Category Archives: Dermatology

Im a Harvard-trained dermatologist Ive followed 3 anti-aging rules for years, Im still a fan of a drug… – The US Sun

A DERMATOLOGIST has given his best advice for keeping the largest organ in the body in its best condition.

He said there are three rules to live by for skincare, plus an anti-aging serum he swears by.

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Dr. Daniel Sugai (@drspf) filmed himself discussing the tips in a viral video on TikTok.

He said he adopted the three skincare steps after completing his dermatology residency.

Dr. Sugai also gave several options to get the best benefits from certain products.

He added that one skincare staple in particular was a game changer.

Dr. Sugai advised using retinoids, saying he first started using them during his residency.

However, he admitted he was inconsistent with his use of the product due to the time constraints that came with his medical training.

First, he recommended the Olay Regenerist Retinol, $27.15, available on Amazon.

He also suggested using Cerave's Resurfacing Retinol Serum for any dark spots left behind.

The serum is currently on sale on Amazon for $12.55.

Finally, he shared his love for RoC Retinol Correxion Anti-Aging Night Serum capsules for easy skincare on the go.

He said that they help with signs of aging and that he uses the drugstore serum to this day while traveling.

Dr. Sugai also advocated for a skincare staple sunscreen.

He said that no matter if he plans on being in direct sunlight or not, he always wears sunscreen.

The dermatologist added that using an SPF is also a good way to combat hyperpigmentation.

He is a fan of the Cerave Hydrating Mineral Sunscreen, $13.84, available on Amazon.

Dr. Sugai said a certain serum he started using in his late 20s brightened his complexion.

*If you click on a link in this article, we may earn affiliate revenue.

He recommended the Obagi Medical 15% Serum, $115.

He explained that it is an antioxidant that helps fight free radicals from pollution and other sources.

The anti-aging properties of vitamin C also kept his complexion looking bright and youthful.

A 2017 study by experts classifies topical vitamin C as "one of the most powerful antioxidants in the skin."

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Im a Harvard-trained dermatologist Ive followed 3 anti-aging rules for years, Im still a fan of a drug... - The US Sun

Cosmetic Procedures for Psoriasis: Are They Safe? – Everyday Health

If youre used to buying fragrance- and chemical-free makeup and moisturizers, you might have assumed that facials, fillers, and other cosmetic procedures are also off the table.

But, as it turns out, people with psoriasis dont necessarily have to avoid beauty treatments as long as the psoriasis is under control. Active disease states are very inflammatory, and inflammation increases the likelihood of things not going well, says Sonya Kenkare, MD, a dermatologist at the Illinois Dermatology Institute in Hinsdale.

Thats not all you need to keep in mind. Psoriasis is known to be aggravated by skin trauma, says Joel M. Gelfand, MD, director of the Psoriasis and Phototherapy Treatment Center at Penn Medicine in Philadelphia. Psoriasis lesions can form after your skin has been injured by a burn, for example, or a cut, which is called the Koebner phenomenon.

This is why many people who have psoriasis assume theyll never be candidates for any type of beauty treatment: They believe lasers, peels, and needles will cause trauma to the skin. But if your psoriasis is under control, you likely wont experience a flare-up of symptoms after getting a cosmetic procedure, says Dr. Kenkare.

In a study published in 2020, about nine out of 10 of people with moderate-to-severe psoriasis whod undergone a cosmetic procedure said they were able to do so because they started taking a treatment that alleviated most of their lesions. The majority of the studys participants said their psoriasis had prevented them from these types of procedures previously.

Still, if you want to try a treatments, its better to talk to a dermatologist first to find out if youre a candidate, says Dr. Gelfand.

Heres what you should know about some of the more common cosmetic procedures.

What they are:These neurotoxin injections block the nerve signals to the muscles, which temporarily prevents them from tensing, according to Cleveland Clinic. The injections are used to smooth fine lines and wrinkles, often in the face and neck.

Risks:You may experience some swelling, redness, or bruising at the injection sites, but this is usually mild and improves in a day or so.

How to do it safely:Your doctor may recommend avoiding nonsteroidal anti-inflammatory drugs (NSAIDs) for a day or two before the procedure, because they can increase the risk of bruising, according to Cleveland Clinic. So can alcohol, meaning you may want to abstain from drinking for 24 hours before your appointment.

What they are: Treatments depend on the type of facial you get and the skin-care specialist doing it. But in general, they include a facial cleanser, exfoliation to remove dead skin cells, moisturizer, and a gentle massage.

Risks: Sometimes, facials can cause skin purging an acceleration of your skins natural cell turnover, which can cause breakouts.

