Make sure your patient has realistic expectations and understands the number of treatments, healing time, percent improvement expected, cost, risk, benefit, alternate treatments, etc. Photographs and consent forms are strongly advised.
Patients with Fitzpatrick types V and VI can now be treated effectively, albeit with extra precautions and protocols. Aggressive use of Hydroquinone or one of the newer Hydroquinone compounds together with sunscreens and pre-and post-treatment sun avoidance lessens the risk of post-inflammatory pigmentation. (more…)
What Dermatologists Need to Know about Laser Removal of Tattoos
The dermatologic laser surgeon’s ability to treat tattoos continues to improve. Lasers and their protocols have changed dramatically from the days when my personal dermatologist and the “father of Dermatologic Lasers,” Dr. Leon Goldman, was working with the Q-switched ruby laser for tattoo removal. There are now a number of laser choices to consider, each with its own positives and negatives. (more…)
Sun, Wind, and Snow. Winter Weather Can Be Rough On Your Skin
February 27, 2003-Roslyn, NY-Now is the perfect time to keep your skin healthy all winter long. Falling temperatures and brisk winds outside, together with dry heat inside, makes for an ever-changing environment that can create a variety of skin problems. (more…)
If your child is diagnosed with a chronic condition, your pediatrician may recommend that she see a specialist. But what do you do if the doctors disagree on the course of treatment?
Understand what is being recommended. “What patient’s interpret as a difference of opinion is often a nuance,” says Joshua Fox, M.D., director of Advanced Dermatology P.C. and The Center for Laser and Cosmetic Surgery a skin care center with offices in Roslyn, Commack, and West Islip.
Don’t get frustrated. “The worst thing a parent can do is throw their hands up in disgust and do nothing,” says Maurice Chianese, M.D., chief of pediatrics at PRoHEALTH Care Associates, LLP in Lake Success.
“Communicate. Ask the doctors to speak to one another,” he says. “Find out why they believe what they believe.”
Know where each doctor is coming from. Pediatricians will be familiar with dynamics in a family that a specialist might not be. But a specialist may know more about the condition. “He’ll know new courses of treatments and medications and their side effects that a pediatrician may not be aware of,” says Dr. Fox.
Try another source. Get a third opinion. If you’re in an emergency situation, Dr. Chianese says, get the opinion of a doctor on staff at the hospital.
I don’t want my tattoo anymore
Removing tattoo’s today
Advanced Dermatology , February 2003-More people than ever are getting tattoos today. A quick look at any professional basketball game will show that more than half the players have tattoos. It has been estimated that approximately 3% of the U.S. population now has tattoos. Getting a tattoo today offers people greater range in colors than ever before. (more…)
(NU) – If you have worked hard to protect your skin from wrinkles, you might be frustrated when they begin to appear. Although you can’t stop the clock, laser techniques are available to help maintain your youthful look.
If you are looking for an anti-aging solution, the first step is to find the best procedure for your needs. Sometimes, several different procedures are combined depending on your skin and personal goals. (more…)
Besides psoriasis, drugs such as Amevive and Raptiva, suggests Dr. Leonardi, may find a place in treating other chronic inflammatory disorders, such as atopic dermatitis. Once the drugs are used for psoriasis, you’re likely to see them used elsewhere, and chronic eczema will be one of the first paces. (more…)
A shocking number of Americans have psoriasis and eczema—39 million adults and children—which is more than four times the population of New York City, the largest city in the US. According to dermatology specialists Dr. Joshua Fox and Dr. Robert Levine with Advanced Dermatology, PC, the seasonal change to cold, dry air creates difficulties for people dealing with these chronic skin disorders.
“It is important to manage symptoms,” says Dr. Fox, who has served on the board of the National Psoriasis Foundation. “Psoriasis and eczema can be painful. They can make everyday actions uncomfortable for adults and children, men and women, and they carry a stigma that can lead to a loss of self-esteem, depression, and other health complications.”
Psoriasis appears on the skin as red or white, scaly patches that often itch and bleed. The patches can also look scaly or silvery in color. Nails can become yellow, ridged and separate from the nail bed. Up to 30 percent of people with the disease develop psoriatic arthritis, and recent studies indicate that patients with moderate to severe disease are also at increased risk for other associated health conditions, including heart disease, heart attack, diabetes, high blood pressure, obesity, depression and hypertension.
Eczema, a hypersensitivity disease, inflames the skin, causing pain, itching, dryness, swelling, cracking, weeping and scaling. Eczema lesions can bubble, ooze, and crust over if scratched. Skin infections can occur if bacteria invade the skin lesions.
“Once patients understand their psoriasis or eczema is not contagious, they seem to be relieved,” says Dr. Fox. “They are comforted to know there is help for their symptoms.”
There are medical treatments for both conditions, but once under care there are ways to help manage these skin conditions at home.
Dr. Fox’s and Dr. Levine’s tips for managing psoriasis and eczema throughout the winter
Moisturize. Use a non-irritating, fragrance-free moisturizer. Thick ointments are best for locking in moisture and repairing the skin barrier.
Limit bathing. Take warm (not hot) baths not more than once per day. Pat the skin dry with a towel (do not rub) and apply moisturizer immediately following.
Choose a mild, non-irritating soap. Use sparingly.
Use a humidifier indoors. The ideal range is 45-55 percent humidity.
Wear loose, soft clothing. Choose cotton over wool, denim, or other harsh fabrics. Wear gloves and scarfs outside to protect exposed skin.
Avoid sweating. Sweat can trigger flare-ups. Wear wicking fabrics and change out of damp or snowy clothes as soon as possible.
Keep fingernails short. This decreases the likelihood that scratching will tear the skin and lead to infection.
Hydrate. Drink plenty of water.
Reduce stress. While this is easier said than done during the busy holidays, stress can trigger flares.
Identify and eliminate possible triggers. Some common triggers include wool, soaps, fragrance, pet fur, cosmetics, and household cleaners. Some patients have found relief by altering their diets.
Dr. Levine counsels that people with either psoriasis or eczema should consult their dermatologist to get an accurate diagnosis and discuss the pros and cons of different treatments options.
Joshua L. Fox, M.D., F.A.A.D., is the founder and medical director at Advanced Dermatology P.C. He is a leading authority in the field of dermatology with expertise in skin cancer, cosmetic surgery and laser procedures and is program director of a fellowship in laser and cosmetic surgeryRobert Levine, D.O., F.A.O.C.D. is experienced in many areas of medical and surgical dermatology with an interest in cosmetics.
Advanced Dermatology P.C., the Center for Laser and Cosmetic Surgery (New York & New Jersey) provides cutting edge medical, laser & cosmetic dermatology and plastic surgery services.