Wrinkles are a natural part of aging. They are the lines and creases that form in your skin. Some wrinkles can become deep crevices or furrows and may be especially noticeable. Wrinkles are usually most prominent on sun-exposed skin, such as the face, neck, hands, and arms. Although genetics plays a role, sun exposure is a major cause of wrinkles. Other factors, such as pollutants and smoking, are also known to contribute to the formation of wrinkles.
If your wrinkles bother you, you have many options to help smooth them or make them less visible. Some examples of the treatments provided at the Family Dermatology & Laser Center are topical medications, injectable medications, chemical acid peels, non ablative laser, fractionated, and unfractionated ablative laser techniques and surgery.
Acne & Acne Scars
Acne is a common skin condition characterized by pimples on the face, chest, back and shoulders. At puberty, changing levels of hormones cause the glands in the skin to produce too much oil. When excess oil combines with skin cells, a hard plug known as a comedone forms. Non-inflammatory acne consists of comedones whereas inflammatory acne consists of comedones and some combination of papules, pustules, cysts, and nodules. If acne is left untreated, scarring can occur. Acne scarring occurs when inflammatory acne lesions heal and the body lays down new skin cells to replace the damaged ones but even mild acne can lead to scarring of the skin and emotional distress.
The good news is that effective treatments are available. The earlier treatment is begun, the lower the risk of lasting physical and emotional damage. Choice of treatment needs to be tailored to your specific situation. At the Family Dermatology & Laser Center we specialize in treating acne and acne scarring. To treat acne scarring, we utilize any or all of a combination of topical and oral prescription medications, chemical acid peels, laser and photodynamic therapy, comedone extractions and injectable medications. To treat acne scarring, your treatment plan will be customized and may include the use of injectable medications, acid peels, microdermabrasion, microneedling, non-ablative laser, fractionated and unfractionated ablative laser resurfacing and surgical techniques such as punch grafting and subscision.
Laser Hair Removal
Unwanted facial or body hair can be reduced or removed utilizing laser or high-intensity light exposure to destroy hair follicles. Proper utilization of this method can also be effective in treating ingrown hairs or shaving bumps.
Laser or high intensity light effectively treats actively growing hair follicles. Since hair grows in several phases these techniques are typically performed over several sessions. The number of treatments and long-term results will vary and depend primarily on hair color and thickness, skin color, and the area of the body being treated. Some areas may require more or fewer treatments in order to achieve desired results. Even though coarse dark hair and light skin is easiest to treat, at the Family Dermatology & Laser Center we employ the use of multiple different types of lasers. This means that we are able to safely and effectively treat patients with even the darkest skin complexion.
Skin discoloration or pigmentation disorders are conditions that cause the skin to appear lighter, darker, or blotchy. These conditions are usually benign but rarely may indicate that a more serious underlying medical condition exists. Skin discoloration is very common and some examples include: Hyperpigmentation (too much color), hypopigmentation (too little color), melasma (dark mask-like appearance of the face), lentigos (brown spots), pityriasis alba (light spots) and vitiligo (stark well-defined white spots).
There is a wide range of treatments available for skin discoloration, depending on the specific diagnosis and location. At the Family Dermatology & Laser Center we utilize a variety of different treatments including: prescription and nonprescription topical and oral medications, antiinflammatory medications, skin-bleaching agents, ultraviolet light and laser therapy, refined tar derivatives, skin grafting, and cosmetic concealers. Of course, we strongly advocate the use of sun protection and sun avoidance whenever practical.
Moles / Skin Cancer
Moles, also referred to as melanocytic nevi, are clusters of pigmented cells that often appear as dark spots but can present in a range of colors that can develop virtually anywhere on your body. Most moles are benign (noncancerous) but, in some cases, moles may be cancerous. Monitoring moles and other pigmented spots is an important step in detecting skin cancer, especially malignant melanoma. If you have moles, moles that have changed, have developed new moles, have had significant sun exposure or sunburns, or you have a close relative with a history of melanoma, you should be seen and examined by a dermatologist. Even if some or all of the above does not apply to you, you should still examine your skin once a month and have full body skin examinations at least once a year.
