying Health Conditions

Certain underlying health conditions can predispose individuals to yeast infections on the skin. Diabetes, in particular, poses a significant risk due to elevated blood sugar levels that promote yeast overgrowth. Pregnant women are also prone to yeast infections, as hormonal changes can alter the skin's pH balance and mucous membranes, creating an environment conducive to fungal growth. Moreover, individuals with a history of recurrent yeast infections may have an underlying medical condition that requires further evaluation and management.

Antibiotics and Other Medications

Antibiotics, while essential for treating bacterial infections, can disrupt the balance of microorganisms on the skin and mucous membranes. By targeting harmful bacteria, antibiotics may also eliminate beneficial bacteria that help regulate yeast growth. This allows for Candida albicans overgrowth and subsequent infection. Similarly, the prolonged use of corticosteroids or immunosuppressants can weaken the skin's natural defenses, increasing susceptibility to yeast infections.

Symptoms of Yeast Infections on the Skin

Yeast infections on the skin can present with a variety of symptoms, ranging from mild to severe. It is crucial to identify these symptoms to ensure a timely diagnosis and appropriate treatment. Common symptoms include:

Redness and Inflammation

The skin may appear reddened, irritated, and swollen, indicating an inflammatory response to Candida albicans. This redness causes warmth and tenderness, particularly in skin folds and creases where moisture can accumulate.

Itching and Irritation

Yeast infections on the skin commonly cause intense itching and irritation, prompting individuals to scratch the affected area to alleviate discomfort. The itching may be persistent and disruptive, exacerbating skin inflammation and further damage. It is essential to avoid excessive scratching, as this can increase the risk of secondary bacterial infections and worsen symptoms.

Rash or Patches of Raised Skin

A characteristic feature of yeast infections on the skin is rashes or raised skin patches that may have a distinct border. These rash-like lesions can vary in size and distribution, appearing as tiny red bumps or larger, confluent areas of inflammation. The affected skin may develop a shiny or glazed appearance in some cases, indicating ongoing inflammation and moisture retention.

Soreness and Discomfort

Individuals with yeast infections on the skin often experience soreness and discomfort, especially in areas where friction and moisture exacerbate symptoms. Walking, sitting, or wearing tight clothing may exacerbate discomfort and worsen symptoms. Persistent soreness and discomfort should prompt individuals to seek medical evaluation for an appropriate diagnosis and treatment.

White or Yellow Discharge

Occasionally, yeast infections on the skin may produce a white or yellow discharge, particularly in warm and moist areas such as skin folds and sensitive areas. This discharge may have a thick, curd-like consistency and a foul odor. It is essential to note any changes in discharge and seek medical attention if symptoms persist or worsen.

Risk Factors for Yeast Infections on the Skin

Several factors increase the risk of developing yeast infections on the skin:

Obesity : Excess weight can increase moisture and friction in skin folds, creating an ideal environment for yeast overgrowth.
Diabetes : Individuals with diabetes are more prone to yeast infections due to elevated blood sugar levels, which promote yeast growth.
Pregnancy : Hormonal changes during pregnancy can increase the risk of developing yeast infections on the skin.
Immunosuppression : Conditions such as HIV/AIDS, chemotherapy, and organ transplantation weaken the immune system, making individuals more susceptible to yeast infections.
Antibiotic Use : Prolonged use of antibiotics can disrupt the balance of microorganisms on the skin, leading to yeast overgrowth.

How Is Candidiasis of the Skin Diagnosed?

Your doctor will likely be able to diagnose you simply by performing a physical examination. Throughout the examination, they will observe the rash's location and assess the condition of your skin's appearance.

Your doctor may also want to perform a skin culture before diagnosing candidiasis of the skin.

In a skin culture procedure, your physician gently swipes a cotton swab across the affected area to gather a skin sample. Later, specific laboratory tests will confirm the presence of infection in the sample.

Treatment Options for Yeast Infections on the Skin

Treatment for yeast infections on the skin typically involves antifungal medications and lifestyle modifications to alleviate symptoms and prevent recurrence. Here are some effective treatment options:

Topical Antifungal Creams

Over-the-counter (OTC) antifungal creams containing active ingredients such as clotrimazole, miconazole, or ketoconazole can effectively treat yeast infections on the skin. You can apply these creams directly to the affected areas according to the instructions.

Antifungal Powders

Antifungal powders help keep the affected areas dry and prevent moisture buildup, which can promote yeast growth. Apply antifungal powders to skin folds and other susceptible areas to reduce friction and irritation.

Prescription Medications

In severe cases or when OTC treatments fail to provide relief, your healthcare provider may prescribe oral antifungal medications or stronger topical creams to combat the infection.

Maintain Good Hygiene

Good hygiene habits are essential for preventing and managing yeast infections on the skin. Keep the affected areas clean, dry, and well-ventilated, and avoid wearing tight-fitting clothing that can trap moisture.

Avoid Irritants

Avoid harsh soaps, perfumes, and skincare products that irritate the skin and exacerbate symptoms. Opt for gentle, fragrance-free cleansers and moisturizers to soothe the skin.

When to See a Doctor

You can treat most yeast infections on the skin at home using OTC medications and self-care measures. However, it is essential to seek guidance from a doctor if:

Symptoms Persist or Worsen

If symptoms persist or worsen despite treatment, consult your healthcare provider for further evaluation and management.

Recurrent Infections

Are you getting fungal infections frequently? Then it's high time to see a doctor. An underlying medical condition or risk factor may be at play when yeast infections recur on the skin.

Severe Symptoms

If you experience severe symptoms such as intense itching, pain, swelling, or signs of infection such as fever or pus-filled blisters, seek medical attention promptly.

Pregnancy or Nursing

Pregnant or nursing individuals should consult their healthcare provider before using any medications to treat yeast infections on the skin.

Immune System Disorders

Individuals with compromised immune systems, such as those with HIV/AIDS or undergoing immunosuppressive therapy, should seek medical advice for proper management of yeast infections on the skin.

Final Thoughts

Yeast infections on the skin can cause discomfort, irritation, and embarrassment, but with proper treatment and preventive measures, most cases can be effectively managed. By understanding the causes, symptoms, and treatment options for yeast infections on the skin, you can take proactive steps to promote skin health and overall well-being. Remember to practice good hygiene, wear breathable clothing, and seek medical attention if you experience persistent or severe symptoms. With the right approach, you can minimize the impact of yeast infections on your skin and enjoy healthier, happier skin.

At Pine Belt Dermatology , our team of experienced dermatologists specializes in diagnosing and managing various skin conditions, including candidiasis. Our dermatologists have the expertise to diagnose and treat your skin yeast infection effectively. We offer personalized treatment plans and work closely with you to prevent future occurrences. If you're struggling with a persistent itch or suspect a yeast infection, don't hesitate to schedule an appointment with us. We're here to help you regain clear, comfortable skin and restore your confidence.

Understanding Skin Conditions Associated with Allergies and Spring and When to Seek Medical Advice

bberendsen@ideazonemarketing.com (Bob Berendsen) — Mon, 01 Apr 2024 15:28:27 GMT

Understanding Skin Conditions Associated with Allergies and Spring and When to Seek Medical Advice

As the spring season unfolds, many individuals eagerly anticipate spending more time outdoors, reveling in the beauty of blooming flowers and vibrant landscapes. However, for some, spring brings about a different experience—one characterized by itchy, irritated skin and uncomfortable allergic reactions. Skin conditions associated with allergies or heightened exposure to outdoor elements can significantly impact individuals' quality of life during this time.

Keep reading to explore various skin conditions linked to allergies and spring, and when to seek medical advice for effective management and relief.

Understanding Skin Conditions Associated with Allergies

When your body encounters an allergen, your immune system mistakenly identifies it as a threat. This triggers the release of histamine, a chemical responsible for inflammation, redness, and itching. Depending on the allergen and your sensitivity, this inflammatory response can manifest in various skin conditions.

Common skin conditions that are associated with allergies include:

Atopic Dermatitis (Eczema)

Atopic dermatitis, commonly called eczema, is a prevalent chronic inflammatory skin condition affecting people of all ages. It is characterized by periods of worsening and remission, with symptoms ranging from mild irritation to intense itching and discomfort.

Causes of atopic dermatitis include:

Genetic Factors: Atopic dermatitis has a significant genetic component, with a family history of allergies or eczema increasing the likelihood of developing the condition. Specific gene mutations related to skin barrier function and immune response play a role in developing atopic dermatitis.
Immune System Dysfunction: Individuals with atopic dermatitis often exhibit an overactive immune response to triggers that are typically harmless to others. This heightened immune response leads to inflammation and skin barrier dysfunction, resulting in the characteristic symptoms of eczema.
Environmental Triggers: Environmental factors such as dry air, low humidity, harsh soaps, detergents, and certain fabrics can exacerbate eczema symptoms by drying out the skin and triggering inflammation. Allergens such as pollen, dust mites, pet dander, and mold can also provoke allergic reactions in individuals with atopic dermatitis.

Symptoms include:

Dry, itchy skin
Eczematous rash
Skin sensitivity to certain fabrics, perfumes, skincare products, or environmental triggers can exacerbate eczema symptoms and trigger flare-ups.

Management and treatment options include:

Emollients and Moisturizers: Keeping the skin well-hydrated is crucial for managing eczema symptoms and maintaining skin barrier function. Emollients and moisturizers help trap moisture in the skin, preventing dryness and reducing the risk of flare-ups.
Topical Steroids and Immunomodulators: Topical corticosteroids reduce inflammation and itching during eczema flare-ups. In moderate to severe eczema cases, topical calcineurin inhibitors, such as tacrolimus and pimecrolimus, may suppress the immune response and alleviate symptoms.
Avoidance of Triggers: Identifying and avoiding triggers that exacerbate eczema symptoms is essential for managing the condition effectively. This may involve minimizing exposure to allergens, using gentle skincare products, and maintaining a healthy indoor environment with adequate humidity.
Antihistamines: Oral antihistamines can help alleviate itching and reduce the urge to scratch, particularly at night when eczema symptoms often worsen.
Lifestyle Modifications: Adopting healthy lifestyle habits such as wearing soft, breathable fabrics, avoiding hot baths or showers, and practicing stress-reduction techniques can help minimize eczema flare-ups.

Allergic Contact Dermatitis

Allergic contact dermatitis (ACD) is a common skin condition characterized by inflammation and skin irritation resulting from exposure to allergens or irritants. Unlike irritant contact dermatitis, which directly results from contact with a substance that damages the skin, allergic contact dermatitis arises from an immune-mediated response to specific allergens.

Allergic contact dermatitis can develop in response to exposure to a wide range of allergens, including plants (such as poison ivy, poison oak, and poison sumac), metals (like nickel and cobalt), cosmetics, fragrances, preservatives, topical medications, and latex. Sensitization to allergens typically occurs after repeated or prolonged exposure, with symptoms manifesting upon subsequent contact with the allergen.

Certain occupations, such as healthcare workers, hairdressers, and individuals working in manufacturing or construction, may be at higher risk of allergic contact dermatitis due to frequent exposure to potential allergens.

Symptoms of allergic contact dermatitis include:

Redness
Swelling
Itching
Burning or stinging sensations
Blisters or vesicles
Dry, cracked skin

Diagnosing allergic contact dermatitis involves a thorough medical history, including details of recent exposures to potential allergens and a physical examination of the affected skin.

In some cases, patch testing identifies specific allergens that trigger allergic reactions. Patch testing involves applying small amounts of potential allergens to the skin and monitoring for reactions over a specified period.

Here are the management strategies you may follow:

Identification and Avoidance of Allergens: The cornerstone of managing allergic contact dermatitis involves identifying and avoiding the allergens responsible for triggering skin reactions. This may require careful reading of product labels, selecting hypoallergenic or fragrance-free products, and wearing protective clothing or gloves when handling potential allergens.
Topical Treatments: Topical corticosteroids reduce inflammation and alleviate symptoms during allergic contact dermatitis flare-ups. Non-steroidal options, such as calcineurin inhibitors and topical antihistamines, may also be prescribed for short-term relief.
Emollients and Moisturizers: Emollients and moisturizers help hydrate the skin, restore the skin barrier, and alleviate the dryness and itching associated with allergic contact dermatitis. Regular application of moisturizers can help prevent flare-ups and maintain skin health.
Cool Compresses: Cool or wet dressings applied to affected areas can provide soothing relief and help reduce inflammation and itching.
Oral Antihistamines: Oral antihistamines help to relieve itching and discomfort associated with allergic contact dermatitis, particularly at night when symptoms can interfere with sleep.
Medicated Ointments and Creams: In severe or persistent allergic contact dermatitis cases, dermatologists may prescribe medicated ointments or creams containing immunomodulators or corticosteroids for long-term management.
Education and Prevention: Educating individuals about potential allergens, proper skin care techniques, and strategies for preventing allergic contact dermatitis can empower them to take proactive steps to protect their skin and minimize the risk of future flare-ups.

Urticaria (Hives)

Urticaria, or hives, manifest as raised, itchy welts on the skin and can be acute or chronic.

Allergic reactions to pollen, insect bites, certain foods, or medications are common triggers for hives. Symptoms include red welts that vary in size and shape, often accompanied by itching or burning sensations. While mild hives are possible to manage with over-the-counter antihistamines, severe or persistent hives warrant medical evaluation.

Skin Conditions and Springtime

Here are the skin conditions you may experience during the springtime:

Pollen Allergies and Skin Sensitivities

Springtime releases pollen from trees, grasses, and weeds, triggering allergic reactions in susceptible individuals. Pollen allergies, also known as hay fever or allergic rhinitis, can manifest as a range of symptoms, including sneezing, nasal congestion, itchy eyes, and skin irritations. Pollen particles can land on the skin and exacerbate existing skin conditions such as eczema, allergic contact dermatitis, and urticaria (hives).

Individuals with pollen allergies may experience heightened skin sensitivity and increased susceptibility to allergic reactions during peak pollen seasons.

Increased Outdoor Activity and Skin Exposure

With the arrival of spring, people tend to spend more time outdoors, engaging in activities such as gardening, hiking, and outdoor sports. Increased exposure to environmental elements, including sunlight, wind, and humidity, can impact skin health and contribute to skin dryness, sunburn, and irritation. Insect bites and stings from bees, wasps, mosquitoes, and other outdoor pests become more prevalent during the spring, potentially triggering allergic reactions and skin inflammation.

Effective Strategies for Managing Springtime Skin Concerns

Let us explore some practical ways to manage skin issues during the spring season:

Allergen Avoidance: Minimize exposure to known allergens by staying indoors during peak pollen hours, keeping windows closed, and using air purifiers to filter indoor air.
Skin Protection: Practice sun safety by wearing protective clothing, applying broad-spectrum sunscreen, and seeking shade during peak sunlight hours to prevent sunburn and photoallergic reactions.
Hydration and Moisturization: Maintain skin hydration by drinking plenty of water and using moisturizers to replenish lost moisture and prevent dryness and irritation.
Allergy Management: Consider allergy testing to identify specific triggers and develop personalized allergy management plans with healthcare professionals' guidance.
Skin Barrier Maintenance: Use gentle cleansers and emollients to cleanse and moisturize the skin, supporting optimal skin barrier function and reducing the risk of allergen penetration and skin sensitivities.
Prompt Treatment of Symptoms: Seek medical advice if symptoms persist or worsen despite home remedies, as timely intervention can prevent complications and promote symptom relief.

When to Seek Medical Advice

Get medical advice if you have:

Persistent Symptoms

If skin symptoms persist despite over-the-counter treatments or home remedies, it's advisable to consult a dermatologist. Chronic or recurring skin conditions may require a personalized treatment plan and professional medical guidance for effective management.

Severe Reactions

Severe allergic reactions characterized by swelling, difficulty breathing, or anaphylaxis require immediate medical attention. Individuals experiencing these symptoms should seek emergency medical care without delay.

Impaired Quality of Life

Skin conditions impairing daily functioning, sleep, or overall quality of life warrant medical evaluation. Dermatologists can assess the severity of the condition, identify triggers, and recommend appropriate treatment options to alleviate symptoms and improve well-being.

Final Thoughts

While you can manage many skin conditions with self-care measures and over-the-counter treatments, persistent or severe symptoms necessitate professional medical evaluation and intervention. By identifying triggers and seeking timely medical advice, individuals can better navigate the challenges of allergies and springtime skin concerns, enjoying the season to its fullest potential while maintaining skin health and well-being.

The team at Pine Belt Dermatology has expert advice to help you manage skin conditions effectively. Contact us today and take control of your skin's health.

Embracing Skin Cancer Screenings with Confidence

bberendsen@ideazonemarketing.com (Bob Berendsen) — Fri, 01 Mar 2024 15:35:24 GMT

Embracing Skin Cancer Screenings with Confidence

Any noticeable changes in the size, shape, color, or borders of existing moles should be a cause for concern. Pay attention to moles that become asymmetrical or irregular.

New Growth or Spotting

The development of new growths, lesions, or spots on the skin, especially if they are dark, have irregular borders, or exhibit uneven coloring, should be examined promptly.

Itching or Tender Skin

Persistent itching, tenderness, or pain in a particular area of the skin may indicate underlying issues. If these symptoms persist, seeking professional evaluation is essential.

Bleeding or Oozing

Skin cancers, particularly melanoma, may bleed or ooze fluid. If you notice any unusual bleeding or discharge from a mole or lesion, it warrants immediate attention.

Changes in Skin Texture

Skin cancer can cause changes in the texture of the skin. Rough or scaly patches that don't resolve with moisturizers may be indicative of a problem.

Wounds That Don't Heal

Skin cancers can sometimes present as non-healing sores or wounds. If you have a sore that persists or doesn't heal, it's best to consult a healthcare professional.

Swelling or Redness Beyond Injury

Unexplained swelling or redness in a specific area of the skin, especially if it occurs without a known injury or cause, should be examined by a healthcare provider.

Note that, while these symptoms can be indicative of skin cancer, they can also be caused by other dermatological conditions. Consulting a dermatologist for a thorough evaluation is the best course of action when any concerning symptoms arise.

Overcoming the Fear of Skin Cancer Screening

Despite the potentially life-saving benefits of skin cancer screening, people frequently avoid scheduling these exams out of fear and hesitation. Here are some common concerns most people have and how you can overcome them.

Fear of the Unknown
Many people fear what they don't understand. It's crucial to educate oneself about the screening process, the importance of early detection, and the relatively simple and non-invasive nature of most skin cancer screenings.
Anxiety about Results
The fear of receiving bad news can be overwhelming. However, it's essential to remember that early detection significantly improves the chances of successful treatment. Regular screenings are a proactive approach to maintaining skin health.
Embarrassment
Some individuals may feel embarrassed or self-conscious during a clinical examination. It's vital to recognize that dermatologists are professionals who perform these screenings routinely, and their primary concern is your well-being.
Concerns about Cost
Financial constraints can be a significant barrier to accessing healthcare. Many healthcare providers offer affordable or free skin cancer screenings, especially during awareness campaigns. Inquire about available options and do not let financial concerns deter you from prioritizing your health.

Dispelling Common Myths and Misconceptions

To encourage a more informed approach to skin cancer screening, let’s address common myths and misconceptions that may contribute to fear and hesitation:

Only Sun Lovers Get Skin Cancer

While excessive sun exposure is a significant risk factor, anyone, regardless of skin type or sun exposure, can develop skin cancer. Genetics, family history, and environmental factors also play crucial roles.

Skin Cancer is Not Serious

Skin cancer can be deadly if not detected and treated early. Melanoma, in particular, has the potential to spread to other parts of the body. However, when identified in its early stages, the prognosis for successful treatment is high.

Only Older Individuals Get Skin Cancer

While the risk of skin cancer increases with age, it can affect individuals of all ages, including young adults and even children. Regular screenings are essential for everyone, regardless of age.

I Would Notice if Something was Wrong

Skin cancer can develop without causing noticeable symptoms in its early stages. Regular screenings, including self-exams and professional evaluations, are crucial for detecting abnormalities that may not be immediately apparent.

Tanning Beds are Safer than the Sun

Harmful ultraviolet (UV) radiation from tanning beds raises the risk of skin cancer considerably. Using tanning beds, even occasionally, can have serious consequences for skin health.

The Role of Early Detection

The primary goal of skin cancer screening is early detection, as this dramatically improves treatment outcomes. When detected early, the majority of skin cancers are highly curable.

Regular self-exams are a simple yet powerful tool in the early detection process. Individuals are encouraged to be familiar with their skin and note any changes in moles, freckles, or other skin markings. If abnormalities are observed, seeking professional evaluation is best.

Routine screenings offer the advantage of establishing a baseline for comparison over time. Changes in the size, shape, color, or texture of moles or lesions can indicate potential issues. By catching these changes early, medical intervention can be swift and effective.

What to Expect During a Clinical Examination

For those unfamiliar with clinical skin examinations, understanding the process can help alleviate concerns. Here's a step-by-step guide to what typically happens during a dermatologist-led screening:

Patient History

The dermatologist will begin by asking about your medical history, including any family history of skin cancer, past sun exposure, and previous skin issues.

Full-Body Examination

You will be asked to undress completely or wear a gown, ensuring that the dermatologist can examine your entire skin surface. This includes areas not typically exposed to the sun, emphasizing the importance of a thorough assessment.

Focused Examination of Moles and Lesions

The dermatologist will closely examine moles, freckles, and other skin lesions using specialized lighting and, in some cases, dermatoscopy. This tool magnifies the skin, allowing for a more detailed assessment.

Biopsy, if Necessary

If the dermatologist identifies any suspicious lesions, they may recommend a biopsy to determine whether the cells are cancerous. Biopsies are typically minor procedures performed in the office.

Discussion and Guidance

The dermatologist will discuss their findings with you, addressing any concerns or questions you may have. They may also provide guidance on sun protection and skin health.

Empowering Individuals through Knowledge

The key to overcoming fear is empowering individuals with knowledge. Understanding the prevalence of skin cancer, the significance of early detection, and the straightforward nature of screenings can motivate people to take charge of their health.

Embracing a Proactive Approach to Skin Health

Skin cancer screenings are not just about finding potential issues; they are about empowerment, early detection, and, ultimately, saving lives. Don't let fear hold you back—be informed, be proactive, and prioritize your skin health. Your well-being is worth it.

Ready to take charge of your skin's health and protect yourself from the dangers of skin cancer? Visit Pine Belt Dermatology , your trusted partner in skin care. Our experienced team of dermatologists is dedicated to providing comprehensive screenings, personalized treatment plans, and expert guidance. Contact us today.

Do I Need Sunscreen in the Winter?

bberendsen@ideazonemarketing.com (Bob Berendsen) — Tue, 30 Jan 2024 14:55:03 GMT

Do I Need Sunscreen in the Winter?

As winter blankets the world in a serene layer of snow and chilly temperatures, many of us tend to believe that the need for sunscreen diminishes along with the intensity of the sun's rays. The misconception that sunscreen isn’t essential during the winter can lead to unintended consequences for our skin.

In this blog post, we’ll explore the myths surrounding winter sunscreen use and why it remains a crucial component of your skincare routine, even when the days are shorter and the air is crisp.

Demystifying UV Radiation and Its Impact on Skin

Understanding the intricacies of UV radiation is crucial for comprehending the necessity of sunscreen, especially during the winter.

UV radiation, or ultraviolet radiation, is a spectrum of electromagnetic energy emitted by the sun. It encompasses three main types: UVA, UVB, and UVC. Demystifying these components sheds light on their distinct effects on the skin.

UVA Rays: The Silent Intruder

UVA rays account for most UV radiation reaching the Earth's surface. Despite being less intense than UVB rays, UVA rays are silent intruders that penetrate the skin's deepest layers. This penetration poses significant risks, contributing to premature aging, the development of wrinkles, and increasing the likelihood of skin cancer.

The depth to which UVA rays penetrate the skin is a cause for concern. Unlike UVB rays that affect the outer layers, UVA rays delve into the skin's second dermis layer. Here, they incite the production of free radicals, reactive molecules that wreak havoc on collagen and elastin fibers, the structural proteins responsible for the skin's firmness and elasticity.

This cellular disturbance leads to the breakdown of collagen and elastin, forming wrinkles and fine lines. Moreover, long-term exposure to UVA rays enhances the risk of skin cancer. It is imperative to shield the skin against these silent intruders throughout the year, including winter.

UVB Rays: The Culprits of Sunburns

UVB rays, though less prevalent than UVA rays, are notorious for their immediate and visible impact on the skin's outermost layers. These rays are responsible for sunburns, a painful consequence of prolonged exposure. While UVB rays do not penetrate as much as UVA rays, they can cause considerable damage to the epidermis, the skin's outer layer.

Upon exposure to UVB rays, the skin initiates a defense mechanism by increasing melanin production, the pigment responsible for skin color. This pigment absorbs and disperses UV radiation, serving as a natural shield. The visible result of this process is a tan. However, prolonged exposure can overwhelm the skin's defense system, leading to sunburn.

UVB rays are also significant contributors to the development of skin cancer. Their ability to induce DNA mutations in skin cells elevates the risk of malignant transformations. Thus, even in winter, when the sun appears less intense, the impact of UVB rays on the skin remains potent, necessitating the consistent use of sunscreen.

The Winter UV Paradox: A Higher Altitude

One might assume that winter diminishes the threat of UV radiation due to reduced sunlight and lower temperatures. But the winter UV paradox lies in the snow, which blankets many winter landscapes, reflecting UV rays with remarkable efficiency. This reflective property amplifies the intensity of UV exposure, especially in regions with heavy snowfall or at higher altitudes.

In such environments, the combination of lower temperatures and the reflective power of snow poses a double threat to the skin. The cold air can lead to a false sense of security, causing individuals to underestimate the need for sunscreen. However, the heightened UV reflection from snow demands increased vigilance in sun protection practices, emphasizing the importance of year-round sunscreen use.

Choosing the Right Sunscreen: A Critical Decision

Given the varied impacts of UVA and UVB rays, selecting the right sunscreen becomes critical for safeguarding your skin. Opt for a broad-spectrum sunscreen that provides comprehensive protection against UVA and UVB radiation. The Sun Protection Factor (SPF) measures a sunscreen's effectiveness in shielding against UVB rays, while labels like "broad-spectrum" state protection against UVA rays.

Considering your skin type, activities, and reflective surfaces in your environment helps tailor your sunscreen choice for optimal protection. Water-resistant formulations are advisable, particularly during winter sports or activities that involve sweat, to ensure the sunscreen remains effective despite exposure to moisture.

Indoor Heating Strips Moisture

As winter makes everything chilly outside, we often find warmth indoors. Yet, the heaters we rely on for coziness can be tricky for our skin. These indoor heating systems take away the moisture from the air, making it dry. When the air inside is dry and you step outside into the cold, it creates a problem for your skin. Your skin loses moisture, making it easier for things like the sun's rays to cause damage.

The Impact on Your Skin

When your skin becomes dry and lacks moisture, it's not about how it looks. It becomes easier for bad things from the outside, like the sun, to get in and cause problems. The mix of indoor heating and outdoor cold makes this even worse, creating a situation where your skin can't retain moisture.

Why Sunscreen Matters in Winter

This is where sunscreen becomes essential for your winter skincare routine. It's not just about protecting your skin from the sun; it's about helping your skin deal with the dryness caused by indoor heating. A good sunscreen acts like a shield, stopping moisture from leaving your skin. It locks in the hydration your skin needs, especially when the temperatures keep changing.

Preventing Moisture Loss: Sunscreen's Extra Benefit

Sunscreen does more than protect from the sun. It helps your skin keep its moisture. It's like a protective cover that stops the water in your skin from disappearing. This is especially important when you're in places with indoor heating that can make your skin lose moisture faster.

Choosing the Right Sunscreen for Winter

Not all sunscreens work the same way; in winter, you want one that does more. Look for sunscreen with ingredients like hyaluronic acid or glycerin. These things not only help keep your skin moist but also keep it healthy. Also, pick sunscreens that say " non-comedogenic " if your skin is sensitive or gets pimples.

Wrap-Up: Finding a Balance for Your Skin

As you enjoy the warmth indoors during the winter, it's essential to consider your skin. Indoor heating might make you feel cozy but can make your skin lose moisture. By using sunscreen, you shield your skin from the sun and help it hold onto its water.

Cumulative Sun Damage

Sun damage is not a fleeting concern; it's a silent accumulator that intensifies over time. Even in the milder winter sun, the potential for harm lingers. Neglecting sunscreen during these less intense periods can have irreversible consequences for your skin. Wrinkles, fine lines, age spots, and an escalated risk of skin cancer emerge as potential outcomes of prolonged sun exposure without adequate protection.

Consistency in sunscreen application transforms from a mere routine to a strategic defense. Applying sunscreen daily is akin to investing in your skin's long-term health. This diligent practice protects against the gradual accumulation of sun damage, preserving your skin's youthful appearance and reducing the risk of skin-related issues as the years unfold.

Choosing the Right Sunscreen

When it comes to sunscreen, one size doesn't fit all. Opt for a broad-spectrum sunscreen—it tackles UVA (aging) and UVB (burn) rays, ensuring well-rounded protection.

Consider Your Skin's Needs

Choose sunscreen to suit your unique needs by considering your skin type , daily routine, and specific concerns like sensitivity or allergies. If you have sensitive skin, opt for a gentle option. If outdoor activities are on the agenda, select a water-resistant formula. For added convenience, choose a sunscreen that doubles as a moisturizer—a two-in-one solution to simplify your skincare routine.

Make It Personal

Picking sunscreen isn't a chore; it's a personal choice. Understand UVA and UVB rays, factor in your skin's quirks, and choose. Let your sunscreen be as unique as you are indoors or outdoors.

Winter Sports Demand Extra Protection

For winter sports enthusiasts, sunscreen isn't a choice; it's a must-have for optimal skin care. Being involved in skiing, snowboarding, or ice skating exposes your skin to prolonged sun exposure, often at high altitudes with more intense UV radiation. Coupled with the reflective properties of snow, this scenario demands specialized sun protection.

Invest in sports sunscreens with higher SPF ratings and water-resistant formulations. These products are designed to endure the challenges of winter sports, providing an extra layer of defense against the elements. Whether conquering slopes or gliding across icy surfaces, your skin deserves the added care and protection these specialized sunscreens offer.

Wearing sunscreen protects your skin from the sun's harmful rays. Even though it's winter, remember to wear sunscreen daily to keep your skin healthy and protected. The winter sun, though subtle, poses real threats to our skin.

At Pine Belt Dermatology , we emphasize holistic skincare. Beyond treatments, we advocate for preventative measures. Explore our skincare products and consult with our dermatologists at Pine Belt Dermatology. Your skin deserves the best care every season, and we're here to help you achieve that.

The Dangers of Indoor Tanning—and Why It’s So Addictive

bberendsen@ideazonemarketing.com (Bob Berendsen) — Tue, 02 Jan 2024 17:06:09 GMT

The Dangers of Indoor Tanning—and Why It’s So Addictive

We all love that golden glow from a day spent basking in the sun, but what about those days when the sun decides to take a break? That's where indoor tanning comes into play, right? Well, hold on to your tanning goggles because there’s more to this seemingly harmless activity than meets the eye.

Read on to learn more about the world of indoor tanning, its addictive allure, and the dangerous risks it poses.

The Deceptive and Addictive Allure

Imagine this: you walk into a cozy tanning salon, the warmth embracing you like a long-lost friend. The promise of a sun-kissed skin tone lures you into the sleek tanning bed. You slip on those eye protection goggles, lie down, and let the UV rays work their magic.

It’s a routine many people find enticing—the instant gratification of a tan without having to wait for a sunny day! But did you know that this seemingly harmless habit can turn into an addiction with dangerous consequences?

Indoor tanning is more addictive than you might think. The allure lies in the release of endorphins, the body's natural feel-good chemicals triggered by exposure to UV rays. When you’re basking under those warm lights, your brain gets a surge of these mood-enhancing chemicals, creating a euphoric sensation. It’s a natural high; after all, who doesn’t crave that blissful feeling?

Moreover, society often equates tanned skin with health and beauty, reinforcing the desire to achieve and maintain that bronzed look. The compliments and admiration from others can further fuel the addiction, creating a vicious cycle. What starts as a quest for a bit of color can soon spiral into an uncontrollable urge, making it difficult to resist the temptation of frequent tanning sessions.

The Dangerous Reality of Indoor Tanning: A Closer Look

Indoor tanning, once hailed as a convenient way to achieve a sun-kissed glow, has now revealed its perilous side, casting a shadow over its enticing allure. Let’s peel back the layers and explore the dark reality that lurks beneath the surface of those sleek tanning beds and golden promises.

1. The Menace of UV Radiation: A Silent Destroyer

Despite a recent decrease in numbers, around 7.8 million adults in the U.S. continue to participate in indoor tanning. The sun, with its life-giving warmth, also harbors a silent destroyer: ultraviolet (UV) radiation.

When you step into a tanning bed, you're willingly exposing your skin to these harmful rays. Whether natural or artificial, UV radiation damages the DNA in your skin cells. This damage disrupts the delicate balance of your body's cellular processes, paving the way for the development of cancerous cells.

Three primary types of skin cancer include basal cell carcinoma, squamous cell carcinoma, and melanoma. Carcinoma is more prevalent than melanoma, but melanoma stands out as the most lethal form of skin cancer. Engaging in tanning bed use before the age of 35 skyrockets the risk of developing melanoma by 75% . That’s not a risk to be taken lightly; it’s a wake-up call to reconsider the seemingly innocent indulgence of tanning beds.

2. Premature Aging: The Price of a Momentary Glow

Beyond the menacing specter of cancer, indoor tanning inflicts another cruel blow: accelerated aging. UV rays penetrate deep into your skin, breaking down collagen and elastin—the proteins responsible for maintaining your skin's firmness and youthful appearance.

As these foundational elements weaken, your skin loses its elasticity. The consequence? Premature wrinkles , fine lines, and sagging skin become unwelcome guests, outlining the toll UV exposure has taken across your face and body. That radiant, healthy image tanning enthusiasts envision is far from reality; instead, they find themselves prematurely aged and their skin robbed of its natural vitality.

3. The Addiction Trap: A Cycle of Compulsion

The addictive allure of indoor tanning is a psychological labyrinth, weaving its way into the minds of countless individuals. The endorphin rush experienced during tanning sessions creates a euphoric sensation akin to a natural high. This surge of feel-good chemicals creates an addictive cycle, making it challenging to resist the pull of frequent tanning.

The compliments and attention received for the bronzed glow further reinforce this cycle, trapping individuals in a web of compulsion that jeopardizes their well-being. Breaking free from this cycle demands resilience, awareness, and a strong support system.

4. Immunosuppression: Weakening the Body's Defenses

Prolonged exposure to UV radiation weakens the immune system , making individuals more susceptible to infections and diseases. UV radiation suppresses the skin's immune response, impairing the body's ability to defend against pathogens. This compromised immunity not only affects the skin but also impacts overall health, leaving individuals vulnerable to various illnesses.

5. Eye Damage: Increased Risk of Cataracts and Eye Cancer

Tanning beds emit intense UV radiation, which can also harm the eyes. Prolonged exposure increases the risk of developing cataracts, a clouding of the eye's lens that impairs vision. Additionally, UV radiation exposure is linked to the development of ocular melanoma, a rare but aggressive form of eye cancer. Protecting the eyes from UV radiation is essential to preventing long-term vision impairments and serious eye conditions.

6. Addiction and Mental Health Impacts: A Vicious Cycle

Indoor tanning can lead to addictive behavior driven by the release of endorphins during tanning sessions. This addiction poses not only physical but also mental health risks. Individuals struggling with tanning addiction may experience anxiety, depression, and body dysmorphic disorders, impacting their overall well-being. Recognizing the psychological aspects of tanning addiction is crucial to addressing the comprehensive health of affected individuals.

The Importance of UV Protection: Guarding Your Skin's Health

Understanding the profound impact of UV radiation on our skin is crucial for adopting protective measures. UV rays not only damage the DNA but also weaken the skin's natural defenses, making it more susceptible to various skin conditions. Melanoma, in particular, is a formidable adversary, spreading rapidly and posing a significant threat to one's life.

In light of these risks, it's essential to prioritize UV protection. Wearing sunscreen with a high SPF, along with protective clothing and accessories like hats and sunglasses, can create a shield against the harmful effects of UV radiation. Regular skin screenings by dermatologists are also vital, enabling early detection and timely intervention if any suspicious changes occur.

Embracing Safe Alternatives

If you still want a sun-kissed glow, opt for safer alternatives like self-tanning lotions or spray tans, which are recommended by top dermatologists . These products can provide the desired effect without exposing your skin to harmful UV radiation. With advancements in cosmetic technology, self-tanners offer natural-looking results without the associated health risks. Plus, they come in various shades, allowing you to customize your tan to perfection.

Social Pressure: Navigating Beauty Standards in the Digital Age

We all know that these days, our feeds are flooded with influencers flaunting their perfect, sun-kissed bodies. It’s hard not to feel the pressure to look the same way, especially for young adults who are trying to find their place in the world.

Scrolling through Instagram or TikTok, you can't help but notice how tanned skin seems to be the ticket to fitting in. The message is clear: if you want to be attractive and accepted, you need that golden tan. It's like a trend that everyone's following, and it’s easy to get caught up in it.

The truth, however, is something different. It's vital to understand that real beauty isn’t just skin deep. It's not about having the perfect tan or looking a certain way to please others. True beauty comes from within—it's about confidence, kindness, and being comfortable in your own skin.

Amid these digital beauty standards, it's essential to remind ourselves that risking our health for the sake of fitting in is never a good idea. Embracing who we are, appreciating our natural skin tone, and focusing on our inner qualities will always shine brighter than any artificial tan. So let’s navigate the social pressure with confidence, knowing that our uniqueness is what truly makes us beautiful.

Breaking the Cycle

Breaking free from the addictive grip of indoor tanning might seem daunting, but it’s not impossible. First and foremost, awareness is key. Understanding the risks involved and the long-term consequences of frequent tanning sessions can serve as a powerful deterrent.

While the allure of indoor tanning may be tempting, it’s crucial to recognize the dangers it poses and the addictive cycle it can create. Your health and well-being should always be the top priority. So ditch the tanning bed, embrace your natural beauty, and bask in the sunshine responsibly—your skin will thank you for it in the long run! Stay safe, stay confident, and remember, you’re beautiful just the way you are.

At Pine Belt Dermatology , we understand the complexities of skin health and the allure of a sun-kissed glow. Our team of experienced dermatologists is here to guide you on your journey towards radiant, healthy skin. Schedule your appointment today and experience the top-notch services that set us apart.

How to Find the Best Mississippi Dermatologist

Mon, 04 Dec 2023 16:57:36 GMT

How to Find the Best Mississippi Dermatologist

Your skin is a window into the health and happiness of your whole body. As the body's largest organ, it plays a pivotal role in physical protection and shaping your identity and self-esteem. Seeking the guidance of a dermatologist is a wise decision when faced with skin issues, be it medical or cosmetic. However, the challenge lies in how to find the perfect dermatologist who can address your unique concerns and requirements.

Continue reading to learn the steps to help you find the perfect dermatologist for your skin.

Why You Need a Dermatologist

We must appreciate their essential role in healthcare before finding the ideal dermatologist. Dermatologists are specialized medical professionals uniquely equipped to diagnose and treat various skin, hair, and nail conditions. Their expertise covers both the medical and cosmetic dimensions of dermatology. Your skin serves as the front line of defense against the external environment, leaving it susceptible to numerous issues and making the expertise of dermatologists invaluable.

You may need a dermatologist for various reasons:

Skin Cancer Prevention and Education

Dermatologists help in early detection and play a vital role in educating patients about skin cancer prevention. They can guide sun protection measures, including using sunscreen, wearing protective clothing, and avoiding excessive sun exposure. Additionally, they can advise individuals on self-examination techniques to monitor their skin for any changes, empowering them to safeguard their health proactively.

Cutting-Edge Treatments

Dermatologists can suggest innovative therapies that have enhanced the outcomes of treating chronic skin conditions like psoriasis. How we approach and treat skin issues has undergone a radical change due to these cutting-edge procedures.

Scar Management

Dermatologists are experts in scar management techniques. They can minimize the appearance of scars resulting from surgeries, accidents, or skin conditions. Utilizing methods such as laser therapy, micro-needling, or injectable treatments, dermatologists can help patients regain confidence by improving the aesthetics of their skin.

Advanced Cosmetic Procedures

A dermatologist is the primary expert to consult when contemplating advanced cosmetic procedures. Their extensive training and wealth of experience are pivotal in guaranteeing the safety and efficacy of these treatments, ensuring you achieve the desired results without compromising your well-being.

Hair and Nail Health

Dermatologists can address issues like hair loss, thinning, or nail disorders, which can have medical and cosmetic implications.

Allergies and Sensitivities

Dealing with skin allergies and sensitivities can be difficult because determining and treating them can be difficult. A dermatologist can help pinpoint the triggers and develop strategies to minimize reactions.

Expert Advice

Dermatologists offer expert advice on sun protection, skincare routines, and lifestyle changes to promote healthy skin, helping you avoid future problems.

Types of Dermatologists

Dermatologists can choose from a variety of specialties within the field of dermatology to best serve your individual needs.

Here are some types of dermatologists and their specialties:

Medical Dermatologists

Dermatologists are experts who diagnose and treat skin problems. A medical dermatologist will help you with persistent skin problems like acne, eczema, psoriasis, infections, and skin cancer.

Pediatric Dermatologists

Pediatric dermatologists specialize in kids' skin health. They handle conditions that affect babies, children, and teenagers, like birthmarks, eczema, and skin cancers in kids.

Surgical Dermatologists

Surgical dermatologists are skilled at removing skin growths, moles, and skin cancers through surgery. They often work closely with medical and cosmetic dermatologists to provide comprehensive care.

Cosmetic Dermatologists

Cosmetic dermatologists focus on making the skin look better. They offer treatments like Botox, dermal fillers, chemical peels, and laser therapy to address wrinkles, fine lines, and skin texture.

Dermatopathologists

Dermatopathologists diagnose skin diseases by looking at skin tissue samples under a microscope.

Mohs Surgeons

These specialists are highly skilled in Mohs micrographic surgery, a precise technique for removing skin cancer while preserving as much healthy tissue as possible. This is particularly effective for skin cancers in sensitive areas like the face.

Immunodermatologists

Immunodermatologists focus on autoimmune skin diseases and allergies, working to understand the immune system's role in skin conditions like lupus, dermatitis, and vasculitis.

Research and Referrals

Conducting thorough research and seeking referrals is crucial to finding the right dermatologist.

Here's how to approach this process:

Online Resources

Start by using online resources like the websites of professional dermatological associations or medical directories. Many websites provide information about dermatologists' credentials, specialties, and patient reviews.

Ask for Recommendations

Seek recommendations from friends, family members, or colleagues who have had positive experiences with dermatologists. Personal referrals can be valuable in finding a trusted practitioner.

Consult Your Primary Care Physician

Your primary care physician can offer referrals to dermatologists they trust. They can also provide insights into your medical history and skin concerns, helping the dermatologist tailor their approach.

Read Reviews and Testimonials

Patient reviews and testimonials can give you valuable insights into a dermatologist's reputation and satisfaction. Look for patterns in reviews related to your specific concerns.

Check Credentials

Verify the credentials and qualifications of dermatologists on your list. Ensure they are board-certified in dermatology, which signifies that they have met rigorous educational and experience standards.

Consider Location

Think about the location of the dermatologist's office. Accessibility is essential for regular check-ups and treatments. Additionally, consider factors like parking and public transportation options.

Office Atmosphere

Visit the dermatologist's office or website to understand their practice. A welcoming and organized office can contribute to a positive patient experience.

Verify Insurance Coverage

If you have health insurance, check whether the dermatologist accepts your plan. This can help minimize out-of-pocket expenses.

Credentials and Qualifications

The credentials and qualifications of a dermatologist are critical factors to consider when choosing the right one for you.

Here's what to look for:

Board Certification

When searching for the right dermatologist, it's crucial to check if they hold the esteemed title of being board-certified. This certification comes from the American Osteopathic Board of Dermatology (AOBD) and the American Board of Dermatology (ABD) in the United States. If you're in another country, look for the equivalent board. This certification isn't just a fancy title; it's a seal of quality. It means your dermatologist has undergone rigorous training, aced comprehensive exams, and met the highest standards of expertise in dermatology.

Education and Training

Research the dermatologist's educational background. They should have graduated from an accredited medical school and completed a residency program in dermatology.

Licensing

Verify that the dermatologist holds a current and valid medical license in your state or country. This ensures that they are legally qualified to practice medicine.

Specializations

Consider whether the dermatologist specializes in the area relevant to your concerns. For example, if you have a specific skin condition or require cosmetic treatments, look for a dermatologist with expertise in that field.

Continuing Education

In the ever-evolving field of dermatology, ongoing education is vital. Check if the dermatologist participates in continuing medical education (CME) and stays updated on the latest advancements and treatments.

Professional Memberships

Membership in professional organizations, such as the American Academy of Dermatology (AAD), indicates a commitment to maintaining high standards of care and staying connected with peers in the field.

Experience

Consider the dermatologist's years of experience in practice. While newer dermatologists can be highly skilled, experienced practitioners often bring a wealth of knowledge to patient care.

Malpractice History

Check whether the dermatologist has any history of malpractice claims or disciplinary actions. You can typically find this information through your state's medical board.

Experience Matters

When choosing a dermatologist, experience is a crucial factor that can significantly impact your quality of care. Here's why experience matters:

Expertise in Diagnosing Complex Cases

Experienced dermatologists have encountered a wide range of skin conditions over the years. This exposure enables them to accurately diagnose and effectively treat complex or rare cases that less-experienced practitioners may find challenging.

Knowledge of Treatment Options

Seasoned dermatologists are well-versed in the latest treatment options and technologies. They can provide a comprehensive range of treatments, ensuring that you have access to the most advanced and practical solutions.

Refined Clinical Skills

With years of practice, dermatologists develop refined clinical skills, enabling them to perform procedures with precision and minimize discomfort for patients.

Patient Comfort

Experienced dermatologists are often more adept at creating a comfortable and reassuring environment for their patients. They understand the anxieties and concerns that patients may have and can effectively address them.

Recognition and Reputation

Dermatologists with a long history of successful patient outcomes tend to have a strong reputation in the medical community. Their recognition can be a testament to their skills and expertise.

Why Should You Choose Pine Belt Dermatology?

Pine Belt Dermatology shines as your go-to choice for all things skin health. Our unwavering dedication to providing excellent dermatological care distinguishes us. Our team of highly experienced and board-certified dermatologists provides a wide range of specialized services, which sets us apart. From medical dermatology to advanced cosmetic treatments, we cover it all.

Our focus on the needs of each patient is what makes Pine Belt Dermatology unique. The care we provide is tailored to each individual's unique skin concerns. At Pine Belt Dermatology, we can help you enhance the appearance of your skin or provide medical care. You can trust us for top-tier skin care in a warm and professional setting with cutting-edge facilities and a dedication to staying current with dermatological advances. Your skin deserves the best, and Pine Belt Dermatology is here to provide it with care, expertise, and compassion.

Whether you're seeking a diagnosis, treatment, or a personalized skincare routine, Pine Belt Dermatology is ready to help you with all your dermatological needs. Schedule your appointment today and experience the expertise that sets us apart.

At-Home Skin Care: Your Guide to Healthy and Glowing Skin

bberendsen@ideazonemarketing.com (Bob Berendsen) — Mon, 30 Oct 2023 16:33:56 GMT

At-Home Skin Care: Your Guide to Healthy and Glowing Skin

The key to soft and radiant skin often lies in our daily routines. Home-based skincare goes beyond mere daily practice; it signifies a dedication to the well-being of your skin and a much-desired glow. Regardless of whether you're new to skincare or a pro, understanding the foundational principles of home-based skincare holds utmost importance. Keep reading to delve into a customized routine tailored to your skin's individual requirements, guaranteeing a healthier and more radiant complexion.

Know Your Skin Type

Understanding your skin type is the crucial first step in achieving a tailored and effective skincare routine. Normal, oily, dry, combination, and sensitive are the major skin types, and they each have distinct characteristics and behaviors. Your skin is unique, just like you. Determining your skin type can be as simple as observing how your skin feels and reacts throughout the day.

Normal skin boasts balanced hydration, few imperfections, and a radiant appearance. Oily skin tends to be shiny with enlarged pores, while dry skin often feels tight and may display flakiness. Combination skin combines aspects of both oily and dry skin, often with an oily T-zone and drier cheeks. Sensitive skin is prone to redness, irritation, and reactions to certain products.

Recognizing your skin type not only guides you towards the right products but also helps you address specific concerns effectively. Pine Belt Dermatology's experts ensure that you can make informed choices, promoting healthier, happier skin that glows with confidence.

Building a Routine—and Sticking To It!

Your skin will thank you for having a daily regimen and sticking to it. Whether you're a minimalist or a maximalist, a well-rounded routine is your path to healthy and radiant skin. Consistency is the key for any skin care routine to be successful.

Start your mornings with a refreshing cleanse to rid your skin of overnight impurities. Follow up with a gentle toner to balance your skin's pH levels. Hydration is the next step; apply a lightweight moisturizer to lock in moisture and create a protective barrier. Here's the non-negotiable: sunscreen. Shield your skin from the sun's harmful rays with a broad-spectrum SPF.

Your evenings should be all about renewal. Begin by removing makeup and dirt with a thorough cleanse. Apply a targeted treatment like retinol or serum to address specific concerns. Finish with a nourishing night cream to rejuvenate your skin while you sleep.

Experts usually recommend tailoring these steps to your skin type and concerns, optimizing your routine for maximum benefits. Remember, consistency is where the magic happens, and with a dedicated routine, your skin will thank you by glowing with vitality.

Some Cleansing Techniques and Tips

Effective cleansing is crucial for maintaining healthy skin, ridding it of accumulated dirt, makeup, and dead skin cells. Proper cleansing prevents clogged pores, breakouts, and dull complexion. Tailoring cleansing techniques to one's skin type optimizes results. For oily skin, a foaming cleanser helps manage excess oil, while dry skin benefits from cream cleansers that provide hydration. Gel cleansers strike a balance for combination skin, addressing oily and dry areas. Delicate skin benefits from mild, fragrance-free cleansers to avoid irritation. Adopting the right cleansing routine involves gentle circular motions to stimulate blood flow.

For sensitive areas, like those around the eyes, use a dedicated makeup remover. Double cleansing, starting with an oil-based cleanser followed by a water-based one, is ideal for thorough cleansing. By selecting suitable cleanser types and techniques, one can achieve skin that's not only clean but also radiant and well-nourished.

The Power of Exfoliation

Exfoliation is your skin's reset button, essential for unveiling a fresh and vibrant complexion. By sloughing away dead skin cells, exfoliation unclogs pores, refines texture, and stimulates cell turnover, leading to smoother, brighter skin.

Two main methods—physical and chemical exfoliation—offer distinct benefits. Physical exfoliation uses gentle scrubs to manually remove dead cells, while chemical exfoliation employs acids like glycolic or salicylic acid to dissolve them.

Finding the right balance is key. Over-exfoliation can lead to irritation. Experts suggest exfoliating 1-3 times a week for most skin types. Opt for mild exfoliants to begin with and adjust based on your skin's response.

Regular exfoliation, aligned with your skin's needs, is a transformative step. As you unveil the renewed radiance beneath, you'll be welcoming healthier, happier skin.

Sun Protection Is Non-Negotiable

Sun-protection isn't just a summer affair—it's a year-round commitment! Regular usage of sunscreen is your best defense against premature aging, sunspots, and even skin cancer.

Sunscreens can usually be classified into two—physical and chemical. Physical sunscreens sit on the skin's surface, deflecting UV rays with ingredients like zinc oxide or titanium dioxide. Chemical sunscreens, on the other hand, absorb and neutralize UV radiation.

Selecting the right SPF (Sun Protection Factor) depends on your skin type and sun exposure. A broad-spectrum SPF of 30 or higher is generally recommended. For oily skin, opt for a lightweight, non-comedogenic formula.

Remember, applying sunscreen is the grand finale of your morning routine. Allow it to fully absorb before stepping out. Consistent sun protection is an investment in your skin's health, ensuring it remains vibrant and youthful for years to come.

Healthy Lifestyle Habits for Radiant Skin

Radiant skin is more than skin-deep; it reflects your overall health and well-being. The relationship between lifestyle choices and skin health is profound. Let's delve into the crucial factors that impact your skin's radiance and vitality.

Diet : A balanced diet rich in antioxidants, such as vitamins A, C, and E and omega-3 fatty acids is necessary to counter oxidative stress, inflammation, and premature aging. These nutrients protect skin cells from the damage caused by UV radiation and environmental pollutants, resulting in a healthy and clear complexion..

Hydration : Maintaining proper levels of hydration is vital for maintaining skin elasticity and suppleness. Medical research published in the Journal of Clinical, Cosmetic, and Investigational Dermatology emphasizes the importance of adequate water intake in preventing dryness and promoting a youthful appearance.

Stress Management : Chronic stress increases the release of cortisol, a hormone that can negatively impact skin health. Stress-induced inflammation can lead to skin issues like acne and eczema. Studies have reported that meditation, yoga, or deep breathing practices can improve skin conditions.

Sleep : Quality sleep is essential for skin repair and regeneration. Sleep deprivation can lead to decreased skin barrier function, resulting in increased water loss and vulnerability to external irritants.

By adopting a lifestyle that prioritizes a balanced diet, proper hydration, stress management, and quality sleep, you're not only promoting overall health but also nurturing the radiant skin you desire.

DIY Home Remedies - Yay or Nay?

When addressing the topic of at-home skincare routines, it becomes almost inevitable to touch upon the realm of homemade skincare solutions. Ranging from concoctions crafted in your kitchen to the utilization of natural ingredients, these approaches pledge affordability and a feeling of empowerment within your skincare regimen. Nevertheless, it is of utmost importance to carefully assess the advantages and disadvantages of such DIY remedies.

Pros of DIY Home Remedies:

Cost-Effective : DIY treatments are often more budget-friendly than commercial products, making them accessible to many.

Natural Ingredients : Many DIY recipes use natural ingredients, potentially reducing exposure to synthetic chemicals.

Customization : DIY allows you to tailor treatments to your specific skin concerns and preferences.

Cons of DIY Home Remedies:

Lack of Regulation : DIY recipes are not regulated, which means there's no quality control or standardized formulations.

Risk of Irritation : Natural doesn't always mean safe. Ingredients like lemon juice or essential oils can be harsh and cause skin irritation or allergies.

Ineffectiveness : Some DIY remedies lack scientific backing, making their efficacy uncertain.

While DIY options like honey masks or oatmeal scrubs can be safe and effective for some individuals, it's essential to proceed with caution. Patch testing is vital to check for adverse reactions, and if you have specific skin concerns, consulting a dermatologist is advisable. Striking a balance between DIY and professionally formulated products ensures that you enjoy the best of both worlds in your skincare journey.

When to Consult a Dermatologist

Consult a dermatologist if skin problems like acne, eczema, or unusual rashes persist despite over-the-counter treatments. Monitor new or changing moles, as they could—rarely, but possibly— indicate skin cancer . Chronic conditions like rosacea or vitiligo may require ongoing management. Seek help for severe allergic reactions, hair or nail concerns, and suspicious growths. Regular skin cancer screenings are vital, especially if you have a family history or risk factors. Prioritize your skin's health with professional guidance.

While at-home care forms the foundation of healthy skin, certain skin concerns may require professional attention. Reach out to a dermatologist if you struggle with persistent acne, unusual moles, or skin conditions that worsen.

Pine Belt Dermatology specializes in intricate skin issues, offering tailored solutions. Combining your diligent at-home routine with their expertise ensures comprehensive care, paving the way for radiant, problem-free skin that reflects both self-care and professional guidance. Ready for your best skin yet? Schedule your appointment today!

Cosmetic Skin Treatments: A Complete Guide for Your Best Care

bberendsen@ideazonemarketing.com (Bob Berendsen) — Mon, 02 Oct 2023 14:39:13 GMT

Cosmetic Skin Treatments: A Complete Guide for Your Best Care

If you're like most people, you desire flawless skin that radiates confidence and natural beauty. We understand that achieving and maintaining healthy skin can be challenging, especially with the countless cosmetic skin treatments available and the staggering number of product reviews.

That's why we have created this comprehensive guide for you to help you understand the most common cosmetic skin treatments, sort through all the noise, and make an informed decision.

Understanding Cosmetic Skin Treatments

Skincare and cosmetic treatments are becoming more sophisticated, achieving better results when addressing specific concerns. The surging number of advanced skin rejuvenation techniques won’t slow down in the near future, as the number of people aged 60 and over with a special interest in looking younger is expected to increase. But what exactly are cosmetic skin treatments, and how do they enhance the appearance of your skin?

Cosmetic skin treatments refer to professional procedures and techniques designed to improve the appearance and overall health of your skin. These treatments can address various skin concerns, including signs of aging, skin discoloration, texture issues, and more. So, whether you’re struggling with crow’s feet, acne scars, or just want to recover some radiant glow, these treatments could be useful.

Most Common Types of Cosmetic Skin Treatments

Whether it's a skin issue or a desire for cosmetic rejuvenation, you have plenty of options to choose from. Let's take a closer look at the most popular skin treatments that are available, their specific purposes and benefits, as well as any necessary precautions to keep in mind:

Chemical Peels

Chemical peels involve the application of a chemical solution to exfoliate different layers of unhealthy or damaged skin. This method is used for a wide range of skin conditions, including:

Acne scars
Wrinkles
Hyperpigmentation
Sun damage
Crow’s feet
Melasma

Chemical peels come in different depths, including superficial, medium, and deep, each targeting specific concerns, usually related to the skin on the hands, face, or neck.

Microdermabrasion

Microdermabrasion is a non-invasive procedure that exfoliates the skin using a special device to remove dead skin cells and stimulate collagen production. It can help people struggling with the appearance of fine lines, age spots, or acne scars.

Microdermabrasion is generally suitable for all skin types, but certain conditions like acne conglobata or rosacea may be contraindications.

Laser Therapy

Laser therapy utilizes focused light energy to address various skin concerns. It can be used for:

Hair removal
Treating acne
Reducing scars or wrinkles
Improving skin tone and texture

Lasers come in different types, such as ablative and non-ablative, each providing a unique approach to skin rejuvenation.

Dermal Fillers

Dermal fillers are injectable substances that add volume and reduce the appearance of wrinkles and lines. Usually, these cosmetic products are used to plump the lips, enhance facial contours, reduce the signs of aging, augment facial soft tissues, or raise scar depressions.

Common filler options include hyaluronic acid and collagen-based fillers. For example, cosmetic products like Juvéderm and Restylane contain the two chemicals mentioned before plus calcium hydroxylapatite. It is essential to consult with a qualified professional for proper injection technique and to discuss any potential allergies or sensitivities to the filler substances.

Botox

Botox is one of the most common injectable treatments that relaxes the muscles and reduces the appearance of frown lines and wrinkles. This product blocks nerve signals to muscles, so they temporarily can’t contract, resulting in smoother skin. Botox is typically utilized for:

Reducing crow's feet and bunny lines
Treating neck spasms
Decreasing excessive sweating

Botox treatments are typically safe, but it is important to receive injections from a licensed professional to ensure accurate placement and dosage.

Sclerotherapy

Sclerotherapy is a treatment specifically targeted at spider veins and varicose veins. It involves injecting a solution directly into the affected veins, causing them to shrink and gradually fade away. Sclerotherapy is effective, but it may not completely eliminate larger veins or prevent new ones from appearing. It is important to wear compression garments as recommended and to follow any post-treatment instructions provided by your dermatologist.

Addressing Common Concerns

Choosing an expert dermatologist for your cosmetic skin treatments increases the likelihood of satisfaction with your chosen procedure. However, there are always some common concerns that need to be addressed. Here we have gathered relevant information to answer a few common questions that you might have, such as pain, side effects, and recovery time:

Am I Going to Feel Pain?

Most cosmetic skin treatments are well tolerated and associated with minimal discomfort. However, some procedures, like chemical peels and laser therapy, may cause a mild tingling or stinging sensation. It is also known that Injectable treatments, such as fillers and Botox, are typically associated with minimal pain due to the use of fine needles.

To give you a bit more peace of mind, there are also numbing creams or ice packs to relieve any discomfort during or after the procedure.

Are There Any Side Effects?

There are almost no side-effect-free cosmetic treatments. For skin treatments, you could experience redness, swelling, temporary skin sensitivity, mild bruising, and peeling. These effects vary depending on the treatment; however, in most cases, they are usually temporary and decrease within a few days or weeks.

How Long Will Recovery Take?

The recovery time for cosmetic skin treatments differs depending on the specific procedure and the individual's response. Some treatments, such as microdermabrasion or mild chemical peels, may have minimal downtime, allowing you to resume your daily activities immediately. Deeper chemical peels or laser therapy may take a few days or weeks for the skin to fully heal.

Tips for Post-Treatment Care and Skincare Routine

Your skin is the largest organ in the body. A healthy, glowing complexion is not just a matter of luck and genetics; you also need to stick to good habits. What you see in the mirror after a skin treatment depends on your daily habits.

Here’s a quick overview of what you should keep in mind:

Cover the Basics

First off, you need to include three main steps in your skincare routine:

Cleanse : Wash your face in the morning and at night.
Tone : Toner removes any filthy trace of grime or impurity stuck in your pores.
Moisturize : Apply moisturizer to protect your skin from water loss.

Protect Your Skin

It’s not listed on the three basic steps, but with more UV radiation from sunlight, sunscreen has become a quintessential tool for our skin's protection, even if you haven’t received a cosmetic skin treatment.

Wear sunscreen with at least SPF 30 daily, even if you will be indoors. Sun exposure can reverse the benefits of your treatment and increase the risk of pigmentation, damage to the treated skin, or even developing cancer.

Avoid Harsh Products

Use gentle skincare products free of fragrances, exfoliants, or other potential irritants to protect your treated skin. Avoid using products that contain retinol, glycolic acid, or other similar ingredients on the treated area for at least a week after treatment.

Stay Hydrated

Drinking plenty of water helps hydrate your skin and supports its natural healing process.

Give It Time

There is no such thing as an instant fix. Results from cosmetic skin treatments may take time to fully manifest. Be patient and consistent with your skincare routine to allow your skin to rejuvenate and reap the maximum benefits of the treatment.

The Power of Serums

Serums can be your skin's ultimate ally, delivering powerful doses of active ingredients to address a variety of skin concerns ranging from dark spots to wrinkles. After letting your skin rest from your treatment or even as a routine, you should have these powerful elixirs in your bathroom cabinet.

In short, serums are concentrated formulas that penetrate deeply into the skin to deliver high concentrations of active ingredients and fix specific skin issues. Even if you don't have any specific concerns, incorporating a general antioxidant serum into your morning routine could be a great add-on to protect your skin from daily aggressors.

The Benefits of Professional Treatments

While DIY methods may seem appealing for their convenience and affordability, professional cosmetic skin treatments offer significant advantages, including:

Expertise and Safety

Dermatologists and skincare professionals can assess your skin type, understand your unique concerns, and tailor the treatment plan accordingly.

Advanced Techniques and Technologies

Professional treatments utilize advanced techniques and medical-grade equipment that often provide superior results compared to at-home methods. These technologies allow for precise targeting of specific skin concerns and can deliver noticeable improvements. For instance, at Pine Belt Dermatology , you can find numerous skin cosmetic treatments , such as botox, injectable dermal fillers, chemical peels, and anti-aging and sclerotherapy, among others.

Customization and Personalization

Each person's skin is unique, and what works for one may not work for another. Professional treatments offer customization and personalization, adjusting the approach to suit your specific skin type, concerns, and goals. This tailored approach enhances the effectiveness of the treatment and minimizes the risk of adverse effects.

If you want to discuss your skincare goals and receive expert guidance, schedule a consultation with Pine Belt Dermatology . Our experienced dermatologists have the best cosmetic skin treatments to help you achieve beautiful, healthy skin with confidence. Contact us today !

Unveiling the Truth: Debunking Common Myths About Skincare

bberendsen@ideazonemarketing.com (Bob Berendsen) — Thu, 07 Sep 2023 14:41:08 GMT

Unveiling the Truth: Debunking Common Myths About Skincare

In the world of skincare, there are many myths and misconceptions that can make it difficult to tell what is true and what is not. From extravagant claims about miracle ingredients to misguided beliefs about skincare practices, these myths can hinder our journey towards healthy, glowing skin.

Read more to learn some of the most common skincare myths and get evidence-based information to help you make informed decisions about your skincare routine.

Myth 1: Expensive Skincare Products Are Always Better

Fact: Price does not determine efficacy. Many affordable skincare products offer effective ingredients that can yield excellent results. The key lies in understanding the components' specific benefits for your skin concerns. Look for products with scientifically proven ingredients rather than focusing solely on the price tag.

Myth 2: Oily Skin Doesn’t Need Moisturizer

Fact: All skin types, including oily skin, require moisturization. Contrary to what you might think, skipping moisturizer can actually make your skin produce more oil as it tries to compensate for the loss of moisture. Opt for lightweight, oil-free moisturizers that hydrate the skin without clogging pores.

Myth 3: Sunscreen Is Unnecessary on Cloudy Days

Fact: Clouds do not block harmful UV rays. Even on cloudy days, up to 80% of the sun's UV radiation can penetrate the clouds. Therefore, it is crucial to wear sunscreen every day, regardless of the weather conditions, to protect your skin from the damaging effects of the sun.

Myth 4: Tanning Beds Are Safer than the Sun

Fact: Tanning beds emit harmful UV radiation, which can significantly increase the risk of skin cancer. There is no such thing as a safe tan , whether obtained from the sun or tanning beds. Protect your skin by avoiding tanning beds and opting for safer alternatives like self-tanners or spray tans.

Myth 5: Scrubbing Your Face Prevents Acne

Fact: Harsh scrubbing can irritate the skin, strip away its natural oils, and disrupt the skin barrier, leading to inflammation and more breakouts. Gentle exfoliation is beneficial for removing dead skin cells, but it should be done with a light touch and suitable exfoliating products to avoid damaging the skin.

Myth 6: Pores Can Shrink Permanently

Fact: Genetics and the skin's inherent structure play a significant role in determining pore size. While it is impossible to shrink pores permanently, you can minimize their appearance through proper cleansing, exfoliation, and regular use of products containing retinol or salicylic acid, which help keep the pores clean and less noticeable.

Myth 7: Natural Products Are Always Better for the Skin

Fact: While natural ingredients can offer benefits, not all natural products are superior to synthetic ones. Many artificial ingredients have been scientifically formulated to be safe, stable, and effective for specific skincare concerns. It's essential to consider individual components, potential allergies, and compatibility with your skin rather than relying solely on the "natural" label.

Myth 8: You Only Need Sunscreen at the Beach

Fact: UV rays are present year-round, regardless of the location or weather conditions. Whether indoors, driving in a car, or simply stepping outside, your skin is exposed to UV radiation. Incorporating sunscreen into your daily skincare routine protects your skin from premature aging, sunburn, and the risk of skin cancer.

Myth 9: Applying More Skincare Products Yields Better Results

Fact: Layering too many skincare products can overwhelm the skin and potentially lead to irritation or breakouts. Rather than quantity, focus on the quality and suitability of the products for your specific skin concerns. A targeted and simplified skincare routine with a few well-chosen products can deliver the desired results without overwhelming the skin.

Myth 10: Acne Is Due to Poor Hygiene

Fact: Acne is a complex skin condition that arises due to various factors, including hormones, genetics, and the overproduction of sebum. Although it is crucial to practice good hygiene, dirt is not the only factor contributing to acne. Over-cleansing or using harsh products can aggravate acne. Adopting a gentle cleansing routine and consulting a dermatologist are essential for effective acne management.

Myth 11: Popping Pimples Helps Them Heal Faster

Fact: Picking or popping pimples can lead to further inflammation, scarring, and infection. It is best to let pimples heal naturally or seek professional advice for appropriate treatment options. Applying topical treatments, such as acne spot treatments or products containing ingredients like benzoyl peroxide or salicylic acid, can help speed the healing process.

Myth 12: Chemical Peels Are Always Damaging to the Skin

Fact: Chemical peels can be safe and effective in treating various skin concerns when performed by a qualified professional. Chemical peels work by exfoliating the outermost layer of the skin, promoting cell turnover, and revealing a fresh, rejuvenated complexion. It is crucial to consult a skin care specialist to determine the appropriate peel strength and ensure proper aftercare for optimal results.

Myth 13: Aging Is the Only Cause of Age Spots

Fact: Age spots, also known as sunspots or hyperpigmentation, are primarily due to cumulative sun exposure, regardless of age. UV radiation triggers the production of melanin, resulting in localized dark spots. Protecting your skin from the sun by wearing sunscreen and seeking shade can help prevent and minimize the appearance of age spots.

Myth 14: You Can Eliminate Cellulite with Creams

Fact: Fat deposits under the skin cause cellulite, a structural problem that gives the skin a dimpled appearance. While creams and lotions can temporarily improve the appearance of cellulite by hydrating and tightening the skin, they cannot eliminate it. Regular exercise, maintaining a healthy weight, and focusing on strength training can help reduce the appearance of cellulite.

Myth 15: Blackheads Are Due to Dirt

Fact: Blackheads occur when hair follicles become clogged with oil, dead skin cells, and bacteria. The dark appearance is due to oxidation, not dirt. Regular exfoliation, gentle cleansers, and products containing ingredients like salicylic acid or retinol can help prevent and treat blackheads by unclogging pores and promoting cell turnover.

Myth 16: Higher SPF Guarantees Better Sun Protection

Fact: SPF (Sun Protection Factor) primarily indicates the level of protection against UVB rays, which cause sunburn. However, it does not necessarily reflect the level of protection against UVA rays, which are responsible for skin aging and long-term damage. Look for broad-spectrum sunscreens with UVA and UVB protection to ensure comprehensive coverage and adequate sun protection. The American Academy of Dermatology recommends using broad-spectrum sunscreen with an SPF of 30 or higher daily.

Myth 17: Makeup Causes Acne

Fact: While some makeup products can clog pores and exacerbate acne, not all are acne-inducing. Look for non-comedogenic and oil-free makeup formulations specifically designed not to clog pores. Proper makeup removal at the end of the day and regular cleansing of makeup brushes and sponges are also essential to preventing breakouts.

Myth 18: You Can “Detox” Your Skin with Specific Products

Fact: The concept of "detoxing" the skin through skincare products is a marketing gimmick. The skin has natural detoxification processes and does not rely on external products for detoxification. A healthy lifestyle, including a balanced diet, regular exercise, and adequate hydration, supports the skin's natural detoxification abilities.

Myth 19: You Can Resolve Skincare Concerns Overnight

Fact: Achieving healthy skin takes time and consistent effort. Skincare is a long-term commitment, and results take time. Be patient and realistic in your expectations. Maintaining a consistent skincare routine is critical, as is allowing products to work and consulting with a skincare professional for personalized advice and guidance.

Myth 20: Your Skincare Routine Doesn’t Need to Change with Age

Fact: Our skin undergoes various changes as we age, such as decreased collagen production and increased dryness. Adjusting your skincare routine to address these changes is essential. Incorporating products with anti-aging ingredients like retinoids, peptides, or hyaluronic acid can help target specific age-related concerns and maintain healthy, youthful-looking skin.

Myth 21: DIY Skincare Remedies Are Always Safe and Effective

Fact: DIY skincare remedies can be risky, as they often lack scientific validation and may cause skin irritation or other adverse reactions. It's essential to exercise caution and rely on evidence-based skincare products and professional advice. If you're interested in natural remedies, consult a dermatologist or skincare professional to ensure safety and effectiveness.

Myth 22: Skincare Products Can Fundamentally Change Your Skin Type

Fact: Skincare products can improve the appearance and condition of the skin, but they cannot change your skin type. Genetics plays a significant role in determining skin type, which remains consistent over time. However, using appropriate products for your skin type can help balance and enhance its health and appearance.

Are you ready to uncover the truth about skincare and revolutionize your routine? Take charge of your skin's health with Pine Belt Dermatology , your trusted partner in achieving radiant and healthy skin. Join us on this journey to debunk skincare myths and embrace the facts. Schedule your consultation with us today and unlock the beauty of your skin.

Understanding Skin Cancer: Types, Causes, and Risk Factors

bberendsen@ideazonemarketing.com (Bob Berendsen) — Wed, 02 Aug 2023 15:11:14 GMT

Understanding Skin Cancer: Types, Causes, and Risk Factors

The warm embrace of the sun holds a hidden danger called skin cancer. This pervasive disease affects millions in the United States, with over 5.4 million cases diagnosed annually. As the numbers continue to rise, it's crucial to shed light on this menacing threat. Fortunately, with early detection and the right treatment, you can safeguard the well-being of your or a loved one’s skin.

Read more to learn about the different types of skin cancer, their causes, and the risk factors involved.

What Is Skin Cancer

Skin cancer is a condition characterized by the abnormal growth of skin cells. It develops when skin cells undergo genetic mutations that cause them to multiply rapidly and form tumors or lesions on the skin. The leading cause of skin cancer is exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds .

Types of Skin Cancer

Basal Cell Carcinoma (BCC)

Basal cell carcinoma is the most common type of skin cancer. It typically develops in skin areas frequently exposed to the sun, such as the face, neck, and hands. BCC usually appears as a flesh-colored or pinkish bump on the skin that may have a pearly or waxy texture. It can also manifest as a flat, pinkish patch or a brown, black, or blue lesion. BCC grows slowly and rarely spreads to other parts of the body. However, if left untreated, it can cause local damage and disfigurement.

Squamous Cell Carcinoma (SCC)

Squamous cell carcinoma is the second most common type of skin cancer. It often develops on sun-exposed areas such as the face, ears, lips, and back of the hands. SCC typically appears as a red, scaly patch or a firm, raised nodule. The skin may become crusted or ulcerated, and it may bleed easily. Unlike BCC, SCC has a higher risk of spreading to other body areas, including lymph nodes and internal organs. Early detection and treatment are crucial to preventing its spread and complications.

Melanoma

Melanoma is a less common but more severe type of skin cancer. It originates in the pigment-producing cells called melanocytes, which give color to the skin. Melanoma can develop anywhere on the body, including areas not exposed to the sun. It often appears as a new or changing mole. Critical signs of melanoma include asymmetry (one half of the mole is different from the other), irregular borders, varied colors, a diameter larger than 6mm, and evolving features (changes in size, shape, or color over time). Melanoma can metastasize or spread to other body parts, making early detection and treatment critical for improved outcomes.

Merkel Cell Carcinoma

Merkel cell carcinoma is a rare but aggressive type of skin cancer that typically appears as firm, painless nodules or lesions on the face, head, or neck. Merkel cell carcinoma can spread quickly to lymph nodes and other body parts.

Cutaneous Lymphoma

Cutaneous lymphoma is a group of cancers affecting lymphocytes, a white blood cell type. These cancers can appear as red, scaly patches or raised bumps on the skin and may mimic other skin conditions. Cutaneous lymphomas often have different subtypes and require specialized diagnosis and treatment.

Symptoms of Skin Cancer

The most prevalent indication to be mindful of when it comes to skin cancer is unusual changes in the skin. These changes can include new growths, sores that do not heal, or alterations in existing moles. It's important to note that skin cancers can vary in appearance.

For melanoma specifically, it can be helpful to remember the ABCDEs of melanoma as a guide for identifying potential warning signs:

A for Asymmetrical : Does the mole or spot have an irregular shape where one half looks different?
B for Border : Is the border of the mole or spot irregular, jagged, or poorly defined?
C for Color : Does the mole or spot have uneven coloring, with shades of brown, black, white, red, or blue?
D for Diameter : Is the mole or spot more significant in size than a pea (approximately 6mm or more in diameter)?
E for Evolving : Has the mole or spot changed in appearance, size, shape, or color during the past few weeks or months?

Risk Factors of Skin Cancer

Several risk factors can increase a person's likelihood of developing skin cancer. It's important to note that having one or more risk factors does not necessarily mean an individual will develop the disease, but understanding these factors can help take preventive measures and promote early detection. Here are some common risk factors associated with skin cancer:

Exposure to Ultraviolet (UV) Radiation
Skin tone
History of Sunburns
Family History
Moles and Precancerous Skin Lesions
Weakened Immune System
Exposure to Environmental Factors
Personal History of Skin Cancer

Screening Tests for Skin Cancer

Screening tests can play a crucial role in early skin cancer detection. They are essential for high-risk individuals due to family history, previous skin cancer diagnosis, or excessive sun exposure. Here are the standard screening tests used for skin cancer:

Skin Self-Examination (SSE)

Skin self-examination involves regularly checking your skin for any changes or abnormalities. It is a simple and effective method to detect early signs of skin cancer. During an SSE, carefully examine your entire body, including areas not commonly exposed to the sun. Look for new moles, changes in existing moles, or any suspicious growths or lesions. If you notice any concerning changes, consult a healthcare professional for further evaluation.

Clinical Skin Examination

A clinical skin examination involves a healthcare professional, typically a dermatologist, thoroughly examining your skin for signs of skin cancer. They will visually inspect your skin, including areas that are difficult for self-examination. This examination allows for a more comprehensive assessment and identifies any suspicious lesions that may require further investigation or biopsy.

Biopsy

A skin biopsy is a diagnostic procedure that involves removing a small sample of suspicious skin tissue for laboratory analysis. It is the definitive method to determine if a skin lesion is cancerous or non-cancerous. Depending on the size and characteristics of the lesion, there are different types of skin biopsies, including shave biopsy, punch biopsy, and excisional biopsy. The biopsy results provide essential information for an accurate diagnosis and treatment planning.

Treatment Methods for Skin Cancer

Treatment choice depends on various factors, including the type, size, and location of the skin cancer and the individual's overall health and preferences. It's essential to consult with a healthcare professional or dermatologist to determine the most suitable treatment approach for your specific situation.

Topical Medications

Topical medications may be used for certain superficial forms of skin cancer, such as basal cell carcinoma or actinic keratosis. These medications are applied directly to the affected area and work by destroying cancerous or precancerous cells. Common topical treatments include creams or gels containing imiquimod, 5-fluorouracil (5-FU), or ingenol mebutate.

Photodynamic Therapy

Photodynamic therapy (PDT) involves using a photosensitizing agent on the skin and then exposing it to a specific wavelength of light. Cancer cells take in a special substance that becomes activated by light. When the light turns on, it creates powerful molecules that harm and kill the cancer cells. Oncologists often prefer PDT to treat superficial skin cancers and specific precancerous conditions.

Mohs Surgery

Mohs surgery is a specialized surgical technique for treating skin cancer, mainly basal and squamous cell carcinoma. It involves removing thin layers of skin tissue one at a time and examining each layer under a microscope to check for the presence of cancer cells. This process is repeated until no cancer cells are detected, ensuring the maximum amount of healthy tissue is preserved.

Radiation Therapy

Radiation therapy uses high-energy X-rays or other forms of radiation to kill cancer cells or inhibit their growth. It may be used as the primary treatment for skin cancer in cases where surgery is not feasible or as adjuvant therapy following surgery to target any remaining cancer cells. Radiation therapy is often recommended for more advanced or aggressive skin cancers.

Cryosurgery

Cryosurgery, or cryotherapy, involves freezing the cancerous tissue using liquid nitrogen or other freezing agents. The extreme cold destroys the abnormal cells, and the area eventually heals as new, healthy skin forms. Cryosurgery is commonly used for treating certain precancerous conditions or small, low-risk skin cancers.

Laser Surgery

Laser surgery utilizes a focused beam of high-intensity light to remove or destroy cancerous cells. It is often used for superficial skin cancers or precancerous lesions on the skin's surface. Laser surgery is a precise technique that can selectively target cancer cells while minimizing damage to surrounding healthy tissue.

