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Why Rosy Cheeks are Not Always a Good Thing

Rosy cheeks are seen as a sign of a good thing when considering a beautiful blush, or a good workout.

Permanent redness, however, is evidence a of chronic skin disorder called rosacea.  

Rosacea is very common and yet many people don’t know they have it.  Worst of all it can spread if left untreated — from the nose and cheeks to the ears, eyes, forehead and chin — even to the shoulders and back. It can be disfiguring when accompanied by pimples and thickened skin.

Rosacea is divided by dermatologists into four Subtypes:

Subtype 1:  FACIAL REDNESS – persistent flushing and visible blood vessels.

Subtype 2:  BUMPS AND PIMPLES – often seen with facial redness.

Subtype 3:  SKIN THICKENING – usually around the nose.

Subtype 4:  EYE IRRITATION – watery or red eyes with swollen, irritated eyelids.

Researchers are still trying to discover what causes rosacea. While there is currently no cure we do know that by treating the dilated blood vessels associated with rosacea it can be effectively managed. Recent advances in technology make this possible.

Treatment

Laser therapy has the unique ability to selectively target and treat these dilated blood vessels without adversely affecting the surrounding tissue. The most effective laser available for rosacea is VBeam Perfecta. A course of three or four treatments, each a month apart, can usually achieve very effective results with all subtypes. Even the scarring from acne rosacea can be removed.

During VBeam Perfecta treatment, the mild discomfort associated with all laser procedures, similar to a snapping rubber band on the skin, is countered by a cooling stream of air directed at the area. This cooling also helps to prevent temporary bruising, an unwanted side effect of earlier laser technology. Light pink patches may appear that last for approximately a day. VBeam Perfecta is so safe and effective that it has been fully approved by the FDA for the treatment of infants.

The aesthetic improvements from laser treatments can be dramatic.

Rosacea Subtype 1 – Facial Redness

A course of three or four treatments scheduled a month apart can usually achieve very effective results with all subtypes. Even the scarring from acne rosacea can be removed.

 

With the availability of VBeam Perfecta there is no longer a need to suffer the psychological side effects, such as depression and low self-esteem, which affect many victims of Rosacea. This advanced laser can also greatly improve many other unsightly conditions including angiomas, port wine stains, stretch marks, stubborn warts, bruises and sun damage on the neck and chest.

Contact us with questions or to schedule your appointment.

Call us at 301-652-8081.

 

Spring is the Best Time for Sclerotherapy: Spider Vein Treatment

Spring is in the air! As you clear out your closet of winter clothes and try on your new summer wardrobe, check to see if your legs are ready for short skirts and bathing suits. If you notice that you’ve got some red and blue veins that make you reluctant to show your legs, now is the time to do something about it. The good news is that if you treat your spider veins today, you’ll see terrific improvement by the Fourth of July.

When do Spider Veins Generally Occur?

Spider veins can occur at any age and result when the valves in the blood vessels become leaky and fail to prevent the blood from pooling in the feet and ankles. This is a result of a combination of factors including heredity, hormones, puberty, pregnancy, and weight. While women are most susceptible, a quarter of all leg vein sufferers are men.

Although a sun tan can temporarily camouflage these vessels, in the long run the sun will make leg veins more prominent and unsightly as it breaks down collagen. Minor spider veins can be the precursors to varicose veins, which tend to be thicker, lumpy and purple and may lead to swelling and uncomfortable achiness or heaviness in the legs.

How to Treat Spider Veins

Sclerotherapy is a safe and effective procedure used to reduce spider veins. It involves the injection, using a very fine needle, of a small amount of solution into the veins. The solution then irritates the lining of the vein, causing it to collapse. As these veins are a superfluous, “alternate route” for the blood, the body doesn’t miss these vessels and blood returns to the heart via the main thoroughfares.

Who can be treated for spider veins?

With a few exceptions, most healthy people are good candidates for sclerotherapy. If you are pregnant or have had a blood clot you shouldn’t be treated. If your veins are very tiny or too large you might not be treated.

Is Sclerotherapy Painful?

Most patients experience little or no discomfort during the procedure, which does not require any anesthesia. There might be a slight stinging as the solution is injected and the areas that were treated can become red, raised and itchy. You may also experience bruising which can last for several weeks.

How to Prepare for Sclerotherapy

Prior to sclerotherapy, you should discontinue over-the-counter supplements that cause bleeding, such as ginkgo, ginseng, and vitamin E as well as anti-inflammatory medications like ibuprofen and aspirin. Bring heavy compression stockings with you as you will need to wear them after the procedure for at least 48 hours. You will also need to avoid hot baths, whirlpools or saunas, and direct sunlight exposure on the areas treated for at least 2 days.

