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Medical Dermatology

Acne

Acne is a common skin condition that affects people of all ages, but it’s most prevalent in teenagers and young adults. It occurs when hair follicles become clogged with oil and dead skin cells, promoting bacterial overgrowth leading to the formation of pimples, blackheads, whiteheads, and sometimes more severe lesions. Acne can affect not only the face but also the chest, back, and other areas with a high concentration of oil glands.

Treatment

Effective acne treatment should be tailored to the individual’s specific skin type, severity of acne, and overall health. At our dermatology clinic, we offer a range of treatment options to address acne and its associated concerns. Here are some common treatments:

  • Topical Medications: These are applied directly to the skin and may include retinoids, benzoyl peroxide, and antibiotics to reduce inflammation, unclog pores, and treat acne-causing bacteria.
  • Oral Medications: In cases of moderate to severe acne, oral antibiotics or hormonal treatments may be prescribed to control inflammation and hormone-related breakouts.
  • Chemical Peels: Chemical peels can help improve the texture and appearance of the skin by removing the top layer of damaged skin, thus reducing the appearance of acne and acne scars.
  • Isotretinoin (Accutane): This powerful oral medication is reserved for severe, persistent acne cases. It can lead to long-lasting improvement but requires close monitoring due to potential side effects.
  • Laser and Light Therapies: Advanced treatments like laser therapy and photodynamic therapy can target acne-causing bacteria and reduce inflammation, promoting clearer skin.
  • Extraction and Drainage: Dermatologists can perform controlled extraction to remove stubborn blackheads and whiteheads safely.
  • Personalized Skincare Regimen: We help patients develop a customized skincare routine that includes gentle cleansers, non-comedogenic moisturizers, and sunscreens to prevent further breakouts.

Eczema Treatment

Eczema treatment aims to manage symptoms and prevent flare-ups. Moisturizers are essential for maintaining skin hydration. Topical corticosteroids or immunosuppressive creams can alleviate inflammation during active episodes. In severe cases, systemic medications like oral corticosteroids or biologics may be prescribed. Lifestyle modifications, such as avoiding triggers and practicing good skincare, play a crucial role in managing eczema.

Skin cancer screening

Skin cancer is a type of cancer that develops in the cells of the skin. The abnormal growth of skin cells is typically caused by damage to the DNA within them. There are several types of skin cancer, including basal cell carcinoma, squamous cell carcinoma, and melanoma. Melanoma is considered the most aggressive and potentially dangerous form.

Treatment for skin cancer depends on various factors, such as the type and stage of the cancer, as well as the individual’s overall health. Common treatment options include:

  1. Surgery: This involves removing the cancerous growth and a margin of healthy tissue surrounding it. It is often the primary treatment for most types of skin cancer.
  2. Mohs surgery: This specialized surgical technique is used for certain types of skin cancer, particularly those with high recurrence rates or located in sensitive areas. It involves removing thin layers of tissue and examining them under a microscope until no cancer cells are detected.
  3. Immunotherapy: This treatment option stimulates the body’s immune system to recognize and destroy cancer cells.
  4. Topical medications: Certain types of skin cancer, such as superficial squamous cell carcinoma, can be treated with topical creams or gels that help destroy cancer cells.
  5. Radiation therapy: High-energy X-rays or other radiation sources are used to kill cancer cells or prevent their growth. It may be used as the primary treatment or in combination with surgery.
  6. Cryotherapy: This involves freezing the cancer cells with liquid nitrogen, causing them to die and eventually fall off. This is mostly used for pre-cancerous lesions.

It’s important to note that the choice of treatment depends on individual circumstances, and a medical dermatologist or oncologist will determine the most appropriate course of action based on the specific diagnosis. Early detection and prompt treatment are crucial for successful outcomes in skin cancer cases. Regular skin examinations and sun protection measures are essential for prevention and early detection.

Hair loss (Alopecia) Treatment

Alopecia treatment varies based on the underlying cause. For pattern baldness, topical medications can be the first strep. Depending on severity and type of hair loss oral medications like minoxidil or finasteride may stimulate hair growth. In cases of alopecia areata, corticosteroid injections or topical immunotherapy can be effective. PRP is a helpful adjuvant in many cases of hair loss. Ultimately, Hair transplantation is an option for those with permanent hair loss. Our dermatologists will do a thorough evaluation to work up the cause and will give the most appropriate recommendation including consideration of  lifestyle changes and dietary supplements to support overall hair health.

Melasma Treatment

Treatment of melasma involves intense sun protection with broad-spectrum sunscreen, avoiding the sun and other sources of light in addition to sun protective clothing. Topical agents containing hydroquinone, tretinoin, and other ingredients such as Kojic acid can help lighten pigmentation. Chemical peels and laser therapy may be recommended for more stubborn cases. Consistent and long-term treatment is necessary to achieve desired results.

Melanoma

Melanoma Treatment:

Melanoma treatment depends on the stage of the cancer. Surgical excision is the primary approach for early-stage melanoma. Advanced cases may require additional treatments like immunotherapy, targeted therapy, chemotherapy, or radiation therapy. Regular follow-up and skin checks are crucial for early detection and intervention.