Excisional Surgery

Excisional surgery involves surgically removing the entire cancerous lesion and a surrounding margin of healthy skin. This method is commonly used for various types of skin cancer, including melanoma. The excised tissue is sent to a laboratory for pathological examination to ensure complete cancer removal.

Electrosurgery

Electrosurgery uses an electric current to cut or destroy cancerous tissue. It is often used with other surgical techniques or to control bleeding during surgery. Medical professionals can utilize electrosurgery to treat minor skin cancers or eliminate any remaining cancer cells following alternative treatment approaches.

What Do I Need to Know about Warts?

bberendsen@ideazonemarketing.com (Bob Berendsen) — Wed, 05 Jul 2023 12:22:05 GMT

What Do I Need to Know about Warts?

Warts are a common and often misunderstood skin condition that can be both uncomfortable and unsightly, and most people are likely to have them at some point in their lives.

Understanding the different types of warts and their causes can help individuals manage and prevent them from spreading, or timely detect a type of cancer. This article will provide you with the information you need to understand the various types of warts, the relationship between warts and the human papillomavirus (HPV), diagnosis, and treatment for these unpleasant growths.

Please be advised that the information presented here is for educational purposes only and should not be considered a substitute for professional medical advice.

What Are Warts?

Warts are tiny growths that can appear on any part of your body. These lumps can take on a variety of shapes and sizes, ranging from small, flat bumps to larger, raised growths. They can be pink, brown, or gray in color and may be covered with rough or smooth skin.

This skin condition can commonly cause cosmetic disfigurement due to a viral infection of the top layer of skin—the epidermis. When infected, this skin layer produces an excessive quantity of keratin, a tough protein, developing a rough-textured protuberance that is visible on the surface of the affected area of the skin.

In general, warts are more likely to appear in 12- and 16-year-old teenagers than in children and adults, but they may occur at any age.

Should I Be Worried If I Have a Wart?

Warts are caused by the human papillomavirus (HPV), which causes rapid and excessive keratin growth.

While warts are typically harmless, some strains of HPV can cause more serious health issues, such as cervical cancer. Cervical cancer is by far the most common HPV-related disease. According to the World Health Organization ( WHO ), two human HPV types are responsible for nearly 50 percent of high-grade cervical pre-cancers.

How Can I Get Warts?

Warts are contagious but are not considered highly contagious. Certain activities, such as walking barefoot in public places or biting your nails, can increase the risk of developing warts. People with weakened immune systems are at higher risk of developing warts, as their bodies may not be able to fight off the virus that causes them.

Normally, warts could spread through:

Skin-to-skin direct contact
Hangnails or scrapes
Contaminated surfaces, such as towels, shoes, or clothing
Wet and damaged skin
Sexual contact

What Are the Symptoms?

Although certain warts may cause discomfort and appear unappealing, the majority of them are asymptomatic. The manifestation of wart symptoms varies depending on the type, but typically encompasses the following:

The appearance of a lump on the skin
Sometimes itchiness
Occasionally bleeding
Pain or discomfort

It is important to seek medical attention if warts become painful, bleed, or change in appearance.

Types of Warts

Warts can vary in size and shape, ranging from flat, smooth, and small to large, rough, and bumpy. There are over 100 different strains of HPV, each with the ability to cause different types of warts.

Common and Plantar Warts

Common warts, the most widespread type, usually emerge on the hands, fingers, and nails, and have a raised, firm, and rough texture. Plantar warts have the same physical characteristics, except that they usually form on the soles of the feet and can cause discomfort, particularly when walking or standing.

Flat Warts

Flat warts are smaller and smoother than other types of warts and can appear in large numbers on the face, arms, and legs.

Anogenital Warts

Genital warts are caused by sexually transmitted strains of HPV and appear in the genital area. They can be flat or raised and have a cauliflower-like appearance. Anogenital warts are mostly asymptomatic, but in some cases, they can become painful or itchy depending on their size and anatomic position.

Filiform Warts

Characterized by their narrow, thread-like appearance, filiform warts typically appear on the face, neck, or around the mouth.

Periungual Warts

Periungual warts appear around or under the fingernails or toenails. They can be painful and affect nail growth, making them a source of discomfort and embarrassment. Periungual warts can also be challenging to manage, as they can grow into the nail bed and cause permanent damage.

Do Warts Mean You Have HPV?

As explained above, warts are a common symptom of the human papillomavirus (HPV) infection and can appear anywhere on the body’s skin.

While HPV has more than 150 varieties, only a few can cause warts, but some others can cause cancer. It’s important to notice that the HPV strains that can result in genital warts are distinct from those that can cause cancer.

HPV infections are very common, and most people who are infected with HPV do not develop any symptoms or health problems. Usually, the body’s immune system gets rid of the HPV infection naturally within two years.

According to the CDC , HPV is the most common sexually transmitted infection in the United States. This is one of the reasons why it is important to be aware of the risks associated with HPV and to take steps to prevent infection, including practicing safe sex and getting vaccinated.

The WHO has prequalified four vaccines that all offer protection against HPV types 16 and 18, which are known to be responsible for at least 70% of cervical malignancies. In particular, there are two vetted vaccines that also protect against HPV types 6 and 11, which cause anogenital warts.

What Is Consider High-Risk and Low-Risk HPV?

There are more than 100 types of HPV that can be classified as either high-risk or low-risk strains. HPV strains are frequently classified as "non-oncogenic" (cause of warts) or "oncogenic" (cause of cancer) according to whether they increase a person's risk of developing cancer.

At least 13 different HPV strains have been linked to cervical cancer, and at least one of them has also been linked to cancers of the vulva, vagina, penis, anus, and some types of head and neck cancer, per the International Agency for Research on Cancer.

High-Risk Strains

High-risk strains are associated with an increased risk of cancer, including cervical, anal, penile, and throat cancers. These strains can cause abnormal changes in cells that can lead to cancer if left untreated.

It is important to get regular HPV screenings and vaccinations to reduce the risk of developing cancer.

Low-Risk Strains

These variants of HPV are associated with the development of common warts. While these strains do not cause cancer, they can cause discomfort and embarrassment.

How Could HPV Cause Cancer?

An HPV infection caused by a high-risk strain can remain for a long time and eventually transform healthy cells into cancerous cells if the body's immune system is unable to eradicate it. If they are not discovered and removed in a timely manner, they can eventually turn into cancer.

Compared to cervical cancer, these cancers are far less prevalent. However, more research is needed to accurately diagnose how many HPV-positive cases could develop cancer.

Diagnosis and Treatment Options

Fortunately, there are several effective treatment options available for those who wish to remove their warts, including topical treatments, freezing, and laser therapy. Diagnosing warts typically involves a visual examination by a healthcare provider. In some cases, a biopsy may be necessary to confirm the diagnosis or rule out other skin conditions.

There are several treatment options to remove warts:

Cantharidin

Cantharidin is an odorless, colorless substance secreted by blister beetles. The dermatologist applies this substance under the wart before covering it with a bandage. When applied to a wart, it causes controlled blistering underneath the skin.

After a week you can go back to the dermatologist's office and they will remove the dead wart by clipping it off.

Cryotherapy—Also Known as Freezing

The procedure usually involves using liquid nitrogen, which causes the wart to blister and eventually fall off. This treatment is not particularly painful.

Curettage and Electrosurgery

These are effective ways to treat common warts, filiform warts, and foot warts. Electrosurgery involves using heat from electricity, while curettage entails scraping the wart with a small, spoon-shaped instrument or a sharp knife. These two techniques are frequently combined.

Excision

The physician may remove the wart by making an excision.

Laser

Dermatologists generally use this therapy for warts that have not responded to other treatments. The specialist uses an anesthetic injection to numb the wart prior to laser therapy.

Chemical Peels

The dermatologist will normally apply chemical peels with glycolic acid, salicylic acid, or tretinoin acid to gently lift and peel the wart.

Bleomycin

The intralesional injection of bleomycin into the wart is highly effective in stopping cells from reproducing and dividing.

Immunotherapy

This treatment uses the patient's own immune system to fight the warts.

It is important to note that there is no cure for HPV. This means that warts can reappear in the same spot or in a new spot on your skin. It is important to consult with a healthcare provider to determine the best treatment option for your individual case.

Talk to our physicians at Pine Belt Dermatology today to take proactive steps to strengthen your immune system against the papillomavirus and prevent future outbreaks. With our help, you can take control of your skin's health. Contact us today!

What Is Sclerotherapy and Who Can Benefit from It?

bberendsen@ideazonemarketing.com (Bob Berendsen) — Thu, 01 Jun 2023 14:30:24 GMT

What Is Sclerotherapy and Who Can Benefit from It?

Sclerotherapy is a popular medical procedure that is used to treat various vascular conditions, including varicose veins, spider veins, and other types of venous malformations. It involves injecting a solution directly into the affected veins, causing them to shrink and eventually fade away.

Sclerotherapy has been in use for several decades, and it is considered a safe and effective treatment option for those suffering from these types of conditions.

Sclerotherapy was first used in the early 20th century by doctors who began discovering various solutions to treat varicose veins. Over time, the technique has evolved, and today, it is a widely accepted treatment option for those with venous conditions.

There are several reasons why someone may consider sclerotherapy, including cosmetic concerns, pain, discomfort, or the risk of more severe complications such as blood clots or ulcers. With minimal downtime and a relatively low risk of complications, it is an attractive option for many people.

Read on as we attempt to provide a comprehensive overview of sclerotherapy, including what it is, how it works, the conditions it can treat, the benefits and risks, and what to expect before, during, and after the procedure. Whether you are considering sclerotherapy for the first time or simply looking to learn more about the treatment, we hope to provide you with the information you need to make an informed decision.

Please be advised that the information presented here is for educational purposes only and should not be considered a substitute for professional medical advice.

How Is Sclerotherapy Performed?

Sclerotherapy is a medical procedure in which a solution is injected directly into the affected veins, causing them to shrink and eventually fade away. Sclerotherapy typically employs a saline or chemical solution that irritates the vein lining, causing it to collapse and stick together. Over time, the body naturally absorbs the collapsed veins, and they disappear entirely.

The primary goal of sclerotherapy is to improve the appearance of varicose and spider veins, although it can also be used to alleviate discomfort or other symptoms associated with these conditions.

What are the Different Types of Sclerotherapies?

There are various types of sclerotherapies, and the type chosen depends on the size, location, and severity of the affected veins. They are:

Traditional Sclerotherapy

Traditional sclerotherapy is the most common type of sclerotherapy used to treat spider veins and small varicose veins. A saline or chemical solution is injected into the veins using a very fine needle. The solution irritates the lining of the veins, causing them to collapse and stick together. The veins are eventually reabsorbed by the body and completely disappear. This type of sclerotherapy is generally considered safe and effective for veins that are less than 3mm in diameter.

Foam Sclerotherapy

Foam sclerotherapy is used to treat larger varicose veins that are more difficult to treat with traditional sclerotherapy. A foam solution is created by mixing the sclerosing agent with air or gas. The foam is then injected into the affected veins. Foam sclerotherapy also works similarly—by irritating the lining of the veins, causing them to collapse and stick together. The difference is that this foam stays in contact with the vein walls for a more extended period, increasing the effectiveness of the treatment—especially since these veins are larger in diameter.

Ultrasound-guided Sclerotherapy

Ultrasound-guided sclerotherapy is used to treat larger varicose veins that are not visible on the surface of the skin. The procedure involves using ultrasound imaging to locate the veins and guide the injection of the sclerosing solution. The doctor can visualize the exact location of the affected veins, ensuring that the solution is injected directly into the veins. Ultrasound-guided sclerotherapy is generally considered the best option for larger, deeper veins.

Micro sclerotherapy

Micro sclerotherapy is used to treat spider veins and small varicose veins on the face and legs. A very fine needle is used to inject a diluted solution of the sclerosing agent directly into the veins. Micro sclerotherapy is typically used for cosmetic reasons and can help improve the appearance of the skin.

Who Is a Good Candidate for Sclerotherapy?

The ideal candidates for sclerotherapy are individuals who have visible spider veins or small varicose veins on their legs or face. The procedure is suitable for both men and women, and it is most commonly performed on individuals who are over 30 years of age.

Good candidates for sclerotherapy are generally in good overall health and do not have any underlying medical conditions that could interfere with the procedure. It is essential to inform your doctor of any medical conditions you may have, as well as any medications you are currently taking.
Women who are pregnant or breastfeeding should not undergo sclerotherapy as the procedure may pose a risk to the developing fetus or nursing infant.
Individuals who have a history of blood clots or deep vein thrombosis (DVT) may not be suitable candidates for sclerotherapy.

After evaluation, if your doctor finds you to be a suitable candidate, they will provide you with instructions on how to prepare for the treatment and what to expect during and after the procedure.

How to Prepare for Sclerotherapy?

The preparation for sclerotherapy is generally straightforward and simple.

Before the procedure, you should avoid taking any anti-inflammatory medications, such as aspirin or ibuprofen, for at least 48 hours. These medications can increase the risk of bleeding and bruising during the procedure.

It is also recommended to wear loose-fitting clothing to the appointment to allow for easy access to the treatment area. It is essential to clean the skin thoroughly before the procedure to ensure that the area is free of any lotions, oils, or makeup.

Additionally, it is recommended to avoid smoking and alcohol consumption for at least 24 hours before the procedure, as these can affect circulation and increase the risk of complications.

Your doctor may provide additional instructions based on your individual situation and medical history. Following these instructions carefully can help ensure that the procedure is safe and effective, and that you achieve the best possible results.

What Can You Expect during the Procedure?

During the procedure, the patient is typically lying down or reclining, and the affected area is cleaned and sanitized. The doctor will then use a very fine needle to inject the solution directly into the affected veins. The number of injections required will depend on the size and location of the veins being treated.

After the solution is injected, the doctor may apply compression or pressure to the affected area to help the veins collapse and stick together. The entire procedure typically takes less than an hour, and patients can usually resume their normal activities immediately afterward.

How Should You Care for Yourself after the Procedure?

After sclerotherapy, it is important to take care of the treated area to promote healing and prevent complications. The recovery process following sclerotherapy is generally straightforward, and most patients are able to resume their normal activities within a few days.

After the procedure, it is common to experience some mild discomfort, bruising, and swelling in the treated area. These symptoms typically subside within a few days, and most patients are able to return to work and other normal activities the day after the procedure.

Your doctor may recommend wearing compression stockings for several days following the procedure. Compression stockings help to improve blood flow and reduce swelling in the treated area.

It is generally recommended to avoid strenuous exercise and heavy lifting for a few days after the procedure. However, light exercise, such as walking, can help improve circulation and promote healing.

Your doctor may schedule a follow-up visit to monitor your progress and evaluate the results of the procedure. It is important to attend these follow-up visits to ensure that the treatment is effective and to address any concerns or issues that may arise.

How Sclerotherapy Can Help You Achieve Long-Lasting Results

Patients can typically see results soon after the procedure. They can expect to see an immediate improvement in the appearance of the treated veins, with the veins appearing less visible and the skin looking smoother.

Long-term results of sclerotherapy can vary depending on the severity of the veins being treated and the individual's overall health. For some patients, the results of the procedure can be permanent, with the treated veins disappearing completely. However, other patients may require additional treatments to maintain the results.

Maintenance treatments may be necessary to address new veins that may appear over time or to treat veins that were not completely eliminated during the initial treatment. Your doctor will advise you on how to maintain the procedure's results and may suggest periodic check-ups to monitor the treated veins and identify any new areas that require treatment. With proper care and maintenance, patients can expect to enjoy long-lasting results from sclerotherapy.

If you or a loved one is struggling with varicose veins or other vein-related issues, the experts at Pine Belt Dermatology can help determine if sclerotherapy can be a safe and effective treatment option for you. Contact us today!

Hair Loss: Possible Types and Causes

bberendsen@ideazonemarketing.com (Bob Berendsen) — Mon, 01 May 2023 14:57:16 GMT

Hair Loss: Possible Types and Causes

Hair loss is one of the major health concerns for many individuals worldwide. While it can be a reason for frustration and stress, it's essential to know that effective treatments are available to restore your hair and regain your confidence. The proper remedy for hair loss starts with finding the exact cause.

Read on to learn more about the types of hair loss, their causes, and the treatment options available to help you take control of your hair loss.

Statistical Analyses of Hair Loss

According to the American Academy of Dermatology Association , eighty million Americans experience hereditary hair loss. Additionally, around 50 million men and 30 million women experience some degree of androgenetic alopecia, the most common type of hair loss.

Hair loss is also not just a problem for men. An estimated 40% of women experience visible hair loss by the time they reach age 40. Women are more likely to experience hair loss due to hormonal changes, such as pregnancy and menopause.

About 66% of men experience visible hair loss by age 35, and by age 50, around 85% of men have significant hair loss. Male pattern baldness is the most common type of hair loss in men.

Top Causes and Types of Hair Loss

It is normal to lose 100-150 strands of hair every day, but excessive hair loss can lead to hair thinning, baldness, and loss of confidence. The variety of factors that cause hair loss include genetics, hormonal changes, stress, poor nutrition, and certain medications. Understanding the underlying causes of hair loss and taking proper steps to address these factors promote healthy hair growth.

Genetics

One of the most significant causes of hair loss is genetics. If you have a family history of hair loss, you may be more likely to experience hair loss as you age. This type of hair loss, known as androgenetic alopecia , can affect both men and women and typically begins with a receding hairline or thinning at the crown of the head.

Hormonal Changes

Hormonal changes can also contribute to hair loss. For example, women may experience hair loss during pregnancy or after giving birth due to hormonal fluctuations. Similarly, hormonal imbalances from menopause, thyroid disorders, or polycystic ovary syndrome (PCOS) can cause hair loss.

Stress

When we experience stress, our body produces the hormone cortisol, which can affect the health of our hair follicles. Prolonged or chronic stress can lead to inflammation and damage to the hair follicles, resulting in hair loss. If your clinical test values are within the normal range and you are still experiencing hair loss, stress might be the cause.

Nutritional Deficiencies

Nutritional deficiencies can also lead to hair loss. For example, lacking protein, iron, or vitamin D can lead to weak or brittle hair that is more prone to falling out. Also, a diet high in processed foods and low in fruits and vegetables can contribute to hair loss.

Medical Conditions

Certain medical conditions and medications can also contribute to hair loss. For example, autoimmune diseases like alopecia areata and skin conditions like psoriasis, seborrheic dermatitis, and ringworm can lead to hair loss.

Age

Age is another crucial factor that can lead to hair loss. Our hair naturally becomes thinner and more fragile as we age, and our hair follicles may not function as well as they once did. Men are especially at risk of hair loss and thinning hair due to this condition.

Types of Hair Loss

Androgenetic Alopecia

Androgenetic alopecia is a type of hair loss caused by genetics and hormonal changes. It is the most common cause of hair loss in both men and women and typically results in thinning hair and a receding hairline in men or diffuse thinning in women. This type of hair loss is often gradual and can begin as early as the teenage years. A well-defined pattern of hair loss starts above both temples in Androgenic alopecia. Over time, the hairline shows a characteristic “M” shape.

Telogen Effluvium

Telogen effluvium is a type of hair loss caused by stress, hormonal changes, or nutritional deficiencies. It occurs when many hair follicles enter the resting phase of the hair growth cycle, resulting in hair loss. Telogen effluvium can cause diffuse hair loss all over the scalp. As long as the underlying cause is addressed, it will resolve.

Alopecia Areata

Alopecia areata is an autoimmune disorder that causes hair to fall out in patches. It occurs when the immune system attacks the hair follicles , causing them to shrink and produce weaker hair or no hair at all. Alopecia areata can affect men and women and typically begins in childhood or young adulthood.

Traction Alopecia

Traction alopecia is a type of hair loss caused by hairstyles that tense the hair follicles. It is most common in women who wear tight hairstyles like braids, ponytails, and cornrows. Traction alopecia can cause hair loss in specific areas of the scalp, particularly around the hairline and temples.

Anagen Effluvium

Anagen effluvium is a type of hair loss caused by chemotherapy or radiation therapy . It occurs when the hair follicles enter the shedding phase of the hair growth cycle prematurely, resulting in hair loss. Anagen effluvium can cause sudden and rapid hair loss all over the scalp.

How to Hair Loss Is Diagnosed

Diagnosing the cause of hair loss is the first step in finding an appropriate treatment plan . A dermatologist can physically examine the scalp, hair, and nails and ask about the medical history and lifestyle to help determine the cause of hair loss. The doctor may also recommend blood tests for deficiencies, hormonal imbalances, or other underlying medical conditions that could lead to hair loss. Sometimes, the specialist recommends a scalp biopsy to examine the hair follicles under a microscope and determine the cause of hair loss.

One diagnostic tool commonly used in diagnosing hair loss is the pull test . During a pull test, the doctor gently pulls on a small section of hair to see how many strands come out. If more than six hairs come out, it may indicate a problem with the hair growth cycle or a scalp disorder.

Treatment Methods for Hair Loss

Medications

One of the most common treatments for hair loss is medication. Two medications that are FDA-approved for hair loss treatment are finasteride and minoxidil. Finasteride is a prescription medication that works by blocking the hormone that causes hair loss. Minoxidil is a topical medication that is applied directly to the scalp to stimulate hair growth. Be sure not to use medicines without a doctor’s prescription.

Platelet-Rich Plasma (PRP) Therapy

PRP therapy is a non-invasive treatment that involves injecting platelet-rich plasma into the scalp. Platelet-rich plasma is derived from the patient's blood and contains growth factors that stimulate hair growth. The treatment is relatively painless and has few side effects.

Hair Transplant Surgery

Hair transplant surgery involves removing hair follicles from a donor area and transplanting them to the balding area. The procedure is typically performed under local anesthesia and can take several hours. Various hair transplant treatments are available, and speaking to a healthcare professional can help you choose the right one for you.

Laser Therapy

Low-level laser therapy is a non-invasive treatment that involves exposing the scalp to low-level lasers to stimulate hair growth. The painless treatment can be performed in a doctor's office or even at home using a handheld laser device.

Nutritional Supplements

Specific vitamins and minerals promote hair growth and reduce hair loss. Biotin, vitamin D, iron, and zinc are among the most commonly recommended supplements for hair loss.

Hairpieces and Wigs

For those who prefer a non-invasive treatment option, hairpieces and wigs can provide a natural-looking solution for hair loss. Hairpieces and wigs come in various styles and colors and can be custom-made to fit perfectly to your head.

Why Is It Important to Seek Professional Help?

An accurate diagnosis will help save you time and money when it comes to dealing with hair loss. Healthcare professionals can prescribe the proper medications that will help your unique condition and can advise you of the other treatments available so that you can pick the one that best suits you and your lifestyle.

Advanced hair restoration treatments, such as hair transplant surgery, platelet-rich plasma therapy, and laser therapy, are only advisable under the guidance of an expert. These treatments are typically available only at a healthcare specialist's office and can provide significant results for individuals with severe hair loss.

Seeking the help of a dermatologist for hair loss can provide emotional support and guidance as well. Hair loss can significantly impact self-esteem and mental health, and professionals can offer resources and counseling to help individuals cope with the emotional toll of hair loss.

The experts at Pine Belt Dermatology are here to guide you in finding the root cause of your hair loss to help you receive the proper hair loss treatment. We offer a range of treatments for your hair and skin and can help you explore your options and make an informed decision. Contact us today!

Everything You Need to Know about Accutane

bberendsen@ideazonemarketing.com (Bob Berendsen) — Mon, 03 Apr 2023 15:28:44 GMT

Everything You Need to Know about Accutane

Dealing with severe acne can be a frustrating and challenging experience, and many people have turned to Accutane as a treatment option. Accutane is a powerful medication that has been used to treat severe acne for over 30 years. While it has been highly effective in treating acne, there are also many misconceptions and concerns surrounding this medication.

That's why we've created this guide to help you understand everything you need to know about Accutane. From how it works to potential side effects and long-term considerations, we'll provide you with the information you need to make informed decisions about your skincare.

What Is Accutane?

Accutane is a medication that is primarily used to treat severe acne. It belongs to a class of drugs known as retinoids , which are derivatives of Vitamin A. Accutane works by reducing the amount of oil produced by the skin, which can help prevent clogged pores and acne breakouts. It is typically taken orally, usually in the form of a pill or capsule.

Accutane has become a popular acne treatment option due to its high success rate . In many cases, Accutane can help clear up severe acne when other treatments have failed. It is also a relatively short-term treatment, with most patients seeing results within a few months.

Despite its popularity, Accutane is often surrounded by misconceptions and concerns. One common misconception is that it is a "miracle cure" for acne, which is not entirely accurate. While Accutane can be highly effective, it is not a guaranteed cure, and results can vary depending on the individual. However, it can still offer several benefits for those with severe acne.

There are also concerns about the potential side effects and risks associated with Accutane. These can include dry skin, chapped lips, and nosebleeds, as well as more serious side effects such as depression and birth defects.

How Accutane Works

Accutane works by targeting the underlying causes of acne, which are overactive sebaceous glands and clogged pores. The medication reduces the amount of oil produced by the sebaceous glands, which helps prevent the buildup of oil and bacteria that can lead to acne breakouts. Accutane is also thought to have anti-inflammatory properties, which can help reduce the redness and inflammation associated with acne.

How it Reduces Acne

Accutane is highly effective at reducing acne, particularly in severe cases of acne that have not responded to other treatments. In many cases, Accutane can even clear up acne completely, leaving patients with smooth, clear skin. It is thought to work by reducing the size and activity of the sebaceous glands, which helps to prevent clogged pores and acne breakouts.

Comparison to Other Acne Treatments

Accutane is often used as a last resort for treating severe acne that has not responded to other treatments, such as topical medications or antibiotics. While these treatments can be effective for milder forms of acne, they may not be sufficient for severe cases. In comparison to other acne treatments, Accutane is typically more effective at reducing acne, but it also comes with a higher risk of side effects and requires close monitoring by a healthcare provider.

Benefits of Accutane

While Accutane is not without its risks and side effects, it can offer significant benefits for patients with severe or persistent acne. Its benefits may include:

Dramatic Improvement in Acne
One of the primary benefits of Accutane is its ability to dramatically improve acne symptoms in many patients. Clinical studies have shown that Accutane can lead to an 88% reduction in acne lesions on average , with some patients experiencing even greater improvement. This can help improve self-esteem, reduce social anxiety, and enhance the overall quality of life.

Long-Lasting Results
For many patients, the effects of Accutane can be long-lasting—even after discontinuing the medication! This is because Accutane targets the root causes of acne, such as excess sebum production and inflammation, rather than simply treating the symptoms. While some patients may experience an acne relapse after stopping Accutane, many others enjoy clear skin for years after treatment.

Potential for Complete Remission
In some cases, Accutane can actually lead to a complete remission of acne symptoms. This means that patients may no longer experience any acne lesions or other related symptoms, even after discontinuing the medication. While not all patients achieve a complete remission with Accutane, it is a possibility for some.

Is Accutane Right for You?

Accutane is typically recommended for individuals who have severe acne that has not responded to other treatments. This may include cystic acne, nodular acne, or acne that is causing scarring or emotional distress. Before considering Accutane, it is important to speak with a healthcare provider and undergo a thorough evaluation to determine if the medication is appropriate for you.

Potential Risks and Side Effects

The most common side effects of Accutane include dryness of the skin, lips, and eyes, increased sensitivity to the sun, headaches, stomach pain, joint pain, and changes in blood sugar levels. In rare cases, it can also cause liver damage, depression, and an increased risk of birth defects, so women who are pregnant or may become pregnant should not take the medication.

While many side effects of Accutane are temporary and resolved after completing treatment, some may persist or have long-term effects. For example, some patients may experience dry eyes or decreased night vision, which can be permanent. There is also some evidence to suggest that Accutane may increase the risk of certain health conditions, such as osteoporosis or liver damage, although these risks appear to be relatively low. Patients who have completed a course of Accutane should continue to monitor their health and discuss any concerns with their healthcare provider.

Precautions and Considerations

Due to the potential risks associated with Accutane, there are several precautions and considerations that should be taken into account before beginning treatment. Patients may need to undergo regular blood tests and check-ins with a healthcare provider to monitor for potential side effects. Women who are of childbearing age may be required to use two forms of contraception while taking Accutane, and men may be advised to avoid donating blood while on the medication. It is also important to avoid excess sun exposure and use daily sunscreen with a high SPF while on Accutane. Ultimately, the decision to use Accutane should be made in consultation with a healthcare provider and based on an individual's unique circumstances and medical history.

What to Expect During Accutane Treatment

Accutane treatment is a commitment, and patients should be prepared to take the medication for at least 16 weeks. During this time, patients should expect to take a series of oral medications, as well as obtain regular lab work and make periodic visits to the doctor for monitoring. It is important to note that Accutane can cause serious side effects, including depression and suicidal thoughts, so close monitoring and support from a doctor and family members are key. Patients should also expect to use oil-free moisturizer and makeup, as well as avoid direct sun exposure, waxing, and electrolysis.

How to Monitor Your Progress During Treatment

During your treatment, it is important to monitor your progress carefully to ensure that the medication is working. Your doctor will likely request that you come in for regular check-ups, usually every month or so. During these check-ups, your doctor will check your skin for changes. They may take photos of your skin and compare them to the photos taken before treatment, use a visual inspection to assess your skin, or use medical imaging tests to get a closer look. Your doctor may also do blood tests to analyze your cholesterol level or liver enzymes. By monitoring your progress, your doctor can make sure that the treatment is working as expected.

What to Expect After Accutane Treatment

After Accutane treatment, many people experience improved skin. You should continue to take care of your skin by using gentle products and avoiding the sun and tanning beds. Your skin may still be sensitive to the sun, and you may have to wear sunscreen and protective clothing for several months after treatment. In some cases, acne may return after Accutane treatment, but it is usually milder than it was before. In such cases, you may have to use OTC products or prescription medications to keep it at bay. Additionally, some people may experience dryness or peeling of their skin for several weeks after treatment. If this occurs, moisturizers and gentle cleansers may help alleviate some of the discomfort.

The experts at Pine Belt Dermatology are here to help you find the best acne treatment for your individual needs. Don't let acne hold you back any longer. With the right treatment, you can achieve clearer, healthier skin and feel confident in your appearance. Contact Pine Belt Dermatology today to learn more about how we can help you achieve your skincare goals. We offer a range of treatments, including Accutane, and can help you explore your options and make an informed decision. If you are in the Hattiesburg, Petal, Ellisville, or Biloxi area, get in touch !

Psoriasis in People of Color

bberendsen@ideazonemarketing.com (Bob Berendsen) — Fri, 03 Mar 2023 19:14:36 GMT

Psoriasis in People of Color

According to the World Health Organization , psoriasis is a common, chronic, immune-mediated, and noncommunicable skin disease. There is no clear cause or cure for it. Moreover, at least 100 million individuals are affected by it, making it a global health concern. In this article, we will talk about psoriasis and how this skin condition affects people of color.

Psoriasis - A Brief

Psoriasis is a chronic skin condition that causes thick and crusty skin lesions in specific areas (think scalp, knees, elbows, back, and more). For those with this condition, the body makes new skin cells in days (as opposed to weeks).

Although the disease is the same in people of all colors, it presents differently in people of color. Due to lower visibility of these patches on darker skin, it is often difficult to diagnose in those with darker skin tones—where it presents as grey, ashy scaly patches—vs those with fairer skin where it presents as pink or reddish patches.

When the 'new cells' pile up on the surface of the skin. The end result is thick, scaly patches (or plaques) that can occur on any part of the body (such as knees, elbows, lower back, scalp, etc.) As per the AADA, about 80%-90% people with psoriasis get plaques. Those with plaque psoriasis present with raised patches coated with a silvery-white scale.

The Different Types of Psoriasis

Different types of psoriasis can have different appearances:

Chronic Plaque Psoriasis

Most common condition, which causes thick and raised lesions that develop on the knees, elbows, and scalp
Red or violet lesions occur.
Is 1 and 10 cm in diameter and has silvery scales.
Plaques may be of varying sizes.

Guttate Psoriasis

More common in children/younger people who are recovering from an infection.
Causes small and scaly bumps (less than 1 cm) to appear on the arms, back, and thighs
Lesions are pink or salmon colored.
Temporary in nature and clears out in a few weeks/months without treatment.

Nail Psoriasis

Symptoms appear only on the nails.
Appearance of tiny pinpricks on fingernails/toenails
Nails may become brown-colored or become thick as well as crumbly.

Inverse Psoriasis

Appears on hidden skin parts (armpits, buttocks, folds underneath the breasts, groin, etc.)
Lesions may be purple/darker than the adjoining areas
Leads to sore/painful skin

Psoriasis in Black People: What Data Says

Here's a quick snapshot of psoriasis-related statistics:

Around 125 million people worldwide suffer from it (2-3% of the global population)
Around 30% of people with psoriasis also develop psoriatic arthritis.
Psoriasis remains underdiagnosed among African-Americans and people of color due to underrepresentation in clinical trials. It is estimated to affect 1.3% of the African-American people.

Psoriasis Symptoms

The disease can happen at any age, but it typically develops between the ages of 15 to 25. Here are a few points to note with respect to the psoriasis symptoms:

Type : The first thing you need to remember is to learn about the type of psoriasis you have, the places where psoriasis has appeared on your body, and the amount of psoriasis you have. This information will come in handy when you visit the doctor.
Appearance : The skin appears thickened with a scaly, silvery, and shiny crust. The skin also becomes darker in color. In some instances, psoriasis in darker-skinned people can be purple or violet, whereas it appears red for lighter-skinned people.
Itching: The lesions are often accompanied by intense itching. If you scratch the lesion, you run the risk of the lesion bleeding and scabbing over.
Discoloration : As psoriasis heals, you may notice areas of discoloration or darker patches of skin where psoriasis once resided. Note that these 'patches' are not scars. Thankfully, they disappear with time. As per the American Academy of Dermatology Association, the discoloration can take anywhere between 3 to 12 months to completely disappear.
Relapsing-remitting Pattern: As is the state with many skin conditions, this disease can disappear and come back again. Simply put, you may experience no symptoms for some time and suddenly see a severe flare-up.
Other Symptoms : In addition to the symptoms stated above, you may also experience a stinging sensation in the skin, burns, or skin that feels painful as well as tight.

Psoriasis Causes

There is no known cause of psoriasis, but it might happen due to genetic factors.

According to data, around one-third of people who have psoriasis have a relative with the same condition. Clearly, genetics plays a role in the development of psoriasis.

Diagnosing Psoriasis

To diagnose psoriasis, a dermatologist will carry out the following steps:

Step 1: They will enquire about any family history of the diseases or related conditions such as arthritis.

Step 2: They will conduct a physical examination and ask a few questions about the lesions.

Step 3: The doctor may also want you to take a skin biopsy to rule out other skin conditions.

Psoriasis in darker-skinned people is generally difficult to diagnose. This is because it may resemble other skin disorders that are more prevalent in people of color.

Psoriasis Treatment

Unfortunately, there is no cure for psoriasis. The treatment options are the same regardless of skin color. That said, you can avail yourself of a variety of treatment options to manage the associated symptoms. The following are some treatment procedures for psoriasis.

Phototherapy or Light Therapy: In this treatment style, the skin is exposed to ultraviolet light under medical guidance. As a result, the skin tends to become darker. Here's how the process works:

Step 1: You’ll be made to stand in a light box about 2-3x a week.
Step 2 : The light from the phototherapy treatment causes the treated skin to darken. Additionally, the darker spots on your skin may become more visible. If you wish to prevent your skin from darkening, inform your dermatologist.
Shampooing for Scalp Psoriasis: If you have psoriasis on the scalp, you may need to shampoo more frequently as it helps remove the scales. You will also need a medicated shampoo which you can use 1-2x a week. Additionally, your dermatologist may prescribe a medicine for you to apply on your scalp. If you face any side effects or issues, please inform your dermatologist immediately so that they can alter the treatment.

This is where doctors need to take into consideration the scalp care routine of African-Americans—especially those with long hair.

Apart from this, some of the most common treatment options include:

Creams and Ointments: These are the preferred and first treatment options. Some of the most popularly used creams are steroids. The doctor may also prescribe synthetic vitamin D-3, Anthralin, and Vitamin A products to manage and control psoriasis flare-ups. Note that these are only available with a prescription. Some other over-the-counter creams for psoriasis include products containing capsaicin, aloe vera, jojoba, coal tar, etc.
Prescription Medications : If creams and ointments don't seem to be doing their magic, your doctor may prescribe medications for psoriasis (such as Acitretin, cyclosporine, or methotrexate.) Also known as systemic medications, you may be prescribed these in different forms such as pills, injections, or liquids. That's not all. You may also be prescribed biologic drugs (such as TNF inhibitors) for moderate-to-severe psoriasis. These drugs are used to target specific parts of the immune system and are used in the injection or infusion format.

Managing Psoriasis

As mentioned earlier, there is no known cure for psoriasis. Here are some tips to remember to prevent a flare-up and manage this condition better:

Injury: Avoid getting skin injuries (think: cuts, nicks, bug bites, and so on)
Sun Protection : Always keep the skin protected from sunburn.
Upkeep and Skincare Routine : Make sure to use cold compresses and moisturize your skin to get rid of the annoying itching sensation. You must speak to your dermatologist to understand the kind of psoriasis skincare routine to embrace.
No Scratching: Do not scratch the itchy skin, and make sure to take medicines as needed.
Learning (and Avoiding) Triggers : Understand the trigger that may be causing the flare-ups. Some of the most common triggers include stress, bug bites, certain foods, exposure to extreme summer heat or harsh cold winter weather.
Lifestyle Changes: Ask your doctor about any lifestyle changes that you must make. Since stress can cause psoriasis, it is important to tackle stress with regular physical activity, good hydration, good sleeping habits, and more.

Final Thoughts

Psoriasis is a common skin condition that can become so intense that it may hamper your quality of life and can even lower your confidence and morale, if left untreated. In fact, in most cases, psoriasis may continue to occur for a lifelong. While there is no cure for this disease, it is possible to manage the associated symptoms and take the necessary precautions to prevent a flare-up.

If you or a loved one is psoriatic, and you are looking for personalized and quality care, get in touch with our team at Pine Belt Dermatology. From general dermatology to cosmetic procedures, we offer end-to-end skincare services. Our psoriasis specialists can offer several treatment options, including oral medications, topical creams, and laser treatment. Book an appointment to understand the best course of action for you.

Everything You Need to Know About Milia: Types, Causes, Prevention, and Treatment

bberendsen@ideazonemarketing.com (Bob Berendsen) — Tue, 10 Jan 2023 13:35:04 GMT

Everything You Need to Know About Milia: Types, Causes, Prevention, and Treatment

Have you ever noticed a few tiny-sized bumps, either white or yellow, around your nose area, cheeks, or the skin surrounding your eyelids? Milia is the medical term for those pesky bumps, which are small cysts forming under the skin. They occur when little dead skin flakes or the protein keratin get stuck underneath the skin and grow to a size of one to two millimeters. Usually, newborns are more vulnerable to having milia, although anyone of any age, gender, or ethnicity can get them.

If you are concerned about milia, this comprehensive guide is just for you. Read on to understand all aspects of the skin condition. Let’s delve deeper into it and understand the causes, types, prevention, and treatment techniques associated with milia.

What Causes Milia?

Milia is caused by dead skin cells that become trapped beneath the layer of your skin and form cysts. Your body will inevitably lose dead skin cells to make way for fresh cells to proliferate and replace the ones lost. This process is called exfoliation.

When dead skin cells do not shed naturally from the body, new skin cells develop on top of them and trap the dead cells underneath as they do so. Your dead skin cells begin to stiffen and form cysts around your nose, cheeks, trunk, limbs, and chest area.

Milia could also emerge due to other factors, including:

An injury or prolonged exposure to the sun, causing skin damage
Consumption of steroid creams or ointments for an extended period
A symptom of a hereditary disease or deficiency
An autoimmune response
Not practicing an appropriate skincare routine
Using makeup or cosmetics that block your pores
Not getting enough sleep
You suffer from a skin ailment such as eczema, rosacea, or dandruff

Types of Milias

Here are the most prominent types of milia recognized in medical settings.

1. Neonatal Milia

It's estimated that up to half of all newborns can have milia. They typically vanish on their own after a few weeks. The nose is the most common location for neonatal milia, but it can also show up on the scalp, cheek, upper trunk, and inside the mouth.

Remember that neonatal milia and neonatal acne are two distinct conditions. Milia is often of a consistent size and does not have any redness, in contrast to the white bumps of neonatal acne, which can fluctuate in size and are frequently accompanied by redness.

Milia may already be apparent from birth, although neonatal acne typically does not show up until around two weeks following birth.

2. Primary Milia

The forehead, eyelids, genitals, and cheeks are typical locations for primary milia to appear. Primary milia can affect people of any age, including children and adults. They might go away on their own after a few weeks, but they might also stick around for a few months if no treatment is provided. Also, they can show up at the nasal crease in young toddlers.

3. Milia en Plaque

This condition results in many milia being found clustered around a broader, flatter region that is elevated above the skin that surrounds it. Such skin patches or plaques typically have distinct borders that can be precisely defined. Milia en plaque can infect people of all ages. However, it is most common in middle-aged women. The typical spots for its appearance are on the eyelids, face or jaw, and behind the ears.

This issue is pretty rare and is mainly linked to a variety of other skin conditions, such as:

Pseudoxanthoma Elasticum
Lichen Planus
Discoid Lupus Erythematosus

4. Multiple Eruptive Milia

It is also a rare form of milia, characterized by the gradual appearance of many bumps in the same region over a few weeks or months. In many cases, this is the sole symptom. However, the affected region could also feel a bit irritated or itchy. Such milia are most likely to develop on the upper arms, upper trunk, and face.

5. Traumatic Milia

This condition, which follows an injury to the skin, is also known as secondary milia, and it may involve the following:

Skin resurfacing methods, such as laser resurfacing, dermabrasion, etc.,
Prolonged exposure to sunlight
Blistering that occurs as a result of an allergic reaction or skin condition

How Can You Prevent Milia?

Although there is no foolproof way to avoid getting it, milia and other skin conditions can be avoided by taking appropriate care of your skin as an adult.

Use Moisturizers and Sunscreens

Always protect your skin from the sun and keep it moisturized. Milia is a condition that frequently results from overexposure to the sun. Your skin will eventually grow leathery, making it more problematic for the dead cells to shed off.

Regularly applying sunscreen and moisturizer will make your skin radiant and flexible, letting it repair and replenish itself as it should. Always remember to use sunscreen—even when it's cold outside—especially if you spend a lot of time indoors near a window.

Steer Clear of Heavy Ointments and Creams

These can cause your skin to become irritated and block your pores, preventing your body's natural exfoliation process.

Make Sure Your Face Is Neat and Clean

Your skin pores will become clogged due to the accumulation of dirt and sweat. Acne and other skin issues may develop as a result of this. Cleaning your face of the dirt and oil that accumulates throughout the day will help your skin to exfoliate naturally. Keeping your face cleaner and fresh will assist your skin in shedding the dead cells that accumulate there.

Educate Your Child

If both you and your children have a history of milia eruptions, make sure your kids understand the significance of taking care of their skin. Good habits are best inculcated by young. When your kids are old enough to understand, show them how to shield themselves from the sun rays, including how to apply sunscreen, how to use caps and other protective clothes.

How Can You Get Rid of Milia?

As a purely cosmetic problem, milia are nothing to be overly concerned about; they don't cause scarring, don't typically result in further issues, and often disappear on their own with time. However, many people who develop milia on their faces aren’t quite happy with them and can benefit from treatment.

Treating Milia at Home

Although a plethora of home remedies are available for milia, there’s no better alternative to seeking professional help. Although no treatment guarantees to eliminate milia immediately every time, these procedures generally have a low risk of side effects.

For example, cinnamon, honey, and rose extracts have all been shown to have antibacterial characteristics. These properties may make them helpful in treating a variety of skin conditions. However, there is little research on the efficacy of these treatments for milia.

Here are some good practices to help prevent and manage milia.

Clean the target spot daily. Use a mild soap to avoid irritating your skin while cleaning. Ideally, you should prefer to buy soaps developed for people with sensitive skin.
Open up your skin pores with steam. Taking a steamy shower while bathing is a great way to open up the pores.
Periodic exfoliation is key. Exfoliation of the affected area is highly recommended. However, you should avoid exfoliating too frequently, as doing so daily can aggravate skin irritation.
Use topical retinoids. These are derived from Vitamin A and come in the form of creams or gels in the market. While topical retinoids are intended for the treatment of acne and other skin conditions, they might also serve you well in the case of milia.
Use sunscreen. As discussed, sunscreen is a preventive measure and a treatment. Try using sunscreen with an SPF of 50+ to achieve the best protection and results.

One thing to remember is that you should prevent yourself from scratching or plucking milia at all costs. Interfering with the healing process in this way raises the possibility of infection and may result in long-term scarring.

Professional Treatment Options for Milia

Several effective clinical treatments have been developed to try to get rid of milia. Some of these are:

Curettage : The dermatologist will numb the region, eradicate the milia by ‘scooping’ it up, and then use a hot wire to seal the skin.
De-roofing : The milia are removed by a specialist using a sterile needle or blade.
Cryotherapy : Liquid nitrogen is employed in this process to remove the milia. Possible side effects include blistering and swelling, which should clear up in a few days.
Minocycline : This oral antibiotic is effective against milia en plaque and other types of milia.

Except for minocycline, which is a medication, all these procedures can potentially cause scarring although they only last for a short span of time. Long-term scarring or other serious side effects are very rare.

Conclusion

Having milia isn't necessarily harmful to your health, but you're certainly not alone if you're concerned about them appearing on your skin. The experts at Pine Belt Dermatology are here for you. Ask us about any concerns you may have or learn more about this issue. Get in touch with our professionals for more information.

Case of the Month December 2022

bberendsen@ideazonemarketing.com (Bob Berendsen) — Tue, 06 Dec 2022 13:57:11 GMT

Case of the Month December 2022

An 80 year-old male patient presented to our clinic complaining of a sore lesion on his left lower lip (Figure 1).

A biopsy of the lesion revealed an invasive moderately differentiated squamous cell carcinoma. After discussing treatment options including Mohs surgery, radiation therapy, and referral to plastic surgery, the patient and his wife felt that Mohs surgery would be the best option due to its high cure rate. The patient was also concerned about the cosmetic result, and repair options for the possible resulting defect were discussed.

The surgery and microscopic evaluation of the tissue revealed a very. After three stages of surgery the final defect involved a significant portion of the lower lip (Figures 2).

The patient stressed the importance of the cosmetic outcome of his lip and after seeing the defect he was doubtful that his lip would ever look normal again. To solve this problem, we decided upon a combination of two closures. Combining a mucosal advancement flap and a small rotation flap we were able to restore the cosmetic appearance of the lip and maintain proper function to ensure that he did not drool every time he sipped a beverage (Figures 3 and 4).

At one week, the sutures were removed, and the early cosmetic result was very pleasing (Figure 5).

At three weeks, the wound was fully healed (Figure 6).

At one year, there is no evidence of recurrence, and the site has healed with an excellent cosmetic and functional result (Figure 7).

What Is Acne Inversa (Hidradenitis Suppurativa)?

bberendsen@ideazonemarketing.com (Bob Berendsen) — Mon, 28 Nov 2022 20:02:11 GMT

What Is Acne Inversa (Hidradenitis Suppurativa)?

Did you know that according to research, about 0.03% to 4% of the population worldwide suffers from acne inversa? What is this phenomenon and how can it be treated? Read on for a full guide on acne inversa including what symptoms to look out for and how it can be treated.

What Is Acne Inversa?

Acne Inversa, scientifically known as Hidradenitis Suppurativa (HS), is a chronic, inflammatory, and recurring skin disease that typically presents post-puberty (children in their teens or adults entering their twenties might experience it). It involves your hair follicles and sweat glands and is characterized by painful, deep-seated inflamed lesions or boil-like lumps that emerge under the skin.

You will often find this type of acne occurring in areas where the skin is constantly rubbing against more skin (such as the armpits, buttocks, breasts, groin, inner thigh, etc.). In terms of appearance, the lumps most resemble pimples.

In some cases, the lumps may break open, which can lead to abscesses draining fluid and pus. Once these abscesses start to heal, you may experience some sort of skin scarring. Additionally, it is important to note that there are three types of acne inversa:

Mild HS: Characterized by only one or a few lumps in an area of the skin.
Moderate HS: Includes recurrences of lumps that get bigger and break open. These lumps may form in more than one area of the body.
Severe HS: Occurrence of widespread lumps, scarring, and chronic pain, which can make it extremely difficult to move.

So, What Causes Acne Inversa?

The lumps will form if the hair follicles/sweat glands get blocked (however, the cause of the blockage is unknown). According to experts, the hair follicles may become inflamed due to abnormal growth of cells. The blocked hair follicles will trap the bacteria, leading to inflammation, scarring, and rupture.

Some key factors that can cause acne inversa include genetics, environmental factors, hormonal issues, and so on. Contrary to popular opinion, HS is not caused due to poor hygiene, and more importantly, it cannot be spread to others. It is also not a sexually transmitted disease.

That said, this disease is more commonly seen in the following people:

Women
People who have acne or diabetes
People with a heart disease
People who have severe patchy hair loss on the scalp (also known as Dissecting Cellulitis)
People who have a family history of acne inversa
People who are overweight
People who suffer from inflammatory bowel diseases such as Crohn's
Women with hormonal disorders such as Polycystic Ovarian Syndrome
People who have a high body mass index
People who smoke regularly
Children hitting puberty (around 11 years of age)

Generally, it has been seen that it can occur to anyone up to the age of 40, and can occur as early as 11.

What Are the Symptoms of Acne Inversa?

The symptoms of HS will vary from person to person. As mentioned earlier, the general symptoms of acne inversa include:

Small, pitted, and swollen skin areas that comprise blackheads
Red, painful lumps or pimple-like boils that tend to get bigger and break open
Abscesses in lumps that drain fluid and pus
Constant itching and unpleasant odor (due to the presence of bacteria)
Slow-healing and recurring abscesses that generally lead to scarring as well as tunnels under the skin

Apart from the factors mentioned above, remember the following pointers in terms of how HS may affect you:

Sometimes, you may have breakouts reoccur in the exact spot
Alternatively, the breakouts may happen in the same area (but not in the exact same spot)
You may have constant breakouts in the skin over a period of time

If someone possesses a severe form of HS, living day-to-day life can get difficult as your mobility may get affected. Additionally, if HS occurs in recurring cycles, the constant breakouts and healing can cause the abscesses to build deep within the skin tissue. It can also make the affected skin area thicker in nature.

In severe cases, this hardened scarring can make it difficult for you to move. You may also notice fistulas forming inside the body, which are hollow passages that are extremely painful and can only be repaired by surgery. All these factors can lead to anxiety and depression in the individual, and as such, it is wise to look into treatment early.

How to Diagnose Acne Inversa

Unfortunately, there are no specific tests for diagnosing acne inversa. This is why it is often misdiagnosed, particularly in the early stages. If you think you have HS though, it is best to consult with your doctor, ideally a board-certified dermatologist. They will do the following:

Enquire about your medical history pertaining to skin issues
Take a detailed look at your symptoms, which includes examining the skin on your lumps as well as taking a sample of the skin/pus (if needed)
Conduct a physical exam
Make a note of where the bumps/boils are located
Ask questions about the duration of the presence of the bumps and if they tend to disappear and reappear
Ask you to take a blood test, which can help confirm a diagnosis of acne inversa
Do a biopsy and take a skin sample if they notice that pus is present to rule out the presence of other skin conditions

How to Treat Acne Inversa

The first thing that you need to make a note of is that there is no cure for acne inversa. In rare instances, HS may clear up on its own if it is a mild case. However, if you get an early diagnosis, you can prevent the issue from worsening and lower your chances of scar formation. The treatment options available to you focus on alleviating the symptoms.

Additionally, note that the following treatment options should not be followed without consultation. You need to understand the severity of the disease by consulting a doctor and following a customized treatment plan. Here are the treatment options available to you:

Your doctor may prescribe medicines (such as steroids, antibiotics, pain relievers, etc.) to reduce the inflammation. These medicines can be oral or topical. In severe cases, you may need an injection.
They may also suggest surgery to get rid of lumps and scars.

In addition to the options mentioned above, make sure to follow these best practices that can help if your skin is irritated.

These home remedies are ideal for people with mild symptoms:

Wearing loose-fitting clothes to lower the chances of skin rubbing against each other
Ensure that you are maintaining an optimal weight, as extra weight can cause friction in the skin
Quit smoking
Do not shave the affected area
Eat healthier and exercise regularly
Make sure to clean the affected area with a good-quality antibacterial soap
Avoid excessive exposure to humidity and heat
Take extra care so as not to injure your skin
Take a warm bath
Apply warm compresses to the affected area, twice a day, for at least 10 minutes at a time
Ask your doctor if you can apply any kind of topical cleansing agent, such as antibacterial soap, or antiseptic to get rid of the bacteria
Take anti-inflammatory medications under your doctor's guidance

If you have moderate symptoms, opt for the following treatments (under expert guidance):

Ask your doctor for corticosteroids such as prednisone, which can lower the intensity of pain and swelling
Seek anti-inflammatories, such as ibuprofen, naproxen, and celecoxib
Understand the type of antibiotics to take, such as tetracycline, erythromycin, etc.
Ask for any erythromycin-based skin cream, which can help treat infected lesions
Additionally, you may need other medications such as retinoids (which are merely a simple acne-fighting drug) as well as birth control pills (to lower the hormonal ill-effects of hidradenitis suppurativa).

If you have a severe case of HS, the following treatment options may help:

Undergoing laser treatment to get rid of new, deep-seated breakouts
Undergoing a procedure called deroofing, where breakouts are turned into scar tissue
Undergoing a session of draining your abscesses to provide additional relief
Undergoing surgery, such as cutting out lesions and engaging in skin grafting to remove larger areas of the skin and scar tissues. In some cases, a skin graft will be taken from a healthy part of the body to replace the lost skin.

To treat HS, you may need to engage in a combination of treatments and best practices as outlined above. One final piece of advice, since doctors don't understand exactly what causes acne inversa, preventing it can be challenging.

If you are on the lookout for a skin care center that focuses on providing personalized and quality care, look no further than Pine Belt Dermatology . From general dermatological services to cosmetic services, we can take care of all your skin care needs. Trust our experienced team of experts to get you back to feeling healthier and happier. Make an appointment today and give your skin the best care it deserves.

Rosacea: Signs, Symptoms, and Treatments

bberendsen@ideazonemarketing.com (Bob Berendsen) — Tue, 01 Nov 2022 13:52:58 GMT

Rosacea: Signs, Symptoms, and Treatments

Facial blushing, acne-like bumps, redness on the cheeks—do these symptoms sound familiar to you? If they do, you are likely suffering from a common skin condition called rosacea. Rosacea is a chronic skin condition that has been found to affect more than 16 million Americans .

It is widespread in women aged 30 to 60 and individuals with a family history, and rosacea currently has no known cure or apparent cause. However, if you are one of the many people afflicted by the condition, be relieved because several effective medications and treatment options are available to manage the symptoms.

In addition, there are easy ways to prevent a flare-up from occurring. For more answers, please read our detailed breakdown of rosacea's signs, symptoms, and treatment options.

Types of Rosacea

Before we cover the symptoms of rosacea, you need to understand the various types of conditions. This is important because symptoms of rosacea differ based on subtype.

The first subtype of rosacea is erythematotelangiectatic rosacea (ETR).
The second subtype of rosacea is papulopustular rosacea.
The third subtype of rosacea is rhinophyma rosacea. It is a rare form of rosacea and, unlike other rosacea types, most commonly affects men.
The fourth type of rosacea is ocular rosacea, which affects the eye area, as the name suggests. Since this type of rosacea affects the eye, you may need to consult an ophthalmologist for treatment.

Symptoms of Rosacea

The symptoms of erythematotelangiectatic rosacea (ETR) are as follows:

● Swollen skin.

● Dry skin and scaling.

● Redness and flushing.

● Spider veins.

● Burning and stinging skin.

● Sensitive skin.

The symptoms of papulopustular rosacea, also known as acne rosacea, are as follows:

● Oily and sensitive skin.

● Burning and stinging.

● Breakouts that look like acne.

● Severe reddening of the skin.

● Raised patches on the skin.

Acne rosacea is found to most commonly affect middle-aged women.

The symptoms of rhinophyma rosacea, a rare form of the condition, are as follows:

● Thickening of the skin, commonly on the nose but also on the forehead, cheeks, and chin.

● Visibly broken blood vessels.

● Bumps on the skin.

● Oily skin and enlarged pores.

The symptoms of ocular rosacea are as follows-

● Burning or stinging of the eyes.

● Dry eyes.

● Watery or bloodshot eyes.

● Light sensitivity.

● Blurry vision.

● Cysts.

● Itchy eyes.

Treatment Options for Rosacea

Rosacea is not curable. However, you can take several easy steps to prevent a flare-up and treatment in case rosacea does occur. First, let's discuss the preventive measures for rosacea:

Sun Protection: One of the simplest ways to prevent a rosacea flare-up is sun protection and limiting sun exposure during peak hours.
Avoiding Spicy Foods: Rosacea for some people might get triggered by the consumption of spicy or hot foods. Avoid highly spicy foods to avoid a flare-up.
Limiting Alcohol Consumption: We hate to tell you this, but that extra glass of red wine post-dinner may be causing your rosacea to flare up. If you must drink, avoid hard alcohol, and in the case of wine, choose white instead of red wine .
Avoid Overheating: A rise in body temperature can trigger a rosacea flare-up. Therefore, you must keep a lookout during heavy exercises. Also, avoid taking hot baths and keeping your face cool during summer. Don't rub or touch your face too much. Use a non-soap cleanser twice a day and moisturize. Choose fragrance-free products, and avoid those that contain other skin irritants, such as alcohol, camphor, urea, and menthol.
Diet and Lifestyle Changes: According to a 2018 National Society survey, 73 percent of surveyed participants used diet changes to reduce rosacea flare-ups. Several other older studies also show a correlation between diet and rosacea flare-ups.

In general, certain foods have been found to cause flare-ups. These include but are not limited to tea, coffee, cocoa, cinnamaldehyde foods like cinnamon, tomatoes, citrus fruits and chocolates. Some specific foods and supplements have been found to help with rosacea symptoms, although the results are inconclusive. For some, gut-friendly foods help reduce rosacea symptoms, and omega-3 fatty acids, zinc sulfate, and other supplements with healthy fats also help.

Use Gentle skincare: Harsh and heavily fragranced skincare can act as irritants and lead to a rosacea flare-up. Avoid products that contain ingredients like menthol, alcohol, and camphor.
Avoid Medications that Trigger Flare-ups: Certain medications may trigger rosacea symptoms. Therefore, consult a doctor for alternatives or other options before consuming these medications. The connection between the medication and rosacea is that all these medications affect blood flow to the skin. You need to especially note the effects of medications like topical steroids, blood pressure medications, and Vitamin B3.

Now that you have a fair idea of preventive measures to avoid a rosacea flare-up, let’s discuss some treatment options. The duration and type of treatment will depend on your particular type of rosacea and the severity of symptoms.

● Topical Remedies: For milder cases of rosacea, topical treatments in the form of creams and gels are very effective. Common topical remedies are creams like Brimonidine (Mirvaso) and oxymetazoline (Rhofade). Results for these creams may be seen within less than 12 hours . These gels work by constricting blood vessels, thereby reducing flushing.

Keep in mind this treatment is temporary, and you will need to apply the creams regularly for consistent results. Other common topical treatments include azelaic acid and metronidazole. The results of these two treatments take longer-up to six weeks in some cases.

● Antibiotics: Oral antibiotics such as doxycycline work on moderate to severe rosacea that is accompanied by pimples and bumps by killing bacteria on the skin.

● Oral Acne Drugs: For severe rosacea, isotretinoin is an option frequently suggested by doctors. This is a powerful drug but helps clear up rosacea acne exceptionally effectively.

● Laser Therapy: Laser therapy is one non-drug option that can be used to treat rosacea. The way it works is that the laser targets the blood vessels and makes them less visible. However, laser therapy has a few limitations compared to topical treatments and drugs. Firstly, it is not as effective on brown, black, or tanned skin. Second, laser therapy risks side effects like swelling and bruising that can last days. This increases downtime for recovery and additional measures post-treatment. Laser treatment also takes a long time to show results and may even cause hyperpigmentation.

● Pulse Dye Laser: Pulse dye laser is an option specifically for people suffering from rosacea called rhinophyma, which results in bulb-like red noses. Pulse dye laser can help shrink the nose and stop further growth.

● Electrosurgery: Another treatment option for rosacea is electrosurgery. The treatment targets small red blood vessels by applying an electrical spark through a needle. The quick and relatively painless procedure is an excellent option in case your rosacea has caused visible red blood vessels.

● Dermabrasion: Rhinophyma is also treated by a procedure called dermabrasion which helps sculpt the nose to its original size and shape by sanding the upper layers of the skin. As the skin heals from 1-2 weeks, new skin replaces the skin that has been sanded down.

Skin issues like rosacea can take a massive beating on your self-esteem. In some cases of rosacea, such as ocular rosacea , if left untreated, it can cause eyelid scarring and even vision loss in severe cases. Use our tips above to manage your rosacea symptoms. You can additionally prevent flare-ups by protecting your skin from sun exposure, minimizing stress, avoiding hot baths, and limiting your consumption of spicy foods.

Since merely identifying the type of rosacea and symptoms will not help you with a complete diagnosis, it is highly recommended to consult a doctor to determine particular lifestyle choices and habits that may exacerbate your condition. This also provides you with the best chance of treatment success.

For more tips to keep your rosacea in check and a physician-backed plan to treat symptoms, book an appointment with Pine Belt Dermatology . Pine Belt was built on the vision to provide every single patient with customized, high-quality care. Our experts offer both general and cosmetic dermatology services with locations in Petal, Hattiesburg, Ellisville, and Biloxi, Mississippi .

You can also look into our monthly specials to see our offers for each month. If you have any questions about insurance, please contact our office. We look forward to helping you!

Types of Acne: What Is Acne Conglobata?

bberendsen@ideazonemarketing.com (Bob Berendsen) — Tue, 11 Oct 2022 12:50:00 GMT

Types of Acne: What Is Acne Conglobata?

Acne conglobata is a very severe form of inflammatory, nodulocystic acne that is fairly rare in occurrence. Deep breakouts grow and spread actively below the surface of the skin which then group with each other via sinus tracts resulting in severe acne. This type of acne may result in disfigurement of the face, body, or permanent scar formation. Unsure whether you have acne conglobata or if you would recognize the symptoms of such acne? Read on to find out more!

What Is Acne Conglobata?

Acne conglobata is a chronic and severe form of acne vulgaris. It causes large inflammatory pimples, papules, and deep nodules that grow large in size. These nodules are often dome-shaped. The American Academy of Dermatology, states acne affects up to 50 million people across the United States each year. AC is one of the most severe types of acne and is more common in men between 18 and 30 years of age. White men are more prone to develop this condition. It is usually developed by young adults and is very rarely seen in women, children, or elderly people. Not much of this type of acne has been seen or reported outside the United States.

The differentiating factor about acne conglobata from other types of nodulocystic acne is that it causes large, draining, deep burrowing abscesses and sinus tracts. These sinus tracts are long, tunneling wounds under the surface of the skin. It induces polyporous comedones and non-inflammatory cysts. The comedones often occur in groups of three. The cysts often contain purulent, foul-smelling material that is discharged on the skin surface during a breakout like pus. Deep ulcers may form under the nodules, thereby producing keloid-type scars. Crusts may also form over deeply ulcerated nodules. Acne conglobata nodules are found on the shoulder, chest, upper arms, buttocks, face, and thigh.

Symptoms of Acne Conglobata

Patients affected by acne conglobata usually have a history of pre-existing acne vulgaris. Acne nodules develop deep in the pores as a result of clogged bacteria, oil, and skin cells. Such clogging results in plugs that harden and form the nodules. A classic indicator of this condition is the presence of paired or aggregates of blackheads on the trunk, neck, upper arms, and buttocks. The cysts occur on the back, buttocks, chest, forehead, cheeks, anterior neck, and shoulders. They contain a thick, yellowish, viscid, stringy, blood-tinged fluid. Initially, the nodular lesion may surface as a pimple, but underneath there is a vigorous inflammatory reaction and formation of pus. Gradually, the pus makes its way into the adjacent tissues and extrudes on the skin surface. Constitutional symptoms and anemia may accompany the inflammatory process.

What are the possible causes?

Acne conglobata may occur following the sudden worsening of pustular acne or may develop gradually following the recrudescence of acne that has been passive for many years. Active nodule formation usually persists for the first three decades of life and then becomes quiescent. There is no definite identification of a cause for the sudden development of acne conglobata. Some of the possible causes are as follows:

● Anabolic steroid use is often cited as one of the biggest triggers for acne conglobata. Over the past 30 years, there have been many reports on athletes with this type of acne. This condition is very common among bodybuilders.

● The body suddenly becomes intolerant or hypersensitive to a particular type of bacteria called Propionibacteria acnes that triggers acne. When this bacteria changes its reactivity as an antigen, the body overreacts, thereby causing causes severe inflammation and breakout development.

● Ingestion of thyroid medication and exposure to halogenated aromatic hydrocarbons may trigger acne conglobata.

● Rarely, acne conglobata can be associated with pyogenic arthritis and pyoderma gangrenosum, which is a rare condition that causes large, painful ulcers to develop on your skin.

● Acne conglobata can be hereditary. There is a tendency for this kind of acne to run in families. In some cases, AC is caused by an auto-inflammatory disorder. These types of disorders are genetic just like autoimmune diseases,

● Cases have also reported the appearance of AC in males after stopping testosterone therapy.

● For some, this condition may be triggered by exposure to aromatic hydrocarbons or ingestion of halogens. There is also an association with certain HLA antigens.

Diagnosis

The diagnosis is made clinically by a dermatologist. The Lesions are examined carefully and family history is studied before prescribing the course of treatment. Sometimes, additional tests like biopsy may be required to rule out other conditions such as carcinoma.

The differential diagnoses of acne conglobata include but are not limited to Acne fulminans, Acne vulgaris, Acne and suppurative hidradenitis (PASH) syndrome, Iododerma, and Bromoderma.

What Are the Treatment Options?

Due to the severity of the condition, acne conglobata cannot be treated with over-the-counter medication. However, some studies show that mild cases of acne conglobata can be treated with a low-glycemic-load diet, regular face washing, and the use of antiseptic.

● Some dermatologists prescribe the use of retinoids, most commonly isotretinoin, as a cure for acne conglobata. The prescription can be for as long as 20 to 28 weeks, or in some cases even longer, depending on the severity of the condition. Pre-treatment with prednisone and low initial doses of isotretinoin, as described for acne fulminans, are recommended to avoid the flaring of the disease. Some experts even recommend the use of oral prednisone for 14 to 28 days.

● Steroids have been shown to be effective when there are systemic constitutional symptoms. Systemic therapy with corticosteroids is used to suppress the intense inflammatory activity. Sometimes, steroid injections like intralesional triamcinolone are injected directly into a lesion on or immediately below the skin to treat this kind of severe acne.

● Minocycline, tetracycline, or doxycycline are antibiotics that are commonly prescribed for this condition. In cases that are unresponsive to the above antibiotics, dapsone is prescribed.

● Carbon dioxide laser combined with topical tretinoin therapy has also proven to be a successful treatment option when medication fails. Usage of Infliximab is also a treatment option but has comparatively been less successful in the past.

● In severe cases of acne conglobata that do not respond to any of the above treatment options, external beam radiation or cryotherapy is used.

● Surgery is opted for when all of the above-stated treatment options fail. Large nodules that are interconnected may be surgically excised. Hemorrhagic nodules may be aspirated.

● At times, Skin grafting is used when there is significant scarring. It is a process wherein tissues are taken from other areas of the body to help fill in the affected area and make it smooth again.

The After effects

Acne conglobata can produce marked disfigurement. It is the most severe form of acne and can result in extensive, permanent scarring. Such scarring or disfigurement may take a heavy toll on one’s confidence and mental health. Acne conglobata has also been responsible for anxiety and depression in many patients since they become embarrassed and feel low on confidence about their skin condition. Such individuals often become withdrawn and isolated, sometimes even resorting to rash decisions like suicide. Post-inflammatory hyperpigmentation and keloid scarring are common complications of nodulocystic acne. Soma cases have also reported renal amyloidosis, which is an accumulation of amyloid protein in the kidneys, causing proteinuria and/or hypertension followed by progressive renal failure. Also, the medication prescribed for AC may at times have side effects such as pregnancy complications, sun sensitivity, and sunburns.

What precautions can you take?

There is nothing much than can be done to prevent this kind of acne. However, usage of anabolic steroids must definitely be regulated mainly amongst men to prevent being prone to this condition. Healthy practices like washing your face with gentle anti-acne cleanser twice a day, washing hands frequently, having a nutritious diet intake, and a healthy skin care routine will improve your skin’s health.

The treatment for Acne conglobata is challenging. It also needs to be diagnosed early for effective treatment. You need to choose a highly experienced dermatologist with access to the latest technologies in treatment. If you are looking for a reliable dermatologist for a medical opinion, contact Pine Belt Dermatology and Skin Cancer Center immediately. We operate in four locations that including Petal, Hattiesburg, Ellisville, and Biloxi. We provide both General dermatology and cosmetic services and also conduct online consultations.

10 Things to Know before Receiving Laser Treatments for Scars

bberendsen@ideazonemarketing.com (Bob Berendsen) — Tue, 06 Sep 2022 12:29:40 GMT

10 Things to Know before Receiving Laser Treatments for Scars

What Is a Scar?

A scar is formed on the skin as a result of an injury caused due to an accident, burns, surgery, or an illness. They can be formed in all sizes and shapes and affect people of all age groups and gender. Furthermore, while some scars are large, others may be so small that they are hardly visible to the eye. Some are painful, and others may not cause pain.

The human body builds tissues to repair the damaged skin and close the gaps caused due to the injury. Thus, we can conclude that scars are a part of the healing process. Additionally, not all scars require treatment, as some of them heal over a period of time by fading away from the skin. For the ones that are causing pain, depending on their nature, the doctor will recommend treatment.

Different Types of Scars Require Different Treatment

A dermatologist needs to examine the scar before suggesting the treatment routine as sometimes, skin cancer can develop in a scar . Thus, it is vital to make sure that you have opted for the proper treatment for scars. Laser treatment is one of the most commonly used remedies.

10 Things to Know before Receiving Laser Treatments for Scars

If your doctor has recommended laser treatment for scars, ensure to read up on the following before you undergo the procedure.

1. Laser Treatment May Not Help in Thoroughly Getting Rid of the Scars

Despite the advancements in science and technology, we must come to terms with the fact that laser treatment may not help in 100% scar removal. Through the cosmetic procedure, the growth of new skin layers is encouraged. Thus, this treatment can make the scar less noticeable, but the scar will not completely disappear. This treatment replaces the old scar with a less noticeable one.

However, laser treatment can:

● Stop a raised scar from forming after surgery.

● Bring down scar pain and itch.

● Spike the range of motion if a scar limits movement.

2. Understand the Types of Scars That Can Be Treated with Lasers

Before opting for laser treatment, it is necessary to understand what kinds of scars can be treated with lasers. This treatment is often used to treat superficial scars, while a more intense procedure will be required to treat deeper scars. Laser treatment may be used to treat the following:

Acne Scars

The scars that the acne leaves behind are called acne scars. The types of acne scars are hypertrophic or raised acne scars and atrophic or depressed acne scars. Before beginning to treat acne scars, the doctor might recommend that the acne is brought under control.

Burn Scars

Several factors like accidentally touching something hot, when boiling water comes in contact with the skin, chemicals, electricity, direct sunlight, and radiation could result in a skin burn. The burn may cause the skin cells to die. The skin healing process becomes thick and forms discolored areas known as burn scars . While the temporary ones may fade away, the other burn scars could require treatment. Hypertrophic, contracture, and keloid scars are the different types of burns scars.

3. Know and Understand the Different Types of Laser Treatments

After understanding what kinds of scars can be treated with laser treatment, it is paramount to understand the types of laser treatment. They are:

Ablative Laser Treatment: Using ablatives, the thin outer layer is removed, and it heals the underlying skin. Post that, a healed layer is formed, which is smoother and lighter. Erbium and carbon dioxide are two necessary lasers used in this treatment.

Non-ablative Laser Treatment: It is a non-invasive process requiring less downtime. However, it may prove to be less effective than the ablative laser treatment in severe cases. Lasers that encourage collagen production are used in the non-ablative laser treatment to enhance the skin tone and texture.

A collagen is a form of protein the body produces. It has an essential role in the structure and function of the skin.

4. The Result of the Laser Treatment Often Depends on How Skilled the Dermatologist Is

Without any doubt, laser treatment can be used to heal scars. However, the effectiveness of the treatment depends on many factors, including how efficient and experienced the dermatologist is.

Before undergoing laser treatment for the scar, you must check if the doctor is a board-certified cosmetic surgeon. If the doctor is not qualified, it will show in the procedure’s outcome. Also, laser treatments can have complications if the surgeon isn’t qualified to do them.

5. Discuss in Detail with the Dermatologist About the Laser Treatment You Are About to Undergo

Laser treatment for scars is a minor surgery. However, it is essential to consult a dermatologist before surgery and discuss all aspects of it. During the consultation, you must share with the doctor the list of medications you take, your allergies, and medical history. To help the scar heal and protect the laser from scarring the skin, the dermatologist might recommend some temporary changes in the medications you take.

Additionally, the laser treatment specialist must be aware of your medical conditions. To get efficient results, the person performing the treatment must be aware of your skin type, cause of the scar, medical allergies, allergic reactions, and overall health condition.

6. Use Sunscreen Before Undergoing the Laser Treatment

Laser treatment does not go hand with a sun tan . Thus, the skin must be protected before undergoing the laser procedure. If the dermatologist notices a suntan or a skin burn, the process may not be performed as a laser might react with the suntan, causing skin discoloration or a burn.

Furthermore, after undergoing laser treatment for scars, it is necessary to protect the skin from direct sunlight until it heals. When the skin is exposed to direct sun, further scarring might occur.

7. A Few Lifestyle Changes Might Be Recommended

To achieve the best results from the laser treatment, the dermatologist might recommend specific lifestyle alterations to which the patient is advised to adhere. The changes may include:

● Not smoking for a fortnight before undergoing the laser treatment.

● Avoiding skin exposure to direct sunlight.

● Not consuming anti-inflammatory medicine, Vitamin-E medication, and aspirin.

● Usage of retinoid or glycolic acid-based skincare products might not be encouraged for 2 to 4 weeks before the therapy.

Additionally, patients prone to developing cold sores may be advised to take medications to prevent them from developing.

8. The Treatment Plan Could Include More Than One Laser Treatment and More Than One Sitting

To achieve the best results in treating the scar with laser treatment, the dermatologist may recommend more than just one laser treatment and more than one sitting. The outcome of the ablative lasers is usually visible after a single sitting. However, the non-ablative lasers could require multiple sessions to achieve the desired results. Furthermore, the results of the laser treatment also depend on the skin condition and the skin’s response.

9. Results Could Take Time to Appear

Laser treatment for scars must not be mistaken as a magic wand. Results may not be immediate, and they could take time to appear as the skin will take time to heal. Thus, depending on the laser treatment, it can take a few weeks or months for the results to be visible. In some cases, minor improvements might be noticed in the initial days of the treatment.

10. Medical Insurance May Not Cover the Cost of the Laser Treatment

Medical insurance might not be provided for the laser treatment for the scars, as it is a cosmetic procedure. Furthermore, aesthetic treatments may also not be covered under health insurance. The therapy can help bring down pain and itchiness, and if the scar is limiting movement, laser treatments could work in bringing the action. Yet they are considered cosmetic procedures, which health insurance generally does not cover.

How to Diagnose a Scar ?

By closely watching the skin that has healed from an injury, one can conclude if a scar is developed or not. To the normal eyes, scars may appear either darker, lighter, or pinker than the skin surrounding them. However, if you notice a scar developing, you may seek medical help. The doctor will do a physical examination of the patient to take a closer look at the scar that is causing trouble. Depending on the patient’s medical condition, and the severity of the scar, among other factors, the medical professional will recommend the treatment for the scar. One of them could be laser treatment for the scars.

If you want medical advice on laser treatment for scars, you can get in touch with us at Pine Belt Dermatology, MS. At Pine Belt Dermatology & Skin Cancer Center , we offer general & cosmetic dermatology services. We have a presence in Petal, Hattiesburg, Ellisville, and Biloxi. Click here for our address of the location near you. All four locations are open from Monday to Friday between 8:00 am and 4:30 pm. Click here to request an appointment.

What Is Alopecia: Everything You Need to Know

bberendsen@ideazonemarketing.com (Bob Berendsen) — Wed, 24 Aug 2022 18:03:09 GMT

Hair loss can be incredibly stressful for anyone. It makes you feel vulnerable and can affect your self-esteem. Alopecia is a condition where a person's hair falls out. It might refer to particular kinds of hair loss, like alopecia areata or alopecia universalis. Hair loss may be temporary or permanent. If you are experiencing hair loss, it is important to seek professional help. Let’s dive in deep to know everything about the condition.

Meaning of Alopecia

Alopecia is a condition that causes hair loss. It can occur on the scalp, face, or body. There are several types of alopecia, each with its own cause. The most common form of alopecia is male pattern baldness, which affects men of all ages. Alopecia can be temporary or permanent. It can be caused by a variety of factors, including medical conditions, medications, genetics, and stress. The cause of alopecia is unknown, but it is believed to be related to a combination of genetic and hormonal factors.

Who can get Alopecia Areata?

Alopecia Areata is a type of hair loss that can occur in both men and women of any age. It is characterized by the sudden onset of patchy hair loss, which can occur on the scalp, face, or other parts of the body. Although the exact cause of alopecia areata is unknown, it is believed to be an autoimmune disorder in which the body's immune system attacks the hair follicles. There is no cure for alopecia areata, but treatments are available that can help to improve the appearance of the hair.

Types of Alopecia

Hair loss can also be caused by a variety of lifestyle and health factors that can affect your hair's overall health. This blog will discuss the various types of alopecia that can cause hair loss, how these conditions are diagnosed, and the different types of hair loss treatments available.

Alopecia Areata Totalis

Alopecia areata totalis is a type of alopecia that results in the complete loss of hair on the scalp. This condition can be devastating for those affected, as it can cause a great deal of psychological distress.

There is no known cure for alopecia areata totalis, but there are treatments that can help to improve the condition.

Alopecia Areata Universalis

Alopecia areata universalis is a type of alopecia that affects the entire body. This condition can cause complete baldness, as well as loss of eyebrows, eyelashes, and body hair. Alopecia areata Universalis is thought to be an autoimmune disorder, where the body's immune system attacks the hair follicles.

Diffuse Alopecia Areata

There are many different types of alopecia, but one of the most common is diffuse alopecia areata.

This type of hair loss can affect both men and women of all ages, and it typically results in patchy hair loss on the scalp. In some cases, the hair loss may be more extensive, and it can even lead to thinning.

Diffuse alopecia areata is thought to be caused by an autoimmune reaction, where the body's immune system mistakenly attacks the hair follicles.

Ophiasis Alopecia Areata

This type of alopecia is characterized by hair loss that typically occurs in a banded pattern, with bald patches appearing in a wave-like pattern along the sides and back of the head. Ophiasis alopecia areata can be difficult to treat, and there is no cure. However, some treatments may help to improve the appearance of the hair and prevent further hair loss. If you think you may have any alopecia symptoms, it is important to see a doctor or dermatologist for a diagnosis and to discuss your treatment options.

