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General Dermatology

Our providers treat all common skin conditions, in addition to cosmetic procedures, using the most current treatment modalities.

Some of the most common medical dermatological problems include:

Acne

We often associate acne with our teenage years, but many people had clear skin during those years, only to find pimples popping up in their later years.  For some people an over-the-counter preparation helps to clear up the occasional blemish, but for this who have a more severe case of acne, and for those who scar following the healing of the blemish, specialized treatment is necessary.  As the skin ages, the cellular turnover slows down, leaving dead cells on the surface of the skin.  Hormone changes also affect the skin and the production of sebum (oil).  The sebaceous glands are located with a hair shaft in a unit called a sebaceous follicle.  Combined with the cells that are shed from the skin, they plug up the opening of the follicle, which swells.  The skin bacteria called P.acnes multiply in the clogged hair follicle and cause inflammation.  If the follicle bursts, the inflammation spreads to the surrounding tissue.  This is a good reason not to pick on a pimple.  Stress can aggravates the acne condition, causing further embarrassment.   Many people with acne say that they feel it is the first thing people see when they meet them.  They also feel that people view them as being dirty.
At LaMaison DermEsthetics we have many treatments for acne.  Retin-A, used in combination with deep cleansing products, can help to calm the sebaceous glands so they don’t overproduce sebum.  In the office we use the Acne Light treatment which helps tremendously, especially when combined with our Signature Peel.  And we can show your results using our Visia computerized skin analysis system, helping us to determine which procedures work best for your particular condition. 

Visit the following websites for more information on acne:
American Academy of Dermatology: Acne


Skin Cancer

Skin cancer is the term used for an abnormal, uncontrolled growth of skin cells.  The American Academy of Dermatology states that one in five people will develop skin cancer in their lifetime.  Any time you have a mole on your skin that changes shape or color, or you have a spot that does not heal, have it looked at.  Early detection is critical to cure. Consider yourself at risk if you have had repeated exposure to the sun or tanning beds, are fair complexioned, and if you have a family history of skin cancer.

Recognizing Skin Cancer

The most common skin cancers are:

Basal Cell Carcinoma – a persistent sore that won’t heal; a pimple-like bump that looks pearly, translucent, pink, red or white (may be tan or brown on dark-haired people.)  May appear on body parts that get excessive sun exposure like the face, ears, scalp, shoulders, neck or back.

Squamous Cell Carcinoma – a wart-like, whitish growth or persistent red, scaly patch with irregular borders that sometimes crusts or bleeds.  These may surface anywhere on the body that has received prolonged sun exposure, like the lower lip or the ears.

Melanoma – a mole or dark spot that has one or more of the ABCDE warning signs:

  • Asymetry (one side doesn’t match the other)
  • Border irregularity (edges are ragged)
  • Color (pigmentation varies)
  • Diameter (larger than a pencil eraser)
  • Evolving (changing in shape, size, color or elevation)

ABCs of Melanoma

Malignant moles can appear anywhere, but check often overlooked parts like the palms of the hands, bottoms of the feet and nail beds.

Don’t wait for skin cancer to alert you to the importance of using broad spectrum sunscreens!  Visit one of our offices today and we will help you select from a variety of sunscreens endorsed by the American Cancer Association.

For more information on skin cancer visit the following websites:
www.skincare.org
www.skincarephysicians.com


Eczema

It is questionable whether the itching, scratching and discomfort associated with eczema outweighs the frustration of trying product after product with no relief.

Eczema, also referred to as contact dermatitis, allergic dermatitis, atopic dermatitis, irritant dermatitis, is certainly an uncomfortable and often painful skin disorder.  Typically it is reddened, patchy, and dry and can become cracked, crusted, weepy and blistered in it’s worst state.  Contact with plants, soap, hot water, nail polish, elasticized fabrics, shampoos and hair dyes and even excessive heat or sweating can trigger an attack.  Since we bathe every day, this is where you should start you eczema treatment.  LaRoche Posay have some wonderful products to use in their Lipikar range.  A foaming body wash in a short lukewarm shower, patting the skin dry with a soft towel and using the Lipikar Balm as a body lotion will set your skin on the right path.  Applying the Lipikar Hand cream following washing your hands will help tremendously.  The Obagi Rosaclear Sunscreen offers UVA and UVB protection and contains no chemicals - a wise choice for the eczema prone skin.

In extreme cases we work with the medical side of our practice to achieve the best possible results for your skin.

For more information on Eczema, visit the following websites:
www.nationaleczema.org


Rosacea

Rosacea (pronounced "roh-ZAY-sha"), also referred to as Acne Rosacea when acne accompanies the condition, is a chronic and disorder usually affecting the facial skin.  Rosacea is characterized by flare-ups and remissions.  Rosacea typically affects the skin after age 30, but we have seen it in younger people, especially when there is a family history of rosacea.  It usually begins as redness on the cheeks, nose, chin or forehead which comes and goes.  In some cases, rosacea also occurs on the neck, chest, scalp and even the ears. Over time, the redness increases and becomes more persistent, and visible blood vessels may appear. Left untreated, bumps and pimples often develop, and in severe cases the nose may grow swollen and bumpy from excess tissue.

Not well-researched, some people say that one or more of these factors make their rosacea worse:

  • Heat (including hot baths)
  • Heavy exercise
  • Sunlight
  • Winds
  • Very cold temperatures
  • Hot or spicy foods and drinks
  • Drinking alcohol
  • Menopause
  • Emotional stress
  • Long-term use of steroids on the face.

Hyperpigmentation

Dalmatians, giraffes, and other critters look cute with spots, and some people think freckles are “cute.” Not when you know that they will become the things we call “age spots,” “hyperpigmentation,” or “liver spots” later on in life.  Pregnancy, being on the birth control pills, and even some medications can make your skin react differently to sun exposure.  Dark spots, melasma, also referred to as the “mask of pregnancy,” can be the result.  And as we age we lose our skin’s natural SPF, resulting in more sun damage and dark spots.  Anti-aging gurus tell us that uneven pigmentation ages us more than plain old wrinkles.  At LaMaison DermEsthetics we can show you the sun damage you already have by using our Visia Computerized Skin Analysis System.  The computer looks beneath your skin surface to reveal the brown spots you already have.  With this, and other information gleaned from the Visia, we can accurately diagnose and treat the condition.  Some in-office procedures and home care treatment will be suggested for optimal results, based on your skin’s individual needs.  After two or more months of treatment we can gauge your progress with the Visia and devise a maintenance plan for you.


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Surgical Dermatology

Drs. Van perform multiple minor dermatological procedures using cosmetic plastic surgery techniques.

The surgical dermatology procedures include:

  • Biopsy and/or excision of moles, warts, skin tags, solar keratosis and other skin cancers.
  • Full excision of Basal cell carcinoma, Squamous cell carcinoma
  • Repair and revision of previous excisions and scars

Many methods are used to achieve maximum skin healing and aesthetically pleasing results:

  • Radiofrequency
  • Cryotherapy
  • Liquid cryotherapy
  • Laser treatments of lesions