Psoriasis

Psoriasis Treatment:

Psoriasis treatment involves a range of approaches aimed at managing the symptoms and reducing the frequency and severity of flare-ups. Treatment options for psoriasis may include topical medications, such as corticosteroids and biologic creams,, which are applied directly to the affected skin. Phototherapy, which involves exposing the skin to controlled amounts of ultraviolet light, can also be effective. Systemic medications, such as oral or injectable drugs, may be prescribed for more severe cases. Additionally, lifestyle modifications, such as managing stress, maintaining a healthy diet, and avoiding triggers, can help in managing psoriasis. It is important to consult with a dermatologist to determine the most suitable treatment plan based on the individual’s specific condition.

Rashes

A rash is a visible change in the texture or color of the skin, often accompanied by itching, redness, or inflammation. Rashes can have various causes, including allergies, infections, autoimmune disorders, or even certain medications. Identifying the underlying cause of a rash is crucial for effective treatment.

Scars

Scars Treatment:

Scars resulting from acne can be managed through various approaches. For mild acne scarring, topical treatments like retinoids can improve skin texture over time. Chemical peels and microdermabrasion may help with superficial scarring. In more severe cases, laser therapy or dermal fillers can be employed to reduce the appearance of scars. Consultation with a dermatologist is essential to determine the most suitable treatment plan based on the type and extent of scarring. The most important thing is to remember that prevention is key, specially when it comes to acne scarring.

Keloids

Keloids Treatment:

Keloids are a form of scar tissue that has grown beyond its borders. Treating keloid scars can be challenging. Options include corticosteroid injections to reduce inflammation and flatten the scar. Cryotherapy or laser therapy may also help minimize keloid size. Surgical removal followed by radiation therapy can be considered, although recurrence is possible. Silicone gel sheets and pressure dressings are sometimes used post-treatment to prevent keloid regrowth.

Rosacea

Rosacea Treatment:

Rosacea management involves a multifaceted approach. Lifestyle measures like avoiding triggers (e.g., alcohol and spicy foods) and using gentle skincare products are crucial. Topical medications, such as azelaic acid, can reduce redness and inflammation. Oral antibiotics may be prescribed for more severe cases. Laser therapy can target visible blood vessels and redness, providing long-term improvement.

Vitiligo

Vitiligo Treatment:

Vitiligo treatment focuses on managing depigmented areas. Topical corticosteroids, calcineurin inhibitors and JAK inhibitors can help repigment the skin. Narrowband UVB phototherapy is a common treatment option, often used in combination with topical agents. In some cases, surgical procedures like skin grafting or melanocyte transplantation may be considered for localized vitiligo.

Warts

Wart Treatment:

Warts can be treated through various methods. Topical treatments like salicylic acid or cryotherapy (freezing) can help remove warts. For resistant warts, laser therapy or different types of injections may be necessary. In cases of genital warts specific antiviral medications can be utilized. The treatment choice will depend on the type of wart and location.

Molluscum

Molluscum Contagiosum Treatment:

Molluscum contagiosum often resolves on its own but can be treated if necessary. In some cases, cryotherapy can be employed to remove individual lesions. Physicians may use a technique called curettage to scrape off the lesions. Over-the-counter topical medications are available, although they may take longer to show results.

Hyperhidrosis (excessive sweating)

Hyperhidrosis (Excessive Sweating) Treatment:

Hyperhidrosis is a condition characterized by excessive sweating beyond what is necessary for temperature regulation. Here are some common treatment approaches:

  1. Antiperspirants: Over-the-counter or prescription-strength antiperspirants containing aluminum chloride can be applied to the affected areas to reduce sweating.
  2. Medications: Certain oral medications, such as anticholinergics, can help reduce sweating.
  3. Prescription wipes:containing glycopyrrolate or other ingredients can be prescribed to reduce sweating when applied to the affected areas.
  4. Miradry is a non-invasive medical procedure that uses microwave technology to permanently reduce underarm sweat and odor glands. It provides a long-lasting solution for excessive sweating.
  5. Botox injections: Botulinum toxin injections can temporarily block the nerves that stimulate sweat glands, reducing sweating in specific areas. This treatment is effective but requires repeat injections every few months.
  6. Iontophoresis: This involves using a device that delivers a low electrical current to the affected areas, such as hands or feet, while they are submerged in water. Regular sessions can help reduce sweating.
  7. Surgery: In severe cases, surgical options like sympathectomy may be considered. This procedure involves cutting or clamping the nerves responsible for excessive sweating.

Skin tag

Skin Tag Treatment:

Skin tag removal can be achieved through various methods such as snipping with scissors after local anesthesia , freezing, or cauterizing the skin tag. The treatment option will depend on their size and location. It’s a quick and relatively painless procedure that can provide cosmetic improvement and alleviate any discomfort caused by the skin tags.

Medical Dermatology

  • Acne
  • Eczema 
  • Skin cancer screening
  • Hair loss 
  • Melasma
  • Melanoma 
  • Psoriasis 
  • Rashes 
  • Scars
  • Keloids
  • Rosacea 
  • Vitiligo 
  • Warts
  • Molluscum 
  • Hyperhidrosis
  • Skin tag
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