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Is Mohs Surgery or Radiation Therapy the Best Treatment for Skin Cancer?

Mon, 13 Apr 2026 17:23:37 GMT

Understanding the Differences Between Mohs Surgery and Radiation Therapy

Skin cancer is the most common cancer in the United States, and when detected early, it’s highly treatable. Two common treatment options, Mohs micrographic surgery and radiation therapy , offer effective outcomes, but in very different ways. While both can remove or control skin cancer, Mohs surgery remains the gold standard for many cases because of its exceptional precision, cure rate, and tissue preservation. Understanding how these treatments differ helps patients make informed, confident decisions about their care.

Introduction to Skin Cancer

Skin cancer is the most common form of cancer, affecting millions of people each year. It develops when abnormal cells in the skin grow uncontrollably, often as a result of cumulative sun exposure. The two most common types of skin cancer are basal cell carcinoma and squamous cell carcinoma, both classified as nonmelanoma skin cancers. Actinic keratosis is a common, sun-induced, pre-cancerous skin lesion that appears as rough, scaly patches, mainly on sun-exposed skin such as the face and hands, and can develop into skin cancer if left untreated.

Basal cell carcinomas account for the majority of cases, while squamous cell carcinomas are the second most frequent. These cancers typically arise on sun-exposed areas of the skin, such as the face, ears, neck, and hands—areas of sun-exposed skin. Early detection is key, as most skin cancers, including squamous cell skin cancer that can invade deeper skin layers if not caught early, can be effectively treated when caught in their initial stages.

One of the most advanced and effective treatments for these cancers is Mohs micrographic surgery, which is designed to remove all cancerous cells while preserving as much healthy tissue as possible. This tissue-sparing approach is especially important for maintaining both the function and appearance of the skin, and is particularly used for cutaneous squamous cell carcinoma.

Understanding Basal Cell Carcinoma

Basal cell carcinoma, the most common form of skin cancer, begins in the basal cell layer, which is the deepest part of the epidermis—the outermost layer of the skin. Basal cell carcinomas most often appear on areas of the skin that receive the most sun exposure, such as the face, ears, neck, and hands. While basal cell carcinoma typically grows slowly and rarely spreads to other parts of the body, it can cause significant local damage if left untreated, sometimes invading nearby tissues and structures.

Because of its potential to cause disfigurement, especially on visible or delicate areas, early detection and prompt treatment are essential. Mohs surgery is considered one of the most effective treatments for basal cell carcinoma, particularly for high risk or complex cases where preserving healthy tissue is crucial. By removing the cancer layer by layer and examining each under a microscope, Mohs surgery ensures that all cancerous cells are eliminated while sparing as much healthy skin as possible. This approach not only maximizes the chances of a cure but also helps maintain the appearance and function of the affected area. If you notice a new or changing spot on your skin, especially in sun-exposed areas, it’s important to have it evaluated by a dermatologist to rule out basal cell carcinoma or other types of skin cancer.

Risk Factors for Skin Cancer

Understanding your risk factors for skin cancer can help you take proactive steps to protect your health. Both basal cell carcinoma and squamous cell carcinoma share several common risk factors. Prolonged exposure to ultraviolet (UV) radiation from the sun or tanning beds is the leading cause of most skin cancers. People with fair skin, blond or red hair, and light-colored eyes are at higher risk because they have less natural protection against UV rays. A personal or family history of skin cancer also increases your risk, as does having a large number of moles or atypical moles.

Certain medical conditions and treatments can further elevate your risk. Individuals who have undergone an organ transplant and are taking immunosuppressive medications are more likely to develop skin cancer, including both basal cell carcinoma and squamous cell carcinoma. Genetic conditions, such as basal cell nevus syndrome, can also predispose individuals to developing multiple basal cell cancers. Additionally, exposure to specific chemicals like arsenic has been linked to a higher risk of skin cancer. By being aware of these risk factors, you can take steps to reduce your chances of developing skin cancer and seek early evaluation for any suspicious changes in your skin.

What Is Mohs Micrographic Surgery?

Mohs surgery , also called Mohs micrographic surgery, is a specialized technique that removes skin cancer layer by layer while preserving as much healthy tissue as possible. The area is numbed with a local anesthetic, and local anesthesia is used so the patient remains comfortable and awake throughout the Mohs procedure. It’s performed by specially trained Mohs surgeons, who act as both the surgeon and the pathologist during the procedure. In each stage, the surgeon removes a thin layer of fresh tissue from the affected skin, which is then immediately examined under a microscope to check for any remaining cancer cells.

During the procedure, the patient waits between stages while the tissue is examined. If cancer is still present, only the specific area where it remains is removed. This process continues until all margins are clear, ensuring complete removal while sparing healthy tissue, including important structures like hair follicles.

Because the Mohs surgeon checks every layer in real time, Mohs surgery offers the highest level of precision available in skin cancer treatment. It’s particularly valuable for common skin cancers such as basal cell skin cancer and squamous cell skin cancers, which originate in squamous cell skin and squamous cells, as well as for tumors that may arise from hair follicles. Mohs surgery is especially important for treating cancers on the face, scalp, neck, or hands—areas where preserving normal skin is crucial for both function and appearance.

Risks and Complications of Mohs Surgery

While Mohs micrographic surgery is widely recognized for its safety and effectiveness in treating skin cancer, it is important to be aware of potential risks and complications. The overall complication rate for Mohs surgery is extremely low. The most common issues include minor infections at the surgical site, bleeding, hematoma (a collection of blood under the skin), and problems with wound healing such as dehiscence (wound reopening) or ischemic necrosis (tissue not getting enough blood supply).

It is also important to note that there are absolute contraindications to Mohs surgery. Specific health conditions or tumor features may make the procedure inadvisable or unsafe, and your surgeon will evaluate for these absolute contraindications to ensure patient safety and optimal outcomes. By discussing your medical history and medications with your Mohs surgeon, you can help ensure the safest possible outcome.

How Radiation Therapy Works for Skin Cancer

Radiation therapy treats skin cancer by using controlled beams of energy to destroy cancer cells. It can be effective for patients who cannot undergo surgery due to medical reasons, or for tumors in locations where surgery might be complex. Radiation therapy is commonly used to treat various types of cell skin cancer, including those originating in specific skin cell layers. The treatment is delivered over a series of sessions, typically spread across several weeks.

Unlike Mohs surgery, radiation does not remove the cancerous tissue; instead, it damages the DNA inside the cancer cells, preventing them from growing or dividing. Over time, the treated area heals as the body clears the damaged cells. However, because radiation affects not only the cancer cells but also the surrounding healthy tissue, it is less site-specific . The energy field must include a safety margin around the visible tumor, which means that more skin is treated than may be necessary.

This lack of precision can lead to several long-term skin changes. Radiation can thin the skin, weaken its structure, and cause scarring or pigment alterations that become more noticeable months or years later. The skin may also lose elasticity, develop chronic redness, or heal more slowly after future injuries or procedures in that area.

Why Mohs Surgery Is Often the Preferred Option

Mohs surgery remains the most precise and effective treatment for many non-melanoma skin cancers . Because it combines surgical removal with immediate microscopic analysis, it ensures that all cancer cells are completely removed, leaving the patient cancer free at the end of the procedure while sparing healthy tissue. This leads to a cure rate of up to 99% for primary basal and squamous cell carcinomas , which is higher than any other treatment method.

Another major advantage of Mohs surgery is tissue preservation . By removing only the skin that contains cancer, it leaves behind as much normal tissue as possible. This focus on tissue conservation is a key benefit of Mohs surgery, especially for visible or functionally sensitive areas—such as the nose, eyelids, lips, and ears—where even a small difference in tissue loss can significantly impact both appearance and healing. The result is typically smaller scars and a more natural cosmetic outcome.

Mohs surgery also offers immediate confirmation that the cancer has been fully removed. Patients receive their results as the surgery progresses, rather than waiting weeks to see if radiation has been effective. This step-by-step approach minimizes uncertainty and reduces the likelihood of recurrence.

Limitations of Radiation Therapy

While radiation therapy is valuable in specific cases, such as for patients who cannot tolerate surgery or for tumors in difficult locations, it has several limitations compared to Mohs surgery.

Radiation requires multiple treatments over an extended period, and its results are not immediate. Because it treats both the cancer and a margin of healthy skin, the procedure is not as precisely targeted as Mohs surgery. The surrounding tissue can sustain collateral damage, leading to skin thinning, discoloration, scarring, and long-term fragility . These changes may not appear right away but can develop gradually, sometimes years after treatment.

Additionally, cancers that recur in areas previously treated with radiation can be more challenging to manage surgically due to scarring and tissue changes. Mohs surgery is often recommended for lesions that have recurred after previous treatment, as its precision allows for effective removal of cancer in scarred or altered tissue. For this reason, Mohs surgery is generally recommended for primary tumors and recurrent lesions whenever possible.

Preventing Skin Cancer

Skin cancer prevention is a lifelong commitment that can significantly reduce your risk of developing basal cell carcinoma, squamous cell carcinoma, and other types of skin cancer. The American Academy of Dermatology recommends several key strategies for protecting your skin. Always use a broad-spectrum sunscreen with an SPF of 30 or higher, even on cloudy days, and reapply it every two hours when outdoors. Wearing protective clothing, such as wide-brimmed hats, long sleeves, and sunglasses, adds an extra layer of defense against harmful UV rays. Seek shade during peak sun hours, typically between 10 a.m. and 4 p.m., and avoid the use of tanning beds, which can dramatically increase your risk of skin cancer.

Regular self-examinations are also vital for early detection. Check your skin monthly for any new growths, changes in existing moles, or spots that look different from the rest. If you notice anything unusual, schedule an appointment with a dermatologist promptly. Individuals at high risk—such as those with a history of skin cancer, fair skin, or a weakened immune system—should see a dermatologist regularly for professional skin checks. By following these skin cancer prevention tips and staying vigilant, you can help protect your skin and catch any potential problems early, when they are most treatable.

Care After Skin Cancer Treatment

Proper care after skin cancer treatment, including Mohs surgery, is essential for optimal healing and long-term skin health. After the procedure, your surgeon will cover the surgical site and provide detailed instructions on wound care, which may include applying topical ointments or prescription medicines to promote healing and prevent infection. It’s important to follow these instructions closely and attend all scheduled follow-up appointments so your healthcare team can monitor your recovery.

For larger or more complex wounds, reconstructive surgery may be required immediately after Mohs surgery. Depending on the size and location of the defect, options such as a skin graft or a skin flap may be used to repair the area. If the defect is near the eyes or facial regions, an oculoplastic surgeon may be involved in the reconstruction to restore both function and appearance. Some extensive reconstructive procedures may be performed in an operating room under sedation or anesthesia to ensure optimal results.

In addition to caring for the surgical area, practicing skin cancer prevention is crucial. Protect your healthy skin by using sunscreen, wearing protective clothing, and avoiding excessive sun exposure. Regular self-examinations and routine check-ups with a dermatologist can help detect any new skin cancers early, when they are most treatable. Be sure to check all areas of your body, including the genital area, for new or unusual skin lesions. By staying vigilant and proactive, you can support your recovery and reduce the risk of future skin cancers.

The Bottom Line

For most basal cell and squamous cell carcinomas, Mohs micrographic surgery offers the highest cure rates, the greatest tissue preservation, and the best cosmetic outcomes . Its precision allows surgeons to remove every cancer cell while protecting healthy skin—an advantage especially important for facial and delicate areas.

While radiation therapy remains an important option for specific patients, it lacks the precision of Mohs surgery and carries a greater risk of long-term skin damage. Discussing your diagnosis and goals with a qualified Mohs surgeon can help determine the treatment approach that’s safest and most effective for you.

If you’ve been diagnosed with skin cancer, don’t hesitate to seek a consultation with a board-certified dermatologist or Mohs surgery specialist . Organizations such as the American Academy of Dermatology and the Dermatologic Surgery Association provide guidelines and standards for skin cancer treatment, including Mohs surgery, to ensure patients receive safe and effective care. Understanding your options is the first step toward the best possible outcome for both your health and your confidence.

For More Information…

Contact HazanyDerm. Dr. Hazany is recognized for his precision, compassion, and commitment to achieving the best aesthetic and medical outcomes for every patient. His expertise in Mohs micrographic surgery allows for complete cancer removal while preserving as much healthy tissue as possible—an approach that minimizes scarring and promotes faster, more natural healing.

At Dr. Hazany’s practice, patients receive individualized care rooted in the highest standards of dermatologic surgery. Each case is carefully evaluated to ensure that the chosen treatment plan balances optimal medical results with aesthetic considerations, particularly for sensitive areas such as the face, neck, and hands.

Whether you’re seeking a second opinion, exploring treatment options, or ready to move forward with surgery, Dr. Hazany and his team provide the clarity, reassurance, and expertise you deserve. From diagnosis to recovery, their focus remains steadfast: restoring health, confidence, and peace of mind.

How to Treat Dark Spots & Uneven Skin Tone

Tue, 31 Mar 2026 21:33:13 GMT

Reveal Brighter Skin with Advanced Laser Resurfacing

Hyperpigmentation is one of the most common skin concerns we see in our clinic. Whether it presents as dark spots, uneven tone, or lingering acne marks, pigmentation can be difficult to treat with skincare alone. Laser resurfacing offers a powerful, science-backed solution to restore a brighter, more even complexion.

What is Hyperpigmentation and How Can Laser Resurfacing Help?

Hyperpigmentation occurs when excess melanin (pigment) is produced in certain areas of the skin, leading to darkened patches or spots.

Actinic keratosis is a common sun-induced skin condition characterized by rough, scaly patches that appear on sun-exposed areas, especially in individuals with fair skin. These lesions can potentially progress to skin cancer, making medical evaluation and treatment important.

Common causes include:

Sun exposure
Acne and inflammation (post-inflammatory hyperpigmentation)
Hormonal changes (melasma)
Natural aging

Photoaging is the premature aging of your skin due to ongoing exposure to ultraviolet A (UVA) and ultraviolet B (UVB) radiation, and it most commonly occurs on the face, neck, back of hands, arms, legs, and upper chest. Photoaging causes DNA changes in the cells of your skin and can lead to cancer. Once UV radiation changes your skin cells' DNA, the DNA damage can't be reversed.

While topical treatments can help, deeper or more stubborn pigmentation often requires advanced treatments like laser resurfacing. Brown pigment (melanin) in the skin provides some natural protection against sun damage, but everyone is at risk for sun damaged skin.

Causes of Hyperpigmentation

Hyperpigmentation is a widespread skin concern that can affect people of all skin tones and ages. One of the most significant causes is sun exposure. When your skin is exposed to intense sunlight, UV light stimulates the production of extra melanin—the pigment responsible for your skin color. This can result in dark spots, age spots, liver spots, and uneven skin tone, especially on areas frequently exposed to the sun such as the face, hands, and upper chest.

Over time, repeated sun exposure can lead to sun damage and the development of solar lentigines, which are flat, brown patches that stand out from the surrounding skin.

To protect your skin and help prevent hyperpigmentation, it’s essential to use a broad-spectrum sunscreen with a high sun protection factor (SPF), reapplying every two hours when outdoors. Wearing protective clothing, like a wide-brimmed hat, and seeking shade during peak sun hours are also key steps in reducing sun damage and lowering your risk of skin cancer.

Beyond sun exposure, other factors can contribute to uneven pigmentation. Postinflammatory hyperpigmentation (PIH) often occurs after a wound heals or following skin damage from acne or irritation, leaving behind darkened patches. Hormone changes, such as those experienced during pregnancy or with certain medications, can trigger melasma—a type of hyperpigmentation that appears as brown patches on the face. Genetics, sensitive skin, and your medical history can also play a role in how your skin responds to environmental stressors and injury.

Treating hyperpigmentation often requires a combination of approaches. Options include topical creams, chemical peels, and advanced treatments like laser skin resurfacing, which uses a laser beam to target and break down excess pigment while stimulating collagen production for smoother, more even skin. Other treatments, such as dermatologic surgery or vitamin C serums, may be recommended based on your unique needs.

Consulting with a dermatologist is the best way to determine the most effective treatment for your skin type and medical history. By prioritizing sun protection and seeking professional medical care when needed, you can help prevent and treat hyperpigmentation, achieving a more even skin tone and reducing your risk of long-term skin damage. The American Cancer Society recommends using a broad-spectrum sunscreen with an SPF of 30 or higher and taking proactive steps to protect your skin from the sun’s harmful rays.

What Is Laser Resurfacing?

Laser resurfacing is a non-surgical treatment that uses targeted light energy to improve skin tone and texture.

Depending on the type of laser used, the treatment can:

Break down excess pigment
Stimulate collagen production
Accelerate skin cell turnover

Laser resurfacing can improve uneven skin tone by removing the outer layer of skin and encouraging the growth of new, healthier skin.

This process improves the appearance of the skin by promoting new skin growth and stimulating collagen production, replacing damaged, uneven skin with healthier, more evenly pigmented skin.

How Laser Resurfacing Treats Hyperpigmentation

Laser energy is absorbed by pigment in the skin, effectively breaking it up into smaller particles that your body naturally clears away.

At the same time, the treatment:

Encourages fresh, new skin cells to surface
Improves overall skin clarity and brightness
Refines texture and reduces signs of aging

Laser resurfacing can stimulate collagen production, which helps improve skin texture and tone. It can also reduce the appearance of wrinkles and fine lines caused by sun exposure.

Many patients notice not only improvement in pigmentation, but also smoother, more radiant skin overall.

What Types of Pigmentation Can Be Treated?

Laser resurfacing can be highly effective for:

Sun spots (age spots)
Post-acne marks
Uneven skin tone
Freckles
Deep wrinkles, especially those caused by sun damage (solar elastosis), where UV damage destroys collagen and elastin fibers in the deeper skin layers, resulting in persistent wrinkles that do not disappear when the skin is stretched.

Ablative lasers are highly effective for deep wrinkles and scarring, but require longer recovery times, typically two to four weeks.

Melasma can also be treated, but requires a more customized and gentle approach to avoid worsening pigmentation.

What to Expect During Treatment

Your treatment begins with a personalized consultation to assess your skin type, concerns, and goals.

During the procedure:

You may feel a warm or tingling sensation as the laser is applied
Most treatments take 20–45 minutes, depending on the area

Recovery & Downtime

Downtime varies depending on the type of laser used.

You may experience:

Redness similar to a mild sunburn
Dryness or light peeling
Temporary sensitivity

Most patients can return to normal activities within a few days to a week.

Proper aftercare is essential and includes:

Strict sun protection
Gentle skincare
Avoiding heat and irritation during healing

When Will You See Results?

Results develop gradually as your skin heals and regenerates.

Initial improvement can be seen within 1–2 weeks
Continued improvement over several weeks
A series of treatments may be recommended for optimal results

With proper skincare and sun protection, results can be long-lasting.

Who Is a Good Candidate?

Laser resurfacing is ideal for patients with:

Mild to moderate hyperpigmentation
Sun damage or acne marks
Uneven skin tone

Treatment plans are always customized, especially for patients with darker skin tones, to ensure both safety and effectiveness.

Are There Any Risks?

When performed by experienced providers, laser resurfacing is very safe. However, potential side effects may include:

Temporary redness or swelling
Sensitivity during healing
Risk of post-inflammatory hyperpigmentation (rare with proper care)

It's important to note that the sun's ultraviolet radiation breaks down the connective tissue — collagen and elastin fibers — that lies in the deeper layer of the skin underneath the surface. This means that both sun damage and certain treatments can affect the skin underneath, not just the visible outer layer.

This is why choosing the right provider and following aftercare instructions closely is so important.

Laser Resurfacing vs. Other Treatments

While treatments like chemical peels and topical products can help, laser resurfacing often provides:

Faster, more noticeable results
Deeper correction of pigmentation
Additional benefits like collagen stimulation

In many cases, lasers are the most effective option for stubborn or long-standing pigmentation.

Why Choose Hazany Dermatology

We take a personalized, results-driven approach to every treatment.

At our clinic, we:

Tailor each laser treatment to your unique skin type and concerns
Use advanced, medical-grade laser technology
Prioritize safety, comfort, and natural-looking results

Ready to Brighten Your Skin?

If you’re struggling with dark spots or uneven skin tone, laser resurfacing may be the solution you’ve been looking for. Schedule a consultation with HazanyDerm today to learn more about your options and create a treatment plan tailored to your skin.

Can You Remove Moles on the Eyelid?

Sat, 21 Mar 2026 01:23:09 GMT

Safe & Effective Eyelid Mole Removal: When to Treat, Your Options, and What to Expect

Eyelid nevi, or eyelid moles, are usually benign lesions that can appear along the lash line, upper lid, or lower lid. These lesions are formed when melanocytes, the cells responsible for pigment production, grow in a cluster. These moles are most commonly caused by sun exposure, genetic predisposition, aging, and skin changes. They can commonly be identified by darker pigmentation or more raised texture compared to the surrounding tissue. Most moles are harmless, but many seek mole removal for hindrance to their vision, health concern, or cosmetics. The eyelid is a sensitive, delicate location, and precise technique must be applied to ensure safe removal and a result with minimal scarring.

When to consider having an eyelid mole removed?

