Cold Weather Brings Dry Skin

November 21st, 2014

moisturizerMeteorologists are predicting an unusually cold winter this year. Therefore we need to re-evaluate our skin care routines and take precautions against the dry skin that accompanies freezing temperatures. Our skin is the largest organ in the body. Its primarily function is to serve as a barrier to keep germs, bacteria, and viruses out of our bodies to prevent illness and disease. Dry skin is uncomfortable and makes us even more prone to getting sick. Here are some tips to prevent dry skin:

Short & Cool Showers

It’s very difficult to have a short and cool shower during the winter. Even though it feels good to linger in a hot and long shower, water tends to be very drying – especially hot water. Try to minimize the length of your shower and make it as lukewarm as possible.


Moisturizing is very crucial during the winter and especially after showering. As soon as you finish showering, washing your face or hands, always apply moisturizer on the skin while there is still a little bit of hydration on the skin.


Exercise promotes healthy circulation. It increases blood flow which nourishes skin cells.

Drink Water

Drink water to hydrate the skin from inside. Drink lukewarm or hot water, or tea without sweetener.


Dr. Smart on How to Get Full, Plump Lips

November 10th, 2014

fulllipsHaving full, plump lips is often considered a sign of good health and youth. Symmetric, well-shaped, proportionate lips are generally regarded as alluring and a cross-cultural sign of beauty. For these reasons injectable lip enhancements are common and popular procedures in the cosmetic physician’s office.

As we age, the lips can slowly lose their fullness and shape. The distance between the bottom of the nose and the upper lip sags and slightly lengthens, giving the upper lip a longer and thinner appearance. Adding or restoring volume and shape to the lips is an easy non-invasive way to quickly enhance overall beauty in many patients.

Lip enhancement is simple, quick, and carries immediate reward with relatively low risk. A good lip enhancement is generally subtle, accentuating the natural shape of the lip, correcting any asymmetry, and sometimes simply adding volume.

When done well, the effect is impressive and patients are very pleased. If you are someone who wants to accentuate the shape, improve proportion, or correct some of the volume loss that has happened over time, then you might be a good candidate.

Contact us at Advanced Dermatology today to schedule your consultation for lip enhancement. We have 13 conveniently located offices in New York and New Jersey. Click here to book your appointment.

About Dr. David Smart

Dr. Smart was born in Salt Lake City and grew up climbing and skiing in the Rocky Mountains. He received his medical degree from the Medical College of Wisconsin, and must have enjoyed the harsh winters of the upper Midwest so much that he decided to stay in nearby Chicago to complete a residency in dermatology at the University of Illinois Chicago. With a particular interest in laser and cosmetic medicine, as well as general dermatology, Dr. Smart is excited to join the Advanced Dermatology team as the laser and cosmetic fellow.


Winter Skin Care Tips

November 7th, 2014

winterskinWinter is right around the corner. The cold days bring more than just rosy cheeks. It also brings uncomfortable dryness due to the bitter winds, hot showers, low temperatures, and indoor heat. It is important to start making daily changes to your routine to help prevent dry and flaky skin during the cold temperature months. Here are some easy skin care tips for winter.


Soft, beautiful skin does come from the inside. When the skin is dehydrated the skin cells turn over more slowly causing buildup of dead skin. Stay hydrated by drinking lots of water and by consuming food that contains omega-3 fatty acids. Food such as walnuts, salmon, sardines, and soybeans are very high in omega-3. Omega-3 fatty acid helps to boost hydration.


As the season changes, so does your skin routine. Find a moisturizer that is oil based rather than water based. The oil works as a protective layer on the skin. Oil helps to lock in more moisture than a lotion. However, not all oils are appropriate for the face. Look for non-clogging oils such as avocado oil, almond oil, mineral oil, or primrose oil.

Hot Baths

Having a hot, steamy bath has many benefits. However, it can take a toll on your hair and skin during the winter. Too many hot showers dry out the skin and cause it to be flaky. The arms and legs have fewer oil glands than the rest of the body, so they tend to be drier and scalier. The intense heat from hot showers breaks down the lipid barriers in the skin, which leads to a lack of moisture.


Sunscreen should be worn every season. The earth is closest to the sun during the winter and further from it in the summer. Winter sun along with the snow glare can reflect 80 percent of harmful UV rays, which cause skin cancer as well as wrinkles. Always apply sunscreen 30 minutes before going outside.


Ear Piercing and Earlobe Repair

November 3rd, 2014


Piercing earlobes and putting on jewelry has been very common around the world for thousands of years for both cultural and cosmetic reasons. Ear piercing should always be performed in a clean environment because of the risk of more serious complications from infections or improper placement of instruments.

