Progress Being Made in the Dermatology Field

The annual American Academy of Dermatology meeting took place in DC in March and I was thrilled to serve as faculty along at the Live Injection Course. My colleagues – leaders from around the country- and I demonstrated injection of fillers and toxin to a packed audience. This came right after our office hosted the International Peel Society workshop in which visiting dermatologists learned state-of-the-art peel techniques. Best part of all of this was how much I leaned from my colleagues!

The AAD meeting is the largest assemblage of dermatologists anywhere and it was full of cutting-edge research from around the world.

What We Learned

In the war on melanoma, continued progress in melanoma immunotherapy has vastly improved survival rates. Future melanoma treatment may consist of personalized therapy in which a vaccine is created based on the specific antigens most expressed on an individual patient’s tumor. In this way the patient’s immune system is encouraged to recognize and attack his or her own melanoma cells.

We also learned a lot about a new class of medications called “JAK” (Janus Kinase) inhibitors. These agents are game changers for alopecia areata, atopic dermatitis, vitiligo and psoriasis. These are systemic medications, taken by mouth, but even the topical cream version has been shown to be effective in children with alopecia areata.

And for melasma, the difficult to treat darkening of the skin, there was encouraging news. Tranexamic acid in pill and topical form along with a new agent reduce the pigment that is so resistant to treatment.

Progress is being made on nearly every front in our field!

Older woman's hands on keyboard, aging hands

What Can Be Done For Aging Hands?

Did you know that your hands can reveal your true age, well before other areas of the body begin show signs of aging? While aging of the hands typically begins by age 50, with the first signs being discoloration and age spots, hands can start to age sooner if individuals are frequently exposed to the sun without the proper protection. By age 50-60, people also tend to lose volume in their hands, making veins and tendons more prominent and further contributing to aging hands. The good news is there are treatments available that can slow or reverse some of the signs of aging hands. Treatments can be tailored to the individual, depending on their specific concern:

Age spots:

Pigment-specific lasers are used to treat dark brown spots on the hand by delivering a beam of light that penetrates the skin surface. Following treatment, brown spots appear darker for about a week and then will scab, fall off, and turn pink as the skin begins to heal. One to two treatments are usually needed before improvement is noted. Results can last for years as long as proper care is taken to avoid sun exposure to these areas.

Topical retinoids and bleaching creams, like hydroquinone, can also be used to diminish the appearance of dark spots. They can be used either alone, or in combination with lasers, to reduce the appearance of age spots.

Volume loss:

Injecting fillers into the back of the hand is a quick, in-office procedure that can be achieved by using a non-allergic product called calcium hydroxylapatite. Results are immediate and can last for 1-2 years.

Applying a lotion or cream after washing your hands helps to trap water in your skin, and can provide a temporary plumping effect.

Rough, scaly patches:

If you have fair skin and spent a lot of time in the sun, you may notice rough spots or patches on your hands. These rough patches may be actinic keratoses (AKs), which are pre-cancerous growths that need to be evaluated and treated by a dermatologist. Liquid nitrogen (cryotherapy) can treat the individual AKs, while topical medicated creams or photodynamic therapy can treat the entire area at once.

Wrinkly “crepey” skin:

Applying sunscreen to your hands every day can prevent wrinkly skin on your hands. To treat wrinkles that are already there, your dermatologist may recommend a lotion containing retinol or glycolic acid or light chemical peels.

Radiofrequency treatments, which use heat directed deep into the skin, can help tighten loose skin. Most people only need 2-3 treatments on their hands to see results.

Brittle nails:

Brittle, aging nails typically present as lines running lengthwise on your nails, appearing like ridges. You may also notice that your nails peel or break easily. Certain activities such as cleaning with harsh chemicals or spending a lot of time with wet hands, can cause brittle nails, so it is important to wear rubber gloves when cleaning and doing dishes.

It is also important to moisturize the hands regularly with a urea- or petrolatum-containing moisturizer, preferably after every hand washing and before bed.

The nails reflect overall health. Changes in nail color or shape can signify a systemic problem that should be evaluated by a dermatologist.