Larger lesions raised beyond the height of the eyelid skin often cause hindrance to vision, blinking, or general disturbance to the day to day life. Additionally, these nevi frequently cause cosmetic concern, as makeup application poses to be more difficult and general disturbance is made to one of the most prominent traits of the face.

Regardless of indications, having an eyelid mole evaluated by a medical professional is highly advised to rule out any suspicion of cancerous tumors. Any atypical mole with signs of irritation, itchiness, growth, or obstruction should be promptly assessed by a dermatologist to rule out eyelid cancers such as squamous cell carcinoma or basal cell carcinoma.

Treatment Options to Remove Moles

1. Surgical Excision

Surgical removal of the mole is the most definitive treatment option to ensure the lesion is completely removed. This method is most commonly applied for highly suspicious moles or cases with confirmed biopsies. Local anesthetics are administered, and a fine closure with sutures would likely be utilized to aid in the healing process. Although the sutures can be hidden in any natural creases, surgical excision will likely result in a more prominent scar compared to other procedures. This method has the benefit of increasing the chance of removing the root of the mole, reducing the risk of a returning lesion.

2. Laser Removal

In some cases, various laser treatments may be utilized to help reduce pigmentation or flatten the mole; however, lasers typically do not remove deeper nevus cells, and do not permit a biopsy to be taken to rule out suspicious lesions, so treatment with this method would be typically be advised for lesions that are confirmed to be benign moles. Additionally, lasers are not commonly performed for eyelid mole removal due to the close proximity to the eye and damage inflicted if proper safety is not applied.

3. Shave Excision/Shave biopsy

In cases of more raised and superficial nevi, a precise shave technique may be used to remove the lesion at the skin level. This method of treatment has the benefits of reduced downtime, minimal scarring, and results flush to the rest of the eyelid or lash line. Local anesthesia is administered to the site, and a delicate removal is performed using a single blade. Sutures are not required with this procedure, and primary aftercare will consist of application of an ointment or antibiotic and protection of the area to reduce the risk of bacterial infection.

In general, any treatment of the skin poses a risk of a resulting scar; however, mole removal procedures with the shave excision in particular tends to heal exceptionally well, with very minimal scarring and low healing time. With meticulous technique and proper aftercare, preservation of the eyelashes and surrounding tissue is prioritized and scars are often barely noticeable.

Mole Removal with Dr. Hazany

Eyelid mole removal is a highly specialized procedure that must prioritize both medical safety with cosmetic precision. The eyelid is a highly complex treatment site. With many nerves and functions, improper technique poses a risk for prominent scarring, distortion to eyelid function, or functional issues with vision. For these reasons, choosing a medical provider with high experience in these procedures is critical.

Dr. Salar Hazany MD is a world-renowned, fellowship-trained Mohs micrographic surgeon and board-certified dermatologist. With over 10 years of experience with various skin and cosmetic treatments, he is dedicated to providing dermatologic care that not only restores healthy skin, but elevates confidence and enhances overall quality of life. Dr. Hazany has a variety experience of different skin lesion removals, ranging from skin tags, moles, skin cancer, or scars. This broad spectrum of treatment history provides a great understanding of the skin's response, allowing him to determine the form of mole removal best fit to you.

Treatment at HazanyDerm begins with a professional evaluation with our providers to identify the type of mole, assess the risk, and recommend removal based on physical discomfort, health concern, and your personal goals. Whether the concern revolves around overall health or cosmetic mole removal, our experts are dedicated to providing safe and effective treatment that puts you and your confidence above all.

Scarless Lipoma Removal

Thu, 12 Mar 2026 21:01:52 GMT

Understanding Lipomas and Modern Scar-Minimizing Techniques

What are Lipomas?

Lipomas are large, noncancerous tumors that develop underneath the skin as a result of excessive growth of fat cells. This condition is very common and typically causes minimal disturbance to one's lifestyle. Although the exact causes of these growths are not known, most cases show a genetic or hereditary predisposition to this skin condition. Additionally, some link a higher tendency to formation of lipomas after physical trauma to the area or presence of a correlated condition such as Madelung's disease. These growths are usually round in shape, soft to the touch, and most lipomas are commonly located on the neck, shoulder, back, torso, thighs and arms. Most are usually harmless and not painful; however, lesions that continue to grow or change may begin to pose physical or aesthetic concerns that solicit removal.

Identifying Lipomas

Treatment of lipomas begin with a diagnosis. Lipomas are most commonly found to be about two inches, but size may vary. These fatty tumors are typically very soft and malleable, showing no discomfort to the touch, and are very slow growing. Diagnosis of a lipoma may be guided by the physical examination and the results of a magnetic resonance imaging (MRI) or computed tomography (CT) scan. Ultimately, an affirmative diagnosis can only be determined by a performed biopsy of a tissue sample to confirm that it is benign. Although typically harmless, proper diagnosis with a medical professional is highly advised to rule out rare cases of more dangerous conditions.

There are several types of lipomas including:

Conventional Lipoma

The most common form, composed entirely of mature fat cells, grow slowly, and are typically painless. These commonly occur on the neck, shoulders, back, arms, and thighs.

Fibrolipoma

Fibrolipomas contain fatty tissue and fibrous connective tissue that feel slightly more dense.

Angiolipoma

Angiolipomas contain fatty tissue along with small blood vessels. This type may feel some tenderness or discomfort upon touch.

Spindle Cell Lipoma

Spindle cell lipomas contain spindle cells and fat cells and most commonly observed on the neck, shoulders, or upper back.

Pleomorphic Lipoma

These are a more rare type that contain irregular or variable-shaped cells in addition to fat cells.

Intramuscular Lipoma

Intramuscular lipomas develop deeper in the body, growing within muscle tissue, causing them to feel less mobile and can sometimes grow larger before being detected.

Hibernoma

A hibernoma is a tumor that forms from brown fat are more commonly found in the thighs, shoulders, neck, or back.

Myolipoma

Myolipomas are rare tumors composed of both fat tissue and smooth muscle cells. These tumors often develop deeper in the body.

Lipoma Treatment

Often times, removal of lipomas aren't necessary if this is minimal disturbance and discomfort, but removal of these growths are possible, and there are several methods commonly applied:

Injections

In some cases of lipomas very small in size, injections provide a non-surgical method to reduce the size and appearance of the growth.

Pros : Injections may provide a less invasive treatment, ideal for those with more than one lipoma or smaller growths.
Cons : Injections alone may be able to shrink the lipoma, but are usually insufficient to fully address the tumor, especially for cases of larger lipomas.

Surgical Removal

An incision is made, directly over the center of the lipoma. The entirety of the lipoma is removed, and the opening is closed in a linear shape with sutures.

Pros : The surgeon has a full view of the area, and there is a higher chance of removing the lipoma in one piece.
Cons : A linear scar is left over the center of the lipoma site, posing aesthetic concern for highly visible areas.

A hidden excision: Scarless Lipoma Removal

Considering that lipoma treatment is not always always necessary, the risk of excessive scarring is a common concern with traditional methods of removal. A newer technique is now available - a Minimal Incision Extraction (MIE).

Contrary to the traditional method of surgical excision, a hidden excision lipoma excision considers aesthetic concerns by creating a very small incision in a more discreet area. Depending on the location of the lipoma, the entry point can be made in areas that can be more easily hidden in a fold or crease. For example, a lipoma located on the shoulder or truck may be accessible by a small entry point near the axilla. Because the incision is not placed directly on top of the lipoma, the visible area where the lump once existed will not have a scar.

Local anesthesia is administered to the excision site to numb the area, and a small incision is made in a hidden location. A blunt tool is used to create a small tunnel underneath the skin's surface to access the lipoma and loosen the fibrous tissue from surrounding tissue, all while avoiding damage to the many blood vessels in the area. For larger lipomas, assistance with liposuction via a thin tube or needle may be utilized through the same entry point.

Complete removal of the fatty tumor can be ensured with a physical examination before closure with a few sutures. The average duration for the entire of the procedure is around 1 hour, and depending on the area of excision, normal activity can be resumed in the few days or weeks after surgery.

Pros

Improved cosmetic results for visible locations
Discreet procedure and healing
Reduced mental impact from the scar size

Cons

Scars may be reduced in size but not entirely hidden based on the location of the lipoma
Tumors residing in deeper tissues may require traditional excision

Lipoma Removal with HazanyDerm

Lipoma removal doesn’t have to mean accepting a visible scar. Dr. Salar Hazany understands the psychological impacts of scars, especially in sensitive or highly visible locations. New advances in surgical technique now allow providers to remove many lipomas through strategically placed incisions, that are effective in allowing for complete extraction of the lipoma while prioritizing preservation of the natural appearance of the skin.

If you have a lipoma that bothers you, a consultation with an experienced provider can help determine whether scar-minimizing removal techniques may be right for you.

What Are Retinoids?

Thu, 26 Feb 2026 00:49:02 GMT

Retinol, tretinoin, adapalene, retinal, the list goes on...

What Are Retinoids?

If you’ve spent any time researching skin care, you’ve probably encountered the word “retinoids” more times than you can count. These vitamin A derivatives have been a cornerstone of dermatology since the 1970s, and for good reason—they actually work.

But here’s where things get confusing: retinol, tretinoin, adapalene, retinal. Are these all the same thing? Not quite. Understanding what sets these compounds apart can help you choose the right product for your skin concerns and avoid unnecessary irritation along the way.

Quick answer: what are retinoids and why do they matter?

Retinoids are a class of compounds derived from vitamin A, encompassing both naturally occurring forms and synthetic versions developed in laboratories. The term “retinoid” serves as an umbrella category—retinol is just one member of this extensive family, which includes over 4,000 natural and synthetic molecules.

Think of it this way: all retinols are retinoids, but not all retinoids are retinol. This distinction matters when you’re scanning ingredient lists or deciding between an over the counter products option and a prescription retinoid.

What retinoids actually do:

Accelerate cell turnover, pushing dead skin cells off the skin’s surface faster
Stimulate collagen production, which helps reduce fine lines and wrinkles over time
Unclog pores by normalizing how skin sheds, making them effective for acne
Improve uneven skin tone by fading dark spots and sun spots
Refine overall skin texture for smoother, more even-looking skin

Retinoids are used to treat acne (from mild breakouts to severe acne with scarring), address signs of aging like wrinkles and loss of firmness, repair sun damage, and manage certain pigmentation disorders.

The range of options spans from very gentle OTC formulas suitable for sensitive skin to potent prescription medicines that require medical supervision. Each comes with different side-effect profiles, which is why understanding where you fall on this spectrum matters before you start.

How retinoids work in the skin

At the cellular level, retinoids work by binding to specific receptors in skin cells called retinoic acid receptors. Once attached, they essentially reprogram how those cells behave—influencing everything from how quickly they divide to how much collagen they produce.

The active form that does this heavy lifting is retinoic acid (also called all-trans retinoic acid or ATRA). This is a key metabolite of vitamin A that regulates fundamental biological processes including cellular differentiation, proliferation, and even apoptosis (programmed cell death). In practical terms, this translates to skin that renews itself more efficiently.

Key mechanisms at work:

Increased cell turnover means new cells reach the skin’s surface faster, replacing dull dead cells
Normalized keratinization reduces the sticky buildup that clogs pores and causes comedones
Boosted collagen and elastin synthesis helps maintain skin firmness and elasticity
Regulated oil production can help reduce acne outbreaks over time

What you’ll actually see:

Smoother skin texture with fewer rough patches
Fewer comedones (blackheads and whiteheads)
Faded age spots and post-inflammatory hyperpigmentation
Softened fine lines over several weeks to a few months of consistent use

Here’s an important distinction: prescription-strength retinoic acid acts directly on receptors without needing conversion. Most OTC forms like retinol must convert step-by-step into active retinoic acid within the skin. This conversion process is why gentler formulas take longer to show results but typically cause less irritation.

Types of retinoids (from prescription to over‑the‑counter)

Retinoids come in multiple generations and strengths, each designed for specific uses in skin care and acne treatment. Understanding where different compounds fall on this spectrum helps you set realistic expectations for results and side effects.

Prescription topical retinoids:

Tretinoin (all-trans retinoic acid) : The gold standard, available under brand names like Retin A. Used for acne, photoaging, and improving overall skin texture. Works directly without conversion, making it highly effective but potentially irritating.
Adapalene : Originally prescription-only, now available OTC in lower strengths. Well-tolerated and particularly effective for acne. Less irritating than tretinoin for many users.
Tazarotene : A third-generation retinoid that’s highly potent. Often prescribed for stubborn acne, psoriasis, and significant sun damage. Tends to cause more dryness and irritation than other options.

Oral retinoids:

Isotretinoin (13-cis-retinoic acid) : A systemic retinoid reserved for severe acne that hasn’t responded to other treatments. Requires strict medical supervision due to potential side effects including birth defects if taken during pregnancy.

OTC cosmetic retinoids:

Retinol : The most common OTC form. Must convert to retinal, then to retinoic acid in the skin. Effective but slower-acting than prescriptions.
Retinal (retinaldehyde) : One step closer to active retinoic acid than retinol. Faster results with moderate tolerance.
Retinyl esters (retinyl palmitate, retinyl acetate) : The gentlest forms, requiring multiple conversion steps. Best for very sensitive skin or retinoid beginners.
Hydroxypinacolone retinoate : A newer ester that doesn’t require conversion and claims to offer similar benefits with less irritation.

The conversion chain explained:

Retinyl ester → Retinol → Retinal → Retinoic acid

More conversion steps generally mean gentler effects but slower results. Fewer steps mean faster action but potentially more irritation as your skin adjusts.

Retinoids vs. retinol: what’s the difference?

This is probably the most common point of confusion in skincare products marketing. Retinol is one specific type of retinoid, but the terms are often used interchangeably in casual conversation—and sometimes even in product marketing.

Breaking down the terminology:

“Retinoids” is the broad category that includes everything from prescription tretinoin to gentle retinyl palmitate
“Retinol” specifically refers to one OTC compound that requires two conversion steps before becoming active retinoic acid
Prescription retinoids (tretinoin, adapalene, tazarotene) are either already active or convert more directly
OTC options (retinol, retinal, retinyl esters) require varying levels of conversion in the skin

Prescription vs. OTC in practice:

Prescription retinoic acid is immediately active upon application, delivering faster and more dramatic results
This potency comes with higher irritation potential—redness, peeling, and sensitivity are common initially
OTC retinol and retinal must convert within the skin, making them slower but usually more tolerable for beginners
A retinol product at 0.5% is not equivalent to tretinoin at 0.05%, even though the numbers might suggest otherwise

Decoding marketing language:

“Retinol cream” typically contains the OTC ingredient retinol at varying concentrations
“Retinoid treatment” could mean prescription or could just be marketing spin for any vitamin A derivative
“Vitamin A serum” is vague and could contain anything from potent retinal to gentle retinyl palmitate
Always check the actual ingredient list rather than relying on front-of-package claims
Higher concentrations aren’t always better, especially for those new to retinoids

What retinoids are used for

Retinoids function as genuine multitaskers with both medical and cosmetic applications. Their ability to influence how skin cells behave makes them relevant across many forms of skin conditions and concerns.

Primary dermatologic uses:

Treating mild to severe acne by normalizing cell shedding and reducing pore blockages
Clearing comedones (blackheads and whiteheads) by preventing the buildup that causes them
Preventing new acne outbreaks with continued use
Managing acne scars by promoting collagen remodeling and smoother texture

Photoaging and sun damage concerns:

Reducing fine lines and wrinkles by boosting collagen production
Improving rough, uneven skin texture caused by cumulative sun exposure
Minimizing enlarged pores that develop with aging skin
Fading sunspots and solar lentigines (flat brown spots from UV damage)
Addressing overall sun damage that makes skin look older than it is

Pigmentation issues:

Treating post-inflammatory hyperpigmentation (dark marks left after acne heals)
Supporting melasma treatment as part of combination therapy with other actives
Evening out general uneven skin tone and skin color irregularities

Less common applications:

Certain keratinization disorders where skin doesn’t shed normally, leading to scaly skin
Some precancerous skin damage under physician guidance (actinic keratoses)
Retinoids have shown promise as potential chemopreventative agents, though concerns about toxicity have limited broader application in this area

OTC vs. prescription scope:

Over the counter retinoids typically focus on texture improvement, brightness, and early signs of aging. Prescription formulas are better suited for tackling significant acne, deeper wrinkles, and more extensive sun damage. A board certified dermatologist can help determine which category fits your specific skin problems.

Who should (and shouldn’t) use retinoids

Most skin types can benefit from retinoids, but the right formula and approach depends heavily on your age, specific skin concerns, and tolerance for the adjustment period.

Ideal candidates for retinoids:

People dealing with persistent acne or frequent breakouts
Those with clogged pores and congested skin
Anyone noticing early to moderate wrinkles and loss of firmness
People with uneven skin tone, dark spots, or hyperpigmentation
Anyone with a history of significant sun exposure wanting to address accumulated damage

Sensitive, dry, or reactive skin types:

These skin types can absolutely use retinoids—just with more caution
Start with gentle forms like retinyl esters or low-concentration retinol
Use lower strengths than general recommendations suggest
Apply less frequently (once or twice weekly to start)
Prioritize formulas that include soothing ingredients alongside the retinoid
Rosacea-prone skin may do better with adapalene, which tends to cause less irritation
Very dry skin benefits from retinoid cream formulas with hydrating bases rather than gels

Who should avoid retinoids or seek medical clearance:

Pregnant individuals: Retinoids, especially oral isotretinoin and high-strength topicals, carry risk of birth defects
Breastfeeding individuals: Insufficient safety data for most retinoids
Those currently on systemic vitamin A supplements or isotretinoin
People with active eczema flares, broken skin, or open wounds
Anyone with severe skin reactions to retinoids in the past
Those using multiple strong active ingredients simultaneously without guidance

When to consult a dermatologist:

Persistent acne that hasn’t responded to OTC treatments
Severe or scarring acne requiring potentially oral isotretinoin
Significant sun damage or precancerous lesions
History of severe irritation or allergic reactions to retinoids
Uncertainty about which type or strength to use
Skin cancer concerns or monitoring needs

How to start using retinoids for best results

If you’re new to retinoids, the adjustment period can feel intimidating. Stories of peeling, redness, and purging are enough to make anyone hesitant. But with the right approach, most people can incorporate retinoids successfully into their nighttime regimen.

The key principle is “low and slow.” This isn’t about diving into higher concentrations as quickly as possible—it’s about giving your skin time to build tolerance while still getting results. Patience during the first several weeks pays off with better outcomes and less misery.

Starting protocol:

Begin with a low concentration (0.2–0.3% retinol or equivalent gentle form)
Use only 1–2 nights per week for the first 2–3 weeks
Gradually increase to every other night, then nightly over 4–8 weeks
Listen to your skin—if irritation increases, scale back frequency
A pea sized amount is enough for the entire face

Application order in your skincare routine:

Cleanse thoroughly and wait until skin is completely dry (applying to wet skin increases irritation)
Optional: Apply a thin layer of moisturizer as a buffer, especially if you have sensitive skin
Apply a thin layer of your retinoid product evenly across the face
Wait a few minutes, then follow with applying moisturizer if you didn’t buffer beforehand
Reserve retinoids for nighttime—they can degrade in sunlight

Areas to approach carefully:

Avoid the immediate corners of your eyes until tolerance builds
Skip the creases around your nose where skin is thinner
Stay away from the corners of your mouth to prevent cracking
These areas can be addressed later once your skin adjusts

What NOT to combine on the same night:

Strong chemical exfoliants (glycolic acid, salicylic acid, lactic acid)
At-home peels or exfoliating masks
High-strength benzoyl peroxide (lower strengths may be okay with guidance)
Vitamin C serums for some people (though this combination works fine for others)
Other potentially irritating actives until you know your skin’s limits

Non-negotiable: sun protection:

Retinoids make your skin more sensitive to sun exposure. This isn’t optional—daily broad-spectrum sunscreen (SPF 30 or higher) is mandatory.

Apply sunscreen every morning, even on cloudy days
Wear sun protective clothing and hats when outdoors
Seek shade during peak UV hours
Reapply sunscreen every two hours if you’re outside
Remember that sun damage undermines every benefit retinoids provide

Side effects and safety of retinoids

Let’s be direct: some degree of dryness, redness, and peeling in the first weeks is completely normal. This adjustment period, sometimes called “retinization,” is your skin adapting to increased cell turnover. It usually subsides within 4–8 weeks of consistent use.

Typical side effects during adjustment:

Tightness and dryness, especially in the first few weeks
Flaking and peeling, particularly around the nose and mouth
Mild burning or tingling upon application
Increased sensitivity to other skincare products
Temporary acne flare or “purging” as clogged pores clear faster
General redness that may come and go

Normal adjustment vs. adverse reaction:

Normal: Mild to moderate dryness, some flaking, slight redness
Concerning: Severe burning that doesn’t subside, significant swelling, blistering, or hives
If you experience severe reactions, stop use immediately and consult a healthcare provider
Persistent skin irritation beyond 8–10 weeks may indicate the product is too strong

Strategies to reduce skin irritation:

Apply moisturizer before and/or after your retinoid to buffer the formula
Use a gentle, non-foaming cleanser that won’t strip the skin
Avoid harsh scrubs, exfoliating brushes, or physical exfoliants
Skip drying toners containing alcohol
Consider products with hyaluronic acid, glycerin, or ceramides to support the moisture barrier
Reduce application frequency if irritation becomes uncomfortable
Switch to a gentler retinoid form if adjustment remains difficult

Critical safety reminders:

Never skip sunscreen—photosensitivity is real and sun damage reverses your progress
Don’t layer retinoids with multiple strong actives initially
Avoid retinoids during pregnancy unless explicitly cleared by your doctor
If you’re prescribed isotretinoin, follow all monitoring requirements carefully
Store retinoid products away from direct light to maintain potency

Choosing the right retinoid product

There’s no single “best” retinoid—the right choice depends on your skin type, primary concerns, budget, and tolerance for potential irritation. Someone treating stubborn acne has different needs than someone addressing early fine lines.

