August Newsletter

Colby Beckby Colby Beck, PA-C

We can’t forget about kids when it comes to dermatology! It is essential to establish good skin care regimens early on to protect and prevent sun damage in the future. There are many skin conditions that affect children. We will review a few common conditions, as well as skin care tips that parents and kids/teens can incorporate into their daily life.

Acne vulgaris. One of the most common skin conditions we see affecting our teenagers and young adults. Everyone has experienced acne at some point in their life, and if you’re one of the lucky ones you grew out of it when you got to your adult years. If you or one of your children is experiencing acne, we have many tools to help. For teens I have learned a simple routine that requires few steps is the best for compliance. Consistency is also important when it comes to clearing skin. The more inconsistent you are with your regimen and/or changing products too often can lead to further breakouts. There are many products that can be prescribed to help control acne flares. Topical therapy that may be prescribed can include topical antibiotics to help decrease bacteria and inflammation; topical retinoids to help increase cell turnover, reduce oil production, and acne scarring; topical anti-androgens to decrease sebum and oil production. Oral therapy is also commonly used for acne, which can include oral antibiotics to decrease inflammation and bacteria; oral spironolactone to help decrease androgens in hormonal acne; and isotretinoin (Accutane) for more severe or stubborn cases of acne. Scarring is a big concern for patients, parents, and providers. Acne is easier to treat than scarring; therefore it is important to treat acne early before scarring sets in. If scarring has already developed there is treatment options available. Laser treatments can help decrease redness and overall texture as well as sessions of microneedling can improve those “ice picked” or dimple like scarring. It is extremely important to avoid PICKING or SQUEEZING any pimple due to the fact it creates more inflammation and trauma leading to scarring.

Example of a simple morning routine:

  1. Start by cleansing the face with a gentle oil free cleanser.
    • Over the counter cleansers: Cerave foaming cleanser, Cetaphil foaming cleanser. Benzoyl peroxide is another OTC cleanser option that you can find by itself or combined in other products to help decrease bacteria and inflammation.
  2. Application of topical prescription prescribed by dermatologist.
  3. Moisturizer with mineral (zinc or titanium) based spf 30+. Most acne products can increase your sensitivity to the sun, therefore sun protection throughout the day is important.
    • Over the counter moisturizer: Cerave AM lotion, Cetaphil lotion, LaRoche-Posay lotion.
    • Medical grade products: Elta MD UV Clear, Isdin.
    • I hear all the time from my acne patients they do not like to use moisturizer because it causes them to break out. While some products can increase breakouts, not all of them do. I usually recommend a lightweight oil free moisturizer. You may see the words “Noncomedogenic” on products which means it will not clog pores.

Example of simple night routine:

  1. Its important to double cleanse at night to make sure you get all make up, dirt, and excess oils off.
  2. Application of topical prescription prescribed by dermatologist.
  3. Moisturizer without spf.

Eczema. Another common condition in children is atopic dermatitis (also known as eczema). It is a chronic inflammatory condition that is caused by genetics or environmental factors. It presents as an itchy, inflamed, dry rash. There are various treatment options for eczema. It is important to avoid known triggers (i.e. perfumes, lotions, washes, detergents, etc.) Using All brand Free and Clear detergent without any fabric softeners and/or dryer sheets, Dove sensitive skin body wash, Cetaphil or Vanicream face cleanser and moisturizers are just a few recommended products. Eczema can also be triggered by dry skin, therefore moisturizing is of upmost importance. It is best to moisturize with a cream base multiple times throughout the day, but especially right after the shower while the skin is still damp. Patting your skin dry and then applying an emollient (Aquaphor, CeraVe Healing ointment, Vaseline) will help keep your skin hydrated. Now lets talk about prescription therapy used to treat eczema. Depending on the severity of eczema, your provider may prescribe a single topical or a combination of treatments to clear your skin. Topical therapy includes topical steroids, topical calcineurin inhibitors (Elidel, Protopic), and Eucrisa. Systemic therapy may be necessary for more severe or refractory cases, which include oral steroids for quick relief or Dupixent injections for more long-term relief. Phototherapy is another treatment option that uses UV light to reduce symptoms.