Follow up:

It is important to follow up with your dermatologist after your treatments to help maintain your results as long as possible. Sun protection is essential at all times, and can be achieved by using a broad spectrum water-resistant sunscreen with SPF 30 or higher and reapplying regularly throughout the day. UV-protective driving gloves are also helpful in blocking out the sun’s harmful rays.

References:

American Academy of Dermatology. “What can make my hands look younger?” Available online at: https://www.aad.org/public/skin-hair-nails/anti-aging-skin-care/younger-looking-hands

American Academy of Dermatology (August 2012). “Busy moms deserve a hand: Dermatologists offer tips to prevent premature aging of the hands.” Available online at: https://www.aad.org/media/news-releases/busy-moms-deserve-a-hand-dermatologists-offer-tips-to-prevent-premature-aging-of-the-hands

 

Frequently Asked Questions Regarding Infini Wrinkle Reduction

Infini is a technology developed for surgical scar improvement that can also enhance and rejuvenate aging skin, providing consistent results and low downtime.

One of the many benefits of Infini is that it can be used at any time of the year and on any skin. Infini does not directly affect the epidermis. It is a non-invasive procedure that addresses both post-operative scars and the skin laxity such as wrinkles and textural changes that are a consequence of sun exposure.

Q: What is this procedure good for?
A: Overall skin rejuvenation; fine lines and wrinkles, improving tone and textural changes- especially “crepey skin”, sagging skin, acne scarring

Q: What parts of the face/ neck can it improve?
A: Brows, crows feet, upper lip, neck and chest

Q: How does it work?
A: Energy delivered into the skin stimulates the natural growth of collagen and elastin—natural  “scaffolding.”

Q: Why is radio-frequency an important addition to microneedling?
A: The radio-frequency delivered via gold-plated microneedles is a powerful stimulant for new collagen production.

Q: What preparation is involved?
A: Application of a topical numbing cream in the office for approximately 2 hours

Q: How long is the procedure?
A: About 30 min

Q: What is the downtime?
A: There is redness and swelling for approximately 48 hours, which may take up to a week to resolve. Make-up may be applied after 48 hours

Q: How quickly will I see results?
A: It takes a few weeks to begin to see results. Improvement continues over a period of up to 6 months

Have questions or want to make an appointment at Dermatologic Surgery Center of Washington? Click here to contact us.

Back to School Rash

I love September! To me, Back-to-school means clean notebooks, new horizons and the memory of a fresh box of Crayolas. My excitement is just another in a long list of quirks that my children find perplexing and irritating. I somehow haven’t completely transmitted the enthusiasm my own parents had for the start of the school year.

My dad, a college president who saw the potential student in almost everyone, looked upon the beginning of the semester like a child anticipates Christmas morning. His own education was a transformative gift, and he never got over his wonder and gratitude. My mother excitedly planned first-day-of-school outfits and staged multiple photos, but one year she got a little ahead of herself. As she pulled out of the elementary school driveway, having dropped me and my brothers off at the front entrance, the custodian waved down her speeding station; the first day of school wasn’t until the NEXT day. I get it; summer vacation can get too long when you have three kids underfoot.

In the wonderful world of dermatology, the fall also brings particular skin conditions. One of these back-to-school rashes is hand, foot and mouth disease.

Hand, foot, and mouth disease is a viral infection that causes sores in the mouth and a rash on the hands and feet. It is common among children under the age of 5, particularly in daycare settings, as it spreads by close contact with infected people. It’s not usually serious, and nearly all people recover within 10 days without medical treatment. (1)

Symptoms of Hand, Foot and Mouth Disease

● Fever
● Poor appetite
● Sore throat
● Rash – Small red bumps or blisters on the palms, soles of the feet, and sometimes the knees, elbows, buttocks, and genital area.
● Painful sores in the mouth

Symptoms typically appear 3-6 days after the initial infection (incubation period), with fever as the first sign, followed by a sore throat. (2)

Transmission

Hand, foot, and mouth disease spreads through contact with infected individuals’ nasal secretions, throat discharge, saliva, stool, or respiratory droplets after a cough or sneeze. It may also spread through contact with blisters on the skin.