General guidance by goal:

Anti-aging beginners : Start with OTC retinol (0.2–0.3%) or retinal at low concentrations
Acne-focused : Consider adapalene gel (available OTC) or prescription tretinoin for more significant breakouts
Sensitive skin : Begin with retinyl esters or encapsulated retinol formulas designed to release slowly
Significant sun damage or deep wrinkles : Prescription tretinoin under dermatologist guidance typically delivers stronger results

Starting strength recommendations:

OTC retinol : 0.2–0.5% for beginners, working up to 1% over time if tolerated
Retinal (retinaldehyde) : Lower concentrations (0.05–0.1%) since it’s more potent than retinol
Prescription tretinoin : Usually starts at 0.025% or 0.05%, with increases as tolerated
Jumping straight to 1% retinol or high-strength prescriptions often backfires with excessive irritation

Texture choices by skin type:

Oily or acne-prone skin : Gels, oil-free serums, or lightweight lotions
Dry skin : Cream or lotion bases with added emollients
Mature or very dry skin : Rich retinoid cream formulas with hydrating ingredients
Combination skin : Lighter textures applied to oilier zones, richer formulas on dry areas

Supportive ingredients to look for:

Niacinamide : Helps with tolerance and supports barrier function
Ceramides : Reinforce the skin barrier compromised by retinoid use
Glycerin and hyaluronic acid : Provide hydration to counteract dryness
Squalane : An emollient that helps lock in moisture
Centella asiatica or allantoin : Soothing ingredients that calm irritation

Ingredients to be cautious about combining:

High-concentration vitamin C (though some people tolerate this fine)
Alpha hydroxy acids like glycolic acid on the same night
Benzoyl peroxide at high strengths (can inactivate some retinoids)
Multiple exfoliating actives in the same skin product

The goal is finding a skin care routine that delivers results without making your skin miserable. Sometimes that means starting with the gentlest option and working up, rather than reaching for the strongest formula immediately.

Key takeaways

Retinoids are vitamin A derivatives that accelerate cell turnover, boost collagen, and improve skin texture and tone
Retinol is just one type of retinoid—the category includes everything from gentle OTC esters to potent prescription tretinoin
OTC options require conversion in the skin, making them gentler but slower than prescription forms
Common uses include acne treatment, reducing wrinkles, fading dark spots, and addressing sun damage
Most skin types can benefit, but approach matters—start low, go slow, and prioritize hydration
Side effects like dryness and peeling are normal initially and typically resolve within weeks
Sun protection isn’t optional—retinoids increase photosensitivity, and UV exposure undermines results

Whether you’re reaching for an over the counter retinol to address early aging skin or working with a dermatologist on a prescription retinoid for persistent skin concerns, the principles remain the same. Consistency beats intensity. Your skin adjusts over time. And that daily sunscreen? It’s protecting every bit of progress you make.

Start with what your skin can handle, give it time, and adjust as needed. The research backs retinoids as one of the most effective topical ingredients available—your job is simply to use them wisely.

Laser Resurfacing with Minimal Downtime – LaseMD Ultra

Thu, 19 Feb 2026 23:28:14 GMT

Glow without the downtime... Introducing the LaseMD Ultra!

There are many types of lasers to address various dermatological concerns including, but not limited to: hyperpigmentation, redness, texture, lesions, tattoo removal, and general skin resurfacing. The biggest downside to many of the lasers is the extensive recovery and downtime post procedure. With the business in our day to day lives, laser resurfacing may not be so easy to squeeze into our schedules.

The alternative to these time constraints is the LaseMD Ultra. This machine is a 1927 nm thulium non-ablative laser with technology that creates small microchannels in the skin. This technology initiates stimulation of collagen prediction and allows for deep penetration of ingredients. In comparison to other lasers, the recovery time from the LaseMD Ultra is very minimal. The gentle and customizable properties of this technology allow for you to quickly return to your everyday life with minimal aesthetic disruption.

Why the LaseMD Ultra?

Contrary to harsher, ablative resurfacing lasers such as Erbium YAG lasers or CO2 lasers, the laser technology of the LaseMD Ultra provides a gentle laser skin resurfacing technique that is custom to you! The customization of the laser promotes safe treatment for all skin types, all year round. These factors also make this laser suitable for treatment of areas with thinner, more sensitive skin such as the neck and under eyes.

As the laser is fired, controlled injury is implemented as tiny micro channels are being formed on the skin's surface. This irritation to the skin cells stimulates collagen production and allows for combination therapy by increasing penetration of any topicals applied after. The handpiece allows for an even treatment to produce glowing, healthy skin. The randomization of the laser ensures a seamless blend across the treatment area and between surrounding skin.

The LaseMD ultra is perfect for low-maintenance skin rejuvenation over a long period, or even a quick boost before important events.

What does the LaseMD Ultra target?

Active Acne

This laser serves as a more gentle resurfacing laser. The laser technology creates thousands of micro-channels on the skin's surface allowing for increased delivery of active ingredients in your skin care routine.

Acne Scars

The resurfacing properties of the LaseMD Ultra support improvement in both the hyperpigmentation and textural differences associated with acne scarring. The laser technology reduces the pigmentation of the skin and stimulates collagen production on the surface level.

These qualities of the laser make it an excellent candidate for combined treatment with procedures targeting deeper skin layers. Methods such as subcision, injections, and ablative lasers target the deep tissue in the skin when treating scars. The LaseMD Ultra provides laser skin resurfacing on the most outer layers of the skin, allowing for a potential of combined treatment with little risk of interference.

Pigment

Hyperpigmentation of the skin is a common phenomenon resulting from sun exposure, surgery, injury, or general trauma to the skin. Pigmentation can take upwards of several months or years to fade out on its own. There are several options for treating hyperpigmentation to help expedite the dispersing of the pigment.

The LaseMD Ultra lifts pigment with minimal heat usage. This helps to minimize the difference between the pigmented regions and surrounding skin, with minimal heat exposure. As a result, dark brown pigmentation conditions such as melasmas, sun spots, sun damaged skin, or post-inflammatory hyperpigmentation are wonderful candidates for treatment with this laser.

Fine Lines & Wrinkles

Fine facial wrinkles are a common phenomenon when observing aging skin. There are many methods online to treat such dermatological concerns, but the LaseMD Ultra offers another non-invasive option.

The stimulation of collagen production on the epidermis minimizes the appearance of fine lines and wrinkles. Additionally, the creation of those dry microchannels allows for increased absorption of any agents applied topically. Combination therapy with retinols, serums, or vitamins support anti-aging properties for the skin.

Skin Rejuvenation

Even without a specific target for treatment, many choose to perform routine facial rejuvenation with the LaseMD Ultra. The stimulation of new collagen growth and increased cell turnover creates an effect of glow, rejuvenation, and overall healthy skin. Many patients describe their skin to have a “pearl-like” glow, just after the first session.

Expected Healing from Laser Treatment

Most ablative methods of laser treatment can be quite invasive, leaving the skin swollen, red, and peeling for about 7-10 days, and residual pink color can be observed for upwards of several weeks or months. On the contrary, non-ablative laser treatment like the LaseMD Ultra causes low recovery time.

Patients can expect minimal discomfort from the LaseMD Ultra laser treatment. Immediately after treatment, redness and slight irritation of the treated area can be expected for a few hours. Within the next few days, both of these effects subside, and the skin texture is left with a sand-paper feeling for up to a week. Results may slightly vary based on the complexion and sensitivity of the skin.

Maintaining and protecting the skin after treatment with the LaseMD Ultra is simple. The resulting dryness post laser can be combated with consistent application of a moisturizer. In addition, exosome therapy, PRP/PRF, or other active ingredients can be applied post-procedure to promote faster healing and lower recovery time. Any laser treatment will make the surface of the skin more sensitive to external irritants. For this reason, the LaseMD Ultra should be paired with prioritization of avoiding sun exposure. This includes sunscreen with a minimum SPF 15 and staying in the shade.

Results from this laser treatment can be observed within the first few weeks. Continuous results can be seen within the first month after treatment. Although some patients see results from just one treatment of laser, multiple treatments are recommended for optimal results, depending on the targeted dermatological goal. On average, 3-5 sessions of laser treatment can be expected for improvement of various skin conditions.

Choosing HazanyDerm

There is a high demand for skin resurfacing with laser treatment, but the long downtime from harsh lasers make it difficult to keep up with. Our providers at HazanyDerm understand the appeal laser skin resurfacing techniques. We strongly believe that the LaseMD Ultra is the perfect alternative towards skin rejuvenation, with very little recovery time.

With over 10 years of experience, the providers have treated a broad spectrum of skin types. We put your personal goals and safety at the highest priority, creating custom plans and settings dedicated to address your skin goals. Our office is home to several types of lasers, both ablative and nonablative lasers. The LaseMD Ultra is one with minimal risk of post-inflammatory hyperpigmentation. The versatility of the settings allow for safe treatment for all, including people of lighter skin tones and darker skin tones. Our providers make customization with settings suitable for your skin type.

The LaseMD Ultra provides a safe alternative to cosmetic surgery, providing an effective treatment that stimulates collagen production, with minimal downtime. This laser treatment is the key to results that preserve your natural features, while leaving the treated skin feeling new and refreshed.

Who Is Best Qualified to Repair Facial Defects After Skin Cancer Surgery?

Tue, 10 Feb 2026 00:28:01 GMT

How to Choose the Right Expert for Facial Reconstruction

When skin cancer occurs on the face, the stakes are uniquely high. The goal is not only complete cancer removal, but also restoration of function, preservation of facial identity, and an optimal cosmetic outcome. Many patients assume that a facial plastic surgeon or general plastic surgeon is the most qualified specialist to perform these repairs. In reality, for defects created by skin cancer surgery—particularly Mohs micrographic surgery—a board-certified Mohs surgeon and procedural dermatologist is often the most specifically trained and experienced physician to perform facial reconstruction.

Unique Training in Skin Cancer and Facial Reconstruction

A board-certified Mohs micrographic surgeon is first trained as a dermatologist, then undergoes an intensive fellowship focused almost exclusively on skin cancer removal and reconstruction. This training includes:

Complete understanding of skin biology, wound healing, and scar behavior
Detailed knowledge of facial subunits, relaxed skin tension lines, and cosmetic units
Advanced reconstructive techniques tailored to defects of the nose, eyelids, lips, ears, cheeks, and scalp
High-volume, hands-on experience repairing real-world defects created by cancer removal

In contrast, plastic surgeons are trained broadly across the body. Their expertise is invaluable for many procedures, but skin cancer reconstruction represents a relatively small portion of their overall surgical exposure.

Volume Matters: Daily Experience vs. Occasional Exposure

One of the most important—and often overlooked—factors in surgical excellence is case volume.

A fellowship-trained Mohs surgeon routinely performs 10–20 facial reconstructions per day, every day, year after year. Over the course of training and practice, this amounts to tens of thousands of facial repairs, all performed in cosmetically sensitive and functionally critical areas.

By comparison, even a highly skilled facial plastic surgeon may perform 10–20 skin cancer reconstructions in an entire year. Their practice is typically focused on elective cosmetic surgery, trauma, or larger structural operations rather than the nuanced repair of small-to-medium cutaneous defects created by cancer excision.

Repetition at this level matters. The ability to choose the optimal closure, flap, or graft for a specific defect—on a specific face, with specific skin quality—comes from doing these cases continuously, not occasionally.

Suturing Where the Cancer Is—not Where It's Convenient

Plastic surgeons are traditionally trained to place incisions in concealed locations whenever possible. For example:

Eyelid surgery (blepharoplasty) hides incisions in natural creases
Facelifts conceal scars behind the ears or along the hairline
Cosmetic procedures are designed around pre-planned, symmetric incision

Skin cancer surgery is fundamentally different.

With cancer, the defect is dictated by biology—not by convenience. The surgeon must reconstruct exactly where the cancer was, whether that is:

The nasal tip
The medial canthus (inner corner of the eye)
The vermilion border of the lip
The alar rim of the nose
The ear or temple

Suturing in these conspicuous, unforgiving areas—often with limited tissue, altered blood supply, and complex contours—is a distinct skill set. It is not learned from a brief rotation or occasional exposure. It is learned through thousands upon thousands of reconstructions performed under magnification, with millimeter-level precision, where even minor errors can be noticeable for life.

Fellowship Training Built Around These Exact Defects

Mohs fellowship training is unique in medicine. Fellows are immersed full-time in:

Facial anatomy as it relates to skin cancer
Local flaps and layered closures tailored to cutaneous defects
Functional preservation of eyelids, lips, nasal valves, and ear
Managing wound healing in high-risk and high-visibility areas

This is not a short rotation—it is a dedicated year (or more) focused almost entirely on the removal and reconstruction of skin cancer, most commonly on the face. After fellowship, this experience continues daily in clinical practice.

By contrast, plastic surgeons typically receive limited exposure to skin cancer reconstruction, often as a short component of residency rather than a core focus.

Understanding Skin—Not Just Structure

Because Mohs surgeons are dermatologists first, they bring an additional layer of expertise that is critical for optimal outcomes:

Predicting scar behavior based on skin type and location
Managing inflammation, pigmentation, and texture changes
Preventing and treating hypertrophic scars and poor wound healing
Optimizing long-term cosmetic results beyond the operating room

Reconstruction does not end when the sutures are removed. Ongoing scar modulation, laser therapy, injectable treatments, and skin-directed care are often essential—and are areas where procedural dermatologists have deep expertise.

The Right Surgeon for the Right Problem

Plastic surgeons play an essential role in medicine and are highly skilled at many complex procedures. However, most facial defects created by skin cancer surgery are best repaired by the physician who removes the cancer and who performs these exact reconstructions every single day.

For patients, the question should not be “Who has the word ‘plastic’ in their title?” but rather:

Who does this specific surgery most often?
Who has dedicated fellowship training in skin cancer reconstruction?
Who understands both the cancer and the cosmetic outcome equally well?

In the vast majority of facial skin cancer cases, the answer is a board-certified Mohs micrographic surgeon with advanced procedural dermatology training

Why Should I Choose a Mohs Surgeon Over a Dermatologist?

Thu, 04 Dec 2025 18:52:41 GMT

Choosing a Mohs Surgeon: What Qualifications Actually Matter?

Skin cancer is an unfortunate reality that 1 in 5 Americans will confront in their lifetime. It’s a frightening battle but it’s one we must meet with action and awareness. This is why seeing a Mohs surgeon is a necessity for getting the most effective treatment available.While board certification is important, it doesn’t guarantee the highest level of surgical skill and expertise for skin cancer removal, especially in delicate, cosmetically sensitive areas like the face, nose, or eyelid. This is where fellowship training in Mohs surgery makes a big difference.This article will explore what Mohs micrographic surgery is, why it offers the highest cure rate for basal cell carcinoma and squamous cell carcinoma, and why choosing a fellowship-trained Mohs micrographic surgeon over a standard board-certified dermatologist is critical for the best cosmetic and surgical outcomes.

Understanding Mohs Surgery

Mohs micrographic surgery is a highly advanced and precise surgical method that removes skin cancer one layer at a time, with each layer carefully examined under a microscope using prepared slides. During the procedure, different forms of tissue are analyzed to identify symptoms such as skin sores, growths, and called lesions on the skin's surface. Mohs surgery is the gold standard for treating: Basal Cell Carcinoma (BCC), Squamous Cell Carcinoma (SCC), and High risk or cosmetically sensitive areas, such as the nose, ears, lips, eyelids, hands, and scalp

Mohs surgery is effective for various types of skin and different forms of skin cancer. It targets cancers that appear as lesions of various shades, including brown, on the skin's surface.

Why Mohs Surgery Is Considered the Best Skin Cancer Treatment

Highest cure rate (up to 99%)
Helps the skin heal with minimal scarring
One of the most effective treatments for skin cancer
Preserves healthy tissue
Extremely fast tumor removal and reconstruction.

Why Being a Board-Certified Dermatologist Isn't Always Enough

1. Mohs Surgeons Are Also Skin Cancer Pathologists

A standard board-certified dermatologist is trained in diagnosing and treating a wide range of skin conditions. However, Mohs surgery also requires the ability to:

Remove cancerous tissue layer by layer
Prepare and analyze pathology slides in real time
Accurately identify cancer cells under a microscope
Make immediate surgical decisions based on pathology results

Examples of pathology techniques and diagnostic methods used during Mohs surgery include frozen section histology, staining procedures, and microscopic examination of tissue margins to ensure complete cancer removal.

A significant advantage of seeing a Mohs fellowship-trained surgeon is that their training in dermatopathology allows them to examine the tissue immediately and confirm that all cancerous cells have been removed, eliminating the need to wait days for an off-site pathology report.

2. Mohs Fellowship Surgeons Are Reconstructive Experts

Once the Mohs micrographic surgeon is assured of the complete removal of skin cancer through careful, step-by-step histopathological assessment, reconstruction of the surgical defect becomes the next priority. This is of critical importance when surgery involves areas of the body that are both aesthetically and functionally sensitive, such as the face or eyelid, where even minor imperfections can have significant repercussions on appearance as well as on vital functions like vision, speech, or breathing. Some of these sensitive areas, such as the eyelid or nose, are considered organs, making precise reconstruction essential for both organ function and appearance. Reconstruction in these regions requires a high degree of surgical precision, aesthetic judgment, and a thorough knowledge of intricate facial anatomy.

A fellowship-trained Mohs surgeon is uniquely qualified to perform these delicate reconstructive procedures, having undergone subspecialty training that extends beyond tumor excision to include advanced reconstructive methods. This equips them with expertise in local tissue rearrangement, skin grafting, and layered closures designed to restore natural facial contours while simultaneously reestablishing function. In the periocular region, for example, they are skilled in reconstructing the delicate architecture of the eyelid to protect the eye and preserve vision. On the nose, lips, and ears, they carefully balance symmetry, contour, and function to achieve a natural appearance while maintaining airway or oral competence.

It is this convergence of oncologic precision and reconstructive artistry that distinguishes fellowship-trained Mohs surgeons. By blending technical mastery with aesthetic sensitivity, they are able to provide patients with both the highest cure rates and the most optimal cosmetic and functional outcomes.

Skin flap surgery
Skin grafting
Cosmetic reconstruction
Scar minimization techniques

A general dermatologist without Mohs fellowship training does not have the surgical expertise to achieve optimal cosmetic results.

3. Fellowship-Trained Mohs Surgeons Undergo Extensive Training

To become a Mohs micrographic surgeon, a dermatologist must go beyond and complete:

3 years of dermatology residency
1 additional year of fellowship training in an ACGME or ACMS accredited Mohs surgery program
Participate and gain hands-on experience with thousands of Mohs procedures
Comply with the rigorous standards set by the American College of Mohs Surgery (ACMS)

This advanced training bridges the gap between pathology and clinical medicine, ensuring Mohs surgeons are equipped with the expertise needed for accurate diagnosis and effective treatment.

Mohs fellowship surgeons are trained to diagnose and treat a wide range of skin diseases, with a high-level focus on the diagnosis, removal, and reconstruction of skin cancer.

Advanced Diagnostic Capabilities: Precision in Identifying and Treating Skin Cancer

The landscape of skin cancer diagnosis and treatment has advanced dramatically, offering patients greater precision and better outcomes than ever before. When it comes to identifying and treating skin cancers such as squamous cell carcinoma and basal cell carcinoma, early and accurate diagnosis is critical. Squamous cell carcinomas often present as flat, reddish, or brownish patches with rough, scaly, or crusted surfaces, typically appearing on skin exposed to the sun—like the face, neck, lips, and hands. Basal cell carcinomas, the most common type of skin cancer, usually develop on sun-exposed parts of the body and may appear as raised, pale, pink, or red areas, sometimes with visible blood vessels.

A variety of factors can increase the risk of developing these skin cancers. Prolonged sun exposure, a weakened immune system, older age, and a family history of skin cancer all play significant roles. Most basal cell carcinomas and squamous cell skin cancers are highly treatable when detected early, but if left untreated, they can grow, invade other tissues, or even spread to other parts of the body, including lymph nodes and vital organs. This is why regular check-ups and early intervention are so important, especially for those with a history of sun exposure or weakened immune systems.

Modern diagnostic techniques, such as molecular pathology, have revolutionized the way doctors and surgeons identify abnormal cells and diagnose skin cancers. By examining molecules within skin cells and tissues, molecular pathology allows for a more accurate and timely diagnosis, ensuring that even subtle or early-stage skin lesions are detected. Clinical dermatology also plays a vital role, with many doctors recommending routine skin exams to catch suspicious growths or changes in the skin’s surface before they become more serious.