How to do it safely: Ask your aesthetician to use gentle moisturizers and other skin-care products that wont irritate your skin, especially if you know certain ingredients trigger your symptoms.

What it is: This procedure uses a beam of light to vaporize the hair within the follicle, according to the American Academy of Dermatology Association (AAD). When done correctly, it shouldnt cause trauma to the skin itself, says Kenkare. Lasers can remove hair from any part of your body, but its most commonly used on the bikini line, face, legs, and underarms.

Risks: If you dont go to a pro, such as a dermatologist, its possible to experience side effects such as blistering and scarring.

How to do it safely: In the days after treatment, youll want to stay out of the sun, since ultraviolet (UV) rays can further damage your already sensitive skin.

What it is: Thin needles are used to make tiny holes in the skin in this procedure. This stimulates the production of collagen, a protein that helps keep skin smooth, according to Cleveland Clinic. Its often done on the face, but microneedling can also be done on the back, legs, neck, and other areas of the body.

Risks: There can be some redness and discomfort after microneedling, according to the AAD.

How to do it safely: Avoid using at-home microneedling products, which could pierce the skin and cause scarring or infection, according to the AAD. Before you have microneedling, you may need to avoid alcohol, NSAIDs, and products that contain salicylic acid for a day or so.

What it is: This treatment uses a device to gently remove the top layer of skin, which gives the skin a smoother appearance, according to the AAD. It may feel as if someone is sanding your skin, but it isnt painful. Microdermabrasion is performed to lessen age spots, fine lines or wrinkles, and mild scars. Its often done on the face, but you can get microdermabrasion on other areas of the body, such as the back, chest, hands, and neck, as well.

Risks: After microdermabrasion, there can be some redness or swelling, similar to a sunburn.

How to do it safely: You may need to avoid taking NSAIDs and using products that contain salicylic acid for a few days before your scheduled microdermabrasion. If you use products that contain other irritating ingredients, such as glycolic acid or retinols, you may need to stop taking them for at least a week before the procedure, according to Cleveland Clinic.

Before you undergo a cosmetic procedure, talk to a dermatologist who has experience working with people who have psoriasis, and ask whether the procedure is right for you.

The best time for psoriasis patients to do cosmetic procedures is when the psoriasis is under good control, says Kenkare. If a persons overall inflammation is otherwise well controlled it should be well tolerated.

Whether you go to a dermatologist or another professional like an aesthetician or cosmetologist be sure to let them know about your psoriasis. That way, they can take any extra precautions to avoid irritating your skin.

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Cosmetic Procedures for Psoriasis: Are They Safe? - Everyday Health

FDA Approves Berdazimer Gel, 10.3% for the Treatment of Molluscum Contagiosum – Dermatology Times

The US Food and Drug Administration (FDA) announced today its approval of Ligand Pharmaceuticals Incorporated's berdazimer gel, 10.3% for the treatment of molluscum contagiosum in patients ages 6 months and older.1

This approval makes berdazimer gel only the second FDA-approved treatment for this indication, following the approval of Verrica Pharmaceutical's Ycanth (formerly VP-102) in July of last year.

The approval of [berdazimer gel] Zelsuvmi is a breakthrough, marking the first time that clinicians can treat molluscum with an efficacious topical prescription medication that is applied by the patient, or a family member, said Mark D. Kaufmann, MD, FAAD, clinical professor of Dermatology in the department of dermatology at the Icahn School of Medicine at Mount Sinai in New York, New York and past president of the American Academy of Dermatology, in a press release. I look forward to having this novel medication to treat my molluscum patients.

The approval comes just under a year after the FDA accepted its New Drug Application (NDA) for berdazimer in March of 2023.2

The NDA and approval are based on positive data stemming from the B-SIMPLE4 (NCT04535531) trial, published in the Journal of the American Medical Association Dermatology.3

In the phase 3 study, berdazimer gel demonstrated statistically significant improvements in the clearance of treatable molluscum contagiosum at week 12.

Additionally, berdazimer gel was well-tolerated among patients, with the most common adverse events reported as being mild application site pain and mild-to-moderate erythema.

Key outcomes of the study also included a lesion count of 0 or 1 of all treatable molluscum contagiosum at week 12, a 90% reduction from baseline in the number of all treatable molluscum contagiosum at week 12, complete clearance of all treatable molluscum contagiosum at week 8, and a change from baseline in the number of all treatable molluscum contagiosum at week 4.

The approval of berdazimer gel, 10.3% marks a significant milestone in the treatment of this burdensome, highly contagious condition.