Infected individuals are typically most contagious during the first week of illness, but the virus can remain in the body for weeks after the signs and symptoms are gone, resulting in further transmission. Some people, particularly adults, can pass the virus without showing any signs of the disease. Outbreaks of the disease are common in the summer and autumn in the United States and other temperate climates. (3)

Treatment for Hand, Foot and Mouth Disease

There is no specific treatment for hand, foot, and mouth disease. Symptoms, such as fever, can be managed with over-the-counter analgesics, like Ibuprofen or Tylenol. It is important that infected individuals drink plenty of fluids to stay hydrated, particularly if fever is present. Complications of hand, foot, and mouth disease are rare, but may include viral meningitis or encephalitis. High fevers not relieved with analgesics, headache, stiff neck, or back pain warrant further evaluation by your physic.

 

 

 

(1) CDC (June 28, 2018). Hand, Foot, and Mouth Disease. Accessed online at:
https://www.cdc.gov/features/handfootmouthdisease/index.html .

(2, 3) Mayo clinic (July 26, 2017). Hand, Foot, and Mouth Disease . Accessed online at:
https://www.mayoclinic.org/diseases-conditions/hand-foot-and-mouth-disease/symptoms-causes/syc-20353035 .

What is Seborrheic Keratoses?

Have you ever been concerned about a dark mole on your skin, only to be told by your dermatologist that it’s not a mole but a seborrheic keratosis? We might tell you not to worry about it, but did you get a good explanation of what they are?

A seborrheic keratosis (SK) is a very common skin growth caused by a thickening of an area of the top skin layer. It usually appears as a brown, black, or light tan growth on the face, trunk or arms, and may have a waxy or scaly raised appearance. Despite the way they look, these growths are harmless. They do not usually cause any symptoms, but they may itch.

SKs typically occur in middle-aged and older adults and there may be a tendency in families to grow multiple lesions. SKs are not contagious.

Treatment Options for Seborhheic  Keratosis

Treatment of SKs is usually not necessary, but may be desired for cosmetic reasons. Under local anesthesia, they may be removed with a scalpel, scraped off with a special instrument, or burned off with an electric current. The most common treatment for SKs is liquid nitrogen therapy. However, all of these treatments have the potential to leave behind a white mark or scar. Eskata is a new treatment that is able to remove the SKs without leaving a scar or affecting the pigment in the skin.

What is Eskata?

Eskata is an FDA-approved topical and non-invasive treatment that is indicated for raised seborrheic keratoses (SKs). It consists of a clear, colorless solution of 40% hydrogen peroxide intended for application by a healthcare provider in an office setting. We are happy to announce that we are one of the first practices in the Washington, DC region to be trained and certified in Eskata application.

How does it work?

We carefully apply the concentrated hydrogen peroxide liquid to the SKs four times, about a minute apart. The SKs may turn white initially and then form a scab. Over the next few days, the SKs should fall off without leaving a scar. Typically, two treatments are needed, about 3 weeks apart, to completely remove the SKs. Watch the video below to see an application.

What are the side effects of Eskata?

A tingling, burning, or itching sensation is common during the application process. Following the application of Eskata, patients may have redness and/or swelling that can last up to a week.

Is Eskata covered by my insurance?

Treatment with Eskata is considered cosmetic, and is not covered by insurance. One session will treat up to 7 SKs.

 

Contact us with any other questions or to make an appointment with a dermatologist.

excessive sweating

Hyperhidrosis Could be the Cause of Too Much Sweat

hyperhidrosis

Hyperhidrosis is a medical condition that causes excessive sweating that is not necessarily related to heat or exercise. Messages from your brain usually tell your body when to produce sweat, either to keep you cool in warm temperatures or as a reaction to anxiety. However, with hyperhidrosis, excessive sweating occurs regardless of the physical or emotional environment. This excessive sweating may interfere with daily activities and can cause significant social anxiety and embarrassment. Fortunately, several treatment options are available to help with this condition.