Other skin cancers, such as melanoma, can be life threatening if not diagnosed and treated promptly. Melanoma has the potential to spread to other parts of the body, including lymph nodes, making early detection and treatment essential. Pre-cancerous conditions like actinic keratosis and Bowen disease can also develop into squamous cell carcinoma if not addressed, underscoring the importance of vigilant medical care.

Treatment options for skin cancer depend on the type, location, and stage of the disease. Surgery remains the gold standard for many cases, but medicines and other therapies may also be used. Preventive measures, such as using sunscreen, seeking shade, and wearing protective clothing, are crucial in reducing the risk of developing skin cancer. Doctors and surgeons work together to provide comprehensive care, from diagnosis to treatment and follow-up, ensuring the best possible outcomes for patients.

Ultimately, advanced diagnostic capabilities have made it possible to identify and treat skin cancers like squamous cell carcinoma and basal cell carcinoma with greater accuracy and success. By combining cutting-edge technology with expert clinical care, patients benefit from early detection, effective treatment, and a reduced risk of recurrence. Protecting your skin, staying vigilant for new or changing lesions, and seeking prompt medical attention are key steps in maintaining your health and minimizing the impact of skin cancer.

The Path to Healing Starts With the Right Surgeon

Though board-certified dermatologists are proficient in diagnosing and dealing with a variety of ailments in the skin, Mohs micrographic surgery is a subspecialty form of expertise. It is a method involving one-stage excision with immediate frozen-section microscopic examination of the margins of tissue for ensuring maximum removal of cancer while leaving as much normal skin in its place as possible. Such a level of accuracy is particularly essential for tumors in cosmetically and functionally sensitive sites such as the face, nose, eyelids, lips, and ears, especially when treating a malignant tumor. If not fully removed, tumors can affect both the appearance and function of these areas.

Fellowship-trained Mohs surgeons are thoroughly educated in dermato-pathology, cancer surgery, and reconstruction of complex problems so their patients enjoy superior cure rates with minimal scarring and disability. By integrating cancer destruction with immediate reconstruction repair by means of local flaps and grafting, their expertise allows for restoring health in addition to aesthetics. To patients, it means not only trust in complete excision of their skin cancer but also confidence in obtaining the most natural-appearing cosmetic result. If cancer cells can break away from the primary tumor, they may spread to other areas, making complete excision critical. Don’t leave your health up to chance, seeing the right specialist is critical. Scheduling a consultation with a Mohs surgeon will give the highest cure rate and the best long-term cosmetic outcomes when treating skin cancer. Early intervention matters, be sure to book as soon as possible.

Dr. Salar Hazany: A Global Leader in Mohs Surgery

drsalar@hazanyderm.com (Staff Member) — Thu, 15 May 2025 20:43:45 GMT

The World's Leading Mohs Surgeon

In the realm of skin cancer treatment and reconstructive dermatologic surgery, Dr. Salar Hazany, MD, has emerged as a standout figure. Renowned for his exceptional skill in Mohs micrographic surgery, Dr. Hazany combines medical precision with aesthetic sensitivity, reshaping not just appearances, but the lives of his patients through cutting-edge surgical care and innovative scar healing solutions.

From Emergency Surgery to Cosmetic Excellence

Dr. Hazany’s path to surgical distinction began at Atlanta’s Grady Memorial Hospital, a top-tier trauma center known for its intense and high-volume emergency care. Here, he developed a foundation in general, reconstructive, and plastic surgery, learning to manage complex wounds and handle delicate tissues. These experiences laid the groundwork for his unique surgical philosophy—where technical precision meets artistic detail, yielding both medically sound and visually refined results.

Learning from a Mohs Surgery Pioneer

Driven by a desire to excel in skin cancer treatment, Dr. Hazany pursued a prestigious fellowship in Mohs surgery at Houston Methodist Hospital. There, he trained under Dr. Leonard Goldberg, the most extensively published expert in the field. Under this mentorship, Dr. Hazany sharpened his ability to remove cancerous tissue with microscopic accuracy while preserving the surrounding healthy skin—skills that define the Mohs technique as the most effective method for treating many types of skin cancer.

The trust placed in him is exemplified by the fact that the granddaughter of Dr. Frederic E. Mohs—the surgeon who created the procedure in 1938—sought out Dr. Hazany for her own treatment. Her decision reflected confidence in how Dr. Hazany has modernized and elevated her grandfather’s legacy.

Expertise in Complex Facial Reconstruction

Following his foundational training, Dr. Hazany expanded his surgical career at Harbor-UCLA Medical Center, where he carried out thousands of operations. He soon became recognized for his mastery in reconstructing high-risk, cosmetically sensitive areas of the face—particularly the eyelids, ears, and nose. These regions pose a dual challenge: the need for thorough cancer removal while preserving function and appearance. Dr. Hazany’s approach—meticulous, precise, and artistically informed—has made him a sought-after specialist for intricate facial reconstructions.

The Birth of the Scar Healing Institute

As more patients began seeking him out to correct visible scars from prior surgeries, Dr. Hazany realized the demand for specialized care in scar revision. His skill in minimizing scarring during cancer surgeries led to an influx of patients needing aesthetic correction post-treatment. What started as a small aspect of his practice eventually grew into a full-fledged institute.

In response, Dr. Hazany established the Scar Healing Institute in Beverly Hills—a dedicated center that addresses both the physical and emotional aspects of scarring. The Institute offers advanced solutions such as laser therapy, microneedling, and custom surgical interventions, attracting individuals from across the U.S. who are seeking expert-level scar care and cosmetic restoration.

A Closer Look at Skin Cancer and Mohs Surgery

Skin cancer, including basal cell carcinoma, squamous cell carcinoma, and melanoma, affects millions annually. Among the many available treatments, Mohs surgery is recognized for its accuracy and high success rate. This technique involves layer-by-layer removal of affected tissue, with each layer examined under a microscope until all cancerous cells are gone—minimizing tissue loss while maximizing cure rates.

Dr. Hazany’s proficiency in this procedure, especially in delicate and visible areas like the ears, face, and neck, ensures his patients receive treatment that is both effective and cosmetically conscientious.

What Patients Can Expect During Mohs Surgery

Mohs surgery is typically performed in an outpatient setting with local anesthesia, offering patients a safe and comfortable experience. For those undergoing more complex cases or who experience anxiety, general anesthesia may be considered. The process continues until all cancerous cells are removed, as verified under a microscope.

Throughout each stage, Dr. Hazany and his team provide clear communication, personalized care, and a steady focus on patient comfort and safety.

Healing and Aesthetic Recovery

Once the cancer is removed, the next critical step is reconstruction. Dr. Hazany utilizes techniques such as skin grafting and tissue flaps to restore the natural contour and appearance of the affected area. With a deep understanding of facial anatomy and scar minimization, his goal is always to ensure that post-surgical healing leaves minimal trace.

Most patients experience a recovery period of one to two weeks, supported by individualized aftercare plans designed to promote healing, prevent complications, and optimize cosmetic results.

Raising the Bar in Skin Cancer Surgery and Scar Care

Having performed thousands of surgeries, Dr. Hazany has earned a reputation for exceptional outcomes and patient satisfaction. His dedication to innovation, attention to detail, and empathetic approach have set new standards in both skin cancer treatment and aesthetic reconstruction.

In a city known for world-class medical professionals, Dr. Hazany has carved out a unique role—combining curative treatment with cosmetic refinement, and restoring not only health, but confidence.

Salmon Sperm: The New Trend in Skincare

Fri, 07 Mar 2025 00:06:23 GMT

A Revolutionary Ingredient or Just a Fad?

The world of dermatology is constantly evolving, with new treatments and ingredients regularly emerging in an attempt to tackle the complex challenges of skincare. One of the more unusual trends to surface recently is the use of salmon sperm DNA in dermatological procedures. While this might sound like something out of a science fiction novel, salmon sperm is actually being explored for its potential benefits in skin rejuvenation, anti-aging, and even wound healing. But is this unique ingredient truly a breakthrough in dermatology, or is it simply a passing trend? Let's take a deeper look at the science and use of salmon sperm in dermatology.

What Is Salmon Sperm DNA?

Salmon sperm DNA is exactly what it sounds like—DNA extracted from the sperm of salmon. This ingredient is rich in proteins and nucleic acids that are believed to offer regenerative and reparative properties for the skin. In dermatology, salmon sperm is typically processed into a serum or injectable solution to be used in various procedures aimed at improving skin health and appearance.

While the idea of using fish sperm in medical treatments may initially seem strange, its application in skincare and dermatology is rooted in the potential of DNA repair and cellular regeneration. But why salmon sperm specifically?

Why Salmon Sperm?

Salmon sperm is considered a particularly potent source of DNA due to the unique properties of fish sperm. The DNA from salmon is rich in nucleic acids, antioxidants, and proteins that are believed to have a variety of beneficial effects on the skin. It’s believed that these compounds can stimulate skin regeneration, collagen production, and even reduce the appearance of fine lines and wrinkles.

Furthermore, salmon sperm is known to have anti-inflammatory properties, which makes it potentially beneficial for soothing irritated skin or managing certain dermatological conditions. Because fish DNA has been shown to have the ability to repair damaged cells, it’s thought to be an excellent option for promoting skin healing and addressing common skin concerns such as aging, acne scars, or skin texture issues.

The Potential Benefits of Salmon Sperm in Dermatology

Skin Regeneration : One of the most promising uses of salmon sperm DNA is in skin regeneration. The DNA from salmon sperm is thought to stimulate the body’s natural repair mechanisms, encouraging the growth of new, healthy skin cells. This could help treat damaged skin or rejuvenate aging skin by promoting cellular turnover.
Anti-Aging : Salmon sperm is believed to help boost collagen production, a key factor in maintaining skin elasticity and firmness. As we age, collagen production naturally decreases, leading to wrinkles, sagging, and loss of skin volume. By encouraging collagen synthesis, salmon sperm DNA could potentially help reduce the visible signs of aging.
Anti-Inflammatory Effects : The anti-inflammatory properties of salmon sperm DNA could be beneficial in treating conditions like acne, rosacea, or eczema. By calming irritated skin and reducing redness, it may help manage the symptoms of these common skin issues.
Wound Healing and Scar Treatment : Salmon sperm DNA has also shown promise in promoting wound healing and reducing the appearance of scars. Its regenerative properties may accelerate tissue repair, making it a potential treatment option for individuals seeking to improve the appearance of scars or other skin imperfections.
Hydration : Some studies suggest that salmon sperm can also improve the skin’s ability to retain moisture, which is essential for maintaining a healthy skin barrier. This could be particularly helpful for individuals with dry or compromised skin.

How Is Salmon Sperm Used in Dermatology?

In dermatology, salmon sperm DNA is typically used in two ways:

Topical Serums and Creams : These are applied directly to the skin in the form of a serum or cream during professional dermatology treatments. The active ingredients are massaged into the skin to allow for maximum absorption.
Injectables : In some cases, salmon sperm DNA is formulated into injectables, much like hyaluronic acid fillers, which are used for rejuvenating the skin. These injections are aimed at stimulating skin regeneration and collagen production from within.

Both applications are designed to target various skin issues, from aging and wrinkles to scars and inflammation. The goal is to repair and rejuvenate the skin at a cellular level, providing long-lasting benefits.

Is It Safe?

While the use of salmon sperm DNA in dermatology is an exciting development, safety remains a top concern. As with any novel ingredient or treatment, there’s a risk of allergic reactions, especially for those with sensitivities to fish or seafood. Before undergoing any procedure that involves salmon sperm DNA, it’s important to consult with a licensed dermatologist to ensure that the treatment is appropriate for your skin type and health conditions.

Fortunately, many of these treatments are well-regulated, with rigorous testing to ensure their safety. However, as with all new dermatological treatments, it’s crucial to be aware of any potential side effects and consult with a professional who is experienced with the procedure.

The Future of Salmon Sperm in Dermatology

So, is salmon sperm DNA the future of dermatology, or is it just another passing beauty trend? The science behind the ingredient is compelling, and it’s clear that salmon sperm has significant potential for a variety of skin concerns. From anti-aging treatments to wound healing, the regenerative properties of salmon sperm DNA are being taken seriously by dermatologists and researchers alike.

However, like any new treatment, more research and clinical trials are necessary to fully understand its long-term benefits and risks. As the use of salmon sperm in dermatology continues to grow, we can expect to see more studies and advancements in the field, potentially making this once-unusual treatment a staple in dermatological procedures.

Conclusion

Salmon sperm DNA represents an exciting frontier in dermatology, offering a unique approach to skin regeneration, anti-aging, and even scar treatment. While it may sound unconventional, the science behind this ingredient is promising, and it has the potential to address a wide range of skin concerns. However, as with any new treatment, it’s important to proceed with caution, seek professional advice, and stay informed as more research unfolds.

For those looking to explore cutting-edge treatments, salmon sperm DNA may be worth considering, but always ensure that you consult with a trusted dermatologist who can guide you through the process safely. With time, this ingredient could very well become a regular part of advanced dermatological care, offering a new way to rejuvenate and restore skin health.

Niacinamide: Does It Live Up to the Buzz?

Tue, 11 Feb 2025 05:25:08 GMT

The Skincare Superstar You Need in Your Routine

If you've been following the skincare world recently, you’ve likely heard of niacinamide. This powerful ingredient has been gaining attention for its impressive array of skin benefits, and it’s quickly become a staple in many skincare routines. But what exactly is niacinamide, and why is everyone talking about it? In this post, we’ll break down everything you need to know about niacinamide—what it is, how it works, and whether it lives up to the hype.

What is Niacinamide?

Niacinamide, also known as nicotinamide , is a form of vitamin B3 . It’s a water-soluble vitamin that plays a crucial role in maintaining healthy skin. Niacinamide can be found in many skincare products, from serums to moisturizers, and it’s known for its versatility and effectiveness in treating a variety of skin concerns.

So, why is it causing such a buzz? It’s because niacinamide has some impressive benefits that make it a top choice for a wide range of skin types and issues.

The Key Benefits of Niacinamide

Reduces Inflammation and Redness
Niacinamide is particularly well-regarded for its anti-inflammatory properties . Whether you have rosacea, acne, or other forms of skin irritation, niacinamide can help reduce redness and calm the skin. This makes it ideal for sensitive skin, helping to minimize irritation while soothing any discomfort.
Fights Acne
Niacinamide has been shown to help reduce the appearance of blemishes and acne . It works by regulating oil production and reducing inflammation within the skin, both of which can help prevent breakouts. Additionally, its calming properties can reduce post-inflammatory hyperpigmentation, helping to fade acne scars.
Improves Skin Texture and Smoothness
One of niacinamide’s standout benefits is its ability to improve skin texture . It helps build healthy skin barrier function, which can lead to smoother, softer skin. Over time, it can help reduce the appearance of fine lines and wrinkles, giving skin a more youthful, even-toned appearance.
Brightens Skin Tone
Niacinamide is also known to be an effective treatment for hyperpigmentation and uneven skin tone . It helps reduce the appearance of dark spots, sun damage, and age spots by inhibiting the transfer of melanin to the skin’s surface. The result? Brighter, more even skin that looks glowing and refreshed.
Strengthens the Skin Barrier
The skin’s barrier is essential for protecting it from environmental stressors, pollution, and dehydration. Niacinamide helps to reinforce this barrier, leading to healthier, more resilient skin . A stronger barrier also means less water loss and better overall hydration levels, leaving skin feeling soft and nourished.
Minimizes Pore Appearance
Pore size can be influenced by various factors, including oil production and aging. Niacinamide has been shown to help reduce the appearance of enlarged pores , giving the skin a smoother and more refined look.

How to Incorporate Niacinamide Into Your Skincare Routine

One of the best things about niacinamide is that it’s a gentle ingredient that works well with almost every skin type. Whether you have oily, dry, or sensitive skin, niacinamide can be easily integrated into your routine. Here are a few ways to incorporate niacinamide into your skincare:

Serums : Niacinamide serums are highly concentrated and offer targeted benefits. Apply a few drops to clean, dry skin before your moisturizer.
Moisturizers : Many moisturizers contain niacinamide as a key ingredient, making it an easy addition to your routine without having to add an extra product.
Toners : Niacinamide toners are a great option for those looking to hydrate and balance their skin after cleansing.
Masks : Look for face masks that feature niacinamide as a star ingredient for a more intensive treatment.

Niacinamide is generally well-tolerated and can be used daily, both morning and night. However, as with any new product, it’s a good idea to patch-test it first to ensure it doesn’t cause irritation.

Does Niacinamide Live Up to the Hype?

Absolutely! Niacinamide is not just a passing trend—it’s a tried-and-true skincare powerhouse. Its multi-functional properties make it suitable for almost everyone, and the evidence supporting its effectiveness continues to grow. Whether you’re dealing with acne, signs of aging, hyperpigmentation, or just want to maintain healthy, balanced skin, niacinamide can be a game-changer.

If you’re looking to streamline your skincare routine without sacrificing effectiveness, niacinamide is definitely an ingredient to consider. It’s affordable, versatile, and proven to deliver real results over time.

Conclusion

Niacinamide is definitely living up to the buzz! This powerhouse ingredient offers a wide range of benefits that can improve the overall health and appearance of your skin. From reducing redness and acne to improving texture and evening out your skin tone, niacinamide is a must-have for anyone looking to achieve smoother, healthier skin.

So, if you haven’t yet added niacinamide to your routine, it might be time to give it a try and see how it can transform your skin!

The Role of Diet in Healthy Skin: What to Eat for Glowing Skin

Tue, 28 Jan 2025 19:01:37 GMT

Nourish Your Skin with What You Eat and Glow from the Inside Out!

We all know that a healthy diet plays a significant role in how we feel, but did you know it can also directly impact the health and appearance of your skin? What you eat can make a huge difference when it comes to maintaining a clear, radiant complexion and combating various skin issues. In this post, we’ll explore the foods that nourish your skin from the inside out, along with some tips on how to incorporate them into your daily routine for glowing, healthy skin.

1. Antioxidant-Rich Foods: Fight Free Radical Damage

Antioxidants are your skin’s best friends when it comes to fighting off damage caused by environmental stressors like pollution and UV rays. These free radicals can cause premature aging, wrinkles, and even skin cancer. Eating a diet rich in antioxidants helps neutralize these harmful molecules.

Best foods to include :

Berries: Blueberries, strawberries, raspberries, and blackberries are packed with antioxidants that can help protect your skin from aging.
Dark leafy greens: Spinach, kale, and swiss chard are loaded with vitamins and antioxidants, including vitamin C and beta-carotene.
Nuts and seeds: Alm onds, walnuts, and sunflower seeds are rich in Vitamin E, another powerful antioxidant.

2. Healthy Fats: Keep Your Skin Hydrated

Omega-3 fatty acids are essential fats that support your skin’s hydration and maintain its elasticity. Without these healthy fats, your skin can become dry, dull, and even more prone to wrinkles.

Best foods to include :

Fatty fish: Salmon, mackerel, and sardines are excellent sources of omega-3s, which help keep skin plump and smooth.
Avocados: Not only are they rich in healthy fats, but they also provide Vitamin E, which is great for locking moisture into your skin.
Chia seeds & flaxseeds: These are plant-based sources of omega-3s that also offer fiber and protein.

3. Vitamin C: Brighten and Protect

Vitamin C is crucial for collagen production, which helps maintain your skin’s firmness and elasticity. It’s also a powerful antioxidant, fighting off oxidative stress that can lead to aging and skin damage.

Best foods to include :

Citrus fruits: Oranges, grapefruits, and lemons are all rich in Vitamin C.
Bell peppers: Red, yellow, and orange bell peppers are packed with Vitamin C, even more so than citrus fruits.
Broccoli and Brussels sprouts: Both are packed with Vitamin C, along with a host of other skin-boosting nutrients.

4. Zinc: Support Your Skin’s Healing Process

Zinc is a key mineral for skin health. It plays an important role in regulating inflammation, healing wounds, and preventing acne breakouts. If you’re struggling with acne or other inflammatory skin conditions, boosting your zinc intake might be a game changer.

Best foods to include :

Pumpkin seeds: A great snack that’s high in zinc, which can reduce inflammation and promote skin healing.
Lean meats and poultry: Beef and chicken are rich sources of zinc.
Legumes: Chickpeas, lentils, and bea ns are all excellent plant-based sources of zinc.

5. Water: The Ultimate Skin Hydrator

While it’s not a food per se, water is one of the most important contributors to healthy skin. Staying hydrated helps flush out toxins, maintain your skin’s moisture levels, and prevent dryness or irritation.

Tip : Aim for at least 8 cups of water per day, but keep in mind that your hydration needs might vary depending on your activity level, environment, and overall health.

6. Probiotics: A Healthy Gut = Healthy Skin

There’s a growing body of evidence showing that a balanced gut microbiome can directly affect your skin health. Probiotics help promote a healthy balance of gut bacteria, which can reduce inflammation and the risk of conditions like eczema, acne, and rosacea.

Best foods to include :

Yogurt with live cultures: Look for plain, unsweetened varieties to avoid added sugars.
Kefir: A fermented dairy product full of probiotics that can aid in gut health.
Fermented vegetables: Kimchi, sauerkraut, and pickles contain natural probiotics that support your digestive health.

