So we had a patient in her 20's come to our Beverly Hills office last week whom we had seen a few years back. Lovely face with acne scars. 2 lessons for all of us:
#1. She had received laser treatments with an older (bad) version of the right (good) laser by a board certified dermatologist (good): so with one thing wrong (older & less effective version) she didn't get great results - but she liked the price. Truth is that one dollar spent on the wrong thing is merely a gift to your doctor, not to yourself!
#2. She was told by another doctor (a plastic surgeon) that a facelift (in her 20's) was the answer because it would stretch the scars. For most plastic surgeons lasers are not their thing (medical lasers were originated by Leon Goldman,M.D. , Chairman of the Dept. of Dermatology at The University of Cincinnati) so the patient was not offered the right answers.
As Michael Jackson's brilliant Beverly Hills dermatologist (& my good friend) , Arnold Klein,M.D., was fond of saying in these situations, "when all you have as a hammer the whole world looks like a nail." At our offices : we have more than hammers: 2 doubly board certified dermatologists & 2 board certified plastic surgeons that have the wide perspective to benefit patients.
Bye bye bias!
Tuesday, March 21, 2017
Friday, September 30, 2016
Don't be shy; melanoma isn't, and finding it early could save your life. To that end, our education team has developed this helpful guide to self-screening. Follow the steps each month and pay attention to moles or spots that change shape, size or color. Know the ABCDE guide of melanoma. See something unusual? Make an appointment with a dermatologist as soon as possible.
For more information go to melanomaresearchfoundation.com
For more information go to melanomaresearchfoundation.com
Monday, June 8, 2015
Wednesday, February 18, 2015
As an adult you know the basics of hair care and proper hair hygiene. Don’t condition your roots just your ends. Do not over wash if you have dry scalp. You know when it's time to wash all the grime from your hair. However, it is much harder to know when your child needs their hair washed. You don’t want to dry out their scalp or have a build up excess oil. When children are between the ages of 8 and 12, parents often ask dermatologists this question.
In three easy steps, you can figure out how often a child between 8 and 12 years of age needs to shampoo.
Step 1: Consider your child’s traits
To determine how often your child needs to shampoo, you first need to consider your child’s:
•Hair type (straight, curly, oily, dry)
Step 2: Find your child’s traits on the following chart
Shampoo guidelines: Children 8 to 12 years old
Shampoo every other day or daily
•12 years of age or starting puberty
•Oily, straight hair
•Active: Plays outdoors, plays sports, or swims
Exception: Hair is dry, curly, or African American
Shampoo 1 or 2 times per week
•8 to 11 years of age
Exception: Hair is dry, curly or African American
Shampoo every 7 to 10 days
•Dry, curly, or African American hair, even hair with braids or weaves
•After heavy sweating or swimming, rinse and condition the hair
Step 3: Fine tune to get it just right
Once your child is shampooing as often as shown above, you may need to adjust the frequency a bit. Each child is different. Changes in weather also can affect how often your child needs to shampoo.
Look at your child’s hair and scalp between washes. The following chart shows you what to look for and how to fine tune.
Shampoo guidelines: How to tell if your child is shampooing too often or not enough
Shampoo more often if you notice that your child's:
•Hair is oily
•Scalp is oily
Continue to add one shampoo per week until you no longer see oiliness
Shampoo less often if you notice that your child's:
•Hair is dull and shedding
•Hair feels dry
Continue to remove one shampoo per week until you no longer see dullness, shedding, or dryness
When to see a dermatologist
For most children, these guidelines work well. If your child’s hair or scalp seems too oily or dry after following these guidelines, you should see a dermatologist. Your dermatologist can explain why this is happening and offer a solution.
More information: https://www.aad.org/dermatology-a-to-z/health-and-beauty/every-stage-of-life/children/teaching-healthy-hair-care/how-often-to-wash-a-childs-hair
Tuesday, January 6, 2015
When it comes to skincare do’s and don’ts, we like to think we’ve got it all under control. Pointers such as ‘do take your makeup off before bed’ and ‘don’t use hand soap as a facial cleanser’ are mantras, widely known and rehearsed by us all. However, these are not the only tips that we should know about the health of our skin.