Symptoms of Alopecia

There are a few distinct types of alopecia, each with different symptoms. The most common type is androgenic alopecia, which is also known as male pattern baldness. This type of alopecia is characterized by a receding hairline and thinning hair on the crown of the head. Other symptoms may include a diffuse loss of hair on the scalp or complete baldness.

It is characterized by the patchy hair loss on the scalp. This type of alopecia can affect people of any age but is most common in those between the ages of 20 and 30. Other symptoms may include itching or burning of the scalp and hair loss in other parts of the body.

Scarring alopecia is a less common type of alopecia but can be more severe. This type of alopecia is characterized by permanent hair loss due to damage to the hair follicles. Scarring alopecia can be caused by a variety of factors, including certain autoimmune diseases, chemotherapy, and radiation therapy.

Hair Loss

There are many different symptoms of alopecia, and they can vary depending on the type of alopecia.

However, one of the most common symptoms is hair changes. This can include thinning hair, hair loss, and changes in the texture of the hair. In some cases, the hair may become brittle and break easily. In other cases, the hair may become softer and finer. In severe cases of alopecia, all hair on the scalp may be lost.

Nail Changes

Nails may be affected in several ways in people with alopecia. They may become thin and brittle, and the nails may have ridges, pits, or be spoon-shaped. The nails may also separate from the nail bed. In severe cases, the nails may become deformed or completely disappear.

Causes and Complications

Alopecia is a medical condition that can cause hair loss on the scalp and other parts of the body. There are several types of alopecia, each with different causes and risks.

Alopecia areata is thought to be caused by an autoimmune reaction in which the body's immune system mistakenly attacks the hair follicles. This type of alopecia can affect anyone at any age but is most common in people aged 15-29. The exact cause is unknown, but it is believed to be linked to genetic, hormonal, and environmental factors.

Alopecia totalis is a more severe form of alopecia areata, in which all of the hair on the scalp is lost. This form of alopecia is also thought to be caused by an autoimmune reaction, but the exact cause is unknown.

Alopecia Universalis is the most severe form of alopecia, in which all hair on the entire body is lost. This form of alopecia is also thought to be caused by an autoimmune reaction, but the exact cause is unknown.

The risks of alopecia vary depending on the type. Alopecia areata usually only results in hair loss on the scalp but can occasionally lead to more severe forms of alopecia. Alopecia totalis and alopecia universalis can both lead to permanent hair loss. There is no known cure for alopecia, but there are treatments that can help to improve the appearance of the hair.

Diagnostics

There are several distinct types of alopecia, and the diagnostics for each type can vary. However, some general diagnostic criteria are used to identify alopecia. These include a thorough medical history and physical examination, as well as a detailed assessment of the pattern of hair loss. Sometimes, a biopsy of the scalp may also be necessary to rule out other conditions.

Treatment

The pointers ahead cover the treatment of Alopecia and the different alternatives approached by dermatologists.

Topical Immunotherapy

Topical immunotherapy (TI) is a promising treatment option for patients with alopecia. This therapy involves the application of an immunomodulatory agent to the skin, which induces an immune response and helps to promote hair growth. TI is effective in the treatment of both alopecia areata and androgenetic alopecia. In addition, TI is a safe and well-tolerated treatment with few side effects.

Corticosteroids

Corticosteroids are a type of medication that can be used to treat alopecia. They work by suppressing the immune system, which helps to reduce inflammation and prevent further hair loss. Corticosteroids can be taken orally or applied topically to the affected area. While they are effective in treating alopecia, they can also cause several side effects, such as weight gain, acne, and mood swings.

Minoxidil

Minoxidil is a medication that is applied to the scalp and can help to stimulate hair growth. It is available in both a topical solution and foam and is typically used twice a day. It can take several months to see results from minoxidil, but it is generally considered to be safe and effective.

Home Care Treatments

There are no definitive home remedies for alopecia, as the condition can have many different causes. However, some general tips for managing the condition at home include avoiding excessive heat and chemicals on the hair, using gentle products and hairstyles, and protecting the scalp from sun exposure. In addition, scalp massage and certain essential oils may help to stimulate hair growth.

Final Words

Alopecia is not contagious and cannot be passed from person to person. Though some treatments exist, hair loss can be difficult for both the physical and mental health of the person who has it.

We hope that you are now armed with the information you need to tackle this condition and live a full, happy life! If you have any of these symptoms and want to see a specialist, or if you just have additional questions or would like to learn more about this topic, we are just a click away! Contact us at Pine Belt Dermatology.

Treating Acne Vulgaris and the Scars Left Behind

bberendsen@ideazonemarketing.com (Bob Berendsen) — Fri, 01 Jul 2022 10:00:14 GMT

Treating Acne Vulgaris and the Scars Left Behind

Close to 80 percent of people in the US get acne at some point in their life, and it is probably one of the most prevalent skin conditions in the world. Even if you haven't had acne yourself, you surely know someone who has.

But what causes acne, also known as Acne Vulgaris? What are the different types of breakouts you may experience, and how do you manage it to prevent scarring? We'll cover this and more in this article.

Along with a physical effect, acne tends to have a psychological and emotional impact on people. If you are suffering from acne, we have good news for you. Most forms of acne can be managed, treated, and cured with the proper medication and diet.

What is Acne?

Acne occurs when hair follicles on the surface of your skin get blocked by bacteria, dead skin cells, or oil (called sebum). Blocked hair follicles breakout into blemishes in the form of blackheads, whiteheads, pimples, and cysts. These blemishes are called acne.

A common cause of excessive sebum secretion in the body and the breakout of acne is hormones. Hormones are at their peak during puberty, which is why about 85 percent of teenagers are affected by acne.

Although acne is most common in teenagers, it can affect people of any age. The Journal of the American Academy of Dermatology estimates that acne affects about 40 to 50 million individuals in the United States. For some, it is mild and only lasts a few years but for the others, it could persist well into adulthood.

Acne breakouts differ from person to person and generally happen on the face, chest, shoulder, and back. The severity of the breakouts varies from mild blemishes to painful and large cysts.

Getting acne is common and nothing to worry about as long as you take care of your skin, which will help you avoid getting permanent scars. In this article, we will go over skincare routines for acne-prone skin and other information that will help you understand why you get acne and what you can do about it.

Signs That you Have Acne

It is essential that you know what constitutes acne, as other skin conditions like Milia, Periorificial Dermatitis, and certain poxviruses cause blemishes that look like acne. Your dermatologist knows these differences best and will diagnose your skin condition and treat it accordingly. The causes and treatment plans vary for all these diseases.

It's always best to consult a dermatologist if you have persistent skin blemishes. For an initial assessment at home, you can look for the following symptoms that indicate you have acne:

● Acne occurs on the face, chest, upper back, and shoulders.

● Blackheads, whiteheads, and pimples (papules, pustules, nodules, and cysts) are the different types of blemishes you may see.

● Acne is divided into mild, moderate, and severe depending on the volume of skin blemishes. You have mild acne if you have 15 to 20 whiteheads, blackheads, or pimples. Anything between 20 and 100 blemishes is considered moderate acne. People with more than a hundred whiteheads, blackheads, pimples, or many nodules or cysts are said to have severe acne.

The treatment strategies depend on the type of acne you have and the severity.

What Causes Acne?

Acne is caused because of blocked hair follicles. Hair follicles on the surface of your skin get clogged by bacteria, dead skin cells, or sebaceous oil, resulting in acne.

The most common cause of acne is oil (sebum), which is produced in excess during puberty because of the increase in a hormone called androgen. When a person goes through puberty, this spike in androgen causes the sebaceous glands to produce more sebum (an oily substance). This oil tends to rise through the hair follicles and escape from the pores on the skin. In some cases, sebum clogs the pores, resulting in acne.

Similarly, bacteria and dead skin cells also cause acne. The body tends to flush out bacteria and dead skin cells through the pores on the skin. In some cases, the bacteria and dead skin cells clog the pores (or sometimes the pores on your skin are already blocked by sebum, thus keeping the bacteria and dead skin cells trapped in), resulting in acne.

Some other causes of acne can be rooted in endocrine issues like PCOD (Polycystic Ovarian Disorder), thyroid, and Cushing Syndrome. Changes in hormones during pregnancy, reactions to some medications, certain lotions, cleansers, or cosmetics, reactions to certain clothing materials, and high levels of humidity that increases sweat and oil on the skin are also causes for acne in some individuals.

Although this is a rarity, the use of occlusive wear like bras with underwires, backpacks, headbands, and shoulder pads can cause acne due to the friction and the pressure exerted against the pores.

Because of such a wide range of causes, acne is not specific to teenagers undergoing puberty (although this is the largest demographic of people who get acne). People can have acne that continues into adulthood or even begin getting acne in adulthood. In any case, acne can mostly be treated, controlled, and cured.

Diagnosing Acne Vulgaris

In most cases, you will be able to identify if you have acne yourself. However, like we previously mentioned, other skin conditions can also mimic acne. Therefore, it's always best to visit a dermatologist to get a thorough diagnosis.

You will get most topical and systemic acne medications over the counter, but it's always best to first consult a dermatologist. Medication should always be taken under the supervision of a licensed medical practitioner.

A dermatologist will check the blemishes on your skin and other factors like the level of oiliness of your skin and then prescribe the proper medication and doses for your specific needs.

Treating Acne

Acne can be treated through topical and systemic medication (taken orally). Your doctor or dermatologist will prescribe one or the other (or a combination of both) depending on the type and severity of your acne. Most topical medication for acne is available over the counter in the form of gels, creams, and washes.

The purpose of medication is to reduce sebum production, inflammation, bacterial counts, and comedone (acne lesion) formation. Acne medication is often prescribed in cycles, where you apply the topical cream/gel or consume the systemic drug for weeks or months and then stop for a prolonged period before resuming medication again. Your dermatologist will prescribe one or a combination of the following based an assessment of your skin condition.

Topical Medication

Topical medical includes creams, gels, and washes applied directly to the skin, over the affected area. These medications may contain benzoyl peroxide, retinoids, antibiotics, salicylic acid, or antimicrobials.

Topical medications alleviate acne by reducing inflammation and unclogging pores and preventing further clogging of pores. People with mild acne are often prescribed topical medication.

Systemic Drugs

Systemic agents are taken orally and are prescribed to treat moderate to severe acne. Dermatologists and doctors prescribe oral antibiotics (often with a combination of topical medication) to treat moderate acne. In the case of severe acne or for patients who do not respond to other medication, isotretinoin is prescribed.

Treatment for Scars

A dermatologist will suggest peeling agents like salicylic acid, glycolic acid, sulfur, and resorcinol for people who have scarring because of acne. These agents peel off thin layers of your skin's top layer, which lightens or eliminates the scars left behind by acne.

Personal Hygiene

Regardless of what treatment you are undergoing, you should clean the affected areas at least twice a day. You can use antibacterial soaps or scrubs, but commercial products claiming to cure acne may not be the best idea. Keeping the area clean by washing with water also helps, as the pores get unclogged.

Why Treating Acne and Scars is Important

Acne, in all forms, does not just have a physical effect but also an emotional impact on people. People who are conscious that they have acne tend to withdraw into themselves and avoid going out in public. Scars left behind by acne have a similar psychological effect. Acne and scars can be emotional stressors for a lot of people.

Although acne isn't dangerous and is severe and painful in only a few cases, it should be treated on time, and carefully. At Pine Belt, we educate patients about the time it takes to completely get rid of acne and the importance of adhering to the treatment program consistently. It is imperative that patients have realistic expectations from the medication being prescribed.

In some cases, it may be beneficial to provide supportive counseling and drugs to help the patient cope with acne's emotional and psychological effects.

If you have acne, do not stress about it. Almost everyone gets acne, and it is easily treatable.

Summing It Up

If you would like more information or a medical opinion on your acne or any other dermatological issue, head over to Pine Belt Dermatology . We have clinics in Petal, Hattiesburg, Ellisville, and Biloxi, and we also conduct online consultations. Contact us today for more information and expert help.

What Is Hyperpigmentation and How Can It Be Treated?

bberendsen@ideazonemarketing.com (Bob Berendsen) — Wed, 29 Jun 2022 17:58:42 GMT

What Is Hyperpigmentation and How Can It Be Treated?

Hyperpigmentation is when skin parts become darker in color than the surrounding areas, leading to an uneven skin tone. It could look like dark spots, freckles, or patches of darker skin that could range from light brown to dark brown or even black.

Even though it is usually harmless, hyperpigmentation can still make you feel uncomfortable and affect your self-confidence. It is precisely the case when it is present in more visible areas like the face and neck and is more pronounced in its appearance. Read on to understand why hyperpigmentation happens and the treatments that are most suitable for you.

What Is Hyperpigmentation?

Hyperpigmentation is when your skin develops dark spots or patches that are darker than the surrounding skin. It happens because your skin produces excess melanin, the pigment that gives skin its color.

Hyperpigmentation is quite common and usually harmless. Sun exposure is a major cause of hyperpigmentation. Your skin produces more melanin in response to increased sun exposure, resulting in darkening or discoloration of the skin. However, sun exposure is not the only reason for hyperpigmentation. Factors like inflammation and hormonal changes can also cause it. That's why it's essential to understand the different kinds of hyperpigmentation, the causes of each, and the treatment options available.

What Are the Different Types of Hyperpigmentation?

Hyperpigmentation occurs in different forms, based on what is causing it.

1. Melasma

Melasma is a form of hyperpigmentation that causes brown or gray skin patches to appear on the face. It can sometimes appear on other parts of the body that are exposed to the sun like the neck and arms. It is usually caused by sun exposure. It can also happen because of changes in hormonal levels during pregnancy and hormonal imbalances caused by certain medical conditions. There may also be a genetic tendency towards developing melasma.

2. Sunspots

Sunspots develop over time due to repeated sun exposure and a combination of sun damage and the aging of the skin. They are also called age spots or liver spots, or solar lentigines. They are flat, light brown, or dark spots. Sunspots develop as the skin produces increased melanin levels to protect itself from the damaging UV rays of the sun.

3. Skin Damage or Post-Inflammatory Hyperpigmentation

This happens when the skin has been damaged or injured and produces an inflammatory response that triggers more melanin production. The inflammation could be caused by acne, a cut, or even a skin condition like eczema. It is essential to discover the cause of the inflammation so that the right treatment can be determined.

What Causes Hyperpigmentation?

The leading cause of hyperpigmentation is increased melanin production by the skin cells called melanocytes. This can happen for multiple reasons. These include:

● Hormonal changes caused by pregnancy

● Medications like chemotherapy drugs, antibiotics, and antidepressants

● Excessive sun exposure

● Thyroid disorders

● Adrenal disorders such as Addison’s disease, when the body doesn’t make sufficient amounts of a hormone called cortisol

Certain factors can make you more prone to hyperpigmentation such as:

● Darker skin (due to higher amounts of melanin)

● Drugs that increase your skin’s sensitivity to sunlight

● Genetics, such as a family tendency to have freckles

● Consuming oral contraceptives, which affect your hormone levels

How Do You Prevent Hyperpigmentation?

There are some simple measures you can take to reduce and prevent hyperpigmentation.

● Avoid excessive sun exposure

● Use an effective sunscreen (at least SPF 15+)

● Avoid medications that could cause it (check with your physician if you can switch to alternative medications)

● Take care of your skin to avoid acne breakouts

● Avoid picking acne, scratching, or irritating your skin

How Is Hyperpigmentation Treated?

There are medical and clinical treatments that can reduce or remove the appearance of dark patches on your skin.

1. Topical Creams

The most common treatments for hyperpigmentation are creams or ointments that you apply to your skin. They are usually the first step of treatment. These topical creams contain agents that lighten the appearance of dark patches.

Hydroquinone

Hydroquinone is a skin-lightening agent that reduces melanin. It slows the production of melanin, so that dark patches and spots fade over time to match the color of the surrounding skin. While low-strength hydroquinone creams are easily accessible over the counter, you must keep a prescription in order to buy higher-strength hydroquinone products designed for hyperpigmentation and melasma.

Corticosteroids

Corticosteroids suppress the skin’s inflammation response and prevent the increase in melanin that comes with it.

Azelaic Acid

Azelaic acid acts as an exfoliant that helps reduce and prevent acne. It also helps remove old and dead skin cells, which reduces the appearance of discoloration over time.

Kojic Acid

Kojic acid is a naturally occurring ingredient that inhibits melanin production and acts as a skin lightener.

Vitamin C, Vitamin A, and Vitamin B3

Vitamin C or ascorbic acid is an antioxidant that treats hyperpigmentation caused by sun damage and reduces melanin production.

Vitamin A derivatives like retinol are called retinoids and are known for their anti-aging properties. Tretinoin is a retinoid that reduces inflammation and can reduce the appearance of darkened skin by speeding up skin cell turnover. This allows healthy cells to replace damaged cells. It also strengthens the skin by stimulating collagen production and removing debris from pores. It also has the additional benefit of helping prevent acne breakouts. Tretinoin is often used along with hydroquinone for best results.

Vitamin B3 in niacinamide helps even out the skin tone and reduces discolorations caused by sun damage. It also unclogs pores, which helps avoid acne.

2. Cosmetic Procedures

Topical treatments can take a while to show results. If your skin does not seem to be responding to topical treatments, you may want to see a dermatologist to get a professional treatment done. This would be a cosmetic procedure performed at a dermatology clinic. Cosmetic procedures are often recommended along with topical therapy for better and quicker results. Keep reading to learn about the different kinds of cosmetic procedures.

Chemical Peels

Chemical peels exfoliate multiple layers of your skin to stimulate the growth of smooth skin with a more even tone. A dermatologist will apply a chemical solution to your skin, which will remove old and dead skin cells. This helps in eliminating the effects of hyperpigmentation. Chemical peels use acidic ingredients like glycolic acid and salicylic acid to remove the topmost layers of the skin. This peels away the dark patches and allows new skin cells to replace them.

Laser Treatments

In this treatment, a dermatologist will zap the patches of darkened skin with a high-energy light beam. Laser treatment can be used to target the top layers of the skin. It can also be used to penetrate deeper into your skin tissues if necessary. You can usually see results within a few sittings.

The benefit of laser therapy is that it is a more precise and targeted procedure than chemical peels. It is also a suitable option for severe hyperpigmentation, which requires deeper skin treatment. You can check with your dermatologist to ensure that laser therapy is ideal for your skin.

Microdermabrasion

Microdermabrasion is a treatment that uses an abrasive to exfoliate skin cells and smooth the outer layer of skin. The abrasive is applied with a hand-held device rolled on the skin to remove the top layer of the darkened skin.

This procedure exfoliates the pores of your skin. It can also help increase the penetration of topical treatment.

The benefit of this treatment is that it offers a less invasive alternative to the other kinds of medicines as it works more at the surface level of the skin. The results may be milder and not as pronounced as laser treatment or chemical peels. However, multiple rounds of treatment will show beneficial effects.

Summing It Up

Different factors can cause hyperpigmentation. Topical treatments can take a while to show results. Even if your skin responds to the topical creams, you still need to address what is causing the hyperpigmentation in the first place. Otherwise, it can continue to occur. That's why it's a good idea to see a skin specialist who can help you get to the bottom of it. Once you understand what could be causing it, you can look at ways to prevent it. You can also look at treatments that will reduce the appearance of the darkened skin or remove it altogether. A dermatologist will also be able to suggest a customized combination of treatments that will work best together to show a visible difference in your skin.

Final Words

To learn more about your hyperpigmentation and the best treatment options for you, head over to Pine Belt Dermatology , MS. Our team of skin specialists is committed to offering the best dermatology services and cosmetic treatments to meet your needs. They will take you through all the treatment options and help you discover the best-suited treatment for your skin concerns. Contact us for an appointment at any of our dermatology clinics in Mississippi.

Mohs Surgery- Purpose, Procedure & Recovery

bberendsen@ideazonemarketing.com (Bob Berendsen) — Wed, 01 Jun 2022 17:55:07 GMT

Mohs Surgery- Purpose, Procedure & Recovery

Mohs surgery, also termed Mohs micrographic surgery, is an accurate surgical procedure for skin cancer treatment. It involves a layer-by-layer excision of skin affected by cancer cells. The repeated excision of tissues continues until healthy and cancer-free cells are found. The procedure targets only the cancer tissues, ensuring that the adjacent healthy tissues and vital organs are secure.

The Mohs technique retains the highest volume of healthy skin compared to any other skin cancer treatment. It also promises the highest success rates in skin cancer treatments. The surgery is named after Dr. Frederick Mohs, who developed the procedure. This article explains the most critical aspects of the Mohs surgery procedure and the recovery process to guide and empower patients considering this treatment option.

What is Mohs Surgery?

Mohs Surgery is a minimally invasive surgical treatment modality for skin cancer. It is effective in eliminating both primary and rare skin cancers by excising the cancer tissues. They are simultaneously examined under the microscope until they confirm a cancer-free tissue.

It is a unique technique as it helps the surgeon rule out any cancer cells during the surgery. It may not be practical in other forms of cancer. Moreover, the procedure targets only the cancer cells ensuring that the adjacent vital organs are intact.

Why Is Mohs Surgery Preferred for Skin Cancer?

Mohs surgery is the most effective treatment of choice for skin cancer. It has the highest cure rates of around 98–99% and offers the best cure for basal and squamous cell carcinomas compared to conventional treatments. It is implemented in melanoma and other skin cancer as well. One of its best features is that it excises only the affected tissue, securing the adjacent healthy tissues.

Other treatments may remove or injure the adjacent healthy skin tissue. Furthermore, there can be a relapse or re-growth of the tumor. Additionally, it examines the cells microscopically and eliminates the cancer cells from the grass-root level.

The surgical incision is minimal, which helps limit the scarring and thus takes care of aesthetics. Furthermore, this surgery requires only a single session. In contrast, other procedures resort to multiple surgeries to cure cancer, if not eliminated in the initial surgery itself.

Who Are the Potential Candidates for Mohs Surgery?

Mohs surgery is the treatment of choice for basal cell and squamous cell carcinomas. They are the most common skin cancer. Nonetheless, it is indicated for melanoma and other skin cancers as well. However, Mohs surgery is recommended for those cancer sites which are aesthetically crucial due to its minimal incision.

Mohs surgery is performed for those individuals diagnosed with skin cancers with the following features:

● Aggressive skin cancers

● Adjacent to aesthetically and vital areas -eyelids, ears, lips, nose, and likewise

● High risk of relapse or recurrence

● Skin cancer that has recurred

● Cancer is located mainly in the head and neck region, genitals, feet, hands, and likewise

● Large or aggressive cancer

● Size around 2 cm and beyond

● Cancer with undefined borders

● If previous cancer treatments have failed

Preparation for the Surgery or the Preoperative Phase

The preparation for the surgery involves your physical examination, medical history, and details of any ongoing medications. You can openly discuss your expectations, risks, and post-operative results with your surgeon. However, you may need to take specific necessary measures to avoid complications during and after surgery. The preoperative preparation includes:

Cessation of Certain Medications

You may have to discontinue anticoagulant or blood-thinning medicines. It includes aspirin, warfarin, etcetera. It may cause profuse bleeding during and after surgery.

Cessation of Alcohol and Smoking

Refrain from alcohol, smoking, or other tobacco products two weeks before and after surgery. They are likely to increase the chances of bleeding. Moreover, alcohol and tobacco delay healing significantly.

The Procedure for Mohs Surgery

Mohs surgery is an outpatient surgery. That means you don’t need a hospital stay after the procedure. You are free to return home within a few hours of surgery. The duration of the surgery depends on the extent to which the cancer cells are eliminated. However, each phase of the procedure may take around one hour. It involves the excision of the skin layer, the preparation of the tissue, and then examination under a microscope. It takes a minimum of 2 rounds usually. Nonetheless, it may take more depending on the size of the tumor. More extensive or deep tumors take more time.

The surgery begins with the surgeon outlining and cleaning the surgical site. Then, administration of local anesthesia numbs the area where the surgery is performed. It ensures that you are free of any discomfort or uneasiness during the procedure. However, you will remain awake throughout.

Your surgeon accesses the cancer site and excises the cancer growth and an adjacent tissue layer.

The tissue is examined under the microscope for cancer cells. If there are any cancer cells in the tissue, another layer of tissue will be removed and inspected. This process continues until a layer with no cancer cells is found. Once the surgery is completed, a pressure dressing is applied to the wound between the layers. The wound is sutured usually with an absorbable suture. A skin flap or skin graft may be used in the case of more extensive wounds.

Results and Recovery

The results of the Mohs surgery will be visible immediately after the surgery. You may encounter mild pain and swelling after the surgery. However, it is normal and regresses within a day or two. Complete recovery usually takes 2–3 weeks. Certain factors like smoking and diabetes may delay healing. It also depends on your wound care and how well you follow post-operative guidelines.

Post Operative Care

Post-operative guidelines will be prescribed post-surgery. It may be different for every individual. Nonetheless, strict and non-negotiable adherence to wound care is necessary. It ensures a smooth and speedy recovery. Moreover, it also determines the aesthetic and therapeutic outcome of Mohs surgery. Here are a few of the general wound care guidelines.

● The pressure dressing is administered to help close the wound better is to be retained for 24 hours or as advised by your surgeon.

● Use the prescribed antibiotic solution or topical applicant as advised.

● Avoid sun exposure to prevent pigmentation or scarring.

● Avoid cosmetics or any chemicals on the surgical site until complete recovery.

● Silicone gel may be advised post suture removal. It limits the scar tissue growth largely.

● Administration of painkillers and antibiotics to ease pain and expedite healing.

● Avoid strenuous activities and workouts until recovery or consent from your doctor. It reduces the risk of post-operative infection or bleeding.

● Restriction on mobility depends on the size and location of the wound.

● Clean the wound gently as instructed.

● A healthy, nutritious, and well-balanced diet.

● Follow up visits accordingly to assess and ensure a smooth and steady recovery.

Are There Any Possible Risks of Mohs Surgery?

Mohs surgery is a minimally invasive, safe, and effective surgical approach for skin cancer. Nonetheless, every surgery has its risks. However, such possibilities are limited if performed by an experienced and qualified dermatologist . The risks include:

● Bleeding

● Discoloration of the overlying skin

● Pain

● Swelling

● Scarring

● Nerve injury

● Relapse of cancer

● Further additional surgery

Conclusion

Mohs surgery is one of the least invasive surgical procedures to treat skin cancer and is therefore a preferred choice of treatment for various types of skin cancer. It ensures the removal of the cancer tissues and retains healthy tissues. The procedure imparts immediate results after the surgery. Mohs skin cancer surgery has the best cure rates with aesthetic results owing to several factors. The success of the surgery largely depends on the dermatologist’s expertise and your strict adherence to the post-operative wound care guidelines.

The recovery process is smooth and safe. However, it is different for every individual as it depends on various factors like the size and severity of the cancer and the number of layers eliminated. Moreover, your age, medical history, or associated diseases may influence the recovery phase. Your overall health and post-operative care adherence also play vital roles in the healing process.

Are You Apprehensive about the Treatment of Skin Cancer?

If you have any questions about skin cancer or Mohs surgery, you can reach out to Pine Belt Dermatology . We have a team of experienced and qualified dermatologists trained in Mohs surgery and other treatments. We will walk you through every phase of Mohs surgery with ease. Our excellence in treating ailments of the skin with state-of-the-art infrastructure combined with our expertise ensures the best experience across every stage of treatment. You can rest assured that the sophisticated technique creates inconspicuous scarring only. We assure utmost precision in post-operative results, while paying a lot of attention to your aesthetics.

Pine Belt Dermatology is committed to delivering superior treatment and patient care.

If you’d like to know more, feel free to reach out to us .

5 Things to Know About Psoriasis

bberendsen@ideazonemarketing.com (Bob Berendsen) — Wed, 04 May 2022 21:10:31 GMT

Our skin is the largest organ in our body. The skin is the most sensitive and vital part of our body, but can often be the most neglected one. The skin not only acts as a barrier against mechanical and physical injuries but also protects against harmful ultraviolet radiations and helps regulate body temperature.

By paying attention to the skin's needs and taking care of it by hydrating and moisturizing it regularly, one can avoid skin diseases like psoriasis.

Psoriasis is painful and takes a toll on physical as well as mental health, as people may find it embarrassing and limit themselves from doing various activities involving skin exposure.

What is Psoriasis?

Psoriasis is a chronic skin disorder in which skin cells multiply rapidly, forming red and white patches on the skin. Usually, new skin cells grow and replace the old outer layers which are shed naturally every four weeks. However, that is not the case with psoriasis.

In psoriatic skin, new cells rapidly move to the skin's surface, forming plaques that mostly appear on the hands, knees, elbows, scalp, feet, and lower back. Fingernails and toenails are also affected by psoriasis, causing pitting and discoloration of nails. This disease is not limited to just adults; teens can also suffer from this skin disorder. Although psoriasis occurs due to a combination of external factors and predisposed genes, flare-ups can be controlled and managed with continuous treatment and proper medication.

Causes of Psoriasis

Psoriasis occurs if the immune system overreacts.
At times, it is hereditary and runs in the family.
Extreme cold climate, stress, anxiety, infection, or side effects of certain medicines can cause inflammation and result in the skin acting up.

The symptoms of psoriasis can vary from person to person. The skin might get red and inflame suddenly, and the rashes could also disappear without treatment. No particular test is needed to diagnose psoriasis. Dermatologists can easily diagnose it by looking at the patch-like plaques on the skin, nails, or scalp.

How is Psoriasis Treated?

The best way to treat psoriasis is to follow a set skincare routine.

If the psoriasis is mild, keep the skin moist and hydrated by using lotions and creams which contain mild ingredients like aloe vera which calm and soothe the skin.
Short exposure to sunlight can be beneficial. However, overexposure can affect the skin and lead to skin cancer.
If psoriasis is difficult to treat, it is best to consult a dermatologist and take medicines.
Psoriasis treatment may continue for a lifetime. Try a combination of skin products, medicines, and UV light exposure treatments to know what works best for your skin.
Stress, anxiety, alcohol, and smoking can result in the rashes flaring up and worsening of symptoms. It is best to stay away from these substances and keep a check on mental health to prevent flare-ups.

5 Things to Know About Psoriasis

Psoriasis Is an Inflammatory Skin Disorder That Can Affect Adults and Teens and Opens Doors to Several Other Diseases

It is a myth that psoriasis only affects adults. It is quite common among teenagers. It starts as a skin irritation where the skin becomes red and itchy, and then develops rashes. It soon progresses into forming scales or plaques on all body parts, including the scalp, elbows, and knees. A dermatologist can easily diagnose psoriasis by looking at the skin. Further, conducting a skin biopsy or going through family history to see if this skin condition is hereditary can confirm the diagnosis.

Psoriasis Is Very Different from Eczema

Psoriasis and atopic dermatitis (eczema) are different and should not be confused as the same. Sharper rash borders and thicker scaling are what distinguish psoriasis from atopic dermatitis. Atopic dermatitis is very itchy, not quite well defined, and is present all over the body, especially in the folds of arms and legs.

Psoriasis Isn’t Contagious

Psoriasis shatters a person’s confidence and self-esteem. People tend to corner and keep a safe distance from patients suffering from psoriasis. However, it is not contagious, i.e., it does not spread if you come in contact with a patient with psoriasis. It is non-infectious and most of the time hereditary.

The Cause of Psoriasis Is Still Not Known, But Research Is in Progress

The research on the root cause of psoriasis is ongoing. There is yet a lot more to be discovered about this disease.

Through research, the inflammatory pathways involved in psoriasis have been found and several factors like medication, neglecting the skin, infection, and stress have been identified as potential causes for flare-ups.

Psoriasis Treatments Have Improved by Leaps and Bounds in the Last Decade

Based on the condition of psoriasis, the treatment is defined. If the rashes are not that severe, the treatment is mild. But if the plaques cover more than 10-30% of the total body surface, dermatologists usually recommend a systemic treatment of oral and injectable medication.

How is Psoriasis a Gateway Illness?

Psoriasis is an autoimmune condition. It causes the white blood cells to become overactive and produce chemicals that trigger the skin, resulting in red and white patches. The skin is not the only organ that it affects. It also causes:

Heart Disease

Psoriatic patients are up to 3 times more likely to have heart problems than the average person. This is because psoriasis causes inflammation of blood vessels, which often leads to atherosclerosis, a condition that refers to the building up of a fatty substance called plaque on the inner side of the artery walls. This plaque interrupts the free flow of blood, thus resulting in heart disease that could even lead to heart attacks!

Another common observance is that some medications prescribed for psoriasis may cause irregular cholesterol levels, leading to thickened arteries that again contribute to heart disease.

Psoriatic Arthritis

Even mild psoriasis can lead to significant arthritis, referred to as Psoriatic Arthritis. It often causes morning stiffness, alongside occasional flare-ups that can sometimes require treatment, but usually subside on their own. Symptoms of this condition include joint pain, stiffness, and swelling.

Pulmonary Problems

Psoriatic patients are at a high risk of developing various lung disorders such as Chronic Obstructive Pulmonary Disease (COPD), Pulmonary Sarcoidosis, and Interstitial Lung Disease (ILD). Watch out for symptoms like shortness of breath, chest pains, chronic cough and mucous production, and wheezing.

Cancer

Scientists have discovered that individuals with psoriasis are more likely to develop cancers of the colon, larynx, kidney, liver, esophagus, and pancreas. They are also at a higher risk of developing non-Hodgkin’s lymphoma and oral cancer.

Metabolic Irregularities

Research has confirmed that there is a link between various metabolic issues and psoriasis. People with damaging lifestyle habits such as excessive alcohol consumption, smoking, obesity, etc. are also at a higher risk in this category.

Key Takeaways

Psoriasis is a chronic disease, the cure for which is yet to be found.
The skin’s nutrition and protection must not be taken lightly.
New skin cells multiply very quickly in psoriasis and form red and white patches on the skin.
Psoriasis can be genetic. One can be affected by the disease if it runs in the family.
Inflammation can be caused by extremely cold or hot climates, stress, anxiety, infection, or side effects of certain medicines.
Psoriasis is an inflammatory skin disorder that leads to several other diseases.
Psoriasis is neither infectious nor contagious.
Psoriasis causes thicker scaling of the skin and is quite different from Eczema.
Research to understand the cause and cure of the disease is still incomplete.
Overexposure to the sun can damage and scar the skin, leading to other incurable diseases.
Psoriasis is a gateway illness that can put an individual at risk for various other conditions.

If you are at risk of psoriasis or are experiencing any of the symptoms associated with it, please speak to a dermatologist today!

Mustardé flap for Primary Nasal Sidewall Defect Post-Mohs Micrographic Surgery

bberendsen@ideazonemarketing.com (Bob Berendsen) — Tue, 26 Apr 2022 16:58:31 GMT

Mustardé flap for primary nasal sidewall defect post-Mohs micrographic surgery

Sunny B. Patel, OMS-IV, Benjamin R. Buttars, OMS-IV, David B. Roy, DO

Hattiesburg, Mississippi and Dothan, Alabama

Introduction

Keratinocyte carcinoma occurs commonly on the face, owing to repeated exposure to ultraviolet radiation. 1 Mohs micrographic surgery is the gold standard for treating these cutaneous tumors. 2 This procedure provides margin clearance while preserving the surrounding tissue. However, large defects, especially those involving nasal tissue, can pose challenges for repair.

During repair, maintaining anatomic integrity for function and cosmesis is critical. Several techniques, including partial primary closure with secondary intention, full-thickness grafting, and flaps to achieve surgical repair, have been used to close sidewall defects. In nasal defects that are greater than 2 cm in size, surgeons typically avoid primary partial closure with an area left to heal by secondary intention due to increased challenges in healing. 3 These defects often require grafts or flaps for repair. Although grafting can be used, it is associated with the risk of indentation as well as changes in tissue texture and pigmentation depending on the harvesting site. 3 , 4 Flap repairs have the structural benefits of grafts while preserving the vascular supply, texture, and color of the original tissue. Additionally, flaps have the added benefit of redistributing tension lines around defects. 5 A postoperative retrospective study showed that flap repair resulted in greater patient satisfaction, better tissue coordination, improved skin color, and shorter lengths of hospital stays when compared to grafting. 3

Among the standard flaps used to treat large nasal defects, the paramedian forehead flap may be considered the “primary workhorse,” though other options exist. 4 The Mustardé flap, a large, rotational flap, was initially designed to repair the lower eyelids, the cheeks, and even the nasal ala. By dispersing tension planes, it decreases the risk of ectropion, or eye sagging. 5 It begins with an incision superior to the lateral edge of the primary defect, extending along the lower eyelid to the lateral canthus, followed by an incision superior-lateral to the temple region. A combination of undermining and suturing is performed to advance the tissue and close the defect. 5 The literature shows no instance in which this large transposition has been utilized to cover a defect upon the nasal sidewall. This case series illustrates 3 patients who underwent Mohs micrographic surgery for cutaneous skin lesions and were left with substantial defects on the nasal sidewall or dorsum. Mustardé flaps were advanced to repair the primary defects and preserve the functionality and aesthetics of their noses.

Case series

Three patient cases were reviewed retrospectively. All 3 patients gave informed consent to be included in this case series. Each case involved a primary defect extending to the nasal sidewall, nasal dorsum, or both.

Case 1

A 72-year-old woman presented with a basosquamous carcinoma located on the left nasal sidewall, measuring 1 cm × 1.5 cm. Three stages of Mohs micrographic surgery were required to clear the tumor. The final defect size measured 1.7 cm × 2.5 cm and involved the muscular fascia. A secondary, nodular basal cell carcinoma measuring 0.8 cm × 1.2 cm was noted and treated at the time of surgery. This lesion was cleared following 2 stages of surgery to the level of the deep subcutaneous tissue and had a final defect size of 1.2 cm × 1.7 cm. The final defects involved the left nasal sidewall, medial cheek, and left infraorbital cheek ( Fig 1 , A).

Case 2

A 78-year-old woman presented with an infiltrative basal cell carcinoma located on the left nasal sidewall/medial cheek. The preoperative lesion measured 1.2 cm × 1.9 cm. Clearance was obtained after 4 stages, leaving a defect to the level of the periosteum, measuring 2.8 cm × 3.1 cm, with the involvement of a small portion of the nasal dorsum, left nasal sidewall, medial cheek, and medial canthus ( Fig 2 , A).

Case 3

A 71-year-old woman presented to the clinic with a recurrent, infiltrative basal cell carcinoma located on left nasal sidewall/alar crease measuring 1.5 cm × 1.4 cm. Clearance was obtained after 4 stages, leaving a 3.2-cm × 2.9-cm defect on the left nasal dorsum, sidewall, and alar groove, with involvement down to the fascia, deep subcutaneous layer, and perichondrium ( Fig 3 , A).

Multiple options for repair, including grafting, partial closure with healing by secondary intention, a paramedian forehead flap, and the use of a Mustardé flap, were discussed with the patients. All patients elected to be repaired by Mustardé flap to avoid any delayed or multiple-stage closures. For each patient, as is common with this flap, the medial aspect of the flap was elevated in the plane of the midsubcutis to match the relative depth of the corresponding defect. However, to ensure perfusion, the lateral aspect of the flap was dissected to the deep subcutis. The superior horizontal incision along the lid margin was extended laterally toward the preauricular area until sufficient tissue was mobilized to cover the defect.

Specific Modifications

A few specific, yet essential, modifications to the original flaps were required. By placing a 4-0 polyglactin suture on the zygomatic arch fascia while the medial portion of the flap was advanced to cover the defect, no tension was placed on the lower lid, decreasing the risk of ectropion. The location of the anchoring suture along the arch was selected based on the ability of the medial flap to lie “loosely” upon the lower eyelid and defect. For the remaining subcutaneous sutures (also 4-0 polyglactin), it was important that the tension vector was directed from the preauricular area to the mandibular cheek area, preventing excess tension on the medial aspect of the defect and the eyelid ( Fig 4 , B).

For all patients, 5-0 nylon epidermal sutures were placed ( Figs 1 , B, 2 , B, and 3 , B). The patients were followed up for suture removal at 1 week and re-evaluated at 8 weeks for healing and cosmesis ( Figs 1 , C, 2 , C, and 3 , C). Immediate complications included bruising and periorbital swelling in all cases. Cases 1 and 3 resolved within 2 weeks, while case 2 resolved in 1 week. The patient in case 1 was taking 75 mg clopidogrel daily, which was not discontinued prior to surgery. All cases were negative for ectropion development at 6, 12, and 18 months. Evaluation using the Patient and Observer Scar Assessment Scale at 6 months yielded a score of 2 for case 1 and scores of 3 for cases 2 and 3. At 12 months, all scored 1 on the Patient and Observer Scar Assessment Scale.

Discussion

Nasal sidewall defects risk compromised function and cosmesis with postsurgical outcomes. There are several ways to reconstruct the surface of the nose. With adjustments, the Mustardé flap can be used for the closure of nasal primary defects. Specific modifications to the flap are essential to avoid ectropion and nasal contortion. In these patients, the most essential step was the proper placement of the anchoring suture along the zygomatic arch to allow for the utilization of tissue. The skin laxity in these patients also allowed for the modification of the flap to stretch and successfully repair the nasal defect. Skin laxity redistributes tension vectors and closes wounds that are not amenable to primary closure alone. 5

The subunits of the nose include the dorsum, tip, columella, paired alae, sidewalls, and soft triangles. The subunit principle proposes the idea that surgically replacing an entire subunit, instead of patching the primary defect, allows scars to be hidden in the contours of the nose and decreases the risk of trapdoor contractions. 6 If a trapdoor contraction does occur, subunit replacement forces the contraction to follow the shape of the nasal tip, dorsum, and ala, decreasing its appearance. 6 The slight manipulation of the Mustardé flap mimics the crease of the ala, successfully concealing incision lines.

Limitations

The Mustardé technique has notable limitations to discuss. One involves vascular integrity. Patients with histories of smoking, scar tissue from previous surgeries or radiation, and other risks of vascular compromise to the area have the potential for decreased blood supply to the new flaps. Therefore, it is important to consider a patient’s history concerning the potential for vascular complications. Cosmetic preferences also influence the choice of repair method. For example, in men with beards, facial hair could move from its usual preauricular location to the cheek region, limiting the Mustardé flap to patients without facial hair. 5 Due to the size of the Mustardé, the risk of ectropion is high; therefore, the specific placement of tracking sutures is essential to redirect tension vectors and avoid the distortion of free margins, most notably on the eyelids and nasal alae. Such challenges may dissuade surgeons who are not familiar with larger facial flaps from choosing the Mustardé flap for nasal repair despite the possibility of excellent outcomes. Physicians should thoroughly discuss all available options that retain the functional operation of the nose while minimizing scarring, ectropion, and surgical dehiscence. Patient comorbidities should also be discussed so that each patient can make an informed decision concerning the approach for nasal reconstruction.

Conclusion

Surgical reconstruction, specifically for large defects on the nose, is challenging. This case series demonstrates the use of the Mustardé flap for achieving positive results in nasal repairs. Historically, the Mustardé flap has been reserved for lower eyelid or cheek primary defect closure after Mohs micrographic surgery. However, this case series demonstrates the successful extension of the Mustardé flap procedure beyond the typical applications to close primary nasal defects. This method illustrates the beneficial aspects of choosing a rotation-advancement flap in terms of redirecting tension to provide functional and aesthetically pleasing outcomes.

Conflicts of interest

None disclosed.

References

1. Badash I, Shauly O, Lui CG, Gould DJ, Patel KM. Nonmelanoma facial skin cancer: a review of diagnostic strategies, surgical treatment, and reconstructive techniques. Clin Med Insights Ear Nose Throat. Published online July 24, 2019. https://doi.org/10.1177/1179550619865278

2. Wong E.Axibal E.Brown M.

Mohs micrographic surgery.

Facial Plast Surg Clin North Am. 2019; 27 : 15-34

https://doi.org/10.1016/j.fsc.2018.08.002

3. Ebrahimi A.Ashayeri M. Rasouli HR

Comparison of local flaps and skin grafts to repair cheek skin defects.

J Cutan Aesthet Surg. 2015; 8 : 92-96

https://doi.org/10.4103/0974-2077.158444

4. Austin G.K.Shockley W.W.

Reconstruction of nasal defects: contemporary approaches.

Curr Opin Otolaryngol Head Neck Surg. 2016; 24 : 453-460

https://doi.org/10.1097/MOO.0000000000000295

5. Prohaska J, Campos MS, Cook C. Rotation flaps. In: StatPearls [Internet]. StatPearls Publishing; 2021. Accessed December 8, 2021. http://www.ncbi.nlm.nih.gov/pubmed/29493993

6. Search FB

Usefulness of the subunit principle in nasal reconstruction.

An Bras Dermatol. 2017; 92 : 159-162

https://doi.org/10.1590/abd1806-4841.20175278

Article Info

Publication History

Published online: March 31, 2022

Footnotes

Funding sources: None.

IRB approval status: Not applicable.

Identification

DOI: https://doi.org/10.1016/j.jdcr.2022.03.014

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Everything You Need to Know about Dermatosis Papulosa Nigra

bberendsen@ideazonemarketing.com (Bob Berendsen) — Mon, 11 Apr 2022 19:34:07 GMT

Dermatosis Papulosa Nigra (DPN) is a non-serious skin condition where small, black or brown colored growths appear on your face, neck, and upper torso. These growths are harmless and quite common among adults with skin of color. However, if these spots cause frequent irritation or itchiness, or you don’t like the look of them, you can undergo treatment to have them removed.

Keep reading to know more about Dermatosis Papulosa Nigra and its causes and treatments.

What Is Dermatosis Papulosa Nigra (DPN)?

Dermatosis Papulosa Nigra (DPN) is a skin condition where small, dark, or skin-colored bumps appear on your face, neck, and upper torso. Some people with Dermatosis Papulosa Nigra only develop a few isolated spots on their skin, while others have spots covering large patches of skin.

What Does DPN Look Like?

The bumps caused by DPN are usually black or brown and can be mistaken for moles. These spots are smooth and round, and some of them typically lie flat against your skin, while others may hang off the skin. The small flaps of skin attached to them are called peduncles. They range from 1-5 millimeters in diameter and 1-3 millimeters in height.

Is Dermatosis Papulosa Nigra Harmful?

DPN is a harmless skin condition, and it doesn’t cause any scaling, ulcerations, or crusting. The existence of these spots is not a cause for medical concern. However, they can cause itchiness and irritation and be a sore, unflattering sight. Most people choose to treat their Dermatosis Papulosa Nigra for these reasons.

When Does Dermatosis Papulosa Nigra Form?

These spots usually start appearing during adolescence as freckle-like bumps. They are smooth in the beginning and gradually grow rougher with time. As you grow older, the bumps might increase in size and number.

Who Does Dermatosis Papulosa Nigra Affect?

DPN tends to more commonly occur in people with skin of color or in people who fit into the Fitzpatrick skin phototypes III to VI. It primarily affects people with dark skin, including Africans, dark-skinned Asians, and Polynesians.

Up to 35% of the Black-Americans are afflicted with Dermatosis Papulosa Nigra. However, it has a lower frequency of occurrence among African-Americans with a fairer complexion. Women are more likely to be affected by this condition than men.

DPN and Seborrheic Keratoses

Dermatosis Papulosa Nigra is considered to be a common variant of seborrheic keratoses (SKs).

Seborrheic keratoses are noncancerous skin growths that are usually brown, black, or light tan. As you grow older, they appear gradually on your back, neck, shoulders, chest, and face. These lesions look scaly or waxy and are usually raised from your skin. Since they’re not cosmetically appealing and can cause skin irritations, some people decide to have them removed using various treatments.

While seborrheic keratoses aren't cancerous or contagious, it’s advisable to consult with your doctor about them. The root cause for this condition is unclear, but it can likely be inherited. And if you have one seborrheic keratosis, you might develop others in the future. So to ensure your long-term health and well-being, it’s wise to talk to your doctor about these skin growths.

What Causes Dermatosis Papulosa Nigra?

Healthcare professionals do not know the exact cause of Dermatosis Papulosa Nigra.

However, many believe that there is a connection between DPN development and UV exposure. This theory is supported by the fact that most of the DPN bumps appear on an individual’s head, neck, and upper torso, which are the body parts most exposed to sunlight. People who live in sun-exposed regions of the world are also more likely to develop DPN than people who live in cooler climates.

Dermatosis Papulosa Nigra could also be genetically inherited. 40% to 50% of patients with DPN have family members who have also been afflicted with it. The use of skin lightening creams can also cause DPN. This is because skin lightening creams lead to a loss of protective skin pigment, which in turn reduces UV protection.

How is Dermatosis Papulosa Nigra Diagnosed?

Dermatosis Papulosa Nigra can be clinically diagnosed. Dermatologists can easily recognize the skin condition based on the appearance and distribution of the spots.

Apart from that, a dermoscopy can be used to distinguish it from other pigmented lesions on your skin. Dermoscopy is a cost-effective and non-invasive treatment to help find DPN spots. In 59% of DPN cases, the growths appear as fissures in a cerebriform (brain-like) pattern.

If your doctor suspects that a particular skin growth could be cancerous, they would perform a skin biopsy. For this procedure, a small skin sample is collected from the affected area and studied under a microscope to confirm the diagnosis. However, dermatologists rarely need to perform a biopsy to diagnose DPN.

How Is Dermatosis Papulosa Nigra Treated?

Dermatosis Papulosa Nigra isn’t a dangerous skin condition and so doesn’t require treatment. But the condition can worsen with age and as the number and size of spots begin to grow, it can be difficult to manage them. So some patients prefer to have the bumps removed, especially when they become too itchy. Some others choose to remove them because they don’t like their look.

There are two broad categories of treatment for DPN—surgery and laser treatments. Both types of treatments have varying degrees of success. Before undergoing treatment, talk to a trusted healthcare professional about a treatment option that is best suited to you. Carefully consider the expectations and outcomes of the treatment before making your choice.

Surgical Removal

Some cases of DPN can be removed surgically. They are performed by applying topical anesthesia over the affected area. Some surgical treatment options to remove DPN are:

Cryotherapy: This treatment uses liquid nitrogen to freeze off the bumps. Cryotherapy is the most efficient and affordable surgical treatment option available.
Curettage: In this procedure, your bumps are scraped off your skin using a small, scooping surgical instrument.
Electrocautery: This involves burning away the bumps using a small probe with an electric current.

Laser Treatments

Several types of laser therapies can be used to remove DPN growths. These therapies use different frequencies and levels of light to effectively remove bumps on your skin. Here are some laser treatment options for you to consider:

Carbon-dioxide Laser: According to a 2016 study, carbon-dioxide laser therapy is a safe and effective option to remove DPN growths. It also has a low chance of recurrence.
KTP Laser: This method of treatment uses a potassium titanyl phosphate (KTP) crystal along with an Nd:YAG laser.
PDL Laser: The pulse dye laser is also a safe and effective treatment to remove DPN growths. However, to ensure optimal results, you will have to undergo multiple sessions of therapy.

Which Treatment Option to Choose?

While you’re considering treatment options it’s important to remember that you’re at a higher risk of developing pigmentation defects and scarring following the treatment. Your skin may look scarred and blotchy after treatment and can be just as aesthetically undesirable as DPN growths. So talk to your doctor and pick a treatment option that will result in the least scarring.

Since most DPN treatments are performed for cosmetic reasons, they aren’t covered by your insurance plan. This means that they’re an out-of-pocket medical expense that you need to bear. The cost of the treatment will also vary depending on the size of the affected areas and the type of treatment. Choose a treatment plan that will ensure effective results while fitting into your budget.

Sometimes, your doctor might prefer to treat different cases with different treatments. They might resort to one type of treatment for a patient with many growths and another type of treatment for someone with very few spots. So depending on the scale of your treatment, your doctor might recommend a particular type of treatment.

Discuss your options with a qualified healthcare professional and make an informed decision that is beneficial for your long-term health.

When to See a Doctor

Dermatosis Papulosa Nigra is a noncancerous growth on your skin. However, if you’re unsure about whether a lesion is a DPN growth, consult a dermatologist. DPN growths do not usually cause any pain or discomfort. However, they can grow irritated and itchy if they’re constantly rubbing against harsh clothing. In such cases too, it is advisable to consult your doctor to learn the best course of action going forward.

If you’ve been considering having your lesions removed for cosmetic reasons, talk to a dermatologist about the treatment options best suited to you.

If you’re looking for an expert healthcare provider to help remove your DPN growths, get in touch with us at Pine Belt Dermatology , MS. Our team of specialists is dedicated to offering the best dermatology and cosmetic services to fulfill all your needs. We will run you through the benefits and drawbacks of every available treatment option and help you discover the treatment best suited to your goals. To contact us, check out our locations , or request an appointment today !

What Are Razor Bumps & How to Treat Them | Pinebelt Derm

bberendsen@ideazonemarketing.com (Bob Berendsen) — Thu, 03 Mar 2022 20:19:24 GMT

Have you ever shaved your skin and expected it to feel soft and smooth, but instead got hit with bumps, and then ingrown hair? If you have, then you know the pain of razor bumps, also called pseudofolliculitis barbae (PFB), shaving bumps, barber’s itch, or folliculitis barbae traumatica.

While razor bumps can be incredibly inconvenient and just plain annoying, that’s not all they are. If your razor bumps are left untreated, they can cause permanent damage to your skin. Fortunately, there are several treatment options available that you can try.

Keep reading to learn everything you need to know about pseudofolliculitis barbae, and how to prevent or treat them.

What Is Pseudofolliculitis Barbae?

Pseudofolliculitis barbae is a chronic irritation or inflammation of the hair follicles and the surrounding skin. This can be caused by two reasons—the hairs penetrate the skin before leaving the hair follicle, or leave the follicle and then curve back into the skin.

Instead of growing straight out from the follicle, the hair grows at an angle. This causes it to meet resistance from dead skin cells at the pore opening, which causes it to curl back inside, causing painful and inflamed bumps.

PFB appears similar to folliculitis (inflammation of hair follicles due to inflammation) but is not caused by infection. Typically, it is seen on the face and neck of men who shave, but it can affect men and women of all ethnicities in any body part. Areas of the body with thick, coarse hair and areas that are often subject to hair removal methods like shaving, waxing, and tweezing are more likely to experience razor bumps.

Pseudofolliculitis barbae is most commonly due to shaving—particularly close shaving since the hair can easily retract beneath the surface of the skin. It is most common around the beard and neck, hence the term “barbae” (barba is the Latin word for beard). It can also occur in areas where there are skin folds or scars.

Since it can be caused by several factors, there is no particular cure. However, it can be prevented, managed, and treated in many ways.

The Link between Pseudofolliculitis Barbae and Dark Skin

Although anyone can get razor bumps, it is more common in individuals with tightly curled or coiled hair since curly hair is much more likely to turn back on itself and become ingrown.

Studies show that 45% to 95% of African American men will experience pseudofolliculitis barbae at some point in their lives. Hispanic, Asian, and Middle Eastern people also present higher chances of experiencing PFB, especially for those with hirsutism and who regularly shave their pubic area.

Symptoms of Pseudofolliculitis Barbae

The most common symptom of pseudofolliculitis barbae, or razor bumps, is in the name itself—bumps on the skin. These bumps are usually red, irritated, and can resemble acne. It can also present as ingrown hairs associated with small flesh-colored or red follicular papules .

Other symptoms include:

● Itching.

● Pain.

● Pustules .

● Post-inflammatory hyperpigmentation (darkening of the skin).

● Scarring (including keloid scarring ).

In some cases, pseudofolliculitis barbae can result in folliculitis, if the hair follicles get too irritated or inflamed. It can also be further aggravated if the individual suffers from any coexisting eczema or dermatitis .

Where Can You Get Pseudofolliculitis Barbae?

You can get pseudofolliculitis barbae anywhere that you shave, wax, tweeze, or even chemically depilate hair (in some cases). However, PFB occurs much more commonly from shaving.

Razor bumps are usually present in the following areas:

● Face (particularly the skin under the jawline, neck, and lower cheeks).

● Underarms.

● Legs.

● Groin.

How to Prevent Razor Bumps

The most effective method would be to let the hair grow, but that’s not always possible. However, there are steps you can take to prevent or minimize your chances of getting razor bumps:

● Moisten your skin with a warm, wet washcloth before you shave to help open the pores and soften the hair.

● Use a non-irritating shaving gel or cream.

● Always shave in the direction of hair growth, not against.

● Avoid shaving too close to the skin.

● Use an electric razor.

● Don’t stretch the skin while shaving.

● Avoid shaving over the same area multiple times.

● Don’t press the razor too hard into the skin.

● Replace your razor frequently.

● Try not to shave daily. Instead, shave every other day or less.

● Use a moisturizing cream regularly, and exfoliate to keep your follicle openings clear.

How to Treat Razor Bumps

Pseudofolliculitis barbae is a chronic condition, but some treatments can help reduce its effects. While preventive measures are the best way, with appropriate grooming techniques and different treatment options, PFB can be managed.

Since PFB is caused by the inflammatory response of the body to a foreign object (ingrown hair), the first step should be aimed at that. In other words, people with PFB should stop shaving the affected area for a minimum of 4 weeks to allow the ingrown hairs to break through the epidermal cover and reach the surface. Additionally, most PFB papules and pustules were found to disappear after one month of continuous hair growth.

At-Home Treatment

Some natural remedies can be useful when it comes to managing the symptoms and spread of pseudofolliculitis barbae. These include:

Aloe Vera

Aloe vera is known to soothe burns and heal wounds thanks to its antibacterial properties . It is also moisturizing and anti-inflammatory, allowing it to reduce itchiness, swelling, and redness.

2. Tea Tree Oil

Similar to aloe vera, tea tree oil also has antibacterial and anti-inflammatory properties. It is commonly used to treat skin conditions like eczema, itchy skin, inflammation, acne, psoriasis, and more.

However, remember to dilute the tea tree oil instead of directly applying it to the skin. Direct application can sometimes result in irritation or an allergic rash, so dilute the oil with a carrier oil first.

3. Exfoliation

Exfoliating the affected area can help you remove any dead skin cells that may be clogging up pores. Both store-bought exfoliators and homemade exfoliators can be used for this purpose. Gently rub the exfoliator over the affected area in a circular motion for a few minutes before rinsing.

4. Chemical Depilatories

Chemical depilatories don’t cause as many issues as when compared to manual razors, and so can be a preferable choice for those who prefer a closer shave. Chemical depilatories can be quite strong depending on the brand and the type, so ensure to read the product instructions carefully to avoid any irritation or burns.

Medical Treatment

Some pharmacological drugs or lotions can help minimize the symptoms of PFB.

Antibiotics

Although the initial development of PFB doesn’t involve bacteria, continued irritation and inflammation can lead to a secondary infection. In this case, prescribed antibiotics or antibacterial lotions can be used to treat the affected area.

2. Corticosteroids

Corticosteroids are a common treatment for skin irritation and inflammation—both characteristic of PFB. Most steroid treatments for PFB include a topical steroid cream that is applied daily.

3. Benzoyl Peroxide

Benzoyl peroxide has antibacterial effects and also helps reduce inflammation and hyperkeratosis (thickening of the skin’s outer layer). It is used both alone and in combination with topical corticosteroids or retinoids to reduce PFB.

Surgical Treatment

Surgical options for PFB can be an effective option for some people. These include:

Chemical Peels

Chemical peels with a high concentration of glycolic or salicylic acid can be beneficial in the treatment of PFB. Both of these agents are highly effective exfoliants and can help the hair grow straighter, reducing the potential for ingrown hairs.

2. Laser Therapy

Laser hair removal involves removing the hair follicle to stop new hairs from growing and is the closest thing to a cure that currently exists for PFB. Different laser epilation systems can be used for different skin types, but laser therapy can typically take several treatment sessions.

3. Electrolysis

This is another hair removal technique that is usually done by a dermatologist. It works by inserting an epilator device into the skin that uses shortwave radio frequencies to make existing hair fall out and stop new hair from growing.

Complications from Pseudofolliculitis Barbae

PFB is not life-threatening but can result in more and more complications the longer it’s left untreated. When treated early, most of these serious complications can be avoided. The most severe complications include hypertrophic scarring, postinflammatory hyperpigmentation (PIH), and keloid formation that results in cosmetic disfigurement.

When You Should See a Dermatologist

If you find that you have recurring bumps, it’s definitely time to visit a dermatologist. Since PFB can closely resemble tinea barbae (a fungal infection of the hair), it’s important to consult a professional to ensure that you receive the right treatment. In addition, leaving PFB untreated can lead to further complications or permanent scarring of the skin.

Pseudofolliculitis barbae can be difficult to deal with, and if left untreated, can result in several complications that can reduce your quality of life. At Pine Belt Dermatology , MS, we’re dedicated to offering the best dermatology and cosmetic services to fulfill all your needs. To get in touch, check out our locations , or request an appointment today.

A Case Report on Bilateral superiorly based malar transposition flaps for nasal tip reconstruction

bberendsen@ideazonemarketing.com (Bob Berendsen) — Thu, 24 Feb 2022 16:08:24 GMT

Dr. Roy has published in the sage open medical case reports a case report of bilateral superiorly based malar transposition flaps for nasal tip reconstruction. Click the button below to download the article!

Case Series of Perioral Dermatitis | Dr. Roy, Pinebelt Derm, MS

bberendsen@ideazonemarketing.com (Bob Berendsen) — Thu, 24 Feb 2022 15:54:21 GMT

Dr. Roy has published in the journal of clinical and aesthetic dermatology a case series of perioral dermatitis caused by improper use of activated oxygen. Click the button below to download the article!

Laser Hair Removal: Benefits, Side Effects, Results | Pinebelt Derm, MS

bberendsen@ideazonemarketing.com (Bob Berendsen) — Wed, 19 Jan 2022 17:40:11 GMT

From waxing and shaving to depilatory creams, we dedicate a significant amount of our time to removing unwanted body hair. According to a survey, women shave 7,718.4 times and spend about $10,000 on hair removal products throughout their lifetime.

If you’re tired of spending so much time and money on removing body hair, laser hair removal might make a good alternative. Not only is it the most effective long-term solution to excessive body hair, but it also helps you save more time and money in the long run.

To find out if laser hair removal is the right option for you, read on to learn more about the procedure, its benefits, disadvantages, side effects, and more.

What Is Laser Hair Removal

Laser hair removal is a non-invasive medical procedure that will help you get to the root of your body hair problem. During this procedure, a laser emits light that is absorbed by the melanin in your hair follicles. This light transforms into heat energy, damaging the roots and preventing further hair growth.

It is important to note that laser hair removal treatment is at its safest and most effective when performed by a board-certified dermatologist . Please be cautious about spas, salons, and other facilities that allow non-medical personnel to carry out the treatment, as this can result in several complications , including permanent scarring.

Advantages of Laser Hair Removal Treatment

Saves Time

This is the fastest way to get rid of unwanted hair. Depending on the treatment area, the procedure time can range from a few minutes to as long as an hour. To put it into perspective, small areas such as the upper lip can be treated in less than a minute, while larger areas like both legs or an average-sized man’s back may take 15 minutes .

Less Painful

Laser hair removal is not as painful as it sounds. Depending on your pain threshold and the area of treatment, you might feel a slight discomfort. Many compare it to a rubber band snapping against your skin. But, as the sessions are quick, most people find it bearable.

The experts at Pine Belt Dermatology use Candela Gentle , which comes with a dynamic cooling device that continuously blasts cold air right where the laser is pointing. This significantly reduces any pain or discomfort you might experience.

More Precise

Laser technology is perfect for people looking to remove small areas of hair because of its incredible precision and ability to target dark, coarse hairs without damaging the surrounding skin. Except for eyelashes, laser hair removal can be performed on any part of the body, including the upper lip, chin, bikini line, and chest.

Long-Lasting Effects

Laser hair removal destroys the hair follicles of actively growing hair . It is difficult for these follicles to regenerate in most body parts, like the underarms, bikini, or lower legs. So most people see permanent, lasting results or at least a significant reduction in hair growth.

The hair follicles need to be in their growing stage to be destroyed entirely—or the hair will continue to grow. So, you might need eight or more sessions to target all the hair follicles while they’re in their growing stage.

Cost-Efficient

Though individual laser treatment sessions are more expensive than individual waxing sessions, they are more cost-effective in the long run. You can save the hundreds of dollars you spend monthly on waxing or razor blade refills.

Benefits of Laser Hair Removal for Your Skin

Avoid Ingrown Hair

Ingrown hair refers to hair that gets trapped under the skin before it leaves the follicle. Sometimes, hairs break off just below the skin when waxing, resulting in ingrown hairs. The more frequently affected areas are the face, neck, armpits, back, chest, and pubic area.

Fortunately, laser hair removal is the best solution. As laser treatment directly targets and destroys the follicle’s ability to grow more hair, it can put a stop to recurring ingrown hair and protect your skin from irritation, pain, infection, and further damage.

Treatment of Vascular Lesions

Non-invasive laser light hair removal treatments like Candela Gentle are also a safe and effective way to treat vascular lesions or spider veins .

Healthier & Softer Skin

Not only does laser hair removal promote healthy cell growth in the treated area, but it also improves the appearance of your skin and makes it more silky smooth. You no longer have to deal with prickly stubbles post hair removal. Even if your hair eventually grows back, it will be thinner, softer, and easier to maintain.

No Scarring

Hair removal methods like threading, waxing, or shaving can be quite painful and even cause scars and bruises. On the other hand, laser hair removal is precise and gets the job done without harming the surrounding skin.

Side Effects

When performed by a board-certified dermatologist, permanent side effects are rare. Some people experience redness, swelling, pigmentation, blistering, and bruising in the treated area—but these side effects don’t last longer than a few days post-treatment.

Redness and Irritation

Your skin might feel tender, and you might even notice a slight swelling after laser hair removal. In most cases, the treated area looks similar to skin that has been waxed or plucked. But, these symptoms are temporary and will subside within a few hours of the treatment.

A cool compress or gel pack can be used to offer additional comfort to your skin post-treatment. You can also take a cold bath to soothe your skin.

Pigmentation

Some people might notice minor color changes in the treated area following laser hair removal. If you have lighter skin, you’re more likely to experience darker pigmentation, and if you have a darker skin tone, you’re more prone to lighter pigmentation.

Fortunately, these changes will fade away with time, and your skin will return to normal.

Skin Infection

The majority of people who choose laser hair removal find it safe and hassle-free. But, as with any other cosmetic hair removal procedure, damaging hair follicles with a laser can increase the risk of infection.

Follow all pre and post-treatment precautions and treat the affected area like it’s sunburned while it heals. If you notice any signs of infection, report to your dermatologist immediately. Don’t use over-the-counter antibiotic cream on the treated area.

Remember, laser hair removal can be dangerous in the hands of an untrained individual. It can even result in burns, blisters, permanent skin color changes, and scars. To reduce infection risk and ensure a smooth procedure, it is advisable to choose a board-certified dermatologist who has experience working with lasers and in-depth knowledge of different skin types.

Side effects can vary with skin type, hair color, treatment plan, and pre and post-treatment care. Talk to your doctor about potential side effects and how to tackle them.

How to Prepare for Laser Hair Removal

Before choosing laser hair removal, it is wise to schedule a consultation with your dermatologist to determine if your hair type and skin color are compatible with laser treatment. You should also discuss risks, benefits, and set realistic expectations of what laser hair removal can do and can’t do for you.

With advancements in laser technology, laser hair removal is now possible for all skin types. However, people with darker skin are more prone to hyperpigmentation. So, it is best to work with a doctor who has more experience performing laser treatment on darker skin tones. Laser treatment also does not work well with blonde, gray, or red hair. This procedure can also stimulate more hair growth for some hair types. But, worry not—your dermatologist will let you know if your hair is not suitable for laser treatment.

Additionally, you must follow your dermatologist’s instructions to prepare your skin for laser hair removal.

1) Avoid sun exposure. Use a broad-spectrum SPF 30 sunscreen whenever you go out.

2) If you have a darker skin tone or a recent tan, your doctor may prescribe a skin bleaching cream.

3) Avoid plucking, waxing, and electrolysis for at least four weeks before the procedure, as they can disturb hair follicles and interfere with the treatment.

4) It is best to avoid blood-thinning medications like aspirin or anti-inflammatory drugs before laser hair removal. Ask your doctor for more information on what medicines you can and can’t take before the procedure.

5) Trim and shave the treatment area before the procedure to minimize skin damage caused by burnt hairs.

Recovery

Though you can immediately return to regular life after a session, it is ideal to follow some precautions to ensure the best results.

1) Avoid going to gyms, saunas, or hot showers for at least 24 hours after treatment.

2) Don’t go out in the sun without broad-spectrum SPF 30 sunscreen.

3) Do not use scrubs, glycolic acid, and retinol creams for two days before and after treatment. Similarly, you should also avoid fake tan and chemical peels for 1-2 weeks after hair removal.

4) Add more face mists and moisturizers to your beauty regime to avoid crusting and dry skin.

If you’re considering laser hair removal treatment, book an appointment at Pine Belt Dermatology . Our experienced dermatologists will run you through the risks and benefits and help you discover if laser treatment is the right option for you.

Pityriasis Rosea & It's Connection To COVID-19 |Pine Belt Derm, MS

bberendsen@ideazonemarketing.com (Bob Berendsen) — Thu, 23 Dec 2021 20:16:03 GMT

What Is Pityriasis Rosea?

Pityriasis rosea is a common skin disease. It appears as a rash that could last between several weeks and several months. The appearance of the rash may vary from person to person. In most cases, it appears during spring and fall and seems to be more prevalent among adolescents and young adults.

It is uncommon for those over 60 years old to develop pityriasis rosea, though it may last months longer when it does occur in this age group. In most cases, this disease does not result in permanent marks. Individuals with darker skin may, however, develop long-lasting flat brown spots.

Appearance

Pityriasis rosea is a relatively mild skin disorder characterized by a salmon or pink-colored, scaly rash with a distinct pattern.

In over 75% of the cases, a single, isolated oval scaly patch appears on the body, usually on the trunk, upper arms, neck, or thighs—this is known as the “herald patch.” Often, herald patches are misdiagnosed as ringworm or eczema.

During the next week or two, more pink patches will appear on the body and the arms and legs. Often, these patches appear in patterns over the back that resemble the outline of an evergreen tree with branches that are dropping. There may also be patches on the neck and, rarely, on the face too. Usually, these spots are smaller than the "herald" patch. After 2–4 weeks, the rash usually heals and is gone by 6–14 weeks.

Signs & Symptoms

In many cases, pityriasis rosea is preceded by vague symptoms similar to those associated with viral upper respiratory infections. These symptoms can include fever, headache, stuffy nose, sore throat, and fatigue. Sometimes there is no prior illness before the rash appears.

At first, the affected individual will develop a 2-to-4-inch sized herald patch. Multiple smaller scaly, pink or red spots will appear over the next few days or weeks. The rash may appear gray, dark brown, or black in individuals with darker skin. In some people, the rash does not itch; in others, it can be extremely itchy (pruritic).

Causes

The cause is currently unknown. So far, we know that it is not caused by a fungus or bacterial infection. It is also not caused by any known type of allergic reaction. Some researchers believe that pityriasis rosea is caused by a viral infection. However, even though the disorder was first described in medical literature in 1860, no infectious pathogen has ever been identified.

Several factors suggest pityriasis rosea is a viral infection—most individuals who develop the rash have vague, nonspecific symptoms before it appears (prodromal illness). After the acute phase, the symptoms do not recur, suggesting the body builds up immunity to the infection; and, because pityriasis rosea has occurred in clusters, it may be caused by a viral illness affecting a community. Although it is believed that pityriasis rosea is caused by a virus, it is not thought to be contagious.

Several researchers have suggested that autoimmune factors may play a role in the development of pityriasis rosea. A person who suffers from autoimmunity has an immune system that attacks healthy tissue for unknown reasons.

Diagnosis

A diagnosis of pityriasis rosea is based on the identification of characteristic symptoms, a detailed patient history, and a thorough clinical examination. Earlier stages of the disorder may require additional procedures such as blood tests or a biopsy to distinguish pityriasis rosea from similar skin conditions. Occasionally, your healthcare provider may perform a skin biopsy or scraping to confirm the diagnosis.

Treatment

For itching, external and internal medications may be used. To treat the rash, Aveeno oatmeal baths, anti-itch medicated lotions, and steroid creams may be prescribed. Lukewarm instead of hot baths may be recommended. Exercise, which could aggravate the rash, should be avoided. The use of ultraviolet light under the supervision of a dermatologist may be helpful.

Recently, both Famciclovir and Erythromycin have claimed to produce healing results within one to two weeks. In severe cases, oral anti-inflammatory medications such as prednisone may be necessary to promote healing. In mild cases, there is no need for treatment since this is a relatively harmless skin condition.

Investigational Therapies

Clinical trials information is available at www.clinicaltrials.gov . Studies with US Government funding, as well as those supported by the private sector, are published on this website.

Some current clinical trials also are posted on this page on the NORD website .

What’s The Link Between COVID-19 and Pityriasis Rosea?

When COVID-19 became a worldwide pandemic, a wide array of skin manifestations were reported, including pityriasis rosea.

There isn't a lot known about pityriasis rosea, so researchers have had difficulty linking it to one particular condition or disease. The most commonly linked disease used to be the herpes virus 6-7 (HHV). During the COVID-19 pandemic, however, its incidence in dermatological clinics and out-of-hospital clinics has more than doubled. Additionally, there have also been cases associated with the COVID-19 disease, presenting as early as the symptoms or together with them. Additionally, cases of this skin condition have been reported in response to vaccinations.

Research is still ongoing, but the link between pityriasis rosea and COVID-19 has been reported in cases where individuals with asymptomatic COVID infections came into the hospital to treat a skin condition, to then be told that they have the respiratory infection as well.

Cases Linked to COVID-19

Case 1

A 26-year-old woman with no previous medical history presented to a dermatology clinic with erythematous scaly annular and oval papules on the trunk in a 'Christmas tree' pattern for 1 week. The eruption was preceded by a herald annular plaque with a scaling collaret on the right thigh of the patient. After 48 hours, the patient developed fever, cough, and myalgia. A PCR test for COVID-19 was performed, and the result was positive.

This case may be linked directly to COVID-19 infection or the reactivation of other viruses (e.g. HHV6, HHV7, and EBV5), as described previously.

Case 2

A 33-year-old female presented to a dermatology clinic with a fever and pruritic skin rash. Upon examination of her skin, a rash of salmon-colored papules and patches, up to 2 cm in diameter, were seen on her chest, back thighs, and upper limbs. Lesions developed ten days before she appeared at the clinic. The symptoms began with an erythematous and scaly annular plaque on the left forearm, followed by a low-grade fever and occasional bouts of gastroenteritis. The oral and ocular mucosae were free of any presentations.

The patient was prescribed a cream by a local pharmacist before attending the clinic. Laboratory investigations showed lymphopenia. A positive nasopharyngeal smear test and chest x-ray were both indicative of COVID-19 infection. As far as she knows, the patient has not been exposed to anyone who has COVID-19, but she works in a traditional market, around hundreds of people, every day.

Cases Linked to COVID-19 Vaccination

Vaccination is one of the cornerstones of the fight against the Coronavirus (COVID-19) pandemic, though some side effects have been reported. Pityriasis rosea is a rare cutaneous complication of vaccination. However, a PR-like eruption is not a reason to avoid subsequent vaccinations.

Case 1 & 2

A 22-year-old woman presented with a 5-day history of asymptomatic skin rash consistent with a pityriasis rosea-like rash on the trunk, proximal extremities, and following the lines of the cleavage. Neither a herald patch nor systemic symptoms were present. The only link was that she was vaccinated seven days beforehand with her second dose of the Pfizer vaccine.

A 54-year-old woman was evaluated with a skin rash one week after her first dose of the Pfizer vaccine, which exacerbated after the second dose. No systemic symptoms were present. The rash consisted of multiple small, scaly oval plaques over the trunk, but also lacked the typical herald patch.

In Summary

Among the skin manifestations of COVID-19 infection, maculopapular rashes account for almost 50% of cases. Recently, Ehsanixi et al. reported on a young, otherwise-healthy man who had a typical PR eruption concurrent with COVID-19 pneumonia. Asymptomatic patients have also developed PR in isolated cases.

Unlike typical PR, drug-induced PR-like eruptions (PR-LE) are generally more itchy, diffuse, and confluent, and may involve the mucous membranes. There is no evidence of prodromal symptoms, and blood or/and dermal eosinophilia may be present, but no signs of HHV-6/7 systemic reactivation. Currently, pityriasis rosea and PR-like eruptions have rarely been observed to develop after vaccinations.

When You Should Come to Pine Belt Dermatology

If you develop symptoms of pityriasis rosea or suspect you may have PR-like symptoms, contact your doctor, or contact Pine Belt Dermatology directly. Our staff of outstanding Mississippi dermatologists offer both a comprehensive assessment and diagnosis of your skin, but also discuss all the treatment options: creams, pills, and phototherapy. Request an appointment today.

Contact your nearest health center for a test if you think you may have COVID before coming into the clinic.

If you would like more information on the scientific articles used to write this article, please take a look at our references section.

Cold Sores vs. Pimples: What's the Difference?

bberendsen@ideazonemarketing.com (Bob Berendsen) — Wed, 24 Nov 2021 06:33:37 GMT

A red bump on your lip line is enough to make even the most stoic person go into panic mode, and Google doesn't provide the most reassuring resource when it comes to figuring out whether it's a pimple or a cold sore. Despite being completely different skin problems, they can initially appear very similar.

Stop scanning Google Images and take a deep breath. This article will help you finally get to the bottom of the cold sore versus pimple debate, plus how to tell which one you have and how to get rid of them both.

What is a Pimple?

It’s time to learn what’s really going on under the surface of your skin. A pimple is caused when bacteria, dead skin cells, and oil are trapped behind the hair follicle, producing an inflammatory response and causing a zit .

The unfortunate truth is that everyone will experience pimples, which can occur anywhere on your body that has hair follicles (that includes the palms of your hands and the bottoms of your feet). And it turns out that the lip area has hair follicles. Stress, sun, and trauma can also cause pimples to appear, but unlike cold sores, they are not caused by viral infections.

What is a Cold Sore?

The virus responsible for cold sores is the herpes simplex virus , which is the same virus that causes genital herpes—and can be caused by HSV-1 (the strain most closely related to cold sores) or HSV-2 (the strain more closely related to genital herpes). The virus typically lays dormant in the underlying nerve, though a flare-up can be triggered by stress, sun, fevers, or other external factors.

HSV is highly contagious, and it's spread through skin-to-skin contact, like kissing or drinking after a person with active lesions, touching the person's skin, or sharing silverware, lip balms, or razors. Despite their stigma, cold sores are in fact quite common. According to the World Health Organization (WHO), an estimated 3.7 billion people under the age of 50 have HSV-1 (around 67% of the global population).

For some, the virus may lay dormant entirely. You may have contracted the virus as a child after sharing a drink with a friend and not even know it. That’s why it’s important to note that some people can be contagious even without an active outbreak—a condition known as “ asymptomatic viral shedding. ” That shouldn’t scare you from kissing your partner or sharing lip gloss with a friend—you may even be the individual with the dormant virus—but it is still important to be cautious nonetheless.

How to Spot a Pimple

A pimple may feel like it's there before it's visible. The area just under the skin may be tender, or you may feel a lump under the skin. Sometimes, pimples appear without warning. You may go to sleep one night and wake up the next with a big zit. A pimple can be distinguished from a cold sore by:

● Can develop anywhere.

It is not uncommon for pimples to develop across the entire face, including the lip line. When pimples appear on the lip's edge, they can easily be misinterpreted as a cold sore, especially when they're in the early stages.

● Looks like a bump.