Authors of the B-SIMPLE4 study wrote, "Molluscum contagiosum infection is usually self-limited, yet may persist for months to years, generating a substantial health care burden and quality-of-life concerns necessitating therapeutic intervention.Treatment may also be warranted because of its highly contagious nature and concern for infecting peers or household members.Additionally, outwardly visible lesions may be associated with discomfort and psychosocial stigma, and may scar after resolution.

References

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FDA Approves Berdazimer Gel, 10.3% for the Treatment of Molluscum Contagiosum - Dermatology Times

Dermatology treatments can become an expensive ongoing cost. – The Mountaineer

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Dermatology treatments can become an expensive ongoing cost. - The Mountaineer

How To Get Rid Of Dark Spots On Your Face, Per Dermatologists – Women’s Health

Maybe you stick to a skincare routine,

Before you commit to trying anything, though, its important to consider what might be causing your dark spots in the first place, as that can inform the method or methods you might choose for getting rid of them. Spoiler alert: Dark patches can be stubborn, and lessening their appearance sometimes requires a few different remedies depending on their root cause and severity.

Meet the experts: Kiran Mian, DO, FAAD, is a New York City-based board-certified medical and aesthetic dermatologist at Hudson Dermatology & Laser Surgery. Jeannette Graf, MD, is a board-certified dermatologist and assistant clinical professor of dermatology at Mount Sinai School of Medicine.

The number one and most common cause of hyperpigmentation on the face is post-inflammatory hyperpigmentation (PIH), which you can get from acne, eczema, rashes, or even contact dermatitis, says Kiran Mian, DO, FAAD, a New York City-based board-certified medical and aesthetic dermatologist at Hudson Dermatology & Laser Surgery. When these things heal, they often leave behind discoloration.

In addition to PIH, other dark spots on the face can range from marks from the sun, like freckles and age spots, to melasma, which is also fairly common. Thats a hormonal condition that can flare from sun exposure or hormonesflared or iinduced by pregnancy or simply if youre genetically predisposed to it, says Dr. Mian. It looks like a lacy pattern and is common across the cheeks, hairline, and the upper lip.

Before breaking down the ways you can get rid of dark spots on the face, its worth noting that treating hyperpigmentation is a marathonnot a sprint. Once there is a tendency to develop dark spots or hyperpigmentation, there will always be, says Jeannette Graf, MD, a board-certified dermatologist and assistant clinical professor of dermatology at Mount Sinai School of Medicine. Treatment, therefore, has to be a long-term plan involving home treatment focusing on sun prevention and skin renewal lightening.

All dark spot treatments arent created equally either, so we asked these dermatologists to weigh in on a handful of options in terms of efficacy and risk, so you can pick the one or ones that might suit your skin best.

Though lasers run the gamut in terms of different technologies, cost, and even potential discomfort during treatment as well as downtime after, many can be effective at reducing unevenness on the face. Laser treatments help break up the pigment and improve collagen production to increase cell turnover, in turn lightening the appearance of dark spots, says Dr. Graf. Ablative lasers could be a viable option for moderate dark spots. This laser treatment helps break down layers of skin to increase cell turnover and collagen production, which aids in lessening the appearance of hyperpigmentation.

While Dr. Mian agrees that ablative, or resurfacing, lasers can treat conditions like PIH, sunspots, and the like, she also recommends looking into broadband light therapy (BBL), which is a form of intense pulsed light therapy (IPL) that uses high-intensity light that's gentler than a laser, can be more affordable, and typically requires less downtime for healing post-treatment. You may see some improvement after a handful of sessions.

For any laser treatment, you should always speak to a trusted dermatologist to make sure its right for you. All types of dark spots arent suited for lasers or laser-like treatments. Someone who may not be a good candidate for laser treatment would be someone with active acne breakouts, flare-ups of skin conditions, or melasma, says Dr. Graf. The laser treatment could further irritate or damage the skin.

Peels can range from superficial to deeper in terms of their intensity, but they all essentially refresh the skins appearance by exfoliating it chemically. Peels help remove dead skin cells on top of the skin, which can improve the look and feel of the skin as well, says Dr. Graf. As far as in-office peels go, Dr. Mian says the strength of the peel is usually determined by skin type. Those with more melanin in their skin would want to go for a more superficial peel, while deeper peels are generally safe for lighter skin tones. Again, talk treatment options through with a dermatologist.

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At-home peels are typically of the more superficial variety and can lessen the appearance of dark spots, too. Dr. Graf likes the Paulas Choice 25% AHA + 2% BHA Exfoliant Peel, but anything with glycolic acid, mandelic acid, or lactic acid would be suitable for brightening. She also recommends the Arbonne DermResults Daily Radiance Peel Pads, which includes caviar lime and phytic acid to gently exfoliate the skin without stripping. Dr. Mians only watch out for peels, toners, and serums with these types of ingredients? Dont stack them; all these products combined could be too much for your skin barrier.