First, make sure that you are visiting the write medical practitioner. A primary care physician is not as specialized as a Dermatologist. If there are any doubts about diagnosis of a primary care physician, make an appointment with a Dermatologist or your physician may refer you to a Dermatologist. Don’t be fooled by so-called Dermatologist. There are far too many therapists advertising themselves as dermatologists out there. Dermatologists are doctors who, after their general medical University degree, have completed a formal higher specialist training in dermatology. Don’t feel afraid to ask for credentials of the dermatologist.
A facial may do more harm than good. High street and spa facials should be avoided by anybody with a tendency for breakouts, acne or rosacea. A study has shown that 80% of these may actually aggravate breakouts. Make sure to only have medical grade facials in your dermatologist’s clinic.
It is important to stress how vital regular mole checks with a dermatologist are. I wish everybody would go once per year. In between those expert checks, don’t forget to self-examine your skin at least once per month - top to toe!
You should always tailor your skincare products to your exact skin type and condition with the advice of your dermatologist. See a dermatologist who has a special interest in aesthetic dermatology and skincare.
Patient is the most important part of a clear complexion. Acne sufferers have a tendency to start their treatment for acne scarring while they are still developing inflamed spots and pimples. However, acne scarring should only be treated after all the active acne has fully burnt out – addressing it too early will only aggravate inflamed acne lesions. The primary goal at that stage is to prevent further scarring by getting the active acne treated by a dermatologist.
Your skin is the most visible and valuable asset on our bodies, take care of it this New Year.
Wednesday, December 17, 2014
Fungal nail infections can be caused by three different types of fungus, alone or in combination.
- Dermatophytes are a type of fungus that can grow on the skin, hair, and nails. The most common dermatophyte, Trichophyton rubrum, causes most cases of athlete's foot. Athlete's foot, in turn, can infect the toenails. You can get infected by contact with objects that have dermatophytes on them, such as clothing, shoes, nail clippers, nail files, shower and locker room floors, and carpet
- Yeasts are a type of fungus that grows on the skin and nails. They are normally present on the human body. Things like illness, antibiotic or birth control pill use, and immune system problems may allow an overgrowth of yeast, leading to a yeast infection.
A fungal nail infection usually isn't painful. But without treatment, over time it can become uncomfortable or even painful to wear shoes, walk, or stand for a long time.
Your symptoms will depend on the type of infection you have. The two most common infections are both caused by dermatophytes.
Distal subungual onychomycosis Symptoms include:
- Yellow streaks in the nail bed and on the underside of the nail.
- Buildup of bits and pieces of skin and nail fragments (debris) under the nail.
- A discolored and thickened nail that may separate from the skin under the nail.
- A brittle, broken, and thickened nail.
- White spots or streaks on the nail surface.
- Soft and powdery nail surface, as the infection gets worse.
- Damaged, crumbly, and brown or gray nail surface. But the nail doesn't separate from the skin underneath.
Find more information: http://www.webmd.com/skin-problems-and-treatments/nail-problems
Monday, November 24, 2014
It is important to prevent acne scars before they begin. If your scar is red or swollen, use a cortisone cream to calm your skin. The cortisone is absorbed by skin cells and reduces inflammation. Skin creams with cortisone can be bought over the counter.
If your acne scars don't fade away on their own, it may be time to consider booking an appointment with our dermatologist.
Fraxel® Laser Treatment is a revolutionary and effective treatment for wrinkles, uneven color and tone, texture irregularities from sun damage and aging, crepiness, and loose skin.
No downtime is involved and gradual improvement is noted in texture and color. Collagen is both increased and remodeled due to the treatment. Fraxel laser is the treatment of choice for facial acne scars. This is primarily due to its ability through nano beam technology (like camera pixels) to safely penetrate deeper than the older ablative lasers and, therefore, affect the bottom of deep scars. In one to three sessions, laser skin resurfacing using fractionated laser technology can even out the skin surface and increase the formation of new collagen. The new collagen can help fill in acne scars. If your thinking of Fraxel you can book a free consolation at our Beverly Hills office.
Filler injections can help fill in the indentations left behind from deep acne scars, says Ron Moy, MD, a former president of the American Academy of Dermatology. But the downside to fillers is that they need to be repeated every 4 to 6 months, as the product reabsorbs into the skin over time.
The main key to seeing acne scars fade is patience. A few weeks after you break out and scar, new blood vessels move into the injured area to give nourishment to the skin, which is why most early scars look pink. Months later, collagen starts to form, filling in the injured section of skin. Because cystic acne destroys skin and fat, it can take up to a year for the scars to fade.