A pimple forms a red bump, rather than a blister. A whitehead may develop at the peak of the red bump as the pimple progresses. It is still undoubtedly not a blister. The majority of pimples have a single whitehead, but some become so large that they develop multiple heads.

● Not contagious.

Acne cannot be spread from person to person. Cold sores are contagious, but pimples are not. Thus, you can hug and kiss someone with a pimple without getting a pimple yourself.

How to Spot a Cold Sore

You may notice a lot of similarities between cold sores and pimples as they form. People often feel nothing when they form pimples or cold sores, but others may feel tingling during their development. However, the similarities end with their tingling sensation. The bump on your face may be a cold sore include:

● There is a cluster of blisters.

Cold sores form blister clusters. A pimple and a cold sore can be distinguished by their appearance. Cold sores are characterized by tiny, red blisters. When the blisters burst, they can ooze fluid.

● Develop in specific places.

Cold sores typically develop around the lips, nose and nostrils, chin, and (less commonly) eyes. Cold sores commonly appear around the mouth, just below the lip on the chin, or between the mouth and nose. They may also appear directly on the lips. This is a sign that it could be a cold sore, but only your physician can tell you for sure.

● Tingle or burn.

Cold sores tingle or burn. Your skin may itch or tingle in the days or hours before you develop a cold sore. It can, however, become painful as a cold sore grows and might throb or burn.

● Are crusted over.

A cold sore blister crusts over after several days. When a cold sore dries, it may crack and ooze.

● Develop after close contact with someone who has or had HSV-1.

Cold sores are contagious. People spread HSV-1 by kissing, sharing utensils, and drinking from the same cup. While it is more commonly transmitted sexually, HSV-2 is also capable of infecting the face.

How Do You Get Rid of Pimples?

Pimples aren't contagious, so you can't spread them to other people or other parts of your body. You can rest assured that the zit will begin to heal within a few days. The easiest way to get rid of unsightly pimples is to develop a reliable skincare regimen. This regimen could include topical, but it can also mean reducing stress and optimizing your lifestyle habits to prevent acne flare-ups.

Here are some tips to help you battle pimples:

● Do not pick or pop your pimple.

Squeezing or picking at your pimples can make the blemish much more, and can also cause scarring that can follow you into your adult years.

● Use ice on large or painful sections.

Take an ice cube and wrap it in a soft cloth. Hold it over the pimple for several minutes. This can help reduce swelling and ease the pain if you do it a few times per day.

● Apply over-the-counter spot treatments to individual pimples.

In most cases of mild acne, over-the-counter products that contain salicylic acid, benzoyl peroxide, and retinol are sufficient. The products work by killing bacteria, drying excess oil, and shedding dead skin cells by exfoliating.

● Take daily acne treatment medication .

If you have nodular or cystic acne, you may benefit from medication. You have to see a dermatologist to clear up this type of severe acne (moreover, picking or popping nodules and cysts can lead to scars). Effective acne treatments (such as Accutane ) will stop pimples before they form. Using these can help clear your skin long-term.

● Laser Therapy

Pine Belt Dermatology uses a Co2 Fractional Laser against acne scars by using light energy to target water in the tissue.

How Do You Get Rid of Cold Sores?

Perhaps you've tried mostly ineffective, over-the-counter products to treat your cold sore in the past. Unfortunately, there is no one-and-done cure for cold sores. However, there are a few tips you can use to cope with a cold sore and prevent further spreading:

● Avoid touching your cold sore.

Remember that the cold sore virus is contagious. So, touching your sore can spread the virus to other people or other areas of your body without you noticing.

● Don’t pop your cold sore.

It won’t help the sore heal any faster, and can actually make the breakout worse.

● Apply a cold compress and take an oral pain reliever.

The majority of cold sores will heal by themselves. But it usually takes up to two weeks. Treatments such as Abreva, and applying a cold compress can help reduce this healing time.

● Use prescription medication.

To cope with cold sore outbreaks, your healthcare provider may prescribe medications. Antiviral medications must be taken at the very start of a breakout to be effective. They can reduce severity and healing time significantly.

● Keep moisturized.

If you have a cold sore that is crusted and dry, you can apply a balm to keep the sore moist. Moisture prevents painful splitting. Balms and salves should be applied with a cotton swab rather than your fingers.

● Avoid contamination.

Keep your product free of contamination by always using a fresh cotton swab (don't double-dip). To avoid contaminating the balm and prolonging the problem, always wash your hands before touching it again.

The Bottom Line

There are some similarities between painful pimples and cold sores—both can lead to low self-esteem, and both can be painful. But in terms of treatment, they require totally different approaches; that's why it's so important to recognize which flare you really have. If you're still not convinced, consult your dermatologist—especially if it's spreading or doesn't seem to be improving. Pimples and cold sores don't have to be so frightening; with the right treatments, you'll have clear skin in no time.

And if nothing you’re doing at home is making a difference, contact the experts at Pine Belt Dermatology to discuss your skincare options. No matter what problems you’re having, with a little TLC, you’ll be left feeling like yourself again.

Infiltrative Basal Cell Carcinoma, Case of the Month, November 2021

bberendsen@ideazonemarketing.com (Bob Berendsen) — Fri, 05 Nov 2021 13:34:33 GMT

Infiltrative Basal Cell Carcinoma

An 82 year-old male patient was referred to our office for evaluation of a biopsy proven infiltrative basal cell carcinoma of the nose (Figure 1). The patient stated that the spot had been preset for several months and that it had been enlarging.

After discussing treatment options including Mohs surgery, radiation therapy, and oral targeted therapy, the patient decided that Mohs surgery would be the best option, as he was very active and preferred an effective but fast definitive treatment.

The surgery and microscopic evaluation of the tissue revealed a very large and aggressive tumor that had invaded widely into the nose. The tumor was much larger than it looked and involved a significant portion of the nose (Figure 2). Three stages of tissue were taken in order to clear the tumor.

After discussing several closure options, the patient and I decided upon a full thickness skin graft. This would allow for a single stage procedure, excellent tissue match in terms of skin texture and color, and simplicity for the patient (Figure 3).

At a 3-year follow-up visit, there is no evidence of recurrence, the nose is level and centered and the patient and referring physician are very pleased with the results (Figure 4).

The Difference Between Psoriasis and Eczema

bberendsen@ideazonemarketing.com (Bob Berendsen) — Wed, 20 Oct 2021 20:50:44 GMT

Psoriasis vs Eczema

If you have been diagnosed with either psoriasis or eczema before, you know that it can be an uncomfortable experience, especially if you aren't receiving the proper treatment. However, if you haven't been diagnosed but are experiencing any redness or irritation of your skin, you might be having trouble determining which condition you have and how to treat it.

Psoriasis and eczema have several similarities, but they can also be distinguished by certain signs. Knowing the differences between the two conditions will allow you to narrow down the right treatment plan for you to find relief.

Similarities Between Eczema and Psoriasis

Since they both affect the skin, eczema and psoriasis present themselves very similarly. Both conditions can cause a rash or patches of itchy, red skin. Both conditions can also appear in the same parts of the body, including the hands, arm, and scalp. Because of the many similarities, it can often be hard to tell the two conditions apart.

It is important to be proactive and take care of both conditions, as they have the potential to lead to a secondary infection, especially if the sores open up as a result of scratching. It is also possible to maintain both eczema and psoriasis through general health and wellness. Neither condition is contagious, but it is possible that they are caused by genetics and can run in the family.

Although eczema and psoriasis appear very similar, they are still notably different. Knowing the proper signs of each will allow you to determine which condition you have and how to treat it properly.

Differences Between Eczema and Psoriasis

It can be difficult to tell the difference between psoriasis and eczema, but it is important to be able to distinguish between them, especially for treatment. Both conditions are rather common, especially in the United States. Eczema affects approximately 15 million Americans , while approximately 7.5 million Americans have psoriasis. Although eczema affects a larger group of people, it is still important to learn exactly which condition you may have. To understand each condition completely, it is important to recognize the various distinguishing factors they have.

Each Has Separate Underlying Causes

Psoriasis and eczema each have different traits and underlying causes. Psoriasis is caused by an autoimmune disease , which means there is a problem with the body's immune system response. In the case of psoriasis, the immune system is working too hard, and the skin cells are growing too fast. As the skin cells grow and pile up on top of each other, they form a white scale.

The cause of eczema is slightly more unclear. Scientists believe that it could be a combination of both genetic and environmental factors. For some eczema patients, the condition could result from a gene mutation in the protective layer at the top of the skin, leaving the skin more vulnerable to infection or rash. It is also possible that living in a dry climate may make someone more susceptible to eczema.

Both Have Different Levels of Intensity

The two conditions may also demonstrate different levels of intensity for the person experiencing them. Those with psoriasis may experience milder itching or a burning feeling. However, eczema may cause a much harsher sensation of itching. In severe cases of eczema, it is possible for some patients to scratch the skin hard enough to cause bleeding. The severity and subtleties of the sensations you experience may indicate which of the two conditions you may have.

They May Present in Different Parts of the Body

Both skin conditions can present anywhere on the body, but they each have more common areas where they can show up. For example, psoriasis often appears more commonly in areas like the scalp, face, elbows, knees, or buttocks, while eczema more often affects the skin on the inside of the elbows or back of the knees. In addition, although anyone can experience either condition at any age, eczema is more likely to affect children.

Each Has a Different Response to Sunlight

Those with eczema may also have a different experience in the sun and heat compared to those with psoriasis. People with eczema are often more sensitive to heat, as sweat can cause the skin to flare up. On the other hand, individuals with psoriasis can benefit from natural ultraviolet B (UVB) light in sunshine. UVB light helps to slow the abnormal growth of skin cells and is even used in formal medical treatments for psoriasis.

However, as with anything, too much exposure can end up being a bad thing. Spending too much time in the sun can lead to dryness and trigger psoriasis symptoms. Therefore, when spending time in the sun, it is important to do so in moderation and use a healthy amount of sunscreen.

With experience and careful attention to detail, it may be possible to distinguish between the two skin diseases. Even if it is not possible to tell the difference visually, a dermatologist can perform a biopsy to provide more certainty and direct you to specific treatment options. If you believe that you have either psoriasis or eczema and have not yet received a diagnosis, you should consider contacting a dermatologist for proper guidance.

Finding the Proper Treatment Plan

Once you pinpoint which condition you have, you can begin the proper treatment process for relief. Since eczema and psoriasis are both skin conditions, they will have some similarities in how they are treated, but the specific medications and methods will differ. From over-the-counter options to doctor-prescribed medications and treatments, there are multiple treatment options for each condition. Some of these include:

● Topical cream. For both conditions, a topical cream with cortisone can help to reduce inflammation and provide relief. This is most helpful for mild cases. There are a variety of over-the-counter treatments for both psoriasis and eczema.

● Immunosuppressive medications. For more moderate to severe cases, a medication like cyclosporine or methotrexate can help calm your body's immune response.

● Phototherapy or ultraviolet light. Phototherapy, or light therapy, creates UVB light through a machine. UVB light treatment can provide relief for severe psoriasis cases. This is a controlled process carried out under medical supervision, helping to reduce itching and inflammation while increasing your body's ability to fight bacteria.

● Antibiotics. In some cases, specifically for those with eczema, it is possible to experience a secondary infection. A doctor may prescribe a topical or oral antibiotic to fight the infection and relieve inflammation.

● Biologics. Biologics are medications that work to pinpoint the protein that causes your body's inflammatory response. Biologics can be administered through intravenous (IV) infusion or injection.

Although there are many possible treatment options, the best first step is to go directly to a dermatologist to discuss your condition and receive a proper diagnosis. Everyone may react to various treatments differently. Unfortunately, there is no cure for psoriasis and most forms of eczema, but the right treatment will help you manage your symptoms. A dermatologist can provide more effective next steps, especially if you do not see any relief from over-the-counter medication.

General Maintenance and Relief of Symptoms

Regardless of what specific treatment may work best for you, there are some general steps you can regularly take to help relieve symptoms. When dealing with eczema or psoriasis, symptoms are more likely to flare up when the skin is dry. Using a moisturizing cream or ointment can help keep the skin moist and minimize itching.

Although there is no cure for psoriasis and most forms of eczema, taking good care of yourself and regularly consulting with a dermatologist makes it more than possible to limit and manage your symptoms. On top of keeping the skin moisturized, it is also a good idea to drink a lot of water, maintain a healthy diet, limit alcohol intake, and exercise regularly. These steps benefit your overall health and wellness, giving your body the ability to minimize inflammation and combat any potential infection. Taking good care of your body and skin can go a long way toward managing symptoms.

For more information on the difference between psoriasis and eczema, contact Pine Belt Dermatology today. Psoriasis and eczema can each be different for everyone, so it is important to have a treatment plan specifically made for you. If you are experiencing either of these conditions, make an appointment with us to discuss a treatment plan that works best for you. We provide a variety of services , from preventative care to cosmetic services to skin treatment.

We have four locations throughout Mississippi to help serve you; located in Petal, Hattiesburg, Ellisville, and Biloxi. We have helped patients from all over Mississippi get on the road to more comfortable skin, and we can help you do the same. Contact us today to make an appointment.

Lip Licker's Dermatitis | Pinebelt Dermatology, MS

bberendsen@ideazonemarketing.com (Bob Berendsen) — Wed, 29 Sep 2021 20:55:27 GMT

Lip Licker's Dermatitis | Causes, Diagnosis & Treatments

The delicate skin of your lips and the surrounding area can be highly susceptible to a variety of irritants. Cold, dry weather can affect lip skin health as can allergens in the air and certain foods, but one of the most potent irritants to your lips could be coming from your own body in the form of your saliva.

Persistent exposure to the moisture found specifically in your saliva can cause damage to the skin in the form of lip licker’s dermatitis causing localized pain and itching and even potential infections.

Seeking the help of qualified dermatologists at Pine Belt Dermatology in Mississippi is the first step to healing the problem.

Lip Licker’s Dermatitis—What Is It?

Lip licker’s dermatitis, also called lip lick contact cheilitis , looks like a form of eczema on the lips. In this condition, the repeated moistening and drying cycle created by lip licking and your saliva causes the skin to inflame. The tissue on and around the perimeter of the lips becomes red, dry, irritated, inflamed, and cracked. The inflammation brings with it a painful often itching sensation that is exacerbated by more lip licking in an attempt to remedy the discomfort.

In most cases, the chapped, painful area does not extend into the deep corners of the mouth, but it could grow to encompass any area of the lips and surrounding skin that can be touched by the tongue. Although lip licker’s dermatitis is most prevalent in cold winter months, it can be a problem for some individuals year-round depending on the specific cause of the lip licking.

What Are Some Causes of Lip Licker’s Dermatitis?

As illustrated by the condition’s name, the cause of the irritation is the excessive licking of the lips . This habit removes the moisture-protecting oily top layer on the lips. The rapid cycle of wetting and drying eventually causes irritation. However, finding the reason for repeated lip licking can be a bit tricky. Environmental factors come into play as well as behavioral issues, so both should be considered when analyzing the root problem.

If you are prone to having chronically dry lips, that could be the source of your lip licker's dermatitis problem. Whether the dryness is brought on by a physical issue or is a consequence of living and working in a dry or excessively cold environment, those dry lips need moisture. If you don't provide them with hydration or lip balm, lip-licking can become an unconscious habit.

Certain medications may also cause your lips to feel excessively dry and uncomfortable. If you are currently taking any sort of medication, whether the drug is topical or oral, be sure to check the fine print for side effects such as dry lips. If the drug is necessary and there are no alternatives, ensure proper moisturizing for your lips while you are using that medication.

Some types of behavioral issues can lend themselves to persistent lip licking. Nervous habits, physical tics, and other cognitive issues can often manifest themselves in this form of habitual behavior.

Are Some People More Prone to Lip Licker's Dermatitis?

Again, anyone who can lick their lips can develop this skin problem, but some individuals are more prone to developing lip licker's dermatitis than others.

For example, some people who struggle with anxiety may develop certain physical coping mechanisms, such as unconscious lip licking, to deal with anxious feelings. The individual may or may not even be aware of the problem. In these instances, some sort of behavioral intervention may be required to completely remedy the issue.

Also, small children often have difficulty regulating this behavior when they find their lips to be uncomfortable or dry, so the chafing and cracking around their lips can quickly become a persistent problem. Impaired elderly individuals and adults with mental disabilities are also very prone to persistent lip licking and often suffer from some form of rash or dermatitis on the lips.

In a much more specific category, musicians that play wind instruments may be more susceptible to lip licker’s dermatitis than others due to the constant application of moisture to the lips while playing the instrument. Again, getting a solid diagnosis from a quality dermatologist like the ones at Pine Belt Dermatology in Mississippi will be the key to discovering the underlying problems and finding a solution.

Diagnosing Lip Licker’s Dermatitis

A visit to your local dermatologist will help you secure the most accurate diagnosis and help you set a course for better lip health. Your doctor will likely do a basic visual examination of the skin of the lips and the surrounding area first. Most patients who suffer from lip licker’s dermatitis will present with a visible red ring around the mouth area as well as chafed, chapped, and red lips.

Your doctor may also want to ascertain how long the irritation, pain, and redness have been a problem. This includes how often it happens. This could help steer the course of action in determining if the problem is a newer occurrence or more of a chronic issue.

Your doctor may also want to discuss some of your basic lifestyle and hygiene habits to determine if any of those factors play into the problem. They may recommend some outside sources or methods to help you deal with stress and to break any persistent lip-licking habit you may have.

Finally, your doctor will want to rule out any other forms of irritation such as an allergic reaction. Dermatitis caused by various allergies can masquerade as lip licker's dermatitis, so your doctor may feel it necessary to perform some simple skin tests to determine if an allergen is a culprit rather than excessive moisture due to lip licking.

How Is Lip Licker's Dermatitis Treated?

Is lip licker's dermatitis curable? Yes, but the only way to fully resolve it is to minimize the practice throughout the day. This can be accomplished in several ways, and your dermatologist will be able to walk you through several options for reaching your lip health goal.

The simplest step toward healing will be to keep lips moisturized with a lip balm throughout the day to minimize the desire to lick the lips. Petroleum jelly or other basic lip emollient applied at regular intervals can help keep your lips moisturized and protected from irritants such as saliva and environmental factors. Be sure to use a balm with an added sunscreen for extra protection.

In more severe cases, a topical steroid ointment may be necessary to hasten the healing of the lips and the chapped skin surrounding the lips and to reduce painful inflammation. Check with your doctor for prescription-strength options that may be a good fit for you.

Beyond the physical healing elements, your doctor may want to discuss working to resolve any behavioral issues that are contributing to the problem. Persistent lip-licking as a stress reducer or nervous action may require intervention from outside psychological experts and other sources to fully resolve the problem on a more permanent basis. Your doctor should be able to point you in the right direction for this sort of additional assistance.

Additional Conditions That May Look Like Lip Licker's Dermatitis

While lip licker's dermatitis is a common condition and is often easily diagnosed, several other skin issues may masquerade as lip licker's dermatitis. Finding the root cause of the problem and getting an accurate diagnosis will lead to a quicker resolution.

Periorificial dermatitis can sometimes look like lip licker's dermatitis but is often not confined to the mouth area. This condition produces red papules on the lower portion of the face and may be caused by a variety of factors such as nasal spray irritation, fungal infection, bacterial infection, rosacea, and many other irritants.

Allergic contact cheilitis , on the other hand, also occurs on the lips and creates a rash similar to eczema that is often mistaken for lip licker's dermatitis. This sort of reaction can be caused by an allergic reaction to something like toothpaste, certain foods, or medication. Again, your doctor may want to perform a few allergy tests to rule out this possibility of an allergic reaction before starting treatment.

If you know yourself to have a lip-licking habit and are experiencing chapped, chaffed, red and irritated lips, the best way to remedy the situation will be to visit your doctor for a proper diagnosis and to lay out the most effective course of treatment. Our dermatologists at Pine Belt Dermatology in Mississippi are ready to serve you and help you get your skin back to looking and feeling its best. Reach out to us today to set up an appointment.

Skin Cancer - Who is Most at Risk

bberendsen@ideazonemarketing.com (Bob Berendsen) — Mon, 02 Aug 2021 18:20:07 GMT

Who is Most Likely to Get Skin Cancer

Skin cancer affects 5.4 million people every year. There are many different factors that increase the risk of skin cancer and who is the most affected. Read on to learn more about the people who are most at risk of developing skin cancer.

People Who Have Previously Been Diagnosed With Skin Cancer

Those who have already had skin cancer in the past have a higher risk of developing it again. Although research is limited, it may be due to excessive sun exposure. It's important to always wear sunscreen, even while spending time indoors. You can also cover up to block the sun and protect your skin. Choose dark clothing that isn't too loose and is tight on the skin. You can also opt for wearing a large hat that has a wide brim to ensure your face is protected.

It's important to always apply sunscreen year-round and to use a product that has at least SPF 30. Sunscreen needs to be reapplied every two hours, and even more frequently if you're spending time in the water because it's prone to rinsing off easily.

A family history of skin cancer can also make you prone to developing the disease. It's important to be extra cautious if you have a parent or sibling who has had skin cancer in the past. The increased risk may be due to the skin type of the family if they're all fair-skinned. Non-melanoma skin cancer also runs in families due to genes that are inherited. Those who have a parent that has been diagnosed with squamous cell skin cancer are also at a higher risk of developing the same condition at some point during their lives.

It's important to regularly examine your skin and look for any changes in moles that are present. Use mirrors to look at moles or growths that are present on your back, ears, neck, hands, and under your arms. Experts recommend avoiding exposure to artificial UV rays, which means staying away from sunbeds.

People Who Spend a Lot of Time in the Sun

Research shows that most skin cancers are caused by sun exposure. Spending too much time outdoors without any protection significantly increases the risk of developing skin cancer. Those who have a history of getting sunburned are more likely to develop the disease. This includes farmers, construction workers, and even gardeners.

Those who live in high-altitude climates or areas where a lot of sun is always present are also prone to being more at risk of melanoma. The sun is a lot stronger when you live at a higher elevation.

Experts recommend avoiding exposure to the sun in the middle of the day when the UV rays are the strongest. This means staying indoors between the hours of 10 a.m. and 4 p.m. This will make it easier to avoid getting burned while still getting time to spend outside.

Wearing sunglasses any time you're outdoors is a great way of protecting yourself. Look for sunglasses that are made to block UV rays. It's also important to reduce your use of prescription medications that cause you to become more sensitive to the sun.

People Who Have a Lot of Moles

Those who have a lot of moles are also at a higher risk of getting skin cancer because moles can turn into skin cancer. Although most moles don't cause issues, there are atypical moles that can be problematic, especially when they have an unusual color shade or shape. Some moles that are cancerous are larger than most moles and develop after the skin is exposed to the sun. In some cases, they can still develop on areas on the skin that are covered.

Getting routine skin exams is necessary to ensure a dermatologist can monitor the moles and detect any changes that develop. Pictures may be taken to make it easier to determine if and when the moles change.

Skin lesions may also be present and have to be tested to determine if they're pre-cancerous. This increases the risk of skin cancer and is often present on the face. You may notice the growths feel rough and scaly. They can vary in their color shade but are typically light pink or brown. You may also notice them on the hands and head.

People Who Have a Weakened Immune System

Those who have a weakened immune system are more vulnerable to diseases like skin cancer because the body doesn't have as much strength to ward off ailments and diseases. Those who undergo organ transplants receive prescription medications from doctors, which are known to weaken the immune system to ensure the new organ isn't rejected. Some people have an increased risk of developing skin cancer when this occurs. Others who have HIV can also develop melanoma a lot easier than someone who has a stronger immune system.

You'll also put yourself at risk if you have exposure to radiation. Exposure to different types of substances like arsenic can also lead to skin cancer. Too much exposure to different types of toxins can also increase the risk of developing skin cancer, making it necessary to try and eat a clean diet while limiting your use of cleaning products with chemicals and added ingredients.

Understanding who is the most at risk of developing skin cancer can make it a lot easier to learn how to protect yourself and stay healthy as you get older. It can also make it possible to work closely with a dermatologist to ensure you can detect early signs of the disease. If you have questions or concerns, the team at Pine Belt Dermatology is here to help. Visit our website or get in touch with us today.

Hidradenitis Suppurativa | FAQ

bberendsen@ideazonemarketing.com (Bob Berendsen) — Wed, 07 Jul 2021 14:13:16 GMT

Hidradenitis suppurativa is a common skin condition that often goes unrecognized, undiagnosed, and untreated. It affects approximately 1% to 4% of the world’s population, yet we hardly know anything about it. Read on to learn more about its causes, symptoms, and possible treatments.

What Is Hidradenitis Suppurativa?

Hidradenitis suppurativa is a chronic inflammatory skin condition that begins with tiny, pea-sized bumps underneath the skin. The condition is thought to originate due to problems with the immune system. It's caused by a protein imbalance within the immune system and results in inflammation. Too many proteins within sweat glands can produce these bumps in areas where hair grows, where skin rubs together, or where sweat glands are located. Most bumps occur in places that are not easily seen, such as under the breasts, in the armpits, or in the buttocks.

Other areas where they can hide are between the thighs, which often rub together when walking and can be a major cause of skin irritation.

Causes of Hidradenitis Suppurativa

The adrenal glands that produce excess sweat also create the chemical compound known as tumor necrosis factor or TNF-alpha. This compound is an inflammatory agent that contains cytokine, which is produced by the macrophages or monocytes in your system. This type of chemical reaction is common during inflammation and can lead to other chronic skin conditions, such as apoptosis or necrosis. However, both agents are highly effective in the battle against skin cancer and other fatal diseases. The only bad news is that they can be a major source of irritation.

Are There Any Other Symptoms of Hidradenitis Suppurativa?

Hidradenitis suppurativa comes with other symptoms that most of us may not be aware of. You may experience a small area of blackheads, most of which can occur in pairs on a given patch of skin. Sometimes, these abrasions can be irritated and cause a lot of major itching, resulting in the urge to scratch that part of your skin. Scratching is a normal reaction to this condition but is still ill-advised because it will result in bleeding and scar tissue. In this case, seeking quality medical advice from a trusted physician is the best solution.

Another symptom that needs attention is the sudden appearance of tunnels. These happen on or around the area where the skin is most affected by hidradenitis suppurativa. They typically form a vast network that connects those tiny lumps and blackheads. This tunnel can be red in appearance and will emit a pungent odor when scratched or rubbed together against neighboring skin. This is often due to the collection of pus released when the skin breaks or gets irritated. Although this isn't life-threatening, you should still seek medical attention for it. It is highly treatable once it is properly diagnosed.

You should be aware that scratching an affected area can make it more prone to other infections. Germs and other toxic bacteria can enter open wounds and cause certain effects of their own. Extreme caution should be used in guarding against these and other invaders. Plus, if dirt seeps in, you could experience even greater itching due to tenderness. Washing the area with warm water and antibacterial hand soap will greatly reduce the likelihood of further issues.

What Are Some Potential Causes of Hidradenitis Suppurativa?

There is insufficient evidence as to what causes hidradenitis suppurativa. Still, there is one thing for certain: Hidradenitis suppurativa often begins when there are hair follicles that are in the part of your skin where perspiration is trapped. This happens just as the follicles are blocked by excess fluid.

Some hypotheses have developed over the years to explain this phenomenon. One is that genetics are to blame. Another is smoking, which is known to lead to premature aging of the skin and possible dryness. A third guess is hormonal imbalances of your skin's natural chemicals.

Are There Treatment Options Available for Hidradenitis Suppurativa?

Yes, there are treatment options available for those living with hidradenitis suppurativa. Some treatments may require a combination of medications and surgeries that can be used to keep your symptoms under control. Some medications may be taken orally or applied topically right to the affected area. You should do your own research and work with your doctor to determine what's right for you.

Topicals such as antibiotic creams can be used in mild cases of skin rash due to hidradenitis suppurativa. You can seek a doctor's prescription for something that's an anti-inflammatory that also prevents itching and flaking. You can get refills until you and your doctor have determined that the medication is no longer necessary. You may also opt for oral medication if the rash shows no signs of ebbing.

Medication and topical creams are considered two of the safer alternatives to surgery. They're noninvasive, and they pose limited side effects. However, there are extreme cases that only surgery can solve, such as times when the rash has become so severe that old skin may need to be removed.

What Happens After Treatment?

There is no cure for hidradenitis suppurativa, but it is a condition that is easily managed through medical and holistic measures. Good weight management is key to reducing the likelihood that skin folds will develop. Another is to keep the area clean and simply reduce stress in your life. Developing a treatment plan and complying with it is the best way to manage your condition.

Conditions like hidradenitis suppurativa and other visible skin ailments can negatively impact your self-confidence and overall well-being. However, with the right diagnosis and treatment, you can begin your journey towards healthier skin. If you would like to know more about hidradenitis suppurativa or speak to a skilled dermatologist, reach out to Pine Belt Dermatology for expert guidance.

How Cystic Acne is Different from Regular Acne

bberendsen@ideazonemarketing.com (Bob Berendsen) — Tue, 01 Jun 2021 18:25:38 GMT

How Cystic Acne is Different from Regular Acne

Your skin has pores that help your skin to breath and regulate your temperature. At times, different substances can clog these pores. When they become clogged, acne tends to follow.

Acne affects around 50 million Americans every year. This skin condition can affect anyone and can severely hurt your confidence and self-esteem. It is often associated with hormonal changes such as pregnancy, menopause, certain medications, and using particular skin products. You might also get this condition if you wear tight clothing or live in a hot and humid climate.

Acne can affect the face, upper arms, and upper trunk. If you have been living with acne that is affecting your quality of life, it is time to seek treatment. You will likely take the right steps to clear your skin if you can identify the type of acne that is affecting you. There are several different types of acne, with cystic acne and white heads being the most common.

Not sure which kind you may have? Here is the way to tell the difference between regular zits, and pesky cysts.

Cystic Acne and Regular Acne Have Different Causes

Regular acne occurs when the pores on the skin are clogged. Clogging is often associated with the overproduction of sebum by sebaceous glands. Hormonal changes, stress, genetics, or changes in your diet are likely to cause the overproduction of this oil. This oil, together with dead skin cells, mix and get stuck in the pores. If you do not fully remove these cells and oil from your pores, they end up causing regular acne.

On the other hand, cystic acne occurs when regular pimples erupt on the inside of the skin. The erupted pimples form cysts under the skin. As a result, your skin's surface will have hard nodules.

These Two Types of Acne Have Different Characteristics

Regular acne is characterized by small pimples, blackheads, papules, and whiteheads that appear on top of the skin. These skin blemishes are not normally painful, and they disappear in a matter of a few days. If not treated however, they may reappear a few days later.

Cystic acne is characterized by sebaceous cysts that lie under the skin. These cysts are larger than normal papules and pimples, and they are sometimes painful. If not treated, these cysts can remain in the same area for months.

Regular Pimples Have Whiteheads While Sebaceous Cysts Lack Whiteheads

Regular pimples form a whitehead that is attached to the skin surface. On the flip side, sebaceous cysts do not have a whitehead. Therefore, if you try to pop a sebaceous cyst, the substances in the cysts will not come out. Instead, the bacteria inside the cyst will go deeper into your skin.

These Two Types of Acne Are Treated Differently

Dermatologists treat regular acne using practices that unclog your pores . For instance, a dermatologist may tell you to use cleansers, creams, or topical toners on your face when experiencing this type of acne. These products contain salicylic acid, a compound that exfoliates the skin, removing excess oil and dead skin cells from skin pores.

If a bacterial infection causes your regular acne, your dermatologist will advise you to buy a retinoid. The dermatologist might also advise you to buy products with benzoyl peroxide. These products might be topical or oral and will reduce inflammation on your skin. They will also kill the bacteria that is causing your skin troubles.

Cystic acne, on the other hand, is treated using oral antibiotics such as tetracycline . This medication will fight the infections under your skin, reducing the symptoms of this acne. If this medication fails to work, your dermatologist will use Isotretinoin to treat it. This drug is a good medication for cystic acne, but it has side effects . To prevent these side effects, your dermatologist will regularly check in with you. In case of any negative side effects, the dermatologist will meet with you to determine if treatment should be stopped.

If you are a female and all the above drugs fail to work, your doctor may recommend you take anti-androgen medications. These medications will help you if your cystic acne is a result of hormonal imbalance. They will regulate the production of androgen hormone and block the effects of this hormone on sebaceous glands. As a result, your cystic acne will disappear. Your doctor might also use birth control pills to treat your cystic acne.

If all the above treatments do not achieve clear skin, your doctor may opt to drain the cysts through excision. After draining it, they will inject a steroid into the area. The steroid will eliminate the infection in the cysts and make the cysts less painful. You will need to apply antibiotic ointment to the treated area to prevent the formation of scars. Other treatment methods that your doctor might use include laser treatments, chemical peels, and photodynamic therapy.

Acne affects many people, and options are available. If you are dealing with recurring acne that is affecting your quality of life or self-esteem, visit us at Pine Belt Dermatology & Skin Cancer Center to find the right treatment options for you.

Frequently Asked Questions about Squamous Cell Carcinoma

bberendsen@ideazonemarketing.com (Bob Berendsen) — Wed, 05 May 2021 14:12:52 GMT

Frequently Asked Questions about Squamous Cell Carcinoma

Squamous cell carcinoma is a form of skin cancer. It develops in the skin's top layers, usually where the body gets exposed to the sun regularly. Squamous cell carcinoma is the second most common skin cancer.

What Causes This Skin Cancer?

UV rays can damage cellular DNA on the outer layers of skin. Usually, new skin cells replace older, shedding cells, however UV radiation damages this process. Skin cells grow out of control, accumulating into cancerous lesions.

What Are the Signs of This Cancer?

The first sign of squamous cell carcinoma will be a scaly red patch or sore spot. It will be small and won't heal. There are stages as well as symptoms. Science bases the following stages partly on how the cancer metastasized.

Stage 0: Squamous cell carcinoma initially develops in squamous cells located in the top layers of skin. Cancer has yet to spread beyond the epidermis.

Stage 1: At this stage, the cancer's spread deeper in skin layers but hasn't developed in healthy tissue or lymph nodes.

Stage 2: The progression is deeper, but cancer hasn't spread into nodes or tissue. One sign of Stage 2 is a spread to lower skin layers or nerves.

Stage 3: Cancer has spread into lymph nodes.

Stage 4: In the final stage, cancer has now clearly spread into upper skin layers and is visible.

What Are the Symptoms?

● Red, firm nodules on skin

● Flat sores with a layer of scaly crust

● A new raised or sore area on an old ulcer or scar

● A scaly, rough patch that may turn into an open sore

● A rough patch or red sore in your mouth

How Dangerous Is This Cancer?

If it's allowed to spread, squamous cell carcinoma can be deadly. But if caught early, the doctor will be able to remove the cancerous tissue. This is why it's important to take any unusual signs seriously and get checked early.

So, This Cancer Only Happens to Areas Exposed to the Sun?

No. Skin carcinoma can develop in other areas not usually exposed to sunlight. Science has yet to determine why it happens. The phenomenon suggests there are other causes yet to be discovered. But there are suspicions about the following potential factors:

Genetic Predisposition

Cancer-influencers are hereditary. A person can be born with a defective set of these genes and later in life, the defective gene could trigger the development of squamous cell carcinoma.

Environmental Conditions

Toxins can lead to skin damage—a step that can prompt squamous cell carcinoma. This includes chemical burns and pollutants like motor vehicle exhaust, tobacco smoke, and arsenic.

Deficiencies in Immune Systems

The medical community sees immune deficiencies, especially ones created by drugs used after organ transplants, as a contributor.

Another situation linked to this skin cancer is viral infections like the human immunodeficiency virus [HIV] and human papillomavirus [HPV]. They weaken the immune system, making it difficult to control skin cell production.

Will Sunscreen Help?

Sunscreen is important for protecting the skin. It's also important to remember the sun and its ultraviolet potential aren't the only causes of skin cancer.

Does Squamous Cell Carcinoma Spread Quickly?

Squamous cell carcinoma spreads at undermined rates, though it typically happens slowly. If caught early, you can get treated before the disease spreads beyond the upper skin layers.

Who Is More Likely to Get Squamous Cell Carcinoma?

● Persons with a history of blistering sunburns, especially as a child or teenager

● Anyone who regularly uses tanning beds

● Patients with a history of this skin cancer

How Will Doctors Detect Squamous Cell Carcinoma?

Your doctor will excise a small sample of skin—a biopsy—to examine under microscopic conditions.

How Is Squamous Cell Carcinoma Treated?

For treatment, doctors will perform one of the following procedures:

● Use an electric needle to scrape or burn the cancer

● Use surgery to cut the cancerous tissue out

● Use radiation or extreme cold to kill the cancer

● Use chemotherapy

● Use radiation if the cancer is spreading to other body parts

For situations likely to reoccur after successful treatment, a dermatologist may suggest Mohs surgery. Mohs entails a more complex and extensive surgery. This is the option for cancers under the skin, on certain areas of the face or genitals, or tumors larger than four-fifths of an inch.

How Can I Prevent This Form of Cancer?

● Limited exposure to the sun is the best way. Stay in the shade. Avoid the sun during the hottest hours of the day, usually between 10 am and 4 pm.

● Wear long pants, long-sleeved shirts, broad-brimmed hats, and other protective gear

● Limit or eliminate the use of tanning beds or sunbathing

● Apply sunscreen that's no less than 30 SPF. Use it every two hours if you're sweating or swimming

● Monitor your skin and report concerns to your doctor. Examine your trunk, chest, the underside of arms and hands, legs and feet (including soles and between the toes), and around your private areas

When Should I See a Doctor?

You want to consult a clinician if there's a patch of flat scaly skin or a scab or sore that doesn't heal in eight weeks. Dermatologists perform most squamous cell cancer procedures. A surgical oncologist will treat advanced cancers. Have a question or looking for further information? Reach out to us at Pine Belt Dermatology today.

Basosquamous Carcinom, Case of the Month, May 2021

bberendsen@ideazonemarketing.com (Bob Berendsen) — Thu, 22 Apr 2021 18:01:53 GMT

Basosquamous Carcinoma

A 72 year-old female patient was referred to our office for treatment of a basosquamous carcinoma of the left side of her nose (Figure 1). According to the patient, the lesion had been growing for several months and had bled. This type of skin cancer is somewhat of a mix of basal cell carcinoma and squamous cell carcinoma and is typically more aggressive than a standard basal cell carcinoma. Basosquamous carcinomas commonly behave in a manner similar to that of squamous cell carcinomas and can be very aggressive and even metastasize in some cases. Of note is a smaller secondary lesion a short distance away on the cheek of the patient. A biopsy of this lesion on the day of the surgery revealed a nodular basal cell carcinoma. (Figure 1.)

Three stages of Mohs micrographic surgery were required to clear the primary tumor and two stages were required to clear the smaller secondary tumor. The final defects involved a significant portion of the patient’s nose and cheek (Figure 2).

Several closure options were reviewed with the patient. Grafting was discussed, but she and her husband had significant concerns regarding the look of a graft, especially at this location. Ultimately, the patient opted for a rotation flap originating from her left cheek (Mustarde Flap). As we have discussed in a previous blog post, this flap has the advantage of being performed in a single stage while yielding a cosmetically pleasing result. Tissue from the lateral aspect of the left cheek was elevated and moved (rotated) centrally (Figures 3 and 4). This allowed for complete closure of both wounds while keeping the nose level and even and prevented the eyelid from being pulled down. The patient did develop bruising from the procedure due to the use of Plavix and aspirin. These medications were not held for our procedure as it is safer for the patient. At Pine Belt Dermatology, we almost never hold blood thinners prior to procedures. (Figure 3., Figure 4.)

The sutures were removed after one week of healing (Figure 5). The patient was extremely happy with the results and had no complications during the course of her healing.

At a 6 month follow up visit, the surgery has healed completely, there is no evidence of recurrence of either tumor, and the scar is acceptable (Figure 6.). The patient and her husband were very happy with the results.

Wart Treatment and Removal

bberendsen@ideazonemarketing.com (Bob Berendsen) — Mon, 05 Apr 2021 18:32:23 GMT

What to Know About Wart Treatment and Removal

A wart refers to a tiny growth—often with a rough texture, resembling cauliflower—appearing on any part of the body. Warts may have different appearances based on your skin’s thickness and the location of the wart on your body.

Plantar warts will affect your feet, while palmar warts occur on your hands. Other types of warts include pigmented, flat, and common warts.

Studies reveal that a third of teenagers and children have warts. For adults, this estimation lowers to about 3-5%. The low incidence of warts in adults could be a result of a more robust immune system. Individuals with compromised immune systems are the most affected with warts.

Without medical intervention, some warts may disappear after one to five years. However, it would be best to seek medical assistance for numerous and more prominent warts. Read on to learn more about wart treatment and removal.

Causes of Warts

The human papillomavirus causes rapid and excessive keratin growth. Different HPV strains are associated with different warts, and warts may be transmitted from one person to the other through close skin contact or through sharing shoes or towels.

Diagnosis of Common Warts

In most instances, our physicians will diagnose common warts through the following techniques:

Visual examination of the wart.
A biopsy may be taken. The sample will be sent to the laboratory for further analysis.
Scraping off the surface of the wart to check for pinpoint dots.

Treatment of Warts

Warts tend to disappear faster in children, with an estimate of 50% disappearing after one year and 70% disappearing after two years. However, not all warts disappear on their own. Immediate medical attention may be necessary for bothersome or visually concerning warts. Our physicians are ready to assist with treatment—and we’ll also help you take steps to boost your immune system to further fight the papillomavirus and prevent additional warts in the future.

The treatment duration may range from weeks to months based on a patient's condition. We provide individualized therapy that meets every client's needs. Note that there is a possibility of wart re-occurrence and spread even with medical intervention. The physicians begin the therapy with less painful methods, especially when managing kids.

Based on your preferences, symptoms, and location of the wart, the physician may recommend the following treatment types.

Cryotherapy

In cryotherapy, the physician will spray nitrogen on warts to destroy the cells. A blister will develop, and after a week, it will scab and fall off. Cryotherapy requires professional assistance and our medical team is here to help. More prominent warts may require the use of local anesthetics and numerous sessions of cryotherapy.

Over-the-counter cryotherapy treatments are available from pharmacies. These products use propane or dimethyl ether to facilitate self-administration and treatment, and they are less effective than professional cryotherapy. Take care not to use these products for warts appearing on the face or other sensitive areas.

Salicylic Acid

Most OTC products such as paints, gels, and creams contain salicylic acid as a method of treating the wart. It's necessary to protect the skin surrounding the affected area before applying medications because salicylic acid can interfere with healthy skin. Application of corn plaster or petroleum jelly to the area surrounding the wart will prevent damage. The following tips may enhance salicylic acid treatment:

Soak the wart in warm water for five minutes.
Exfoliate any dead tissue from the wart’s surface using an emery board. Do not reuse this emery board for other purposes!

The application of salicylic acid should be daily, and the duration of therapy is about three months. If your skin gets sore, promptly inform your physician for termination of the medication.

When cryotherapy and salicylic acid are ineffective, the physician may prefer using trichloroacetic acid. In this technique, the doctor will shave the wart's surface before applying the acid using wooden toothpicks. For effective treatment, the physician needs to repeat the procedure weekly.

Surgery

Surgery may be vital when other treatment options are ineffective, however many physicians prefer to exhaust all other treatments first. Most warts are surgically removed using surgical razors and local anesthesia. For adequate care, the physician may recommend topical cream application after removal of the wart. Laser treatment employs precise laser beams to destroy warts rather than the use of surgical instruments.

Shots of Candida Antigen

Your immune system may overlook warts. However, with local stimulation, the activated cells will recognize and destroy the foreign material. The procedure is not associated with any scarring. Note that the candida antigen shot shouldn't be used during pregnancy.

Other Treatments

When warts fail to respond to standard therapy, our dermatologists may consider other options such as:

Retinoids obtained from vitamin A. Retinoids interfere with the cellular proliferation of warts.
Blenoxane or another bleomycin injection may be effective at treating the human papillomavirus.
Immunotherapy can help boost your immune system and increase the likelihood of warts clearing on their own.

It may be challenging to eliminate common warts around the toenails and fingernails. Even though the wart may disappear, the human papillomavirus may persist, leading to the re-occurrence of warts.

Warts are common and can be embarrassing. Some may disappear on their own, but if they persist, contact our dermatologists at Pine Belt Dermatology to help you eliminate them through standard treatment.

Isotretinoin: FAQs

bberendsen@ideazonemarketing.com (Bob Berendsen) — Fri, 19 Mar 2021 15:11:41 GMT

Frequently Asked Questions About Isotretinoin

A lot of people suffer from severe acne, which not only affects their appearance and self-esteem but could also their health. If you have been dealing with severe acne that is refusing to disappear, there are options available to help you restore your natural glow and finally feel confident in your own skin.

Isotretinoin is a medication derived from vitamin A that can be prescribed for severe cystic or nodular acne that does not respond to ordinary treatments. It is sold under multiple commonly known brand names, including Accutane, Claravis, and Zenatane.

Isotretinoin is a powerful drug that can be very effective in fighting severe acne that resists other forms of treatment. However, it is important to understand the proper usage and potential risks of this medication.

How Do You Get a Prescription for Isotretinoin?

Isotretinoin can be prescribed by a licensed family practitioner, but most prefer to leave it to a dermatologist. Physicians who specialize in treating the skin have the most training and experience in understanding the usage and risks of this medication.

Your physician is unlikely to recommend Isotretinoin for a mild or intermittent case of acne. Even in severe cases, most prefer to try other treatments first, such as hormones, laser treatment, and antibiotics.

Even with a prescription, you cannot receive your medicine until you complete the FDA’s iPLEDGE requirements .

How Do You Take Isotretinoin?

Before you take any medication, always take the time to carefully read your physician’s instructions and the manufacturer’s labeling. If you have any questions, ask your doctor or pharmacist. Always follow your physician’s instructions.

Normally this medication is taken twice a day orally via capsule. Swallow the capsule whole with a full glass of water. Take it with or without food, as directed.

Taking this medication in a different amount or manner than prescribed can have very different and dangerous effects. Your capsules should only be taken orally.

Never take medicine prescribed for someone else, and never let someone else take medicine prescribed for you, even for the same condition.

Never take medicine that is past its expiration date.

What Should You Do If You Accidentally Miss a Dose?

If you miss a dose of Isotretinoin, just take the next scheduled dosage at the normal time. Never try to “double-up” or take a “late” dose too close to the next dose. Concentrating your doses of this medicine will do much more harm than good.

What Are the Possible Side Effects of Isotretinoin?

Skin conditions are the most common side effect of Isotretinoin. Dry and chapped lips are normal, and dry eyes and dry skin are also very common. Other skin symptoms include itching, redness, and peeling. Isotretinoin can make your skin more vulnerable to sunburn and scarring from other skin treatments. We recommend avoiding dermabrasion, laser skin treatments, and waxing while taking Isotretinoin and for 6 months thereafter.

The most severe side effect of Isotretinoin is teratogenicity or the causing of birth defects. Some studies have also shown a correlation between Isotretinoin use and depression, anxiety, irritability, and psychosis. These effects are rare, but you should contact your doctor if you have any of these symptoms.

Some users have reported an association of Isotretinoin use with gastrointestinal changes such as inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS). Minor side effects may include headaches, joint pain, vision problems, and sinus congestion. More serious but rare side effects may include hallucinations, severe stomach and chest pain, and liver problems.

Why Is Your Acne Getting Worse After You Started Taking Isotretinoin?

This is a common and temporary effect. Some patients see their symptoms worsen around the third or fourth week. This trend usually reverses itself, and most patients end their course of treatment with a positive outcome.

Isotretinoin is a powerful medication that should be carefully considered before taking it. You should be aware of the possible side effects and use it only as your physician directs. Although caution is called for, Isotretinoin is the most effective treatment available for chronic, severe, treatment-resistant acne. If you think you would benefit from this form of treatment, reach out to us at Pine Belt Dermatology today to learn more about the options available to help you achieve clearer skin.

Basal Cell Carcinoma, Case of the Month, February 2021

bberendsen@ideazonemarketing.com (Bob Berendsen) — Fri, 19 Feb 2021 17:53:50 GMT

Basal Cell Carcinoma

A 71-year-old male patient presented to our office for the evaluation of non-healing lesions on his right cheek and right temple (Figure 1). Biopsies of the lesions demonstrated a nodular and micronodular basal cell carcinoma with squamous differentiation of the right temple and an infiltrative basal cell carcinoma of the right cheek. Both micronodular and infiltrative basal cell carcinomas are typically more aggressive than other forms of basal cell carcinoma and can be much larger than they appear to be.

Due to the aggressive nature of the lesions and in attempt to conserve as much tissue as possible, Mohs surgery was performed. After 1 stage of surgery on the right temple and 3 stages of surgery on the right cheek, the final defects were significant and can be seen below (Figure 2).

Closure options for this defect included grafting, secondary intention healing (allow the wounds to heal on their own) and local tissue flaps. The patient stated that he did not want a graft and he did not want to let the wounds heal on their own. Together with the patient and his family, we agreed upon an inferiorly based rotation flap for the larger defect on the cheek and primary closure of the defect on the temple. The final closure can be seen below (Figure 3).

Sutures were removed after one week at which time excellent early surgical results were noted. Normal anatomy was maintained and there was no distortion of his ear or eyelid. He and his family were very happy with the results (Figure 4).

At his 6-week follow-up visit, the surgical outcome is fantastic considering the large defect that was repaired (Figure 5).

Learn More About Rosacea

bberendsen@ideazonemarketing.com (Bob Berendsen) — Tue, 02 Feb 2021 17:35:22 GMT

Rosacea FAQs + Information

Rosacea is a chronic inflammatory skin condition that causes redness, visible blood vessels, and small, pus-filled bumps to form on the skin. The condition primarily affects the face, The condition is extremely common, affecting Although rosacea is commonly mistaken for acne or a severe rash, it’s a unique condition that requires specialized treatment.

While there is currently no cure for rosacea, there are effective methods for reducing the appearance and severity of the condition.

Pine Belt Dermatology of Mississippi specializes in the diagnosis and treatment of rosacea. Here are some of the most frequently asked questions about the condition, its symptoms and its treatments.

What Are the Risk Factors for Developing Rosacea?

Medical researchers haven’t discovered a definitive cause of rosacea. However, there are some genetic and lifestyle factors that are thought to contribute to the condition.

The following factors can increase a person’s risk of developing rosacea:

A family history of rosacea
Being female (though men have more severe rosacea than women)
Being older than 30
Having light-colored or pale skin
Having acne or a history of acne
Having helicobacter pylori infection ¹
Experiencing sun damage on the facial skin
Smoking

It’s important for individuals with several risk factors to understand the early symptoms of rosacea, and to visit a dermatologist if these early symptoms appear.

What Are the Signs + Symptoms of Rosacea?

Medical researchers haven’t discovered a definitive cause of rosacea. However, there are some genetic and lifestyle factors that are thought to contribute to the condition.

The following factors can increase a person’s risk of developing rosacea:

A family history of rosacea
Being female (though men have more severe rosacea than women)
Being older than 30
Having light-colored or pale skin
Having acne or a history of acne
Having helicobacter pylori infection ¹
Experiencing sun damage on the facial skin
Smoking

It’s important for individuals with several risk factors to understand the early symptoms of rosacea, and to visit a dermatologist if these early symptoms appear.

What Are the Common Triggers for Rosacea?

Many people with rosacea have few symptoms unless they experience what is known as a flare-up. A rosacea flare-up is a sudden occurrence of more severe rosacea symptoms than usual. Flare-up symptoms vary depending on the subtype of rosacea a person has.

Flare-ups can have long-term consequences, including new rosacea symptoms on previously unaffected parts of the face. There is also evidence that more flare-ups can lead to rosacea symptoms that last longer and are more severe. Over time, skin that has experienced multiple rosacea flare-ups may stop responding to treatment that once worked.

To effectively treat rosacea, it’s important for patients to avoid their personal triggers.

Common triggers for a flare-up include ² :

Sun exposure
Spicy foods
Alcohol
Hot drinks (coffee, hot chocolate, tea)
Exercise or physical exertion
Hot weather
Hot showers and baths
Sitting in a hot tub or sauna
Cold, windy weather
High humidity
Stress and anxiety
Certain skin care products and types of makeup
Certain medications

It’s important to keep a record of your own rosacea triggers. Avoiding these triggers will help you control rosacea flare-ups and prevent the condition from getting worse. Reducing your flare-ups can also help your treatment plan be more effective.

Treatments for Rosacea

If you suspect that you have rosacea, it’s important to visit a dermatologist to receive an accurate diagnosis. Your dermatologist will examine your skin and get a thorough history of your symptoms to provide a diagnosis of a particular subtype of rosacea.

The first line of treatment for rosacea is to avoid flare-up triggers. Sun protection, using gentle skincare products, and protecting your face from wind and cold are just a few ways to reduce the risk of a flare-up. Talk to your dermatologist about other ways you can protect your skin from rosacea flare-ups.

Additional treatment options for rosacea include topical medications, oral prescription medications like antibiotics and oral acne medications.

Pine Belt Dermatology specializes in the diagnosis and treatment of rosacea. We have four locations in Mississippi: Petal, Hattiesburg, Biloxi, and Ellisville.

If you’re searching for rosacea treatment in Mississippi, contact Pine Belt Dermatology to make your appointment today.

Sources:

"Relationship between Helicobacter pylori and Rosacea ...." 11 Jul. 2018, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6042414/ .
"Rosacea: a Clinical Review - NCBI - NIH." 23 Jun. 2016, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5134688/ .

Dry Winter Skin: FAQs + Treatment

bberendsen@ideazonemarketing.com (Bob Berendsen) — Mon, 11 Jan 2021 22:10:21 GMT

Frequently Asked Questions + Effective Treatments for Dry Winter Skin

For many people, winter is a time of dry, itchy, scaly skin. Some people experience severe dry skin that cracks and even bleeds. In addition to the aesthetic issues and discomfort caused by this condition, dry skin can signal underlying conditions like atopic dermatitis. Severely dry, cracked skin can also lead to bacterial infections.

For people suffering from dry winter skin, it’s important to find effective treatments that provide relief from the itchiness, scaliness and tightness the condition causes.

Today, Pine Belt Dermatology is exploring some frequently asked questions and effective treatments for wintertime dry skin.

Why Does Skin Get Dry in the Winter?

The main causes of dry skin are a dry external environment (low moisture in the air), frequent hot showers and hand washing, not drinking enough water, and using harsh detergents or soaps.

For many people, dry skin appears in the winter, when the moisture content in the air decreases. Relative humidity levels of 50% - 60% are ideal for keeping skin moist, but most areas of the United States dip to relative humidity levels of below 50 by the afternoon during winter.

Additionally, most of us turn on the central heating or use fireplaces during winter, further drying out the air around us. We also stay inside far more, exposing our skin, nasal passages, eyes and throat to increasingly dry air. One study showed that sleeping in 30% relative humidity decreased skin hydration by over 24% ¹ .

Combine low moisture levels with cold temperatures, and skin can become red, cracked, scaly and itchy. Extremely dry skin can also cause a rough, scaly appearance to the skin that makes many people feel self-conscious. These dry patches often appear on commonly visible parts of the body, like the face, hands, knees, shins and feet.

Which Medical Conditions Can Cause Dry Skin?

In addition to environmental conditions and lifestyle factors, certain underlying medical conditions can cause dry, scaly, itchy skin.

Atopic dermatitis (the most common type of eczema) is a skin condition that causes itchy, red rashes on the skin. AD is caused by immune system dysfunction, which triggers an inflammatory response in the body. This inflammation damages the skin barrier, leaving the skin extremely dry and infection-prone. Atopic dermatitis can flare at various times throughout a person’s life. The most common triggers are allergens like pet dander, pollen, stress, and certain soaps and detergents. Skin that is severely dry for a long period of time can also trigger a flare of AD.

Psoriasis , diabetes , contact dermatitis , and hypothyroidism can also cause dry skin.

It’s important to seek medical advice if you believe you have any of the above conditions.

How Can You Treat Dry Skin in Winter?

The majority of cases of dry skin are caused by loss of moisture from the epidermis (the outermost layer of skin). As we stated before, dry skin is common during the winter because relative humidity decreases, and the atmosphere is colder. Fortunately, there are easy ways to maintain and replenish the moisture level in dry skin.

Shower or bathe in warm (not hot) water, and limit your time to 10 minutes or less . Long, hot showers, especially during the winter time, can strip your skin of its natural oils, making dry skin even worse. Stick to a temperature of around 98.6 degrees Fahrenheit, and keep your showers or soaks on the short side.

Apply moisturizers immediately following your showers or baths. Applying creams, oils or ointments when your skin is still damp can seal in the hydration and increase its moisturizing benefits.

Choose moisturizers that contain the best hydrating ingredients. Thanks to science, we know of a few ingredients that are superior at moisturizing dry skin. Look for the following ingredients when choosing a moisturizer or skin ointment : lactic acid, hyaluronic acid, glycerin, jojoba oil, propylene glycol, mineral oil, shea butter, petroleum jelly (petrolatum), and dimethicone.

Avoid harsh soaps and detergents. Traditional soap is made of salt from fatty acids, usually mixed with lye. The pH of traditional soaps can range from 8 to 11, much higher than the natural pH of human skin, which is 5.5. In addition to changing skin’s natural pH, conventional soap also strips the skin of its healthy natural oils. Bar soaps are generally the harshest on the skin, but many body washes also contain stripping properties. Similarly, many laundry detergents contain harsh chemicals and fragrances that can strip the skin of oils and even cause allergic reactions. Look for detergents labeled “hypoallergenic,” and wear soft, breathable clothing.

When Should You See a Dermatologist for Dry Skin?

If you continue to suffer from dry, chapped, cracked and irritated skin, despite taking the necessary steps to treat it, it may be necessary to see a dermatologist.

Certain skin conditions, like eczema, psoriasis, ichthyosis, and rosacea, can cause dry, scaly, itchy, red skin. Without proper treatment, however, these conditions persist or can even get worse.

An experienced dermatologist can diagnose your condition and provide you with treatment options that work for you.

Pine Belt Dermatology has dermatology clinics in Hattiesburg, Biloxi, Ellisville and Petal, Mississippi.

Sources:

"A study of skin characteristics according to humidity during sleep." 8 Jan. 2019, https://pubmed.ncbi.nlm.nih.gov/30620080/ .

Telehealth: The Advantages of Telemedicine

bberendsen@ideazonemarketing.com (Bob Berendsen) — Mon, 20 Jul 2020 15:42:00 GMT

The COVID-19 pandemic has triggered dramatic changes throughout everyday life — and in the medical community as well. Not only are providers across the country postponing elective procedures, but many are also encouraging people to avoid in-office appointments to reduce their risk of exposure to this highly contagious coronavirus.

But what do you do if you still need health care? Fortunately, Telehealth can help.

How Telehealth works

Telehealth — or telemedicine — is a healthcare solution that allows you to meet with your doctor virtually instead of going to the office. Our 100% HIPAA-compliant system uses a two-way, high definition video, so we can talk face-to-face as if we’re in the same room together.

With Telehealth, you can also:

Submit your medication list, allergies, ID cards, and medical history in advance
Chat or share photos describing your symptoms
Have prescriptions electronically sent to your pharmacy
Securely pay online for your virtual visit

This streamlined approach originally evolved to help expand medical care to men, women, and children living in remote areas. Today, 76% of hospitals use Telehealth technology, and US employers could save as much as $6 billion a year by making telemedicine technology available to their employees. But the advantages of Telehealth go far beyond financial savings.

The benefits of telemedicine

Whether you live close to your doctor or in a rural area, you probably know firsthand that even a routine visit involves wait times of 18 minutes or longer — and that doesn’t even include the time you spend getting there. Telehealth technology eliminates that.

By connecting to your doctor in a virtual setting, you can expect to:

Miss less time at work
Have fewer disruptions with any child or elder care responsibilities
Eliminate the time or travel expenses associated with your office visit
Receive quality health care faster
Reduce subjecting yourself and others to a contagious illness

At the same time, you also reduce your risk of exposure to contagious illnesses, like the common cold, flu, and COVID-19.

Telemedicine is also available to patients of all ages, including children, older adults, and those in vulnerable health. That makes it an ideal healthcare solution for everyone, especially when someone can no longer leave their home safely but still requires medical attention.

What to expect during a Telehealth appointment

Telemedicine technology has never been easier to use, simply:

Download our app to your tablet, computer, or phone
Request an appointment through our Telehealth portal
Fill out the registration forms included in our calendar invite
Follow the link in your calendar invite to open your video-chat to start your appointment

You can also upload photos, if needed, to help us diagnose your symptoms.

For more information on telemedicine or to schedule your virtual visit, contact us by calling or requesting your Telehealth appointment online today.

Case of the Month March 2020

Tue, 10 Mar 2020 15:39:48 GMT

A 78-year-old female patient presented to our office for evaluation of a non-healing lesion located on the left side of her nose (Figure 1). Biopsy of the lesion demonstrated an infiltrative basal cell carcinoma. We discussed treatment options with the patient and her family, and it was decided that the lesion would be treated with Mohs surgery.

Three-four stages of Mohs micrographic surgery were required to clear the tumor. The final defect involved a significant portion of the patient’s left nose (Figure 2). Luckily, the bone was not involved.

Several closure options were reviewed with the patient. Grafting was discussed, but she and her husband had significant concerns regarding the look of a graft. Ultimately, the patient opted for a variation of a Mustarde Flap. This flap had the advantage of being performed in a single stage while yielding a cosmetically pleasing result. Tissue from the lower eyelid, malar cheek and lateral aspect of the cheek were elevated and moved (advanced and rotated) centrally (Figure 3). This allowed for complete closure of the wound while keeping the patient’s anatomy correct.

The sutures were removed after one week of healing (Figure 4). The patient was extremely happy with the results and had no complications during the course of her healing.

At 3 months, excellent surgical results were noted (Figures 5 and 6).

Case of the Month February 2020

bberendsen@ideazonemarketing.com (Bob Berendsen) — Mon, 17 Feb 2020 16:45:31 GMT

My fourth year of medical school, I was on a dermatology rotation and I had the pleasure of helping care for a female patient with a squamous cell carcinoma of her left index finger. She was sent to the hand surgeon for treatment and two weeks later she returned to the office for follow up. I was shocked to see that her finger had been amputated. It was completely gone! At the time I realized that although I had not thought about it prior, this was a high-risk tumor in a high-risk area and removing the finger was probably the best mode of treatment to ensure that the tumor was completely removed and to prevent metastasis.

Fast forward 14 years. A 71-year-old male patient presented to our office for the evaluation of a painful lesion under his right thumbnail. He had been treated for a fungal infection of the nail for the last 12 months with no improvement and he was seeking a second opinion. The nail plate and cuticle were elevated revealing an erythematous tumor (Figure 1) . A biopsy of the lesion demonstrated a well-differentiated squamous cell carcinoma. Squamous cell carcinomas involving this anatomical location are considered high-risk tumors and have the potential for metastasis.

Due to the aggressive nature of the lesion and in an attempt to save the thumb from amputation, Mohs surgery was performed. After 3 stages of surgery the final defect can be seen below (Figure 2). Partial removal of the nail matrix (the portion of the nail that creates new cells and allows the nail to grow) was required to clear the tumor. This results in permanent loss of that portion of the nail.

Closure options for this defect included a skin graft, secondary intention healing, and local tissue flaps. The patient stated that he did not want a graft and he did not want to let it close on its own. Together with the patient and his family, we agreed upon a laterally based rotation flap. The final closure can be seen below (Figure 3).

Sutures were removed after two weeks at which time excellent early surgical results were noted. Normal anatomy was maintained with the exception of the partial nail loss. Overall, the thumb looked anatomically correct and was fully functional. He and his family were very happy with the results. At four years, no evidence of recurrence is noted, and the patient has a fully functioning and normal looking thumb (Figure 4).

Case of the month January 2020

bberendsen@ideazonemarketing.com (Bob Berendsen) — Wed, 15 Jan 2020 16:25:06 GMT

A 81-year-old male presented to our office for the treatment of several recurrent nodular and infiltrative basal cell carcinomas of his left temple, left cheek and left preauricular area (Figure 1). According to the patient, cryo-surgery was the only treatment that had been attempted. They were becoming larger, more irritated and bleeding. He was confused as to why repeated cryosurgery was used to treat these lesions despite the lack of improvement. He sought our opinion on other options for treatment. We recommended the Mohs procedure and he asked that all three lesions be treated at the same time as he had numerous other lesions that were bothering him.

Four stages of Mohs micrographic surgery were required to clear the largest tumor, while three and two stages were required for the temple and preauricular areas, respectively. The final defects involved a substantial portion of the patient’s face (Figure 2). As you can see, there wasa large difference between what appeared to be the size of the lesions before surgery, and the actual clear margins following Mohs.

Several closure options were reviewed with the patient. Ultimately, we decided upon a combination advancement/rotation flap. This flap had the advantage of being performed in a single stage while yielding a relatively pleasing cosmetic result. Tissue from the lower cheek and jaw was elevated and moved (advanced and rotated) upward. The skin of the patient’s left temple was also mobilized and a small O to T flap was performed. This allowed for complete closure of the wound while keeping the patient’s original anatomy true (Figure 3).

The sutures were removed after one week of healing and at three weeks the cheek has completely healed with acceptable cosmesis (Figure 4). The patient was extremely happy with the results and reported no complications.

Mohs Case - Recurring Basal Cell Carcinoma In Young Patient

Mon, 09 Dec 2019 16:35:51 GMT

A 27-year-old male presented to our office for the treatment of a recurrent infiltrative basal cell carcinoma of his left forehead (Figure 1) . According to the patient, surgery had been attempted twice previously. Neither attempt yielded clear margins and the tumor recurred. As noted in previous blogs, this type of basal cell carcinoma is typically more aggressive than a standard nodular basal cell carcinoma and is frequently larger than it appears to be. This is why it is difficult to obtain clear margins with standard surgery (wide excision).

Five stages of Mohs micrographic surgery were required to clear the tumor. The final defect involved a significant portion of the patient’s forehead (Figure 2). As you can see, there was a significant difference between what appeared to be the size of the lesion before surgery, and the actual clear margins following Mohs.

Several closure options were reviewed with the patient. Grafting was discussed, but I had significant concerns regarding the look of a graft given his age and the location of the defect. Ultimately, the patient opted for a combination advancement/rotation flap. This flap had the advantage of being performed in a single stage while yielding a relatively pleasing cosmetic result. Tissue from the medial aspect of the forehead was elevated and moved (advanced) centrally. The skin of the patient’s left temple was also mobilized and rotated upward. This allowed for complete closure of the wound while keeping the patient’s left eyebrow level (Figure 3).

The sutures were removed after one week of healing (Figure 4 a-b) . The patient was extremely happy with the results and reported no complications.

At his two-year follow-up, there is no evidence of recurrence and an acceptable cosmetic result has been achieved (Figure 5).

Acne Treatment at Pine Belt Dermatology - Biloxi, Mississippi

Mon, 09 Dec 2019 16:31:35 GMT

Acne woes! Most of us have been there at some point in our lives. Some of us grow out of it, some of us deal with it into adulthood. Acne is a common skin condition that affects up to 50 million American adolescents and adults. It can present as inflammatory papules (red bumps) or comedonal papules (blackheads and whiteheads). In adolescence, acne is primarily due to hormonal changes, but can also be caused by increased oil production, inflammation, and the presence of bacteria. As for adults, unfortunately the hormonal hits keep coming with acne in women being predominately related to hormones as well. The presence of acne can be found not only on the face, but also the neck, back, chest, or arms or where oil producing glands are present. Thankfully, multiple treatments exist to manage these symptoms. Disclaimer: It is important to know that all acne products can cause dryness and sensitivity, and caution should be taken if using with sensitive skin. Furthermore, many acne medications can cause sensitivity in the sun, so sunscreen and covering with hats and clothing is recommended to prevent irritation or sunburn. Now that we have that crucial piece of information out of the way, let’s talk loving your skin again.

Treatments for both inflammatory and comedonal acne consists of cleansers, topical products applied to the face and body, and also oral medications such as antibiotics or Accutane for deeper, cystic acne. Most of these medications focus on treating acne by resurfacing the skin and reducing blackheads and whiteheads or by treating the inflammatory component of acne. First line treatments involve cleansers and medications applied to the affected areas. Common cleansers contain benzoyl peroxide, an antimicrobial, or salicylic acid, a mild resurfacing agent. Both of these types of cleansers can be found over the counter. Other products that may be found over the counter can be applied topically and left on the skin and would include topical benzoyl peroxide or Differin. Differin, a type of retinoid, derived from vitamin A, also helps to resurface the skin. In the past few years, Differin has become available from a prescription only topical product, to a lower strength over the counter topical product.

Most people seeking medical help for acne have tried over the counter acne medications which either helped and stopped working, or didn’t help to begin with. As a medical provider who treats acne, the first thing I recommend is cleansing twice a day. Think of the thousands of pores on our face akin to little potholes which fill up with dirt, oil, and bacteria over the course of the day. Washing the face twice daily is a great start to an acne regimen. Also, when treating acne, I understand that busy teenagers can have compliance issues and therefore like to keep acne regimens simple. Morning and night regimens. Wash your face in the shower in the morning or night, whichever is preferred, and then at the sink when you brush your teeth the other time of the day. Unfortunately, this regimen only works if a teenager is brushing his or her teeth twice a day. Sorry moms and dads, I can only do so much.

Prescription medications to treat acne are also available and include topical antibiotics and anti-inflammatories applied to the skin. Also, in this category is a key player called Retin A. Here’s the skinny on Retin A. Retin A (also called tretinoin) may be a cream, lotion, or gel and comes in different strengths. It can be your best friend or your worst enemy in the battle against acne. When used correctly, Retin A is a wonderful medication that resurfaces the skin and is great for treating not only inflammatory acne, but also for comedonal acne. For most, the key to tolerating Retin-A relies on how you use it. I recommend to all of my patients, a slow start method when beginning Retin A. For example, on the first week, apply a pea-sized amount at bedtime 2-3 nights only such as Monday, Wednesday, and Friday. Each week, add an additional night as tolerated. Ultimately, you want to apply Retin A every night, but for some that may not be possible due to sensitivity, and that’s ok. Retin A can cause irritation and sunburn if appropriate sunscreen measures aren’t taken when outdoors.

Sometimes oral antibiotics are used in short courses to help eradicate acne bacteria and also treat inflammation associated with acne. These medications are usually in the tetracycline class and may go by the names, minocycline or doxycycline. Important take home points. Take it with food. Wear sunscreen and cover up when outdoors. You will burn. I’ve seen very bad sunburns and also blisters in patients who failed to use SPF protection when on tetracyclines.

Despite judicious use of prescription acne medications, some patients still may not have an adequate response to therapy. For those people who suffer from chronic nodulocystic acne, another medication known as Accutane may be an option. This medication is basically an oral form of Retin A. A thorough medical history must be taken prior to deciding to pursue Accutane. Treatment with Accutane also requires an average of 6 months of therapy including regular lab testing and monthly office visits with your dermatologist. I like to save Accutane as my heavy hitter when treating acne and use it when conventional methods fail. If my patient is a candidate for this specific type of treatment, it is a game changer for sure.

With adult acne, treatment regimens are similar, however an additional medication called spironolactone may be used for women suffering from what I like to affectionately call, “grown-up acne”. As women age, our hormones do wonky things and fluctuations in our hormones trigger surges of grown-up acne. Spironolactone is an oral medicine that blocks the testosterone cause of acne in women. For patients who are healthy, a simple blood test to assess kidney function and electrolytes is performed and this may be an option to reduce acne breakouts.

In conclusion, acne can be frustrating for patients and for the parents of patients. The good news is that today’s treatments are easily accessible with first-line therapy being available over the counter. For those who need a little more, I recommend talking to your dermatologist for further options in treating this common but mendable skin condition.

Mohs Case - Squamous Cell Carcinoma

Wed, 06 Nov 2019 16:16:30 GMT

An 89-year-old male patient, presented to our office for the evaluation of a rapidly growing lesion on his left temple area. A squamous cell carcinoma had been removed from the same area one month prior. A biopsy of the lesion demonstrated a very aggressive moderately to poorly differentiated squamous cell carcinoma (Figure 1). This type of skin cancer can grow rapidly and has potential for metastasis.

Due to the aggressive nature of the lesion, Mohs surgery was performed. After 3 stages of surgery the final defect can be seen below (Figure 2).

Closure options for this defect included a split thickness skin graft, and local tissue flaps. Options were limited due to the large size of the defect. The patient stated that he did not want a graft. Together with the patient and his family, we agreed upon an inferiorly based rotation flap from the left cheek. The final closure can be seen below (Figure 3).

Sutures were removed after one week, and at 4 weeks, excellent early surgical results were noted (Figure 4). Normal anatomy was maintained, there was no alteration of the position of the corner of the eye or the position of the ear, and the hairline was re-created correctly. The patient lost no motor function of the muscles of his face and was able to make a complete recovery. He and his family were very happy with the results.

For a more in depth look at squamous cell carcinomas and why they need to be treated, check out our previous blog: Squamous Cell Carcinoma - When You Should Worry

Mohs Surgery Case - Micronodular Basal Cell On The Nose

Thu, 03 Oct 2019 15:18:56 GMT

A 72 year-old male patient, presented to our office for the evaluation of a non-healing lesion on his nose. The patient stated that the lesion had been present for approximately 8 months. He thought that it was just a pimple that would not go away. If there is a lesion on the skin that does not go away within a few days, it is important to always get it looked at. That is what this patient did. A biopsy of the lesion demonstrated a micronodular basal cell carcinoma. Mohs surgery was performed. After 2 stages of surgery the final defect can be seen below (Figure 1).

Closure options for this defect included a full thickness skin graft, and local tissue flaps. Of greatest importance was ensuring that the right nostril was not distorted and that the air passage on either side was not compromised. The patient stated that he did not want a graft. Together with the patient, we agreed on a superiorly based bi-lobed transposition flap. The final closure can be seen below (Figure 2).

Sutures were removed after one week, and many had already dissolved on their own (Figure 3). The nose was level and centered and excellent early surgical results were noted. No anatomic distortion was appreciated, and the patient could breathe normally out of each nostril. He was very happy with the results.

Basal cell carcinomas are the most common skin cancers diagnosed each year. These are slow growing tumors, but they are more than just skin deep. They can eat through muscle, cartlidge, and bone, and can become extremely disfiguring if left untreated. If there is a lesion that you are unsure about, always have it checked out. You would rather be overly cautious. If you have a skin lesion that you would like biopsied, please come visit a provider at Pine Belt Dermatology & Skin Cancer Center.

Mohs Micrographic Surgery - Basal Cell Carcinoma On The Temple

Mon, 23 Sep 2019 15:21:39 GMT

A 61 year-old male patient, presented to our office for the evaluation of an infiltrative basal cell carcinoma of the left temple. This lesion had been surgically removed by his previous physician twice prior with recurrence following each excision. He consulted our office to discuss treatment utilizing the Mohs surgical technique. After reviewing the treatment options, the patient decided that Mohs surgery would be the best method to clear the tumor once and for all. A significant defect remained after 3 stages of Mohs micrographic surgery (Figure 1).

The final defect could not be closed primarily. Closure options including full thickness skin graft, and local tissue flaps were discussed. Together with the patient, we agreed on an inferiorly based rotation flap to close the wound and hopefully keep the normal facial anatomy correct, particularly the level of the eyebrow. The final closure can be seen below (Figure 2).

Sutures were removed after one week (Figure 3) and at 4 weeks, the patient demonstrated complete healing, with minimal scarring an no effect on the position of the eyebrow (Figure 4).

Mohs surgery is the most ideal treatment for non-melanoma skin cancers. When performed by the right professional this is often the treatment with the highest cure rate, with the lowest rate of recurrence. It is a very slow process, but that is because each cute is then examined under a microscope to pin point where the skin cancer cells are. Providing you with the smallest cut, saving the greatest amount of healthy skin possible. You can read more about this surgery process in one of my previous blogs here: Mohs Micrographic Surgery Process

The Mohs Micrographic Surgery Process

Tue, 17 Sep 2019 16:20:43 GMT

Skin cancer is common. In fact, over the past 30 years more people have had skin cancer than all other cancers combined. A fact that not many people are aware of. The three main types of skin cancer that are diagnosed each year in the United States are:

Basal Cell Carcinoma – over 4 million Americans a year are diagnosed.
Squamous Cell Carcinoma – over a million a year are diagnosed.
Melanoma – nearly 100,000 Americans per year are diagnosed.

While skin cancer has become extremely common, the good news is that when the cancer is detected early, the vast majority of skin cancers are curable. Left untreated, however, skin cancer can continue to grow and become disfiguring. They can eat through tissue and, in some cases, squamous cell carcinoma and melanoma can spread to lymph nodes or other parts of the body and even become life-threatening. Early detection and prompt treatment result in the best outcome.

Treatments for these different skin cancers vary by patient depending on the type, size, patient health, and location on the body. Treatments for skin cancers include excision, topical medications, scraping and burning, freezing, and radiation. While many of these skin cancer treatments result in a cure, sometimes the skin cancer comes back, or recurs. This happens because there are skin cancer cells that aren’t visible or may form roots that extend beyond the visible tumor. If all of the cancer cells are not completely removed, the cancer will grow back and require further treatment. This is where Mohs Surgery is most effective against basal cell carcinomas and squamous cell carcinomas. What are the advantages of this procedure?

Efficient, cost-effective treatment:

Single-visit outpatient surgery
Only local anesthesia is used.

When we do the procedure at Pine Belt Dermatology you are never put to sleep, we only numb the area being treated.

Lab work is done on-site

Precise results:

Physician examines 100% of the tumor margins.
Spares the healthy tissue.
Leaves the smallest scar possible.

The highest cure rate:

99% cure rate for skin cancer that has never been treated before.
94% for skin cancer that has recurred after a previous treatment.

So what is Mohs Surgery and what does his procedure’s process look like?

Mohs is performed by doctors who are specially trained to complete this surgery. They are specifically trained to be able to fulfill three roles:

Act as the surgeon who removes the cancerous tissue.
Act as the pathologist who analyzes the lab specimens.
Act as the surgeon who closes or reconstructs the surgical site wound.

Mohs surgery is completed in stages, all in a single visit to our office, while the patient waits in between stages. The surgeon will begin by removing a layer of tissue, and after removing it the surgeon examines it under a microscope. This allows the surgeon to know exactly where the cancer cells are, if any remain at all. From there we remove another layer of the tissue, but only in the precise location of the cancer cells. This is how we are able to preserve the healthiest amount of tissue. We’ll repeat this process until there are no cancer cells remaining.

Mohs surgery is the gold standard for treating basal cell carcinomas and squamous cell carcinomas, including those that are around delicate areas of the skin such as around the eyes, nose, lips, ears, scalp, fingers, toes, breasts, or genitals. This surgery is also ideal for basal and squamous cell carcinomas that are large, aggressive, growing rapidly, that have recurred after previous treatment, or that have indistinct edges. In some scenarios, Mohs can be used to treat some melanomas, but when it comes to treating melanoma, Mohs surgery is not typically the recommended treatment.

In some cases, the Mohs procedure only needs one stage and in others it can take multiple. The number of stages that the surgery will need depends on the area of the body the tumor is located, the size of the tumor, and the depth of the tumor. If surgery takes multiple stages, it is not uncommon for the entire Mohs process to take several hours. There have been a handful of surgeries I have performed that have lasted until well after working hours. However, the long process is worth it, because this allows us to safe the healthy tissue the most of any other treatment, which in turn leaves you with the smallest scar possible to treat the skin cancer. I like to say that Mohs surgery provides the highest cure rate, with the smallest cut.