Treatments for Excessive Sweating

    • Antiperspirants: Antiperspirants are the most common treatment for hyperhidrosis and may be purchased “over-the-counter” at your local drugstore or with a prescription from a medical professional. They work by plugging your sweat ducts so that the sweat does not reach the surface of your skin.
    • Iontophoresis: This treatment uses a mild electrical current in a shallow tray of water to reduce excessive sweating of the hands and/or feet. It has been shown to reduce sweating by 81%1,2. Prescription iontophoresis machines cost under $1000 and insurance may cover some of the cost.
    • Botox: Botox is a natural, purified protein that, when injected, can temporarily block the secretion of a chemical in your body that controls your sweat glands. When used to treat excessive underarm or hand sweating, it has been shown to reduce sweating by 80-90%, with improvement lasting from 4-12 months. The cost of Botox varies depending upon the size of the body area treated and whether insurance covers any of the cost.
    • Oral medications: There are several classes of medications that may be used to treat excessive sweating, each having different side effects and precautions. Insurance usually covers the cost of this type of therapy.
    • Laser therapy: A laser can be focused into a narrow beam of energy in order to target, heat, and destroy sweat glands in the underarm area. Side effects may include swelling, bruising, and numbness, but usually resolve after 1-2 weeks. In studies, 82% of patients receiving laser treatment for hyperhidrosis said their results were “good” or “excellent”3. Insurance may not cover the cost of laser treatment, which can be up to $3000.
    • MiraDry: This device is used by a doctor to deliver microwave energy to the underarm skin, effectively destroying sweat glands. In research studies, MiraDry was shown to reduce underarm sweat by 90%4. Common side effects include swelling, redness, and tenderness lasting for several days. Best results are seen when two treatments are performed three months apart.
    • Obrexza: This non-invasive FDA-approved treatment is intended to treat axillary hyperhidrosis (underarm excessive sweating). One wipe is applied topically to both underarms once per day. It is approved for patients 9 years old and older.

    Other Causes of Excessive Sweating

    Hyperhidrosis may be caused by an underlying medical condition such as menopause, diabetes, Alzheimer’s, tuberculosis, or cancer. Certain medications, such as antidepressants or anti-anxiety medications may also cause excessive sweating.

    When sweating is caused by an underlying medical problem, this is called secondary hyperhidrosis. Unlike secondary hyperhidrosis, which has a sudden onset, primary hyperhidrosis tends to be a longstanding medical condition that typically begins prior to age 25 with no underlying cause.

    If excessive sweating is a problem for you, consult with your physician.

    Contact us with questions and to book your appointment.

     

     

     

     

    1. Karakoç Y. Safe control of palmoplantar hyperhidrosis with direct electrical current. Int J Dermatol. 2002;41:602-605.
    2. Bouman HD, Grunewald Lentzer EM. The treatment of hyperhidrosis of hands and feet with constant current. Am J Phys Med. 1952;31:158-169.
    3. Leclere FM, Moreno-Moraga J, Aleolea JM, Vogt PM, Rovo J, Corenjo P, Casoli V, Mordon S, Trelles MA. Efficacy and safety of laser therapy on axillary hyperhidrosis after one year follow up: a randomized blinded controlled trial. Lasers Surg Med. 2015; 47(2): 173-9.
    4. Lupin M, Chih-Ho Hong H, O’Shaughnessy KF. A multi-center evaluation of the Miradry system to treat subjects with axillary hyperhidrosis. Am Soc for Laser Med and Surg. 2011; 79.

    Skincare Tips for Diabetes Patients

    5 Skin Tips for People with Diabetes

    According to the 2017 National Diabetes Statistics Report there are 30.3 million people with diabetes (9.4% of the US population) including 23.1 million people who are diagnosed and 7.2 million people (23.8%) undiagnosed.

    Patients with diabetes are more susceptible to skin infections, especially on the feet and on the skin of the ear. More than 75% of patients with diabetes will have skin lesions. The most common is xerosis or dryness. Dry skin affects 50% of those with type 1 diabetes. Keratosis pilaris, or rough spots on the sides of arms affect about 10% of patients. Itching of the skin, especially on the torso, is very common.

    Also occurring are smooth yellow plaques on the front of the shins called Necrobiosis lipoidica. These lesions are usually painless and are 3 times as likely to occur in women than in men. They can be treated with topical creams as well as oral medications that improve circulation, such as low-dose aspirin, pentoxifylline, dipyridamole and nicotimamide.