Piercing the cartilage is not a very good idea. Numerous instances of cartilage and soft tissue ear infection have been reported when ears have been pierced in non-medical settings. It can cause perichondritis, an infection of the outer ear that may require hospitalization. To minimize the risks, always go to a professional ear piercer in a clean environment. If you notice any symptoms such as redness, tendern¬ess, and swelling, remove the earring and go see your doctor. Here are some tips for pierced ears:

  • Always wash hands before touching newly pierced ears.
  • Keep the starter earring for six weeks to prevent the piercing from closing.
  • Wash ears regularly with soap and water.


Ear Lobe Repair

As we age, our ears lose collagen and elastin just like the rest of our skin. The lobes can start to droop and cannot hold the weight of jewelry. Additionally, individuals with high gauge plugs that stretch out the earlobes oftentimes want to remove them due to job requirements or a change in taste. When the earring is removed a large hole remains which will be reduced only slightly over time. Surgery is required to fully close these holes and can be done by a plastic surgeon with local anesthesia. In most cases, ears can be re-pierced within three months after surgery. However, it is very important not to re-pierce your ear in the scar, or just above the scar, since the tissue of the scar will be weaker than the surrounding tissue.


Getting Rid of Stubborn, Unsightly Warts Once and For All

October 30th, 2014

Dr. Joshua Fox and Christopher Byrne, PA with Advanced Dermatology PC offer tips for treating the most common types of warts

A common virus causes most types of warts, but these small, unsightly growths can be a lot harder to shake than the common cold. According to Dr. Joshua Fox, board certified dermatologist and medical director of Advanced Dermatology in NY and NJ, “warts are blister-like growths caused by the human papilloma (HPV) virus, which enters the system through a cut or break in the skin. Warts occur on various parts of the body, most notably the hands and feet, and they’re extremely common. The good news is that warts can disappear on their own. The bad news? It can take years, and during that time, the warts may spread to other parts of your body.” Some warts can also promote skin cancer particularly in certain areas of the body and especially if the patient is immunocompromised. So warts are not to be ignored.

Tips for understanding and treating warts

Since warts are contagious, you can also infect other people through direct skin-to-skin contact or when you walk barefoot in the gym or share towels. Typically, warts have been traced to wet public places, such as pools or locker areas. However, children are more likely to get their warts elsewhere, according to a 2013 study of Dutch schoolchildren. Researchers spent 18 months studying the hands and feet of 1,100 children between the ages of four and 12 in three different schools. Rather than contracting warts from wet public places like pools and locker rooms, researchers found that children were most likely to get warts through direct contact with friends and relatives that had warts.

“Treatment can decrease the chances of the warts spreading to other parts of your body and to other people,” said Christopher Byrne, a physician assistant in the Fresh Meadows office of Advanced Dermatology.

The type of treatment used depends on the type of wart as well as the patient’s age and health. There are five different types of warts, with varying sizes and appearance, including common warts, plantar warts, flat warts, filiform warts, and periungual warts.
Many people turn to natural or home remedies at first, such as rubbing banana peels, castor oil, or apple cider vinegar on the wart, or even covering the wart with duct tape. Another option is trying over-the-counter treatments like salicylic acid (the main ingredient in products like Compound W). Some warts can be treated at home, but if these remedies are ineffective, it’s time to see a doctor, said Dr. Fox. “You should see a doctor if you have several warts, you cannot get rid of them, they are clearly spreading, or if the warts are causing pain,” he said. Sometimes what people think are warts are really something else necessitating a different type of treatment. ”Many patients will ignore warts without obtaining professional treatment, only to find the wart become larger, or spread to other parts of the body,” said Christopher Byrne.

One first-line treatment ideal for small children is putting a topical medication called Cantharidin on the wart, which causes a blister to form under the wart. After a week, the dermatologist will remove the dead wart. ”This is a great treatment as it is initially painless and does not require needles, and is also minimally invasive” says Christopher Byrne.

There are many other treatments in the dermatologist’s toolkit, including stronger drugs and surgical techniques. The most common include: cryotherapy (freezing the wart), excision (cutting out the wart), electrosurgery (burning the wart), and curettage (scraping off the wart). “Getting rid of warts takes time because they can be stubborn and persistent,” said Dr. Fox. One unique method that Christopher Byrne uses is using the body’s own immunity to help get rid of the wart. This is using the Candida antigen and does not hurt at all and is especially useful when the patients has many warts.

The idea behind the Candida antigen is to signal the body’s innate immune defense mechanisms to attack the wart virus. “I have found that most patients respond well to Candida, especially when other treatments have failed” says Christopher Byrne. The treatment involves a simple injection into the wart and requires re-treatment approximately every 3 weeks until the wart is gone. With a healthy immune system, most warts respond favorably even as early as the first treatment.

If warts do not respond to these therapies or they keeping returning or spreading, Dr. Fox sometimes uses laser treatments and injections of different medicines to treat warts.

Advanced Dermatology is proud to offer a comprehensive solution to one of the most common dermatological problems. If you have warts, contact us today.