Pine Belt Dermatology & Skin Cancer specializes in general, medical, surgical, and cosmetic dermatology, however we are best known for the quality of our skin cancer treatment. Mohs Micrographic surgery is a huge part of why we have a reputation of being the skin cancer experts. At the end of 2019, we will be opening a new office in Biloxi with another Mohs surgeon, Dr. Nguyen, further solidifying our reputation as the best at treating skin cancers. I encourage you to check out my future colleague’s bio in the link below!

Warts and Treatment at Pine Belt Dermatology & Skin Cancer Center

Thu, 05 Sep 2019 16:25:01 GMT

Here we will discuss warts, the different types, and how me and my colleagues treat them! Warts are caused by the human papillomavirus (HPV). HPV is contagious, so it is easy to get this virus. It is for this reason that warts are so common! Many people get a wart when they have skin-to-skin contact with someone who has a wart. You can also get a wart by touching something that touched another person’s wart, such as a gym towel or the floor of a locker room. The type of wart that a person gets depends on the type of HPV that infects you and where it is located. Have you ever heard that you get a wart from touching a toad or a frog? Well, that is actually a myth. You cannot get warts from touching frogs or toads.

Types of Warts:

Common Wart: these warts usually form on the fingers, around the nails where the virus can easily get into the body, such as near a bitten fingernail or hangnail. They also will form on the back of our hands. A common wart often looks like a rough bump. You may see black dots in the wart that look like seeds. In fact, they are often called “seeds”. These black dots are actually blood vessels. Because of these black dots, these common warts have a mythical name in laymen circles called “seed warts”.
Plantar Warts: these are common warts that form on the soles of the feet. Plantar is the medical name for the bottom of the foot. If left untreated these warts can grow quickly and become very irritating. Most plantar warts are flatter than other common warts. This flattening is caused by walking and standing, which pushes the wart into the skin. This is what makes the plantar warts so painful. It is often described by patients that is feels as though there are stones in your shoes.
Flat Warts: these can be found anywhere on the skin, but most are common on the face. Shaving seems to cause these warts to spread, so flat warts are common in the beard area of men and on the legs of women. Flat warts are smaller and smoother than common warts. When people get flat warts, they usually have many warts.
Genital Warts: these warts usually appear in or around the genital region. People get genital warts through sexual contact. In some cases, a mother can spread genital warts to her baby during child birth when the baby passes through the birth canal. Any pregnant woman who has had genital warts should tell her doctor so that steps can be taken to prevent spreading the virus to the baby.

Many types of warts are usually harmless and tend to disappear with time. Since it can take a few months to a year for warts to disappear, treatment may be recommended. Treating warts does reduce the risk of the warts spreading to other areas of the body or even to other people. There are some wart treatments that are available without a doctor’s visit or prescription. However, it is very important that you see a dermatologist about your warts if any of the following occurs:

You have warts in your genital area or anus.
You notice that a wart hurts, itches, or bleeds.
You have more than a few warts.
You cannot get rid of the warts with an over-the-counter treatment you are using.
You are unsure if the spot in question is a wart or some other skin lesion.

We offer many wart treatments at Pine Belt Dermatology & Skin Cancer Center. Treatments prescribed vary with age, type of wart, lifestyles, and many other considerations. There is not a cookie-cutter treatment for these nasty little bumps, and that is what can make them so frustrating with over-the-counter therapies. Some warts are extremely stubborn and require the providers here to use more than one type of treatment to clear the warts.

Most of the treatments you can use outside of the office contain salicylic acid. When that doesn’t work and you come to see us, we can prescribe medicine that contains a stronger dose. These medications are usually applied every day after bathing/showering or soaking the wart. These medications can take many weeks before the wart is gone. Medicine with salicylic acid should be stopped, at least for a short time, if the wart or the skin around it becomes sore. Additionally, there are a number of in-office treatments for warts that can be very effective. The reason these are done in the office is because the warts can grow deep into the skin, so some patients end up needing a few, or even several treatments to get rid of the warts. The following treatments can be done in the office here at Pine Belt Dermatology:

Cryotherapy: this is a common treatment for warts. In the office, we will freeze the wart with liquid nitrogen, which then causes the wart to blister and later fall off. To prevent freezing healthy skin, which is bad for obvious reasons, patients often need more than one treatment. Some people will notice a lighter spot form on the skin that is treated with cryotherapy. This is a change that takes place more often in people who have darker skin.
Cantharidin: this is a treatment that is done by painting the wart with a chemical that causes a blister to form underneath the wart. It is not uncommon for patients to require a one-week follow up so that the provider can clip away the dead part of the wart and re-treat an skin where the wart is remaining.
Electrosurgery: this is a treatment that destroys the wart by burning it off of the skin.

There are some warts that are harder to treat than others. Plantar warts, for instance, are hard to treat because the bulk of the wart lies below the surface of the skin. There are some additional therapies done in the office that we reserve for the warts that are very hard to treat:

Excision: one of our providers may surgically remove the wart.
Laser Treatment: lasers are an effective treatment for some warts, but it is not necessarily the best for all types of warts. Depending on how stubborn the warts are, this may be a treatment option that a Pine Belt dermatology provider will suggest.
Chemotherapy: when warts remain despite many treatments, a chemotherapeutic medicine may be recommended. Now, I know this evokes a state of panic. This therapy does not mean that you have cancer. These medications are used to slow the growth of the HPV causing the warts. Studies show that these therapies are very effective at clearing difficult to treat warts. These are medications reserved for the most stubborn and difficult cases.

So how do you prevent new warts from appearing? One wart is bad enough, and even if you treat it, there is always a chance you have another one appear later on. To wrap up this blog post, I’ve listed some prevention tips below:

Do not pick or scratch at existing warts. While they can be infuriating, scratching these can spread the virus to other parts of the body. And you certainly do not want that!
Wear flip-flops or pool shoes in locker rooms, pool areas, and showers/bath tubs that are shared or used by many people such as those in hotel rooms and health clubs. The reason for this is because the HPV spreads easily in warm humid conditions. I’ll share a fun fact on one of our providers here at Pine Belt Dermatology. Probably because of the horrific warts he has treated, Dr. Roy takes flip-flops with him when he is travelling for business or vacation so that he does not have to worry about getting a wart from hotel showers!
Do not touch someone else’s wart. This should go without saying, but someone else’s wart is very contagious.
Keep your feet dry when you can. Your feet are naturally very wet and moist, however moisture helps warts spread. So, if you have an existing wart on your foot be sure to let them air out from time to time. The same is true for warts on the hand, especially if you work with or wear gloves often.

Warts are benign (not cancer). Warts are extremely common and should not cause you to worry. If you would like help treating your wart, one of the dermatology experts at our facilities can help make sure that warts are properly treated, giving you the best chance at a positive result.

Psoriasis & Your Diet – How What You Eat Can Help You Manage Your Psoriasis

Thu, 22 Aug 2019 16:26:55 GMT

At Pine Belt Dermatology & Skin Cancer Center we see a ton of psoriasis in south Mississippi. Psoriasis is an extremely complex disease that is very difficult to manage on your own. For patients with moderate to severe psoriasis there are not very many over-the-counter options to help you keep your condition under control. If you are suffering from psoriasis, you know all too well that when it comes to the disease there is very little that is truly under your control. Most of the time you find that you are at the mercy of your condition. However, there is good news! There is one thing that you are in complete control of that, if changed, can help you manage your psoriasis – what you eat!

Psoriasis is a chronic auto-immune cutaneous disease associated with inflammation. It is an extremely complex disease with contributing factors such as genetics, smoking, diet, alcohol use, and stress all believed to play a major role in its appearance and severity. Other factors, including increased body mass index and weight gain, have been associated with a higher prevalence of psoriasis and are considered to be additional risk factors for the disease. Patients with psoriasis also are at increased risk for anxiety and depression. Because psoriasis is a chronic disease that is inflammatory many patients seek alternative therapies and lifestyle modifications in order to supplement or augment their doctor’s prescribed treatment. There have been a number of studies recently published that discuss the importance of a healthy diet when dealing with psoriasis. Most of the readily available literature reveals that most diets have mixed impacts on psoriasis, though some individual foods may contribute to better managing the disease. Foods and other dietary supplements that have anti-inflammatory effects seem to have a higher chance of improving psoriasis symptoms. The wonderful part about establishing a healthy diet in order to manage your psoriasis is that it is completely within your control to change!

A survey done in 2017 of over 1,200 patients with psoriasis found that 86% of respondents reported modifying their diets. Additionally, 40% of those respondents reported switching to a specialized diet in order to improve their psoriasis. The three most common diets reported were gluten free, low carb/high protein, and Paleolithic diets. Reductions in consumption of alcohol gluten, nightshades, and junk foods were associated with improvements in 50% of psoriasis patients. The remainder of the blog will discuss a number of specific diets and how they can help patients better manage their psoriasis.

Gluten- Free: Celiac disease is an inflammatory condition caused by an immune reaction to the protein gliadin, which is often found in foods containing gluten. There are a number of studies that reported an association between having celiac disease and psoriasis. A 2017 study found a 3-fold increased risk of celiac disease for patients with psoriasis. Celiac disease causes malabsorption of nutrients and can lead to a Vitamin D deficiency, which is a known contributing risk factor for psoriasis. There are also hypotheses that both diseases involve common immune cells, or that there may be a shared genetic background between the two diseases. Either way, these commonalities would explain why such a large proportion of psoriasis patients find gluten-free diets help them better manage their psoriasis. Gluten-free diets are a great way to reduce the triggering of inflammatory effects that are experienced in psoriasis flares.
Mediterranean: this diet is often cited as a great supplement to psoriasis therapies. The Mediterranean diet consists mainly of nuts, fruit, vegetables, legumes, cereals, and olive oils while restricting consumption of red meats, dairy products, and alcohol. On an unrelated note: this diet is associated with a decreased risk of a number of health conditions including cardiovascular disease, rheumatoid arthritis, Crohn disease, and many others. The reason this diet is beneficial for people with a number of health conditions, including psoriasis, is because it contains a high proportion and a wide variety of foods with anti-oxidants and anti-inflammatory compounds. Like we learned earlier in the post, diets that are anti-inflammatory reduce the risk of psoriasis severity. A rather large survey done in 2015 with over 3,500 participants with psoriasis found that respondents who reported lower severity also reported higher adherence to variants of the Mediterranean diet.
Vegetarian: Both vegetarian and vegan diets have been evaluated in multiple studies on their effects on patients with psoriasis. A relatively recent study observed improvements in psoriasis patients that switched their diets to vegetarian. These diets have been shown to be associated with higher ratios of anti-inflammatory foods than omnivorous diets. The assumption is that the largely anti-inflammatory consumption in the diet is why people suffering from psoriasis would benefit from switching to a vegetarian diet. Vegetarian diets also tend to contain vast quantities of potassium, which is used in the body to synthesis cortisol, which is commonly used to treat psoriasis. Both hypotheses explain why vegetarian diets help better manage psoriasis, although further studies should be done to compare vegetarian diet results to the other commonly suggested ones.
Ketogenic: Obesity and weight gain are known factors associated with psoriasis, and because of this some psoriasis patients will turn to diets that restrict calories with the goal of losing weight. There was a study in 2015 that studied a patient who restored her response to systemic therapy following an intensive 4-week ketogenic diet. The ketogenic diet is a high fat, adequate protein, low carb diet. As is the common trend among the various diets listed in this blog, the ketogenic diet has shown to have anti-inflammatory effects. While the 2015 case study is intriguing, there need to be more large-population studies to determine if the diet has a significant association with psoriasis improvement. The studies that have been published have either been case studies, or studies that did not a have enough participants to be truly statistically significant.
Complete dietary shifts are not always feasible for patients. In this case, many psoriasis patients turn to dietary supplements as an alternative method to lifestyle change that will improve their condition. Two of the prominent nutritional additives that are easy to implement are fish oils and vitamin D. Vitamin D plays an important role in regulating calcium and magnesium as well as maturation of keratinocytes in the skin. This is why topical vitamin D analogues are common treatments for psoriasis. There are many psoriasis patients who are found to have vitamin D deficiencies that contribute to their flare ups. Another supplement that can be added is polyunsaturated fatty acids found in fish oil. There are a number of trials that show improvements in psoriasis severity. Both of these supplements can be added with relative ease to a person’s diet to help them manage their condition.

Dietary modifications have a complex effect on psoriasis. A dietary change will not make your psoriasis disappear, and how effective the dietary change depends on the variations of psoriasis and the overall lifestyle of the patient. Lifestyle habits that influence the efficacy of dietary changes’ help with managing psoriasis include level of exercise, activities such as smoking and drinking, obesity, and genetic susceptibilities to other conditions or comorbidities. However, literature appears to illustrate that certain foods and nutritional supplements can be modified from all diets for general improvement of the condition. If you have psoriasis, for the most optimal management of the condition, you should still seek counsel from one of our very experienced providers at Pine Belt Dermatology & Skin Cancer Center.

Mohs Surgery Case - Basal Cell Carcinoma on Eyelid & Discussion on Eye Tumors

Thu, 01 Aug 2019 16:11:27 GMT

A 79 year-old male patient, presented to our office for the evaluation of a small growth on his upper eyelid (Figure 1) . He stated that the spot had been present for approximately 1-2 years, but was unsure about the timeline. A biopsy of the lesion demonstrated a basal cell carcinoma. Two stages of Mohs micrographic surgery were required to clear the tumor. The final defect involved a significant portion of the patient’s upper eyelid and was full thickness in some areas (Figure 2).

Several closure options were reviewed with the patient. He did not want to schedule a separate appointment with oculoplastic surgery and preferred to complete as soon as possible. Ultimately a simple wedge resection was performed to repair the defect (Figure 3).

Sutures were removed after one week and at follow up at 4 weeks, the patient demonstrated full function of the eyelid, with minimal scarring (Figure 4).

Further Discussion on Eyelid Tumors & Growths:

There are many things that can pop up on your eyelids. Some are harmless and some are not. The most common things that occur on the eyelids and prompt patients to see us for an evaluation are chalazions (styes), cysts, seborrheic keratoses, xanthelasma, syringomas, and hidrocystomas.

Chalazions are also known as styes and are benign bumps caused by inflammation of various glands on the eyelids. They can be treated with both medication and at times with surgery. They can mimic things like basal cell carcinoma, so if you have a stye that is not improving, make sure that you have it evaluated by your physician.

Cysts are benign growths that can occur from different structures in the skin. Which structure they develop from defines what type of cyst you have. They can be commonly found on the eyelids and can be derived from glandular tissue, skin, or hair follicles. “Sebaceous cyst” is a generic term that is used frequently to describe a number of different cysts that have a white, cheesy material in them. It is not a specific term that defines any one cyst.

Hidrocystomas are small cystic growths that derive from sweat glands or other specialized glands in the eyelid. They present as small smooth bumps and are easily mistaken for basal cell carcinoma. Some will have a faint blueish color to them. When pooped, a clear, water-like liquid will drip from them. This is sweat!

Seborrheic keratoses are one of the most common growths found on the skin and they can occur on the skin of the eyelids. They are typically raised, rough and can range from skin colored to dark black. Moles and even melanoma can look similar to these, so it is very important to have them evaluated by a health care professional.

Moles. The fancy name for a mole is a melanocytic nevus. These can occur anywhere on your body and the eyelid is no exception. They can even develop on certain tissues in your eye. While most moles are benign, it is very important to watch them for change and to have them evaluated on a regular basis.

Syringomas are small white bumps that appear, typically around the eyelids. They are completely benign yet are often of great cosmetic concern to patients. Syngomas are derived from sweat glands and are distinct from the hidrocystomas that we discussed earlier. They can be few or numerous and can be treated easily. Unfortunately, patients will typically develop new lesions after treatment.

Xanthelasmata are deposits of fats that have been picked up by specific cells in our skin and show up as white to yellow bumps or patches on our eyelids. Most patients with these lesions on their eyelids have normal levels of fats in their blood, however on rare occasions, this can be a marker for abnormal elevations of these fats and even a sign of genetic abnormalities that can be passed on to your children.

Cancer can develop on the eyelid. These include basal cell carcinoma, squamous cell carcinoma, sebaceous carcinoma, malignant melanoma, merkel cell carcinoma, lymphoma, and metastatic tumors from cancers in other parts of the body. We will briefly review a few of the more common types.

Basal cell carcinoma is not uncommonly found on the eyelid and is often seen on the lower eyelid. While it is a slow growing tumor, it can be very locally destructive and can invade the tissue on the eye, behind the eye, or even involve the muscle and bone that surrounds the eye. In extreme and neglected cases it can metastasize, but this is very rare.

Squamous cell carcinoma. This is the second most common skin cancer and it is the most common non-melanoma skin cancer seen in skin of color. These lesions can pop up out of nowhere, or they can develop from precancerous lesions known as actinic keratoses.

Sebaceous carcinoma is a less common tumor derived from the oil glands found on the skin. The eyelid is one of the most common places for these cancers to develop. The tumor seen in the photo below is a very subtle red bump. What prompted the patient to seek attention was the small scab that kept forming on the lesion. This tumor can spread, so surgery is very important in order to clear the tumor and hopefully prevent spread.

Malignant melanoma can occur anywhere on the body and can be seen on the eyelid and even on and within the eye itself. It can develop from a mole or it can develop out of the blue. Prompt evaluation is essential so if you see a dark spot that is new or changing, make sure you have it evaluated.

The Sunscreen Dilemma - A Dermatologist's Perspective

Tue, 30 Jul 2019 16:17:41 GMT

Before we delve into the current problems surrounding sunscreen, I want to begin by saying that I believe in the importance of sunscreen. I use sunscreen when I go outside (admittedly not always as often as I should), I use sunscreen on my two-year-old son, and my pregnant wife uses sunscreen as well. You can also reference our previous blog post on the subject by clicking here. Recently, several reports have cast doubt on the safety of sunscreen for both humans and the environment as whole. I believe it is important that we address these concerns and put them into perspective.

The most recent concern was raised by a recent study published in JAMA (The Journal of the American Medical Association). This study pertained to what we call chemical sunscreens and it demonstrated that when people applied these chemical sunscreens in the recommend amounts and at the recommend intervals, significant amounts of the active chemical agents found in the sunscreen were detectable in the blood. The chemicals in question include avobenzone, oxybenzone, octocrylene, and ecamsule and do not include zinc oxide or titanium dioxide. Zinc and titanium are ingredients commonly found in physical sunscreens.

The other new issue that raised concerns over sunscreen revolved around the new regulations in Hawaii, and Key West banning the use of oxybenzone and octinoxate (chemical sunscreen ingredients) as of January 1, 2021 and discussion of bans in other areas. These actions were taken in response to concerns that sunscreen may be affecting the aquatic environments in these areas, particularly the coral reef ecosystems. In addition, there is consideration to ban titanium dioxde and any products containing mineral oil or petrolatum (Vaseline). Hawaii.com discourages the use of titanium dioxide and recommends certain sunscreens that they deem safe. Some of the sunscreens they recommend are not typically thought of as quality sunscreens and as such, I do not recommend many of them to my patients. There are a few on their list that I would consider using such as Reef Safe Oxybenzone Free Biodegradable SPF 50 Sunscreen and Banana Boat Simply Protect SPF 50+ Sunscreen. While these are not my first choices and I have never used them, I do feel that they could be effective.

So what does all of this mean for us? I believe that the study published in JAMA raises a good question. Are these ingredients safe for humans and in particular are they safe for children and safe for use during a pregnancy? It also pushes the medical community, and the companies that make products with these ingredients, to answer this question and do so in a timely manner. Until we have the answers, if you are concerned, my recommendation is to use a physical sunscreen that contains either zinc oxide or titanium dioxide and if you are concerned about the oceans just go with old-fashioned zinc oxide. Zinc oxide has been around for quite some time and has a great track record with regard to safety. There are many over the counter sunscreens that contain zinc oxide and we sell several types in our office. Also remember that if you have specific questions that need to be answered, ask your health care provider. We are happy to answer these questions, address your concerns and make recommendations based on the best available information.

Health Break - If You Want to Live Longer, 4400 Steps a Day May Be All You Need

Tue, 30 Jul 2019 16:16:29 GMT

Many health gurus, websites and people in general have been trained to believe that you need to take 10,000 steps a day to achieve certain health goals. Interestingly, a recent study published in the Journal of the American Medical Association (JAMA) Internal Medicine suggests that 4400 steps a day may be all you need to improve your longevity. Do not get too excited. While the research suggests this correlation between number of steps and longevity, there are many factors to consider before we say definitively that this is the case.

The researchers looked at women of an average age of 72 years old who wore accelerometers during periods of activity. Factors such as step volume, and step intensity were measured. What they discovered was that women who walked around 4400 had lower rates of death compared to those who took only 2700 steps per day. In addition, the more steps that were taken, the greater the benefit (but only up to a certain point). The benefit seemed to max out at around 7500 steps a day and the speed that the women walked did not seem to matter.

While this study demonstrates some exciting information, there may be reasons for the observed “benefit” beyond the simple number of steps taken. Things such as poor health and poor diet could have led certain women to take fewer steps, thus distorting the results in favor of increased steps. The researchers did their best to take into account factors such as lifestyle, age, diet and health status which could skew the results. They also re-evaluated the data and after removing the numbers for women who may have been in poor health their results demonstrated the same findings.

The researchers are continuing to follow the women who participated in the study and hope to have additional information in the future. They stress that even a modest increase in steps per day can have health benefits and that all steps count, not just steps taken during purposeful exercise. In addition, more steps are not necessarily a waste. They stress that more research is needed and that there may be additional benefits from increased steps that the study did not measure. All in all, what we do know is that it is important to get up and move, even if it is not to exercise. Just taking a walk, for whatever reason can result in health benefit. So get up and get moving. Do what you can, when you can and always discuss your plans and activities with your health care provider.

What You Need To Know About Basal Cell Carcinoma

Tue, 30 Jul 2019 16:14:48 GMT

Can you guess the most frequently occurring form of ALL cancers? If you guessed basal cell carcinoma (BCC), then you’re correct! Each year in the United States more than 4 million cases of basal cell carcinoma are diagnosed. Even more startling is the fact that 1/3 of every new cancer is skin cancer, most of which is basal cell carcinoma. Additionally, between 40-50% of Americans who live to age 65 will have BCC at least once.

Basal Cell Carcinoma Quick-Facts:

Abnormal, uncontrolled growths or lesions that arise in the skin’s basal cells. These are the cells that line the deepest layer of the outermost layer of skin- the epidermis.
Look like open sores, red patches, pink growths, shiny bumps, or even scars.
Caused by cumulative sun exposure.
Typically does not spread beyond the original tumor site, however there are exceptions.
These cancers can cause severe disfigurement if left untreated.
It is the most frequently occurring form of ALL cancers.
Most effective form of treatment is Mohs Micrographic Surgery. This is because it is the procedure that best removes all cancerous tissue at the tumor site.

David Roy is the only Mohs surgeon in the Hattiesburg area, and is only 1 of 9 Mohs surgeons in the entire state of Mississippi.

Overview:

BCC develops most often on the areas of skin that get frequent sun exposure such as the neck, head, face, or the back of hands and forearms. The most common of these sites however is on the nose. However, like every other cancer, BCC does not have any boundaries as to where it can form as it can appear on the trunk, legs, feet, and upper arms. This particular cancer grows much slower than the other skin cancer types. As mentioned above, the cancer can cause severe disfigurement when left untreated. This cancer can grow both extremely wide and deep, causing it to destroy skin, deeper tissue, and can even bone.

What You Should Keep An Eye Out For:

Waxy feeling lesion. This can be pale-white, yellow, or even skin colored growths that have scar-like appearances. Almost looks like a pearly-smooth bump

This can make it difficult to see the edges of the tumor.

Dome-shaped growth. Often times the blood vessels can be visible.

Often appears pink or skin colored, however, it could also appear brown or black.
May flatten in the center like a crater or ooze.

Shiny pink/red, slightly scaly patch (this is particularly true when it shows up on the trunk).

Sometimes basal cell carcinoma can be mistaken for a patch of eczema.

Can appear as a lesion or sore that bleeds easily, fails to heal/returns, oozes & crusts over, has a sunken crater, or has blood vessels in or around it that are visible.

In rare cases it can feel painful or itch.

Treatment & Diagnosis:

The best way to diagnose BCC is to have a biopsy done on a suspicious lesion. Come see a PBD provider to have this done. Once the results come back, we will determine what treatment option is best for you. There are many different ways to treat BCC, with Mohs being the most effective.

Excision: the procedure is rather self-explanatory. The site is slightly numbed and then any remaining tumor will be cut out, as well as any surrounding skin that may have an increased risk of developing the cancer as well.
Curettage & Electrodessication: this is a two-step procedure for dealing with BCC.

First, the tumor is scraped away by one of our providers. Once that is done than electricity is used to destroy any remaining cancer cells.

Cryosurgery: this treatment will remove the BCC tumor by freezing it off with liquid nitrogen.
Mohs Micrographic Surgery: this is a specialized surgery used to remove many types of skin cancer. This procedure offers the highest cure rate for difficult to treat basal cell cancers. Your PBD provider will determine if Mohs is the right procedure for you. If it is, you’ll be in great hands with Dr. Roy!

The tumor, along with a very small amount of skin surrounding the skin that appears to be normal, is cut out (almost shaved out). Once that is done, the tissue is examined under a microscope. This process is continued until the surgeon no longer sees any cancerous tissue left in the cut.

While people diagnosed with basal cell carcinoma typically have a great prognosis, there are some risks of the cancer coming back. If this ends up being the case, these can easily be treated with an additional treatment. One thing to consider is that if you have been diagnosed with BCC, you stand a greater risk of developing other forms of skin cancer such as squamous cell carcinoma and melanoma. A few things that Pine Belt Dermatology & Skin Cancer Center recommends doing to help patients manage their risk include:

Continue scheduling follow ups with your PBD provider.

While a cancer diagnosis can be scary, there is a silver lining that comes with it. When detected early, most skin cancers can be cured, even the more dealy ones such as melanoma and MCC.

Always perform self-exams, or have a loved one routinely perform quick screenings for you. How often you should perform them often depends on the skin cancer you have a history of.
Anything that looks out of the ordinary, come see us! Better to be safe than sorry.
Wear sunscreen that has SPF 30 or higher when out in the sun.

We hope that this article shed light on this form of cancer. If you have any questions please schedule a visit with one of our providers. We have locations in Petal, Hattiesburg, Collins, and Ellisville Mississippi. Additionally, if you have questions about other dermatology topics, please browse through our blogs to learn more. In the event you wish to learn more about a topic that has not been posted to our page, please email us with the subject you would like to learn more about: PBD.Providers@pinebeltderm.com

Micronodular Basal Cell Carcinoma - Mohs Case by Dr. David B. Roy, FAOCD, FAAD

Mon, 08 Jul 2019 15:30:22 GMT

Primary basal cell carcinomas are classified as superficial, nodular, micronodular, and morpheic/infiltrative. Anatomical and histological characteristics of the basal cell carcinomas subtypes vary with each classification. This month’s Mohs Case presentation is a micronodular basal cell carcinoma. Micronodular basal cell carcinoma may be more difficult to eradicate and prone to recurrence than nodular subtype. Micronodular basal cell carcinoma is thought to have a greater potential for clinically surreptitious tumor spread compared with the majority of basal cell carcinomas that are nodular. They also have wider and deeper tumor extensions than nodular basal cell carcinomas of similar clinical size. The number of surgical stages required for complete removal of tumor, the width of tissue required to remove subclinical extension of tumor, and the depth of defect at completion all tend to be greater with micronodular basal cell carcinomas when compared with nodular basal cell carcinomas regardless of whether cases were primary or recurrent. All of that to say, micronodular BCCs can be significantly more destructive than nodular BCCs because tumor extension is difficult to detect clinically. When treating micronodular BCC, clinicians should keep in mind its potential for clandestine invasion.

A 72 year-old male patient presented with a biopsy proven micronodular basal cell carcinoma on the right side of his nose (Figure 1). He stated that the lesion had been present for approximately one year and would heal at times, only to become raw and bleed. After discussing treatment options including Mohs surgery, radiation therapy, and oral targeted therapy, the patient decided that Mohs surgery would be the best option due to its high cure rate. Two stages of Mohs micrographic surgery were required to clear the tumor. (Figure 1) . This left a significant defect to be repaired.

After discussing several closure options, including a flap and graft closure, the patient and I decided upon a transposition flap from the left side of his nose. This procedure involves lifting a piece of tissue from one area and moving it over normal tissue to fill the defect. In this case, a triangular piece of tissue from the left side of the nose was lifted and transferred over the normal skin on the middle part of the nose to fill the hole on the left side. This allowed for a single stage procedure, excellent tissue match in terms of skin texture and color, and relative quick healing time (Figures 2 and 3).

After four weeks, the patient was seen for a wound check with excellent early results (Figure 4).

Squamous Cell Carcinomas on Forehead - Mohs Case

Fri, 21 Jun 2019 15:34:54 GMT

An 81 year-old male patient, presented to our office for treatment of two large squamous cell carcinomas of his forehead. He and his son stated that the lesions had been frozen several times over the last 6 months and that no improvement had been noted. Two stages of Mohs micrographic surgery were required to clear the top tumor and a single stage was required to clear the lower tumor. A significant portion of the muscle had to be removed due to deep involvement of the tumor. The cancer did not involve the bone. The final defect involved a significant portion of the patient’s forehead (Figure 1).

Several closure options were reviewed with the patient. The defect was too wide, and the patient’s tissue was too tight to bring the two sides together. Due to the exposed bone, a full thickness skin graft was not an option as it would likely not survive direct placement on bone. Bone provides no vascular supply to the graft. A modified Z-plasty was performed due to the shape of the two defects, the mobility of the tissue and the need to avoid excessive lift of the patient’s eyebrows (Figure 2 ).

The sutures were removed after one week of healing (Figure 3). As noted in the photo, the eyebrows are level, both flaps have survived the surgery and excellent early results are achieved. The patient was extremely happy with the results and had no complications during the course of his healing.

Squamous Cell Carcinoma (SCC) is the second most common form of skin cancer. It’s usually found on areas of the body damaged by UV rays from the sun or tanning beds. Sun-exposed skin includes the head, neck, chest, upper back, ears, lips, arms, legs, and hands. While this cancer is considered slow growing, it can spread to the tissues, bones, and nearby lymph nodes, where it may become hard to treat. When caught early, it’s easy to treat. This is a skin cancer that we see a lot of in the Hattiesburg and Laurel, Mississippi area. Here is Mississippi, we love our outdoors which increases the risk of developing skin cancer. We also have a multitude of manufacturing and agriculture jobs in the area that increase the amount of time spent in the sun, which over time has cumulative increased risk of developing squamous cell carcinomas, basal cell carcinomas, merkel cell carcinomas, and melanoma.

Mohs Case For May: Excision on the Scalp

Thu, 02 May 2019 15:39:54 GMT

A 72 year-old female patient, presented to our office for treatment of a recurrent infiltrative basal cell carcinoma of her forehead. According to the patient, surgery had been attempted twice previously. Neither attempt yielded clear margins and the tumor recurred. As noted in previous blogs, this type of basal cell carcinoma is typically more aggressive than a standard nodular basal cell carcinoma and is frequently larger than it appears to be. This is why it is difficult to obtain clear margins with standard surgery.

Three stages of Mohs micrographic surgery were required to clear the tumor. The final defect involved a significant portion of the patient’s forehead (Figure 1) . Luckily, the bone was not involved.

Several closure options were reviewed with the patient. Grafting was discussed, but she and her husband had significant concerns regarding the look of a graft, especially on the center of the forehead. Ultimately, the patient opted for a bilateral advancement flap. This flap had the advantage of being performed in a single stage while yielding a cosmetically pleasing result. Tissue from the lateral aspects of the forehead were elevated and moved (advanced) centrally (Figure 2). The left side of the patient’s forehead was also rotated slightly to achieve the proper positioning. This allowed for complete closure of the wound while keeping the patient’s eyebrows level and even.

The sutures were removed after one week of healing (Figure 3). The patient was extremely happy with the results and had no complications during the course of her healing.

This case is presented to demonstrate the severity of skin cancer, even non-melanoma skin cancers, and to highlight the skill of Pine Belt Dermatology & Skin Cancer Center in managing complex skin cancers. All of our providers take a holistic approach to treating skin cancers and pre-cancers. Our Mohs surgeon, Dr. David Roy is the only Board Certified Mohs Surgeon in the Hattiesburg, Mississippi area. Many of our competitors in the area focus on cosmetic dermatology and treatment of mild skin cancers, but our niche is management of chronic skin conditions and complex skin cancers. If you or a loved one has been diagnosed with skin cancer, there is no better dermatology group to manage it than Pine Belt Dermatology.

Skin cancer is the most commonly diagnosed cancer each year, and the Pinebelt area is significantly at risk for development due to the large agriculture and manufacturing industries in our area. May is Skin Cancer Awareness Month. Healthcare providers, even those not in the field of dermatology, will be working diligently to educate the public on the risks of skin cancer and will be urging the public to get themselves screened annually. In fact, Kristen Richardson will be hosting a “Melanoma Monday” screening on May 20th, from 9:00AM-12:00PM, at our Hattiesburg clinic in the Merit Health Wesley hospital. This skin cancer screening is free and we encourage everyone to come by. You can get yourself booked for the screening by calling 601-475-9968 !

Scabies – The Infuriating & Insatiable Itch

Thu, 25 Apr 2019 15:19:03 GMT

Maybe you have heard of someone you know getting scabies, or maybe you have even had them yourself. If so, then you are probably well aware of just how miserable of a condition it is to deal with. Scabies is caused by a tiny mite that has infested humans for at least 2,500 years. The disease is often hard to detect, and causes a fiercely, itchy skin condition. In Disney’s Pirates of the Caribbean: Dead Men Tell No Tales, Jack Sparrow referred to scabies as the "incurable itch", and if you have ever had them then you know that the itch does in fact seem "incurable". Dermatologists estimate that more than 300 million cases of scabies occur worldwide each year. Scabies is most common in those who have close physical contact with others, particularly children, mothers of young children, sexually active young adults, and elderly people in nursing homes. The condition can strike anyone of any race or age, regardless of personal hygiene. The good news is that with better detection methods and treatments at our disposal, scabies does not need to cause more than temporary distress.

So how do you get scabies?

The microscopic mite that causes scabies can barely be seen by the human eye. The eight-legged mite burrows in the skin and within several weeks, the patient develops an allergic reaction that causes severe itching; often intense enough to keep sufferers awake all night long! Human scabies is almost always caught from another person by close contact. It could be a child, friend, or another family member. Everyone is susceptible. Scabies is not a condition isolated to low income families or neglected children, although, it is more often seen in crowded living conditions with poor hygiene. Why is this? The mites are attracted to warmth and odor. The female mite will burrow in the skin, lay eggs, and produce toxins that cause allergic reactions. Larvae (newly hatched mites) travel to the skin surface and lay in shallow pockets where they will develop into adult mites. If the mite is scratched off of the skin it can actually live in the nail bedding for up to 24 hours or more. It may take up to a month before a person will notice the itching, especially in people with good hygiene and who bathe regularly.

Signs & Symptoms:

The earliest and most common symptom of scabies is itching, especially at night. Lille red bumps like hives, tiny bites, or pimples appear. In more advanced cases the skin can become crusty or scaly. Scabies prefers warmer sites on the skin such as skin folds, where clothing is tight, between the fingers, under the nails, on the elbows/wrists, the buttocks or belt line, around the nipples, and even on the penis. Mites also tend to hide in, or on, bracelets and watchbands, or the skin under rings. In children, the infestation may involve the entire body including the palms, soles, and scalp. The child can be irritable from lack of sleep throughout the night and the relentless itch. As is the case with all other dermatology conditions that deal with itching and scratching, bacterial infection can occur due to the scratching of the skin. In many cases, children are treated because of infected skin lesions rather than for the scabies itself. Although this treatment of bacterial infections can provide temporary relief, recurrence is almost certain if the scabies infestation is not treated.

Advanced Cases - Crusted Scabies (Norwegian):

Crusted scabies is a form of the disease in which the symptoms are far more severe. Large areas of the body, like the hands and feet, may be scaly and crusted. These crusts hide thousands of live mites and their eggs, making treatment of the condition difficult because medications applied directly to the skin may not be able to penetrate the thickened skin. This type of scabies occurs most often in the elderly patients, in some AIDS patients, or in people whose immunity is decreased and is extremely infectious.

The Elderly & Nursing Homes:

Scabies among resident patients of nursing homes and extended care facilities has become a common problem due to delayed diagnosis since it can be mistaken for a number of other skin conditions. The delay allows time for the scabies to spread to nursing home staff and other residents. Because residents require assistance in daily activities, this unknowing exposure to infested patients provides an opportunity for the scabies to spread. This happens more often than you might think. Just a few years ago, Dr. David Roy was called in to a nursing home in the Pinebelt to help treat an entire nursing home that had become infested!

How is a Diagnosis Made?

If you came to our facility and presented with scabies-like symptoms, Pine Belt Dermatology & Skin Cancer Center providers would do a head-to-toe examination in good lighting with careful attention to skin crevices. Many times we can make a diagnosis without requiring any special tests. To confirm scabies we do have the ability to apply a drop of oil to the suspected area, scrap the oil-laden skin (painless), and put the scrapings on a glass slide to look under a microscope. We can easily find the mites and/or the mite eggs under the microscope to give you the diagnosis.

Eradication of the Scabies:

There are a number of options to get rid of these pesky mites and their insatiable itch! Getting rid of the mites is critical in the treatment of scabies. Everyone in the family or group, whether itching or not, should be treated at the same time to stop the spread, or recurrence, of scabies. This includes close friends, daycare or school mates, Of course, treatment varies on a case by case basis, but you can most likely expect one of the following options:

5% Permethrin Cream – this is applied to the skin from the neck down at bedtime and washed off the following morning. It is important that the cream is applied to cool, dry skin over the entire body (including palms, soles, under finger nails, and the groin) and left on for 8-14 hours. A second treatment one week later may be recommended.
1% Lindane Lotion – applied from the neck down at night and washed off in the morning, and then reapplied one week later. Again, it is important that this lotion is placed over the entirety of the skin from neck down. This therapy should not be used by infants, children, or pregnant/nursing women.
10% sulfur ointment & crotamiton cream may be prescribed for infants
Ivermectin – an oral medication which can be prescribed to treat the crusted (Norwegian) scabies since creams and lotions are not as effective with the advanced cases.
Antihistamines – these may be prescribed to help provide relief from itching, which can last for weeks even after the mite it eradicated.
Treat all exposed individuals whether obviously infested or not. Incubation time is 6-8 weeks so the person may have the mites but not yet present the symptoms.
Wash all clothes
Change and wash bedding
Carpets and upholstery should be vacuumed and the bag discarded

If you have an infuriating itch and have not been able to get any answers about the condition, come and see Pine Belt Dermatology and let us give you a diagnosis. Even if the itch you are experiencing is not scabies, we can at least provide you with an answer and a treatment plan for whatever it is you have!

April Mohs Case Presentation - Cystic Basal Cell Carcinoma

Wed, 03 Apr 2019 15:23:31 GMT

A 61 year-old female patient presented to our Pine Belt Dermatology complaining of a sore lesion on her nose (Figure 1). She stated that the spot had been tender and bleeding for several months and that it had been diagnosed as a cyst and treated with antibiotics. Despite treatment, the lesion demonstrated no improvement which caused the patient to become concerned and schedule a consultation. Kristen Richardson, PA-C was able to biopsy the lesion to get the patient an accurate diagnosis.

A biopsy of the lesion revealed a cystic basal cell carcinoma. Basal cell carcinoma begins in the basal cells — a type of cell within the skin that produces new skin cells as old ones die off. Basal cell carcinoma often appears as a slightly transparent bump on the skin, though it can take other forms. Basal cell carcinoma occurs most often on areas of the skin that are exposed to the sun, such as your head, neck, and face.

Basal cell carcinoma appears as a change in the skin, such as a growth or a sore that won't heal. These changes in the skin, or lesions, usually have one of the following characteristics:

A pearly white, skin-colored or pink bump that is translucent, meaning you can see a bit through the surface. Tiny blood vessels are often visible. In people with darker skin tones, the lesion would be darker but still somewhat translucent. The most common type of basal cell carcinoma, this lesion often appears on the face, ears or neck. The lesion may rupture, bleed and scab over.
A brown, black or blue lesion — or a lesion with dark spots — with a slightly raised, translucent border.
A flat, scaly, reddish patch with a raised edge is more common on the back or chest. Over time, these patches can grow quite large.
A white, waxy, scar-like lesion without a clearly defined border, called morpheaform basal cell carcinoma, is the least common. This lesion is easy to overlook, but it may be a sign of a particularly invasive and disfiguring cancer.

After discussing treatment options including Mohs surgery, radiation therapy, and oral targeted therapy, the patient decided that Mohs surgery would be the best option due to its high cure rate.

The surgery and microscopic evaluation of the tissue revealed a very large and aggressive tumor that had invaded deeply into the nose. The tumor was much larger than it looked and involved a significant portion of the nose (Figure 2).

After discussing several closure options, including a flap and graft closure, the patient and I decided upon a rotation flap from the right side of her nose. This would allow for a single stage procedure, excellent tissue match in terms of skin texture and color, and relative quick healing time (Figure 3) .

After one week, the patient was seen for suture removal with excellent early results (Figure 4).

Three weeks after her surgery, her nose is centered and level, the tissue color and texture are appropriate, and scarring is minimal (Figure 5) . This case demonstrates the utility of flap closure, even for very large defects of the nose. It allows for the procedure to be completed in one day and requires only one week of downtime and wound care for the patient.

Basal cell carcinomas are the most common skin cancers diagnosed each year. Be sure to have yourself and your loved ones examined once a year to monitor lesions. If you have a family history of skin cancer Pine Belt Dermatology recommends getting them

March Mohs Case Presentation - Infiltrative Basal Cell On The Nose

Wed, 27 Feb 2019 16:27:10 GMT

A 75 year-old male patient, on warfarin (blood thinner) therapy, presented to our office for a non-healing sore on his nose (Figure 1) . According to the patient, the lesion had been treated with liquid nitrogen at least twice in the past 12 months. A biopsy demonstrated an infiltrative basal cell carcinoma. This type of basal cell carcinoma is typically more aggressive than a standard nodular basal cell carcinoma and is frequently larger than it appears to be. These cancers can cause severe disfigurement if left untreated. This cancer can grow both extremely wide and deep, causing it to destroy skin, deeper tissue, and can even damage bone. The most common place that a Basal Cell Carcinoma will present itself is on the nose.

Three stages of Mohs micrographic surgery were required to clear the tumor. The final defect involved the majority of the nasal dorsum, nasal tip and a small amount of the bilateral nasal sidewall (Figure 2) . Minor involvement of the nasal cartilage was noted.

Several closure options were discussed with the patient including but not limited to a paramedian forehead flap. This closure involves identifying the supratrochlear artery that supplies some of the skin on the forehead and dissecting the surrounding tissue to utilize for the repair. This is typically a two-stage process and can be difficult for some patients to tolerate, especially those on life saving blood thinners. Due to the complexity of this procedure, the patient wished to pursue other options.

Grafting was discussed, but he and his wife had significant concerns regarding the cosmetic results of a graft. Skin grafts can be very cosmetically pleasing when executed correctly. Unfortunately, in this case, the large defect size and exposure of cartilage would make the likelihood of a cosmetically pleasing graft very low.

In the end we opted for a bilateral transposition flap. This flap had the advantage of being performed in a single stage while yielding a cosmetically pleasing result. Tissue from the middle part of each cheek was elevated and moved over to the intact tissue of the sides of the nose (transposed) and sewed into place over the defect (Figure 3) .

The sutures were removed after one week of healing. At two weeks a small amount of scabbing is noted at the tip of the nose (Figure 4) , but the patient and his wife were extremely happy with the result.

Facts on Shingles & When To See A Dermatologist at Pine Belt Dermatology

Wed, 06 Feb 2019 20:10:21 GMT

Do you know what the disease is? Maybe you have heard of it before, maybe not, but it is a viral disease that comes from chickenpox. Anyone who has had chickenpox can get shingles. After the chickenpox clears, the virus stays inside the body. If the virus reactivates (wakes up), the result is shingles — a painful, blistering rash. The risk of getting shingles increases with age. Shingles appears when the virus wakes up. It is not clear what reactivates or "wakes up" the virus. A short-term weakness in immunity may cause this. A vaccine can reduce your risk of getting shingles. Typically, when recommended, the doctor will encourage you to get your vaccine after your 50th birthday and no later than your 60th birthday. If you’ve had chickenpox, you can still get shingles after getting shingles vaccine. The vaccine also lessens your risk of developing serious complications from shingles, such as life-disrupting nerve pain. The nerve pain can last long after the shingles rash goes away. Some people have this nerve pain, called post-herpetic neuralgia (PHN), for many years. The pain can be so bad that it interferes with your everyday life. The shingles vaccine reduces your risk of developing this nerve pain, even more than it reduces your risk of getting shingles. This is not a disease that you want to brush off. The shingles rash can be very painful and widespread, and it is contagious, however, less contagious than chickenpox.

Shingles Symptoms:

Shingles, as stated above, is a disease from the same virus that causes chickenpox. The difference is that shingles tends to cause more pain and less itching than chickenpox. Its important to know the common signs and symptoms of the disease. They are below:

Warning sign: an area of the skin may burn, itch, tingle, or become very sensitive. This usually occurs in a small area on one side of the body. These symptoms can come and go or be constant. In most cases you will feel this for a few days (1-3) but can sometimes last longer.
Rash: A rash will then appear in the same area.
Blisters: the rash will soon turn into a group of clear blisters. The blisters turn yellow or blood before they eventually crust over, scab, and then heal. The blisters will tend to last 2 to 3 weeks.
Pain: It is uncommon to have the shingles blisters without experiencing pain. Once the blisters heal, the pain may lessen. However, the pain can last for months after the blisters clear.
Flu-like symptoms: a fever or headache can accompany the shingles rash.

Who Is At Risk?

A person must have had chickenpox to get shingles. Some people who have had chickenpox have a higher risk of getting shingles. You have a higher risk if you:

Are 50 years of age or older
Have an illness or injury
Are under great stress
Have a weakened immune system

Some illnesses and medical treatments can weaken a person's immune system and increase the risk. These include:

Cancer
HIV/AIDS
Some cancer treatments, such as chemotherapy or radiation
Medicine taken to prevent rejection of a transplanted organ
Cortisone when taken for a long time

When you have shingles, you're only contagious while you have blisters. Catching this virus and getting chickenpox can be dangerous for women who are pregnant and have not had chickenpox or gotten the chickenpox vaccine. In this situation, the virus can harm the woman’s unborn baby.

Babies less than 1 month old and people who have a weak immune system can also have complications if they catch the virus. People who have a weak immune system include those who are:

HIV positive
Taking medicine that weakens their immune system
Receiving chemotherapy or radiation treatments

You’re not contagious before you develop blisters or after the blisters scab over. Be sure to take precautions while you have blisters.

To prevent spreading the virus while you have blisters, the Centers for Disease Control and Prevention (CDC) recommends that you:

Cover the rash
Wash your hands often and try to avoid touching the rash
Avoid being around people for whom catching the virus could be dangerous

Why see a dermatologist for shingles? Without treatment, the rash clears in a few weeks. However, Pine Belt Dermatology strongly recommends treatment. Without it, many people get pain, numbness, itching, and tingling that can last for months — or years. Possible treatments include:

Anti-viral medicine: This medicine may be prescribed when a doctor diagnoses shingles within 72 hours of the rash first appearing. The earlier anti-viral treatment is started, the better it works. Anti-viral medicines include famciclovir, valacyclovir, and acyclovir. These can lessen the pain and the amount of time the pain lasts.
Nerve blocks: Given for intense pain, these injections (shots) contain a numbing anesthetic and sometimes a corticosteroid.
Corticosteroids: To lower swelling and pain, some patients may get corticosteroid pills with their anti-viral medicine. This treatment is not common because it can make the rash spread.

Treatments for pain after the rash clears: Certain anti-depressants, pain relievers, anesthetic creams and patches, and anti-seizure medicines can help.

There are some complications that can be caused by the disease. Symptoms of shingles usually don’t last longer than 3 to 5 weeks. However, complications can happen. The main complications that can result from shingles include:

Postherpetic neuralgia (PHN). The most common complication of shingles is called postherpetic neuralgia (PHN). This continuous, chronic pain lasts even after the skin lesions have healed. The pain may be severe in the area where the blisters were present. The affected skin may be very sensitive to heat and cold. If you had severe pain during the active rash or have impaired senses, you are at increased risk for PHN. The elderly are also at greater risk. Early treatment of shingles may prevent PHN. Pain relievers and steroid treatment may be used to treat the pain and inflammation. Other treatments include antiviral drugs, antidepressants, anticonvulsants, and topical agents.
Bacterial infection. A bacterial infection of the skin where the rash happens is another complication. Rarely, infections can lead to more problems, such as tissue death and scarring. When an infection happens near or on the eyes, a corneal infection can happen. This can lead to temporary or permanent blindness.

To get the most optimal treatment and care for shingles it is important to seek out help as soon as you realize you have the disease. Pine Belt Dermatology is here to help and we are in five different locations so we are very easy to access.

Mohs Case Before & After - Infiltrative Basal Cell Carcinoma

Mon, 04 Feb 2019 20:15:42 GMT

A 77 year-old male patient presented to our clinic complaining of a sore lesion on his left ear (Figure 1). He stated that the spot had been tender and bleeding for several months and that it had been frozen with liquid nitrogen four times in the last two years, with no improvement.

Figure 1. A biopsy of the lesion revealed an infiltrative basal cell carcinoma. While basal cell carcinoma is typically slow growing and not very aggressive, this particular type (infiltrative) is known for demonstrating a more aggressive behavior and a more destructive course. After discussing treatment options including Mohs surgery, radiation therapy, and oral targeted therapy, the patient and his wife felt that surgery would be the best option due to its high cure rate. The patient was also concerned about the cosmetic result, and repair options for the possible resulting defect were discussed.

The surgery and microscopic evaluation of the tissue revealed a very aggressive tumor that had invaded the cartilage of the ear. After three stages of surgery the final defect involved the entire back edge of the ear and a significant portion of the cartilage (Figures 2-3). Luckily, the Mohs procedure allowed for some of the cartilage to be saved, which would later aid in the reconstruction.

The patient stressed the importance of the cosmetic look of his ear and after seeing the defect he was doubtful that his ear would ever look normal again. To solve this problem, we decided upon what is called an interpolation flap. This particular flap closure involves taking skin from the tissue behind the ear (the postauricular area) and attaching it to the ear itself. While doing this we leave a significant portion of the skin attached to the scalp so that the flap of skin has significant blood supply to survive and heal (Figure 4).

The skin was left in this position for 18 days (Figure 5), at which point the flap is separated from its attachment to the scalp and the ear is rebuilt using the freed skin (Figure 6).

Figure 6 – One week after the final repair. If you have been diagnosed with a non-melanoma skin cancer and have been told you need to have Mohs surgery, then come see Dr. David Roy at Pine Belt Dermatology to discuss any and all concerns you may have. Skin cancer diagnoses are never comfortable to receive, and neither is being told you need to have the cancer surgically removed, but at Pine Belt Dermatology we do our best to place your mind at ease and provide you with the highest quality in the Hattiesburg and Laurel area. If you have a history of skin cancer, or a family history of skin cancer, strongly consider seeing Pine Belt Dermatology for the most optimal results!

Strata Pen – Microneedling At Pine Belt Dermatology

Mon, 28 Jan 2019 20:17:39 GMT

Strata Pen is a minimally invasive micro-needling device used for skin rejuvenation. Also, Strata Pen is the micro-needling device used at Pine Belt Dermatology for a myriad of skin issues, such as acne scars, pigmentation issues, fine lines, wrinkles, pore size, loose skin, and brown spots. Micro needling is a very popular cosmetic procedure, and Pine Belt Dermatology has only begun offering it recently. Micro needling is defined as the use of small solid or hollow needles to cause punctures in the skin for therapeutic purposes. It’s a simple, safe, effective and easy to perform procedure with a growing list of applications. Mainly, micro needling devices cause patterns of tiny wounds that stimulate the healing cascade to produce healthier-looking skin of even texture and tone; this can be harnessed for simple rejuvenation via dermabrasion, or more profound indications such as the revision of various types of scarring. Additionally, micro needling is very affordable. Micro needle devices cost nowhere near as much as the complicated energy-based medical devices for skin rejuvenation , resurfacing or tightening, such as fractional CO2 lasers or radio-frequency devices, which can end up costing thousands of dollars over the course of multiple treatments. Our micro-needling service is $250 per treatment.

The cool thing with this new procedure is that it is great for all skin types and colors. Unlike laser, IPL, and chemical peels, Strata Pen can be used on all skin types without fear of hypopigmentation, hyperpigmentation, burning, and most importantly, recent mild to moderate sun exposure. However, if you’re considering micro-needling treatments, we recommend a cosmetic consultation first. In fact, we will not operate on a patient without first having a consultation about the procedure. Lauren Aycock or myself will discuss the different treatment options & determine if Strata Pen would be beneficial for your unique skin!

So who makes the ideal candidate for the Strat Pen micro-needling procedure? The better question is, “Who doesn’t?” Because it’s minimally invasive, doesn’t cause significant wounding of skin, and isn’t light-based, virtually anybody can safely undergo micro needling therapy with minimal risk of long-term adverse effects. Typically important factors such as age or skin color don’t matter. Even areas of the body where skin is typically thin can undergo treatment with some micro needling devices, such as Strata Pen, where depth of penetration is consistent and easily regulated. The best candidates for Strata Pen micro-needling are:

Male or female, 18+ and in good health.
Are not pregnant or planning to become pregnant.
Has not had dermal fillers (Juvederm & Restylane) within 2 weeks of the treatment.
Has not had Botox, Dysport, or Xeomin injections within 2 days of the treatment.

Medical contraindications for microneedling are:

keloid scars
HSV
diabetes
immunosuppression
active acne, rosacea or psoriasis
blood-thinner or isotretinoin (>6 months) therapy

What is the treatment with Strata Pen micro-needling like? We’ll start your treatment plan by taking photos of your skin. Next, your face will be cleansed and a topical numbing cream will be applied. Once your numbing period is done, the treatment will begin and should only take about 15 to 30 minutes. Upon completion of the session, aftercare will be reviewed and you’ll be given instructions for how to care for your skin. That’s all there is to it!

What are the side effects or down time for the procedure? First of all, micro-needling is intended to be a minimally-invasive procedure. For most patients, the side effects & downtime are mild. However, experiences may vary slightly based on your skin type & the treatment settings.

For lighter “maintenance” procedures:

settings will be less intense
side effects will be milder; redness, swelling & itching are the most commonly reported
social downtime will be ~1 to 2 days; light peeling is possible

For intensive “repair” procedures:

settings will be stronger
side effects will be moderate; redness, swelling, itching & mild discomfort are the most commonly reported
social downtime will be ~2 to 5 days; peeling is possible

We recommend that our patients avoid sweat-inducing exercise for the first 12 hours post treatment. Sun exposure is also discouraged for at least 3 days post-treatment.

Lastly, and most importantly, when will we see results? Strata Pen, like all micro-needling devices, requires a series of treatments in order to get the best results. After each session, the micro-injuries we made to your skin will trigger a natural healing response. This can be described as a sort “remodeling” process. Your body’s own production of new collagen & elastin will create the most change.

So, if micro-needling is something you think you may need, or you would like to learn more about, stop by one of our offices. Lauren Aycock or I would be happy to have a consultation with you to learn more about what it is you are trying to achieve, and how we can help you on your journey to healthier skin… “Because healthy skin is beautiful skin!"

Hand Rashes: Causes, Tips, Prevention, & Treatment

Fri, 11 Jan 2019 19:56:47 GMT

Hand rashes are very common. Our hands touch so many things that can cause a rash. A hand rash can also occur because of something going on inside of your body. Some rashes will appear almost immediately and others will develop over time. While rashes on the hands are common, they are anything but pleasant. That is why it is important to make you know what is causing the rash, how to treat it, and when to seek out professional treatment when you don’t know.

Many people get a hand rash from substances they come into contact with at work. Offenders can include dyes, detergents, and even water. Repeatedly wetting and drying your hands throughout the day can dry out the skin. The skin can become so dry that it cracks and bleeds. Some hand rashes are actually an allergic reaction. These skin reactions usually develop after years of touching the same things day in and day out. This can explain why we so many hand rashes on people who tend to live stock in the Hattiesburg-Laurel, MS area. Allergic reactions can also occur if you are using new products on or near your hands. Cooks can develop an allergy to foods such as fish, garlic, or citrus fruits after having used them for years without issue. Additionally, people who frequently wear gloves can develop an allergy to latex gloves. There are even cases where jewelry can cause an allergic reaction. This allergic reaction often takes years to develop. A person who frequently wears a piece of jewelry can become allergic to a certain metal in that jewelry, even in wedding bands. When this happens it is called “wedding-ring dermatitis”, and it causes a rash under and around a person’s wedding band.

Dyshidrotic eczema can appear on the hand. People who have this type of eczema experience sudden recurring outbreaks of blisters. These blisters are deep, itchy, and often painful. These blisters form on the palms and the sides of the fingers. As the itch diminishes, rings of scaly skin will begin to form. When the affected skin peels, you will often see red, cracked skin with brown spots. It is not uncommon for these blisters to become disabling.

Thousands of things cause a hand rash; yet, most hand rashes look a lot alike. The skin on the hands tends to be:

Chapped, dry, and scaly
Rough, raw, and red
Itchy or burning
Sometimes filled with bumps or blisters

These signs and symptoms can appear on any part of your hands. Because so many things can cause a hand rash, you should seek out a provider at Pine Belt Dermatology for diagnosis and treatment. Dermatologists are the medical doctors who are the experts in treating skin disease and have the most experience diagnosing and treating the many rashes that can appear on the hands. Pine Belt Dermatology is the most trusted dermatology provider in the Hattiesburg and Laurel area, so be sure to schedule an appointment with myself or a colleague if you have a hand rash that is giving you trouble. Effective treatment for a hand rash begins with accurately identifying the cause.

As stated above, a Pine Belt Dermatology provider will create a treatment plan to help your skin heal. Many plans include medicine and tips to help you avoid/prevent what has been causing the rash on your hands to appear. A very important note that I feel obligated to mention is that during your treatment it is possible for your hands to look worse while they heal. Often times I will have patients call after seeking treatment stating that they used the medication given but that they feel their hand rash looks worse. Do not fret! This is normal, and a natural part of the healing process of the skin. Do not let this discourage you from continuing with your prescribed treatment plan. There are a number of treatments for hand rashes that you may get:

Non-prescription creams and lotions – depending on the rash we may recommend a solution that you can get over the counter at your favorite neighborhood pharmacy. For some hand rashes you can use petroleum jelly, water-based, or oil-based hand cream. These solutions will keep the skin from becoming any dryer, resulting in further irritation.
Prescription medicine – In some cases we may prescribe a prescription-strength cortisone-containing medicine that you can apply to the affected skin. In other cases you will get a prescription for an “immunomodulator”, which is a medicine that works with the immune system. This can be in the form of a cream or an ointment. Whomever you see here at the office will provide you with instructions on the proper use of the medication you are prescribed.

Other medications that you may be prescribed that come in the form of a pill:

Antihistamine – these can help treat severe itching.
Corticosteroid – used to treat intense swelling and redness in the affected area.

Antibiotic – used to treat sore, cracked skin and prevent a skin infection. This is often used in areas that have severe cracks or have had blisters that have opened.

As your skin heals it often starts to itch. Again, do not fret, and try not to itch it! Scratching your hands can worsen the rash and cause an infection.

You may wonder how to prevent future hand rashes from flaring. Hand rashes can return, however, taking some precautions can help prevent them from returning. Such precautionary practices include:

Wearing gloves to protect your hands. Harsh chemicals and other substances that tend to irritate your skin can cause a new rash. Depending on the rash and daily life, we will recommend what type of gloves you should wear at work and while doing housework. Wear warm gloves outdoors in cold weather. Cold temperatures dry out your skin, especially on the hands. Replace gloves that have holes; when gloves get wet, be sure to dry them out between uses; and never put on wet gloves.
Wash your hands without irritating them; soap and water can remove oils from your skin which can dry it out. To reduce this loss you should use: lukewarm water; a fragrance-free beauty bar or moisturizing liquid; antibacterial soap when necessary and apply hand cream immediately after every washing to keep moisture in the skin.
Additional tips include: applying fragrance free hand cream or ointment to your hands after each hand wash or shower; apply cream or ointment to your hands right before getting into bed. The best products to use are ones that contain glycerin and/or petrolatum.

Treating a hand rash can be time consuming. It can also seem daunting and or pointless when the rash keeps coming back. Because the rash is on your hands, and your hands touch many things, these rashes can become very painful as they become more irritated. Some hand rashes can even become disabling. Rest assured, treatment is important, which is why you should schedule an appointment with a provider at Pine Belt Dermatology & Skin Cancer Center to get optimal results.

Seborrheic Dermatitis & Why You Should Choose Pine Belt Dermatology

Fri, 07 Dec 2018 19:59:04 GMT

What is seborrheic dermatitis? Seborrheic dermatitis is a very common skin disease that causes a rash. When this rash appears the skin tends to have three main characteristics:

Reddish color
Swollen and greasy appearance
White and/or yellowish crusty scale on the surface

Sometimes, more than one of the rashes listed above can be present on the body. These rashes can sometimes itch, but not always. There is still much research being done to find out more about what causes this skin disease. We currently know that many factors play a part in causing it. Such factors include the yeast that normally lives on our skin, our genetics, living in cold and dry climates, stress, and a person’s overall health. Other than irritation (burning and itching in affected areas), this disease is not harmful to the body. This disease is not caused by poor hygiene and it is not an allergic reaction to a foreign substance. We do know that people of all colors and ages get seborrheic dermatitis. The age groups that are most susceptible are infants 3 months of age or younger, and adults between ages 30 and 60 years of age.

The Disease in Infants:

If you have ever heard of an infant getting “Cradle Cap”, this is referring to seborrheic dermatitis on the scalp of the infant. Many infants can get this disease. Scaly, greasy patches will form on the baby’s scalp, and the patches can become thick and crusty. If you have an infant that exhibits this kind of rash, do not fret, as this form of seborrheic dermatitis is harmless. The rash can go away on its own within a few months. If you would like for your child to receive treatment, however, Pine Belt Dermatology can certainly help. The scalp isn’t the only area that an infant can get this disease. Babies can also get seborrheic dermatitis in their diaper area and elsewhere. In the diaper area, the red rash is often mistake as diaper rash. Seldom, babies will get seborrheic dermatitis that covers much of the body with red and scaly patches. If this is the case feel free to schedule an appointment with a Pine Belt dermatology provider. No matter where the seborrheic dermatitis forms on your baby, it tends to permanently disappear between 6 months and 1 year of age. Seborrheic dermatitis varies in how it is presented based on a patient’s age. Signs and symptoms of the disease in babies include:

Yellow greasy scale on the scalp
A thick layer of scale can cover the entire scalp
Scale will present itself as yellow or brownish color
In time, scale will flake and rub off of the scalp.

So how do we treat it for infants? Shampooing the scalp daily with a baby shampoo can help. Gently brushing away the scale once it starts to soften will help. You can also apply medications to the infant’s scalp to help expedite the healing process.

Seborrheic Dermatitis in Adults:

When this disease presents itself in adults, the condition can come and go for the rest of that person’s life. Flare-ups are common when the weather turns cold and dry, similar struggles for people with psoriasis and atopic dermatitis. The good news is that treatments can reduce flare ups and bring relief to the affected areas. The disease affects adolescents and adults differently than it does in infants. In older patients the disease causes:

Scaly patches on the skin
Skin beneath these patches ae reddish
Even though scale is present, patches often look greasy or moist
Scale will flake off and look yellowish, sometimes white.
Itching of the skin, especially in the ear canal and on the patient’s scalp.
Affected area can sometimes exhibit a burning sensation

Seborrheic dermatitis causes patches to form where the skin is oily, such as:

Scalp
Ears, especially the ear canal
Eyebrows
Center of the face
Eyelids
Upper chest and back
Armpits
Genitals

As mentioned above, seborrheic dermatitis can affect all ages and all ethnicities and there are some medical conditions that can increase your risk of exhibiting the disease. Those medical conditions include, but are not limited to:

HIV – roughly 85% of people infected with HIV develop seborrheic dermatitis
Acne
Rosacea
Psoriasis
Epilepsy
Parkinson’s disease
Recovering from a stroke or heart attack
Eating Disorder
Alcoholism
Depression

After infancy, seborrheic dermatitis usually does not go away in adolescents and adults without treatment. There are a few different treatment options at our disposal to treat the disease. Treatments include: dandruff shampoos, medicine to apply to the skin for short periods of time, and barrier-repair creams. Dandruff shampoos can be helpful on the skin as well as the scalp. Often the best results come from combining two or more treatments, and this combination will be determined when you consult one of our providers.

The good news is that seborrheic dermatitis is a disease that Pine Belt Dermatology & Skin Cancer Center frequently diagnoses and treats. If you suspect you have seborrheic dermatitis, you should schedule a visit with myself or one of my colleagues for a diagnosis. While the disease is harmless, it does cause irritation, and it is important to make sure we rule out other diseases. Diseases that can be confused with seborrheic dermatitis include psoriasis, eczema, or an allergic reaction of the skin. Each of these diseases requires different treatments. Although treatment cannot cure seborrheic dermatitis, treatment has benefits. Treatment can loosen and remove scale, prevent a skin infection, and reduce swelling and itch. However, to get the proper treatment it is important that you schedule a visit with a provider. The right treatment requires the right diagnosis!

Scalp Psoriasis Treatment At Pine Belt Dermatology & Skin Cancer Center

Thu, 08 Nov 2018 20:02:25 GMT

Psoriasis is an autoimmune disease that affects the skin, and it can occur anywhere on the skin. When it forms on the scalp it is called “scalp psoriasis”. Regardless of where psoriasis forms, the cause is the same. Psoriasis develops when a person’s immune system has faulty signals that tell skin cells to grow too quickly. New skin cells form in days rather than weeks. The body does not shed these excess skin cells. The skin cells pile up on the surface of the skin, causing patches of psoriasis to appear. Researchers estimate that at least 50% of people with plaque psoriasis will have at least one flare-up on the scalp. Scalp psoriasis can extend beyond the scalp. It can appear on the forehead as shown in the picture on this page. Sometimes, it extends to the back of the neck, below the hairline, or appears behind the ears. Scalp psoriasis varies in size and can occur in small patches or cover the entire scalp. Scalp psoriasis can be extremely hard to manage, however, the providers at Pine Belt Dermatology & Skin Cancer Center are here to help.

When psoriasis appears on the scalp you will notice the following symptoms:

Dandruff: like flaking and silver scaling: Scalp psoriasis can look a lot like dandruff. Many people who have scalp psoriasis see flaking. But there are differences between scalp psoriasis and dandruff. Unlike dandruff, scalp psoriasis causes a silvery sheen and dry scale on the scalp. It can also be extremely itchy. Approximately 70-90% of people with psoriasis experience a constant itching.
Itching: This is one of the most common symptoms. For some the itch is mild; others have intense itching that can interfere with everyday life and cause sleepless nights.
Reddish patches on the scalp: Some patches are barely noticeable. Patches also can be very noticeable, thick, and inflamed.
Dry scalp: with scalp psoriasis the scalp may be so dry that the skin cracks and bleeds.
Bleeding: Because scalp psoriasis can be very itchy, almost everyone scratches. Scratching can make the scalp bleed. Scratching also tends to worsen the psoriasis. Scratching can make the patches larger and thicker.
Burning sensation or soreness: The scalp can burn. It can feel extremely sore.
Temporary hair loss: Scratching the scalp or using force to remove the scale can cause hair loss. Once the scalp psoriasis clears, hair usually regrows.

The signs and symptoms of scalp psoriasis can come and go. Some patients will only experience mild flares on their scalps, where others may have multiple flare ups. These flares can range from mild to serious. These flare ups can be caused by many triggers, including stress, cold weather, and dry air. These triggers are why people with psoriasis will notice that they have many more flare-ups during the winter than in the summer.

There are treatment options available for scalp psoriasis. Most of the treatments are in the form of a shampoo or topical solution. There are a few remedies that are over-the-counter, however the most effective ones are prescribed by a dermatologist. The following types of treatment can help with scalp psoriasis:

Medicine applied to the scalp
Medicated shampoos
Scale softeners
Injections
XTRAC laser light therapy
Biologics

One of the treatment options that Pine Belt Dermatology offers is called XTRAC, which is concentrated UVB light that targets only the affected skin. UVB light, which naturally comes from sunlight, can significantly improve psoriasis affected areas. This is why patients who have psoriasis see less flare-ups in the summer because they are typically exposed to more sunlight. However, patients with scalp psoriasis may have a more stubborn experience. Because of the shielding effect of hair, it is more difficult for psoriasis on the scalp to become exposed to natural sunlight. How dare your hair do its job in protecting your scalp? This is also why the traditional UVB lamp therapy has not been very effective against scalp psoriasis. While we have seen improvement with all of our psoriasis patients, scalp psoriasis patients have benefited the most from PBD offering the XTRAC laser. During clinical trials with this therapy, nearly all of the scalp psoriasis patients studied achieved improvement of 50% or greater.

Many patients can achieve relief from medicated shampoos or other topical treatments. Below are some of the most commonly prescribed treatments. The treatment regimen prescribed by your dermatologist can contain more than one of these treatments.

Corticosteroids: this therapy is the most common one prescribed for scalp psoriasis in children and adults. This is because the corticosteroids quickly reduce the itching, redness, swelling, and scale. This is often the most effective topical treatment to apply to the scalp. While this is a relatively safe treatment, side effects can occur after long-term use and your dermatologist may recommend another treatment to use with the corticosteroid.
Medicated shampoos: If you have stubborn scalp psoriasis, you may be prescribed a shampoo that contains clobetasol propionate. This treatment can safely be used every day for up to four weeks. It is also safe to use once or twice a week to maintain long term results. Be cautious when shampooing. It is recommended that you be gentle when applying the medicated shampoo. Rubbing, scratching, and scrubbing your scalp can worsen existing psoriasis.
Scale Softeners: sometimes the psoriasis on your scalp can become thick, and when that happens it can be hard for the treatment that you apply to be effective. A product that contains salicylic acid can soften thick, stubborn patches, making it easier for you to apply effective treatments.
Calcipotriene: this is a manmade form of Vitamin D3 that many people apply to the scalp before going to bed. Sometimes it may be beneficial for you to apply this and cover the area with a shower cap. This will help make sure the medicine penetrates the thick patches of psoriasis. In the event that you need stronger medications, your dermatologist may prescribe a medication that combines calcipotriene and a strong corticosteroid. This will help with reducing psoriatic irritation on the scalp.
Tazarotene: most people apply a thin layer of this medicine to their scalp before going to bed. When they wake up, they shower it off. As with calcipotriene, a strong corticosteroid may be added to your treatment plan. This can help you have better clearing.
Coal Tar: this is a treatment that is used less often today since there are other options available. Coal tar may be recommended if your scalp itches. Many of the psoriasis shampoos that you shop for will contain coal tar. The ones that contain a weaker concentration of coal tar can actually be purchased over the counter.

There are a few treatments that you will receive at the office when you visit one of our providers at Pine Belt Dermatology. If psoriasis fails to clear with treatments applied to the scalp such as the ones listed above, or you have thick psoriasis, we may recommend an in house treatment. This is where you come in and we administer the treatment rather than have you perform it on yourself at home. Such treatments include, but are not limited to, injections of corticosteroids directly into the scalp, injection of biologics into the affected areas, and excimer laser (XTRAC laser) targeted areas.

Lastly, I wanted to share some hair loss prevention tips. When psoriasis develops on the scalp, hair loss can sometimes follow. The hair typically regrows once the psoriasis heals or clears, however there are some things that you can do to help prevent further hair loss during a flare-up.

Gently comb/brush away the scale – to treat scalp psoriasis, you must loosen and remove the scale. However, in order to prevent hair loss, you should remove the scale gentle.
Avoid picking the scale – this will further aggravate the skin and cause your psoriasis to flare.
Get treatment on your scalp – treatments help clear the scalp of psoriasis and so to prevent prolonged flares, which result in further hair loss, try to apply medicine or medicated shampoo to your scalp during flares.
Fingernail maintenance – scalp psoriasis is extremely itchy which makes it difficult to avoid scratching the scalp. Make sure that your fingernails are short and the edges remain smooth. Short, smooth nails can prevent you from scratching so hard that you loosen your hair or cause your scalp to bleed.
Alternate shampoos – if you alternate your medical shampoos this will prevent your scalp from feeling extremely dry.
Use conditioner – if you use conditioner after every shampoo, this will help your scalp feel less dry. Using non-medicated conditioner can also help reduce the scent of a medicated shampoo, especially if you are using medicated shampoo daily.
Let your hair air dry – as often mentioned above, it is important to prevent your scalp from becoming dry when possible. Since patients with scalp psoriasis have dry scalps, blow drying your hair after a shower will only augment the problem of dry skin. It is for this reason that it is important to let your hair air dry after a shower.
Chose the right hair care products – hair color, straightening products, and hair sprays can boost self-esteem, but they can also dry your hair and irritate your scalp. Before using a hair-care product, dab a small amount on your scalp and let it stay there a while. If your scalp feels irritated in a few hours, swap that product for something gentler. Be sure to test every product.
Change psoriasis treatment – be sure to tell your provider if your psoriasis treatment seems too harsh. Skin on the scalp is thick, so treatment for scalp psoriasis is often stronger than treatment applied to other areas. If your treatment seems too strong, tell your dermatologist. Your dermatologist may switch treatments or change how you use the current one.
Let a provider know if hair loss continues - People lose hair for many reasons. Your hair loss could be caused by something other than your scalp psoriasis. A dermatologist can look for the cause of your hair loss.

At Pine Belt dermatology & Skin Cancer Center we specialize in medical and general dermatology. We diagnose and treat acute and chronic conditions, and scalp psoriasis is most definitely one of those conditions that we have become experts at treating. All of my colleagues have extensive experience in managing this condition. In general, a vast number of people with psoriasis tend to be unhappy with their treatments. You do not have to be one of those people. At Pine Belt Dermatology & Skin Cancer Center we can help you achieve healthy skin, because healthy skin is beautiful skin!

Dysport – An Alternative to Botox

Mon, 22 Oct 2018 18:36:39 GMT

Many have heard about Botox but not everyone is familiar with Dysport and how it can be used to achieve the look you’re seeking. Dysport treats moderate to severe frown lines between the eyebrows by reducing specific muscle activity. Wrinkles are caused by repeated movements and muscle contractions, which means they can even develop in younger adults. And since wrinkles aren’t your style and the stiff-faced-celebrity-look isn’t your style either, you want to use a product that will give you the most natural look possible.

Dysport was initially marketed as the most natural option of the neurotoxic protein products available for fighting wrinkles, however what works best and looks best varies from person to person. Because of this we typically encourage a consultation with our provider to discover what product is what will work best for you.

Dysport treats moderate to severe frown lines between the eyebrows by reducing specific muscle activity. The reason it reduces the muscle activity is because wrinkles are caused by repeated movements and muscle contractions, which means that extremely animated individuals can develop wrinkles and age lines at a much earlier age. One injection into each of five points above the eyebrows temporarily prevents muscle contractions that cause frown lines, leaving the rest of your face to move naturally. In other words, it targets the offending muscle groups while leaving the rest of your face free to move about. This allows you to control your look without your look controlling you. The majority of users see improvement in just 2-3 days following the injections, and the look endures for up to 4 months. All this can be done from a 20-minute visit and with very minimal downtime afterwards! Another exciting feature with this product is that results of repeat Dysport treatments may be comparable to the first visit. This is one of the many reasons that 97% of Dysport users stated that they would use the product again in the future.

So, what is the difference between Dysport and Botox? As briefly mentioned above, these two products are incredibly similar: they both rely on a type of botulinum to restrict movement, both last for up to 4 months, and both are used to treat frown lines and other pesky wrinkles. Probably the biggest difference between the two is how they are measured. For example, a forehead that needs 50 units of Dysport might only need 20-25 units of Botox. Keep in mind that the number of units needed depends on the individual being treated and is not the same from person to person. Another difference is Dysport’s ability to spread, so it is easier to tackle larger surface areas with fewer injections. Lastly, Dysport is not FDA approved for “crow’s-feet” treatment, but many providers use it off-label to treat those areas.

If you have any of the following, Dysport may not be right for you:

History of surgical changes to your face.
Allergic to cow’s milk protein.
Weak muscles in the treatment area.
Droopy eyelids or sagging eyelid folds.
Inflammation in the injection site.
Deep facial scars.
Thick, oily skin.
Infection in the injection site.

There are not too many providers in the area that offer Dysport, so we are excited about being able to provide it to those who have a need for it! The product can be purchased by visiting either Kristen Richardson or myself. The price per unit at Pine Belt Dermatology & Skin Cancer Center is $13.

If frown lines are something you wish you could tame, then schedule a consultation with us today! We have locations in Petal, Hattiesburg, Ellisville, Collins, & Columbia. At Pine Belt Dermatology & Skin Cancer Center you can love the skin you’re in.

Acne Inversa (Hidradenitis Suppurativa) Treatment at Pine Belt Dermatology

Thu, 18 Oct 2018 18:39:10 GMT

Acne inversa is a chronic, painful, and inflammatory skin disease that affects a young and active population. The disease involves painful, deep abscesses and chronic, draining sinus tracts. Acne inversa is also called hidradenitis suppurativa, or “HS for short, and it can often be misdiagnosed by doctors who are not familiar with the disease. Acne inversa is sometimes mistakenly thought of as an orphan disease. While it is not an orphan disease in terms of its prevalence, it often is a lower priority in comparison to other dermatological conditions in terms of notice, interest, and developing research. A dermatologist will be able to identify the condition quicker than other providers simply because we are familiar with it and know what signs and symptoms to look for. Unfortunately, for most people who have HS, on average, they will see five doctors before they see a dermatologist that identifies the disease. Among dermatologists AI/HS is considered a prototypical skin disease. This is because once you are aware of the disease it is most often easy to see and easy to feel.

Acne inversa takes not only a physical toll on patients, but emotional and social ones as well. Patients with this disease have been shown to suffer higher levels of mental health difficulties, in particular depressive symptoms, even when compared to patients with other skin diseases.

Signs and symptoms of acne inversa are very apparent, which is why patients who have it may struggle socially and emotionally with the condition. The lesions itch, are painful, suppurate (which means the sores have discharge or pus), and scar, disfiguring the skin. Patients most often describe the sores as “boils”. This is an interesting description because it is often associated with uncleanliness, which is a mythical factor in HS. Patients who have the disease are made to feel that it is the result of poor hygiene, and this is not at all true. Hidradenitis is not a disease associated with hygiene. Another symptom that is the most obvious hallmark of the disease is the restriction to the skin areas affected. The disease is essentially limited to areas of skin where there is a high concentration of hair follicles and apocrine glands (i.e the underarm, groin, buttocks, nape of neck and scalp, and mammary glands). While the disease originates in follicles it is not a disease triggered by infection.