    70% of diabetic men over 60 will develop diabetic dermopathy or shin spots. Over time these become dark depressions in the skin.

    Skincare Tips for Diabetes Patients

    So how does one prevent or treat these irritations caused by diabetes? Besides keeping your diabetes under control, here are some tips you can follow for skin care.

    1. Moisturize daily with an unscented emollient such as Cerave, Cetaphil or Uradin 10 lotion. Apply when skin is still damp- within 3 minutes of getting out of the bath or shower.
    2. Use a moisturizing, fragrance-free cleanser such as Dove soap. Oatmeal baths can also help reduce itching.
    3. Thoroughly dry skin folds such as underneath the breasts or between toes. Trapped moisture is a breeding ground for yeast and fungal infections.
    4. Check your feet daily for sores or cuts and treat with a topical antibiotic and bandage. Seek medical attention for any sores that have not healed or are red, swollen, hot or draining pus.
    5. Don’t cut cuticles around your nails as this can lead to infection.

    Note that not all-natural health and beauty products are 100% natural. Many include fragrance and other ingredients that can irritate sensitive skin. Be sure to read the labels.

    If you are concerned about your skin or whether you have diabetes, consult a physician.

    Contact us with questions and to book your appointment.

    melasma example dark spots on cheek

    What is Melasma & How to Treat It

    melasma example dark spots on cheek

    In addition to wonderful memories, summer can leave behind unwanted darkening of the skin.  Persistent hyper-pigmentation of the face, called Melasma, occurs on the cheeks, bridge of nose, forehead, upper lip and occasionally the forearms.  It is similar in appearance to age spots, but the dark patches cover a larger area.

    Melasma occurs in all skin types, but especially in skin of color.  East Asian, Southeast Asian, Hispanic and Blacks populations have the highest rates.  Up to 30 % of middle-aged Asian women exhibit Melasma.  In general, women are affected more frequently; the American Academy of Dermatology estimates that 90 % of Melasma sufferers are women.  Men are not immune; nearly 35 % of men from Central America – particularly Guatemala – develop the condition.

    What causes Melasma?

    Sunlight is the principal trigger.  The greater the sun exposure, the greater the risk.  Age increases the potential as does a history of vitiligo and the existence of multiple moles or birthmarks.

    The second most important cause is female hormones.  Not only is Melasma more common in women, it’s also more severe.  It occurs during pregnancy (the “mask of pregnancy” or Chloasma) and with the use of oral contraceptives and hormone replacement therapy (HRT).  Unfortunately discontinuation of the medication doesn’t necessarily reverse the pigmentation.

    Why does Melasma differ by ethnic group?

    Skin color is determined by the density and distribution of melanin, or natural pigment, in the skin.  All ethnicities have a similar number of melanin producing cells, or melanocytes, in their skin.  What differs is the level of melanocyte activity and how closely the cells are grouped together.  Skin types with more melanocytic activity, or darker skin types, react to inflammation or UV exposure with more robust melanocytic activity, leading to hyper (increased) and sometimes hypo (decreased) pigmentation.

    How is Melasma treated?

    Sun protection is the cornerstone of Melasma prevention and treatment.  Daily use of a broad spectrum (at least SPF 30) sunscreen that blocks both UVA and UVB is critical.  These should be applied at least 20 minutes before and 30 minutes after sun exposure.  Products  should contain one or more of the following ingredients in order to protect against the long UVA wavelengths: Zinc Oxide, Titanium Oxide, Ecamsule and/or Avobenzone (Parsol 1789).  Protection can also come from wearing iron oxide-containing makeup.  Hats with a 2-3 inch brim along with sunglasses are helpful in reducing UV light exposure.  It’s important to remember that damaging sun rays penetrate through a car window.

    Topical skin bleaching agents such as prescription-strength Hydroquinone, either alone or in combination with topical retinoids and steroids, are very useful in treating Melasma.  Their efficacy is enhanced when combined with a series of peels with either Glycolic Acid, Salicylic Acid or Trichloroacetic Acid.  Peels and topicals should be adjusted according to skin type for best results.