What to Avoid for Healthier Skin

While focusing on nutrient-rich foods is key, there are some foods that may trigger skin problems. Reducing your intake of processed foods, sugary snacks, and excessive dairy may help improve your skin’s appearance, particularly if you struggle with acne or sensitivity.

Foods to limit or avoid :

Sugary snacks: High sugar consumption can lead to increased inflammation and breakouts.
Refined carbs: Foods like white bread, pastries, and pasta can spike blood sugar and lead to inflammation.
Dairy: Some people find that dairy products can exacerbate acne or skin sensitivity. It’s worth experimenting with dairy a lternatives if you’re prone to breakouts.

Conclusion: Feed Your Skin from the Inside Out

A healthy diet is an essential piece of the puzzle when it comes to glowing, youthful skin. By incorporating antioxidant-rich fruits, healthy fats, and skin-boosting nutrients like zinc and Vitamin C, you can improve your skin’s overall appearance and resilience. Of course, diet alone won’t solve all your skin concerns—always make sure to protect your skin with sunscreen and consult with a dermatologist for personalized advice.

The Connection Between Stress and Skin

Tue, 03 Sep 2024 04:23:03 GMT

Why your skin feels the pressure

We all know stress can take a toll on our mental and emotional well-being, but did you know it can also leave a visible mark on your skin? The connection between stress and skin health is deeper than you might think, and understanding it can help you manage both your stress levels and your skincare routine more effectively.

How Stress Affects Your Skin

When you're stressed, your body releases stress hormones like cortisol. In small doses, cortisol can help your body deal with immediate challenges, but when levels remain elevated over time, it can wreak havoc on your skin. Here’s how:

Increased Oil Production: Cortisol can trigger your sebaceous glands to produce more oil, which can clog pores and lead to breakouts. This is why stress often coincides with acne flare-ups, especially for those prone to oily skin.
Inflammation: Stress can also trigger an inflammatory response in the body, exacerbating conditions like eczema, psoriasis, or rosacea. If your skin is already sensitive, the added stress can cause it to become red, irritated, or inflamed.
Weakened Skin Barrier: Prolonged stress can impair the skin’s natural barrier function, making it more vulnerable to environmental stressors like pollution, UV rays, and bacteria. This can lead to dryness, increased sensitivity, and even premature aging.
Delayed Skin Repair: Stress can slow down your skin's natural healing process. Whether you're dealing with a cut, blemish, or irritation, the skin may take longer to repair itself when you're under constant stress.

Managing Stress for Better Skin

While it's impossible to eliminate stress entirely, there are several ways to manage it for healthier, happier skin:

Practice Relaxation Techniques: Meditation, deep breathing exercises, or yoga can help lower cortisol levels and soothe your mind.
Prioritize Sleep: Lack of sleep can amplify stress, so aim for 7-9 hours of quality rest to help your body—and skin—recover.
Adopt a Skincare Routine: A consistent routine with gentle, hydrating products can help maintain your skin’s natural balance, especially when stress is a factor.
Exercise Regularly: Physical activity is a great stress reliever and can boost circulation, promoting healthy skin.

Understanding the link between stress and your skin can empower you to take a more holistic approach to your well-being. By managing stress and practicing good skincare habits, you can help keep your skin glowing—no matter what life throws your way.

Sunblock vs. Sunscreen: What’s the Difference?

Wed, 24 Jul 2024 04:10:06 GMT

Not all sun protection is created equal!

What is the difference between sunscreen and sunblock?

Sunscreen and sunblock are two different forms of sun protection. While these terms are used interchangeably, sunscreen filters harmful ultraviolet rays (UV) whereas sunblock completely reflects them. Therefore, sunblock provides a greater degree of protection from the sun.

How can I tell the difference between sunscreen and sunblock?

With experience, you can tell whether your sun protection is sunscreen or sunblock just by looking at the texture of it. Usually, sunblock is thicker and harder to spread across your skin. It is also less translucent and often creates a “white cast” on your skin. The difference in texture is due to the addition of titanium or zinc oxide to most sunblocks, which is the primary active ingredient for blocking UV rays. Titanium and zinc oxide are not well absorbed by the dermis. Instead, they sit atop your skin to provide a physical barrier to sunlight, reflecting UV rays before they can even reach the deeper layers of your skin.

On the other hand, the primary active ingredients in sunscreen, including oxybenzone or avobenzone. These chemicals are more easily absorbed in the dermis, where it subsequently absorbs UV rays and dissipates them into less dangerous wavelengths of light or heat. However, this means that some UV rays are bound to make their way into your skin.

Which is better for sun protection?

Both sunscreen and sunblock are great products to prevent photoaging, sun damage, and wrinkles. However, if you are looking to get maximum sun protection, sunblock is the way to go. You can easily check the ingredients on the back of the product for zinc or titanium oxide. Also, you will want to go with a sunblock with an SPF of at least 30 (blocks 97% of UVB rays). Any SPF higher than that provides a marginal increase in sun protection.

Key features to look out for…

Aside from SPF, you should check if the sunscreen says “broad-spectrum” on the product label. This means that it protects against both UVA and UVB rays, which both cause sun damage. Also, water-resistant sunscreen is preferable for those who frequently sweat or engage in water-related activities. These sunscreens are usually effective for one to two hours in the water before reapplication is required.

Final words…

Sunblocks and sunscreens are only one form of sun protection. Wearing a hat and bringing an umbrella outdoors can also significantly reduce your risk of sun damage. In general, it is best to avoid going outdoors during peak sunlight hours, which falls between 10 AM and 4 PM. Beware that being inside does not necessarily guarantee that you are safe from the sun. Being near unblinded windows at home or in your car still exposes you to the sun’s harmful rays.

Navigating Rosacea in Pregnancy: Symptoms, Management, and Safe Treatments

Wed, 22 May 2024 21:06:26 GMT

Learn More About Rosacea During Pregnancy!

Hormonal changes during pregnancy can contribute to many different skin changes. Often, this includes the worsening or development of rosacea, a common skin condition that causes flushing or long-term redness of the face due to enlarged and visible blood vessels. If you are pregnant and struggling with rosacea, you may wonder what safe treatments are available. This guide will help you understand rosacea and navigate your options.

Prescription Rosacea Treatments Prior to Pregnancy

Rosacea is an extremely common skin condition that can affect anyone. However, you may be more prone to it if you have skin that burns easily in the sun, are between the ages of 30-50 years old, have a history of smoking, or are female. Aside from just facial redness, rosacea can create visible spider veins, swollen bumps, burning sensation, and possibly an enlarged nose in severe cases. When left untreated, many note that their rosacea worsened over time, so many afflicted individuals may want to explore different treatments early in life. Common treatments include isotretinoin, more familiarly known by the brand name Accutane®, as well as oral tetracycline antibiotics. However, these medications can be extremely dangerous for pregnant individuals due to potential risks to the fetus. Therefore, comprehending the prescription rosacea treatments prior to pregnancy is vital to outline the treatment pathway during pregnancy.

When creating a treatment plan, a standardized grading system like the mean rosacea severity score, helps in evaluation, taking into consideration both primary and secondary symptoms. Especially during pregnancy, comprehending how rosacea progresses from mild to severe forms is critical. By using the mean rosacea severity score on symptoms such as flushing, redness, papules and pustules, and spider veins, healthcare professionals can better understand the possible escalation of the rosacea condition.

Understanding Rosacea During Pregnancy

Rosacea presents a unique challenge during pregnancy as reproductive and hormonal factors can significantly influence rosacea severity and manifestation. Approximately half of the women with pre-existing rosacea reported that it worsened during pregnancy, with about one-third experiencing no change and a minority observing that their rosacea improved. This unpredictable nature necessitates a thorough comprehension of pregnancy-induced factors that can alter rosacea’s course.

Pregnancy, a phase marked by hormonal upheaval, can significantly impact various skin conditions, including rosacea. Fluctuating levels of estrogen, progesterone, and human chorionic gonadotropin (hCG) can affect oil production and skin dryness, potentially triggering flare-ups. In particular, those undergoing progesterone therapy for pregnancy can be particularly prone to increased progression of inflammatory disorders.

Furthermore, pregnancy is a very stressful period and the emotional state of patients can significantly impact rosacea's onset and course. Stress factors can exacerbate rosacea symptoms, with a significant number of patients experiencing stress-related flare-ups. This highlights the importance of lifestyle changes and improving emotional wellbeing, which may result in the alleviation of rosacea symptoms during pregnancy.

Managing Rosacea When Expecting

In pregnancy, managing rosacea requires balancing between effective treatment and ensuring the safety of the unborn child. The limited availability of clinical trials and concerns over potential harm to the fetus from various treatments make the task particularly challenging. However, addressing rosacea in pregnant patients both early and effectively, with careful consideration for the safety of treatments used, is crucial.

A key strategy in managing rosacea during pregnancy involves embracing safe skincare practices. Using gentle, soap-free cleansers, applying moisturizers, and protecting the skin with high-SPF, broad-spectrum sunscreen forms the basic skincare regimen. In addition, it is paramount to avoid heavy or harsh skincare products, which can exacerbate rosacea symptoms or potentially harm the fetus in pregnancy. In addition to these skincare products, adopting a low glycemic index diet and taking supplements such as Omega-3 fatty acids are recommended to help regulate oil production, reduce inflammation, and minimize skin reactivity. Topical skincare products containing hyaluronic acid, vitamin C, azelaic acid, and metronidazole are recommended during pregnancy as they have been shown to ease reported symptoms of rosacea without harmful effects on the fetus.

Complications & Comorbidities

Rosacea during pregnancy isn’t merely a skin condition. It can be associated with other health issues, such as diabetes, heart problems, and inflammatory bowel disease, potentially adding to the complexity of patient management. These complications may be due to overlapping inflammatory pathways.

Rosacea fulminans, also known as pyoderma faciale, is a rare dermatologic disease recognized as an uncommon presentation of rosacea. Rosacea fulminans can sometimes develop during pregnancy and is associated with differing obstetric outcomes. It is characterized by red bumps, pustules, and thick plaques that are mainly localized on the face, which can cause severe emotional trauma when prolonged. Rosacea fulminans also typically has a sudden onset and can be associated with draining sinuses. Furthermore, rosacea fulminans is almost completely confined to females, especially during pregnancy, with little data on occurrence in males.

These linkages emphasize the need for an all-encompassing strategy in managing rosacea during pregnancy, not only considering just the skin condition but also potential systemic implications and emotional trauma. While many traditional rosacea treatment options are not suitable during pregnancy, there are some oral corticosteroids and azithromycin that patients have taken and noted their rosacea improved. Furthermore, topical metronidazole used in combination with other therapies has shown success.

Treatment Options Beyond Topicals

In terms of treating rosacea during pregnancy, the alternatives extend past topical applications. However, the choice of treatment is complex due to a lack of extensive randomized controlled trials and potential harm to the fetus from many treatments.

Oral doxycycline, commonly used for rosacea, is not recommended during pregnancy, making azithromycin a safe oral treatment alternative for pregnant patients. On the topical front, azelaic acid can serve as an alternative treatment for rosacea in pregnant patients, effectively reducing erythema and inflammation, with a favorable safety profile. These alternatives underline the need for early and aggressive treatment of rosacea during pregnancy while still prioritizing both successful treatment and the baby's safety.

Due to its severity, rosacea fulminans in a pregnant patient may necessitate the consideration of systemic steroids. However, their usage during pregnancy carries many risks. For the fetus, there is a possibility of intrauterine growth retardation. For the mother, the use of systemic steroids can increase the risk of complications in pregnancy such as maternal diabetes mellitus and hypertension. Therefore, the administration of systemic steroids emphasizes the need to strike a balance between efficacious treatment of rosacea severity while safeguarding both the mother and fetus.

In the quest for effective rosacea treatments during pregnancy, alternative therapies have gained attention. Topical ivermectin is one such alternative therapy for treating rosacea. Clinical studies indicate that topical ivermectin has demonstrated greater effectiveness than metronidazole in treating rosacea. However, its use during pregnancy is accompanied by heightened concerns. This draws attention to the need for continued research to discover safe and efficacious treatments for managing rosacea severity while pregnant.

Additionally, there are certain lasers that can be used to eliminate the enlarged blood cells that cause rosacea, thus eliminating the redness. However, only a few lasers are safe to use on rosacea during pregnancy. At our clinic, we do offer a special Nd:YAG laser that can be used to treat rosacea in pregnant patients. However, it is vital to first discuss your health history and more with our providers in order to determine safety and suitability for your pregnancy.

Conclusion

Navigating rosacea during pregnancy is a journey of understanding, patience, and personalization. The interplay between pregnancy-related hormonal changes, rosacea severity, and the risks and benefits of treatments all contribute to this complex condition. However, with the right knowledge, support, and personalized treatment plans, it is possible to effectively manage. Keep in mind, every pregnancy is unique, and so is every journey with rosacea.

Solving Psoriasis: Shedding the Stigma

Thu, 16 May 2024 00:14:29 GMT

Psoriasis: Beyond the Flare-Ups

Psoriasis is a chronic skin condition related to overactivation of the immune system that manifests as scaly patches, often on the scalp, elbows, and knees. This post will help you understand more about what causes psoriasis, symptoms of psoriasis, and how to treat psoriasis.

What is psoriasis?

Psoriasis is a common skin condition rooted in your immune system, creating a rash with red, itchy patches. The scaly skin commonly appears on the knees, elbows, and scalp areas. Psoriasis is a long term, immune mediated disease that does not have a cure, so managing psoriasis and its flare ups can be tricky. Psoriasis can be uncomfortable, emotionally distressing, and at times, debilitating. Despite its prevalence, many misconceptions surround this condition.

What causes psoriasis?

Psoriasis occurs when the immune system mistakenly attacks healthy skin cells, causing rapid turnover of skin cells. This results in the accumulation of dead skin cells on the surface, leading to the formation of raised skin patches covered with silvery scales. While the exact cause of psoriasis remains unknown, a combination of genetic predisposition and environmental factors is believed to play a significant role for people who develop psoriasis. Some common triggers of psoriasis can include stress, skin injury, infection, tobacco and alcohol.

What are common symptoms of psoriasis?

The symptoms of psoriasis can vary in people with psoriasis depending on the type and may range from mild to severe. Some common signs and symptoms of psoriasis include:

Red Patches of Skin

These patches are often covered with thick, silvery scales and may appear on any part of the body of people with psoriasis, including the scalp, elbows, knees, and lower back. These patches are caused by excessive skin cell production and can occur in flare ups. As with many other skin conditions, psoriasis can present differently between light skin and darker skin tones. With darker skin, the patches may not contrast as clearly and could appear darker red, purple, or even brown, making it more difficult to diagnose psoriasis.

Itching & Discomfort

Psoriasis patches can be itchy and may cause discomfort or pain, especially if they crack and bleed. Sometimes during psoriasis flare ups, itching can be so severe that it can interfere with daily activities and sleep. The discomfort can be described as burning, soreness, and stinging.

Nail Changes

Psoriasis can affect the nails, causing them to become pitted, thickened, or discolored. In some cases, people with psoriasis may notice their nails detaching from the nail bed. Severe psoriasis can lead to the nail crumbling.

Joint Pain

Some people with severe psoriasis may also develop psoriatic arthritis, which causes stiffness, swelling, and pain in the joints. For some people with a psoriasis diagnosis, the joint problems can begin either before the skin disease appears or at the same time. The joint pain can affect any part of the body, including your fingertips and spine, and the disease flares can alternate with periods of remission.

What are the different types of psoriasis?

Psoriasis can take several different forms and it is important to note the differences because your treatment plan can vary based on the unique symptoms. Individuals with psoriasis should work with healthcare providers to identify their triggers and develop an effective management strategy.

Plaque Psoriasis

Plaque psoriasis is the most common type of psoriasis, affecting 80-90% of people with psoriasis. It can be identified by raised, red patches covered with a scaly patch of dead skin cells, also known as psoriasis plaques.

Guttate Psoriasis

Guttate psoriasis often manifests itself in childhood or young adulthood with small, dot-like lesions that appear suddenly, usually on the torso and limbs. In contrast to plaque psoriasis, this type of psoriasis forms lesions that are not as thick as plaques. Guttate psoriasis is frequently triggered by strep throat since the immune system's response to strep throat can create inflammatory reactions in the skin.

Inverse Psoriasis

Inverse psoriasis appears in skin folds as red, shiny lesions that are smooth rather than scaly. It is commonly caused by irritation from rubbing and sweating, so it affects areas such as the armpits, under the breasts, around the groin, and other skin folds.

Pustular Psoriasis

Pustular psoriasis is a rare type of psoriasis and can be classified as moderate to severe. Symptoms include white blisters surrounded by red skin. Pustular psoriasis can be either localized, commonly on the hands and feed, or generalized, spread across wide areas. Common triggers can include withdrawal from certain medications, infections, and stress.

Erythrodermic Psoriasis

Erythrodermic psoriasis is the least common and also the most dangerous form of psoriasis. It is characterized by severe redness and skin shedding over a large area of the body. This can lead to intense itching and pain and eventually even fluid loss and infection. Erythrodermic psoriasis triggers can include skin injuries, severe sunburns, infections, or by terminating psoriasis treatment suddenly.

Nail Psoriasis

Nail psoriasis specifically affects the fingernails and toenails, causing observable pitting,, abnormal growth, and discoloration. It can cause the nails to loosen and separate from the nail bed or crumble. It often occurs alongside other forms of psoriasis, typically plaque psoriasis.

Psoriatic Arthritis

Psoriatic arthritis affects the joints and connective tissue, causing pain, stiffness, and swelling. If left untreated, psoriatic arthritis can lead to joint damage and deformities. Triggers can include joint injury and overuse, which can be found in athletes.

What treatment options are available for psoriasis?

While there is currently no cure, psoriasis treatments are available to help manage and prevent psoriasis symptoms from worsening. Common psoriasis treatments to improve quality of life may include:

Topical Treatments

These include creams, ointments, and lotions applied directly to the affected skin to reduce inflammation and scale formation. Topical corticosteroids, calcineurin inhibitors, and vitamin D analogs are commonly prescribed topical medications. With consistent application, these can help keep the skin moist, alleviating pain associated with cracked skin and dry skin. For scalp psoriasis, shampoos with salicylic acid may be prescribed or bought over-the-counter.

Phototherapy

Phototherapy, or light therapy, involves exposing the skin to ultraviolet light under medical supervision. This can help treat psoriasis by slowing down the growth of new skin cells and reducing inflamed skin, thus decreasing the likelihood of a psoriasis flare up. Phototherapy typically involves multiple sessions of ultraviolet light exposure per week over a period of a couple months, but can vary depending on the severity of the psoriatic disease.

Systemic Medications

For more severe cases of psoriasis that do not respond to topical treatments or phototherapy, certain medications may be prescribed. These include oral or injected medications as well as biologic agents that target specific components of autoimmune diseases. Regular monitoring through blood tests and clinical evaluations is crucial to manage potential side effects.

Lifestyle Changes

Certain lifestyle modifications can also help manage psoriasis symptoms. This may include avoiding psoriasis triggers such as stress, smoking, and excessive alcohol consumption. Additionally, incorporating anti-inflammatory foods and maintaining a healthy weight can help reduce psoriasis symptoms. Furthermore, modifications to your skincare routine can be made, such as moisturizing regularly, avoiding hot water, and using humidifiers at home can help psoriasis.

Combination Therapies

The majority of treatments above can be combined with other treatments for maximum effect, especially in cases of severe or moderate psoriasis. In particular, topicals are typically combined with either systemic medications or phototherapy. Ultimately, the choice of treatment for psoriasis depends on many factors such as type and severity, patient preferences, and any underlying health conditions, but importantly, you must take care of your overall health.

Conclusion

Living with skin conditions related to your immune system such as psoriasis can be challenging, both physically and emotionally. In addition to managing physical symptoms of psoriasis, affected individuals may also experience feelings of self-consciousness, embarrassment, and frustration. It is essential for individuals with psoriasis to seek support from healthcare professionals, friends, and family members.

Psoriasis is a complex condition that affects your body's immune system and can have a significant impact on quality of life. While there is currently no cure, various treatment options are available to help manage skin irritation and improve overall well-being. By understanding the causes, symptoms, and treatment for psoriasis, individuals can take proactive steps to effectively manage their condition with a treatment plan and lead fulfilling lives.

Red Carpet Ready: Your Guide to the Ultimate Laser Facial

Wed, 13 Mar 2024 18:22:09 GMT

Discover the Benefits of the Red-Carpet Laser

Are you tired of dealing with wrinkles, fine lines, and uneven skin texture? If so, then you may want to consider undergoing the Red-Carpet Laser. It is a minimally invasive laser procedure that is becoming increasingly more popular among not only celebrities but also other people who are simply looking to get a subtle, natural-looking boost to their appearance.

How did it get its name?

The Red-Carpet Laser is perfect for getting you ready for your (you guessed it!) “red-carpet” event. In fact, most individuals take only 5 to 7 days to fully recover from the procedure and look their best for special occasions.

When it comes to cosmetic treatments, a lot of people immediately think of facelifts, botox, and fillers. While those are great treatments, not many people are comfortable going under the knife or having substances injected into their face. Some people just want a subtle, natural-looking boost to their appearance.