Facts regarding Acne Inversa/Hidradenitis Suppurativa:

Patients with HS face a host of comorbidities – depression, metabolic syndrome, auto-immune disorders, endocrine disorders, etc.
200,000 cases occur in the United States each year
While HS may look like bad acne, the disease occurs in places you would not expect acne (underarm, groin, breasts, anus, etc.).
Causes serious scars.
Women are three times more likely to develop the disease than men.
Women are most likely to get them on the genitals and around the anus.
The cause of the disease is not known.
1/3 of patients with the disease have a relative who also has the disease.
Diagnosis can be simple if seen by a dermatologist.
Smoking can significantly increase the severity of the flare-ups.
Losing ~10% of body weight has shown to reduce the risk of flare ups.
Wearing looser-fitting clothes can prevent irritation.
Overweight or obese people are at greater risk of experiencing flare-ups.
The disease is not contagious.
Individuals of African and Hispanic decent have a higher prevalence of the disease than other ethnic groups.
Humira, a treatment that is primarily used for patients with psoriasis, has shown tremendous results when treating patients with hidradenitis suppurativa.

Data shows that there is a large prevalence of hidradenitis suppurativa in the Pine Belt and surrounding areas. As stated above, the causes of the disease are unknown, but there are many treatment options available as long as you are able to get a proper diagnosis. My colleagues and I have extensive experience treating hidradenitis suppurativa. If you suspect you or a loved one may have this painful disease, do not hesitate to come to one of our offices. We also have a HIPAA secure mobile app that will allow one of us to see you virtually. Regardless of what skin condition you have, myself or one of the other providers can help you achieve healthy skin.

What Is Cutaneous T-Cell Lymphoma & What Do You Need To Know About It?

Tue, 25 Sep 2018 18:41:32 GMT

One of the most common forms of “T-cell lymphoma” is cutaneous T-cell lymphoma, which is a general term for lymphomas that affect the skin. Cutaneous T-cell lymphoma (or CTCL) can also involve the blood, lymph nodes, and other internal organs. However, most patients who have CTCL will only exhibit skin symptoms. Some people with early stage CTCL may not see the disease progress to later stages at all. Later stages, however rare, may progress rapidly with the cancer spreading to the lymph nodes and internal organs.

So, what is cutaneous T-cell lymphoma? Well, for starters it is a very rare cancer. While this disease presents itself as a very itchy rash, the last thing I want is for you to read this blog and then assume every rash you encounter is CTCL. Odds are that is not the case. However, it is still a disease to be mindful of because it is very important to catch it early (as is the case with all cancers). Cutaneous T-cell lymphoma begins in a white blood cell called the t-lymphocyte (T-cell for short). These cells are extremely important because they help prevent infections and other diseases. Interestingly, and contrary to what you might expect, most T-cells are found in our skin. That is because our skin is the first line of defense against diseases. The surface of the average adult’s skin contains about 20 billion T-cells. That is roughly twice the number of T-cells found in the other parts of the body they are located. There are numerous types of CTCL, however more than half of individuals who develop the disease will have one of two types – Mycosis fungoides, or Sezary syndrome.

Mycosis fungoides is the most common type of cutaneous T-cell lymphoma. This type tends to progress slowly. In can remain in the early stage, which often looks like a rash, for years. In the early stage, the cancer is often difficult to diagnose because it tends to mimic eczema or psoriasis. These two diseases are much more common than CTCL. Mycosis fungoides’ first sign is a rash with scaly patches of skin and remain the same for years, which is why the disease can be mistaken for psoriasis and eczema.

Early stage: it will begin as a scaly rash on skin that gets little to no sun (i.e. upper thigh, buttocks, back, belly, groin, chest, or breasts).
Patch stage: this stage will exhibit one or a few flat scaly patches. This sign can also last for years.

Light spots: In some cases, instead of developing patches at this stage, patients can develop light spots on their skin. This disease behavior is most common in children, teenagers, or people of color.

Plaque stage: As the lymphoma spreads, raised and thick patches of skin will appear and they will be extremely itchy. The medical term for these raised areas of skin is plaques.
Patches, plaques, tumor: as the lymphoma worsens, a patient will exhibit a trifecta of patches, plaques, and tumors on the skin. In some cases the patient may exhibit just tumors, but many will have all three. If the tumors on the skin split open, they will look like large sores on the skin.

Sezary syndrome is a more aggressive version of CTCL. It can also look like eczema or psoriasis. People who develop this version of CTCL can develop red and swollen skin over much of their body. The affected skin will feel hot, extremely itchy, and sore. Someone with Sezary syndrome will have cancer cells found in the skin and the blood. Not everyone who has this type of CTCL will develop widespread redness.

Signs of Sezary Syndrome:

Widespread redness with severely itchy skin.
Peeling skin
Swollen skin
Palms and/or soles will thicken
Swollen lymph nodes (most often located in the neck, armpits, and groin).
Hair loss
Thickened fingernails and/or toenails
Droopy eyelids
Hypothermia

While there are other types of cutaneous T-cell lymphoma, they are extremely rare. I mentioned above that it is important to catch this disease early, however, because it mimics other skin conditions such as psoriasis and eczema, it can take time to get the diagnosis. Often, by the time a dermatologist is able to look at it, it is because it is thought to be a very stubborn case of psoriasis or eczema. The highest progression that the cancer can develop into is Stage 4. Once CTCL has developed to Stage 4 it has already spread to an internal organ. So, again the key is to catch this cancer early. For people who end up getting diagnosed with CTCL, they may end up working with a number of different specialists in order to manage/treat their disease. Those specialists will include hematologist (physicians who diagnose and treat blood diseases), oncologist (doctor who treats cancer), radiation oncologist (cancer physician who specializes in using radiation therapy), and a dermatologist (the skin doctors). Do not be easily discouraged if you are diagnosed with cutaneous T-cell lymphoma. Many advances have been made recently that allow individuals with CTCL to live relatively normal lives.

Cutaneous T-cell lymphoma has many symptoms and signs that are exhibited, and they will vary depending on the type of CTCL that you develop. The most common symptom, and the one that is typically experienced by all CTCL types, is that of itching skin. This is often the first symptom for people who develop this cancer. The American Academy of Dermatology claims that most studies have shown that between 66% and 88% of people who develop cutaneous T-cell lymphoma have very itchy skin. While this is a common symptom, it tends to be more commonly associated with a later stage of the cancer’s development, and it is a very common symptom for the Sezary syndrome CTCL type.

So, when do you know when you need to seek out a dermatologist? Many of the signs and symptoms listed above occur in people who have other skin conditions, such as psoriasis and eczema. If you have been diagnosed with a such a skin disorder and treatments are not helping, then you should come see one of our providers at Pine Belt Dermatology & Skin Cancer Center. The risks of developing CTCL increases with age and is more common in men than in women. Because cutaneous T-cell lymphoma is so difficult to diagnose it is extremely important to keep your annual dermatology checkups, and to notify your dermatologist of any changes on your skin. To determine if you have CTCL we will perform a number of skin biopsies and search for large/swollen lymph nodes. Because CTCL is often diagnosed by comparing a number of tests results, it can take time to get diagnosed. The American Academy of Dermatology performed a study that found many patients who were diagnosed with CTCL were done so after 3 to 4 years of testing. The key to catching CTCL (along with any other skin condition) is early detection.

This highlights the importance of being proactive in seeking a dermatologist’s help when there are changes in your skin. Do not brush off getting a rash looked at because a rash can be a symptom of a multitude of underlying issues (i.e. psoriasis, eczema, skin infection, Lupus, cutaneous T-cell lymphoma, etc.). If you or a loved have a rash that has not gone away, do not hesitate to visit on of our clinics in Hattiesburg, Petal, Ellisville, Columbia, or Collins. We are easily accessible and can provide some peace of mind on the issue by helping you get an answer as to what is causing the rash on your skin.

Skin Discoloration – Vitiligo

Tue, 18 Sep 2018 19:25:53 GMT

Vitiligo occurs when pigment-producing cells (melanocytes) die or stop producing melanin — the pigment that gives your skin, hair and eyes color. The involved patches of skin become lighter or white. We all know that Michael Jackson had vitiligo, but did you know that he was not the only famous person to have had the disease? Joe Rogan, John Hamm, Lee Thomas, and Winnie Harlow also have vitiligo. This skin condition affects individuals of all ethnicities and of all ages. Individuals that have it can become very self-conscious about the affected areas, and may feel discouraged when engaging in social events. While it is unrealistic for everyone with vitiligo to be as comfortable with their condition as the aforementioned celebrities are, we do want to let people with the condition know that treatment options are available at Pine Belt Dermatology that can allow you to feel more comfortable in your own skin. But before we talk about why you should come see us, let’s talk more in depth about the condition.

Vitiligo causes the skin to lose its natural color, which yields patches of skin that are a lighter tone than the rest of the body. This can occur in all areas where pigmented cells are present such as sections of hair, the insides of the mouth, and even an eye can lose some of its color. While we do know that vitiligo is not contagious and not life threatening, the cause of the malfunction of melanocytes is still a mystery. We do know that many people with vitiligo have been known to become overly self-conscious and sometimes even develop depression over the condition. The best way for dermatologists to combat this condition is to educate the population on the disease and treatment options available. In addition to an increased risk of depression and low self-esteem in vitiligo patients, these patients can experience discomfort in the affected areas. The reason for this is that the areas affected have lost pigmentation, which means that these areas can be sunburnt very easily. It is important for individuals with vitiligo to take precautions in protecting their skin.

Most individuals with vitiligo only experience the symptom of losing color on their skin. The affected area lightens or turns completely white, and other than that they experience no additional symptoms. Some people with vitiligo report that the affected areas itch or feel painful. If this is the case we highly recommend coming into see one of our providers in order to assess the condition. Discoloration, itching, and burning are also symptoms of other skin conditions and so we would want to make sure that the skin condition was in fact vitiligo. Individuals with vitiligo may have their condition progress and begin covering larger areas of skin.

Are there different types of vitiligo? Yes, today, most dermatology providers recognize two types of vitiligo:

Segmental vitiligo:

This type appears on a single segment of the body (i.e. face, leg, arm).
Half of people affected lose some hair color, whether on the head, eyebrow, or eye lash.
This type typically will begin at an early age.
This type will progress for a year or two and then cease.
This type is also sometimes referred to as unilateral vitiligo.

Non-segmental vitiligo:

This is the most common type of vitiligo that we see.
It appears on both sides of the body (i.e both hands, both feet, and both knees).
Will often begin on the hands, fingertips, wrists, feet, or around the eyes or mouth.
Begins with rapid loss of skin color, which will then stop for a while. The color loss will start back up after a remission period. This start-stop cycle will usually continue throughout an individual’s lifetime.
Color loss will typically expand, growing more noticeable and covering a larger area.

When you are discussing vitiligo with your provider you may hear them use terms such as “localized”, “generalized”, or “universal” and these are just subtype terms used to describe how much vitiligo is present on the body. Subtype terminology used to describe the amount of vitiligo present is not the same thing as the two types listed above, but it is important to know what they mean in case they are brought up at a doctor’s visit.

Localized means that there is only one or a few spots or patches that appear, but the said spots are limited to just one area of the body.
Generalized vitiligo is the most commonly developed subtype of vitiligo, and this subtype causes scattered patches across the body.
Universal subtypes are extremely rare and this is when all of the pigment is gone.

When it comes to vitiligo, unfortunately, there is no way to predict how much color a patient may end up losing. As we’ve previously mentioned, pigment loss can remain unchanged for years. Additionally, the pigment loss expands differently from patient to patient. Some individuals see patches enlarge while others see new patches appear. Additionally, in rare occasions some patients may see the skin regain its pigmentation without treatment.

If you have vitiligo and you want to treat it you should schedule an appointment with one of our providers here at Pine Belt Dermatology. There are many treatment options that we can use to treat the affected areas. The overall goal of our therapies are to restore the lost skin color. Some patients are fine with the skin they are in, and we encourage that. However, as mentioned above, many people with vitiligo are very uncomfortable and self-conscious about the skin condition and would prefer to have it treated. If this describes you, then some of the treatment options that are available are:

XTRAC Laser: this is a narrow band UV light that is used to concentrate the light on the affected areas to help the vitiligo reach remission. This therapy is non-invasive and, for most individuals, it is painless. The treatment is covered by many commercial insurances. The only downside to this treatment is that it requires weekly treatments until the affected skin returns its color.
Use of cosmetics to camouflage: make-up, self-tanners, and skin dyes are all cosmetic products that can help cover up the affected skin so that it blends in more with the natural skin tone. The obvious drawbacks to this therapy are that they must be repeated daily and that can be time consuming. It also will take some practice to get a natural looking result on the affected areas.
Topical Medicine: there are several medicines that can be applied to the skin to help add color to affected areas. These are typically prescribed for smaller cases of vitiligo. Corticosteroids are the most commonly prescribed topical medicines for vitiligo. With these, roughly half of patients who use them regain pigment within 4-6 months of use. This therapy tends to work best with people who have darker skin pigment. The drawbacks to these topicals are that they are not effective on areas such as the hands and feet, some of them cannot be used on the face, and some of the medicines have serious side effects such as atrophy.

There are additional therapies that can be utilized to help with vitiligo, but because they are cosmetic they are extremely expensive. These therapies that we do not offer but that you may read about are:

Light Box
Surgery
Depigmentation

While this disease is non-life threatening there are many individuals who have it who are not comfortable in the skin they’re in, and we want them to know that if they would like help with managing their vitiligo that Pine Belt Dermatology is available. We have locations in Petal, Hattiesburg, Collins, Columbia, and Ellisville. So no matter where you’re located, we are in a neighborhood near you!

Skin Cancer In Patients Of Color

Wed, 12 Sep 2018 19:28:53 GMT

There is a wide spread myth that only fair skinned individuals are at risk for developing skin cancer, and this a very dangerous misconception. Skin of all colors, including brown and black toned skin, can develop skin cancer. By “skin of color” we are referring to everyone of African, Asian, Latin, Mediterranean, Middle-Eastern, and Native American decent. The incidence of melanoma is higher among the Caucasian population; however it can be deadlier in people with skin of color because it is all too often detected in a late stage. Even if you never sunburn, you can get skin cancer. Darker skin produces more of the pigment called melanin that does help protect skin — but only to a certain extent, which means that people of color can still in fact get sunburnt, and just one sunburn has been shown to significantly increase the risk of developing skin cancer. Recently, there was an African American football player for the University of Kentucky who was diagnosed with melanoma – he was only a Sophomore. He has since undergone a couple surgeries to remove the tumor.

In a survey done by the skin cancer foundation it was discovered that 63% of the African American participants said they had never used sunscreen. This is quite alarming. When skin cancer develops in people of color, it’s often in a late stage when diagnosed. This can be deadly when the person has melanoma, a type of skin cancer that can spread quickly to other organs. Treatment for any type of skin cancer can be difficult in the late stages. Dermatologists stress skin exams because skin cancer is most treatable when detected earlier.

Additionally, certain skin cancers are caused by factors other than UV — such as genetics or environmental influences — and may occur on parts of the body rarely exposed to the sun. For example, people who have dark skin are more susceptible to acral lentiginous melanoma (ALM), an especially dangerous form of melanoma that typically appears on the palms of the hands and soles of the feet. This is actually what killed Bob Marley when he was only 36.

One of the reasons that skin cancer in people of color are discovered in a later stage of development is because they may not know what exactly to look for. They are simply unaware of the warning signs. So how do you stay alert? What do you need to look for?

Look out for:

A bump, patch, sore or growth that bleeds, oozes, crusts, doesn’t heal or lasts longer than a month. This may indicate basal cell carcinoma.
An ulcer, scaly red patch, wart-like growth or sore that sometimes crusts or bleeds could be a sign of squamous cell carcinoma. This type of skin cancer can also develop in old scars or areas of previous physical trauma or inflammation.
New or existing moles that are asymmetrical, have an irregular border, more than one color, are larger than a pencil eraser or change in any way may indicate melanoma. Pay special attention to suspicious spots on the hands, soles of the feet or under the nails, which could signify ALM.

We encourage everyone to have routine skin checks. Whether you prefer to do them yourself or you want an extensive one done with one of our providers, it doesn’t matter. The most important thing is that you are having them done so that changes in your skin are monitored. If there is a spot you are unsure about, you can always utilize our mobile app to send us questionable lesions.

Below are some examples of lesions that were cancerous in various ethnicities:

Asian: The most common sign of skin cancer in Asians is often a roundish, raised brown or black growth. Skin cancer also shows up in other ways, so be sure to check your skin carefully.

African: In people with brown or black skin, skin cancer often develops on parts of the body that get less sun like the bottom of the foot, lower leg, and palms. Skin cancer may also begin under a nail, around the anus, or on the genitals. It’s important to check these areas.

Latino: Skin cancer can appear on the skin in many ways. If you have a growth on your skin that is getting bigger, a patch of scaly skin, or a dark streak under or around a nail, make an appointment to see a dermatologist.

Things That Bite In The Night – Bed Bugs & When to See A Dermatologist

Wed, 22 Aug 2018 19:31:40 GMT

Bedbugs are tiny insects that feed on human blood. They hide in dark places close to where humans sleep and usually crawl out to feed while people are fast asleep. They are extremely irritating and relatively common. In 2011 there was a survey conducted that examined the number of people who had come in contact with bed bugs at all during their lives. This survey found that one out of five Americans has had a bed bug infestation in their home or knows someone who has encountered bed bugs at their home, apartment, condo, or hotel. Bed bugs are found in all 50 states. Specifically, the pests were encountered by 17 percent of respondents in the Northeast; 20 percent in the Midwest; 20 percent in the South; and 19 percent in the West. That is a lot more contact than one might initially think. These critters and their bite are often mistaken for other pests such as fleas, but are not as easy to get rid of and they can wreak havoc on any home they infiltrate.

Bedbugs can be a problem in the cleanest of homes. These insects need only human blood to survive, so having an immaculate home will not keep them away. And it’s easy to bring bedbugs home. They can crawl into luggage, clothing, and even furniture, unnoticed. Once inside your home, bedbugs will find a hiding place. Favorite hiding places include a mattress, box spring, headboard, couch, and tiny cracks and crevices. Some bed bugs can even hide in inconspicuous locations such as lamp shades, stuffed animals, chairs, airplanes, buses, wheelchairs, purses, and even picture frames. Having bedbugs can cause a great deal of anxiety and some restless nights. Most people want to get rid of bedbugs as soon as possible, so they buy bug sprays and foggers. Unfortunately, however, these will not get rid of bedbugs. An additional solution attempt is to leave the house until they go away, however, leaving your home for a few weeks will not get rid of bedbugs. Although these insects need human blood to survive, they can live for a year or longer without blood. During this time, they remain in hiding. Getting rid of bedbugs can be difficult. Most people need the help of a pest-control company. Make sure the company has experience eliminating bedbugs. Several treatments may be necessary to get rid of bedbugs completely. You also will need to follow the guidelines that your pest-management professional recommends. If you have many bites or a bite looks infected, you should see a dermatologist. A dermatologist can treat an infection and help relieve the itch.

How can you be sure that the bites on your skin are bed bugs?

The most common indicator that there are bed bugs in your home is that of bite marks. Most people are bitten while they sleep and do not know that they have been bitten until the next day when they notice one or more bite marks that are very itchy. But an itchy bite is a common characteristic of many bug bites. Some bitemark characteristics that are unique to bed bugs are:

Bites, or welts, that appear as a zig-zagging line.
Welts that itch intensely.
Specks of blood on the bite welts.

The first time you are bitten, the bites may not itch right away. It can take time for your body to develop a reaction to the bites. Some people develop itchy welts within a few days of the first bites, but it can take as long as 14 days before the bites itch. The caveat is that individuals will become increasingly sensitive to the bed bug bites over time, meaning that if the infestation lasts a while you may develop welts within seconds of the bites. You’ll seldom see bedbugs, so many people mistakenly believe that mosquitos, fleas, or spiders bit them. Sometimes people mistake bedbug bites for a common skin condition such as an itchy rash, hives, or chickenpox. Bed bugs are ninja-like pests. You will not see bedbugs living on your body. Unlike lice and the mites that cause scabies, bedbugs do not live on humans. Bedbugs come out of hiding to feed on human blood. Feeding lasts about 4 to 12 minutes. After a bedbug feeds, it returns to its hiding place. In extreme circumstances, some people may develop very serious reactions to the bed bug bites that include:

Difficulty breathing
Forceful or irregular heartbeat
Tongue begins to swell
Blisters around the bites, can become quite large
Fever
Feeling very sick
Infection from scratching
Anemia (while rare, someone who has extreme reactions and has also sustained prolonged periods of biting can experience this).

Immediate care should be sought for these serious reactions.

What can be done to get rid of these infuriating pests?

A dermatologist is a great option for helping treat bed bug bites. You should seek the care of a dermatology provider if:

Many bites.
Blisters.
Skin infection (bites feel tender or ooze discharge such as pus).
An allergic skin reaction (skin red and swollen or hives).

Individuals that develop an allergic reaction to the bed bug bites may require an injection of some sort to help contain the reaction (i.e antihistamine, epinephrine, corticosteroid, etc.) Some individuals may develop an infection around the bitten sites. This may require an antibiotic for the area. If the infection is mild, your dermatologist may recommend an antiseptic medication that you can buy without a prescription. Your dermatologist will tell you which one to use. Your dermatologist also may recommend an antiseptic to prevent a skin infection. If you do not have an allergic reaction or an infection in the bitten areas, you may be able to treat the bites at home on your own. However, if these fail to provide relief, make sure that you seek out advice from one of our board-certified providers. Once the infestation is controlled and your home is cleared of the bed bugs, you will start to see the bite marks disappear within a week or two.

How to Prevent Bed Bug Infestation While Traveling?

What to do:

When you walk into the room or cabin, take a deep breath. Do you notice a sweet or musty odor? If there is a heavy infestation, you may notice this smell. Bedbugs produce chemicals to help them communicate.
Next, check the bed. Look carefully at the blankets, sheets, pillows, and mattress pad. Then, check the mattress and box spring. Do you see:

Blackish specks on the bed, mattress, or headboard? Blackish specks could be bedbug excrement.
Are there specks of blood anywhere, especially near the seams?
Do you see shell-like remains on the bed, bedding, or furniture? Bedbugs have an outer shell that they shed and leave behind as they grow.
You'll also want to check all upholstered furniture. While checking, you may see bedbugs or their eggs. A bedbug is about the size of an apple seed.

If you find signs of bedbugs, you should immediately request another room or cabin. The other room should not be near the current room.

These tips are important to keep in mind while travelling because a majority of people who end up having an infestation at home often picked up the bed bugs while travelling as the bugs can crawl into the luggage. In the event you do have an infestation at home and you cannot achieve relief from the bites, please do not hesitate to come see myself or one of my colleagues.

Syphilis: A Dermatologist's Perspective

Thu, 02 Aug 2018 19:19:06 GMT

Syphilis is a sexually transmitted infection characterized by episodes of active disease (primary, secondary and tertiary) with latent periods in between. Syphilis is contagious and transmitted in three ways: (1) intimate contact with an infectious lesion (most common) (2) blood transfusion (3) during delivery of a baby he/she may contract syphilis from the birth canal. This condition is one that dermatologists are able to help manage and, in fact, dermatology has a long history with syphilis. Believe it or not venereal diseases, especially syphilis, played a prominent role in the field's development as distinct from general medicine. This is because often times venereal diseases, such as syphilis, have symptoms that manifest and become visible on the skin – prompting dermatological expertise on the matter! Although the discussion of venereal disease was considered clandestine at the time, the public health risks of syphilis in the late 1800s demanded attention. Dermatologists rose to the task of caring for these underserved patients, and this expertise in syphilis actually helped to establish dermatology as a legitimate medical specialty. In fact, the early medical journals that were published at the time were called the Journal of Dermatology & Syphilology. The name was dropped in the 1950’s due to a decline in the cases of syphilis. Although the number of cases and incidence of early infectious syphilis have fluctuated widely since the 1940s, we currently are in a dire period of syphilis resurgence; the largest number of cases (27,814) and the highest incidence rate of primary and secondary syphilis (8.7 cases per 100,000 population) since 1994 were reported in 2016, which illustrates the inability of public health initiatives to eliminate syphilis due to a plethora of factors. Despite the present day shift into cosmetics, dermatologists still devote vast amounts of time to studying these disease (syphilis, genital warts, genital herpes, etc.). As with our previous blog discussing genital herpes we will devote some time to discussing syphilis because it is still something that we see more often than people think, and Mississippi ranks in the top 15 states with regards to syphilis cases. This means that it is still a very relevant public health issue for the Hattiesburg and Laurel, Mississippi areas.

Syphilis Facts

Syphilis is caused by the bacterium Treponema pallidum. It is often called “the great imitator” because many of its symptoms are the same as those of other diseases. The disease was named after a mythical shepherd, Syphilis, from a sixteenth century poem by Girolamo Fracastoro. Syphilis insulted the Sun God, who punished him by striking him and his people down with a new, disgusting disease.
Syphilis is very contagious and is transmitted by skin-to-skin contact when someone touches a syphilitic sore on another person. These sores can be on the penis, vagina, mouth or anus. The disease is normally transmitted during sexual contact. A pregnant mother who has syphilis can pass the disease on to her unborn baby. This is called congenital syphilis.
It is unlikely that you will catch syphilis from a toilet seat – unless you’ve been having sex on the toilet seat. Syphilis also cannot be transmitted by wearing someone else’s clothes or sharing cutlery and crockery. This is because, like in the case of gonorrhoea, the disease-causing organism cannot survive outside the body for long.
There are four stages of syphilis and it is most infectious during the first two stages.
Primary syphilis begins with a small, round, painless sore (chancre) which usually appears where the bacteria entered the body. This normally occurs about three weeks after infection, but can take up to three months. The chancre remains for about two to six weeks.

Secondary syphilis is mostly characterized by a sore throat and skin rashes on the palms of the hands and soles of the feet. The rashes could however appear anywhere on the body. Other symptoms include:

Fever
Headaches
Fatigue
Weight loss
Swollen lymph nodes
Hair loss
Aching joints

These symptoms are very often mistaken for other diseases and are the main reason why syphilis is called “the great imitator”. The symptoms will eventually disappear, but you’ll still have the disease.

Latent (hidden) syphilis is the third stage. Symptoms disappear and, although you are still infected, there will be no noticeable signs that you have the disease. Secondary symptoms may reappear, but one can remain “in limbo” for a number of years until tertiary syphilis emerges.

Tertiary syphilis is the final stage of infection and can take up to 30 years to appear. Tertiary syphilis can be life-threatening and can lead to a number of apparently unrelated conditions like:

Infection of the brain or spinal cord (neurosyphilis)
Blindness
Deafness
Memory loss
Mental illness
Neurological disorders like stroke or meningitis
Heart disease
Syphilis is diagnosed by testing a patient’s blood or urine. If there is a chancre on the body, the doctor will take a sample to test for syphilis bacteria. If tertiary syphilis is suspected spinal fluid may be collected to test for bacteria. Pregnant women may be tested for syphilis to prevent the possibility of congenital syphilis, which could be fatal for the newborn.
Syphilis is treated with a penicillin injection. This is usually cures the condition. People who are allergic to penicillin can be treated with other antibiotics. If you are sexually active, your partner/s should also be treated. Don’t resume sexual activity until you’ve completed your treatment. It is also important to note that bacteria (“superbugs”) that are resistant to azithromycin (traditionally used to treat syphilis) have emerged.
Syphilis can be prevented by practicing safe sex or abstaining from sex altogether. It is also a good idea to avoid sex with multiple partners, not sharing needles or sex toys, and getting screened for STIs on a regular basis.

Quick Facts on Syphilis in Mississippi

Mississippi Centers of Disease Control & Prevention Syphilis Facts:

Syphilis – Primary and secondary (P&S) syphilis (the stages in which syphilis is most infectious) remains a health problem, primarily among men who have sex with men, but congenital transmission of syphilis from infected mothers to their unborn children persists in many areas of the country.

In Mississippi, the rate of primary and secondary syphilis was 6.4 per 100,000 in 2011 and 7.3 per 100,000 in 2015. Mississippi now ranks 12th in rates of P&S syphilis among 50 states.
There were 7 cases of congenital syphilis from 2011 through 2015.

If you find yourself exhibiting symptoms similar to that of syphilis and you want a clear diagnosis come in and see myself or one of my colleagues. The best case scenario is that we rule out the disease, and worst case scenario you have the disease but we can help you manage it. This is a contagious disease and I mentioned above that it has had a resurgence in recent years, which highlights the necessity to be safe and smart when having sex with multiple partners. I stress this because syphilis is a disease that carries serious, if not often fatal, consequences and it is a disease that simply refuses to disappear. We treat a number of skin conditions, cancers, and patients with an immunodeficiency, so who better to reach out to for management of syphilis than a dermatologist? If you’re uncomfortable with coming in the office to be face-to-face with the doctor, you can always utilize our online application to virtually visit one of our providers! The link to the online visits are below.

Genital Herpes Treatment In South Mississippi

Fri, 27 Jul 2018 19:21:20 GMT

Genital herpes is a topic that not many people want to discuss openly because of the nature of the disease and the stigmas that are associated with it. What many people do not know is that genital herpes is more common than the public would think. What this means is that it is important to discuss because it is a highly contagious disease, and so discussions surrounding genital herpes need to take place, so that the public can be educated on the risks of contracting the disease. Each year there are several medical analytic reports published that report the prevalence, incidence, and even the number of online searches for certain diseases. Several Center for Disease Control & Prevention studies are published each year, and the number of individuals with genital herpes in the United States is staggering. One of the more popular reports was done in 2010 and showed that nearly 17% of the American population had genital herpes, with women being at greater risk of developing the disease than men. An estimated 775,000 new cases of genital herpes appear each year. These are staggering numbers. Mississippi has inconsistent data on the prevalence of the disease in the state, however, speaking from first hand experience, this is something that we see a lot of in our area (Hattiesburg, Laurel, and surrounding areas). Interesting as well is the fact that a medical analytic report from 2017, showing the most researched medical condition in each state, showed that genital herpes was the number one most searched condition in the state of Mississippi. This post is being written to help those searching find answers, and hopefully to persuade them to seek help from a Pine Belt Dermatology provider if they think they may be infected.

A Quick Overview:

Genital herpes is a sexually transmitted disease (STD). It’s caused by the herpes simplex virus. Anyone who is sexually active can catch this virus. Many people who catch the virus never know they have it because they don’t develop symptoms. They never get painful sores. If genital sores develop, the outbreaks tend to be worse during the first year. Some people have 4 or more outbreaks within a year. In time, the outbreaks usually become less frequent. They may even stop. If you have genital sores and your partner doesn’t, you should not have sex while you have sores — and for a few days after the sores clear. When you have herpes sores, you can easily infect your partner. The virus can be passed through oral, anal, or vaginal sex. Even when you don’t have sores, you can still infect your partner. Wearing a condom when you don’t have sores helps prevent spreading the virus to your partner. Not only are these sores painful and contagious, if you have sex while exhibiting the sores you increase your risk of developing HIV. The reason for this is that the open sores provide easy entrance to your body. This is a completely different and much more severe issue that we want to prevent by all means available. Because there is no cure for genital herpes, it is a lifelong infection. If you have outbreaks, medication can reduce symptoms, and that is where we come in. Additionally, taking precautions can reduce the risk of spreading the virus to a partner who doesn’t have genital herpes.

How Can I Tell? What are the Signs & Symptoms?

A mild case can cause a few herpes sores that are often mistaken for pimples or ingrown hairs. Because genital herpes often causes no symptoms or very mild ones, most people who have genital herpes don’t know they have it. This a has played a large part in why the disease has spread among so many individuals. Often times the individual will find out they have the disease after having spread it to other partners unknowingly. However, if you are concerned that you may have the disease, the following are signs you should be cognizant of.

The first outbreak will occur a few days after sexual activity with an infected partner, usually between 2 days to 3 weeks after. It is important to note that the partner does not have to have visible sores in order to infect you. You may notice what might be described as flu-like symptoms such as:

Headache
Fever
Fatigue
Swollen lymph nodes, especially in your groin
Muscle pains
Tingling or itching around the groin or anus
Red, swollen skin on or around your genitals or anus (can sometimes appear on the thigh or buttocks)

Small blisters will form on the patch
Blisters will break open, leaving open sores
Sores will scab and heal within 2-6 weeks
Sores may be few in number or develop into widespread sores and blisters

Pain while urinating

If you develop sores and you touch them with your hands be sure to wash them immediately to prevent the virus from spreading to other parts of the body. If the virus gets in, or near, your eyes it can cause serious consequences. As I mentioned above, it is not uncommon for people with genital herpes to develop HIV due to the vulnerability of the sores. However, if an individual has HIV and develops genital herpes sores the outbreak can be severe, and medical treatment should most certainly be sought out.

The virus that causes genital herpes never leaves the body, which may cause repeat breakouts. After the first outbreak, the virus moves to nearby nerves where it goes dormant (sleeps). You may never have another outbreak. These repeat outbreaks tend to be less severe than the first outbreak, and the sores clear more quickly. While anyone can have repeat breakouts, there are some individuals that are more susceptible to them. You may experience repeat breakouts if:

You are a male
You have a weakened immune system
If your first outbreak lasted longer than 34 days

If repeat outbreaks do occur, these are most likely to occur during the first year. The body will build up an immunity to the virus, provided the individual has a healthy immune system. As immunity builds, the outbreaks should become less frequent. They may even eventually stop. As with outbreaks of every kind, repeat outbreaks are usually brought on by a trigger. Common triggers for genital herpes include stress, fatigue, illness, sex, and surgery. For some women, getting their period is a trigger. During repeat outbreaks, some people notice that they develop warning signs, which tell them where the sores will appear. These warning signs include pain, tingling, itching, or a burning sensation. Warning signs can last for 24 hours.

Treatment can shorten how long you have an outbreak and reduce symptoms.

Treatment Options Available In Hattiesburg-Laurel, Mississippi

There is no cure for genital herpes, but treatments by a medical professional can help provide relief from symptoms. Typically, dermatology providers can diagnose the disease by looking at the sores, however, to be sure we will swab the open wound so that it can be lab-tested. To treat genital herpes, the dermatologist may prescribe antiviral medicines:

Acyclovir (ā-sike-low-veer)
Famciclovir (fam-see-clo-veer)
Penciclovir (pen-sike-low-veer)
Valacyclovir (val-ā-sike-low veer)

Taking medicine is recommended for anyone who has a weakened immune system. With a weakened immune system, your body will likely need help to get rid of sores and symptoms. Without medicine, sores may not clear and symptoms can linger. You should continue taking the medicine until all sores have completely healed. Medicinal therapies tend to work best when medication is taken within 24 hours of a sore appearing. Individuals who have 1) frequent breakouts or 2) a partner who does not have the disease should be taking the anti-viral medication everyday. Studies have shown that taking the medication daily will reduce the sore flares by 70-80%. For the most optimal therapy and treatment plan you should visit a provider at Pine Belt Dermatology.

In addition to the medical treatment discussed above, there a few at home therapies you can do to help alleviate discomfort. We typically recommend the following self-care tips for their patients who have an outbreak:

Keep sores clean and dry.
Wear loose-fitting cotton underwear.
If an area feels painful, place a cold compress on it.
To cleanse and sooth painful sores, reduce itchiness, or decrease tenderness, take an Epsom salts bath. You want to soak for 10 to 20 minutes.

These remedies will help make individuals who have break outs more comfortable, however it is recommended that you visit myself or one of my colleagues. Lastly, I want to mention that there are consequences that need to be addressed if you are pregnant and have genital herpes. However, because that is not my area of expertise I would like to stress that if this is the scenario you find yourself in you should speak with your OB/GYN physician about the disease and precautions to take.

We see a significant amount of genital herpes at our offices, or at least more than the public would think, and because it is so contagious we want to encourage individuals who have or think that they have the disease to seek out physician guidance. This is a more common disease than people realize, and sometimes that can cause people to feel ashamed or embarrassed to the point that they skip out of physician expertise. The patient-physician relationship is extremely confidential and, additionally, me and my colleagues are here to help all sick individuals that come through our doors. This is a disease that is difficult to deal with both physically and psychologically but know that the providers at Pine Belt Dermatology are here to help manage the disease. Even if you are unsure of whether or not you want to come in, seek us out on our mobile app and seek guidance from my colleagues through tele-derm. The link to our Virtual Visit App is down below.

Poison Ivy & Treatments In The Hattiesburg-Laurel Area

Tue, 17 Jul 2018 19:23:04 GMT

Southern Mississippi is an outdoorsman’s paradise. During the summer time we do everything from fishing, hiking, camping, to building forts in the woods with our kids. We are blessed to have such exposure to nature and the great outdoors. Anyone who has lived in Mississippi long enough has had a run in with, or knows someone who has, with poison ivy or poison oak. You don’t need a dermatologist to tell you that this is experience is extremely uncomfortable and borderline unbearable. The rashes caused are not contagious, but there may be instances where you may need to make a visit to one of our clinics. In this blog we’ll discuss some treatment options, how to prevent contact with the poisonous plant, and also discuss briefly about potential diseases that may be mistaken for poison ivy rashes.

Poison ivy rash is caused by an allergic reaction to an oily resin called urushiol (u-ROO-she-ol). This oil is in the leaves, stems and roots of poison ivy, poison oak and poison sumac. The itchy, blistering rash often does not start until 12 to 72 hours after you come into contact with the oil. The rash is not contagious and does not spread. Sometimes it may appear as though it spreads but what is actually occurring is a delayed reaction to the poison. So, if you think it is spreading don’t panic, it is not. Most individuals see the rash go away in a few weeks. There are instances where a person can have a severe or serious reaction. If you have a serious reaction, you need to see a doctor right away. Swelling is a sign of a serious reaction — especially swelling that makes an eye swell shut or your face to swell. If you find that this is the reaction you are experiencing then you should find the nearest dermatology clinic or, if it is afterhours, the nearest Urgent Care. In even rarer instances you may be experiencing difficulty breathing after coming into contact with poison ivy, and if this is the case you should go to the emergency room immediately.

What you see and feel on your skin is caused by urushiol. Urushiol is the oil in poison ivy, oak, and sumac. You find this oil in all parts of the plants — the leaves, stems, and even the roots! Within minutes of contact with poisonous oil, the skin starts to absorb it. But you don't feel this, and you don't see a rash right way, because the rash is a delayed reaction to the oil. Wash your skin right away if you come into contact with this oil, unless you know you're not sensitive to it. Washing off the oil may reduce your chances of getting a poison ivy rash. If you develop a rash, it can be very itchy and last for weeks. If you have a reaction to the oil, you can have these signs (what you see) and symptoms (what you feel):

Itchy skin.
Redness or red streaks.
Hives
Swelling
An outbreak of small or large blisters, often forming streaks or lines.
Crusting skin (after blisters burst).

Often the rash looks like a straight line because of the way the plant brushes against your skin. But if you come into contact with a piece of clothing or pet fur that has urushiol on it, the rash may be more spread out. You can also transfer the oil to other parts of your body with your fingers shortly after coming into contact with the oil, which is why it will later appear to spread even though it does not. The reaction usually develops 12 to 72 hours after exposure and lasts two to three weeks. If you have come into contact with a large quantity of the poison ivy, however, the rash may develop sooner.

So, what treatment options are available for these rashes? As stated above, if you are experiencing severe symptoms then you should seek immediate care from either an emergency room or Urgent Care. You can treat mild cases of poison ivy rash at home with soothing lotions and cool baths. You may need prescription medication for a rash that's severe or widespread — especially if it's on your face or genitals. If you have a serious reaction, you will likely need prescription medicine. This is where a dermatologist can intervene. We may prescribe a steroid ointment that you can apply to the skin. To treat a severe case, a strong medicine like prednisone may be necessary. If you have an infection, your dermatologist may prescribe an antibiotic as well. You likely have an infection if you develop a fever or have pus, pain, swelling, and warmth around the rash. Lastly, if you are not sure what caused your rash, you should see a dermatologist. Rashes appear on the skin for many reasons, and the one you are experiencing may not be from poison ivy. Interestingly, there are a couple other conditions that can be misdiagnosed by other providers, with allergic contact dermatitis and chemical rashes being the most commonly confused conditions. In general, if your rash is not improving after seven to 10 days, or you think your rash may be infected, see a Pine Belt Dermatology provider. We can treat your rash and any infection and help relieve the itch.

Below are some tips for dealing with ivy rashes:

Immediately rinse your skin with lukewarm, soapy water. If you can rinse your skin immediately after touching poison ivy, poison oak, or poison sumac, you may be able to rinse off some of the oil. If not washed off, the oil can spread from person to person and to other areas of your body.
Wash your clothing. Thoroughly wash all of the clothes you were wearing when you came into contact with the poisonous plant. The oil can stick to clothing, and if it touches your skin, it can cause another rash.
Wash everything that may have the oil on its surface. Besides clothing, the oil from poison ivy, poison oak, and poison sumac can stick to many surfaces, including gardening tools, golf clubs, leashes and even a pet’s fur. Be sure to rinse your pet’s fur, and wash tools and other objects with warm, soapy water.
Do not scratch, as scratching can cause an infection.
Leave blisters alone. If blisters open, do not remove the overlying skin, as the skin can protect the raw wound underneath and prevent infection.
Take short, lukewarm baths. To ease the itch, take short, lukewarm baths in a colloidal oatmeal preparation, which you can buy at your local drugstore. You can also draw a bath and add one cup of baking soda to the running water. Taking short, cool showers may also help.
Consider calamine lotion or hydrocortisone cream. Apply calamine lotion to skin that itches. If you have a mild case, a hydrocortisone cream or lotion may also help.
Apply cool compresses to the itchy skin. You can make a cool compress by wetting a clean washcloth with cold water and wringing it out so that it does not drip. Then, apply the cool cloth to the itchy skin.
Consider taking antihistamine pills. These pills can help reduce itching, however use with caution. You should not apply an antihistamine to your skin, as doing so can worsen the rash and the itch.

Hopefully you find this blog helpful! As always, if you are concerned about the rash by all means come see us at one of our clinics. We are in Petal, Hattiesburg, Ellisville, Collins, Columbia, and you can even find us via our mobile app (Pine Belt Dermatology) available in the iTunes and Google Play stores so we are accessible no matter where you’re at!

Juvederm Fillers & Injections At Pine Belt Dermatology

Thu, 12 Jul 2018 19:13:52 GMT

Dermal fillers are a group of non-toxic substances that are injected under the skin at various depths to smooth out fine lines, deep wrinkles, nasolabial folds, and acne scars, volumize and define lips, contour the chin and nose, or plump up sunken cheeks or temples for a full, lifted appearance. Lip fillers are becoming more and more popular, and one of the most popular filler products are those in the Juvederm product line. While there are others available the Juvederm products tend to wear the crown because they are 1) great products, and 2) they are made by the same people that make Botox. If you live in the Hattiesburg or Laurel, Mississippi area and are in the market for dermal and lip fillers, come see us! There are a number of Juvederm fillers out there, however I will only be discussing the ones that are offered at Pine Belt Dermatology. I will spend a brief period of time talking about what the specific products are designed to do and how much you can expect to pay at Pine Belt Dermatology.

Juvederm is a family of injectable hyaluronic acid dermal fillers used to provide 9 months to one year of correction for moderate to severe facial folds and wrinkles, such as nasolabial folds (lines from the nose to the corners of the mouth). Some of these products are also used for lip augmentation. Juvederm products are a smooth consistency gel, compared to some hyaluronic gel products that have a granular consistency. This plays a role in them being the filler of choice in most individuals. While these are popular fillers, they are not for everyone. Certain allergies may prevent an individual from being able to utilize the fillers. Juvederm should also only be administered under the supervision of a licensed health care practitioner. So, now that the disclaimers are out of the way, what products are offered at PBD?

Juvederm XC: This filler is an injectable gel that instantly smooths moderate to severe parentheses lines and wrinkles around your nose and mouth. Its effectiveness has been proven time and time again, delivering real results that last from 8 months up to 1 year.

The cost for Juvederm XC at PBD is $575 per syringe

Juvederm Ultra: This filler is used for most of the same areas as the regular Juvederm XC. This injectable gel is a colorless hyaluronic acid gel and is injected into facial tissue to smooth wrinkles and folds, especially around the nose and mouth.

Juvederm Ultra price at PBD is $575 per syringe

Juvederm Ultra Plus: This filler is a slightly thicker version of the one listed above. It is typically used to fill deeper wrinkles and folds than the sister product above.

The cost of Ultra Plus is $575 per syringe

Juvederm Voluma: This is one of the higher end Juvederm fillers out there. This filler isthe only hyaluronic acid filler FDA-approved to instantly add volume to the cheek area, and can last up to two years with optimal treatment. If you're looking to plump cheeks that have sunken over time, this injectable is a quick, convenient approach to skin care. This is a product that is extremely popular!

Juvederm Voluma at PBD cost $750 per syringe

Juvederm Volbella: This is one of the newest additions to the Juvederm product line and it is anon-surgical lip augmentation treatment that is designed to plump the lips and minimize the appearance of fine lines around the mouth, also known as perioral rhytids or perioral lines. This product typically lasts a full year, but sometimes may need to be retouched sooner. If you are looking for a fuller look in your lips than this is the filler to try!

Juvederm Volbella at Pine Belt Dermatology is $600 per syringe.

As stated in a previous blog of ours, there has been significant popularity in the use of lip and dermal fillers over recent years. In the past, these, along with other cosmetic products such as Botox, were only used among middle aged adults who began seeing age changes in their facial features. However, the recent increase in utilization can be attributed to many members of the younger generations looking to modify their lips and other facial features to achieve a more voluptuous look. These trends have increased the popularity of lip fillers such as Juvederm and Restylane. Luckily, for patients in the Hattiesburg, Mississippi area, Pine Belt Dermatology offers both products. From time to time we do specials on our cosmetics so be sure to follow us on Facebook, Twitter, and Instagram so that you don’t miss out! Give us a call to schedule an appointment with either Lauren or myself. You can also book an appointment with us from your computer right now, just click on the “Request Now” button on our homepage and pick a day and time that works best for you.

Contact Dermatitis in Hattiesburg and Laurel, MS

Tue, 03 Jul 2018 19:16:42 GMT

You may not be familiar with the term, but I promise that either you or someone you know in the Hattiesburg-Laurel area has had personal experience with this condition. It is one of the many unique forms of “eczema” that cause a red and itchy rash. In the world of rashes, it is very common, but the same things do not always cause it. Most people know contact dermatitis from a familiar example, poison ivy. While this example is common there are many other things that can trigger it and the manner in which it develops can vary. Anything from garden plants, weeds, handling of various livestock, cleaning products, jewelry, chemicals at work, soaps, shampoos, make-up, medications, hand sanitizers and even the dye in your clothing.

Contact dermatitis can be caused by allergic triggers (allergic contact dermatitis), or by substances that simply irritate the skin without causing a true allergic reaction (irritant contact dermatitis). With regard to allergic contact dermatitis, the example of poison ivy is one of the most common and well known. Other examples of this type of reaction include allergies to latex, such as latex gloves, allergies to metal, the most common being nickel, and allergies to topical medications like neomycin, the ingredient commonly found in triple antibiotic creams such as Neosporin. In our office we tell patients to apply only plain Vaseline to biopsy and surgery sites due to the possibility of allergic reactions (allergic contact dermatitis) to the neomycin in triple antibiotic cream. While these examples represent some of the more common causes of allergic dermatitis, there are countless substances in the environment that cause the condition to flare up. Below is an infographic published on the American Academy of Dermatology website that may help you distinguish between allergic and irritant contact dermatitis. This can help you determine whether or not you need to come see myself or one of my colleagues.

So what exactly is the difference between allergic and irritant contact dermatitis? When your skin comes in contact with a substance that causes a contact dermatitis, one of two things happens. In allergic contact dermatitis the substance triggers an allergic response from your immune system, which leads to disruption of the skin surface and ultimately a breakdown of the normal barrier that is created by the skin. With irritant contact dermatitis the reverse occurs. The substance causes a breakdown in the normal barrier your skin creates, and this then leads to inflammation as your skin attempts to repair, protect, and heal itself.

The causes and presentations of these conditions can vary and this can at times make the diagnosis difficult. The rash can develop anywhere from hours to years after your first exposure to the substance. The triggers can often be substances that are new to your skin, but ironically these triggers can also be things that you have come in contact with for long periods of time. In the first scenario, the cause is often easily identified. A new product is used and the rash occurs. In the second scenario, it may be very difficult to identify the cause. We often do not suspect that we have become sensitive to things that we have used or come in contact with for long periods of time. These substances include products and items both at home and at work. As mentioned above anything from handling livestock, garden plants, weeds, cleaning products, jewelry, chemicals at work, soaps, shampoos, make-up, medications, and the list goes on and on, can cause contact dermatitis to flare. In addition, several different substances may be to blame, clouding the picture and making the diagnosis more difficult.

Determining the cause of the rash may be as simple as retracing your steps over the days leading up to its development, or as involved as testing your body for allergic reactions to hundreds of differently substances. Your doctor can help guide you through the process of determining the cause of your particular rash and they can help you manage the symptoms associated with it. The treatment is typically tailored to the specific causes and can be very unique to each patient. Most patients do well with topical steroid creams and oral antihistamines. At times, extensive testing is required to identify a cause and complete a treatment plan. In any event, if there is a rash of any sort you should seek out Pine Belt Dermatology’s expertise.

Reclaim Youthful Skin With Restylane Fillers At Pine Belt Dermatology

Tue, 03 Jul 2018 19:15:24 GMT

Juvederm is one of the more popular filler brands out there but another filler brand that has begun to peak the interest of many patients is that of Restylane fillers. Restylane has been around since being FDA approved in 2003. Restylane fillers are non-surgical, FDA-approved, fillers used to instantly smooth away moderate to severe wrinkles like smile lines (the lines from your nose to the corners of your mouth) as well as plump the lips and restore lost volume for a fresher, more youthful appearance. They are a clear, non-animal-based, biodegradable gel substance composed of hyaluronic acid, which is a substance that naturally exists in the body. The word "acid" may sound scary; however, hyaluronic acid isn't harsh or damaging at all, in fact it's the opposite. For smoothing wrinkles, sculpting lips, and improving other facial features, Restylane injections are a growing favorite.

Restylane is administered at the dermatology office and is ideal for patients who are 35-60 years of age and want to restore that youthful glow to their skin. Results are fully evident within one week. Restylane has a success rate for reducing or eliminating deep wrinkles that cannot be accomplished with other procedures such as chemical peels or microdermabrasion. Restylane not only fills in wrinkles, but also moisture and lubrication to the skin, so the skin not only looks younger but feels younger as well. It gives patients a very natural and healthy look! Restylane requires only a few injections and no incisions or removal of tissue, so the risk of complications is quite low. Since Restylane treatments require no incisions and involves a very easy recovery process, it is very rare for a potential patient to be excluded for medical reasons, however all of this will be discussed when you schedule a consultation with either Kristen or myself.

So, a common question I get when I mention this product is what areas of the face can be treated with Restylane? Virtually any area of facial skin can be treated with one of the various Restylane dermal fillers offered at Pine Belt Dermatology & Skin Cancer Center. Creases, deep folds, and light wrinkles can all be lessened through the use of Restylane. Laugh lines and fine mouth lines are among the most popular targets for the injections. Among other popular applications of Restylane is its use as a lip filler, where it can enhance volume and shape for months after treatment. In short, any area of the face that lacks volume, shape, or smoothness can experience improvement through Restylane injections.

Restylane Products We Offer, What They Do, & What It Cost:

Restylane Defyne: As you age, your skin loses elasticity and the lines that run from the sides of the nose toward the corners of the mouth (nasolabial folds) and the lines that run from the corner of your mouth toward the chin (marionette lines) become more pronounced. Restylane Defyne is able to correct these deepened lines. Defyne is not only able to smooth these lines out but can also help support natural and healthy facial expressions. You may want to lose those aging lines but not that pretty smile! Interestingly, of patients surveyed by Restylane 97% were satisfied with the results, 97% would have another Defyne treatment done, and 95% would recommend the Defyne product to a friend. That sounds like a pretty awesome product!

Restylane Defyne at PBD costs $625 per syringe.

Restylane Refyne: similar to the product listed above this Restylane filler is designed to help soften laugh lines (nasolabial folds and marionette lines). This can help you restore a more natural look to your face while maintaining your facial expressions. Restylane Refyne is also is also designed to help support your natural expression, giving the patient real-life results that help maintain natural movement when you're smiling, frowning, laughing and even puckering up.

Restylane Refyne at PBD costs $625 per syringe

Restylane Lyft: Over time, the natural fat begins to deteriorate, resulting in sagging skin, more prominent wrinkles and a reduction of volume. Restylane Lyft is approved by the FDA to correct volume deficit in the backs of the hands, for cheek augmentation and correction of age-related midface contour deficiencies in patients over the age of 21. This is in addition to treating moderate to severe facial wrinkles and folds, such as smile lines. Through nonsurgical injections, Lyft is specifically designed to add fullness to the cheeks, midface area, and the backs of the hands which can result in a more natural-looking, youthful appearance.

Restylane Lyft at PBD costs $525 per syringe

Restylane Silk: The lips and the lines around the mouth, like other areas of the face, show signs of aging as you get older. This often results in lip thinning, lost shape and an increase in vertical lines above the lip. Restylane Silk is designed specifically to provide natural-looking results in these particular areas by using smaller, smoother hyaluronic acid particles than those used in other Restylane filler products. This is a very great product that is becoming more and more popular. In a survey conducted by Restylane, 98% of patients saw visible lip improvement 14 days after injection and 77% continued to see fullness 6 months after injection.

Restylane Silk at PBD costs $525 per syringe

There has been significant popularity in the use of lip and dermal fillers over recent years. In the past, these, along with other cosmetic products such as Botox, were only used among middle aged adults who began seeing age changes in their facial features. However, the recent increase in utilization can be attributed to many members of the younger generations looking to modify their lips and other facial features to achieve a more voluptuous look. These trends have increase the popularity of lip fillers such as Juvederm and Restylane. Luckily, for patients in the Hattiesburg, Mississippi area, Pine Belt Dermatology offers both products. We may even offer discounts from time to time, so give Kristen Richardson or myself a call today! You can even book your own appointment through our website by clicking the “Request Now” tab on our homepage.

Psoriasis and Psoriatic Arthritis Can Occur Together - Quick Facts About Psoriatic Arthritis

Thu, 07 Jun 2018 18:51:04 GMT

I’ve spent a great deal of my years of practice studying and treating psoriasis and psoriatic arthritis. I have posted a few blogs on here before about different psoriasis topics, and so for the sake of brevity I have listed some quick facts regarding psoriatic arthritis for those who are interested. I have also included links to previous Pine Belt Dermatology blogs on psoriasis below, as the content still remains very relevant.

What you need to know:

Psoriasis and Psoriatic Arthritis is the most common Immune-Mediated disease in the U.S.
30% of the patients with Psoriasis will develop Psoriatic Arthritis.
The majority of the patients with Psoriatic Arthritis have skin lesions for up to 12 years before the onset of Psoriatic Arthritis.
Psoriatic Arthritis can develop into a disabling erosive arthropathy in 40-60% of patients, sometimes it can occur within one year of the diagnosis being made.
It is important to understand that approximately 50% of patients with Psoriatic Arthritis may develop structural joint damage that may become disabling.

If you feel that you may have Psoriasis and or Psoriatic Arthritis contact Dr. Conte at Pine Belt Dermatology for the latest treatments for both of these skin and joint conditions that can go hand and hand. Below are images that may give insight into what to look for in joints that are affected.

Common Skin Growths – A Dermatologist’s Perspective

Wed, 06 Jun 2018 19:08:12 GMT

Our skin serves as our body’s first line of defense against the external environment and because of this it comes into contact with, and is exposed to, all sorts of elements that can cause growths of all shapes, sizes, and behaviors to develop. Not only are there many growths that can appear on the skin but many that mimic, or are easily confused with, other skin conditions. While the causes of many of them are often poorly understood, it is known that some are associated with age, while others are inherited. Benign lesions, which are the non-cancerous kind, are not life threatening. However, many people will opt to have these benign lesions removed for cosmetic purposes. A lesion may also be removed for medical reasons if cancer, or some other disease, is suspected. Some lesions that are benign but bleed, causes pain, stay inflamed, or are constantly irritated are also often removed. I will spend a short while describing the most common skin growths that you might encounter as well as talk a bit about when you should seek dermatological care. The readers may want to see photos of the growths that I am discussing. Images of any of these conditions can be found in online medical articles. Of course, if there are any questions regarding a growth on your skin, you should schedule an appointment with myself or a colleague of mine here at Pine Belt Dermatology & Skin Cancer Center.

Some of the common skin growths you will see around Hattiesburg and Laurel, Mississippi are:

Dermatofibroma: dermatofibromas are pink, dull red, or darkly pigmented skin lesions and often resemble a mole. This skin growths are often small, but in some cases can reach the size of a peach pit. Dermatofibromas are firm to touch and will pucker or dimple when pinched. These growths occur most often on the legs of women and can become very irritated because they can be easily nicked when shaving. Interestingly, dermatofibromas represent a scar-like reactive process that may be induced by trauma to the area, such as an insect bite. Dermatologists at Pine Belt Dermatology & Skin Cancer Center can easily remove these growths surgically or by flattening the growth by freezing – you may hear it called “cryosurgery”.

Prurigo Nodularis: these growths appear as a thickened, rough, tumor-like, sometimes scaly lesion that often will cause intense itching. What is neat about prurigo nodularis is that it is not truly a “growth”; it is an active process that is the result of scratching, however, the exact cause of the itching remains unknown. There are a couple reasons to visit a dermatologist for these skin growths. This particular lesion can be confused with Squamous Cell Carcinoma, a type of skin cancer, so often times a skin biopsy on this lesion is necessary. Additionally, prurigo nodularis can occasionally be associated with an underlying medical condition such as eczema, kidney failure, or cancer. Lastly, treatment of these types of skin lesions can be difficult and may consist of cortisone injections directly into the growth, cortisone tapes, creams, ointments, freezing, anti-itch medication, or scraping away of the lesion.

Keratoacanthoma: a keratoacanthoma is a fast growing, cone-shaped, flesh colored growth that is considered a variant of squamous cell carcinoma, and can sometimes be mistaken for the real thing. This growth can destroy surrounding tissue and, in rare cases, metastasize just like squamous cell carcinoma. These lesions usually develop on the skin of the extremities. This skin growth require a dermatologist’s attention because typical treatment involves surgically removing the lesion, which is then typically sent to a laboratory for microscopic examination.

Pyogenic Granuloma: these skin growths are small pink or red lesions formed by many blood vessels. With mild trauma, these growths can bleed easily. These can appear spontaneously or develop after injury to the skin in the area. They can occur at any age and in both sexes, but tend to be more common in children. Sometimes these skin growths can form in the gums of pregnant women, but usually disappear spontaneously after delivery. When treating these, the most efficacious treatment is to surgically shave and cauterize them with an electric needle. These can also be removed surgically, cryosurgical, and/or laser surgery.

Sebaceous Cysts: a cyst is a benign growth that forms when an inner lining or sac fills with a cheesy material. There are two types of sebaceous cysts – epidermoid and pilar. Epidermoid cysts have a central opening from which a rancid material can be expressed. If they are located in the upper layers of the skin, they may have a yellow or white appearance and have prominent overlying blood vessels. Theses cysts most commonly occur on the face, neck, and back. Pilar cysts are primarily located on the scalp. In patients with multiple lesions, inheritance can play a role in explaining why. Epidermoid cysts may arise following surgery or injury to the skin. If the cyst enlarges rapidly and ruptures, a boil-like lesion results that usually requires treatment with an antibiotic and surgical removal of the sac. It should be noted that it is easier to remove the sac when it is not inflamed. This helps in preventing infection. If a cyst begins to enlarge rapidly, becomes inflamed, breaks down, or becomes painful, it should be examined by one of our providers immediately.

Milia: these growths can be thought of as miniature epidermoid cysts. They frequently occur on the face as single or multiple pinpoint white lesions and are common in older women. The cause of these cysts are unclear, but they may arise following injuries to the skin or from surgery. The most effective treatment is extraction, which can be performed by one of the providers at Pine Belt Dermatology.

Sebaceous Gland Hyperplasia: these skin growths appear as small white or yellow lesions and often occur on the faces of people with oily skin. The lesions may have prominent tiny blood vessels and can resemble Basal Cell Carcinoma, the most common type of skin cancer, therefore a skin biopsy on this growth may be performed. Treatment of these growths include electrosurgery, cryosurgery, laser surgery, and photodynamic therapy.

Digital Mucinous Pseudocyst: these lesions are bluish in color and extrude a clear, thick material when punctured. They most commonly occur in the skin overlying the base of the fingernail and can interfere with nail growth. These lesions are not true cysts, but instead represent a degenerative process of the skin in which the sticky, jelly-like substance accumulates. Treatment of these growths include cortisone injections and/or surgical removal.

Lipoma: a lipoma is a fatty tumor that lies deep in the skin and appears as a soft lump. Occasionally, lipomas are tender to the touch but usually do not cause other symptoms. While these tumors can undergo malignant transformation, this rarely occurs. Lipomas can be small or quite large and develop in adults as single or multiple lesions. These tumors typically only require surgery when they become large and uncomfortable or exquisitely tender. The most common type of treatment is by excision.

Xanthelasma: these growths develop on the eyelids and are yellowish or whitish in color due to lipid deposits in the skin.These growths are commonly called “cholesterol deposits”. These can occur in people who have normal lipid levels, or they can be associated with a lipid-metabolism disorder, especially high cholesterol levels. While these are benign, I would recommend coming in for a checkup. People with xanthelasma should be evaluated for elevated or abnormal cholesterol level and triglycerides. The most common treatment options include surgery, electrosurgery, cryosurgery, laser surgery, and the application of acids.

Syringoma: these growths are small lesions of sweat gland ducts. They occur most often in women, form frequently on the lower eyelid, and are usually skin colored. The lesions also may be white. These growths tend not to hurt or itch (called “asymptomatic”). Treatments include dermabrasion, surgical removal, or laser surgery.

Trichoepithelioma: trichoepitheliomas are small skin colored lesions that occur most commonly on the face and neck. These can sometimes resemble Basal Cell Carcinomas. The cause of these growths are not entirely understood. We do know that these lesions represent the body’s attempt to form hair follicles and shafts. In some individuals, they can become quite numerous and large and interfere with everyday function, especially if they occur in areas such as the ear canal or eye region. These growths can be removed with surgery, laser treatment, or dermabrasion.

Neurofibroma: a neurofibroma may resemble a non-colored mole, but these growths are often very soft. These lesions are usually asymptomatic (meaning they do not hurt or itch), but they can sometimes be tender to the touch. The growths are benign and are derived from nerve sheath cells in the skin. They can be removed if a person finds them to be annoying. In instances when these growths are numerous, appear as patches of pigmentation, or freckling in the armpits, the individual may have an inherited disorder called neurofibromatosis. There are many forms of this disorder, which can be associated with brain tumors and internal neurofibromas that can become malignant. In these particular cases, patients need to be closely monitored and seek genetic counseling.

Hemangioma (Cherry Angioma): Hemangiomas are benign growths consisting of numerous small blood vessels. The typical lesion is small, red, and appears most often on the torso of adults; however a hemangioma can develop on any area of the body. Some hemangiomas can become the size of a pencil eraser and be purple in color. People can sometimes develop hundreds of hemangiomas. These growths usually do not hurt or itch, however larger lesions may bleed and require removal. There are a number of options available for removal of these lesions, including excision, electrosurgery, and laser surgery.

Seborrheic Keratoses & Verrucous Acanthoma: these lesions can have a wart-like appearance, and may be smooth or flat. They can range in color from skin-colored to jet black. Sometimes they have a mixture of brown and black colors, they can resemble an atypical mole or melanoma ( a lethal form of skin cancer), and it is for this reason that a biopsy may be performed on these growths. In general, seborrheic keratosis are quite common and numerous. When one of these becomes extremely large or thick, they are called verrucous acanthoma. These types of growths are frequently seen in older individuals and may be inherited. In people of color, they can often appear as small black lesions around the eyes. Lesions may be removed for cosmetic reasons or if they are associated with intense itching, bleeding, or irritation. Treatments for these growths include cryosurgery, shaving, scraping, or burning (electrodessication).

Nevi (Moles): Moles may be pigmented or skin-colored. They arise in the pigment-producing cells (melanocytes) of the skin and can be congenital (meaning present at birth). Moles more commonly develop throughout childhood. Nevi may be flat or elevated and grow to about the size of a pencil eraser. They can develop anywhere on the body, and may disappear with time. If you or a family member has a changing mole, it may indicate that a visit to a dermatologist is necessary, as a changing mole can mean that skin cancer is developing. Any mole in question should be examined by a board certified dermatologist and may require biopsy. Moles also may need to be removed if they become irritated, or may be removed for cosmetic reasons. Remember – any mole that grows, changes in shape or color, or bleeds should prompt a visit to Pine Belt Dermatology.

Human skin can be subject to a variety of skin growths, many of which are harmless and may never require removal. Others can be precursors or indicators of a much more serious condition. To the untrained eye many of these can appear the same, which further highlights the necessity of seeking dermatological care for a skin growth that you may be worried about. Because the skin is the first line of defense you can’t be too careful when it comes to protecting it. If you have a spot that you are worried about, come see us! And in the event that you cannot find the time to get that spot looked at, click the link below to be taken to our online portal to conduct an online visit.

Know the Facts About Hidradenitis Suppurativa (a.k.a “HS”)

Fri, 18 May 2018 19:11:02 GMT

Hidradenitis suppurativa, sometimes called acne inversa, affects millions of people worldwide, and up to 200,000 people in the United States are diagnosed with moderate to severe cases each year. HS is a very complex disease that can often go undiagnosed for log periods of time, even years. This seems scary, and it can be, but the providers at Pine Belt Dermatology can help you obtain accurate information about HS and provide the best treatment options available.

Hidradenitis suppurativa is a chronic, long lasting, inflammatory skin condition that can be caused by malfunctions in the body’s immune system. This disease can often start with a bump on your inner thigh and can sometimes even be mistaken for a pimple on your inner thigh or in your armpit. The difference between regular pimples and HS is that the pimple-like bumps that appear typically surface in areas that every-day acne would not typically surface. These bumps that can be mistaken for pimples will then progress to painful abscesses that may eventually rupture. If you have HS, or think you might have it, it is extremely important that you come to see one of our providers here at Pine Belt Dermatology & Skin Cancer.

As I alluded to when I mentioned the importance of obtaining accurate information regarding the skin condition, there are a lot of myths that are floating around regarding hidradenitis suppurativa and I want to address some of them in this blog.

Some of the myths – which are not true- include:

HS is a sexually transmitted disease
HS is caused by poor personal hygiene habits
HS can be contagious
You are responsible for developing the disease.

More information regarding the symptoms of hidradenitis suppurativa:

The bumps that initially appear with this disease seem benign and innocent, which can make it difficult to initially recognize as HS. Hidradenitis suppurativa bumps can be mistaken for a few different conditions: acne, boils, folliculitis, and deep-acne cysts or blackheads. However, these bumps can manifest over time to become painful abscesses that leak foul-smelling, bloodstained pus. There have been instances where the symptoms appear and then seemingly subside, but these can flare up again within weeks, months, or years later. It is important if you have symptoms you believe to be that of HS that you schedule a consultation with myself or one of my colleagues. The recurrence of HS can lead to scarring in the affected areas where it continues to come back. As the deep bumps heal, some people develop tunnel-like tracts under their skin. As the skin continues to heal and scar, the scars thicken. When thick scars form in the underarm, moving the arm can be difficult. Thick scars in the groin area can make walking difficult. This is why we stress coming to see us if you experience any of the symptoms described. Pine Belt Dermatology can help determine the severity of your case of hidradenitis suppurativa and then tailor treatment options to you specifically, and early treatment will help prevent the condition from worsening.

Severities of HS:

Mild HS usually is a single abscess, or sometimes a couple abscesses, without draining wounds.
Moderate HS is typically when these single or few abscesses become widespread in an area (i.e the armpits).
Severe HS typically means there are many abscesses that are clustered and cover a large area of the body.

Symptoms of worsening hidradenitis suppurativa:

Painful, deep breakouts that heal and reappear.
Breakouts that rupture and leave a foul-smelling odor.
Scars that form in areas of recurrence.
Scars that become extremely thick.
Skin that becomes/appears spongey due to the tracts of scarring that form deep within the skin.
Serious infections.
In rare instances, skin cancer can develop in affected areas.

Though exact causes of hidradenitis suppurativa are still no entirely clear, there is some solid data surround the risk factors, who gets HS, and how it can affect different groups. Some of the data for different demographics are discussed a little further in depth below:

Age: hidradenitis suppurativa typically develops around puberty and also commonly develops in young adults in their early 20s, but it can develop at any age. One interesting fact is that developing HS in ages later than 55 is quite rare.
Sex: HS, for reasons that are unclear, occurs more frequently in women. In fact, women are three times more likely to develop hidradenitis suppurativa than men.
Family/Medical History seems to play a part in the risks associated with developing HS. Research shows that there can be a genetic component associated with development of the disease. One statistic to note is that more than 1/3 of the people diagnosed with HS have a family member also living with the disease. Medical history of the individual also seems to play a role in the associated risk. HS can affect all body types, however, many people with hidradenitis suppurativa have had a history of being overweight and having had acne. It should be noted that these previous conditions do not guarantee that you will develop HS later in life.

You may notice signs and symptoms of the disease, including swelling and abscesses. Symptoms like pain of the lesions can significantly impact your day-to-day mobility. It can make something as simple as moving your arms difficult. As stated above, if you think you have the symptoms schedule an appointment with us today.

What areas of the body does the disease affect?

We’ve discussed previously that the disease varies men and women, and the same is true for the areas that are affected.

Women:

Underarms
Under the breasts
Buttocks
Groin area
Inner thighs

Men:

Ears
Back of the neck
Underarms
Buttocks
Groin area
Inner thighs

Tips for Reducing Frequency of Flare-Ups:

Lose weight to lessen HS — or even clear your skin. If you are overweight, losing weight may be the most effective way to control HS. It may even be more effective than treatment. Dermatologists have found that when patients who have HS lose weight, they have fewer flare-ups. Losing just 10% of your body weight can make a difference. Losing weight has additional benefits for people who have HS. Findings from one medical study showed that having HS increases the risk for developing other health problems, including heart disease and diabetes. HS also increases the risk of having a stroke. Losing weight and eating a well-balanced diet on most days can reduce these risks.
Quit smoking to reduce HS flare-ups. Quitting smoking can help you live a longer, healthier life. It also can reduce HS flare-ups and decrease the severity of HS.
Stop shaving where you have breakouts. Shaving can irritate the skin. If you want to remove the hair, ask your dermatologist what you can safely use to remove the hair.
Wear loose-fitting clothes to reduce friction. Tight waistbands and form-fitting clothes tend to rub against your skin, causing HS to flare. Wearing loose-fitting clothes, including underwear, can help.
Keep your skin cool. Overheating and sweating can cause HS to flare. If you need a product that can help reduce sweating, such as an antiperspirant, ask your dermatologist for a recommendation. Some antiperspirants are too harsh for skin affected by HS.

Because HS is not very well known, people who have the disease have a tendency to be given false information and also tend to feel as if they are alone in their struggle. It is important to know that there are others out there that can relate to your day-to-day struggle, and that treatment options are available. I cannot stress the importance of seeing a PBD provider for the disease either. We specialize in diagnosing and treating inflammatory skin conditions including that of HS. Inflammatory skin conditions can be misdiagnosed by other types of doctors, as is often the case with skin conditions.

Fungal Infections of the Skin in Hattiesburg, Mississippi

Wed, 18 Apr 2018 18:43:21 GMT

Pine Belt Dermatology & Skin Cancer Center specializes in all things skin, hair, and nails and that includes fungal infections exhibited in the above listed areas. Fungal infections, also called tinea, of the skin or nails is more common than most people realize. This blog will be a brief over view of fungal infections that we see at Pine Belt Dermatology, and what can be done to prevent or relieve these conditions.

Fungal infections of the skin are contagious and should not be taken lightly because they can quickly spread. Common fungal infections are caused by yeasts. Sometimes individuals can get a fungal infection from direct contact with an infected person. A fungal infection can also be picked up by touching an infected pet, or from picking up an item that is contaminated with the fungus. Fungi thrive in warm, moist areas and these areas/items can include combs, shower surfaces, shoes, or pool areas.

Poor hygiene and prolonged wet skin significantly increase the risk of developing a fungal infection of the skin.

For the most people who contract skin fungal disease, the infection is generally mild. If a person has a medical condition that suppresses the immune system such as HIV, AIDS, or cancer, a fungal infection can be serious.

Common Types of Fungal Infections:

Tinea Pedis (Athlete’s Foot) – this is a very common fungal infection that only affects humans. This fungus is spread by direct contact and most people contract it by walking barefoot in a public place such as a locker room or pool area. Athlete’s foot begins between the toes and it can spread if left untreated. It is here that the skin peels, cracks, and scales. Itching is common with this fungus. Athlete’s foot can spread to the soles of the feet as well. Here, along with the sides of the feet, the skin can exhibit redness, scaling, and drying of the skin. Some individuals will experience a small patch of intensely itching blisters on the soles of their feet. In some instances, these conditions can be mistaken for other skin conditions such as contact dermatitis or psoriasis and so it is vital that a correct diagnosis is made. In other instances, the above conditions can be initially misdiagnosed as athlete’s foot. Using an over-the-counter anti-fungal treatment on a rash that is not athlete’s foot can actually make the condition worse! A provider at Pine Belt Dermatology & Skin Cancer Center can correctly diagnose the condition and prescribe the right medications. For mild cases of athlete’s foot, anti-fungal creams are effective and can relieve symptoms such as burning and itching. When the fungal infection is much more severe, a visit to Pine Belt Dermatology & Skin Cancer Center is the best solution. Our providers can prescribe anti-fungal pills. As stated above, hygiene plays an important role in preventing these fungal skin infections. Athlete’s foot is curable, but it can come back if individuals are not careful. The following can help prevent another:

Do not walk barefoot in public places such as gyms, shower areas, and hotel rooms.
Wear shower sandals when walking in public areas such as locker rooms and pools. Shower sandals can protect your feet when showering in a hotel or locker room.
Avoid tight footwear, especially in the summer. Sandals and flip-flops are the best warm weather footwear. Enclosed shoes made of leather or plastic do not allow the foot to “breathe”.
Do not wear anyone else’s shoes.
Wash feet daily with soap and be sure to let them dry thoroughly.
When wearing enclosed shoes, wear cotton or synthetic sweat socks to absorb perspiration. Change the socks daily or more frequently if they become damp.
Sprinkle an anti-fungal powder on feet and in shoes.

Onychomycosis, Tinea Unguium (Nail Fungus) – toenail infection is usually associated with tinea pedis (athlete’s foot) and is very difficult to get rid of. The big toes I typically the first to show signs of fungal infection, especially if it has been injured. The nail yellows, thickens, and then breaks easily. Fingernail infections are similar, but not nearly as common. Because nail fungus can be tough to treat, sometimes oral medications may be necessary.
Tinea Cruris (Jock Itch) – jock itch is a rash that develops in the groin area and affects both men and women. Individuals who tend to sweat a lot may be more susceptible to jock itch. The rash is extremely itchy, has a red boarder, and can spread. Over-the-counter creams can help, but often times a prescription cream from one of our providers may work faster and require fewer applications. It is a good idea if you have a rash of any sort in the groin area that you schedule a visit with us. It is important to get the proper diagnosis of the rash.
Tinea Corporis (Ringworm) – ringworm is a contagious fungal infection that is spread three ways: person to person, contact with an infected animal, or from soil that contains the fungus. Ringworm appears on the skin as an itchy, red, scaly patch that is ring shaped. This kind of tinea is treated with appropriate oral anti-fungal medication.
Tinea Capitis (Scalp Ringworm) – scalp ringworm primarily occurs in children and results in scaling and patchy hair loss. With the right treatment (nearly always requires oral medications) the hair will grow back normally and will not be permanent.

Fungi are everywhere. Fungal diseases are often caused by fungi that are common in the environment. Fungi live outdoors in soil and on plants and trees as well as on many indoor surfaces and on human skin. Many residents of Mississippi are outdoorsmen and so it is important to practice proper hygiene and to seek care when skin conditions last more than a few days. As stated above, these fungal infections can be treated with significant ease when the proper diagnosis is made. The great news is that we are available in five locations (Hattiesburg, Petal, Ellisville, Columbia, and Collins) and online, so we are easy to get a hold of when you need treatment for a fungal skin infection.

Acne Treatment Available In The Pine Belt

Tue, 20 Mar 2018 18:47:37 GMT

If you are a tween, teenager, or adult struggling with acne I have great news for you; 1) you are not alone in your struggle, and 2) there is an expert available near you that can provide treatment. Acne is the most common skin condition in the United States. Ironically, even with it being a common condition, accurate information about acne can be rather scarce. This creates quite the conundrum for people who want answers on how they can manage their acne. In this blog I will provide some information that may help, along with information on how we at Pine Belt Dermatology & Skin Cancer Center can help.

A growing number of women have acne in their 30s, 40s, 50s, and beyond so the information below is equally relevant to adults as it is in teenagers. Dermatologists are not sure why this is happening. But dermatologists understand that adult acne can be particularly frustrating. Some people chose to let acne run its course, and for the person who has an occasional pimple every now and again this may suffice. However, if you are dealing with mild to severe acne you may want to seek help from one of our board certified dermatologists. Letting moderate to severe, and even mild, acne run its course is not always the best advice. Without treatment dark spots and permanent acne scars can form, which can be detrimental to a person’s self-esteem. We often see this being the case in dermatology. Acne, Rosacea, warts, psoriasis, eczema, and hair loss all tend to damage a person’s self-image. I’ve listed below seven reasons for treating acne earlier rather than later:

Faster results with treatment:

Regardless of how severe the acne, treatment of the condition always takes time. That said, it does take less time and effort to clear a few pimples than a breakout that could include blackheads, whiteheads, and deep-seated acne cysts. A Pine Belt Dermatology provider can help you find a solution that is optimal for you.

Reduce the scars:

Acne is bad enough, but when you have to deal with acne scars after dealing with the condition it can be infuriating, even discouraging. Treatment will help reduce the scarring that occurs, especially when the acne condition is severe. Typically, the more severe the acne the worse the scarring. However, even mild acne can result in scarring. This is often the result of the acne being picked at. If the acne is treated early on, it can reduce the chances of forming a habit of picking at the acne.

Stop lingering spots from continuing to breakout

Anyone who has medium-to-dark colored skin may see a dark spot appear when an acne pimple, cyst, or nodule clears. Dermatologists call this post-inflammatory hyperpigmentation. In light skin ethnicities, this can appear in the form of red pigmented spots where the acne once was. These spots can linger for months and some patients have stated they hate the spots worse than the acne itself.

Prevent mild acne from becoming severe

Preventing mild acne can keep it from spreading and becoming much more of a hassle. Mild acne can progress to severe acne cases. A few untreated pimples can spread to widespread blackheads, whiteheads, and deep, painful acne.

Decrease the likelihood of needing stronger treatment

When acne becomes severe, strong medicine is needed to see clearing. These medicines have more possible side effects and require close monitoring by a dermatologist. That means more office visits, which also means more time away from your busy schedule.Acne starts at a young age and seems to follow you for well into your early adult years. Dermatologists have actually seen an increase in the number of kids ages 7-to-12 who have moderate to severe acne. Treating acne early and keeping it under control can prevent future breakouts. Today, that can add up to a substantial number of years without acne. Many people have acne into ones 20s. For some adults, acne persists well into their 30s, 40s, and even 50s or 60s. Treat it early if you can. Healthy skin is beautiful skin

Boost self-esteem

It may sound arbitrary, but studies have shown that there are numerous individuals who say their acne conditions take a toll on their psyche. It can even cause some individuals to withdraw socially. Something interesting to note is that the studies done found that the level of acne severity did not seem to be a factor in whether or not self-esteem was affected.