Usually at least half of all veins injected will disappear with sclerotherapy in 3- 6 weeks. Depending on the number of veins, some people will need multiple treatments. In about 10% of all cases the veins don’t respond and another solution can be tried.

Because it can take a few weeks for the veins to disappear,  it’s a good idea to have sclerotherapy before the start of summer!

APRIL 2017 SPECIAL:

Receive a FREE Revision Black Mask purifying facial mask or Microdermabrasion Finishing Cream with every Sclerotherapy treatment during the month of April.

Contact us with questions or to schedule your appointment.

Call us at 301-652-8081.

Look Your Best This Spring – March Cosmetic Specials

Get a Dysport Injection (abobotulinumtoxinA) and receive 50% off Revision DEJ Face Cream.

Dysport is an injection to temporarily improve the look of moderate to severe frown lines between the eyebrows.DEJ Face Cream by Revision Skincare is a product containing a proprietary ceramide blend, specialized herbal extracts and a unique peptide combination for improvement in smoother skin texture and brightness. This product also helps to reduce the appearance of fine lines and wrinkles.

Schedule your appointment today, this offer is only valid during the month of March!


Special on March 10th Only!

Buy 1cc of Restylane, Get a Second for 50% Off

Restylane dermal facial filler can be used for facial wrinkles and folds and to fill thin lips.

Don’t wait, this offer is only valid on March 10, 2017.

 

Contact us with questions or to schedule your appointment.

Call us at 301-652-8081.

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SKIN CHECK AT AUSTRALIAN EMBASSY

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Dr. Skelsey and her team were invited to take part in a sun safety program at the Australian Embassy on June 3 where Sid the Seagull, the famous mascot of Australia’s Sun Smart campaign, entertained Embassy families and reminded everyone to “Slip, Slop, Slap, Seek and Slide” to protect against skin cancer. Sid-Event-postersDr Skelsey and her team provided skin cancer screenings as well as gift bags with some of the latest and best sun screens, sun glasses and UV bracelets.

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THE WASHINGTON BALLET IS ON ITS TOES WHEN IT COMES TO SKIN CANCER…

Dr.-Skelsey-Ballet-examines-armOn Friday, May 6, 2016, The Washington Ballet took a proactive approach to keeping its performers healthy by offering skin cancer screenings. Dr. Skelsey, who is a member of The Washington Ballet Board of Directors, performed the highly recommended, annual full body skin cancer screening on the dancers and other members of the ballet company utilizing new, state of the art, non-invasive, diagnostic technology, DermTech®. A simple adhesive patch is used to detect the presence of cancer in suspicious lesions.

The new Washington Ballet Health and Wellness Fund is committed to making services available to its dancers that protects their health, safety and wellbeing. Under the auspices of the health and Wellness Fund Dr. Maral Skelsey, a member of TWB board of directors, provided skin cancer screenings for the company during Melanoma Awareness Month in May.

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BATTLING SKIN CANCER IN A HIGH RISK POPULATION

The Dermatologic Surgery Center of Washington helps to battle skin cancer in one of the world’s most vulnerable populations. Each year Dr. Skelsey and her staff volunteer at the Australian Embassy Health Fair where they do skin cancer screenings for embassy personnel.

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Australia and New Zealand have one of the highest incidence and mortality rates of melanoma in the world, according to Australia’s Department of Health and Aging. Fair-skinned populations that migrated from Britain and Europe to areas with high levels of solar ultraviolet radiation like Australia and New Zealand, have experienced a jump in the incidence of both melanoma and non-melanoma skin cancers.*
This year Physician’s Assistant Cynthia Wallace performed more than 30 full body scans at the October 30 fair.

Australians battle skin cancer on their own turf with ongoing research and a preventative program worth noting here in the US: Australian researchers recently released a study abstract revealing that Nicotinamide, a form of vitamin B3, significantly reduces the incidence of nonmelanoma skin cancers among people who have had a previous basal cell carcinoma or squamous cell carcinoma.

One of the most successful health campaigns in Australia’s history was launched by Cancer Council Australia in 1980. Sid the seagull, wearing board shorts, t-shirt and a hat, tap-danced his way across TV screens singing a catchy jingle to remind viewers of three easy ways of protecting against skin cancer.

Slip, Slop, Slap! It sounds like a breeze when you say it like that Slip, Slop, Slap! In the sun we always say “Slip Slop Slap!” Slip, Slop, Slap! Slip on a shirt, slop on sunscreen and slap on a hat, Slip, Slop, Slap! You can stop skin cancer – say: “Slip, Slop, Slap!”