How does the Red-Carpet Laser work?

The Red-Carpet Laser works by delivering controlled thermal damage to the outermost layer of the skin, called the epidermis. This removes the damaged skin cells, which stimulates the growth of new, healthy skin. This procedure also induces collagen production in the dermis to thicken the skin, helping to reduce signs of aging, such as fine lines and wrinkles.

What type of laser is used for the Red-Carpet Laser?

There are a variety of different lasers that can be used for the Red-Carpet treatment. These lasers can either be fully ablative (wipes off the entire top layer of the skin) or fractional (resurfaces only a “fraction” of the skin in a pixelated pattern). Additionally, the red carpet can be performed with either the CO2 or Er:YAG laser.

There are several considerations to make when deciding which laser to use for your Red-Carpet Laser. If you want to completely renew the top layer of your skin, then the fully-ablative option may be more desirable. However, the downtime may be more extensive. Fractional lasers, on the other hand, remove only a portion of the damaged top layer, sparing some healthy skin in between to expedite the healing process. Finally, the decision to use CO2 and Er:YAG is also dependent on your skin type. CO2 induces more thermal damage to the skin to produce more noticeable results but has a higher risk of hyperpigmentation for people with darker skin types.

What should I expect during the procedure?

The procedure typically takes around 30 to 60 minutes, depending on the extent of the area being treated. Typically, individuals choose to get their face and neck treated, occasionally adding on scalp and/or chest. The treatment areas will be numbed with topical anesthetic prior to the procedure to minimize discomfort. After numbing, the laser is meticulously run across all of the areas. After the procedure is done, you may notice some redness, swelling, and tenderness, which typically subsides within a couple of days.

Benefits of the Red-Carpet Laser

The Red-Carpet Laser is an effective treatment for promoting a more youthful and radiant appearance. Benefits include the following:

Reducing fine lines, wrinkles, and creases : The laser induces the production of key proteins in the skin that maintains firmness and elasticity, notably collagen and elastin.
Eliminate pre-cancerous lesions : While not treatment for active skin cancer, the Red-Carpet laser can be used to target precancerous lesions, such as actinic keratoses (AKs), and sun-damaged skin.
Evening out skin tone and texture : The laser wipes off pigmented, damaged skin cells in the epidermis, which subsequently triggers the growth of fresh skin cells.
Minimal downtime : The Red-Carpet Laser is unique in that no cutting or harsh injectables are involved. Normal activities can be resumed within a couple of days of treatment while the dead skin sloughs off on its own.

Risks and Adverse Effects of the Red-Carpet Laser

Just as with any cosmetic procedure, the Red-Carpet Laser carries some potential risks and side effects during and after the treatment is performed. These include:

Redness and swelling : It is normal for the skin to appear inflamed, as this is a normally healing response by the body. The swelling takes around 1 day to go down. However, the redness slowly tapers off over the course of several weeks.
Pain and discomfort : After the anesthetic wears off, patients may feel a burning or stinging feeling on their skin, which is also normal. Patients usually manage discomfort well with over-the-counter pain medications and icing.
Dyspigmentation : In rare cases, patients may experience darkening or lightening of their skin after the procedure. It is important to stay out of the sun and follow strict aftercare measures to minimize the risk of permanent pigmentary changes to the skin.

How often do I need to get the Red-Carpet Laser?

Many people choose to undergo the Red-Carpet Laser once or twice a year. People with mild signs of aging can see substantial results with consistent treatments. However, people with severe wrinkles and creases may need to undergo mini facelifts or neck lifts to see a more appreciable difference in their appearance. However, these patients can still see a visual difference in the overall texture and color of their skin.

The timing of your Red-Carpet Laser is also important when it comes to safety. Most patients choose to undergo the procedure during the winter time when the sun is less intense. This drastically reduces the risk for pigmentary changes (but does NOT excuse strict sun avoidance).

How do I see if I am a good candidate for the Red-Carpet Laser?

It is important to see a licensed dermatologist to see if the Red-Carpet Laser is a good fit for you. Also, during the consultation, it is important to discuss your personal risk factors for developing adverse reactions, such as post-inflammatory hyperpigmentation, as is more commonly seen in darker skin complexions.

Conclusion

The Red-Carpet Laser is one of the most effective treatments for overall skin rejuvenation with minimal downtime. This procedure employs the latest laser-based technology to deliver thermal energy to the skin to promote skin exfoliation and contraction, giving your face a more radiant appearance. If you are considering undergoing this procedure, be sure to reach out to a board-certified skin professional to help you achieve your cosmetic goals.

Eczema Explained: Management and Care

Thu, 29 Feb 2024 21:12:17 GMT

Eczema: A Stubborn Skin Condition

This article delves into the causes of eczema, strategies for management, and the most effective treatment options available. Explore the causes of eczema, learn how to manage flare-ups, and discover the latest treatment options for this common skin condition.

What is Eczema?

Eczema, also known as atopic dermatitis, is a group of chronic inflammatory skin conditions that can cause itchiness, dry skin, scaly patches, rashes, blisters, and potential infections. This condition typically begins in childhood and persists for life.

What Causes Eczema?

Eczema is caused by a combination of genetic and environmental factors. Individuals with eczema have a genetic mutation that affects the function of the skin barrier. Deficiencies in certain proteins, like filaggrin, compromise your body’s ability to maintain a healthy, intact skin barrier. Studies have shown that there is a higher likelihood of developing eczema if there is a family history of the condition, or other atopic diseases like asthma.

Eczema flare-ups involve an overactive response by your immune system, specifically by cytokines and other inflammatory molecules. When your body overreacts to certain triggers, inflammation ensues, accompanied by the other characteristic, irritating symptoms of eczema.

What Triggers Eczema? How do I prevent flares?

While genetics are responsible for your predisposition to eczema, environmental factors are also critical in determining whether flares will occur.

Exposing your skin to certain irritating substances, such as harsh soaps, detergents, perfumes, or allergens like dust mites, pollen, and pet dander, can all contribute to triggering eczema flare-ups. Climate and weather are also important considerations: extreme temperatures, high or low humidity, and sudden changes in weather can all exacerbate eczema symptoms.

An imbalance in the skin’s natural microbiome, particularly an overgrowth of certain bacteria like Staphylococcus aureus, can trigger or worsen eczema symptoms. Emotional stress can also exacerbate eczema symptoms, because the body’s stress response triggers inflammation! For some people, certain foods can also trigger eczema symptoms, with specific triggers varying greatly from person to person. It is important to speak to a trusted professional if you are experiencing eczema, so you can work together to identify and avoid your individual triggers.

What Treatment Options are Available for Eczema?

While eczema is a lifelong condition, there are a variety of treatment options intended to resolve uncomfortable symptoms during flares.

The first step will always be to adjust your lifestyle, so flares happen minimally in the first place. This includes avoiding triggers for your eczema, as well as home remedies like wet dressings, relaxation techniques, and dietary changes.

Topical treatments are the most common intervention prescribed for eczema. Corticosteroids are commonly prescribed to reduce inflammation and relieve itching. However, prolonged use of topical steroids risks overly thinning the skin. Calcineurin inhibitors, like tacrolimus, present a non-steroidal option for treating inflammation and preventing flare-ups.

For severe cases that are unresponsive to topical therapies, systemic medications may be prescribed. This may include oral corticosteroids or immunosuppressants.

Understanding and Treating Warts: A Comprehensive Guide

Thu, 22 Feb 2024 22:33:12 GMT

Learn More About the World of Warts

Warts are unsightly, persistent, and often painful skin growths. This common dermatological concern arises from viral infections caused by the human papillomavirus (HPV). This post will help guide you in understanding the underlying cause as well as available treatment options for effective management of these pesky lesions.

What Are Warts?

Warts are benign skin growths caused by the human papillomavirus (HPV). They can appear anywhere on the body, but are most commonly found on the hands and feet. Their appearance and size can vary, but they are generally small, flesh-colored bumps with a rough texture.

Some individuals may experience multiple, recalcitrant warts. This condition is often due to an immune system that doesn't adequately recognize or respond to HPV. These cases require more intensive and often multiple modalities of treatment.

What Causes Warts?

HPV, the primary culprit behind warts, is a widespread viral infection affecting the skin and mucous membranes. There are over 100 types of HPV that are responsible for different types of warts. This virus spreads from person to person, and can be contracted through either direct skin-to-skin contact or indirectly in warm, moist environments like communal showers.

How Are Warts Treated?

The primary goal of wart treatments is not just to resolve cosmetic concern by removing the visible lesion, but to alert your immune system to the presence of HPV. This process is crucial, especially for preventing the recurrence of warts. Once your body recognizes and learns to respond to the presence of HPV, your own immune system will begin to fight off the infection. While there are various options available for treating warts, an effective solution involves considering the type, location, and severity of the wart, as well as the patient's overall health and preferences. Here, we explore the most common treatment options.

Surgical Excision

Surgical excision involves cutting out the wart under local anesthesia. This method is typically reserved for larger, stubborn warts, or warts in sensitive areas that require a precise level of control. This technique is more invasive than other options but results in an immediate resolution of the lesion. It is important to choose your surgeon carefully: recurrence is possible if the wart is not completely excised.

Surgical excision is sometimes combined with other techniques, such as chemical peels or lasers, to ensure thorough destruction.

Laser Treatment

Laser therapy uses intense beams of light to destroy the wart tissue. It presents a good option for warts that haven't responded to other treatments, or are in difficult to reach areas. This option is less invasive with a lower risk of scarring compared to surgical excision. However, it can be more expensive and require multiple sessions.

Cryotherapy

Cryotherapy involves freezing the wart with liquid nitrogen. This is a quick, common procedure, although it often requires multiple sessions, and presents a relatively higher risk of recurrence.

Injections

In some cases, medications or vaccines are injected directly into the wart to stimulate the body's immune response against the virus. This technique is ideal for recalcitrant warts, especially those that have been unresponsive to prior treatments. This technique directly targets the wart's immune response, but may require multiple time-intensive sessions, and can be painful.

Imiquimod

Imiquimod is a topical tumor suppressing medication that helps the immune system fight the virus causing warts. This treatment is ideal for patients who prefer less invasive treatments, have difficult schedules, or are affected by multiple warts. This technique is minimally invasive and can be safely administered at home, but requires consistent application and can take weeks to show results. When combined with other treatments, it can enhance effectiveness, especially for stubborn warts. For this reason, a course of imiquimod is often used as an adjunct alongside other treatments like surgery or cryotherapy to enhance treatment efficacy and decrease the risk of recurrence.

Conclusion

Understanding the diverse treatment options for warts is key to effective management. Book your consultation so our specialists can help you determine the best approach for your specific condition.

Non-Surgical Face Lifts

Fri, 09 Feb 2024 16:13:18 GMT

Learn More About Non-Surgical Face Lifts!

Sagging skin is a normal sign of aging. Over time, our skin begins to lose its elasticity and volume, which leads to wrinkles and a sunken appearance.

When people hear this, they immediately think I need a facelift! While a surgical facelift is certainly effective for immediately reversing signs of aging, there are a myriad of non-surgical treatments out there that can provide similar - if not, superior - results with less downtime.

In this blog, we are going to dive deeper into non-surgical facelift options, including fillers, Botox/Dysport, thread lifts, and lasers.

Fillers

Dermal fillers are gel-like injectable substances that restore volume, reduce wrinkles, and thicken the skin. Fillers are generally categorized based on the duration of results: short-lasting, semi-permanent, and long-last lasting.

The most commonly used short-lasting filler is hyaluronic acid (HA). Two of the most popular HA brands include Restylane and Juvederm. HA provides immediate volume correction to the face through rapid water absorption and collagen production. Common areas to inject fillers include the under-eyes and nasolabial folds. More recently, injecting filler into the temples has become more popular to correct the “scooped-out” appearance on aged temples.

So what makes HA so short-lasting compared to other fillers on the market? Well, HA is rapidly degraded by the body, which leads to its relatively short lifespan of 6 to 18 months. HA, however, has the added advantage of being reversible because it can easily be broken down by injectable hyaluronidase. Therefore, if you do not like how the filler came out, you can quickly “melt” the filler to go back to normal.

Semi-permanent fillers, notably poly-l-lactic acid (PLLA) and calcium hydroxylapatite (CaHA), offer longer-lasting results than HA. PLLA is a biostimulatory agent that triggers fibroblasts to produce collagen in the face. CaHA fillers come in a gel-like particle-suspension, similar to HA but degrade over a longer period of time.

PLLA and CaHA were originally FDA-approved for the treatment of nasolabial folds and volume loss in the cheeks. They have also been shown to improve depressed scars as well when injected focally in the region of tissue loss.

One thing to note about PLLA and CaHA is that results are very gradual. PLLA takes several weeks to be locally digested by the body, after which neocollagenesis begins to take place and peaks several months after. Results may appear less drastic to its delayed mechanism of action but provide noticeable results in the long-run. CaHA, on the other hand, provides instant volume correction like HA and slowly gets absorbed by the body over the course of approximately two years.

Lastly, there are permanent fillers to promote a non-surgical facelift. Many individuals out there prefer a much longer-lasting solution and may turn to permanent fillers, such as polymethylmethacrylate (PMMA). The most popular brand that we hear our patients getting at other offices is Bellafill. While Bellafill has certainly provided the results that many patients are looking for, we are more averse to using PMMA due to its permanent nature and potential for triggering an allergic reaction. Bellafill, in particular, is composed of PMMA microspheres suspended in 80% bovine (cow-sourced) collagen, which the human skin may reject.

All in all, fillers are an amazing alternative to surgical facelifts, as they require a lot less downtime and time/cost commitment. Choosing the right filler is important, since there is a risk with injectables, as there are with many other facial cosmetic procedures.

Botox and Dysport

Botox, a shorthand name for botulinum toxin, is a simple procedure performed to reduce facial wrinkles and creases caused by facial muscle movement. By temporarily weakening those muscles, the wrinkles smoothen out to create a more youthful appearance.

Not many people know that Botox can actually provide some sort of “lift” for patients. When injected around the forehead and brow muscles, Botox can give a subtle brow lift, which gives your eyes a bigger appearance.

Dysport is an alternative brand to Botox and works very similarly. Dysport is not as potent and requires more units to achieve an equivalent effect to Botox and has a shorter duration of effect. However, it has an earlier onset of action and is a cheaper alternative to Botox.

Thread Lift

Thread lifting is a relatively newer approach to performing a facelift. This procedure entails inserted dissolvable threads through small incisions in the skin. The threads provide a mechanical lifting effect of the skin through its tension and traction. Additionally, the thread material itself triggers fibroblasts in the skin to produce collagen in the surrounding tissue, which helps to reduce wrinkles and fine lines.

Like fillers, thread lifts deliver immediate results with minimal downtime. One major benefit of thread lifts is that they are easily repositionable to help you achieve your cosmetic goals. All of this can be done through very small openings and does not require cutting excess tissue like traditional surgical facelifts.

There are a variety of different materials that can be performed for thread lifting, including polydioxanone (PDO) and polylactic acid (PLA). PDO is a thick absorbable polymer that provides an immediate lifting effect, whereas PLA threads, similar to PLLA fillers, promote gradual improvement through collagen stimulation. Choosing the right thread lifting material will depend on the extent of your skin aging, your cosmetic goals, and other factors.

Fotona 4D Facelift

Fotona is one of the leading manufacturers of medical laser technologies. One of its most popular treatments include the Fotona 4D Facelift, a non-ablative laser modality that tightens the skin with heat.

So how does it work? Essentially, a series of handpieces are used to deliver controlled thermal energy from within the oral cavity and directly on the surface of the skin. Because this treatment is non-ablative (no thermal exfoliation of the top layer of skin), there is essentially no downtime associated with the treatment.

In terms of results, the Fotona 4D Facelift can provide comparable results to those of the standard surgical facelift. However, this does depend on the extent of your skin aging: skin with high laxity, or looseness, may not respond significantly to laser treatment alone. Too much excess skin, in this case, will require surgical removal and repositioning with the surgical facelift to provide noticeable results.

In cases of mild aging, a laser facelift can reverse and slow the aging process. Patients in their forties or fifties can benefit greatly from regular Fotona 4D Facelift treatments on an annual or semi-annual basis to maintain the health and appearance of their skin.

Hair Today, Gone Tomorrow: Navigating the Murky Realm of Hair Loss

Wed, 06 Dec 2023 17:36:30 GMT

A Comprehensive Guide to Hair Loss: Understanding, Treatments, and Finding the Right Solution for You:

Hair loss can be a distressing issue for both men and women, affecting not only our appearance but also our self-esteem. If you've noticed thinning hair or bald patches, it's essential to understand the causes, phases of hair growth, and available treatments to take control of your hair health. In this comprehensive guide, we will delve deeper into the fundamentals of hair loss, from the three phases of hair growth to a detailed overview of various treatments. We will also emphasize the importance of consulting with an experienced provider for personalized recommendations tailored to your unique needs.

The Three Phases of Hair Growth:

Before we explore treatments, let's gain a more comprehensive understanding of the natural hair growth cycle. Hair growth follows a continuous, cyclical process with three distinct phases:

1. Anagen Phase: This is the active growth phase, where hair emerges from the hair follicle and continues to lengthen. The anagen phase can last anywhere from 2 to 7 years, depending on genetics and individual factors. This phase is characterized by rapid hair growth.

2. Catagen Phase: The catagen phase is a transitional period lasting about 2 to 3 weeks. During this time, the hair follicle shrinks, and hair growth significantly slows down.

3. Telogen Phase: The telogen phase is the resting phase of the hair cycle, lasting approximately 3 to 4 months. In this phase, hair follicles remain dormant before shedding old hairs to make way for new ones.

Understanding these phases allows us to grasp the natural shedding and regrowth process. However, when hair loss exceeds the rate of regrowth, intervention may be necessary.

Common Causes of Hair Loss:

Hair loss can be attributed to various factors, including:

- Heredity: Genetic predisposition plays a significant role in hair loss, leading to conditions such as male pattern baldness or female pattern hair loss.

- Hormonal Changes: Fluctuations in hormone levels due to pregnancy, menopause, thyroid disorders, or polycystic ovary syndrome (PCOS) can contribute to hair loss.

- Medical Conditions: Certain medical conditions such as alopecia areata, scalp infections, and autoimmune diseases can cause hair loss.

- Stress and Diet: Elevated stress levels and an inadequate diet can disrupt the hair growth cycle, leading to increased hair shedding.

Hair Loss Treatments:

A wide array of treatments is available for combating hair loss. These treatments range from topical solutions to medical procedures, each with its unique benefits and considerations. Here's a more in-depth look at some common options:

1. Topical Serums: Minoxidil (commonly known as Rogaine) is an over-the-counter topical solution proven to stimulate hair follicles and promote hair growth when applied consistently.

2. Supplements: Nutritional supplements such as biotin, iron, and vitamins may support hair health. However, it's essential to consult with a healthcare provider before starting any supplementation regimen. They can recommend a different combination of supplements tailored directly to YOU.

3. Lifestyle Changes: Making lifestyle adjustments, such as maintaining a balanced diet rich in essential nutrients, managing stress, and avoiding harsh hair treatments, can help reduce hair loss and improve overall hair quality.

4. Laser Stimulatory Treatment: Low-level laser therapy (LLLT) utilizes safe, low-level lasers to stimulate hair follicles, enhance blood circulation in the scalp, and promote hair growth.

5. Platelet-Rich Plasma (PRP): PRP therapy involves extracting a concentrated form of platelets from your blood and injecting it into the scalp. This process stimulates hair follicles and accelerates the healing and regrowth process.

6. Prescription Medications: There are many prescription medications which can help with hair loss. For example, finasteride (commonly known as Propecia) is an oral prescription medication primarily for men that can slow hair loss and promote hair regrowth. It works by inhibiting the effects of the hormone DHT, which contributes to hair loss. A consultation with a prescribing physician is required.

Why Consult with a Physician Like Dr. Hazany:

While these treatments hold promise for addressing hair loss, it's essential to recognize that not all types of hair loss are the same. Individual factors, including genetics, underlying medical conditions, and lifestyle, can significantly influence the effectiveness of treatment.

This is where the expertise of a seasoned provider like Dr. Hazany becomes invaluable. Dr. Hazany can assess your specific type of hair loss, identify its underlying causes, and recommend a personalized treatment plan tailored to your unique needs. A personalized approach ensures that you receive the most effective and appropriate treatment to regain your hair and confidence.

In conclusion, understanding the phases of hair growth, recognizing common causes of hair loss, and exploring various treatment options are essential steps in addressing hair loss. Remember that the most effective path to hair restoration begins with a consultation with a trusted dermatologist like Dr. Hazany, who can provide expert guidance and customized solutions for your hair loss concerns. Don't let hair loss hold you back – take the first step towards healthier, fuller hair today.

How to Prepare for Mohs Micrographic Surgery

Thu, 12 Oct 2023 18:13:50 GMT

A Comprehensive Guide to Mohs Micrographic Surgery: Choosing the Right Surgeon and Preparing for Success

When facing the daunting prospect of skin cancer surgery, it's essential to be well-informed and prepared. Mohs Micrographic Surgery, a highly effective and precise method for treating skin cancer, offers patients a chance at complete cancer removal with minimal tissue loss. In this comprehensive guide, we will walk you through the Mohs surgery process, help you choose the right surgeon, and provide a downloadable checklist to ensure a smooth pre- and post-operative experience.