Any mole can be serious but, as a general guide, moles that are potentially of greater medical concern include those that look different than other existing moles or those that change. If you notice asymmetric moles, moles with an irregular border, moles with uneven color or dark color, moles greater than 1⁄4 inch, or moles that have changed or are symptomatic, then it is vitally important to have a dermatologist evaluate you as soon as possible.
There are actually several different types of skin cancer and melanoma is but one type. There are also some other types of cancers that may present as lesions in the skin that must be evaluated promptly. The most commonly encountered types of skin cancer are basal cell carcinoma and squamous cell carcinoma. It should be noted that skin cancer is the most common form of cancer in the United States but with early detection, virtually all of these are treatable with a very high rate of cure.
Treatment and prognosis is primarily determined by the type of lesion and how early it is detected. With early and proper screening, many lesions are caught in a “precancerous” stage, and with proper intervention, never have a chance to develop into an actual skin cancer. Even if skin cancer is already present, earlier detection and treatment usually result in a complete cure. At the Family Dermatology & Laser Center we specialize in skin cancer screenings and detection. When a suspicious lesion is detected, careful biopsy technique is employed. When a lesion that requires treatment is discovered, we will help you to determine which treatment modality is best for your particular situation. “Precancerous” and cancerous skin conditions can be treated utilizing: cryogenic destruction, electrodessication and curettage, photodynamic therapy, topical or injectable chemotherapeutic medications, radiation therapy and surgical removal.
Eczema & Dry Skin
Ordinarily, dry skin is not serious, but it can be uncomfortable and unsightly. Fortunately, many environmental factors can be at least partially controlled thus leading to improvement in dry skin conditions. Some contributing factors that can make dry skin worse are: hot or cold temperatures, low humidity, drying cleansers or chemicals and bathing in hot water. Some people are more prone toward developing eczema and more serious complications can develop when their condition is not properly treated. Chronic or severe dry skin problems may require evaluation by a dermatologist. Some reasons to consider seeking medical advice could include: dry skin that affects your quality of life or skin that is broken down, red, itchy or infected.
At the Family Dermatology & Laser Center we specialize in treating dry skin and eczema-related issues. We educate our patients regarding proper dry skin care and, where appropriate, our facility employs extensive and safe allergy testing methods. We will help determine whether your condition is being caused or exacerbated by environmental or chemical exposures. We also utilize state-of-the-art topical, oral and phototherapeutic treatments tailored to your specific needs.
A common skin condition that causes redness of your face may also produce red, and sometimes painful, bumps that look like acne. Rosacea can also cause flushing, a feeling of warmth, eye problems, and an enlarged nose. Factors like stress, alcohol consumption and spicy foods are known to make rosacea worse. Rosacea can occur in anyone. If left untreated or undertreated, rosacea tends to worsen over time.
While there is no permanent cure for rosacea, many of the treatments we offer at the Family Dermatology & Laser Center can effectively control and significantly reduce the signs and symptoms of this condition. Treatments are varied but may include: lifestyle modification, topical creams, oral medications such as antibiotics and isotretinoin, chemical peels, and laser and light therapy.
Injectables / Fillers
Injectables and injectable skin fillers have added new dimensions to the field of cosmetic dermatology by allowing new forms of facial rejuvenation and wrinkle treatment without the need for surgery. Injectable medications like Botox®, and skin and wrinkle fillers like Juvederm® are used to reduce wrinkles either by relaxing the muscles that cause wrinkles to appear or by increasing tissue volume, thereby improving the skin’s overall contour.
Some of the cosmetic injectable medications and techniques routinely utilized at the Family Dermatology & Laser Center include: Botox®, Dysport®, Juvederm®, Restylane®, Radiesse®, and autologous fat transfer.