With the exception of pregnant women and those with extremely sensitive skin, retinoids really are a wonder solution for reducing many signs of aging. And newer, gentler products such as over-the-counter retinol products but still efficacious varieties dont come with the irritation and intolerance this class of molecules has been known for in the past.

Theres a retinoid thats suitable for everyone, whether it means you use it once a week, or you sandwich it between other skincare products, says Dr. Mian. And using that retinoid in a way that works for you can reduce unevenness by stimulating collagen production and deterring the production of hyperpigmentation, says Dr. Graf.

Its important to note, however, that retinoids arent typically recommended as spot treatments but rather as overall skin applications, at least for dark spot reduction. If youre looking for something with prescription strength, youll need to consult a dermatologist. The use of topical prescription retinoids should be based on the recommendations of your dermatologist, says Dr. Graf. I recommend starting at a low dosage of retinoid and beginning with use a couple of times per week before working up to every other day use and finally daily use. If you start by slowly incorporating it into your routine, most people can avoid skin irritations.

Looking for something over the counter? Consider the Shani Darden Skin Care Retinol Reform Treatment Serum. It includes an encapsulated retinol designed to be non-irritating as well as an AHA to improve skin texture and brighten skin, says Dr. Graf.

Hydroquinone

Proceed with extreme caution when it comes to this topical solution, which is typically administered as a spot treatment and is sometimes positioned for lessening the appearance of melasma and other dark spots. According to Dr. Mian, it can be used at certain concentrations at board-certified dermatologist-specified frequencies for very brief periods of time, since it decreases pigment synthesis and blocks certain enzymes involved in the production of melanin. But prolonged use can be dangerous and may cause permanent pigment deposition in some. Its best to only use this under the guidance of a trusted dermatologist, if at all.

Both Dr. Mian and Dr. Graf maintain that in-office procedures are most effective when combined with at-home methods that enhance their results, some of which have already been discussed above. Retinoids and at-home peels arent the only options here, though; serums, essences, creams, and skincare products that contain a variety of other ingredients that also address dark spots exist, including tranexamic acid (aka TXA), azelaic acid, kojic acid, niacinamide (aka vitamin B), and vitamin C. While you might want to experiment with products containing one or more of these agents, youd never want to try all of them at onceor go from zero to 60 in applying them round the clock either.

All of these ingredients can be irritating if used incorrectly or over-applied, says Dr. Graf. I recommend slowly working your way up. And dont forget your SPF, either, if youre going to be out in the sun after using these topicals. Same goes for the other treatment methods on this list, too.

According to Dr. Mian, kojic acid and niacinamide are very good at lightening pigment and generally non-irritating, so you might want to start there if you have sensitive skin, using a product only as is directed. Products with vitamin C and glycolic acid help lessen the appearance of dark spots as well, says Dr. Graf.

Protecting your skin is often the best form of dark spot treatment in the long run, since less sun damage can mean fewer spots and patches to treat in the first place. Dr. Mian suggests avoiding the sun between 10 am and 2 pmwhen the sun is highest in the sky and strongestas well as wearing protective hats and garments and always applying a broad spectrum sunscreen with an SPF of 30 or higher.

If you have a condition like melasma, look for a sunscreen with physical blockers, too, since melasma can, again, be flared by the sun and heat. As far as PIH goes, Dr. Mian says to avoid picking pimples and any lesions on your face, which can trigger more inflammation that can cause dark spots to be larger and linger longer.

Danielle Blundell is a New York City-based lifestyle writer and editor who has written on topics ranging from home to health for a variety of publications including Rachael Ray Every Day, Redbook, Family Circle, This Old House, Elle Decor, Esquire, Domino, and Apartment Therapy. She's a graduate of Columbia University's School of Journalism and has appeared as an on-air expert on Today, The Doctors, The Celebrity Page, and other local news programs. Website: https://danielleblundell.myportfolio.com/

Brian Underwood is the beauty director at Womens Health. He is an award-winning journalist with more than 15 years of experience covering beauty and lifestyle for several national media outlets and previously served as beauty and wellness director at Oprah Daily. His work has appeared in Womans Day, Life & Style Weekly, Good Housekeeping, and many more. He also serves as a member of the Skin Cancer Foundations gala committee and lives in New York City with his daughter.