*National Centre for Epidemiology and Population Health at the Australian National University

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TOPS IN HER FIELD

Skelsey-Top-Doc-2015-fullThe results of the annual Top Doctors survey conducted by Washingtonian magazine are out. The survey polled 12,000 primary care physicians in the District, Maryland and Virginia. They were asked who they would most trust to provide care for their patients in 40 different areas of specialization. Once again this year, Dr. Skelsey took top honors in the greater Washington, DC area for dermatology repeating her 2014 Top Doctor designation in the survey. Dr. Skelsey’s medical colleagues repeatedly recognize her as outstanding in her field due in part to her advanced training as a Mohs surgeon and skin cancer specialist.

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CANCER IN MINORITIES ON PBS

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Don’t miss Dr. Maral Skelsey, Mohs surgeon on the PBS Vocal Point special “Cancer in Minorities” which airs on WHUT TV.

  • Thursday, September 24 at 8:30 AM
  • Saturday September 27 at 8:00 AM
  • Monday, September 28 at 8:30 AM
  • Thursday, October 1 at 9:00PM

Please check your local TV listings for the channel in your area.
Maral Kibarian Skelsey, MD, is Director of the Dermatologic Surgery Center of Washington in Chevy Chase, Maryland, which specializes in Mohs Surgery. Dr. Skelsey also serves as Director of Dermatologic Surgery at Georgetown University Medical Center and is Clinical Associate Professor of Dermatology at Georgetown University School of Medicine.

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GEORGETOWN’S TREND SETTING IZZY SALON JOINS FRONT LINE BATTLING SKIN CANCER

Dr-Maral-Skelsey-Isabelle-Goetz,-The hair stylists of the Izzy Salon in Georgetown recently participated in a Skin Cancer Foundation skin cancer awareness program presented by Maral Kibarian Skelsey, MD, Washington, DC skin cancer specialist and MOHS surgeon. The ‘Heads Up’ program encourages dermatologists and beauty professionals to partner to help battle the US skin cancer epidemic.

According to The Skin Cancer Foundation, each year there are more new cases of skin cancer than the combined incidence of cancers of the breast, prostate, lung and colon. In January 2015 the Centers for Disease Control reported that the cost of treating skin cancer outpaced treatment costs for all other cancers combined by 5-fold from 2002 to 2011.

Izzy Salon owner, Isabelle Goetz, says she supports the program because her stylists regularly see areas of the skin, the scalp, ears and necks that clients don’t see. She adds that her clients also tend to be very busy people and probably would not notice a possible cancer. “In fact, several of our stylists have taken it upon themselves to suggest that a client see a dermatologist,” says Ms. Goetz “The program is saving lives,” adds Dr. Skelsey who is medical director of the Dermatologic Surgery Center of Washington in Chevy Chase, Maryland. “I’ve had several referrals from hair stylists. One patient had an advanced melanoma on her scalp that she was totally unaware of. The referral saved her from a life threatening situation.”

Dr. Skelsey also serves as Director of Dermatologic Surgery at Georgetown University Medical Center and is clinical associate professor of dermatology at Georgetown University School of Medicine. World renowned Isabelle Goetz Celebrity Hairstylist was professionally trained in France, then in 1993 Isabelle was recruited to work in the United States. Through more than two decades cutting and styling hair, Isabelle has earned a stellar reputation with devoted high profile political clientele and celebrities alike.

The ‘Heads Up’ program is free to interested salons. Please contact Adrienne Cea at the Skin Cancer Foundation at 212-725-5176 x114 or by email at acea@skincancer.org.

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HEAT RASH

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When it’s hot and humid, sweat glands can become blocked by excess perspiration, trapping sweat beneath the skin and causing a red, bumpy, prickly rash — heat rash. It’s more common among babies, whose sweat glands are immature, and among people who aren’t accustomed to heat and humidity, says Maral Skelsey, a clinical associate professor of dermatology at Georgetown University Medical School. Skelsey says tight-fitting clothing can further encourage the rash to develop by trapping sweat against the skin instead of allowing it to evaporate.

In babies, Skelsey says, the condition tends to resolve on its own; keeping a baby cool and lightly dressed — or even naked if the temperature is warm enough — is usually all that’s required. Adults, she says, may wish to treat the rash with over-the-counter topical steroid cream (to calm the itch), calamine lotion or anhydrous lanolin, an over-the-counter balm that can help keep skin ducts from getting blocked. Avoid getting overheated in the first place by taking breaks from outdoor heat in air-conditioned spaces when possible. As your body gets acclimated to summer’s hot and muggy weather, Skelsey adds, it will become less prone to heat rash.