Acne is not defined by one type of skin blemish. A person who has acne can have any of the following blemishes: blackheads, whiteheads, cysts, nodules, pustules, and papules. Acne is also not limited to one spot on the body, it can appear on the head, face, neck, back, shoulders, chest, upper arms, and buttocks. So if you struggle with any of the above listed blemishes on any of the listed areas of the body and you can’t seem to get rid of them, I would encourage you to seek help from a PBD provider. We will thoroughly examine your skin, and then grade the severity of your acne. From there we will assess a treatment plan tailored to your acne condition. Despite myths out there, acne treatments do not work overnight and do take time to become effective. So if you, or a loved one, have a lot of acne, cysts, or nodules over the counter medication may not work. If you want to see clearer skin, you should seek help. Pine Belt Dermatology providers offer a few different treatment methods for acne:

Topical treatments: most acne treatments that are available are topical medications that are applied directly to the skin. There are many topical acne treatments. Some topicals help kill the bacteria. Others work on reducing the oil. The topical medicine may contain a retinoid, prescription-strength benzoyl peroxide, antibiotic, or even salicylic acid. While you may be able to find over the counter medications that claim to work, we can help tailor a treatment plan to the best solution for your severity. Personalized care is our subspecialty!
Treatments that work throughout the body: Medicine that works throughout the body may be necessary when you have red, swollen types of acne. This type of treatment is usually necessary to treat acne cysts and nodules, and is only available through prescription from a board certified dermatologist. In some instances, more than one of these may be necessary to relieve your acne.

Antibiotics – these help to reduce inflammation and kill the bacteria involved in the condition.
Birth control – this can help with acne caused by hormonal changes in women.
Isotretinoin – this drug is also known as “Accutane” and it is the only treatment that treats all causes of acne. It is only available through a provider’s prescription. Patients using this treatment are closely monitored and have routine check-ups with our providers.

There are treatments available that are alternatives to medication that Pine Belt Dermatology providers can use as well.

Lasers – lasers and other light therapies can be used to treat acne by reducing the acnes bacteria causing the condition. To determine if this therapy is appropriate for you, come see myself or one of my associates.
Chemical peels – these are not available over the counter, and are often used as a cosmetic procedure. However, chemical peels can be very effective against acne. The 2 types that they are most useful for are blackheads and papules.
Acne surgery – depending on the case, we will perform a procedure called “drainage and extraction” to remove a large acne cyst. This procedure helps when the cyst does not respond to medicine. It also helps ease the pain and reduce the chance that the cyst will leave a scar.

Waiting for acne to clear on its own can be frustrating. Without treatment, acne can become more severe and cause permanent scars, low self-esteem, depression, and anxiety. Don’t make the struggle with acne harder than it has to be.

To avoid these possible outcomes, let us help you treat your acne. Dr. Roy’s time is monopolized with skin cancer surgeries. However, all of our other providers are experts at treating mild to severe acne cases (myself, Dr. Conte, Dr. Duff, and Kristen Richardson). When the skin clears, treatment should continue. Treatment prevents new breakouts. A provider at Pine Belt Dermatology can tell you when you no longer need to treat acne to prevent breakouts. We are available at five different locations in Hattiesburg, Petal, Ellisville, Columbia, and Collins, Mississippi. In the event you need our services after hours, while you are out of town, or over the weekend we have Online Dermatology Visits available through our website and mobile app. Kristen Richardson, Dr. Roy, and myself are available on our virtual visitation services. Let us join you on your journey to healthy skin, because healthy skin is beautiful skin! Also, look for upcoming blogs that further discuss the treatment of acne scars!

Collegiate Athletes Should Be Encouraged To Protect Their Skin

Wed, 21 Feb 2018 19:49:50 GMT

We are extremely fortunate to have a strong collegiate athlete presence in our area. From Hattiesburg to Laurel, Mississippi there are 8 college campuses within our vicinity, which is why we have so many student athletes in our area. University of Southern Mississippi, William Carey University, Jones County Junior College, and Pearl River Community College, just to name a few, all have great sports programs. Our student athletes lead exceptionally healthy lives compared to the general population, but at the same time these individuals are at greater risk of developing skin cancers. These individuals are at greater risk because of significant ultraviolet exposure and due to the sweat and strenuous activity their sun-protective practices tend to be suboptimal. This is by no fault of their own, as it is a lack of education on adequate sun protection. At Pine Belt Dermatology we are huge supporters of our local collegiate sports programs, and so we hope that this blog will help educate student-athletes and their coaches, trainers, and parents.

Radiation from the sun is an established risk factor for all skin cancers. There is a proven reduction in the risk of developing skin cancer when there is adequate sun protection and sunscreen applied, however, the use of sunscreen remains low among young adults and adolescents. Many sports provide/require protective gear for various parts of the body when competing, but protection of the skin is often overlooked. This is befuddling because the skin is the athletes’ largest organ, yet no safeguards are put in place to prevent sun damage. In fact, a survey done in 2014 found that nearly 90% of athletes do not wear sunscreen when competing. With only a handful of exceptions, athletes practice and compete in the midday sun, which is when UV rays are strongest, so it is of great concern that these young adults are exposing their skin to such vast amounts of UV light so early in their lives. In addition to lack of sun protection, athletes’ UV damage is exacerbated by their sweat. The sweating not only washes off sun screen (it if was ever applied), it also increases the photosensitivity of the skin. There is also significant UV radiation that can reflect on to the body from training areas such as light-colored grounds, concrete, and sand. In addition to all of that, intense training temporarily weakens the skin’s immune system which can increase the damage done by the sun. Fairer skinned athletes are at the greatest risk for developing skin cancer later in their life time, but all athletes are susceptible to sun damage and skin cancer. Sun damage and skin cancer knows no demographic boundaries.

Educating student-athletes on adequate sun protection and the risks associated with prolonged sun exposure is extremely important. Often the above statements can be misinterpreted as dramatic, but they are anything but dramatic. Consider the following facts. The CDC reports that it only takes 15 minutes of UV exposure for changes in the skin to start taking place. How many hours at a time do athletes train and then compete in the sun? The most current studies and estimates show that 1 in 5 Americans will develop skin cancer at some point in their life time, and that 1 in 50 Americans will develop melanoma (the deadliest form of skin cancer) at some point in their life. Those are not favorable odds, and these odds are only increased for student athletes who have participated in sports for their entire lives. In recent years, Basal Cell Carcinomas and Squamous Cell Carcinomas are rapidly increasing in individuals under the age of 40 years old. In conjunction to that, melanoma is the most common form of cancer in young adults ages 25 to 29, and the second most common among those ages 15 to 29. While these are scary numbers, the great news is that UV exposure is extremely preventable provided the right amount of education is given to our young athletes, and it is the best way to prevent all types of skin cancer. There have been recent developments over the past decade in developing water-proof and sport-appropriate sunscreen so that athletes can more easily apply sun protection. Below are a handful of easy tips for athletes to follow:

Use SPF 30: because of the exposure an athlete’s body experiences, they should use a sunscreen with at least a SPF of 30. The American Academy of Dermatology has stated that SPF 30 screens roughly 97% of UVB rays.
Apply/reapply every 2 hours: even on a cloudy day, athletes should apply sunscreen every two hours to ensure they prevent sun damage. This is just as true for the water and sweat resistant sunscreens. If you are sweating a lot, reapply every 90 minutes.
Pay attention to expiration dates: it may not be common knowledge, but sunscreens do expire. The FDA requires the product be stable for three years, but it is a common recommendation among dermatologists to discard your sunscreen if it is more than a year old.
Wear UPF gear: athletic garb manufacturers have made sun protection a priority. These are stylish, comfortable, and designed with your protection in mind. Be sure to wear UPF gear to practice and competitions.
Make sun-protection a routine: just as you practice safe technique in your sport, practice safe sun-protection as well. It will serve you well in the future, and it is equally as important in maintaining the longevity of your health and performance as is a healthy diet.

At Pine Belt Dermatology we love our local collegiate athletes and enjoy serving them as much as we do cheering them on. Hopefully this blog helps our Golden Eagles, Crusaders, Wildcats, and Bobcats understand the importance of sun protection in sports, and how they can continue to lead healthy lives. Collegiate athletes serve as role models to the general population regarding remaining healthy even in life after sports. They can also set forth a trend of practicing skin protection in sports. Maybe you didn’t practice the best sun safety while in athletics but as a coach, teacher, trainer, or parent now you can instill sun safety practices in the youth you mentor.

As always, if you or a loved one need to set up a visit for a skin screening, give us a call and set up an appointment!

Rashes In The Pine Belt – When to See A Dermatologist

Fri, 26 Jan 2018 19:38:11 GMT

If you have seen one type of rash, well, you’ve seen just that – one type of rash. Rashes originate from a variety of sources, mimic different conditions, and vary in severity. And here in the Hattiesburg and Laurel, Mississippi areas there are a plethora of things that could cause a rash to appear. To the untrained eye, all rashes may look alike and seem easily treatable. After all, there are a number of over the counter remedies that can help someone deal with inflammation caused by a rash, such as steroid creams or oral antihistamines. However, any doctor will tell you that it is not always so simple. That is because rashes can be tricky even to a board certified doctor that sees them every day. Rashes have many faces. They can appear as blisters, welts, or blotches of discoloration; they can burn, become scaly, dry, itchy, or red in color; and they can occur all over the body, or they may be isolated to one area. Rashes can also disappear within a few minutes or hours, or linger on for days. They may even disappear and reappear, or never seem to go away. As mentioned above, there are plenty of rashes that can be handled with over the counter medication, but at what point should you seek out a dermatologist for a rash? That is what we will discuss in this blog.

At Pine Belt Dermatology, we love rashes. Why? Because they are perplexing and can be exciting to treat. They can come in many forms. Bug bites, medication allergy, autoimmune diseases, STDs, diaper rashes, plant allergies, secondary infections, or food allergies could all cause rashes. Most rashes are not life-threatening, however, depending on what is causing the rash, some rashes may be indicators of a very serious condition. Below I have highlighted signs that would indicate you need to either seek help from a dermatologist or visit your local urgent care center. These are also symptoms that the American Academy of Dermatology recognize as signals it is time to get help with the rash.

You have a fever accompanied by a rash: This sort of rash could be caused by an allergic reaction or some sort of infection.
The rash begins to blister: If you have a rash that is made up of blisters, or the rash has developed further into open sores, this could also be an allergic reaction to the external environment, an allergic reaction to medication, or could be caused by a condition internally.
The rash is all over the body: A rash that is all over the body could indicate an allergic reaction or infection caused by something serious.
The rash appeared suddenly and is spreading rapidly to other areas: This too could be the result of an allergic reaction. Allergies are common, especially here in southern Mississippi, and they can be caused by a number of things. Rashes that spread should be a clear indicator to schedule an appointment with one of Pine Belt Dermatology’s providers.
The rash burns or is extremely painful: rashes that are painful should most certainly be examined by a Pine Belt Dermatology provider.
Rash appears on the genitals: Any rash that appears in the groin area, or directly on reproductive organs, should certainly be examined as soon as possible as they could have severe consequences if left untreated.
The rash, and surrounding areas, becomes infected: a rash that is extremely itchy to the point that you scratch it could become infected, which will result in further irritation and inflammation. How do you know a rash is infected? Signs of infection in a rash would be if the rash had yellow or green fluid, swelling, crusting, pain and warmth around the rash, or a red streak coming from the rash. Infected rashes need to be managed by a board certified dermatologist, so if you suspect yours may be infected, schedule an appointment with us today.

As mentioned above, some rashes can be treated over the counter. But if you or a loved one exhibits any of the above symptoms, come see one of our dermatology experts today. While some rashes may not be serious, others could be indicators of something far more serious, in which case we want to confront head on. Even rashes that are not life threatening can be extremely frustrating to deal with, so if you would like to find the best possible relief from your rash, come see us. We’re located in Hattiesburg, Petal, Collins, Columbia, and Ellisville, Mississippi so we are very accessible. If you have a rash that appears after clinical hours, you can still get a diagnosis, and medication, through our Online Dermatology Visit service. This can be accessed through the web or through any Android or Apple device!

Ask The Dermatologist - What Are Patch Tests?

Tue, 16 Jan 2018 19:39:58 GMT

Patch Testing is how a dermatologist is aided in making the diagnosis of Acute or Chronic Contact Dermatitis that has no obvious clinical cause. Before we discuss Patch Testing we must discuss the allergens that are associated with the rashes we see on a patient’s skin.

Many times we see "Rashes" that keep recurring in the same location on the skin. When we see this type of presentation we are concerned that an allergen may be coming in contact with their skin.

In the United States there are hundreds of allergens that a patient might be allergic to however we patch test for about 35 that we see on a regular basis.

For the sake of brevity I am going to discuss the 'Top 10 ".

1) Nickel a metal frequently encountered in jewelry and clasps or buttons on clothing.

2) Gold a precious metal often found in jewelry.

3) Balsam of Peru a fragrance in perfumes and skin lotions.

4) Thimerosal is a mercury compound used in local antiseptics and in some vaccines

5) Neomycin is a topical antibiotic common in first aid creams and ointments, also found occasionally in cosmetics, deodorant, soap and pet food.

6) Fragrance Mix is a group of 8 most common fragrance allergens found in foods, cosmetic products, insecticides, antiseptics, soaps, perfumes, and dental products.

7) Formaldehyde is a preservative with multiple uses not limited to paper products, paints, medications, household cleaners, cosmetic products and fabric finishes.

8) Cobalt Chloride is a metal found in medical products, hair dye, antiperspirant, objects plated with metal such as snaps,buttons or tools and cobalt blue pigment.

9) Bacitracin a topical antibiotic.

10) Quaternium 15 is a preservative found in cosmetic products such as self-tanners, shampoo, nail polish and sunscreen or in industrial products such as polishes, paints and waxes.

The allergens I mentioned above are only the top 10 most common, although there are many more allergens that can affect the skin. It is important to come in and see a board certified dermatologist if you are breaking out into hives or bumps and you want to know what is causing it. Consult one of the providers here at Pine Belt Dermatology & Skin Cancer Center to find out more about the allergens we can test for at our facilities here in southern Mississippi.

When we test at Pine Belt Dermatology, our providers use what is called “patch testing”. This is not the same as a “scratch test”, or also known as a “prick test”, which is what your allergist would use. A handful of allergists may also offer patch testing, but we suggest seeing a provider at Pine Belt Dermatology for an optimal diagnosis and prognosis of your contact dermatitis. These other tests performed by an allergist are very useful for people who have allergic reactions to pet dander, dust mites, and pollens. However, prick tests can be of little use to patients with skin rashes.

Patch testing involves putting a specific concentration of the allergen that we are testing for under a small patch and placing the patch on the skin. Usually on the back of a patient for a period of 48 hours. At the end of the 48 hour period of time the dermatologist peels off the patch and looks to see if a specific reaction has occurred to the allergen. The reaction can be anything from redness to a welt or even a blister depending how allergic the patient may be to the allergen.

At the second appointment, usually a few days later, the patches will be removed. Sometimes further patches are applied. The back is marked with an indelible black felt tip pen or other suitable marker to identify the test sites.

These marks must still be visible at the third appointment, usually two days later (4 days after application). The back should be checked and if necessary remarked on several occasions between the 2nd and 3rd appointments.

Once the dermatologist determines what the patient is allergic to they are counseled and given information on what to avoid and also review what products they are already using that may contain the allergen they are allergic to.

Sometimes both the dermatologist and the patient need to be detectives to solve the problem of contact dermatitis. Previously, we were not able to use patch testing on children under the age of 18. Recently, however, the TRUE Patch test that we utilize at Pine Belt Dermatology has been FDA approved for use on children ages 6 and up. This is wonderful news as we can now detect allergens in children at a much earlier age, making management of the contact dermatitis much easier.

If you believe you are suffering from a contact dermatitis the dermatologists at Pine Belt Dermatology & Skin Cancer Center can help you find the cause. This is one of the more underutilized services that we offer the Hattiesburg and Laurel, Mississippi areas.

Rosacea, Eczema, and Psoriasis – Skin Conditions That Worsen in The Winter

Wed, 03 Jan 2018 19:29:18 GMT

Dermatologists are loud and proud in the summer time down here. Our messages typically involve reminding you to wear sunblock and limit your UV exposure, seeking our counsel for excessive sweat glands, or visiting us for cosmetic procedures before starting your summer vacation. However, we have experienced some severely cold weather in Hattiesburg and the surrounding areas this year. When you think of skin conditions worsening with the weather conditions down here in south Mississippi you don’t often think of how the cold weather can affect your skin, especially when you have a pre-existing skin disease. We don’t often discuss how cold weather changes the way you treat or manage certain skin conditions, because the heat is what we primarily deal with in this area, but it does in fact make a significant difference in augmenting the severity of certain skin conditions. Considering this harsh cold weather we have experienced as of late we thought it important to discuss such skin conditions.

We see a number of conditions that flare-up during the winter, but the ones we see augmented the most are eczema, rosacea, and psoriasis. With that, these three conditions will be the ones discussed in this blog.

Rosacea is a skin condition that has a myriad of triggers that can cause it to flare-up regardless of the temperature of your environment. We have previously written blogs that discuss ways to manage many of the more common triggers for rosacea, however, in this one we will only discuss how the cold weather is an offender. For individuals with rosacea, during the winter they almost experience a double whammy when it comes to flare-ups. Not only is the cold weather acting as a catalyst for your condition, the dry heat indoors can further irritate your condition. So how can you best manage your rosacea in this cold weather?

Guard against the wind: it is cold outside, and it can get windy as well and this will only further irritate your skin. Try and dress so that your cheeks and nose are shielded against the wind when going outside. This can be done by wearing a scarf.
Limit exposure to heat sources: as if the cold weather was not irritating enough, your skin is often exposed to irritating heat while trying to stay warm during the winter. Sources for irritating heat can come from that hot bath you take at the end of the day or the blast of hot air keeping your house cozy. By no means do we suggest that you freeze, but be conscientious of ways your rosacea may become irritating. Use lukewarm water as often as you can to keep the condition from flaring.
Stay on top of your medications: if you have medicines to help you manage your disease, be sure to take them and stick to your dermatologist’s recommended therapy.
Humidify: you can use a humidifier at home to help prevent your rosacea from drying out and becoming uncomfortable. This will help alleviate the dryness you experience between harsh cold weather and drying indoor heat.
Seek help from Pine Belt Dermatology: if you are having trouble managing your condition, come see us! We will be able to help find a more suitable way to manage your rosacea.

Eczema is another condition that can become infuriating during the winter time. Like rosacea, eczema is effected twofold in that the cold weather and the indoor heat dries the eczema out. Eczema has many triggers that can cause it to flare, but there are certain steps that you can take to minimize the discomfort experienced during the winter months.

Moisturize daily: the number one irritant during the winter months is eczema drying out, so to prevent that you should moisturize your skin vigilantly. When washing with soap it is ideal to use moisture-rich soap that contains as little fragrance as possible. In addition to that you should moisturize your skin at least one other time throughout the day. Pine Belt Dermatology offers high quality moisturizers for sale at our clinics that could help you manage your eczema.
Use Topical Steroids: steroid creams are typically recommended by dermatologists when trying to manage eczema. If you have steroid cream, use it on the spots that flare up to help minimize the itching that you experience.
Humidify: you can help alleviate the damage done by the dry conditions of the weather if you use an in-home humidifier.
Wear sunscreen: the winter sun dries out your skin in conjunction with the dry climate. By wearing sunscreen, you not only will protect it from the drying of the sun, but you will also help moisturize the skin to offset the dry weather.

Psoriasis is another condition that we will see flare up during the winter months. Psoriasis flares, like eczema, can be infuriating to deal with. Most individuals with psoriasis dread winter months for this very reason, and most individuals find that their ability to manage their disease diminishes significantly during the winter. This is as true for Hattiesburg, Mississippi and surrounding areas as it is for individuals who have psoriasis in colder areas of the country. The good news, is there are ways to help alleviate the discomfort you experience when it is cold outside. Below are a few ways you can reduce the risk of flares in wintertime.

Moisturize: similarly to eczema, the biggest issue with psoriasis in the winter is the plaques drying out. By keeping the skin moisturized and hydrated you can prevent redness and itching of the plaques. A general rule of thumb when it comes to moisturizing the affected areas is the thicker the ointment or cream used the better it will be at locking water into your skin.
Soak in the bath rather than take a hot shower: hot showers can actually remove moisture from your skin, thus compounding the flares you will experience when your skin comes in contact with the cold weather. Showers are fine as long as they are short. However, long warm baths can help you relax and moisturize your skin. You can put oil, oatmeal, or Epsom salt in your bath to help soothe your itching flares. About a 15-minute soak will do the trick. If you apply moisturizers to your skin after a bath it will further enhance your ability to manage your psoriasis.
Drink water: staying hydrated during a season when your skin will typically be extremely dry will help you manage your disease.
Humidifier: like with eczema, you can turn on a humidifier in your home to help prevent your skin from becoming too dry from the heat.

If you or a loved one have any of the above-mentioned conditions, you know how dreadful winter months can be. Hopefully the management tips I provided will help you prevent the usual flare-ups experienced with cold weather. If you have one of these skin conditions, your best strategy is to avoid conditions that will trigger symptoms. Try to keep your skin warm and moisturized, and avoid exposing it to extreme temperature changes whenever possible. Even if you are familiar with treating or managing your skin condition and you are accustomed to avoiding weather conditions that intensify the disease, don’t be afraid to seek help from one of our providers at Pine Belt Dermatology. Winter adds an extra level of complexity to managing skin conditions and my colleagues and I can help you come up with a strategy to better manage your condition and reduce your risk of developing flare-ups in this Mississippi winter.

Perfect Derma Peel - The Newest Addition To Our Chemical Peel Selection

Thu, 02 Nov 2017 18:27:32 GMT

Get amazing results with The Perfect Derma Peel. It is the perfect treatment for sun damage, fine lines, wrinkles, acne, enlarged pores, and hyperpigmentation including melasma. You will see a difference with just one treatment.

The Perfect Derma Peel is a safe and effective, non-invasive chemical peel and delivers an easy and consistent peeling process. It is great for all skin types and all different ethnicities.

The powerful ingredients TCA, Kojic Acid, Retinoic Acid, Salicylic Acid, Phenol, Vitamin C and anti-oxidant Glutathione make The Perfect Derma Peel the most advanced medical grade peel available. It is the only chemical peel with Glutathione, which brightens skin, slows aging process, and helps prevent wrinkles.

The unique blend of acids and antioxidants will:

Improve the clarity and texture of the skin
Remove or reduce hyperpigmentation, including melasma
Control acne and improve the appearance of acne scars
Reduce the appearance of pore size
Soften fine lines and wrinkles
Stimulate the production of collagen and elastin for firmer, more youthful skin

The Perfect Derma Peel may be used to treat body areas such as chest, arms, hands, and back.

I have frequently had chemical peels due to hyperpigmentation issues, and of all the different types of peels I have had on my face this is by far the best to see and feel a noticeable difference with one treatment when applied to the face. I have experienced minimal irritation with application of the product to my face. If you would like to have clearer skin and a brighter complexion, schedule an appointment for a consultation to discuss what product may be right for your skin!

General Dermatology in the Greater Hattiesburg Area

Wed, 01 Nov 2017 18:24:56 GMT

At Pine Belt Dermatology & Skin Cancer Center we offer a comprehensive list of services to the cities of Hattiesburg, Petal, Collins, and Ellisville, Mississippi. These services include cosmetic dermatology, surgical dermatology, and general dermatology. Cosmetic dermatology deals with aesthetics and appearance beyond that of just general skin health and surgical dermatology is self-explanatory, but what exactly does general dermatology encompass? If I were to ask you what general dermatology meant, you might be able to regurgitate maybe five examples of what it is we treat. In an effort to further educate the public so that we may better serve you, I wanted to write a blog that discussed this side of our profession in a little more depth in order to provide more clarity than the vague description “general dermatology” offers.

Below I have provided a brief, but specific, list of services that we offer at Pine Belt Dermatology & Skin Cancer Center that could be categorized as “general”. There are many topics listed that one or more of our providers have blogged about on our page.

Acne: this happens to be the most common skin condition Americans deal with. Many teenagers deal with the condition, but the problem can persist in adults even beyond the age of 50. Without treatment acne can leave behind scars and dark spots. There are a multitude of treatment options available at our clinics.
Rosacea: this is a common skin condition that millions of Americans deal with each year. What starts out as a tendency to blush or have flushing in the skin can spread and become much more visible, permanent, and more difficult to deal with. Treating rosacea can prevent it from spreading and worsening, help you feel more comfortable in your skin, and improve your overall quality of life. People often wait to see a dermatologist until the condition becomes unbearable and by then the condition has become much more difficult to treat. With rosacea, the earlier you are able to start treatment, the easier it is to manage.
Excessive Sweating: the medical term for this condition is “hyperhidrosis”. While it is normal to sweat when you get nervous or get hot, if you find yourself sweating heavily for no reason you may have the medical condition. Luckily for Mississippians, Pine Belt Dermatology offers a revolutionary procedure called miraDry that completely eliminates sweat, odor, and even underarm hair. While this procedure is for people who have hyperhidrosis of the underarm, there are other options available for people who have excessive sweat glands in other areas of the body (i.e. groin, hands, and feet).
Psoriasis: this is an auto-immune disease that is a chronic skin disease. In essence it is an over growth of skin cells in patches on the skin that continue to pile up. It is not contagious, but it is a very unpleasant disease to deal with and can later cause psoriatic arthritis. While there is no cure, there are many treatment options available to help patients in the Hattiesburg-Laurel, Mississippi area manage their symptoms. Treatments include topical, injectable, and XTRAC laser therapy.
Skin cancer: there are many different types of skin cancer that a person can get, all of which we treat here at Pine Belt Dermatology & Skin Cancer Center. It is important to have regular skin screenings to help catch skin cancers early as they then become much more manageable. Skin cancers include: Basal cell carcinoma, squamous cell carcinoma, dermatofibrosarcoma, merkel cell carcinoma, and sebaceous carcinoma. The most common are basal cell carcinomas, squamous cell carcinomas, and melanoma.

Hair and scalp problems:
Alopecia areata
Dandruff
Hair loss
Scalp psoriasis
Head lice

Diseases of the nails:

Nail fungus
Discoloration

Cutaneous lymphoma: this disease is a subset of non-Hodgkin’s lymphoma that primarily involves the skin. This can present with red, scaly or thickened plaques of skin that can often mimic eczema or chronic dermatitis. There are many treatment options available for this disease that can be effective. This disease can sometimes be hard to catch, but Pine Belt Dermatology providers can provider relief for the disease’s symptoms.
Lupus: this disease can affect the skin in a multitude of ways. While there are many types of lupus, the subtype that affects the skin is called cutaneous lupus. Lupus is a tricky disease to catch because in mimics the symptoms of a number of other less severe skin conditions. Interestingly enough, lupus can increase a patient’s risk of developing skin cancer. Your dermatology provider can not only help you determine whether or not you have the disease, they can also help you develop a treatment plan to manage the disease.
Scabies: this is a common, but infuriating, skin condition that is caused by mites. It is an eight-legged bug that is so small you cannot see it on the skin. These bugs burrow into the top layer of the skin where they live and feed off of the host. The itching is caused by your skin’s reaction to the little critters, which creates an extremely irritating rash. This is a contagious skin condition that is mostly transferred from skin to skin contact. It is not unlikely that a person contracts scabies from infested items such as clothes, bedding, or furniture. The good news is we are scabies experts at Pine Belt Dermatology and we can help get rid of the mites.
Shingles: anyone who has had chicken pox is at risk for later developing shingles. If the dormant virus is reactivated, it results in a painful, blistering rash called “shingles”. The medical term is herpes zoster. This version of the virus is mostly common in people ages 50 and older. Because it is severe, and occurs in an older population, there is the risk of it causing long-lasting nerve pain. The good news is dermatologists have an anti-viral medication that can make symptoms milder and much shorter, and a shorter battle with the disease lowers the risk of any lasting effects. Not only is there an anti-viral medication available, but there is also a shingles vaccine on the market.
Rashes:

Diaper rash
Lichen planus: a common skin disease that typically develops on the wrist. This can actually change the way that a patient’s finger and toenails look. In some cases it can develop on the scalp and genitals.
Nickel allergy: nickel is one of the most common offenders that causes contact dermatitis. These rashes are not life threatening but can be extremely uncomfortable! To make sure that you get the proper diagnosis you should seek out on of our dermatology providers.
Cellulitis: this is a common and potentially very serious infection that is caused by bacteria in the deep layers of the skin. It appears red and blotchy in affected areas. It can sometimes be confused with a subtype of dermatitis.
Pityriasus rosea: this is a common skin disease that causes patches on the skin that causes a rash. While the rash can disappear on its own without treatment, you may still want to seek out a dermatologist for the itching. Typically these rashes will last 6 to 8 weeks, however in some cases it may last longer.

Warts: benign growths that are the result of a viral infection on the top layer of skin.

Genital warts are treated at our practices as well.

Cysts
Wound care:

First degree and minor burns
Injured skin
Blister drainage
Insect bites

Vitiligo: skin condition that causes the skin to lose its natural color. While it is not life threatening, it can cause patients who have it to feel very self-conscious about their appearance. There are therapies available to help the disease go into remission.
Melasma: common skin problem that causes gray-brown patches on the skin, usually on the face.
Atopic Dermatitis: this is a common skin disease in children, but it can also be present in adults as well. It is a disease characterized by dry scaly patches on the skin. Common locations for these patches to appear are on the scalp, forehead, and face. Atopic dermatitis is a very itchy condition. Children can get the disease as early as in their infant stage. Because it can cause severe itching of the skin, it is important for parents to bring their child into see one of our providers so that we can teach them how to take care of the child’s skin. Treatment and good skin care can significantly alleviate the discomfort experienced.

Eczema: This is another term used for Atopic Dermatitis. It is a much more common terminology among patients.

Blisters:

Diabetic blisters
Pemphigus vulgaris
Pemphigus foliaceus
Fogo selvage
Paraneoplastic pemphigus

Mole removal: It is important to pay attention to suspicious and spontaneous moles that appear on your skin. If you have a family history of skin cancer and you want questionable moles removed, look no further than Pine Belt Dermatology.
Dry skin: dry skin is common among people of all ages and ethnicities. Often times, over the counter moisturizer can repair dry skin to satisfaction. In some cases, a person may need a dermatologist’s help to find the relief they are looking for. Extremely dry skin can sometimes be a precursor or symptom of another skin disease previously mentioned- dermatitis. As with all diseases and medical conditions, the earlier the dermatitis is discovered the better. If you or your family member has a persistent dry patch that will not go away, please come see one of our providers at Pine Belt dermatology.
Itchy or burning skin

Bed bugs
Hives
Poison ivy, oak, and sumac
Athletes foot
Cold sores

Bumps and growths on the skin

Keloids: these are raised scar tissue that can spread across the skin.
Keratosis pilaris: skin condition that causes tiny bumps on the skin. Some people can describe them as goosebumps that won’t go away. These are harmless, however they can be prone to drying and becoming itchy.
Seborrheic keratosis: these growths can be worrisome because they mimic many other growths such as warts, pre-cancerous moles, or even skin cancer. These typically begin at a later age, and although they may look alarming, they are harmless. Our general advice is to get regular skin screenings with our providers so that we can spot changes in the skin. You’d rather find out the suspicious spot was an SK than assume it was an SK and have it come back as a cancerous mole.
Molluscum contagiosum: common skin disease caused by a virus that is prone to spreading easily from person to person. People can get this disease from sharing towels and clothing with infected persons.

Skin discoloration: I’ve described specific discoloration conditions above, however there are many instances where the discoloration is something else entirely. You can be assured, however, that we will solve the root of the discoloration and provide you with a treatment plan.
All diseases of the hair and nails

I hope that this list of conditions that we are able to treat at Pine Belt Dermatology helps to shed more light on the vast scope of our expertise and services. Many know that dermatologists deal with the skin, however beyond that the comprehension of what this scope of practice entails can be rather vague and we want to treat all in need. Our locations are in Hattiesburg, Petal, Collins, and Ellisville, Mississippi but our reach extends beyond those four communities. To this date we have serviced people from more than 24 counties in the state of Mississippi. We have people from as far as Alabama and Louisiana come through our doors for treatment as well. Additionally, for any number of the conditions listed above we are able to treat many through our online platform, which allows us to reach Mississippians all across the state. The health of your skin is indicative of your overall health as an individual, so I bring up the scope of our reach to illustrate just how available Pine Belt Dermatology’s services are for anyone in need. In short, I have described the variety of conditions we treat at our facilities and I have assured you that there is, and always be, abundant access to our services so give us a call!

Rosacea: What You Need To Know About That Redness & Flushing On Your Face

Thu, 19 Oct 2017 18:20:36 GMT

Rosacea is a rather common skin disease that impacts millions of people worldwide. Famous faces that have rosacea include Bill Clinton and Princess Diana. What begins as an appearance to blush or flush more easily than other people can slowly spread beyond just the face, causing the affected skin to become extremely sensitive. Other areas that can fall victim to rosacea include the nose, cheeks, ears, back, and chest. These areas appear red and flush all the time. With time, people who have rosacea often see permanent redness in the center of their face. However, rosacea can cause more than just redness, in fact, there are four different variations of rosacea that a patient can have:

Ocular Rosacea: appears as eyes that are red and irritated, swollen eyelids, and bumps that appear to look like a sty. The eyes can have one or more of the following symptoms: watery/bloodshot, burning or stinging, gritty (as if sand were in the eye), sensitive to light, blurry vision, cyst on the eye. Often times patients with this subtype may need to consult an ophthalmologist.
Papulopustular rosacea: redness and swelling on the skin that mimics acne-like breakouts. The breakouts will appear where the skin is very red. Skin can burn and sting, be very oily, or may have raised plaques of skin.
Erythematotelangiectatic rosacea: redness, flushing on the skin with visible blood vessels. People with this subtype often have very sensitive skin. Skin can be swollen, sensitive, burn, dry, roughness, and scaling.
Phymatous rosacea: the skin affected has a thickness to it with a bumpy texture. This type can be common on patients who have rosacea on the nose. The skin will have a bumpy texture, with large looking pores, and can have very oily skin.
It should be noted that a patient who has rosacea can have more than one type of rosacea, and each subtype requires a little bit different treatment.

Rosacea can affect more than just the skin and eyes. Because this disease is chronic and long lasting, it can significantly impact a person’s quality of life. In surveys done by the American Academy of Dermatology, people reported that rosacea caused problems for them at work, in their marriage, and with meeting new people. Some of the concerns people with rosacea have include:

Worry: people with rosacea are often concerned that their condition will worsen or even cause scars. Patients often can become worried about the side effects of medicine they take for rosacea.
Feelings of frustration and embarrassment: A survey conducted by the National Rosacea Society found that 41% of respondents said their rosacea caused them to avoid social interaction or bail on social events.
Low self-esteem: In the same survey mentioned above, 70% of people who had rosacea said that their condition lowered their self-esteem.
Work-related problems: Many people with rosacea have reported the condition affects their interactions at work.
Anxiety & Depression: as with most diseases that can flare up unexpectedly, rosacea can cause patients to feel anxious about their condition.

The good news is treatment for rosacea is available here at Pine Belt Dermatology, and treatment seems to improve a person’s quality of life. Patients who have fewer signs and symptoms of rosacea report having a greater quality of life.

Before we discuss treatment and management options for the variations of rosacea, I’d like to spend a little bit of time discussing triggers that could cause the disease to flare-up. Rosacea flare-ups are more than a minor inconvenience. Each time the condition flares, and your skin flushes, it can stay red a little longer each time. As previously mentioned, rosacea makes the skin extremely sensitive, and because it is so sensitive, a plethora of offenders can cause your rosacea to flare. Anything from sun light to hairspray (imagine that) can cause an unexpected flare that can last for hours, causing your face to sting, burn, or itch for what feels like an eternity. Some of the most common triggers for rosacea are sunlight, heat, stress, spicy foods, alcohol, makeup, hairspray, some medicines, and windy or cold weather. For patients who have rosacea it may be discouraging to hear that sunlight and heat can cause your condition to flare up when heat and sunlight are just part of everyday life here in Hattiesburg, Mississippi. However, knowing your triggers and making simple changes in your daily life can dramatically reduce rosacea flare-ups. And it is important to note that triggers vary from person to person. It is vital to the treatment process to come see one of our providers at one of our locations in Petal, Hattiesburg, Ellisville, or Collins, Mississippi if you have rosacea so that we can help you determine what is causing your disease to trigger. With each repeated flushing treatment becomes more and more difficult. So how do you find out what triggers your rosacea? I’ve previously listed the most common triggers and so that is a starting point, but you may also have other triggers that are not as common. The National Rosacea Society has an online form, almost like a “rosacea diary”, to help you keep a log of potential triggers to bring to your dermatologist visit. Keeping a notebook of foods and beverages you consume, personal care products you use, certain things you are exposed to, and how serious the flaring symptoms are could serve the same purpose and be just as useful to your provider when trying to ascertain what the best treatment is. Once the triggers are discovered, any lifestyle changes you can make will help compound the efficacy of whatever treatment your provider selects.

Treatments for the disease vary based on what subtype of rosacea is present, so therapies are on a case by case basis. However, to give you an idea of what therapies may be recommended to you upon your visit I have grossly lumped them into the groups listed below:

Sun protection – sunlight is the number one offender when it comes to triggers of rosacea.
Topical therapy
Oral medication
Eye cleansers (for ocular rosacea)
Antibiotics
Laser therapies
Surgery (for cases that cause the affected area to become extremely thick)

Rosacea is a very common disease that is vastly misunderstood. If you have flushing flares and are unsure what is causing them, or you have bumps that look like acne but do not behave like any acne you’ve ever seen before, make an appointment with one of Pine Belt Dermatology’s providers. We currently have four locations in the Hattiesburg-Laurel, Mississippi area and an online consultation service so we are an extremely accessible practice.

Psoriasis Under Control

Fri, 28 Jul 2017 18:18:12 GMT

Quick Facts about Psoriasis:

Psoriasis most often develops in individuals aged 15-35 years old.
It is estimated that somewhere between $51 billion and $63 billion a year is spent on treatments associated with psoriasis.
23%-35% of people who have psoriasis are not receiving treatment.
52% of people with the disease are dissatisfied with their treatment.
30%-50% of individuals who have psoriasis will eventually develop psoriatic arthritis.
80% of sufferers have a mild to moderate case of the disease.
Individuals with psoriasis should spend no more than 10 minutes in a hot shower. Any longer will most likely increase the irritation and dryness experienced.
People with psoriasis should eat fish or other foods high in omega-3 fatty acids at least 2 times a week to help reduce their inflammation

Focusing on Psoriasis Triggers:

Skin Injuries: you may have noticed that your psoriasis has flared up in areas where you have a cut, scratch, or rough sunburn. This is known as the Koebner phenomenon and it is the tendency that the disease has for flaring up over injured skin, however mild it may be. The immune cells that cause psoriasis are traveling around in your blood, and when your skin is scratched or injured, it causes the blood vessels to stop the immune cells that are circulating. This results in psoriasis flare-ups near damaged skin, forming thick plaques.

Infections: as mentioned previously, psoriasis is caused by immune cells in the blood, so it is not surprising that falling victim to infections can cause flare-ups. Infections such as strep, bronchitis, and tonsillitis can trigger flares. Curiously, strep throat can cause guttate psoriaisis, which is a form of the condition that causes red bumps to flare up on the skin.

Stress: not surprisingly, stress can cause flares in your condition as well. Stress tends to cause many conditions to worsen, not just that of psoriasis. Nearly 75% of people with psoriasis attribute stress as one of the factors that worsens their plaques. Your immune system responds to stress by releasing chemicals that cause your inflammation to become triggered. Another factor that can be associated with stress, is that individuals under stress sometimes quit taking their medications. This can be the cause of neglect, or being so stressed that they simply forget to take the medication for a period of time.

Medications: a myriad of medications take for other conditions can in fact worsen your psoriasis condition. Such known drug triggers include lithium, propranolol and other beta-blockers, the NSAID indomethacin, and anti-malarial medicines like hydroxychloroquine. It is not recommended that you quit taking your necessary medications. A dermatologist can manage your flares with psoriasis medications/therapies that won’t interfere with your other medications.

Alcohol & Cigarettes: this two habits catalyze many conditions, not just psoriasis, but if you have psoriasis you should consider giving up these two habits. Not only do they trigger flares, but they can make the condition even harder to treat. For individuals with palmoplantar psoriasis- which is an especially disabling form of psoriasis- most currently smoke or were smokers in the past. As for alcohol, most medications used to treat psoriasis are rendered useless when they interact with alcohol.

If you have any further questions regarding psoriasis, or you are in need of a dermatologist that is an expert in this disease, please do not hesitate to reach out to one of our providers. If you have any scheduling conflicts and are unable to schedule a visit, please visit our website and conduct an online visitation. You can also begin by clicking the link below.

Kybella - The Non-Surgical Solution To Double Chins

Fri, 21 Jul 2017 18:16:40 GMT

Have you ever wanted to remove the double chin (submental fullness) appearance in photos with photo editing tools? Have you considered how to improve your profile without going under the knife with plastic surgery? Do you eat healthy and exercise but still have fat under your chin? If you answered “yes” to any of these questions than Pine Belt Dermatology has a treat for you. Fat under the chin is called submental fullness. This is more commonly known as the double-chin. If you have been self-conscious of your double chin, you are not at all alone! Submental fullness can be due to weight gain, genetics, or aging. And sometimes no matter how much you try with exercise or diet the fullness never disappears. PBD now has a product that is guaranteed to make you more confident than ever about the fullness under your chin. The product is called Kybella!

I mentioned before that you are not alone if you have ever been discouraged by your efforts to conquer the fat beneath your chin. Allergen, the maker of both Botox and Kybella, conducted an online survey of the general public that found that 1 in 4 people reported being bothered by their under chin fullness. Even more interesting was a survey done on an aesthetically oriented population. This means the participants of the study were current users of other cosmetics like Botox, Juvederm, Latisse, or cosmetic lasers. Of this survey, 67% reported being overly conscious of their double-chin (submental fullness).

Kybella is the amazing new FDA approved injectable that contours moderate to severe fat below the chin. The active ingredient of Kybella is a naturally occurring molecule in the body that aids in the absorption and breakdown of dietary fat. Once injected into the fat, Kybella naturally destroys the fat cells, resulting in a noticeable reduction in fullness. Once destroyed, these cells can no longer store or accumulate fat, so further treatment is not expected once you reach your desired aesthetic goal. For optimal results, the clinical results suggest receiving no less than 2 treatments. Of course, the number of treatments vary on a case by case basis.

Non-surgical cosmetic procedures are growing more and more popular among Americans. In fact, the American Society of Aesthetic Plastic Surgery’s 2015 annual report stated that roughly 85% of all cosmetic procedures done that year were non-surgical. This trend will only continue to rapidly grow in the future. Why receive facial liposuction when you can receive a couple injections that produces a more lasting result? Of all of the submental fullness patients treated in 2016, nearly 54% were treated using Kybella.

The price for Kybella at Pine Belt Dermatology & Skin Cancer Center is priced at $1,000 per treatment. Which is lower than the national average, which is $1,400. Kybella is a cosmetic procedure, so it is not covered by insurance, however do not let that deter you. Patients interested can utilize CareCredit to pay for this revolutionary service! Another bonus with this product is that because it is a product made by Allergen, patients are able to receive Brilliant Distinction credit for the purchases.

For more information on the benefits of using CareCredit, visit Dr. Duff’s earlier blog discussing the program: A Different Way to Finance

If you are bothered at all by the fullness under your chin, please schedule a consultation with one of Pine Belt Dermatology and Skin Cancer Center’s trained providers to discuss if Kybella is right for you. Your best work shouldn’t have to end above the chin.

The Long & Short About Nails - Nail Health

Wed, 05 Jul 2017 18:15:01 GMT

Nails in good condition can be very attractive. They also reflect an individual’s personal habits both good and bad. Aside from their cosmetic appeal, nails serve many important functions. They help us pick up and manipulate objects and support the tissues of the fingers and toes. Most importantly, nails often reflect our general state of health.

Nail’s More than Meets the Eye

Nails are produced by living cells in the fingers and toes. They are composed primarily of what is known as keratin, a hardened protein also found in skin and hair.

The nail itself consists of several different parts, including:

Nail Plate: The visible part of the nail on fingers and toes.
Nail Bed: The skin beneath the nail.
Matrix: The area under the cuticle, the hidden part of the nail unit where growth takes place.
Lunula: This is part of the matrix and is the whitish, half-moon shape at the base of nail, usually most pronounced on the thumb.
Cuticle: The tissue that overlaps the nail plate and rims the base of the nail.
Nail Folds: The folds of the skin that frame and support the nail on three sides.

Nails, like hair, grow from the matrix. As older cells grow out, they are replaced by new ones that are compacted and take a hardened form. The average growth rate for nails is 0.1mm each day, individual growth rates depend on age, time of the year, activity level, and heredity. Fingernails grow faster than toenails. Nails also grow more rapidly in the summer than in the winter. Nails on a person’s dominant hand (right vs. left) grow faster, and nails grow more quickly than women’s, except possibly during pregnancy and old age. Nail growth is affected by disease, hormone imbalance, and the aging process.

Common Nail Disorders:

Due to their exposed location, nails take a lot of abuse. Nail disorders comprise 10% of all skin conditions.

It is beyond the scope of this article to discuss some of the more common nail problems such as trauma, white spots, splinter hemorrhages, ingrown nails, fungal , bacterial infections, tumors warts and psoriasis.

Nails are a Window on Health

The nails can reveal much about a person’s overall health. Many systemic diseases and serious conditions can be detected by changes in the nails. Most doctors will check the nails carefully during a physical examination. The most common health conditions I see as a Dermatologist and their effect on the nails are listed below:

Liver Disease: May cause white nails.
Kidney Disease: Half of the nail is pink and half of the nail is white.
Heart Conditions: The nail bed is very red.
Lung Diseases: Yellowing and thickening of the nail and slowed growth rate.
Anemia: The nail bed appears very pale in color.
Diabetes: A slight blush at the base of the nail.

Nail Care

Since many nail disorders result from poor nail care, developing good nail habits early will help keep them healthy. Remember the following tips:

Keep nails clean and dry. This helps keep bacteria and other infectious organisms from collecting under the nail.
If toenails are thick and difficult to cut, soak them in ward salt water (one teaspoon to a pint of water) for five to ten minutes and apply a 10% Urea cream that is available at drug stores without a prescription. Trim the nails as usual.
Do not remove the cuticle. It will allow infection to develop.
Use a “fine” textured file to keep nails shaped and free of snags.
Avoid biting fingernails.
Avoid “digging-out” ingrown toenails, especially if they are already infected and sore. Seek treatment.
Report any nail irregularities to your Dermatologist. Nail changes, swelling, and pain could signal a serious problem. A vertical black or brown streak, especially if new, should be reported to your Dermatologist. This is especially important in an adult with a single nail streak and /or pigment in the cuticle area (Hutchinson’s sign). This can also be due to a benign mole, hemorrhage from trauma, or a fungal infection. Nail disease can be the “great masquerader “don’t be fooled. Have any changes evaluated by a Dermatologist.

What You Should Know Regarding Sunscreen

Thu, 29 Jun 2017 18:12:47 GMT

I remember when it took a certain amount of determination and time to gather information and complete research on a given topic. Most of that research was done in the library. That time spent, and the determination needed, was a sort of fail-safe mechanism that made you want to make sure the information you were gathering was trustworthy, accurate and from a reliable source. Today it takes just a few quick words typed into a search engine, and a deluge of information drops right in your lap. Unfortunately this information is often presented in a way that makes it hard to tell what is real and what is a sham. Obviously, there is a lot of grey area.

With regard to sunscreen, there is confusing and conflicting information floating around the cloud, the web and wherever else information resides these days. Every year or two, a new “report” about the dangers of using sunscreen surfaces and spreads at an unbelievable rate. Articles and blogs make assumptions and associations that I feel mislead people and ultimately may cause them to make poor choices for themselves and their families. The truth is, we do not have it all figured out. There are, and always will be, many questions that require answers. For those of you who do not want to read the entire blog, the bottom line is this: UV radiation is a known carcinogen, whether it comes from the sun, tanning beds, arc welding or any other source. Sunscreen protects us from this UV radiation and decreases rates of skin cancer development. For those of you who want a bit more info, I offer my opinion. When it comes to sunscreen, here is what I believe is accurate, researched, and what I trust for my family and myself.

1. Sunscreen is safe

There are many reports and many popular websites making claims that sunscreen is unsafe and may even cause cancer. While these reports and claims place the blame on certain chemicals and added ingredients in sunscreen, there is often very little credible evidence to support these claims. Let me give you a few examples.

Vitamin A (retinoids)

There is are “Groups” with significant presence on the internet, which claim that different types of vitamin A found in some sunscreen formulations, namely retinyl palmitate, may cause tumors to grow. Let me begin by saying that forms of vitamin A called retinoids are, and have been used for quite some time in all kinds of skin care products. The study that these groups cite is an FDA study that is 10 years old and has been disputed by several other later studies. As a physician, I can say that we use retinoids in the treatment of many diseases and have for decades. Of note is their use in the treatment and control of skin cancers in patients who have weakened immune systems. Many patients who have received organ transplants are at high risk for developing aggressive skin cancers due to their anti-rejection medications. We use retinoids to help control the development and growth of skin cancers in these patients. To claim that retinoids make tumors grow is false, and it is dangerous to suggest to the public. There is simply no recent evidence to support the idea that retinoids cause cancer.

Oxybenzone

This is a common ingredient in what we call chemical sunscreens. There is speculation that this chemical may cause cancer, may disrupt hormone levels in humans, and is rapidly absorbed into the skin. These accusations are simply false. With regard to these chemicals causing cancer, there is evidence to suggest that oral administration in mice may actually prevent skin cancer development. In terms of hormonal interaction, the studies that suggest hormones are influenced by these chemicals used large amounts to cause hormonal disruption. It would take somewhere between 40 and 200 years of application of large amounts of sunblock to achieve these levels in humans. Again, it is easy to be scared into believing exaggerated reports and these reports make for great and interesting stories that garner media attention and website hits. While the stories may grab our attention with their sensationalism, it does not make them true. They serve only those who propagate them and do nothing to protect us.

2. Sunscreen use decreases rates of skin cancer development

There are several scholarly articles that support this belief. Below are links to a few that I feel are relevant. https://www.ncbi.nlm.nih.gov/m/pubmed/21135266/

https://www.ncbi.nlm.nih.gov/m/pubmed/26437734/?i=4&from=/21135266/related

http://ascopubs.org/doi/full/10.1200/jco.2010.28.7078

http://ascopubs.org/doi/pdf/10.1200/JCO.2016.69.5874

There is very strong evidence to suggest that regular use of sunscreen protects us from developing skin cancer. The articles above are only a handful of many. As a board certified dermatologist, I can say with confidence that sunscreen protects you from the damaging effects of UV radiation.

3. Don’t always trust the web

There are websites that claim to help you identify “dangerous” sunscreens or help to inform you about the “worst” sunscreens. I encourage you to ask yourself these questions when you encounter websites and articles such as these: How do they determine what is dangerous? What evidence are they citing? Do they then go on to offer up a particular brand that you can purchase by simply clicking their Amazon link?

Many of these sites do not report the methods used to arrive at their results. Referring back to the “Groups” mentioned earlier, their methods include listing sunscreen as a health hazard if it contains vitamin A derivatives or oxybenzone, has an SPF of 50 or higher, or can be inhaled. It offers no real evidence of risk, states dangerous ingredients that are well documented as safe (as noted above), includes high SPF formulations as “hazardous,” and does nothing other than reference a few obscure and fringe reports to support its claims. Again this does nothing for you or your family other than to create more worry and more confusion. Their website then goes on to ask for donations to help the cause. Despite popular belief, Dermatologists get no money from the sunscreen industry and have nothing to gain from the use or sale of sunscreen. I receive free samples from some of the sunscreen makers, which I hand out in my office and at skin cancer screenings. I have no other affiliations with the sunscreen industry, nor do I own any stock in the companies.

There was also a recent report that some sunscreens do not actually provide the SPF protection that is stated on the package. This report made national headlines, as it should. This said report created great concern for everyone, especially dermatologists. I do believe that more studies need to be performed to find out what is going on with this particular situation. A single report is not always confirmatory or correct. My problem with the report in question is that the methods used in the testing are not clear. Thus if we wanted to reproduce the study, we couldn’t, which is a requisite for any legitimate study conducted. My recommendation in response to this report is to go with chemical sunscreens, as they tested better, and/or use a higher SPF to make up any possible difference. Remember, the sunscreens tested provided protection and this is what we are aiming for. Don’t let someone convince you not to use sunscreen just because a test showed variation in protection. All of the products offered some level of protection.

The Final Word

So what can we gather from all of this? In my professional and personal opinion, sunscreen is safe. It should be a regular part of your skin care regimen. There are several important things that you need to look for in a sunscreen.

1. The product should be SPF 30 or higher. I make an argument for higher SPF later.

2. The product should say “Broad Spectrum.” This means it protects you from the different damaging rays of the sun.

3. The product should say “Water Resistant.” There is no such thing as water-proof sunscreen.

Make sure you are applying your sunscreen correctly. Do not squeeze a big glob of it in your hand and try to smear it everywhere. Place small drops of sunscreen spaced regularly about every two inches over your skin and then spread it evenly. Work in small areas and be patient. If done correctly, it should not take more than a few minutes to properly apply the product to your entire body. In total, you should use approximately one ounce of sunscreen for each application. Remember to reapply every two hours. Do not forget that your scalp, ears, lips, feet, toes, palms of hands, and soles of the feet can burn, so protect them. For golfers who go to the beach, remember to put sunscreen on the tops of your feet. These areas do not see sun on the golf course and will burn very easy if not protected. Also, protect your eyes and wear the proper sunglasses.

Many experts often say that SPF 30 is all you need. Despite this, I believe that sunscreens with SPFs greater than 30 can be useful, and I often choose them for my personal use. There is evidence to suggest that higher SPF sunscreens offer extra protection in those individuals who typically do not apply the recommended amount of sunscreen, apply it less frequently than recommended, or apply it incorrectly. Although this goes against conventional wisdom, I can tell you from personal experience, my family and I get better protection from higher SPF formulations.

Also, I tend to steer clear of spray on sunscreen. Although it seems easy to apply, you may not be applying enough. However, my biggest problem with spray on sunscreen is that it rubs off too easy, especially if you are sweating or having fun in the water. In these situations the sunscreen is no longer protecting you the way it should. If it is windy outside, the spray sunscreens can be very ineffective.

I hope this blog helps to answer some questions you may have had with regard to sunscreen. Feel free to visit our Facebook page or Tweet us @pinebeltderm to post any additional questions or comments you may have! Pine Belt Dermatology does sell a few clinical strength sunscreen products. When you make a visit for a skin screening be sure to ask the provider about the products we offer!

What You Need To Know About Basal Cell Carcinoma

Fri, 16 Jun 2017 18:08:48 GMT

Basal Cell Carcinoma Quick-Facts:

Abnormal, uncontrolled growths or lesions that arise in the skin’s basal cells. These are the cells that line the deepest layer of the outermost layer of skin- the epidermis.
Look like open sores, red patches, pink growths, shiny bumps, or even scars.
Caused by cumulative sun exposure.
Typically does not spread beyond the original tumor site, however there are exceptions.
These cancers can cause severe disfigurement if left untreated.
It is the most frequently occurring form of ALL cancers.
Most effective form of treatment is Mohs Micrographic Surgery. This is because it is the procedure that best removes all cancerous tissue at the tumor site.
David Roy is the only Mohs surgeon in the Hattiesburg area, and is only 1 of 9 Mohs surgeons in the entire state of Mississippi.

Overview:

What You Should Keep An Eye Out For:

Waxy feeling lesion. This can be pale-white, yellow, or even skin colored growths that have scar-like appearances. Almost looks like a pearly-smooth bump

This can make it difficult to see the edges of the tumor.

Dome-shaped growth. Often times the blood vessels can be visible.

Often appears pink or skin colored, however, it could also appear brown or black.
May flatten in the center like a crater or ooze.

Shiny pink/red, slightly scaly patch (this is particularly true when it shows up on the trunk).

Sometimes basal cell carcinoma can be mistaken for a patch of eczema.

Can appear as a lesion or sore that bleeds easily, fails to heal/returns, oozes & crusts over, has a sunken crater, or has blood vessels in or around it that are visible.

In rare cases it can feel painful or itch.

Treatment & Diagnosis:

Excision: the procedure is rather self-explanatory. The site is slightly numbed and then any remaining tumor will be cut out, as well as any surrounding skin that may have an increased risk of developing the cancer as well.
Curettage & Electrodessication: this is a two-step procedure for dealing with BCC.

First, the tumor is scraped away by one of our providers. Once that is done than electricity is used to destroy any remaining cancer cells.

Cryosurgery: this treatment will remove the BCC tumor by freezing it off with liquid nitrogen.
Mohs Micrographic Surgery: this is a specialized surgery used to remove many types of skin cancer. This procedure offers the highest cure rate for difficult to treat basal cell cancers. Your PBD provider will determine if Mohs is the right procedure for you. If it is, you’ll be in great hands with Dr. Roy!

The tumor, along with a very small amount of skin surrounding the skin that appears to be normal, is cut out (almost shaved out). Once that is done, the tissue is examined under a microscope. This process is continued until the surgeon no longer sees any cancerous tissue left in the cut.

Continue scheduling follow ups with your PBD provider.

While a cancer diagnosis can be scary, there is a silver lining that comes with it. When detected early, most skin cancers can be cured, even the more dealy ones such as melanoma and MCC.

Always perform self-exams, or have a loved one routinely perform quick screenings for you. How often you should perform them often depends on the skin cancer you have a history of.
Anything that looks out of the ordinary, come see us! Better to be safe than sorry.
Wear sunscreen that has SPF 30 or higher when out in the sun.

Dr. Roy's Take On Merkel Cell Carcinoma

Tue, 30 May 2017 18:04:29 GMT

Most of us are familiar with the more common skin cancers – basal cell carcinoma, squamous cell carcinoma, and malignant melanoma. One that you may not be aware of is Merkel cell carcinoma (MCC). The first report of this cancer was in 1972. Since that time, the incidence of MCC has increased significantly. Between 1986 and 2001 the incidence of MCC increased approximately 8% each year.

So what is Merkel cell carcinoma, and how does it differ from the other carcinomas? It is a very rare cancer of a specialized cell of the skin. This cell, known as a Merkel cell, is thought to play a role in sensation and how we feel light touch. Compared to other skin cells, much less is known about these cells, and they are a bit of a mystery. The reason we worry about MCC is that it is very aggressive. In comparison to other skin cancers, MCC can typically behave like a very aggressive melanoma. Around 30% of people with MCC die within 2 years. That number increases to 50% at 5 years. To make things worse, we still do not know the best course of treatment for the condition.

MCC typically appears on the skin as a small flesh colored to red/violet raised bump that is painless. It is frequently confused for a harmless lesion by patients, and for less aggressive cancers (basal cell carcinoma) by doctors. This is because it so rarely seen. Only around 1500 cases a year are diagnosed. The most common sites to develop a MCC are the face, upper arm/shoulder, lower leg/hip, trunk, and scalp and neck.

The mnemonic AEIOU is used to describe the appearance of MCC and the typical type of patient in whom it is seen. A is for asymptomatic, E is for expanding rapidly, I is for immune suppression, O is for older than 50 years, and U is for ultraviolet-exposed/fair skin. Most patients who suffer from MCC are of advancing age. Men are more likely to develop this cancer, especially those with a significant history of UV exposure. Patients who are immunosuppressed have a significantly higher risk of many types of cancer, including MCC. These include patients who have received organ transplants and who take immunosuppressive drugs to prevent rejection, certain cancer patients like patients with chronic lymphocytic leukemia (CLL), and those patients with immunodeficiency syndromes. It is very rare for a person younger than 50 to develop a MCC.

In 2008, an association between MCC and a specific virus known as polyomavirus was observed. It is now known that up to 80 percent of patients with MCC are infected with this virus and it is believed that this virus plays some role in MCC. It is important to note that not all cases of MCC are associated with this virus.

Once diagnosed, this cancer must be distinguished from certain types of metastatic lung cancer. Involvement of other sites must be ruled out and often tests such at CT scans are performed. Because of the rarity of the tumor, no one is sure what the best type of testing is, as there is much still left to learn about this type of cancer. Treatment of MCC involves surgical removal of all affected skin and tissue and evaluation of the surrounding lymph nodes. Radiation is frequently used after surgery to treat the involved skin and lymph nodes. On March 23, 2017 the FDA announced approval a drug called Avelumab for the treatment of metastatic MCC. This is the first drug ever approved by the FDA for MCC. Avelumab is what is known as a check-point inhibitor. It uses the patient’s own immune system to fight the cancer. By blocking certain molecular structures that typically keep the immune system in check, this medication allows the immune system to accelerate and function at a higher level, which in theory allows the patient’s own immune cells (T-cells) to kill the tumor.

The important thing to remember about MCC, and most cancers for that matter, is that early detection is the best way to prevent spread of the cancer. Recognizing new or changing spots on your skin, and having them evaluated by a physician is very important. If you are unsure about a spot, get it checked! Any spot that develops quickly, grows rapidly, or changes in any way needs to be considered for a biopsy. Remember, if it grows, it goes (most of the time).

Thank you for reading about MCC, and let us know if there are any other topics that you are interested in knowing more about.

Facts About Wrinkles

Fri, 26 May 2017 17:34:22 GMT

Does your skin not look as young as it once did? If not, know that you are not alone in your struggle. Some individuals have beautiful skin and are able to fight off age longer than others, but eventually we all are decorated with saggy skin and age lines. Much of what determines when those age lines begin to show, and when other signs of aging skin become apparent, are the habits of an individual’s daily life. In this blog we will be discussing the variety of evidence of aging skin, what accelerates it, what can be done to prevent it, and what can be done to hide it. Exposure to UV radiation is the most preventable cause of early skin aging because it can easily be avoided. Dermatologists sound like broken records when it comes to UV light and warnings of reducing the time spent exposed to it, but it is something that people tend to listen to with a grain of salt (until they have deep wrinkles or are diagnosed with skin cancer). The most effective ways to prevent wrinkles and sun damage are seeking shade, wearing protective clothing, and regularly using broad spectrum sunscreen with SPF 30 or greater.

Types of Skin Aging

Wrinkles: How wrinkled your skin becomes depends on a myriad of factors including your skin type, genetics, and a long history of unprotected sun exposure and use of indoor tanning equipment. Individuals with fair skin who have a history of UV exposure are particularly susceptible to wrinkles, skin damage, and skin cancer. There are numerous studies that illustrate the damage done to DNA in skin cells when exposed to UV radiation. This in turn can lead to premature skin aging and, again, skin cancer.

Aging Spots: Age spots are flat, brown marks on the skin. Also known as lentigines, they usually appear on the face, back, chest, back and tops of the hands and feet. Like wrinkles, age spots are caused by exposure to UV radiation. If aging spots run in the family, it will behoove you to take caution to avoid excessive ultraviolet exposure.

Skin Care Products & Ingredients

There are many over-the-counter products and cosmetic procedures that are available to treat the many signs of aging. Pine Belt Dermatology offers many treatments and products that could help. Visit the links below to our previous blogs that discuss the different options available to you:

Conte on cosmeceuticals: http://www.pinebeltderm.com/blog/cosmeceutical-facts-your-skin

Kristen Richardson, PA-C on fillers: http://www.pinebeltderm.com/blog/the-needle-is-the-new-knife

Lauren Aycock, FNP-C on chemical peels: http://www.pinebeltderm.com/blog/c-is-for-chemical-peel

Lauren Aycock, FNP-C on Botox therapy: http://www.pinebeltderm.com/blog/b-is-for-botox

While Pine Belt Dermatology & Skin Cancer Center offers many services that could help reduce and treat age lines, much of what will help prevent having to purchase these services, or help prolong the effects of the above listed treatments, is by being proactive in using sunscreen and moisturizer. Sunscreen and moisturizer should be applied regularly to prevent and treat signs of aging. Some of these products contain ingredients that help minimize the appearance of fine lines and uneven pigmentation. There are numerous topical creams that are FDA approved that can help treat fine facial wrinkles in patients, but these are not as effective in treating deep lines or wrinkles. Some topical creams that are used to refine the skin are only available through prescription. If you do seek out topical creams, be sure they are rich in Vitamins A and C.

Tips for Using Skin Care and Age Line Treatments

Wear sunscreen every day. UV rays will accelerate the signs of aging. Sunscreens used should be SPF 30 or higher.
Do not tan… whether it is at the beach or indoor tanning, it will unnecessarily accelerate your skin’s aging and increase your chances of developing skin cancer. If you want to stay away from skin aging, wrinkles, age spots, blotchy complexion, and skin cancer then stay away from tanning.
Moisturize your skin regularly. These habits will trap water in your skin, which will help reduce the appearance of fine lines and even deeper ones. Such habits will also make your complexion look younger and more voluptuous.
Use products that you purchase as directed.
Limit the number of products that you use on your skin. Like anything else, too much of something will often times be counterproductive.
Give the products that you buy, or even the cosmetic services that you buy, time to work. Most of the products and services available do not work immediately, so don’t discard a product if you do not see immediate results.

May is Skin Cancer Awareness Month

Thu, 25 May 2017 17:37:18 GMT

With May coming to an end we wanted to discuss all of the various skin cancers and prevention methods that are out there. May is not only the month of celebration for Memorial Day, but also is a month dedicated to the millions of Americans who have been diagnosed with skin cancer and is dedicated to educating the public on prevention methods. Memorial Day is a celebration of our veterans and sacrifices they have made, but it is also characterized by fun in the sun on the water. With the holiday coming up, we thought it would be relevant to share some information regarding skin cancer prevention that our readers will hopefully keep in mind when celebrating this weekend!

Skin Cancer Quick-Facts

Everyone is at risk of developing skin cancer. Some have greater risks than others, but no skin color or ethnicity is safe from the disease. One in five Americans will develop some form of skin cancer during their life time. That is a pretty scary thought, especially here in the south where we spend quite a bit of time in the sun and more often than not without adequate skin protection. The saddest part about this statistic is that skin cancer is almost completely preventable! You can prevent the damage to your skin by seeking shade, wearing sunscreen, or covering up with light outdoor clothing. If you’ve had previous skin damage from the sun, you can still look for changing spots on your skin to detect offending spots early. If you do detect spots, schedule an appointment with one of our providers as soon as you can. As a side note, it will soon be easier to have your questions about spots on your skin answered as PBD will be offering tele-health services starting in July! If you would like to learn more about what to look for when performing a skin self-exam, visit Dr. Conte’s previous blog on the ABCDEFs of skin cancer (http://www.pinebeltderm.com/blog/abcdefs-of-changing-moles-melanoma).

Types of Skin Cancer

Basal Cell Carcinoma and Squamous Cell Carcinoma are the two most common types of skin cancer there are. Collectively they are referred to as “nonmelanoma skin cancers”. Both of these skin cancers arise within the top layer of the skin. Squamous cell is interesting because it can occur in the mouth, throat, and even lungs (areas where squamous cells are present). In fact, squamous cell carcinoma is the cancer that ended up killing Erin Moran, the Happy Days star. You can check out Dr. Roy’s take on squamous cell carcinoma in one of our previous blog posts: http://www.pinebeltderm.com/blog/squamous-cell-carcinoma-when-should-you-worry. In any sense, basal cell carcinomas and squamous cell carcinomas appear on any sun-exposed areas of the body, but tend to be most frequently found on the face, ears, scalp, and neck.

Basal Cell Carcinoma frequently will present itself as a pearly bump.

Squamous Cell Carcinoma, on the other hand, will often look like a rough and red scaly area. It can often mimic that of a sore, or ulcer, on the surface of the skin that will heal and return often.

These types of skin cancers spread much more slowly than the more aggressive types of skin cancer. However, if left untreated they can lead to severe disfigurement. For patients who do get diagnosed with these cancers, do not fear, PBD offers Mohs micrographic surgery. This is the most effective treatment available, and the great news is that Dr. Roy is the best around!

The more deadly skin cancer, in fact it is the deadliest, is called melanoma. This type of cancer is much more aggressive than the ones listed above. It can appear suddenly without warning, and it can hide near or in an existing mole. This type of cancer can occur almost anywhere on the body. In fact, Bob Marley died from a melanoma that originated on the bottom of his foot. While it can appear anywhere, it is most often found on the upper back, torso, lower legs, head or neck. What makes this cancer so daunting is that it can frequently spread to the lymph nodes and then to other organs in the body, making early detection and treatment essential. One of the unique characteristics of melanoma is that it is the only cancer that can pass from a pregnant mother to her baby in the womb. This is incredibly rare, however, but is still an important feature to keep in mind. Early detection and treatment of melanoma is essential because when treated early there is a 90% cure rate of the disease. New, rapidly growing moles or moles that itch, bleed, or change color are often early signs of melanoma and if found should be examined by one of our providers.

Skin Cancer Statistics

Skin cancer is the most common cancer in the United States.
It is estimated that more than 8,500 people in the United States are diagnosed with skin cancer every day.
The most common types of skin cancer are non-melanoma skin cancers.

80% of these are Basal Cell Carcinomas
The other 20% are Squamous Cell Carcinomas

From 1982 to 2011 melanoma rates in the United States doubled.
The 2016 estimation of new skin cancer cases:
Approximately 144,860 new cases of melanoma

68,480 non-invasive
76,380 invasive
46,870 in men
29,510 in women

Caucasians and men over the age of 50 represent the group that is at the greatest risk of developing melanoma.
Melanoma is the second most common cancer in females ages 15-29.

Melanoma is increasing at a faster rate in this cohort than in males of the same age.

One average, one American dies every hour from melanoma.
The vast majority of skin cancer deaths are from melanoma.
WHO estimates that more than 65,000 people every year die from melanoma worldwide.

The 5-year survival rate for people who have melanoma detected early and before it spreads to the lymph nodes is 98%.
The 5-year survival rate for patients who have melanoma spread to the local lymph nodes drops to 63%.

If the melanoma spreads to non-localized, or distant, lymph nodes the 5-year survival rate drops to 17%.
Both Basal Cell Carcinoma and Squamous Cell Carcinoma have cure rates nearly 95% if they are detected early and treated properly.

Mohs micrographic surgery is the gold standard treatment for these cancers, and Dr. Roy is the best in the area for these procedures.

The annual cost of treating skin cancers in the United States is estimated at $8.1 billion.

Approximately $4.8 billion for non-melanoma skin cancers
About $3.3 billion for melanoma treatment.

Risk Factors

Risk factors to developing skin cancer largely include exposure to ultraviolet light from either the sun or indoor tanning devices. Lighter skinned ethnicities tend to be at greater risk of developing skin cancer. While skin cancer can occur at any age, the risks of developing it does increase as an individual gets older. Any individual who has more than 50 moles on their body should have routine skin exams to detect any warning signs of developing skin cancer. Individuals who have been previously diagnosed with Basal Cell Carcinoma or Squamous Cell Carcinoma are at an increased risk of developing melanoma. Anyone with a family history of skin cancers should have routine skin exams.

Prevention/ Detection/ Treatment

It should go without saying that the greatest way to prevent skin cancer is to protect your skin from UV light. This will significantly reduce your risk of developing skin cancer. Many people think that by staying out of the sun they will develop a deficiency in Vitamin D, but this is not correct. For more information on the best sources of Vitamin D, check out Dr. Conte’s previous blog (http://www.pinebeltderm.com/blog/vitamin-d-your-skin-a-dermatologists-perspective). Being vigilant in performing skin exams can help with early detection. Any changes that you notice should prompt you to schedule an appointment. Self-exams are not as easy as they sound, however there are smart phone and tablet apps that have been developed to help people keep tract of their moles. Early detection of skin cancer, especially melanoma, is essential. There is a direct correlation between tumor thickness and survival rates. The treatment for skin cancers is that of surgical removal. For melanoma, dermatologists take out the tumor as well as some of the surrounding skin. How much gets removed depends largely on tumor size and history of the disease. Treatment for non-melanoma skin cancers can be either through excisions or Mohs micrographic surgery, electrodesiccation (tumor removed by heat), and/or cryosurgery (tumor is destroyed by freezing). In rare and extreme cases nonsurgical methods such as radiation therapy, topical agents, and photodynamic therapy may be the avenue taken.

If there are any other questions or concerns regarding skin cancer, please feel free to contact one of our offices to schedule a consultation with one of our providers. And from the staff here at Pine Belt Dermatology & Skin Cancer Center we hope everyone has a safe and fun Memorial Day weekend!

miraDry - A New Service Brought to the Pine Belt Area

Tue, 23 May 2017 17:39:08 GMT

This blog post is an attempt to educate patients, and people that venture across our website, on the benefits of a new service that Pine Belt Dermatology & Skin Cancer now offers. The new product is called miraDry and it is for both debilitating excessive sweat and permanent hair removal. Did you know that 1 in 5 people are embarrassed by the amount of sweat that their armpits produce? We now have a product that will alleviate that! While 1 in 5 adults are uncomfortable with the sweat excreted by their underarms, a condition known as hyperhidrosis is much more of a burden and much more rare. These individuals’ bodies can produce more than 5 times the amount of sweat needed to cool the body. Hyperhidrosis, a condition that roughly 8 million Americans are afflicted with, was the reason that miraDry was originally created. However, after it began being used for axillary hyperhidrosis, it then became FDA approved for permanent hair removal under the armpits. For a more in depth discussion on hyperhidrosis, visit Dr. Conte’s previous blog on the subject (www.pinebeltderm.com/blog/excessive-sweat-weve-got-you-covered).

Who Is This For?

This product was approved for clinical treatment of the excessive sweating condition in 2011, and in 2015 it became FDA approved for underarm hair removal. One of the major advantages of miraDry is that it is able to permanently treat axillary osmidrosis, or foul smelling sweat. The Journal of Cosmetic & Laser Therapy performed a study in 2013 to determine how effective miraDry was at treating both hyperhidrosis and axillary osmidrosis. Patients that were treated during the study were followed up with at the end of 7 months and 93% of them had “good” to “excellent” results regarding odor causing sweat. In April 2012, clinical data from the University of British Columbia showed that miraDry was successful in reducing underarm sweat in over 90% of patients. The average sweat reduction was 82%. Patients rated their satisfaction with the treatment at 90%. With that being said, Pine Belt Dermatology & Skin Cancer Center is extremely excited to be able to offer this service for patients who may be suffering from excessive sweat glands.

miraDry is right for people who:

Are diagnosed with axillary hyperhidrosis
Are bothered by their underarm sweat
Have embarrassing or uncomfortable underarm sweat outbreaks
Are frustrated over constantly ruining clothes
Frequently have to reapply antiperspirant but to no avail

The benefits of miraDry:

Non-invasive procedure
Immediate results
Minimal downtime after the procedure
Long lasting results, in many patients the result is permanent.
Quick in-office procedure

The sweat glands do not come back once they are eliminated. During the clinical trials for miraDry, patients were followed for 12 months after the procedure. The average reduction in sweat produced by the underarms treated was 82%. Typically two procedures/sessions are required to achieve maximum results. The second session is typically conducted to treat any missed or resistant sweat glands.

Side Remarks:

As previously mentioned, one of the unplanned uses discovered for the product was that of permanently removing the hair underneath the arms. It is common for people who want hair removed to purchase laser hair removal services. PBD offers laser treatments, however, one thing we wanted to shed light on was that miraDry can remove the hair regardless of skin or hair color. Often times the laser therapies’ efficacy is contingent on the color and thickness of the hair, which is not the case with miraDry. The hair will get zapped regardless.

miraDry is customized to treat excessive axillary sweating in a non-invasive procedure. Previous procedures would include injections of Botox into the underarm, which, over time would become incredibly expensive. Other therapies for hyperhidrosis may include:

Oral medications
Lasers
Iontophoresis
ETS

Patients usually experience little to no discomfort during the procedure and there is minimal to no downtime afterwards. A mild over-the-counter pain medication and ice packs are generally recommended for a few days. Most patients are able to return to normal activities or work right after the procedure, and can typically resume exercise within several days. The only downside to miraDry is, because it is customized to the functionality of axillary sweat glands, it cannot be used to treat excessive sweating of the hands, feet, or groin region. This may be something that the makers of miraDry are working towards finding a solution for, however for the time being, it is only available to patients who have axillary hyperhidrosis. The good news is that roughly 50% of the people who suffer from hyperhidrosis suffer from having the condition in their armpits. However, if you do suffer from hyperhidrosis in areas other than the underarms, don’t hesitate to make an appointment with one of Pine Belt Dermatology’s providers as there are options available to help with your condition!

Final Comments

Many of the people who suffer from hyperhidrosis don’t seek help either because they are embarrassed or because they think that it is a natural bodily function. While it is a natural function of the body used in maintaining temperature control, our underarms are only home to less than 2% of our body’s sweat glands. The consensus among physicians in the field is that elimination of these sweat glands will not jeopardize your body’s ability to stay cool and maintain healthy temperatures. We are extremely excited to offer this service to the Pine Belt area and look forward to helping those that have hyperhidrosis. The miraDry service is not a covered benefit by insurance companies, in fact most therapies for hyperhidrosis are not. Do not let this discourage you if you are seeking help with either hyperhidrosis or you want the underarm hair removed. Pine Belt Dermatology & Skin Cancer Center offers CareCredit to help patients cover a variety of health expenditures such as co-pays, deductibles, and self-payments. You can apply for CareCredit through our website or fill out a paper application in one of our locations. This may seem daunting, but it is much more beneficial to have miraDry done versus the other procedures. The caveat with the other procedures is that most of them are not covered by insurances and they do not result in long lasting treatment. For example, one of the therapies that has been used in the past is Botox, but that only lasts a few months before you need another treatment. Over time the cost benefit of the Botox therapy of hyperhidrosis pales in comparison to the benefits of miraDry (because they are often permanent). So while this is not a covered benefit, you do still have a way of paying for the service without paying out of pocket. CareCredit is a benefit that we encourage our patients to use. For further information on this unique way of financing your healthcare, visit one of our previous blogs! (http://www.pinebeltderm.com/blog/carecredit-a-different-way-to-finance-your-health).

Say Goodbye to Spider Veins

Tue, 16 May 2017 17:29:31 GMT

Did you know that there are reasons, other than cosmetic, to get rid of the spider veins that have appeared on your legs? These are rather common. In fact, over half of all people over the age of 50 are affected by “spider veins”. The spider veins can often times affect you beyond that of aesthetic irritation. They can become swollen and twisted causing them to bulge above the surface of the skin. These can be extremely discomforting and can actually put you at greater risk for more serious complications such as open sores or blood clots in your leg.

So why do we get these veins in our legs? The veins occur in veins that have been damaged. They are the product of weakened valves in the veins that are typically pumping blood back to the heart (when healthy). When the valves in the weakened veins don’t function properly, the blood flows backward and begins to accumulate in the blood vein. Over time these swell to the surface of the skin and become visible. There are a variety of factors that could cause one to develop these web-like spider veins, such as:

Hormonal changes.
Excessive sunlight.
Sitting/standing for long periods of time most days of the week.
Can occur because of old age.
Can occur as a result of pregnancy.
Result of injury to that area of the leg.

Pine Belt Dermatology & Skin cancer Center can help you get rid of these veins. Often times, certain lifestyle changes can help reduce the chance of developing the veins. But in the event that these life style changes do not achieve the results that you are looking for, namely because they will not get rid of the veins that have already appeared, there are more effective methods that we can utilize in the clinic. Compression socks can be used to help reduce the risk of developing blood clots, but again will not diminish the veins that are already present. Instead, Pine Belt Dermatology & Skin Cancer Center offers two effective methods of diminishing spider veins: sclerotherapy and laser treatment.