Overexposure to the sun's harmful rays may lead to skin damage whose long term effects may not be realized for years. Some of the many possible signs of sun damage include: blemishes, wrinkles, fine lines, age spots and skin cancer.
Treatment for sun-damaged skin depends on which signs are present and may require topical or oral medications, broad band light therapies, non ablative or ablative laser surgery, photodynamic therapy, cryogenic therapy, electrotherapy, chemical acid peels, microdermabrasion, or even surgery. At the Family Dermatology & Laser Center your treatment approach will always be tailored to your specific condition in order to help you achieve your desired outcome.
Hyperhidrosis, or excessive sweating, is a common disorder. An estimated 2-3% of Americans suffer from excessive sweating of the underarms or of the palms and soles. Severe sweating cannot only be embarrassing but can have serious practical consequences. It can stain clothes, complicate business and social interactions, and can make it more difficult for someone to carry out simple tasks like shaking hands or holding a pen. Although neurologic, metabolic, and other systemic diseases may sometimes cause hyperhidrosis, most cases occur in people who are otherwise healthy.
At the Family Dermatology & Laser Center we personalize your treatment regimen utilizing prescription strength antiperspirants, oral medications, Botox®, or Iontophoresis.
Varicose / Spider Veins
Varicose veins are enlarged tortuous veins. Veins anywhere in the body may become varicose but the veins most commonly affected are those in the legs and feet. This happens because standing and walking upright increases the pressure in the veins of your lower body. Spider veins are a common and more mild variation of varicose veins that can be of cosmetic concern. Enlarged or increased numbers of veins or spider veins may also signal a higher risk of other problems.
Exercising, losing weight, elevating your legs, and avoiding long periods of standing or sitting can ease pain and prevent varicose veins from getting worse. Wearing compression stockings is often the first approach to try before moving on to other treatments. The amount of compression varies and both over-the-counter and prescription-strength stockings are available. At the Family Dermatology & Laser Center we utilize different treatments including sclerotherapy (where a small amount of liquid is injected into the blood vessel to cause it to go away) or laser surgery (where high energy light is used to target and destroy troublesome blood vessels).
A tattoo occurs when an indelible pigment is implanted or injected into the skin, either accidentally or intentionally. There are many reasons for wanting a tattoo either partially lightened or fully removed. You may wish to consider tattoo removal if you regret a tattoo, you are unhappy with the appearance of your tattoo, your tattoo no longer fits your image, your tattoo has faded or blurred, or you would like to get a new tattoo in a place where you already have one.
Depending on the technique utilized and patient preference, tattoo removal is performed in our office with or without numbing of the treatment area. Some tattoo inks are more and some are less responsive to laser treatment than others; therefore, we commonly utilize the following safe procedures at the Family Dermatology & Laser Center for tattoo removal: Q-switched laser or fractionated laser. These treatments are repeated roughly every two weeks to two months until the tattoo is gone and will leave minimal or no scarring. Surgical removal for small or otherwise resistant tattoos is typically only performed once and leaves a small usually almost undetectable, scar.
Nail fungus is a fungal infection in one or more of your nails. An infection with nail fungus may begin as just a spot under the tip of your fingernail or toenail. As the fungus spreads deeper into your nail, it may cause your nail to discolor, thicken, crumble or become painful and unsightly. It may also lead to more widespread fungal infections or more serious skin infections. Nail fungus is contagious; it may be difficult to treat, and it may recur.
Over-the-counter antifungal nail creams and ointments are available, but they are not very effective. If you have athlete's foot as well as nail fungus, you should keep your feet clean and dry. At the Family Dermatology & Laser Center we offer treatments that are effective and extremely safe. Some of the treatments we offer include: prescription topical creams and lacquers, oral medications, and surgery.
The information provided on this website is not intended to take the place of seeking appropriate medical care from a qualified and licensed medical provider. Please call our office at (914) 251-9110 to set up an appointment or click on this link
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