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How To Get Rid Of Dark Spots On Your Face, Per Dermatologists - Women's Health

Common perianal diseases and dermatology oddities – DVM 360

While at the Fetch conference in Long Beach, California, Julia Miller, DVM, DACVD, sat down with dvm360 in an interview and discussed some of the most common perianal diseases in dogs. She also shared a few odd cases she has seen since working as a dermatologist.

The following is a partial transcript of the video.

Julia Miller, DVM, DACVD: So probably the most common perianal disease we see is anal cellulitis or inflamed and infected anal sacs or anal glands in dogs. That usually presents with scooting, licking, sort of discomfort in the back end, and sometimes they actually have full blowout abscesses.

In dermatology, it's cool because we get to see a lot of weird stuff, right? Weird fungal diseases, weird bacterial diseases.

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Common perianal diseases and dermatology oddities - DVM 360

POLL: What Are Your 2024 Dermatology Resolutions? – Dermatology Times

Dermatology Times wishes its network of dermatology clinicians a healthy and happy New Year.

At the start of every new year, you may aspire to achieve your own personal goals and resolutions. We want to know what goals and resolutions you have specific to dermatology.

Take this week's poll below or email our team at DTEditor@mmhgroup.com to share your thoughts. We would love to hear from you!

What is your 2024 dermatology resolution?

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POLL: What Are Your 2024 Dermatology Resolutions? - Dermatology Times

Dermatology treatments can become an expensive ongoing cost. – NBC Right Now

...WIND ADVISORY REMAINS IN EFFECT FROM 4 AM TUESDAY TO 10 AM PSTWEDNESDAY...* WHAT...Southwest winds 30 to 40 mph with gusts up to 55 mphexpected.* WHERE...In Oregon, Lower Columbia Basin of Oregon. InWashington, Lower Columbia Basin of Washington and Foothillsof the Blue Mountains of Washington.* WHEN...From 4 AM Tuesday to 10 AM PST Wednesday.* IMPACTS...Gusty winds could blow around unsecured objects.Tree limbs could be blown down and a few power outages mayresult.PRECAUTIONARY/PREPAREDNESS ACTIONS...Use extra caution when driving, especially if operating a highprofile vehicle. Secure outdoor objects.&&

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Dermatology treatments can become an expensive ongoing cost. - NBC Right Now

How To Keep Skin Hydrated And Protected In The Cold According To Dermatologists – Essence

External and environmental factors play an important role in skin hydration, says dermatologist and founder of Tone Dermatology, Dr. Caroline Robinson. That said, in the cooler months, dermatologists recommend you change how you care for your skin. In other words: its time to prioritize hydration.

Studies suggest that melanin-rich skin is more prone to dryness. This is because of a lower ceramide content and trans-epidermal water loss. Because of this, you may notice dryer skin, and in more severe cases, eczema.

Additionally, the skin is exposed to extreme temperature shifts thanks to the cold temperatures outside and the dry heat inside. These temperature shifts can make it more difficult for the skin to hold on to hydration, Dr. Robinson shares.

From adjusting how you shower and what you eat, to finding the right moisturizer, experts are here to help you protect your skin against this seasons harsh weather. Below, Dr. Robinson and Dermatologist GlamDerm Dermatologist and Dove Men+Care partner, Dr. Elyse Love share their expertise.

Its important to minimize trans epidermal water loss. This will include avoiding hot showers, keeping showers to less than 10 minutes, and applying a high-quality moisturizer after the shower, Dr. Love says. Dr. Robinson agrees. Because hot showers can strip the skin of natural oils, stick to lukewarm water and fragrance-free products.

Whether you like to shower in the morning or night, make sure you apply moisturizers, such as the new Vaseline Radiant X Deep Nourishment Body Cream, within two minutes after your shower to lock in hydration, Dr. Robinson says.

When it comes to the face, Dr. Love recommends washing twice a day. Like the body, its important to use a gentle cleanser for the face. Cleansing should always be followed by a high-quality moisturizer. Those with drier skin should stick to thicker creams, while those with oily skin may prefer a lotion even in the wintertime.

Its important to maintain a healthy diet for skin health, because, contrary to popular belief, drinking lots of water will not hydrate the skin. Dr. Love says.

Outside of your skincare routine, I recommend consuming whole foods that are rich in vitamins, minerals and antioxidants. Staying healthy and maintaining a healthy lifestyle will definitely show throughout your body and skin, Dr. Robinson adds.

Adding a humidifier to your environment can decrease water loss, Dr. Love says. Not only that, a humidifier can add water back to the drier air that is common during this time, Dr. Robinson says.

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How To Keep Skin Hydrated And Protected In The Cold According To Dermatologists - Essence