Sclerotherapy is often considered the treatment of choice with smaller veins. In this procedure, the provider would inject a solution directly into the swollen spider vein. What happens as a result is quite fascinating. The injected solution causes the swollen vein to become scarred which causes the blood to be rerouted through healthier veins! The injected vein then collapses, and surrounding tissue reabsorbs the vein, which causes it to eventually fade. This therapy has been around for quite some time, and over the years dermatologists have improved the procedure so that it is safer and more effective. As a result, Spider veins usually disappear in 3 to 6 weeks. Varicose veins take 3 to 4 months. To achieve the most optimal results, you may need 2 or 3 sclerotherapy treatments.

The second option for treating spider veins is a simple laser treatment. This treatment is used to treat spider veins and tiny varicose veins that are just beneath the surface of the skin. This will typically require multiple procedures. For the larger veins, sclerotherapy still may be the best option, but the smaller ones can be treated with laser therapy.

Schedule an appointment with us today! A cosmetic consultation at PBD is only $50 and is allocated towards the procedure if you end up purchasing it. Come see us so we can get you started on your journey towards healthier skin, because healthy skin is beautiful skin!!

Spider/Varicose Veins - Now You see Them, Now You Don't

Tue, 16 May 2017 17:27:44 GMT

For patients bothered by the appearance of spider veins and varicose veins,

Dermatologists offer several treatments options. The most widely used is sclerotherapy and laser treatments. Before selecting the treatment option best for each patient, a dermatologist considers many factors including the vein type, location of the vein or veins, and the patient’s medical history.

It is important for your dermatologist to know if you have a history of blood clots in your lungs or legs or a clotting disorder. This does not necessarily means that treatment must be avoided, but it may affect the treatment. For the best results, more than one treatment option may be used.

What are Spider Veins?

Spider veins are blood vessels that lie near the surface of the skin and range in color from red to blue to purple. Commonly occurring on the legs, spider veins also develop on the face and other areas of the body. Some spider veins look like short, unconnected lines about the size of a hair or a strait pin. Others form a “starburst” pattern that may resemble a spider web or branches on a tree. Spider veins can occur in a small area and maybe barely noticeable, or they can cover a large area of skin. Occasionally, spider veins can cause some burning and discomfort.

What are Varicose Veins?

These are veins that have become enlarged or swollen. Varicose veins commonly develop in the legs and feet, but can occur on any part of the body. Often varicose veins rise above the surface of the skin and have a telltale knotted appearance. Some varicose veins are flesh-colored. Others are blue, green, or dark purple. Sometimes varicose veins appear together with spider veins.

Varicose veins can be painful. Smaller varicose veins can cause pain that ranges from dull and throbbing to a burning sensation. The larger varicose veins are, the more likely they are to cause discomfort.

What are the Causes?

To understand why varicose veins and spider veins develop, it helps to know what veins do. Arteries carry oxygen-rich blood from the heart to the entire body. Veins return the oxygen-poor blood to the heart. Veins have valves that prevent the blood from flowing backward. When a valve weakens, blood may lead backward. If enough blood flows backward, it can cause the vein to swell. When this happens, the vein becomes a varicose vein. Some people inherit predisposition for weak valves, which gives them an increase risk for developing varicose veins.

Spider veins also can result from this backflow of blood. Other factors that many cause spider veins are the hormonal changes that occur during puberty, pregnancy and menopause. Birth control pills and hormone replacement therapy also may play a role. This seems to explain why spider veins occur more frequently in women than in men. An injury or tight garments held fast by elastic also seem to cause spider veins. In fair-skinned people, sun exposure may lead to spider veins on the cheeks, and nose.

How can it be prevented?

While spider and varicose veins cannot always be prevented, some lifestyle choices seem to reduce the likelihood of developing these veins. Exercising regularly, maintaining a normal body weight and eating a high-fiber diet can help. Protecting the face from sun exposure can help prevent spider veins on the face. Elevating the legs when resting and not crossing the legs when sitting also may help. What a person wears can make a difference, too. Elastic support hose, loose-fitting clothing and low-heeled shoes can reduce the appearance of leg veins.

What is a Sclerotherapy Treatment?

Sclerotherapy is the most popular treatment option for veins on the legs. It is used to treat spider and varicose veins on the legs and spider veins on the face.

Sclerotherapy involves injecting small doses of a solution directly into the unwanted vein with a very fine needle. The solution irritates the vein, causing it to swell, stick together and the blood to clot. This essentially seals off the treated vein from other veins. Over a period of weeks, the treated vein turns into scar tissue that is absorbed by the body. Eventually, the scar tissue becomes barely noticeable or invisible. This procedure can be performed in a dermatologist’s office and does not require anesthesia.

A treatment session generally lasts 15 to 20 minutes. A number of veins can be treated during one treatment session and a single vein may be injected several times. Some veins require more than one treatment session. Sessions may be spaced weeks or months apart, depending on the vein.

To treat larger varicose veins, a dermatologist may use ultrasound-guided sclerotherapy. The ultrasound gives the doctor a live view of the veins, which allows the solution to be injected exactly where it will be most effective.

After treatment, most patients can expect to see an 80-90% improvement. This may require several treatments. Fading is gradual and occurs over a period of time.

While sclerotherapy can be safely used on all skin types, there are potential side effects. Most side effects are mild and temporary.

The most common, mild side effects include:

Stinging or pain at the injection site and muscle cramps. Sometimes an injection is painful. Occasionally, swelling of the ankles or feet and muscle cramps occur.
Red, raised areas at the injection sites. Hive-like reactions and itching can occur and usually fade within 10-15 minutes of the injection. Sometimes, it can take a day or so for the red, raised areas to disappear.
Brown lines or spots on the skin at the treated sites. Darkened areas may appear and tend to be more common in patients who undergo treatment for a large or delicate vein and patients who tan easily. In most cases, the discoloration disappears within a year, but it can last longer.
Clusters of fine, red blood vessels develop near the injection sites (matting). When larger veins are treated, about one-third of patients develop these clusters. Especially common on the thigh, many clusters disappear with time. Some respond to additional sclerotherapy or laser therapy. A few may last.
Temporary bruises. Patients who tend to bruise easily may have temporary bruising. This usually disappears in a few weeks.

Although rare, more severe side effects are discussed below:

Small, painful ulcers at treatment sites. Appearing immediately or within a few days of treatment, these develop when some of the solution escapes into the surrounding skin or enters a small artery. This can be successfully treated, but it is necessary to inform the dermatologist immediately, especially if increasing pain or scabbing is noticed.

Allergic reaction. Some patients have an allergic reaction to the injected solution. Wheezing, difficulty swallowing, and severe swelling are usually signs of a severe allergic reaction. Most commonly this happens during treatment or shortly afterwards. Inform the dermatologist immediately if these symptoms occur so that appropriate medical treatment can be given.

Inflammation of treated blood vessels (phlebitis). More common in patients who have a family history of clotting disorders, phlebitis can be effectively treated with aspirin, compression, antibiotics, or heat.

Lumps (thrombi) in injected vessels. Most common following treatment of larger varicose veins or very large spider veins, this can be successfully treated by draining the coagulated blood from the areas.

What is Laser Treatment?

Lasers are used to treat spider and varicose veins on the legs, and spider veins of the face.

Lasers send wavelengths of light directly into the vein. This causes the vein to heat up internally and turn into scar tissue. The scar tissue gradually fades or disappears. Technological advances make laser treatment safer and more effective than ever. Like sclerotherapy, laser treatment can be performed in a dermatologist’s office and does not require anesthesia.

Many types of lasers are used to treat veins. Your dermatologist will recommend the best type of laser, based on the size and location of the veins to be treated. For best results, laser therapy may be combined with sclerotherapy.

Different lasers are used for different skin types. To prevent permanent skin discoloration, people of color may require lasers that emit specific wavelengths of light.

Potential side effects from laser therapy include:

Redness or swelling. Occurring after treatment, this usually disappears in one or two days.
The treated vein remains despite treatment.
Discoloration of the skin. Treated skin may become lighter or darker than the surrounding skin. Often this disappears within a month or two, but it can be permanent.
Skin wounds. These heal, but may cause scarring.
Temporary bruising may occur.
Side effects vary with the type of laser selected. Your dermatologist can explain the potential side effects for a specific laser.

Are there other treatment methods?

For spider veins on the face, other treatment options include electrodessication and intense pulsed light. Large varicose veins on the legs may require vein ligation and stripping, an outpatient surgical procedure used to remove a damaged vein. Ambulatory phlebectomy is another option for varicose veins. Developed by dermatologist, this procedure involves making small punctures in the skin in order to remove the damaged vein. Radiofrequency can be used to destroy large veins in the legs.

What can I expect after treatment?

After treatment, the area tends to look worse. This is normal. Improvement occurs gradually. Post-care instructions will depend on the treatment given and a number of considerations.

Following treatment for a leg vein, exercise is often limited for a few days or longer. Patients receiving sclerotherapy are usually instructed to walk for a certain amount of time each day and to avoid intense physical exercise. It may be necessary to avoid prolonged sitting and standing.

Can Veins Return?

While generally spider veins completely disappear, new spider veins can appear in the same general area. It is possible for large veins to recur. Sometimes spider veins also recur. For another look at therapies available see Kristen Richardson's blog (http://www.pinebeltderm.com/blog/say-goodbye-to-spider-veins)

Discussion on Psoriasis: Part 2

Mon, 08 May 2017 17:32:19 GMT

What are the types of Psoriasis?

PLAQUE PSORIASIS

About 80% of people living with psoriasis have plaque psoriasis. This type causes patches of raised, reddish skin covered by silvery white scale. Patches frequently form on the elbows, knees and lower back but can occur anywhere on the skin.

SCALP PSORIASIS

Identical in appearance to plaque psoriasis on the body; scalp psoriasis is characterized by the same silvery white scale and red patches. Scalp psoriasis can be very itchy and because the patients can’t help scratching the scales fall on to the patients clothing scalp psoriasis can be misdiagnosed as dandruff. Even with the many treatments available scalp psoriasis can be difficult to control.

NAIL PSORIASIS

Psoriasis can affect the fingernails and the toenails. One sign may be tiny pits that can be seen in the nails. As the psoriasis worsens the nails may change color, loosen, thicken and eventually thicken and crumble.

GUTTATE PSORIASIS

This type of psoriasis occurs in children and young adults, causing small red scaling spots that may or may not have silver white scales on top of the red spot. This type of psoriasis often appears after a sore throat which may be caused by a strep or a viral infection. Patients who already have plaque psoriasis my also develop guttate psoriasis. In many cases of new onset guttate psoriasis the patient may not have a previous history of psoriasis.

PUSTULAR PSORIASIS

This type of psoriasis usually appears on the palms and soles and looks like white or yellow pus-filled bumps surrounded by red skin. Because the lesions are located on the hands and feet they can be very painful. Pustular psoriasis can also develop all over the body. This causes a severe and sometime life threatening psoriasis that dermatologists call generalized pustular psoriasis.

INVERSE PSORIASIS

May be smooth red patches located in folds of the skin such as armpits, under the breasts, in the creases of the buttock or in the genital area. It may be painful due to its location.

ERYTHRODERMIC PSORIASIS

This is the least common type of psoriasis. This type causes severe redness and shedding of the skin similar to a burn over a large area of the body. It can occur very quickly. The patient may have a fever and it can be lfe threatening. This type of psoriasis may require treatment in a hospital setting.

In our next blog about Psoriasis we will discuss how psoriasis is diagnosed and update you are the newest treatments.

Dr. Gene Conte

Board Certified Dermatologist

Pine Belt Dermatology

Squamous Cell Carcinoma - When should you worry?

Mon, 01 May 2017 17:23:13 GMT

Today we are discussing squamous cell carcinoma (SCC) because it is a topic that I am very passionate about and one that I feel causes a fair bit of confusion. SCC is the second most common form of skin cancer and, in the South, the number of people who die from SCC of the skin is about equal to the number of people who die from melanoma. I have heard many patients and, unfortunately, several physicians say that SCC should not be of great concern and that I make too big of a deal out of this particular cancer. The truth is, not all SCCs are extremely aggressive. While a significant number of these cancers are treated with simple surgery or a burn and scrape technique known as electrodessication and curettage, there is a subset of these tumors that behave in a very aggressive manner. Some of these tumors can be as aggressive and deadly as an invasive malignant melanoma. There are particular clinical and histopathological (microscopic) findings of SCC which suggest a nastier course and we will discuss those later in the blog.

The question then becomes, why are some skin cancers so bad while others seem to be so easily treated? That is a very good question and a very important question. The answer, however, is quite complicated as there is a lot about cancer in general that we do not understand. Medicine itself is imperfect. We would like to think that we have all the answers, but the reality is that we make assumptions and judgments based on the information that we have. Unfortunately that information is incomplete. The picture is still being painted. We learn everyday that diseases themselves are difficult to put into neat little boxes, with the truth being that most diseases run a spectrum from relatively benign to very destructive, and everything in between. What makes us better equipped to anticipate and handle difficult situations is our experience with diseases over time. What we have observed and recorded (statistical and historical data) help us to make sound and educated judgment calls in specific situations. As time goes on, our understanding will grow and hopefully one day we will be able to answer the question posed earlier.

So what types of data guide us when it comes to SCC? There are several factors to consider when deciding if a SCC may behave in an aggressive manner and it is important to ask your doctor specifically about the nature of your cancer. These factors include the site of the lesion, the size of the lesion, the depth of the lesion, the histopathological subtype (meaning what specific pattern of growth, and associated microscopic findings, that are noted on the pathology report), recurrent/previously treated lesions, tumors previously treated with radiation, rapidly growing tumors, tumors at sites of chronic inflammation (like swollen and red lower legs or areas of slowly healing or chronic wounds), and if there is tumor seen invading the nerves and/or blood vessels.

So what might you want to know about your biopsy? There are several different types of SCC. Some are referred to as squamous cell carcinoma in situ. This means the cancer is confined to the upper part of the skin known as the epidermis and is not considered an invasive tumor. The first thing you want to know is whether or not your cancer is invasive, meaning it has spread to the lower part of the skin, known as the dermis. Next, I would recommend asking your physician if your tumor is considered a high risk tumor. High risk tumors are defined as having one or more of the following features:

Depth of invasion of the tumor is greater than or equal to 2 millimeters
Deepest part of the tumor involves the bottom layer of the dermis, which is referred to as the reticular dermis (lowest part of the skin itself before you get to the fat)
Presence of perineural invasion, meaning the cells have spread directly around the nerves
Lesion is located on the ears, or lips
Tumor is what we call poorly or undifferentiated (this means the tumor cells do not resemble the cells that they are derived from and are behaving in an unpredictable manner)

When it comes to differentiation, there are four classifications that are used - well differentiated, moderately differentiated, poorly differentiated and undifferentiated. Well differentiated tumors are the most common and least aggressive. Moderately differentiated tumors are more aggressive than well differentiated tumors, and poorly and undifferentiated tumors are the most aggressive and most likely to spread. Certain types of SCC (subtypes) are considered to be more aggressive than others as well. These include the following:

Acantholytic
Adenoidal
Adenosquamous
Desmoplastic
Spindle
Verrucous spindle cell

Why should you be worried about SCC? When it comes to SCC, 2% of patients with a typical well differentiated SCC could die from their disease. That is two out of every 100 patients. When it comes to more aggressive tumors, 14% of patients with moderately differentiated SCCs could die, and for poorly differentiated tumors, that number jumps to 53%. So, 53 out of every 100 patients with poorly differentiated tumors could succumb to their disease. In patients whose tumors demonstrate perineural invasion, the size of the involved nerve is very important. If the nerve is greater than 0.1 millimeter in diameter, the risk of death was 32%. Thus, SCC can, in some cases, behave in a very aggressive and deadly manner.

Treatment is tailored to the specific tumor and specific patient situation. Most non-aggressive tumors should be treated with surgery or electrodessication and curettage. More aggressive tumors should be treated with surgery. Mohs surgery is a highly effective treatment option for SCC and is considered the best option in certain circumstances. Following surgery, we will sometimes recommend radiation therapy and possible lymph node biopsy, but these are only used in extreme cases. Your doctor will recommend a treatment plan and remember, it never hurts to get a second opinion if you are unsure.

I hope this answers some of your questions about SCC. Let us know if you have any other questions about this or any other topic.

The Needle is the New Knife

Tue, 25 Apr 2017 17:21:40 GMT

Are you wanting to prevent an aging face but not ready to go under the knife? If so, then the use of neuromodulators and injectable fillers may be the answer. They are used to treat and prevent facial wrinkles. The distinction between neuromodulators and dermal fillers can sometimes become blurred. It is best to be well informed of treatment and how products can help you achieve age appropriate esthetically pleasing results.

Lines of expression on the forehead and deep furrows between the eyebrows can often become a nuisance. They are results of repeated contraction of muscles that are used to make certain expressions. Neuromodulators are natural, purified proteins used to temporarily relax facial muscles that create the lines of expression. Once the muscles are injected, lines around the crow’s feet, between the eyes, and forehead are relaxed and smoothed within 24 to 48 hours for moderate to severe lines. The results can last up to 4 months!

As we age, the skin loses its natural collagen and elastin. Hyaluronic acid is naturally present in the human body. HA is a major component of the skin and provides support to the tissue. Dermal fillers are comprised of HA and help replace what has naturally diminished over time leaving the skin less supported resulting in more visible lines and wrinkles. It is important to note that hyaluronic acid and Botox are not the same thing. Many patients new to non-surgical cosmetics are unaware of the differences. For more information on Botox see Lauren Aycock’s blog post regarding that injectable (www.pinebeltderm.com/blog/b-is-for-botox ). When a licensed and trained provider injects the dermal filler in appropriate locations patients should expect lifting, smoothing, and plumping of targeted folds and wrinkles adding subtle volume resulting in a fresher look.

With a number of advanced fillers available to dermatologists the needle is now the new knife. In the past, patients would have to visit a plastic surgeon and undergo much more rigorous procedures in order to take care of minor cosmetic complaints/nuisances. Today, Pine Belt Dermatology providers can diminish most signs of aging that appear on the face. Areas & spots that we can help treat include:

We can help restore fullness to cheeks, hollow areas under the eyes, and deep creases.
We can help diminish scars.
PBD providers can also erase fine lines.
Pine Belt Dermatology providers can also help patients establish a more voluptuous look for their lips.
Hyaluronic acid can lift the brow or a downturned mouth.
We can also help patients rejuvenate skin on the hands that have become wrinkled.

All patient outcomes vary since no two faces are alike. A proper cosmetic consultation prior to injection of dermal fillers and neuromodulators is highly important so patients will understand expectations of each product and possible side effects of each. The goal is to provide patients with aesthetically pleasing results with minimal down time. If you have additional questions please email Kristen.Richardson@pinebeltderm.com or schedule a consult at any of our locations with our licensed and trained providers!

Dermatology & Wound Care

Fri, 14 Apr 2017 17:19:44 GMT

One of the services available at most dermatology clinics, and most certainly available at Pine Belt Dermatology & Skin Cancer Center, that many people may not be aware of is that of wound care. For most people dermatology is associated with moles, skin cancer, warts, rashes, and non-surgical cosmetic procedures. This is not an inaccurate view of dermatology and the role that your dermatologist plays in your health, but there is still much more than meets the eye when it comes to dermatology. Wound care centers are great for extremely severe wounds, however many of the caregivers at these centers develop involved, and expensive, treatment programs even for the more mild wounds (such as superficial 2nd degree burns) that can take a physical and emotional toll on the patient. This blog is not intended to undermine the necessity of wound care centers by any stretch of the imagination, but in fact, is an effort to educate patients on recognizing when it is appropriate to see a dermatologist instead of occupying the wound care providers’ time when their time could be spent on more severely wounded patients. In many instances, much of what encompasses mild wound care therapies is maintenance and monitoring of the skin surrounding the wound itself. Who better to see for such therapies than a doctor who specializes in the health of the skin? Dermatologists are in fact wound care specialists. At the risk of a gross generalization, dermatologists know more about skin wound issues and can utilize that knowledge base to better serve these patients. In this blog, I want to discuss wound care services that are available at Pine Belt Dermatology & Skin Cancer Center locations in Hattiesburg, Petal, Collins, and soon Ellisville.

What injured skin conditions can be treated?

Severe burns (sunburns especially).
Blisters
Bug bite & stings.
Animal bites (dogs, cats, raccoons, other feral animals).
Frostbite wounds (though anomalies in southern Mississippi).
Severe splinters.
Wound care that can help reduce the formation of scarring.
Discussion of dermatological intervention of such conditions:

Any time the skin is injured, be it surgery or an accident, the body immediately begins to work towards remedying the wounded area. It is a natural process that can sometimes forms a scar as it heals. How big, small, smooth, rough, or colored the scar becomes determines largely on how well the wounded skin heals. For injuries that are devastating to the skin it is sometimes difficult to completely avoid scars, especially over joints. Wound care services include services for:

Cleaning the wound and maintaining clean and health bandaging.

The proper bandage will keep your wounded area moist, clean, and will help prevent it from bleeding in the future. Attempting to remove the bandage and bathe the wound can be detrimental to its healing process, so it is important to see a provider to help maintain wound cleanliness.

Properly moisturizing the wounded area.

Optimal wound health is more successfully achieved when they remain moist. Dry wounds will scar easier, take much longer to heal, and the damaged area will be weaker than had the wound been kept moist during the mending process.

Reduce the chance of your wound bleeding.

It is not uncommon for wounds to bleed even after the initial surgery or accident occurred.

Ensure that the wound does not become infected.

Even when exhaustive measures are taken, a patient’s wound can easily become infected so it is important to see a provider to ensure that your wound stays clean and healthy.

Properly remove the sutures that are in place (if sutures were necessary for optimal wound health).
Monitor and maintain any pain that or discomfort that you may experience.

Severe blisters are another form of wound that can be taken care of by one of our providers at Pine Belt Dermatology & Skin Cancer Center. Most often, blisters are associated with occurring on the feet, but they can actually occur anywhere on the body. Any part that rubs against clothing or rough surfaces can become blistered and irritated. Additionally, severe diabetics can form blistering on their skin, or even worse, deep diabetic ulcers can form. For severe blisters make sure to keep them covered with a loose bandage, use padding to reduce the pressure on blistered areas, keep the area clean and covered, and avoid popping the blister. For severe blisters that build up massive amounts of fluid in them, it would be necessary to have a dermatologist look at them and perform a sterilized drainage process if necessary. Again for severe and massive blisters it may be necessary to visit a dermatologist to ensure that the blistered area does not become infected. If any blister remains red, painful, swollen, or recurrently fills with pus please reach out to a provider at Pine Belt Dermatology & Skin Cancer Center as soon as you can.

Bug bites can also become an area of concern, especially if you are allergic to them and unaware of it. Most bug bites and stings are harmless and can be remedied over the counter or at home, but if you are allergic to the bug’s venom or if the bug is carrying a disease extreme discomfort or rash can occur. In the event this is the case it may be a good idea to see a dermatologist. Bugs that may leave bites that require further attention include:

Ticks
Bedbugs
Mosquitoes
Fleas
Biting flies
Mites
Wasps/Hornets or bees
Fire ants
Spiders

Severe sunburns can be cause for concern. It goes without saying that repeated sun exposure can cause chronic skin conditions later in life but severe sunburns acute susceptibilities as well. Severely sunburned skin (or any burned skin for that matter) can bubble up and blister. It is paramount that if something like this happens that you see one of our providers. Ruptured burn blisters leave you more susceptible to bacterial infections, so do not pop them at home. These blisters may require drainage, but if so, it is in you and your health’s best interest to have a dermatology provider perform the operation. As a general rule of thumb contact a dermatologist if you notice any of the following:

The sunburn is blistering and covering large portions of the body
Does not respond to over-the-counter or at-home therapies within two days.
The sun burn is associated with nausea or chills, confusion, high fever, extreme pain, or headache.
Red streaks leading away from a rupture blister.
Yellow drainage from a blister.
Swelling
Increased pain and tenderness.
Blisters occur larger than a pencil eraser.

As mentioned in the opening of the blog, it is important to take extremely severe wounds to a wound care center as they are better equipped to handle large body burns and large wounds. However, moderate to slightly severe wounds that predominately involve the healing of the skin can be treated and maintained at your local dermatologists’ office.

Discussion on Psoriasis: Part 1

Mon, 10 Apr 2017 16:17:44 GMT

Psoriasis & Psoriatic Arthritis

Many people who have psoriasis will have this medical condition for like. It is possible to see clearer skin by learning about psoriasis and seeing a dermatologist for the newest treatments available.

What causes psoriasis?

Research shows that the person’s immune system plays an important role in psoriasis. It seems that the immune system mistakenly activates a type of white blood cell called a T cell. Once activated the T cell trigger a reaction that causes many inflammation cells to be produced. These inflammatory cells cause the skin cells to grow too quickly. New skin cells form in days rather than weeks. The body does not shed these skin cells, so the cells pile up on the surface of the skin and produce lots of white scale where the psoriasis is located on the skin.

Despite the ways psoriasis looks on the skin, psoriasis is not contagious. People who get psoriasis may have a blood relative who also has psoriasis, indicating that to get psoriasis a person must have the genes for psoriasis.

Scientists have learned that not everyone who inherits the genes for psoriasis gets psoriasis.

For psoriasis to appear, it seems that a person must inherit the right mix of genes and then be exposed to a specific trigger factor.

What are some of the triggers for psoriasis?

Different people have different trigger factors. Common triggers include stress, infections especially strep throat, and winter weather.

Many people see their psoriasis flare during the winter or a particularly stressful time. A scratch or a bad sunburn can also trigger psoriasis. For some people, psoriasis flares about 10 to 14 days after an injury to their skin.

Some medications can trigger psoriasis, including lithium, some medications that are used for lowing blood pressure, and some medications taken to prevent malaria. When a woman gets pregnant sometimes her psoriasis may flare up or even gets better depending on each individual case.

What are the types of psoriasis?

Plaque Psoriasis
Scalp Psoriasis
Nail Psoriasis
Guttate Psoriasis
Pustular Psoriasis
Inverse Psoriasis
Erythrodermic Psoriasis

Watch the Pine Belt Dermatology Blog over the next two weeks for future discussions about the types of psoriasis and the new and currents treatments for psoriasis.

Direct any questions about your Psoriasis to our blog PBD.providers@pinebeltderm.com and I will respond to any of your concerns.

The Many Forms of Atopic Dermatitis & A Treatment Plan For It

Wed, 05 Apr 2017 17:12:56 GMT

Atopic dermatitis (AD) is more commonly known by another name – Eczema. While AD is a form of eczema, eczema has come to describe other conditions that are distinct from AD. Thus we will use the term atopic dermatitis within this article in order to specify a distinct form of eczema. AD is an extremely itchy skin disease that typically starts in early infancy. While children are commonly affected, adult and adolescent atopic dermatitis is not unheard of. Atopic Dermatitis can be associated with other skin diseases such as an acute allergic reaction to a foreign object, hives, asthma, and allergic rhinitis. It is characterized by red, scaly lesions, dry skin, pruritus, and thickening of the skin (lichenification). The prevalence of AD has increased over the years and is associated with an enormous burden on patients and families. Interestingly, the development of AD can precede the development of other allergic diseases such as asthma, food allergies, and allergic rhinitis. This has led physicians and researchers to believe that early atopic dermatitis and/or cutaneous sensitization to environmental allergens may lead to other forms of allergic diseases that irritate other epithelial tissues. Examples of other tissue systems that could later become irritated by allergens include respiratory tissue and gastrointestinal tissue. Numerous studies have been done that support the suggestion that there is an association between atopic dermatitis and allergic reactions in these other tissue groups. As mentioned previously, the condition is most common in infants, but it is not uncommon for the skin condition to be present in older children as well as adults. PBD providers wanted to further discuss the different ways that atopic dermatitis may present itself in patients of different ages (i.e. different signs & symptoms):

Infants: atopic dermatitis is most common in infants with some cases appearing as early as 2-3 months of age. This early onset of atopic dermatitis often causes:

A rash of rapid appearance. The most common locations that this rash will form is on the cheeks, face, and scalp although it can appear on other areas of the body as well. This rash is irritating to the skin because it causes it to become dry, scaly, and itchy. The rash can sometimes bubble or ooze fluid.

Often times the infant may scratch the itching by rubbing on the carpet or in their crib. In addition, the children may pinch the skin of their chest, using pain to distract themselves from the itch.

The baby may have trouble sleeping because of the rash.

If the rash is scratched, it can cause the skin in the area to become infected. While parents can’t completely prevent the baby from scratching the irritated surface, they should schedule an appointment with PBD to alieve the child of the frustrating itch.

Children: If a child develops atopic dermatitis between 2 years of age and the years they are going through puberty, they often will exhibit the following signs and symptoms:

The atopic dermatitis in patients that fall within this age group may experience a rash that starts in the creases of their knees or elbows. It is not uncommon for the rash to appear on the wrists, ankles, feet, or the crease between the buttocks and legs.

In the area where the rash appeared the skin may become scaly and itchy.

The skin with atopic dermatitis in this demographic can vary in appearance:

Can appear as small bumpy patches. Some patients describe them as looking like “permanent goose bumps”.

The area where the rash appeared can become discolored (lighten or darken).

It may become rough, thick, and/or leathery. Often times this can be the result of countless attempts to scratch the itchy spot.

If the rash occurred in an area with thick skin, knots may develop beneath the skin.

The thick skin effected by the rash may itch all of the time rather than every-so-often. The thick skin can itch even when there is no atopic dermatitis flare up.

Adults: It is rare that adults have atopic dermatitis, in fact, only around 10% of atopic dermatitis patients are over the age of 5. Nonetheless, it is a condition that can appear in adults and the symptoms associated with adult flare ups differ from those in infants and children. Signs and symptoms of adults include:

Rashes appear on the neck and in the creases of knees and elbows.
Rashes are large and can cover much of the body.
Rashes can be intense around the eyes in adults.
Skin in the area where the rashes appear can become extremely dry and can become much more scaly than in infant and child patients.
Patients may experience a non-stop itch.
May lead to skin infections in the atopic dermatitis areas.
In patients who have had a case of atopic dermatitis for a long duration of their lives, the areas where they experience flare ups can become leathery and thick due to years of scratching.

Once the diagnosis of AD has been established, patient/parent education and a strict treatment regimen must be instituted. One of the key components of any good AD care plan is treatment utilizing a technique known as wet wraps. Wet wraps have been a mainstay of therapy for decades and are an extremely effective way to improve even severe atopic dermatitis in patients of any age. The biggest hurdle that must be overcome is the amount of work and dedication that needs to be committed to make this therapy successful.

So how do wet wraps work? Immediately following application of topical prescription therapy such as topical steroids, wet dressings are applied to the skin. These can take the form of wet towels, or wet clothes. Long sleeve pajamas work fantastic. The child is allowed to play for 45-60 minutes and then the wet dressings are removed and emollients are applied. It is required that this process be repeated at least twice daily.

If performed correctly, even patients suffering from severe atopic dermatitis should demonstrate significant improvement in 3-10 days. Patients who do not show signs of improvement and who have performed the technique appropriately and consistently must be evaluated for alternate diagnoses. These include but are not limited to immune deficiency syndromes, cutaneous lymphoproliferative disorders such as mycosis fungoides, autoimmune disease, and eczema herpeticum.

A detailed care plan can be found at the end of this post. With appropriate therapy and strict patient compliance, pediatric AD patients can be managed effectively with relative ease. Those patients who do not respond will need further work-up and referral to a specialist. For further tips, visit the link below to the American Academy of Dermatology website:

https://www.aad.org/dermatology-a-to-z/diseases-and-treatments/a---d/atopic-dermatitis

Atopic Dermatitis Care Plan (Eczema)

Bathe or Shower daily in lukewarm water, for no more than 5-10 minutes, with a mild skin cleanser such as unscented Dove, Cetaphil, CeraVe, Purpose, Eucerin Gentle Hydrating Cleanser, Aveeno non-soap cleanser, or Oil-of-Olay Complete Unscented soap-free cleanser. Immediately after getting out of water PAT, do not RUB, dry with a soft towel.

Shampoo scalp __________ TIMES PER WEEK with a mild baby shampoo. For extreme flaking, use T-Sal or Head and Shoulders (dark blue bottle) or Selsun Blue or Nizoral shampoo. Leave on 5-10 minutes then rinse well.

Apply a thin film of topical prescription medication TWICE A DAY to the AFFECTED AREAS: (RED, ROUGH, RAISED, DRY AREAS ONLY) for 2 weeks then stop for 2 weeks.

Hydrocortisone 2.5% Lotion / Ointment Triamcinolone Cream / Ointment

Cutivate Lotion / Ointment Derma-Smoothe Oil

Elocon Cream / Ointment Topicort Cream / Ointment

Locoid Lipocream / Lotion Desonide Cream / Ointment

Betamethason Valerate Cream / Ointment Other Steroid: _______________

Protopic Elidel

Apply moisturizer to the entire body immediately after the topical Rx medications, and frequently throughout the day. For infants, applying moisturizers all over with every diaper change is appropriate. Vaseline is the best and the cheapest. Never apply moisturizers immediately before or after a medication application as this can decrease the effectiveness of the medication.

Ointments: Petroleum Jelly, Vaseline, Aquaphor Healing Ointment, A&D Ointment

Thick CREAMS: Cetaphil (in 1lb jar), CeraVe, Eucerin Eczema, Cetaphil Restoraderm, Aveeno Eczema Care, and Creamy Vaseline.

Antihistamines are used to decrease the itching, which helps in the overall eczema process. The dose can be adjusted up or down depending on the response. Not all patients need to use antihistamines.

Recommended: NONE Other: ____________________

Topical antibiotics may be needed if there are many cracks in the skin. This helps treat, or prevent, a secondary infection as well as help in the healing process.

Recommended: NONE Other: ____________________

Cosmeceutical Facts & Your Skin

Tue, 04 Apr 2017 17:16:16 GMT

Cosmetics are used to color and adorn the body in a stylish fashion while cosmeceuticals are non-prescription products which are intended to improve your skins appearance from a functional standpoint. These product categories are not regulated, thus the actual skin care benefits must be separated from the marketing hype. A topical over-the-counter product cannot deliver the results obtained from a prescription product or a cosmetic procedure purchased at a dermatologist.

Category: Skin care product

Purpose: Maintain healthy skin

Examples: Cleanser, soap, moisturizer, astringent, antiperspirant, bubble bath and body wash

Category: Cosmetic

Purpose: Beautify, and adorn the skin, hair, or nails

Examples: Foundation, mascara, lipstick, nail polish and hair dye

Category: Cosmeceutical

Purpose: Improves the skin’s appearance by providing ingredients necessary for healthy skin.

Examples: Non-prescription anti-aging products (and any other product applied to the skin that contains one or more ingredient said to improve the skin’s function)

COLORED FACIAL COSMETICS

It is important to select make-up carefully since it remains in contact with the skin for a long time. Ideally, make-up should be hypoallergenic, non-comedogenic, -

Meaning it produces fewer allergies and will not plug pores or cause acne> Look for cosmetics with sunscreen, which will help prevent skin cancer and wrinkles.

SKIN CARE PRODUCTS

Of these, cleansers and moisturizers are the most important in preventing dry skin, a common dermatologic condition. The dryness cause cracks, and fine wrinkles in the skin, which decreases its effectiveness as a barrier, and can cause pain and itching.

Soaps, detergents, bath or shower gels, and bubble baths remove dirt, body oils, and bacteria for the skins surface. They prevent odor and infection, but heavy use of the products or certain specific brands can over dry the skin causing flaking, itching, and irritation and this may lead to the development of a dermatitis. People with dry skin should choose a mild cleanser, bathe or shower with cool water, minimize water contact, and apply a moisturizer, immediately after bathing while the skin is slightly wet.

There are several different varieties of soaps. Deodorant soaps that contain an antibacterial agent to eliminate odors may be much more drying to your skin. The use of a non -fragranced beauty-bar soap are generally less drying and irritating.

Moisturizers prevent water loss by layering an oily substance over the skin to keep water in, or by attracting water to the outer skin layer from inner skin layer. Substances that prevent water loss include petrolatum, mineral oil, lanolin, and dimethicone. Substances that attract water to the skin include glycerin, propylene glycol, proteins, urea, and some vitamins. Moisturizers can prevent dry skin and minimize the appearance of wrinkles related to dry skin.

CATEGORIES OF COSMECUTICALS

Cosmeceuticals are products that may improve the functioning of the skin and be helpful in preventing premature aging, Let discuss some examples.

HYDROXY ACIDS

Hydroxy acids are ingredients designed to remove the outer dead skin cells through a process known as exfoliation. The removal occurs through a disruption of the bonds between the cells which occur naturally in youth, but slow down with advancing age. Too many retained dead cells leave the skin rough, dry and sallow appearing.

Commonly used hydroxyl acids include glycolic acid and salicylic acid. Some people refer to these acids as “fruit acids”. These classes of hydroxyl acids increase skin exfoliation, making aging skin appear smoother and softer. Hydroxy acids can be added to daily use moisturizers or incorporated into topical solutions used in dermatologists’ offices, such as chemical peels.

It is important to understand that hydroxyl acids act mostly on the most outer layer of your skin known as the epidermis which is like the “roof on your house”.

RETINOIDS

Retinoids are a family of vitamin A chemicals found in foods and also chemically synthesized in a laboratory. Vitamin A is important to both skin and eye health and should be consumed on a daily basis. Fruits and vegetables that are yellow, orange or red in color are rich sources of vitamin A since these colors are created by the presence of vitamin A. Examples include citrus fruits, carrots, tomatoes, pumpkin and yellow squash.

Topical formulations of Vitamin A can be applied directly to the skin, causing skin cells to grow and die more rapidly, thereby increasing the turnover of cells. This is best accomplished by a synthetic form of Vitamin A, known as tretinoin which is only available by prescription in the United States. You may know this topical preparation as Retin-A Cream.

There are less potent cosmeceutical forms of Vitamin A that are available over the counted include retinol, retinaldehyde, retinyl palmitate, and retinyl propionate.

Both the prescription and over –the-counter Vitamin A may cause skin irritation, dryness, and peeling, so it is important to carefully follow the directions for use supplied with these products.

It is my belief that the prescription products are much more effective in the treatment of anti-aging. The retinoids primary action is on the deep layer of your skin know as the dermis. Think of the dermis as “the foundation of your house”. If you fix the roof and do nothing to the foundation the house will lose strength and then collapse hence you develop a wrinkle.

BOTANICALS

Some of the most interesting cosmeceuticals come from plants and are called botanicals. Roots, fruits, seeds, beans, leaves, and twigs are used to make botanicals.

What is important to understand is that many botanical extracts used in cosmeceutical preparations contain antioxidants, which are substances that prevent energetic oxygen molecules created by ultraviolet (UV) radiation from damaging living things on earth. Antioxidants help protect plants and humans.

The main antioxidants used for protection by the human body are vitamins C and E.

These vitamins must be orally consumed daily for optimum health, which is why eating fresh fruits and vegetables is so important for healthy skin. Some believe that antioxidants also might be helpful if applied to the surface of the skin. Antioxidants added to cosmeceuticals include green tea, pomegranate juice, chamomile flowers, coffee berry, and licorice root extract. These botanical antioxidants are typically placed in moisturizers, and sometimes in combination with a sunscreen.

SUNSCREENS

Dermatologists recognize that one of the most potent cosmeceuticals on the market today to prevent and reverse the signs of aging is a sunscreen.

Sunscreens help prevent photo-aging and photo-carcinogenesis (cancer caused from the sun).

Sunscreens should be one of the cornerstones of any skin care regimen.

In my practice when I consult with a patient in regards to a specific photo-aging skin care program it must be individualized for each patient. It is unfortunate that many patients attempt to self-treat themselves with a number of over-the-counter cosmeceuticals and have purchased a number of duplicate products and waste a lot of money on expensive products that they do not need and therefore they get marginal or unsatisfactory results.

I tell my patients that the most cost effective way to begin a photo-aging program is to have it coordinated and prescribed by your dermatologist

CareCredit- A different way to finance your health

Fri, 31 Mar 2017 16:13:11 GMT

Pine Belt Dermatology & Skin Cancer Center accepts all insurances. However, there are times that an insurance company may not cover as much as a patient needs, or times when a patient is purchasing our cosmetic services (most of which are not covered by insurances). Regardless of the reason, or the amount that a service costs, there is an avenue available for patients to still purchase our health services without having to worry about bearing the full burden of out-of-pocket payments. PBD is a provider retailer for CareCredit, and you can apply for it in our clinics or through our website. For thirty years, CareCredit has helped patients pay for out-of-pocket health expenses. This service can be used as many times as deemed necessary by the patients to help them manage their health expenditures that may not be covered by insurances. Simply put, CareCredit is essentially a healthcare credit card that patients can use for health services whenever they don’t have the cash to front service payments (fun fact: it can be used for dental & veterinarian expenditures as well). While the service comes in the form of a credit card, it offers special financing options that are not available through traditional credit card vendors.

Quick Facts:

Short Term Financing:

No interest if paid within 6, 12, 18, or 24 months (this depends on the promotional period).
Purchases $200 or more qualify.
Long Term Financing:
CareCredit does offer extensions for longer term healthcare financing (24, 36, 48, and 60 months).
Purchases for $1,000 qualify for 24, 36, and 48 services.
Purchases $2,500 or more qualify for the 60 month service.

PBD encourages patients to utilize this service if they’re self-payers or if their insurance requires them to pay a large co-payment or deductible. PBD’s philosophy is centered on personalized and quality care for each patient, and often times what is perceived as “quality” hinges, in part, on affordability. In an effort to make our services more affordable for our patients we became a CareCredit provider.

For more detailed information about CareCredit, please visit: https://www.carecredit.com/howcarecreditworks/prospective-cardholders/

To apply for care credit through PBD, please visit: https://etail.mysynchrony.com/eapply/eapply.action

Vitamin D & Your Skin - A Dermatologist's Perspective

Mon, 27 Mar 2017 16:10:24 GMT

BENEFITS OF VITAMIN D

Our bodies need Vitamin D to build strong, healthy bones. Vitamin D helps the body absorb the calcium that our bodies require.

Without Vitamin D, bone disease can develop. A child can get rickets, which causes soft, deformed bones . Adults can develop a condition called osteomalacia, which also causes soft bones.

Anyone can develop osteoporosis. This disease causes your bones to thin and increases the risk of a fracture.

The results from many research studies suggest that Vitamin D might also protect us from other diseases, including high blood pressure, heart disease, and some types of cancer. While the evidence has grown regarding Vitamin D’s beneficial effects, researchers continue to study how Vitamin D keeps us healthy.

HOW MUCH VITAMIN D DO YOU NEED

To keep our bones healthy, we need a minimum daily dose of Vitamin D. The following table shows the recommended daily dietary allowance (RDA) for Vitamin D.

AGE RDA

0 - 12 months 400 International Units (IU)
1 – 70 years 600 International Units (IU)
71 + years 800 International Units (IU)
Women who are pregnant or breastfeeding do not need additional
Vitamin D. Men and woman require the same amount of vitamin.

Unless your physician tells you to take more Vitamin D because you have a certain medical condition that requires you do do so keep the following in mind.

While you may be tempted to take larger doses of vitamin D, more is not always better. A review of more than 1,000 research papers on

Vitamin D found that high amounts of Vitamin D could be harmful.

Our bodies store the Vitamin D that we cannot use. Over time , this Vitamin D can build up and cause problems with the normal functioning of our body. Toxic effects of Vitamin D can lead to high blood pressure and even kidney disease.

HOW TO GET VITAMIN D

I recommend that my patients get Vitamin D from the following sources:

Foods naturally rich in Vitamin D
Foods and beverages fortified with Vitamin D
Vitamin D supplements

There are three Vitamin D superfoods:

Salmon (especially wild caught)
Mackerel (wild caught)
Mushrooms exposed to ultraviolet light to increase their content of Vitamin D (not hot house grown)

The Top 10 Foods Highest in Vitamin D

Cod Liver Oil
Fish
Fortified Cereals (sugar free)
Oysters
Caviar (Black and Red)
Fortifies Soy Products (Tofu and Soy Milk)
Salami, Ham, and Sausage
Fortified Dairy Products
Eggs
Mushrooms

If you are like many people, you may not be getting your recommended dietary allowance of Vitamin D. You may want to change the foods that you eat or take a Vitamin D supplement.

Before you start taking a Vitamin D supplement, talk with your doctor because Vitamin D can react with some medicines, causing possible side effects. Taking certain medicines may increase the amount of Vitamin D you need.

THE RISKS OF GETTING VITAMIN D FROM THE SUN

Vitamin D is produced in your skin by Ultraviolet light, but the amount is highly variable and depends on many factors. Oral Vitamin D provides a reliable, effective and safe means of obtaining this Vitamin.

Vitamin D’s nickname is “the sunshine vitamin” because our bodies make Vitamin D when the sun’s rays hit our bare skin. Getting Vitamin D from the sun or tanning beds, however, increases your risk of developing:

Skin cancers, including melanoma, which can be deadly if not treated early.

Premature aging of your skin (wrinkles, age spots and blotchy complexion).

A weekend immune system.

For these reasons, dermatologists including myself recommend that our patients get Vitamin D safely from foods, beverages, and supplements. Dermatologists also recommend that you protect your skin for excessive sun exposure and avoid tanning beds as a means of increasing you Vitamin D levels.

TESTING FOR VITAMIN D

A blood test can tell you whether you are getting enough Vitamin D.

This test measures a compound in your blood called 25-hydroxy-Vitamin D.

When you see the test results from your blood test, your Vitamin D level will be given in nanograms per milliliter (ng/mL) or nanomoles per liter (nmol/L). For most people , a healthy level falls between 20 an 49 ng/mL (50 to 124 nmol/L), If your level is lower, you should talk with your doctor about additional supplementation of Vitamin D.

This article is only meant to be an introduction to the Vitamin D story as we know it today.

If any of my readers have any specific questions regarding Vitamin D and their skin you can address them to one of our providers or one of our nurses at: pbd.providers@pinebeltderm.com ; petal.nurse@pinebeltderm.com ; or hattiesburg.nurse@pinebeltderm.com .

Eye Circles

Mon, 27 Mar 2017 16:04:58 GMT

Dark circles under the eyes are a common problem, but their cause may not be so simple. Before choosing a treatment option, it is important to establish what may be the foundation of the discoloration. In many cases, the reason may be due to several factors.

In younger patients, common causes include seasonal allergies, lack of sleep and genetics. Genetics and seasonal allergies often run hand in hand. Many patients are born predisposed to allergic reactions and some of these patients have a condition known as atopy. Patients with atopy have a somewhat over active response to common allergens. This predisposes them to itchy eyes, runny nose, and skin problems like eczema. The more your eyes itch, the more you will rub them. The more you rub them, the more the skin will respond. The response is typically darkening and sometimes thickening of the surface of the skin. Thus, patients with a tendency towards atopy must control the itch scratch cycle in order to prevent this response. Some people inherit their dark circles. Darker skin around the eyes can run in families and may not be the result of any outside influence.

Skin of color is particularly susceptible to unwanted darkening. Even the slightest irritation, be it mechanical, allergic, or otherwise, can lead to the deposition of extra pigment. This process is known as post-inflammatory hyperpigmentation and can be treated medically if desired. Sun exposure can also lead to unwanted darkening.

With regard to sleep, lack of sleep can lead to the appearance of a temporary darkening of the skin. This is not a direct effect, but a result of lack of sleep on the appearance of the surrounding skin of the face. This effect is typically transient, but may worsen with time. How you sleep is just as important. Positioning yourself to avoid eyelid swelling is very important. Mild elevation of the head utilizing an ergonomic approach, such as a wedge under the mattress, can help with this.

The normal aging process contributes significantly to dark circles around the eyes. Redundant skin accumulates and gives the look of dark circles. Simply stretching the skin often lightens the appearance and is a simple test to see if extra skin is a cause of your dark circles. In addition to extra skin, thinning of the skin around the eyes can make the underlying vessels more apparent and thus lead to the appearance of darkening. Loss of fat in the fat pad that sits just below the skin of the lower eyelid can create the appearance of sunken eyes, creating a shadow that makes the skin look darker.

Treatment of dark circles under the eyes involves identifying the cause. As stated above, this may be a single insult, or multifactorial. Your doctor can help identify the likely causes and you can do some detective work and observation yourself. Once these triggers have been identified, a treatment plan can be developed. This can range from simple medical management, to surgical treatment involving chemical peels, lasers or surgical removal of the redundant skin.

Taming the Wolf

Wed, 15 Mar 2017 16:02:53 GMT

Lupus is an extremely tricky disease to diagnose because it can often times be confused with a myriad of other conditions. In fact, when it was first discovered in the thirteenth century, the lesions on the face of patients resembled that of patients who had been bitten by a wolf. Hence the condition was branded the name “lupus” (Latin for wolf). Presently, just as it perplexed physicians who treated the condition centuries ago, it is still often difficult to diagnose despite our more advanced understanding of the disease. Providers at Pine Belt Dermatology & Skin Cancer Center can assist in determining whether or not you have Lupus. This blog is intended to be an overview of the disease and how we may be able to play a vital role in catching the disease and maintaining it.

Lupus is a chronic auto immune disease that can cause your body to attack a number of organ systems such as the skin, brain, heart, lungs, joints, kidneys, and blood cells. As previously mentioned, Lupus is a difficult disease to diagnose because it mimics a vast number of other conditions. Dermatology plays a pivotal role in diagnosing Lupus because the most distinctive symptom of Lupus is the butterfly rash. This is a facial rash that spreads across the nose and cheeks in the shape of a butterfly. When Lupus affects the skin, it often causes rashes or sores. Depending on the type of Lupus, these rashes and sores can vary. Some Lupus rashes can damage the blood vessels near the surface of the skin and these damages can become visible. Another condition that can occur is a phenomenon called “Raynaud’s phenomenon”. This condition restricts blood flow which causes the tips of the fingers or toes to turn white, red, or even blue in response to cold weather or stress. In some cases, patients with this condition can also experience numbness, tingling, or pain when in cold weather or under stress. Lupus can also cause hair loss in some patients. This condition is called “lupus hair” and it often occurs in patients who have systemic lupus erythematosus (SLE), which is the most common type of Lupus. In many cases, when the Lupus flare subsides the hair will start to grow back. Patients who have discoid lupus erythematosus (DLE), which is a type of lupus that primarily affects the skin, can sometimes experience permanent hair loss from the flare ups. When the rash appears on the scalp it can cause the scalp to scar once it heals and when that happens it will result in permanent hair loss. Other features in the skin that can indicate Lupus include:

Sores in the mouth or nose.
Knots and sores, especially on the lower legs.
Blue/purplish lacelike pattern on the skin that is usually on the legs.
Flare-ups that can look like sunburn (or Rosacea).
Reddish-purple spots or bumps that appear on the lower legs.
A rash that spreads across the back.
Thick and scaly patches of skin on the face.

Lupus affecting the skin is termed cutaneous Lupus. Most individuals who have this variation of Lupus only experience the symptoms affecting the skin. Of course, each case is different and so it is vital to see one of our providers to rule out other possible conditions. Some suspected cases of cutaneous Lupus may turn out to just be severely inflamed skin allergies or cases of rosacea. However, if the diagnosis is in fact cutaneous Lupus our providers can help with an effective prognosis. One of the many associated risks with having Lupus is an increased risk in developing skin cancer. This happens because of the weakened immune system. Patients who have discoid Lupus have an even greater risk of developing squamous cell carcinoma. If you have Lupus, make sure to consult with one of Pine Belt Dermatology’s providers so that we can:

Develop an effective treatment plan for your skin.
Find out whether or not the lupus is affecting your other organ systems.
Provide guidance on skin care products that are less likely to irritate the Lupus rashes.
Give tips on how to camouflage Lupus.
Help develop skin protection that works best for your condition.
Perform skin screenings to check for signs of skin cancer.
Tips to Help Reduce Flare-Ups:

Protect your skin from the sun

Use SPF 50

Avoid tanning (indoor and outdoor)

These habits can make Lupus much worse, and in extreme cases can lead to organ failure among Lupus patients.

If you smoke, quit

It has been well documented that smoking causes Lupus to worsen. It can also hinder medications taken to treat lupus rashes.

Before taking a medicine, ask whether or not it can cause sun sensitivity

Fit these tips into your lifestyle. They can help you avoid serious side effects from the disease such as long-term skin problems and kidney problems. If you have been diagnosed, and you follow these management tips, they can reduce your reliance on medicine to treat your condition.

The Different Types of Lupus:

Lupus panniculitis: a rash with a firm, deep, and painful growths that can infiltrate the body fat below the skin. The inflammation form this variation of Lupus will often destroy the fat cells beneath the skin. Consequently, there may be recessed and deep scarring.

Discoid Lupus: can appear as thick and scaly patches that can appear anywhere on the head (face, ears, lips, or scalp). Discoid lupus can also appear in the mouth. If this occurs, it is essential to have skin cancer screenings often. In most cases it is recommended that this screenings be done lifelong.

Subacute cutaneous Lupus: this condition can cause some people to develop a red and scaly rash that can appear on either the neck, upper back, chest, or all. The rash can sometimes form a rash that appears to be in a ring-like or bubble-like pattern. For patients that have this condition, the skin can be extremely sensitive to light. So much so that sunlight and florescent light can cause flare ups.

Acute cutaneous Lupus: this is usually characterized by the butterfly rash previously discussed, that can last for multiple days at a time.

Lupus tumidus: this Lupus rash can develop in patients who find their skin is extremely sensitive to light, specifically sunlight. The rash that ensues this reaction can appear raised and smooth.

Drug-induced Lupus: this kind of Lupus is a reaction to a certain drug that the patient may be on. This type of Lupus will typically go away once the offending drug is no longer being consumed.

So what may happen once Lupus rashes clear? The outcomes vary on a case by case basis, but some common results are spots on the skin (dark or light) and scars where the rashes once were. If either of these occur, schedule an appointment with PBD. We might be able to alleviate unwanted side effects from the disease. While there is currently no cure for Lupus, most patients are able to lead productive and healthy lives. Treatments can clear the skin and reduce the irritating symptoms so that you too may live a comfortable and active life. That is why it is so important to be sure to visit one of our clinics! For information regarding the locations and hours of operation scroll down below this page or call one of clinics (601-336-5626 for Petal or 475-9968 for Hattiesburg).

Start An Online Dermatology Visit With PBD Now!

"C" is for Chemical Peel

Tue, 14 Mar 2017 16:00:26 GMT

If I were to mention anti-aging services, what would be the first thing that came to mind? Most people think of Botox, fillers, or laser treatments when they hear a provider mention cosmetic dermatology services. These are some of the more popular therapies, but there is another option available that is less invasive and more frugal. Chemexfoliation (aka Chemical/derma peeling) is a more gentle option that is available for patients looking to get rid of age lines. Chemical peels can minimize and diminish the evidence of age on the face, chest, neck, and hands. You may have heard of chemical peels, but associated them with treating other skin conditions. This is because a chemical peel is used to treat various cases of acne and pigmentation issues, but also diminishes many signs of aging.

Patients that receive a chemical peel can expect to see:

Fewer lines, dimples, and wrinkles.
Even skin tone and skin color.
A more voluptuous and bright skin complexion.
Smooth skin

Whether or not a patient receives a chemical peel for cosmetic reasons they can still expect to see these kinds of results in their skin. As mentioned above, dermatologists utilize these peels for a variety of skin therapies other than that of anti-aging. Patients of all skin types and skin colors can utilize this service. If you or a family member has any of the following skin conditions, you may also be interested in utilizing this treatment:

Age spots
Pigmentation/Discoloration (uneven tone or blotchy complexion)
Dull skin complexion
Fine facial lines
Acne
Freckles
Melisma
Sun-damaged skin
Rough and bumpy skin

A positive result from using a chemical peel is contingent largely on the skill and knowledge of the person performing the facial peel. Providers at Pine Belt Dermatology & Skin Cancer Centers have practical in-depth knowledge of the skin and how the procedure may effect different patients. To protect your health and to ensure you get the results you are looking for, be sure to see one of our providers. Prior to getting a chemical peel, there is usually a required consultation before a peel can be done. You can take solace in the fact that dermatologists have been utilizing chemical peels for over half a century with an excellent safety record. However, in order to maintain the highest quality care that Pine Belt Dermatology & Skin Cancer Center can offer, we highly recommend that you be able to provide detailed information about your skins medical history.

Information to inform us about on your consultation visit:

If you are taking or have ever taken isotretinoin, a medicine prescribed for severe acne.
All other medicines you take — or have recently taken. Be sure your dermatologist knows about antibiotics, acne medicines, and medicines that you buy without a prescription, such as aspirin.
If you frequently get cold sores or have had cold sores in the past.
If your skin scars easily.
All herbs, vitamins, and minerals you take. Even if you haven’t taken these for a while, be sure to mention them.
All surgeries and cosmetic treatments you have had. While some patients feel embarrassed talking about this, the information you share can make a difference in the results you see. Don’t omit anything — even if it seems unimportant.

Chemical peels offered by PBD:

Vitalize Peel: this peel is one of the more popular ones available. This is due in large part because it is a much more gentle cosmetic therapy and much less invasive than cosmetic procedures such as Botox or Facelifts. While it is not a deep penetrating peel, it does dramatically improve the skin texture, reduce acne and other blemishes, and will reduce the evidence of age. Patients who want to do away with blemishes or age lines, but do not want to spend the money on more invasive procedures would benefit tremendously from this chemical peel.

Rejuvenize Peel: this peel is a deeper penetrating peel than the Vitalize It is ideal for radical exfoliation but requires little down time in comparison to other therapies. It produces longer lasting results because it seeps deep into the top layer of skin and causes it to flake away to bring about the healthier and brighter layer of skin. Other peels are best utilized for minor blemishes and aging lines, whereas this particular one is used for more stubborn wrinkles and blemishes. Some of the mild peels must be done once a month, however, the Rejuvenize peel can be done at 8 week intervals.

These chemical peels can be an excellent alternative to Botox & fillers. To schedule an appointment or find out more about our services, please call one of our locations (Hattiesburg, Petal, and Collins) or schedule with us online. For more information about our practice and services offered please visit: http://www.pinebeltderm.com/#services

Infantile Hemangiomas and Therapies Offered at PBD

Tue, 07 Mar 2017 16:57:54 GMT

There are two major types of vascular abnormalities that occur in newborns – vascular tumors and vascular malformations. What distinguishes these abnormalities is their ability to proliferate and grow. While vascular tumors do proliferate, either for a limited period of time or forever, vascular malformations do not typically grow. If they do grow it is a very slow process.

There are several different types of vascular tumors. These include but are not limited to infantile hemangiomas (these will be discussed herein), congenital hemangiomas (NICH, RICH, PICH), tufted hemangiomas, and pyogenic granulomas.

Infantile hemangiomas are benign vascular tumors that occur at a rate of around 4-7%. These lesions usually begin to develop around the first week of life and often there is an area of abnormal skin known as a promontory mark that is apparent before the lesion grows. This mark can look like a bruise, an area of redness and small blood vessels or simply an area of pale skin.

Risk factors for developing infantile hemangiomas include female gender, twins, fair skin and low birth weight. There are several presentations of hemangiomas that may raise concern. These include hemangiomas greater than 20 square centimeters in size, multiple lesions (greater than 5), hemangiomas that that involve regional or segmental areas of the body such as large areas of the face or back, hemangiomas associated with a sacral dimple, and lesions that press on important structures such as the eye or airway.

As a type of vascular tumor, infantile hemangiomas tend to grow. The majority of the growth occurs before 12 weeks of age with rapid growth occurring at 5-7 weeks. Growth usually slows at this point and often stops by 6 months. The larger and deeper the lesion is, the longer it may grow. Ulceration can occur in certain lesions. With time, infantile hemangiomas typically regress, some completely and some partially. The end result varies from obvious skin changes to nearly complete clearance. It has been noted that an almost perfect cosmetic result is achieved when lesions resolve by age 6. On average, infantile hemangiomas will decrease in size an estimated 10% each year over the first decade of life.

Depending on the presentation, a further workup may be needed to evaluate the hemangioma to determine if abnormalities of other organ systems are involved and to determine if systemic therapy is warranted. This workup may include MRI/MRA, echocardiogram, and evaluation by ophthalmology or gastroenterology.

Early management is key when dealing with infantile hemangiomas. The earlier therapy is initiated, the better the outcome. There are several management and treatment options for these lesions. Treatment options include topical treatment with beta-blockers, steroids or immunomodulators. The use of steroid injections can be effective in certain locations. Pulsed dye laser treatment can be very effective for ulcerated lesions or lesions that do not completely resolve. Oral beta-blocker therapy with oral propranolol has proven to be one of the most effective treatments for these lesions. Systemic steroids are still used and are effective as well. Due to numerous side effects, the use of medications such as interferon or chemotherapeutic agents has dropped significantly since the advent of propranolol therapy.

PBD offers the pulsed dye laser as a potential therapy for this condition. The pulsed dye laser is an effective tool for treating infantile hemangiomas. Studies have demonstrated that 80-90% of lesions treated with pulsed dye laser therapy regressed significantly following treatment. Treatment consists of the application of a topical anesthetic approximately 30-60 minutes prior to treatment. Eye protection is utilized and the laser is applied to the skin using a special hand piece. Once complete cool packs are applied to the skin to soothe the area. Redness swelling and bruising are expected side effects of the treatment. For more information or to schedule a consultation please contact one of our providers here at Pine Belt Dermatology & Skin cancer Center.

Skin Conditions That Can Indicate Diabetes

Thu, 02 Mar 2017 16:53:58 GMT

You can discover a lot about a person's health based on the health of their skin. There are many ways in which medical conditions can be recognized by the behavior of skin. For example, a yellowish tint to the skin or eyes (jaundice) may indicate a problem associated with the liver; and certain rashes may be symptoms of cutaneous lymphoma or lupus. Another condition that can be diagnosed, or at least recognized, through skin behaviors is diabetes. The prevalence of diabetes in the United States has increased exponentially over the past two decades. In 1994, 5.5% of the country had diabetes and since then that percentage has nearly doubled. Today more than 29 million Americans have diabetes and nearly 100 million more have prediabetes conditions. Over a quarter of senior citizens have diabetes. Mississippi has the highest prevalence of citizens with diabetes with around 15% of the population having the disease. Below I will discuss warning signs that are exhibited by the skin that could indicate a person has or is at risk of developing diabetes. If you notice any of the following signs on yourself or a loved one it is highly recommended that you make an appointment with a Pine Belt Dermatology provider. Skin conditions that appear minor can be catalyzed by diabetes, so don't wait to contact us or your primary care provider.

Warning Signs:

Yellow, reddish, or brown patch on the skin.

These patches can often begin as small raised solid bumps that look like pimples. However, unlike pimples, as they progress, these bumps turn into patches of swollen and hard skin. The patches can be yellow, reddish, or brown. You may also notice: the surrounding skin has a shiny porcelain-like appearance; blood vessels are visible; the patches are irritable and painful; lastly, the skin condition goes through cycles where it is active, inactive, and then active again. This condition is known as necrobiosis lipodica.

Suggested Actions:

If you have never been tested for diabetes, do so!

Consult with your physician to explore ways to better control your disease.

See one of our PBD providers to prevent this skin condition from resulting in further complications.

Darker areas of the skin feel like velvet.

A dark patch (or band) of velvety skin on the back of your neck, armpit, groin, or elsewhere could mean that you have too much insulin in your blood. This condition is known as acanthosis nigricans, and it is often an early warning that a person has developed prediabetes.

Suggested Actions:

Get tested for diabetes as soon as you can.
Be on the lookout for other signs of diabetes.
Hard & thickening skin.

The medical condition for this is sclerosis. On the hands, you’ll notice tight, waxy skin on the backs of your hands. The fingers can become stiff and difficult to move. If diabetes has been poorly controlled for years, it can feel like you have pebbles in your fingertips. Hard, thick, and swollen-looking skin can spread, appearing on the forearms and upper arms. It can also develop on the upper back, shoulders, and neck. Sometimes, the thickening skin spreads to the face, shoulders, and chest. In rare cases, the skin over the knees, ankles, or elbows also thickens, making it difficult to straighten your leg, point your foot, or bend your arm. Wherever it appears, the thickened skin often has the texture of an orange peel. This skin problem usually develops in people who have complications due to diabetes or diabetes that is difficult to treat.

Suggested Actions:

Getting better control of your disease can help bring relief to the condition. Notify your doctor about the condition.
You may also need physical therapy. When the thickening skin develops on a finger, toe, or other area with joints, physical therapy can help you keep your ability to bend and straighten the joint.
Blisters.
It’s rare, but people with diabetes can see blisters suddenly appear on their skin. You may see a large blister, a group of blisters, or both. The blisters tend to form on the hands, feet, legs, or forearms and look like the blisters that appear after a serious burn. Unlike the blisters that develop after a burn, these blisters are not painful.

Suggested Actions:

Notify your doctor about the blisters.
Work with your doctor to get better control of your disease
Skin Infections.

People who have diabetes tend to get skin infections. If you have a skin infection, you’ll notice one or more of the following: hot swollen skin that is painful; itchy rash and sometimes tiny blisters, dry scaly skin, or a white discharge that looks like cottage cheese. A skin infection can occur on any area of your body, including between your toes, around one or more of your nails, and on your scalp.

Suggested Action:

Get treatment for the infected area as soon as you can.
Tell your doctor if you have frequent skin infections. You could have undiagnosed diabetes.
If you’ve been diagnosed with diabetes, you may need better control of it.
Open wounds & sores.
Having high blood sugar (glucose) for a long time can lead to poor circulation and nerve damage. You may have developed these if you’ve had uncontrolled (or poorly controlled) diabetes for a long time. Poor circulation and nerve damage can make it hard for your body to heal wounds. This is especially true on the feet. These open wounds are called diabetic ulcers.

Suggested Actions:

Get immediate medical care for an open sore or wound.

Work with your doctor to better control your diabetes.

Shin spots.

This skin condition causes spots (and sometimes lines) that create a barely noticeable depression in the skin. It’s common in people who have diabetes. The medical name is diabetic dermopathy (der-mop-ah-thē). It usually forms on the shins. In rare cases, you’ll see it on the arms, thighs, trunk, or other areas of the body. The spots are often brown and cause no symptoms. For these reasons, many people mistake them for age spots. Unlike age spots, these spots and lines usually start to fade after 18 to 24 months. Diabetic dermopathy can also stay on the skin indefinitely.

Suggested Actions:

Tell your doctor about these spots.

Work with your doctor to better control your diabetes.

If you haven’t been diagnosed with diabetes, get tested.

Small reddish-yellow bumps appear in an outbreak.

When these bumps appear, they often look like pimples. Unlike pimples, they soon develop a yellowish color. You’ll usually find these bumps on the buttocks, thighs, crooks of the elbows, or backs of the knees. They can form anywhere though. No matter where they form, they are usually tender and itchy. The medical name for this skin condition is eruptive xanthomatosis.

Suggested Actions:

Tell your doctor about the bumps because this skin condition appears when you have uncontrolled diabetes.
Talk with your doctor about how to better control your diabetes.
Raised bumps that appear red or skin color.

Whether this skin condition is associated with diabetes is controversial. We know that most people who have granuloma annulare do not have diabetes. For more on that condition see Dr. Roy's blog discussing the condition. Several studies, however, have found this skin condition in patients who have diabetes. One such study found that people with diabetes were most likely to have granuloma annulare over large areas of skin and that the bumps came and went. Another study concluded that people who have granuloma annulare that comes and goes should be tested for diabetes.

Suggested Actions:

Let your doctor know if you have bumps like those shown above, especially if the bumps come and go.
Get tested for diabetes.
Dry and itchy skin.
If you have diabetes, you’re more likely to have dry skin. High blood sugar (glucose) can cause this. If you have a skin infection or poor circulation, these could also contribute to dry, itchy skin.
Suggested Action:
Tell your doctor about your extremely dry skin. Gaining better control of diabetes can reduce dryness.
If you continue to have dry skin after you gain better control of your diabetes, a dermatologist can help.
Scaly patches around the eyelids that are yellowish.

These develop when you have high fat levels in your blood. It can also be a sign that your diabetes is poorly controlled. The medical name for this condition is xanthelasma.

Suggested Action:

Tell your doctor about the yellowish scaly patches around your eyes.
Talk with your doctor about how to better control your diabetes. Controlling diabetes can clear the scaly patches.
Appearance of skin tags.
Many people have skin tags — skin growths that hang from a stalk. While harmless, having numerous skin tags may be a sign that you have too much insulin in your blood or type 2 diabetes.

Suggested Action:

Ask your doctor if you should get tested for diabetes.
If you have diabetes, ask your doctor if you need better control of it.

Got Ink?

Tue, 21 Feb 2017 16:49:53 GMT

Thinking About Getting a Tattoo or Need a Tattoo Removal?

From 2010 to 2015, the tattoo industry grew exponentially. In 2015 the Federal Drug Administration estimated that nearly 45 million Americans had at least one tattoo. An expansion in the variety of tattoo services that are offered by artists (i.e. invisible ink, 3D tattoos, and more detailed tattoos) has been largely responsible for this boon. The industry will only continue to grow as new technologies become readily available to the industry. Pine Belt Dermatology & Skin Cancer Centers offer tattoo removal services, but we also wanted to educate our clientele on ways in which to care for and maintain their body art! You paid good money for the artwork, so here are some ways to keep the ink looking pristine for as long as possible. Many of the suggestions that follow can be found on the American Academy of Dermatology’s website:

See a dermatologist if something looks or feels wrong: Whether your tattoo is brand new or years old, if your skin in that area is changing in any way, consult with a board-certified dermatologist as soon as possible. Your skin may be having a bad reaction to the ink, and this can even happen years later. A dermatologist can quickly diagnose what’s happening and recommend treatment. Any change or growth in your skin is something that you want to have a healthcare professional look at.

Block it from the sun’s rays: Because ultraviolet light (UV) can fade some inks (and in some cases, cause a painful skin reaction!), protect your art by applying at least an SPF 30 broad-spectrum, water resistant sunscreen. You could also use tinted sunscreen to further protect your skin and your art work – PBD sells EltaMD tinted sunscreen products. Always apply it 15 minutes before going outside, allowing the skin to absorb it, and re-apply every 2 hours.

Avoid tanning beds and sunlamps: Not only do these practices increase the chance of the ink color fading or having a bad reaction, they also increase your risk for skin cancer. You have a higher risk of developing skin cancer from tanning than a smoker’s chance of developing lung cancer. Skin cancer blemishes (or pre-skin cancer blemishes) can hide in your ink, making it more difficult to detect… So stay away from the tanning equipment!

Use the RIGHT moisturizer: Sometimes, tattooed skin can become dry – but did you know that the type of moisturizer you use can negatively affect your ink? If dry skin occurs on the tattoo area, apply a water-based lotion or cream to the tattoo; petroleum-based products can cause the ink to fade!

Get a professional to remove unwanted ink: If you no longer want a tattoo, consult with a one of our providers at Pine Belt Dermatology & Skin Cancer Center to find out your best options. Avoid self-removal kits that can be purchased online. These products are not regulated by the U.S. FDA and many contain acid that can permanently injure your skin. There is no need to risk causing skin damage, come see us and we will take care of it. Surgical removals and home remedies may or may not completely remove the tattoo, but will for sure leave terrible scarring. PBD uses a more sophisticated method of tattoo removal that is FDA approved and that will reduce the chance of scarring!

If you are considering a new tattoo:

Tattoo on an area free of moles: A tattoo covering moles can make it more difficult to see the earliest signs of skin cancer. When caught early, skin cancer (including melanoma which is the deadliest form), can be treated usually with a very good prognosis. Tattoos can make detecting other skin conditions more difficult as well, so be sure to closely monitor those areas that are covered.

Exercise caution with skin issue history: There is a significant amount of risk that one takes when getting a tattoo. Patients should be cautious about getting tattoos if they have current or a prior history (or family history) of skin diseases. Certain skin disorders like psoriasis, lichen planus, vitiligo, warts and sarcoidosis, just to name a few, can spread or erupt on tattooed skin sites.

Psoriasis May Differ in Darker Skin

Mon, 20 Feb 2017 16:48:22 GMT

Psoriasis Among African-American patients:

In January there was an article in The Dermatology Times that discussed observations in psoriasis behaviors in patients with darker skin. Pine Belt Dermatology feels that this is an important subject that the public should be aware of. The reason that we feel this is an important topic of discussion is because there are significant differences in and misconceptions about the prevalence, clinical observations, and treatment presentations of skin of color versus Caucasian psoriasis patients. Physicians are beginning to realize that psoriasis is not as rare among patients with skin of color as previously believed. "Older epidemiologic studies suggested that the prevalence of psoriasis was very low among African Americans and others of African ancestry," states Dr. Andrew Alexis, author of the article featured in The Dermatology Times. "That preconceived notion has since been refuted by more recent studies that have shown the prevalence to be much higher than previously reported". It is important to note that while these findings suggested greater prevalence among patients of African ancestry, the overall prevalence of psoriasis is still less than that of Caucasians.

Quick fact:

- In 2014, prevalence of psoriasis was 3.6% among Caucasian adults; 1.9% among African Americans; and 1.6% among Hispanics.

In a Caucasian patient, psoriasis can be easily identified because it appears as a salmon color. In skin of color, because of the darker pigmentation of the skin, it is not nearly as obvious of a diagnosis. The darker pigmentation almost masks the appearance of erythema, which is most often associated with psoriasis. Clinical studies have demonstrated that psoriasis plaques in African Americans can have a gray or violet hue to them which can, again, make a psoriasis diagnosis very difficult. Often times these plaques can be difficult to distinguish from other skin conditions that are prevalent among skin of color patients such as lichen planus, discoid lupus, sarcoidosis, or other scaly inflammatory conditions. Because of these mimickers, dermatologists are likely to need a biopsy in order to make the proper diagnosis.

There is a higher frequency of skin discoloration and alterations associated with darker skin types that have psoriasis. This can result in cultural nuances involved in the treatment process for these patients. A specific example of the nuances that these patients may face is that of African women scalp treatments. African women have different hair care practices and hair textures than that of Caucasian women. This consequently can hinder or complicate topical therapies available. Often times, scalp psoriatic treatments are based on the frequency of hair washing practices, which tend to be less in African American women than Caucasian women. Scalp therapies may involve an extra step in involving the patient in the treatment method, vehicle selection, and frequency of the application of treatment in female African ancestry patients with scalp psoriasis.

An additional nuance associated with psoriasis in patients of skin of color is the availability of biologic therapies. Due to past beliefs that psoriasis was more rare among African Americans than recently discovered that demographic only makes up around 10% of the clinical trials associated with the biologics that are used to treat psoriasis, thus limiting the data dermatologists have on those therapies and patients of color. Thankfully, this will change in the near future with the new data that is being presented regarding psoriasis prevalence among patients of color. Pine Belt Dermatology & Skin Cancer Center offers patient counseling and personalized treatments to help address these differences and to improve patient outcomes and patient experiences.

Excessive Sweat? We've Got You Covered

Fri, 17 Feb 2017 16:46:58 GMT

What Can Be Done About Debilitating Excessive Sweating?

Before with deal with the issue of debilitating sweating we must know about this condition is called medically.

Excess sweating is called hyperhidrosis. It is defined as excessive sweating beyond what is normally required to maintain consistent body temperature.

Although hyperhidrosis can occur in a number of locations on the body, including the hand and feet, one of the most common areas of complaint is the underarm Excessive sweating of the underarm is also referred to as “axillary hyperhidrosis”.

Around 17% of the population said that they sweat too much in/under their arms which cause them psychological and/or relationship issues. This means that 1 in 5 adults are impacted by excessive underarm sweat. The numbers are slightly less for the hands and feet sweating.

When questioned these people have, on average, at least 10 sweat outbreaks per week or consider themselves as excessive sweaters all the time.

In a survey commissioned by the International Hyperhidrosis Society, found 88% of those diagnosed with hyperhidrosis had endured negative social reactions from others such as disgust or mockery.

For many, this condition is a daily struggle that causes anxiety at work, embarrassment in relationships and social settings, and avoidance of leisure activities.

The impact of hyperhidrosis on those who those who suffer from this condition is as severe as, or more severe than, other more commonly recognized dermatologic diseases, such as psoriasis and severe acne. Unfortunately, many people with excessive sweating suffer in isolation and silence because they are not aware that their condition of hyperhidrosis is treatable.

Only 5% of people who feel they perspire a lot have seen a dermatologist about their condition.

When questioned 96 % of people suffering from excessive underarm sweat use some kind of treatment, and sufferers who use treatment are still experiencing excessive underarm sweat on a regular basis.

Of these:

71 % are using at least regular antiperspirant.
40 % use clinical strength antiperspirant and 6% use prescription oral medication.
60 %who are currently using treatments, other than just regular antiperspirants, are still experiencing excessive underarm sweat multiple times each day.
92 % of sufferers tend to keep their arms to their sides or avoid raising their arms in an attempt to cover up their condition.
73 % have thrown away stained clothes.
68 % have brought an extra shirt or outfit to the office or a social event.
86 % have tried to cover up their condition by applying antiperspirant multiple times a day, limiting physical contact with others, avoiding the purchase of clothes made out of certain fabrics or colors and throwing away stained clothing.

Underarm sweat is produced from eccrine glands known commonly as sweat glands located just below the surface of the skin. These glands work by secreting fluid to help cool the body.

For people with axillary hyperhidrosis, these sweat glands are overactive and frequently turn on when they should be at rest, and producing much more sweat than is needed to cool the body.

In regards to the treatment of hyperhidrosis there are not allot of permanent treatments available.

Topical preparations such as Certain-Dry Pads or topical Drysol can be applied to the skin but may only help in very mild cases. These products contain aluminum chloride which is present in many over the counter antiperspirants.

Oral forms of beta blockers such as propranolol may be used off label on a daily basis. Another oral medication is glycopyrrolate which is a better choice is an anticholerginic. Glycopyrrolate is an old antiulcer medication that I have found clinically helpful in about 20 % of my patients affected with hand, foot, or axillary hyperhidrosis or a combination of all three areas.

Botox can be used but requires multiple treatments spaced out about four to five months apart in all affected areas. It is cost prohibitive over the long run. It may be a medically covered benefit for some patients with insurance however there may be a cap on the total amount of Botox that may be covered by the patient’s medical insurance.

The only FDA approved treatment for hyperhydrosis on the market currently is called the miraDry procedure. At this time the miraDry is only indicated for the axillary type of hyperhydrosis. This procedure improves sweat reduction without the use of harsh chemicals, toxins or surgery.

The miraDry procedure uses the only quick, non-invasive microwave technology cleared by the FDA and has proven to dramatically reduce underarm sweat and provide lasting results!

The procedure is performed in the dermatologist’s office. A small amount of anesthetic is placed under the skin, then the hand piece from the miraDry System is placed on the underarm skin, and delivers a precisely controlled microwave energy to the region where the sweat glands reside to eliminate a majority of the sweat glands non-invasively. The sweat glands do not grow back once eliminated, resulting in a dramatic and lasting reduction of underarm sweat.

The treatment requires two sessions spaced out three months apart. Most patients that I have treated report a dramatic reduction of their sweat. In a recent clinical study the average sweat reduction was 82%. You should see a reduction in sweat almost immediately after treatment.

If you would like more information on the miraDry procedure you can go to their website, or check out my associate, Kristen Richardson's, blog that discusses the procedure.

Website : www.miraDry.com

Currently no one in this area of Mississippi offers the miraDry service other than PBD. We are only the second clinic in the state, I believe, that offers the procedure.