Understanding Mohs Micrographic Surgery

Mohs Micrographic Surgery, named after its inventor Dr. Frederic Mohs, is a specialized technique for treating skin cancer. It is known for its remarkable accuracy and minimal tissue removal, making it an excellent choice for treating skin cancers in cosmetically sensitive areas such as the face. Here's how it works:

1. Tumor Mapping: The surgeon starts by precisely mapping the tumor's location, marking it on the skin's surface.

2. Tissue Removal: The surgeon removes the visible portion of the tumor along with a small margin of healthy tissue.

3. Microscopic Examination: The removed tissue is immediately examined under a microscope in an on-site laboratory. This step helps determine if any cancer cells remain at the surgical site.

4. Iterative Process: If cancer cells are detected, the surgeon repeats the process, removing tissue only from areas with remaining cancer cells. This cycle continues until no cancer cells are found.

5. Reconstruction: Once the cancer is entirely removed, the surgeon reconstructs the area to optimize both function and appearance.

Choosing the Right Mohs Surgeon:

Selecting the right Mohs surgeon is a crucial decision in your skin cancer treatment journey. Here are some key factors to consider:

1. Board Certification: Ensure your surgeon is board-certified in dermatology or a related field. Certification demonstrates a high level of expertise and adherence to ethical standards.

2. Experience: Look for a surgeon with extensive experience in Mohs surgery. Years of practice and a high number of cases indicate proficiency.

3. One-Stop Solution: It's highly beneficial to choose a surgeon (like Dr. Hazany) who performs both the cancer removal and the reconstruction. This streamlines the process, reduces potential communication issues, and often leads to better cosmetic outcomes.

4. Referrals and Reviews: Ask for referrals from your primary care physician or dermatologist. You can also read online reviews and testimonials to gauge patient satisfaction.

5. Consultation: Schedule a consultation with potential surgeons. Discuss your concerns, ask questions, and evaluate their communication skills and willingness to address your needs.

Preparing for Mohs Surgery

To ensure a smooth pre-operative experience, we've prepared a downloadable checklist that covers essential steps. Here is a brief overview of what to expect. For a more comprehensive guide, please download our pre- and post-operative checklist to a successful Mohs surgery.

Pre-Operative Checklist for Mohs Micrographic Surgery:

1. Consultation and Preparation:

- Schedule a consultation with your chosen surgeon.

- Discuss your medical history, medications, and allergies.

- Prepare a list of questions and concerns for your surgeon.

2. Medication and Supplements:

- Inform your surgeon about all medications, including over-the-counter drugs and supplements.

- Follow any medication adjustment recommendations provided by your surgeon.

3. Clothing:

- Wear comfortable, loose-fitting clothing to the surgery appointment.

- Dress in layers to accommodate changes in temperature.

4. Transportation:

- Arrange for someone to drive you home after the surgery.

5. Post-Operative Care:

- Discuss post-operative care instructions with your surgeon.

- Gather necessary supplies for wound care at home.

6. Emotional Support:

- Reach out to friends and family for emotional support during this time.

7. Relaxation:

- Engage in relaxation techniques to reduce stress before surgery.

Mohs Micrographic Surgery offers an exceptional opportunity for effective skin cancer treatment with minimal impact on appearance. By choosing the right surgeon and adequately preparing for the procedure, you can optimize your chances of a successful outcome. Download our pre- and post-operative checklist to ensure you're well-prepared for your Mohs surgery journey. Remember, your skin's health is worth the investment in choosing a qualified, experienced Mohs surgeon who can handle both cancer removal and reconstruction.

The KEY to a Younger You: The Fotona 4D Laser

Tue, 19 Sep 2023 00:06:07 GMT

Discover the Magic of Fotona 4D Laser – Let's Dive In!

Wrinkles, fine lines, and uneven skin texture can become increasingly noticeable as we age. Enter the Fotona 4D facelift, a revolutionary non-invasive laser treatment that's garnering attention from both celebrities and anyone seeking to rejuvenate their appearance. In this comprehensive guide, we delve deeper into the workings, benefits, risks, and recovery associated with the Fotona 4D facelift.

Why the name "Fotona 4D"?

The Fotona 4D Facelift is not just a catchy name, but rather a testament to the technology's versatility. The "4D" alludes to its four distinct treatment modes, each addressing different skin concerns.

Despite the popularity of traditional treatments like facelifts, botox, and fillers, many individuals are seeking non-surgical interventions that offer subtle and natural results. This is where Fotona 4D steps in, bridging the gap between desire and innovation. Within merely 5 to 7 days post-procedure, most individuals witness noticeable improvements, making it a prime choice for pre-special event preparations.

How does the Fotona 4D facelift work?

Using advanced laser technology, Fotona 4D delivers controlled thermal energy to multiple skin layers. This precision allows for the removal of damaged skin cells on the surface and the stimulation of collagen in the deeper layers. The result? A comprehensive skin rejuvenation that targets both surface blemishes and deeper signs of aging, offering a youthful and vibrant complexion.

What type of laser is used?

The Fotona 4D system operates using a synergistic combination of two laser wavelengths: Nd:YAG and Er:YAG. This dual approach allows for both ablative (intense, but with more downtime) and non-ablative (gentler with quicker recovery) treatments. By providing a tailored experience, Fotona 4D ensures results that cater to varying skin types, ages, and concerns.

What should I expect during the procedure? How long does it last?

A typical Fotona 4D session lasts anywhere between 30 to 60 minutes. Before the procedure, a topical anesthetic may be applied to minimize any discomfort. Then, the practitioner will carefully administer the laser to the desired areas, ensuring even coverage and optimal results. After the session, it's not uncommon to experience some redness, swelling, and tenderness, but these symptoms are transient, usually fading within days.

Benefits of the Fotona 4D Facelift

Skin Tightening and Rejuvenation: Fotona 4D actively boosts the production of collagen and elastin, proteins responsible for skin firmness and elasticity.

Enhanced Complexion: As the treatment promotes the growth of fresh skin cells, it leads to a smoother, more even complexion.

Minimal Downtime: Being a non-surgical procedure, Fotona 4D ensures a faster recovery, with many individuals resuming their regular activities within a day

Risks and Adverse Effects

As with any cosmetic procedure, there are potential side effects:

Redness and swelling: Common post-procedure effects that generally subside within days. A cold compress can help alleviate the swelling.

Slight Discomfort: After the procedure, some might experience a tingling or stinging sensation. This is temporary and can be managed with over-the-counter pain relief.

Frequency of the Fotona 4D Facelift

Many individuals find optimal results with annual or bi-annual sessions. Consistent treatments can significantly reduce minor signs of aging. For deeper wrinkles or skin sagging, complementary treatments might be suggested.

While any time of the year is suitable for Fotona 4D, some choose the winter months due to the reduced sun intensity, minimizing potential risks associated with sun exposure post-treatment.

Does the Fotona 4D “melt” fat?

The Fotona 4D works to colloquially “melt” fat in a highly controlled manner. By heating up the skin to roughly 42 degrees celsius, the Fotona 4D laser uses heat to create a sculpting effect. Further, this laser contracts the collagen fibers in the targeted areas to create a tightening effect.

Am I a good candidate for the Fotona 4D Facelift?

To ensure the Fotona 4D facelift aligns with your skin goals and health, it's imperative to consult with a licensed dermatologist. During this consultation, potential risks, especially those linked to specific skin tones or types, will be discussed.

Conclusion

The Fotona 4D facelift is an innovative and efficient method for skin rejuvenation, blending cutting-edge technology with the body's natural healing processes. If you're curious about revitalizing your appearance without the invasiveness of surgery, reach out to a board-certified skin professional to discuss the Fotona 4D facelift.

Top Home Remedies and Treatments for Acne

Wed, 12 Jul 2023 23:20:52 GMT

What is the best skin product for you?

With the advancement of acne therapies through extensive research, technology, and pharmacology, the market for acne treatment products has become extremely saturated. This market saturation has made it hard for consumers to identify the best products for their skin.

While each patient’s skin is different and requires a unique combination of treatments, there are a couple of widely available over-the-counter (OTC) home remedies that have proven to be effective on a majority of skin types.

Dr. Salar Hazany, a board-certified and well-established dermatologic surgeon, recommends exploring some of the following treatments and remedies to see which is the most compatible with your skin. Since every skin type responds differently to treatments, there is no particular ranking of efficacy for the following:

#1 Benzoyl Peroxide

Benzoyl peroxide is a popular recommendation backed by dermatologists. It is a highly effective ingredient for killing bacteria and clearing the skin of waste and dead skin cells, all of which clog pores and cause acne. It is also a very strong exfoliating agent that works synergistically with other products to treat acne-prone skin.

Benzoyl peroxide, however, doesn’t work for all types of acne. Specifically, non-inflammatory acne, including comedones and whiteheads generally do not respond much to benzoyl peroxide’s mechanism of action. Other topicals, such as salicyclic acid (as described below), are better alternatives to benzoyl peroxide.

There are many forms of benzoyl peroxide available, including topical gels, foams, and creams. It is important to apply a small amount only on the affected areas, unless otherwise instructed, as this is a strong chemical. Before doing so, however, it is important to test the product on a few spots first to see how your skin reacts. Because benzoyl peroxide is an exfoliant, it can cause extreme dryness and redness on the skin. Patients should adhere to the most minimal dosage recommended, as higher doses are not necessarily going to yield better acne reduction. In addition, benzoyl peroxide is a bleaching agent that can discolor fabrics that come into contact with the treated skin.

#2 Salicylic Acid

A comparable alternative to benzoyl peroxide is salicylic acid, a topical peel that is especially effective against comedonal acne, such as blackheads and whiteheads. Salicylic acid is a beta hydroxy acid, a more penetrative version of alpha hydroxy acids that goes deep into clogged pores. Beta hydroxy acids are oil-soluble, meaning they can pass through the lipid layer of the stratum corneum, the top layer of the epidermis, to remove dead skin cells and excess oil trapped in the pores of the dermis.

Although salicylic acid is an efficacious treatment for comedonal acne, benzoyl peroxide is still more effective for treating acne lesions that are more pustular in nature, due to its unique potent anti-inflammatory and antimicrobial properties. However, it is generally not recommended to use both products at the same time, as this could lead to severe dryness and redness. It is best to apply a sparing amount of each product on different days to avoid these side effects.

Benzoyl peroxide and salicylic acid are found in many over-the-counter medications sold at local pharmacies. Benzoyl peroxide and salicylic acid medications come in concentrations of 2.5%, 5%, and 10% and 0.5% to 2% respectively. It is best to speak with your dermatologist to see what concentrations are optimal for treating your particular skin issues.

#3 Glycolic Acid

Glycolic acid is a type of alpha hydroxy acid that gently exfoliates the skin. Its mild effects make them great treatment options for acne-prone patients who also struggle with sensitive skin. These are plant-derived acids often utilized in anti-aging serums and creams marketed to older patients who want to treat their age/sun spots or just general discoloration of their skin.

Because glycolic acid is not as strong as most facial chemical peels, it is quite limited in its application. It can surely prevent acne breakouts by clearing pores and removing impurities on the skin, but it is not potent enough to treat acne scars. At most, it can treat any hyperpigmentation associated with scars but will do little to the actual texture.

If you are looking for an even more gentle alternative, lactic acid is also a good exfoliant as well as a hydrator. One downside is that the results will not be as noticeable at such a low strength. However, with multiple sessions, you can expect to see a considerable difference in your skin.

#4 Vitamin C

Vitamin C serums have also gained tremendous momentum as a skincare oral supplement. While benzoyl peroxide is considered the holy grail of acne treatment, more recent research suggests that Vitamin C serums are a much better alternative for certain skin types. Because Vitamin C is a 100% natural ingredient, it can lead to better results for people with sensitive, easily inflammable, or irritable skin.

While benzoyl peroxide is praised for its antiseptic and exfoliating properties, Vitamin C is a potent antioxidant, protecting your skin from oxidative damage from the sun while also boosting collagen production at the same time. Regular Vitamin C supplementation is thus one of the most important habits to develop to prevent not only premature aging of the skin but also skin cancer.

#5 Ointments, and Lotions (Hydrocortisone)

Hydrocortisone is an FDA-approved drug for inflammatory skin conditions that cause swelling, itching, and irritation of the skin. For patients that are currently experiencing psoriasis, eczema, or other irritable skin conditions, hydrocortisone (1%) OTC medication is a safe, low-dose, topical steroid medication that can provide temporary relief to the symptoms listed above.

At the biochemical level, hydrocortisone essentially mimics cortisol, a natural hormone released during periods of high stress. Cortisol plays a major role in the regulation of carbohydrates, fats, and proteins as well as other sympathetic nervous system fight-or-flight responses, including the body’s natural inflammatory response to high-stress situations. Hydrocortisone can act as a hormone replacement to treat other cortisol deficiencies, like adrenal insufficiency and hypopituitarism. In low concentrations, hydrocortisone is an effective measure against dry, rashy, and irritable skin.

In addition to hydrocortisone, there are other commonly used topical corticosteroids available for patients to buy OTC, including triamcinolone, fluocinonide, and clobetasol. Before starting these medications, however, it is recommended that you consult a board-certified dermatologist to ensure proper application and dosage of the topicals listed above.

Honorable Mentions and Alternatives

#1 Tea Tree Oil

While there are many conventional methods of treating acne, especially with creams and prescribed medications, essential tea tree oil is a natural remedy that really works! While there are still clinical trials being completed to extensively study the effects of tea tree oil, many researchers have concluded it is an effective antibacterial and anti-inflammatory remedy.

In particular, its anti-inflammatory properties are conferred by its primary constituent, terpinene-4-ol, a known suppressor of pro-inflammatory mediators released by a specific kind of white blood cell, called monocytes. These monocytes are naturally activated when bacteria accumulate in clogged pores, resulting in vasodilation and inflammation. When tea tree oil is applied to the affected area, it penetrates deep into the dermis to kill the bacteria and calm the body’s naturally prolonged immune response.

#2 Aloe Vera

Another common herbal home remedy for skin is aloe vera, a topical gel-like substance derived from plants. Acting as a natural antibacterial and anti-inflammatory agent that can reduce the appearance of acne and prevent acne outbreaks, it is a popular alternative to conventionally prescribed medications. Because aloe vera is derived from a plant, it naturally contains a lot of water and is an ideal moisturizer for people who get dry skin from the usage of other non-compatible acne products.

While there are many home mixtures of aloe vera and tea tree oil with other moisturizers, it is important to get a consultation with qualified professionals and see which one might work the best for you.

Key Takeaways and Reminders

While these remedies are often advertised as easy quick-fixes, it is important to recognize that each individual skin type is different and requires specialized treatments. Here are some recommended tips that should be practiced for all skin types.

It is important to practice regular everyday skincare routines, such as washing your face twice a day, applying sunscreen before exposure to sunlight, avoiding touching your face with dirty hands, or following a dermatologist-recommended skin care regimen.

In addition, regular exfoliation is helpful to not only improve skin tone but also reduce the appearance of dark spots, scars, and other irregularities over time. Regular exfoliation will also help in removing dead skin follicles, bacteria, and oil. There are many facial wash options on the market, so make sure to do your research before committing to a purchase.

Before taking any medications, over-the-counter drugs, supplements, or herbs, consult a physician for a thorough evaluation. We do not endorse any medications, vitamins, or herbs. A qualified physician should make a decision based on each person’s medical history and current prescriptions. The medication summaries provided do not include all of the information important for patient use and should not be used as a substitute.

Remember that although acne is a persistent and stubborn problem for many patients, we truly believe that every case of acne can be cured. Schedule your consultation today to achieve your desired skin results and let our team help you!

The Dual Fight Against COVID-19 & “Maskne”

Wed, 07 Jun 2023 02:24:46 GMT

"Maskne" is Mask Induced Acne

As our country navigates the uncharted territory of the COVID-19 pandemic, healthcare workers and the general public are working together to ensure the highest safety level for vulnerable community members. One necessary precaution to maintain well-being is wearing a mask to protect and prevent transmission of the novel coronavirus.

As people continue to follow governmental guidelines and recommendations, many are experiencing an increasingly prevalent problem called maskne (a play on words of “mask” and “acne,” meaning mask-induced acne). Everyday mask use makes this a common topic in the dermatology community.

The team here at Dr. Salar Hazany’s private practice located in Beverly Hills believes in beauty, healthy skin, and protecting our community! Let’s discuss why this phenomenon happens and what we can do to prevent maskne through awareness and proactive skin care.

The Science Behind Maskne

Maskne is a phenomenon where patients experience increases in acne breakouts, specifically in areas where a mask is worn: nose, mouth, and chin.

There are several reasons why maskne happens. One of these reasons is that masks are a physical barrier preventing outside air droplets from entering and keeping already present air droplets inside. In doing so, this causes a humid, moisture-rich environment for bacteria to grow because pores can get clogged from excess oil, sweat build-up, and dead skin cells.

There are two primary skin conditions associated with maskne: acne mechanica and perioral dermatitis.

Before the pandemic, acne mechanica was ordinarily present in athletes, soldiers, or anyone who uses protective face equipment. The reason being is that this acne develops by prolonged chafing and heat on the skin. The masks’ rubbing against the face causes micro-tears on the skin, allowing undesirable bacteria, sweat, and dirt to accumulate.

This acne develops in pustular form as white or yellowish bumps of pus. They are typically present on the back, shoulders, or buttocks from bras and clothing, backpacks, and heavy bags, as well as chair friction.

The second is perioral dermatitis, which appears as a scaly or bumpy rash centered mainly around the mouth and philtrum (between the lips and the nose). While this is not technically acne, this skin condition has similar signs and looks highly inflamed, causing severe skin redness. Even before the pandemic, the exact cause of perioral dermatitis was unknown. Many factors could contribute to it: bacterial or fungal infections, hormonal changes such as birth control pills, sunscreen use, rosacea (another serious skin condition), as well as non-prescribed corticosteroid medications and cream applications.

Questions, Considerations, and Tips Regarding Maskne

There are some essential questions to ask yourself when practicing safe mask use to prevent maskne proactively.

1. Is your mask breathable, safe, and clean?

Your mask needs to be easily breathable but also virus-safe in that it covers your nose and mouth. Highly regarded researchers have displayed support for homemade cotton masks, which may be easily machine-washed. Many who use cotton masks have also remarked that they tend to be more breathable and more comfortable to wear.

Disposable masks should be frequently replaced, especially after prolonged use or after intensive activity (exercise or sweating). With that said, you should regularly clean reusable masks to remove residue from skin products (e.g., sunscreen, makeup, creams, moisturizers, and more). When left unwashed, a mask continuously traps and reapplies an accumulation of bacteria to the face making you prone to inflammatory acne outbreaks.

2. What are you applying to your face under the mask?

While makeup is a wonderful and beautiful art practiced by many people, dermatologists do not recommend applying makeup if possible when wearing a mask during these times. Many dermatologists have attributed simultaneous makeup and mask-wearing to acne since the extra oil from products can lead to clogged pores. If patients want to continue their makeup use, they should use non-comedogenic, oil-free, water-based, and fragrance-free products.

3. Can I still practice my regular skincare routine with my everyday products?

While many find comfort in their 10-step Korean skincare regimen, many dermatologists encourage patients to practice more straightforward skincare. Since masks create additional everyday problems that were not once present, such as irritation and micro-tears in the epidermis, a gentle moisturizer along with a soft cleanser is enough to maintain a good skincare routine.

Many dermatologists encourage patients to apply moisturizer on their skin before using a mask. This helps decrease the friction that occurs while also protecting the skin from dryness and irritation. Dermatologists recommend that you only apply a small layer of moisturizer to the skin. A little bit goes a long way!

Common Treatments for Maskne

There are many common over-the-counter medications and home remedies that Dr. Hazany recommends (see article Top Home Remedies and Treatments for Acne).

Products commonly used before the pandemic, such as facial washes, retinol, and creams, may or may not work well with masks depending on your skin’s sensitivity. Common ingredients in most of these remedies, such as benzoyl peroxide, salicylic acid, or glycolic acid and lactic acid, can help serve as affordable treatments to maskne.

However, it is important to use these products with caution. Some are kinder to sensitive skin and less likely to promote inflammation or irritation than others. Dermatologists also advise against thick creams and advocate more for water-based, thin lotions or gels.

Reaching Out to a Skin Health Professional

Remember that everyone’s skin is different, and the use of masks can also change your skin’s physiology. Skin physiology changes that occur due to frequent mask-wearing might alter the effect of various skin care products and can potentially exacerbate acne.

If you are experiencing maskne, your skin situation does not improve, or you would like to learn more about how to achieve healthy skin, seek help from a professional who cares about your well-being.

Dr. Salar Hazany, a board-certified, highly-skilled dermatologist, will work with you to individually address your concerns and needs during this challenging time. He will be able to craft a solution and create a detailed treatment plan to resolve your maskne.

The team here at the Salar Hazany MD dermatology practice continues to follow the necessary guidelines and precautions to keep our community and its members safe. Let’s all continue to do our part in wearing a mask to fight COVID-19 and practicing safe skincare steps to fight maskne!