    Other agents also have a role in reducing pigmentation including vitamin C and E, Azelaic Acid, licorice, Kojic Acid, Ellagic Acid and Arbutin.  Lasers are often promoted for Melasma treatment but they are not as effective as they are for solitary age spots or blood vessels.

    Oral medications, such as Tranexamic Acid, are also helpful as an adjunct treatment for some patients.

    Summary:

    I find that a multi-modal approach, tailored to a patient’s ethnicity, location of pigment in the skin and underlying health status leads to significant and durable improvement in Melasma.  The good news is that if Melasma bothers you, it’s not something you have to live with!

    Hair Treatments: Separating Fact from Fiction, Part I

    Hair loss is one of the most complicated issues in Dermatology. There are numerous potential causes including auto-immune conditions, hormonal abnormalities, nutritional deficiencies, malignancies and heredity. In addition to the challenges of establishing a diagnosis, the remedies are neither fool-proof nor universally beneficial. Unlike many other areas in medicine, studies on hair growth medications and treatments are often not well-designed or double-blinded. End points are difficult to quantify. Growing hair can be elusive and determining if what you’re using is actually effective turns out to be even harder.

    We know that half of all men and women over the age of 50 will experience hair loss. For those whose gradual hair thinning is a result of heredity or age and not a reversible condition– what options are scientifically based? Does anything really work? How much of what we believe about hair growth and hair care is just a myth?

    Hair Loss Treatments

    As of today, the only FDA-approved medications for the treatment of hair loss are topical Minoxidil and oral Finasteride.

    Minoxodil is an over-the-counter solution or foam found in two different strengths: 2% and 5% . Although how it works is not entirely clear, minoxidil does seem to increase hair growth rate and hair follicle diameter.

    What I have observed is that it increases hair growth in about 1/3 of patients, maintains hair in another third and doesn’t do much in the rest.

    Recommended Usage of Hair Loss Treatments

    There are a lot of misconceptions about its use, however, and that leads to less than optimal results.  Patients will often stop using minoxidil if it doesn’t work within the first 2 months, believing that it’s not going to be effective for them. It turns out that many people won’t see results until 4- 6 months of daily use. I recommend continuing for a full year before giving up.

    I also find that patients are reluctant to start Minoxidil because they think they must commit to it for the rest of their lives and if they stop their hair will all fall out. NOT TRUE! Like many things, such as sunscreen or hair spray, it’s only going to work when you use it. But that doesn’t mean someone has to apply it forever or that you’ll lose all your hair if you stop. You won’t. Your hair just goes back to where it was before you started Minoxidil.

    Contrary to what some believe, Minoxidil will not cause hair loss to worsen. It can seem like it does for some people, because as new hair growth begins, resting or not-growing hairs are pushed out. This shedding can make it seem like hair is actually being lost; however overall hair count and the size of the hair shaft are actually increasing when this happens.

    Suggested Hair Care for Those Experiencing Hair Loss

    What about hair care? If you’re losing hair should you shampoo or brush less frequently, and stop dying your treating your hair?

    Shampooing often enough to eliminate scale on the scalp helps optimize hair growth. Certain shampoos are better for this than others. However the frequency of hair washing will not make an impact on hair growth. You might be more aware of the loss when you shampoo, but there is no evidence linking hair loss to hair washing.

    Similarly neither brushing your hair nor using chemical treatments such as dyes, perms or straighteners will cause you to lose your hair. What they can do, though, is make hair weaker and more susceptible to breakage, which can make hair loss more noticeable. So proceed with caution.

    More Information

    Hair loss is more than just having a bad hair day. It can signify a health problem and it can also be psychologically devastating for both men and women. We are exposed to a deluge of options regarding hair growth— only some of which are legitimate. Some treatments may turn out to be helpful, but data to support them is limited or non-existent.

    In a future blog I’ll explore what we know and don’t know about the other approved medication, finasteride, along with supplements, hair lasers and PRP.


    BOGO SALE

    Buy one Nutrafol® vitamin for women or men and get a second one 20% off.*

    * This promotion is valid during the month of August 2017.

    Contact us with questions and to book your appointment.

     

    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.