What Happens After Mohs Surgery? A Breakdown of the Healing Process

Wed, 19 Apr 2023 18:36:02 GMT

Insights about recovery and scar management

Mohs micrographic surgery is a highly effective approach to removing skin cancer. It is recognized only for its high cure rates for melanoma and non-melanoma skin cancers, such as basal cell carcinoma (BCC) and squamous cell carcinoma (SCC), but also for its favorable aesthetic outcomes.

Still, patients are concerned about how they will look after Mohs because it is a type of surgery at the end of the day. Also, Mohs is commonly performed on the face, which raises even more concerns.

Just like with any other surgery, there are multiple phases of healing after Mohs surgery. In this blog, we are going to break down how your wound would look in the short-term and long-term in minor, moderate, and major cases of Mohs surgery.

First 14 Days after Mohs Surgery

The first 14 days after surgery are very critical across all levels of Mohs surgery. During this time, your wound is going to be protected with a special wound dressing. You must refrain from getting the wound wet or engaging in intense physical activity that could potentially cause bleeding or splitting of your wound if sutures were used.

Pain and swelling is completely normal after surgery. Patients who have had extensive reconstruction and stitches may experience more soreness than patients whose wounds were allowed to heal open. Regardless, most patients do well with OTC medications and icing. A stronger pain medication, such as tramadol, may be offered to you to make you even more comfortable after your procedure.

Stitches are typically removed in 10 to 14 days after surgery. When the stitches come out, you will likely notice a raised ridge where the stitches were placed. This is completely normal, as the wound is still fresh.

First Few Months after Mohs Surgery

You will start to notice your wound flattening very gradually over time. This is the sign of your wound forming collagen, which will contract over time and lay flush with the surrounding healthy skin.

Every patient is different - some will see a noticeable difference in a couple of weeks and others in a couple of months. It really depends on the extent of reconstruction as well as the location. For instance, patients with stitching on highly mobile areas, such as the shoulder, may find the area to be slower to heal due to the frequent pulling that happens with normal arm movement throughout the day.

What about redness or hyperpigmentation?

You will likely find that redness is still persistent. This is completely normal, as this is a sign of blood vessels feeding oxygen to the wound to expedite healing. Many patients confuse redness with hyperpigmentation. You can easily tell the difference by performing a quick test on your skin: just use a finger to push on the wound to see if the redness disappears with pressure. If it does, it means it is just redness (you are effectively restricting blood flow to the area by pushing on the skin). If you see that there is residual brown discoloration after pushing on the wound, it is possible that it is hyperpigmentation.

Many patients ask if they can get laser treatment to make the redness go away. Generally, this is not recommended because eliminating redness requires eliminating blood vessels. And if you eliminate blood vessels, this would actually starve the wound of the oxygen it needs to heal properly.

Hyperpigmentation can be treated with topical hydroquinone or lightening cream. This medication is usually provided to you beforehand, as we can assess your relative risk of hyperpigmentation based on your skin type. Regardless, hyperpigmentation is usually transient and very treatable with prescription-grade lightening ingredients.

Long-Term Healing After Mohs Surgery

It takes about 1 full year for your wound to completely settle. At this point, redness should be at a minimum. Additionally, any raised wound should be nearly completely flat.

Depending on how you heal as a patient as well as the skill of the surgeon, it is not uncommon for patients to experience some level of leftover scarring, especially those who underwent highly complex reconstructive surgeries after Mohs.

How do I treat scars after Mohs surgery?

Scars tend to fade over time.

However, some patients may develop very unsightly skin depressions or raised scars where the stitches were placed. There are a myriad of treatments available for post-Mohs scarring, including:

Steroid Injections
Subcision
Chemical Peels
Fillers
Lasers
Microneedling
Surgical Scar Revision

Dr. Hazany is an expert in both performing virtually scarless Mohs surgery and treating patients’ existing scars from previous surgeries done at other facilities.

Recently, Dr. Hazany founded the Scar Healing Institute (shi.org), which performs post-Mohs scar revision on a daily basis. Because Dr. Hazany himself is a Mohs surgeon, he understands how these types of scars typically form and what treatments are most optimal to reduce their appearance. Typically, there is no single treatment that can make your scars go away. It usually takes a combination of treatments over a long period of time to help you produce the best results.

How early can I begin scar treatment after Mohs surgery?

Like we mentioned earlier, redness would be too premature to treat at the <1-year time-mark. However, you can begin correcting the depth and shape of the scar in a matter of several weeks to months after Mohs surgery. Treating scars early during the healing process allows you to actively control inflammation, which could lead to worse scarring outcomes.

Keep in mind that performing additional treatments can prolong the period of redness. However, many can manage the appearance of redness with makeup or tinted sunscreen while they undergo their treatments. Many patients, in fact, would say that redness is a small and temporary price to pay to get their scars treated.

Final words…

Healing is a long process after Mohs surgery but you do not have to tackle it alone. Dr. Hazany and the Scar Healing Institute are both here to help you defeat skin cancer and make you look your best.

Understanding the Differences: Mohs Surgery vs. Superficial Radiation Therapy

Thu, 06 Apr 2023 20:37:11 GMT

Superficial Radiation Therapy (SRT) or Mohs Micrographic Surgery (MMS)?

What are superficial radiation therapy and Mohs surgery?

Superficial radiation therapy (SRT) and Mohs surgery are two completely different approaches to treating skin cancer.

SRT uses low-energy radiation to selectively destroy skin cancer cells. The treatment can be performed within a matter of minutes in an outpatient session. Patients usually need to come for several sessions over the course of several weeks to completely eradicate the skin cancer.

Many patients prefer to go with this treatment option first because it is one of the most minimally invasive treatment options for skin cancer. SRT is performed with a special machine with a probe that applies the radiation directly to the skin cancer. No anesthesia is required and there is a relatively low risk of scarring, discoloration, and infection. The most common adverse effects reported are skin irritation and soreness in the treatment area. Otherwise, patients find the treatment to be very tolerable.

Mohs surgery, on the other hand, is a more meticulous procedure that entails surgically removing the skin cancer and reconstructing the skin. It is a much more precise method than standard excision procedures, which involves taking a large amount of skin to ensure the cancer was removed in its entirety. Mohs surgeons take small slices of skin and examine them under the microscope until the cancer has been cleared. This stepwise process allows the surgeon to take as little skin as possible while ensuring that all the skin cancer has been removed.

What types of skin cancers are suitable for SRT versus Mohs surgery?

There are numerous characteristics to consider when deciding whether to undergo SRT or to proceed with Mohs surgery:

Skin cancer type
Size and borders
Location
Histological features

Generally, SRT is best for small, well-defined skin cancers that are located on areas where tissue preservation is not important, including the limbs and trunk. It is also indicated for skin cancers in areas that are difficult to treat surgically, particularly hair-bearing regions, such as the scalp, or behind the ears.

On the other hand, Mohs surgery is more indicated for larger, more advanced skin cancers with poorly defined borders. Some cancers have “tentacles” that spread underneath the skin, which cannot be discerned with the naked eye. In these cases, the physician must surgically remove skin tissue to be able to definitively rule out any remaining skin cancer cells.

Possibly the most important factor to consider is healthy tissue preservation. Areas, such as the head, neck, hands, feet, and genitalia are sensitive to tissue loss because it could result in visually and functional disfigurement. For instance, removing skin cancer on the eyelid with standard excision techniques could permanently damage blinking and eye lubrication. Mohs surgery solves this issue by removing the smallest amount of tissue as possible without compromising complex eye apparatus. SRT may not be the best treatment option here given the proximity of the eye.

Cure rates of SRT versus Mohs surgery

SRT and Mohs surgery both boast a cure rate of above 95% for basal cell carcinoma (BCC) and squamous cell carcinoma (SCC).

For SRT, one thing to keep in mind is that the reported cure rates are for superficial BCCs and SCCs. Cure rates may be lower with more complex tumors, which again is better off treated with Mohs surgery. Nevertheless, cure rates are also influenced by a variety of different factors, including the physician administering treatments, tumor histology, age, health status, and more.

Recovery and follow-up for SRT versus Mohs surgery

Recovery is more manageable with SRT. Generally, patients report redness and soreness in the treatment area after SRT but are able to resume normal activity quite quickly.

Recovery after Mohs surgery ranges significantly. Some patients only require one stage (one small slice of skin) to remove the entire skin cancer. This can be covered with a simple bandage, and the patient can resume normal activity almost immediately.

Mohs surgery with suturing requires more restrictions to physical activity and more downtime overall. Also, the appearance of the wound after the sutures have been taken out can persist for several months to a year. Patients may notice that the wound is red and slightly raised for several months and even up to a year. This is completely normal, as the wound has not yet contracted down to its final size to sit flush with the surrounding healthy skin.

Is there a risk of scarring after SRT or Mohs?

Mohs surgery generally carries a higher risk of scarring than SRT, especially for more severe cases of skin cancer.

One thing to keep in mind, however, is that SRT can eradicate blood vessels in the treated area. If there is a recurrence of cancer that requires Mohs surgery, the healing process could become more complicated due to the lack of adequate blood supply. Therefore, it is really important to ensure that the right treatment option was performed in the first place.

Summary

In conclusion, SRT and Mohs surgery are both effective approaches for treating skin cancer. SRT is an energy-based modality that is best suited for small, superficial skin cancers with well-defined borders. There is very little downtime with the procedure, and most patients describe mere redness and pain on the site of treatment. Mohs surgery is a more invasive treatment geared towards more aggressive skin cancers with poorly defined margins. Downtime can be similar or more significant depending on the extent of the surgery.

Each skin cancer patient is unique. Factors outside of skin cancer, including age, health status, pre-existing conditions, and more, are important to consider when deciding whether SRT or Mohs surgery is the better treatment to pursue. At your initial consultation, Dr. Hazany will conduct a comprehensive exam of your skin to determine if you are a good candidate for SRT or Mohs surgery.

Skin Cancer 101: Everything You Need to Know About the Most Common Cancer

Thu, 23 Feb 2023 00:01:55 GMT

Prevention, Detection, and Treatment

Skin cancer is the most prevalent cancer in the United States, developing in one in five Americans. According to the Skin Cancer Foundation, “more than 9,500 people are diagnosed with skin cancer every day.” Of all the skin cancer types, basal cell carcinoma accounts for approximately 80% of skin cancer diagnoses, followed by squamous cell carcinoma and melanoma.

The most dangerous form of skin cancer is melanoma due to its significantly higher tendency for metastasis. Most melanomas arise from normal-looking skin, but approximately a third of melanomas are derived from existing moles. There are several signs to look out for to help you determine if your moles are abnormal and a biopsy.

As a mnemonic, physicians have developed the ABCDE rules for detecting abnormal characteristics of existing moles. Many melanomas may display only one outlying characteristic out of all the ABCDE rules.

Asymmetry : If you draw a line down the middle of your mole in different directions, benign moles should display a mirror image across the line of dissection.

Border : Benign moles have well-defined circular borders, whereas melanomas may have ragged or blurred edges. You may also notice that the color on the edges “spilling” into the surrounding healthy skin, which is another warning sign for melanoma.

Color : Melanomas can have irregular, inconsistent, and uneven colors, often appearing in black, brown, red, white, gray, or blue shades. In general, if your mole is more than one color, you should get it checked for melanoma.

Diameter : While melanoma can vary in size, a rapidly growing mole that has exceeded a quarter of an inch in width may be suggestive of melanoma.

Evolution : Any noticeable changes in color, diameter, texture, or shape should be flagged and reported to your physician immediately.

How do I know if I have melanoma for sure? You should never rely solely on your own judgment to determine whether a suspicious lesion is harmless or malignant. The best way to get a definitive diagnosis is to see a dermatologist, who performs skin biopsies. Results usually come back in a matter of days, at which point you can determine the next appropriate course of action.

Common Myths

There are so many misconceptions when it comes to skin cancer:

“Skin cancer only happens to fair-skinned people.”

Nothing could be further from the truth. Everyone can get skin cancer, including individuals who are darker-skinned. In fact, it can be even more dangerous for dark-skinned individuals because it is harder to detect melanomas. Everyone should be wearing sunscreen regardless of their skin color.

2. “Using tanning beds is safer than sunbathing.”

Many people think that tanning beds are safer simply because they emit artificial rays. The truth is that tanning beds still release UV rays, which can be just as harmful, if not more so, than natural sun rays. Using tanning beds can significantly increase your chances of developing melanoma.

3. “I don’t need to use sunscreen on cloudy days or during winter months.”

Sunscreen should be worn everyday. UV rays can still penetrate through the clouds and are also reflected by snow, water, and sand. Additionally, sunscreen should be worn even indoors because UV rays can creep in through the windows.

4. “I don’t need to check for suspicious moles in non-sun-exposed areas.”

Skin cancer can happen anywhere, including the palms of the hand, soles of the feet, and underneath fingernails. The sun is just one factor that can lead to skin cancer. The truth is that skin cancer can develop anywhere, regardless of how much sun exposure there was.

Catch it Early!

The 5-year survival rate for skin cancer is greater than 95% if detected early. However, this rate drops to around 60% for melanomas that have spread to lymph nodes. As a patient with a personal or family history of skin cancer, it is important to get annual skin checks (even multiple times a year for patients with a history of melanoma) to detect any potential skin cancers early on. If you are diagnosed with skin cancer at a very early stage, do not panic! Catching your skin cancers early makes the treatment process a lot easier.

Ways to Prevent Skin Cancer

There are so many actions that you as a patient can take to prevent skin cancer:

Apply sunscreen with an SPF >30 on a daily basis, even on cloudy days. It is important to reapply sunscreen every couple of hours.

Wear protective clothing, including long-sleeved shirts, long pants, and wide-brimmed hats when outdoors.

Stay indoors during peak sun hours (10 AM to 4 PM).

Avoid sunbathing or UV tanning beds.

Regularly check yourself for suspicious moles and other skin lesions, which may be precancerous.

Get an annual skin-check by a certified dermatologist to identify/treat any precancerous lesions before they progress to becoming full-on skin cancers.

What sunscreen should I use?

We often get questions about what sunscreen is best for skin protection. Firstly, it is important to note that there is a strong difference between sunscreen and sunblock. Sunscreen contains chemicals that absorb UV rays, whereas sunblock creates a physical barrier that reflects them. Sunscreens typically have a lower SPF and provide protection mainly against UVB rays, which plays a role in the development of skin cancer. Sunblock, however, provides much greater protection and protects against both UVA and UVB rays, the former being more responsible for skin aging and wrinkling. Therefore, we generally recommend that patients choose sunblock over sunscreen for broader-spectrum protection. Although nearly all OTC products are called sunscreens, actual sunblock products contain either titanium dioxide or zinc oxide.

What should I do if I was recently diagnosed with skin cancer?

You should seek skin cancer treatment immediately after your diagnosis, especially if it is melanoma. Skin cancer can be treated in so many different ways, depending on the type, location, and severity of the diagnosis. Common treatments include excision, Mohs surgery, cryotherapy, radiation therapy, topical chemotherapy, and immunotherapy. Oftentimes, very early-stage skin cancers can be eradicated with simple topical therapies and light radiation. However, for more later-stage cancers on sensitive areas, such as the face, skin-preserving surgical techniques, namely Mohs surgery, would be a good option. It is important to have a thorough discussion with your dermatologist to determine what is the best course of action for your skin.

Finding the right doctor...

Not every dermatologist is the same. Some dermatologists are only trained to perform skin checks and basic skin procedures, such as small biopsies and local excisions. However, when it comes to something as extensive as Mohs surgery, it is imperative to find a physician who is double-board-certified in dermatology and Mohs micrographic surgery, such as Dr. Hazany. By making skin health a priority and seeking care from a knowledgeable physician, you can not only cure yourself of skin cancer, but also preserve your appearance.

How Is Mohs Surgery Different With Dr. Hazany?

Fri, 13 Jan 2023 01:15:22 GMT

World-Renowned Mohs Micrographic Surgeon

What is Mohs surgery?

Mohs surgery is a specialized technique for removing skin cancer that is highly effective at preserving healthy tissue and minimizing scarring. It involves removing thin layers of skin one at a time and immediately examining each layer under a microscope to ensure all cancerous cells have been removed. This process is repeated until no cancer cells are detected.

Mohs surgery can be a scary experience for a lot of skin cancer patients. On top of having to ensure that all skin cancer is removed, the physician must also close the gaping wound in the patient’s skin to preserve function and appearance.

Not all skin cancer surgeons are the same. Mohs surgery can be performed by either a board-certified Mohs surgeon or a team consisting of a regular procedural dermatologist who takes out the skin cancer and a plastic surgeon who repairs the open wound. Having a Mohs surgeon perform the surgery is often better than having two different physicians perform surgery on the same patient. This is because having one physician who knows all the details of your case will naturally lead to better outcomes. Having a second person physician involved to repair your open wound who may not be as concerned about the aesthetic outcome may not be the best idea for you.

Why Dr. Hazany?

Any dermatologist can legally perform Mohs surgery. However, it is in the best interest of patients to seek a practitioner who has specialized training in this technique to get the best possible outcome.

Dr. Hazany is one of few dermatologists who hold dual board certifications in dermatology and Mohs Micrographic Surgery. After completing his general dermatology residency at UCLA, he underwent rigorous Accredited Council for Graduate Medical Education (ACGME) and American College of Mohs Surgery (AMS) training at Weill Cornell Methodist Hospital, where he honed his surgical skills. In addition, he also received training in general surgery and plastic reconstructive surgery.

If you look through his gallery of befores-and-afters of his skin cancer patients, you will notice that they are virtually scarless after their procedures.

How does he do it? It comes down to the tiny details. Dr. Hazany was trained by one of the leading pioneers of Mohs surgery, Dr. Leonard Goldberg, who emphasizes a conservative approach to this procedure. This entails two things:

Taking extra thin slices of skin for histological detection for skin cancer, thereby preserving as much healthy skin as possible.
Placing stitches within and on top of the skin within a strategic pattern to maximize healing and minimize postoperative scarring.

While many patients may think these skills should be a given for Mohs surgeons, the truth is that high patient volume nowadays is a huge barrier to the time, precision, and care required to achieve optimal patient outcomes. Dr. Hazany blocks out time for only two to three patients a day for skin cancer surgery, whereas most doctors may perform over a dozen of these cases every day.

And let’s not forget the ugly truth: Mohs surgeons are not paid by the cosmetic outcome of their procedures. They are paid by the number of stages and extent of reconstruction required to close your wound. This incentivizes quantity over quality. Dr. Hazany takes pride in his perfectionism: he would never sacrifice an ounce of quality to his work for whatever reason.

Where can Mohs surgery be performed?

Mohs surgery is particularly useful for treating skin cancers in sensitive areas of the body, such as the face. In these areas, it is important to minimize tissue damage and reconstruct the affected areas in order to preserve both function and appearance. These areas, including the eyelids, nose, lips, and ears, perform vital sensory functions and require careful treatment to ensure that they continue to function properly. Here is a breakdown of how Mohs surgery will maintain function in these important areas:

Eyelid: After taking out the skin cancer, the physician will likely perform an advancement flap or skin graft to ensure that there is no excessive pulling of the skin. Too much tension can cause the eyelid skin to flip inside out, which can affect normal eye blinking and lubrication.
Nose: Areas around the nasal sidewall and openings are sensitive because even the slightest amount of constriction can affect nasal breathing, a condition called stenosis. In severe cases, cartilage grafts may be needed to maintain its shape. Also, the nose is the central location on the face, which makes it the most cosmetically sensitive area on the face.
Lips: Lips are important for speech and have special skin that gives them a natural red hue. Reconstructing these areas to maintain symmetry is especially challenging and requires very specific expertise.
Ears: These are cartilaginous appendages that frequently require skin and cartilage grafts to maintain structural integrity. Extra care must be taken when working with cartilage because there is no natural blood supply to these areas.

Patients are frequently referred to Dr. Hazany to undergo Mohs surgery on these areas, as they are especially challenging to operate on. During your initial consultation, Dr. Hazany will have you animate your face in a variety of different ways to get to know your skin and create a strategy for how to repair your wound during surgery. We must emphasize that Mohs surgery is exploratory in nature: we won’t know how deep to go with your skin until we actually perform the surgery and examine your skin specimen underneath the microscope. Sometimes, the most seemingly tiny skin cancer on your face may actually turn out to have deep roots and tentacles underneath, which will dictate how the reconstruction will be executed.

How long does it take to heal from Mohs surgery?

The downtime for Mohs surgery can range anywhere between 1 to 4 weeks, depending on the extent of your procedure. Many patients are worried about how their surgical site will look in the long-term. We tell patients that it takes up to one whole year for the surgical site to completely resolve. Before him, you may notice that the incision site is raised and red. This is completely normal - as the tissue heals, it will contract and lay flush with the surrounding healthy skin. In the meantime, patients should apply sunscreen and protect the site with silicone sheets to optimize the healing process.

Final words…

All in all, it is important to carefully consider all the risks and benefits of Mohs surgery and to find a physician who is an expert in this type of procedure. At our practice, we pride ourselves on a thorough and meticulous approach to Mohs surgery, which has resulted in minimal scarring for our patients. Also, being in an office that emphasizes quality over quantity will give us plenty of time to get to know each other and your specific goals. We encourage anyone considering Mohs surgery to schedule a consultation with us to see if you are a good candidate!