Birthmarks.  There are various types of birthmarks that can occur. Some can be larger moles or freckles and some can be red or raised. Typically these are benign and require no treatment, however it is always best to have them evaluated by a medical provider for monitoring. Lesions should grow in proportion to the child growing. If ever a lesion was growing out of proportion, you should make an appointment to have a medical provider evaluate it ASAP.  There are options such as laser treatments that can be performed for vascular lesions to reduce size and appearance of them.

  • HemangiomaInfantile Hemangioma: Skin Tumors in Newborns - Nabta Health | Personalised Healthcare for Women
  • “Stork Bites” Birthmark Support Group
  • Port Wine Stain Port-Wine Stain (Nevus flammeus) in Babies: Symptoms & Causes
  • Congenital nevus What is Congenital Melanocytic Naevus

Sun protection in kids. Starting sun protection in children is very important. Preventing sunburns as a child is going to decrease their risk of developing skin cancer in the future. Even one sunburn, increases the risk of skin cancer. Mineral based sunscreen, containing zinc or titanium is best. Lotion or cream based sunscreen is best to ensure complete coverage over spray sunscreen. Now I know sunscreen application can seem like a chore, especially when your kids don’t want to stop playing. I always recommend applying sunscreen before leaving the house to make sure you don’t delay application or forget after you get busy enjoying the fun. Reapplication should be applied at least every 2 hours or sooner if exposed to water/sweat. Wearing sun protective clothing such as UV long sleeve shirts is also helpful, especially for those kids who make it difficult to apply sunscreen.

Featured Products

ISDIN Age Contour Day & Night

Age ContourDouble up on advanced moisturizing and skin-tightening properties while saving on this bestselling pair. Start your day with Age Contour to help protect against the damaging effects of pollution and minimize the look of lines, and end with Age Contour Night to help undo the day’s damage.

Benefits:

  • Firms skin and fights sagging by helping to increase levels of hyaluronic acid in the skin
  • Help protect the skin from free radical damage caused by pollution
  • Delivers intense hydration and helps to retain water in the skin
  • Combats the glycation process, which causes collagen to become rigid and lose its ability to keep skin firm.

Dr. Dan’s Cortibalm

After treating thousands of patients with mild to severe chapped lips, Dr. Dan Viders developed the only truly hypoallergenic medicated lip balm with 1% hydrocortisone – CortiBalm. Dr. Dan’s CortiBalm is the #1 dermatologist recommended brand for all types of mild to severe chapped lips.

Benefits:

  • Perfect for severe chapped lips caused by exposure to the sun, cold weather and allergies
  • Works to treat cold sores and inflamed lips caused by medical conditions like psoriasis and eczema
  • Great for acne patients taking Accutane, Amnesteen or Soritane

July Newsletter

by Anna Wilemon

When I joined the Midstate family about 9 years ago, selfishly, laser hair removal for my underarms was my first priority! I could shave in the morning, have such bad razor burn and by the afternoon It looked like I hadn’t shaved in 2 days. It was embarrassing and frustrating. After treating my underarms even after a couple treatments, it was life changing! I didn’t have that razor burn anymore, no five-o clock shadow and barely any more growth. Now that I’ve finished all of my treatments I have about 3 light, soft hairs that grow randomly that I barely see. Best thing I ever did for myself. I then started on the bikini area due to that being the same trouble I had with my underarms. I no longer have that embarrassing razor burn and skin irritation after shaving. I wanted to share my experience because I know how frustrating dark hair can be for women and men. We can treat head to toe as long as it is dark hair. It is a process, but one that is worth it more than you can imagine.

What happens during laser hair removal?

Before the treatment, the area to be treated will be cleansed.  To perform the procedure, the skin is held taut and the skin is treated with the laser. Many patients say that the laser pulses feel like warm pinpricks or a rubber band being snapped against the skin. A laser removes hair by vaporizing it. This causes small plumes of smoke that have a sulfur-like smell. How long your treatment lasts depends on the size of the area being treated. Treating the upper lip takes minutes. If you are having a large area like the back or legs treated, your treatment may last more than an hour. To remove the hair, most patients need 2 to 6 laser treatments. After finishing the treatments, most patients do not see any hair on the treated skin for several months or even years. When the hair regrows, there tends to be less of it. The hairs also tend to be finer and lighter in color.

Permanent Makeup

Permanent makeup has been around for decades and has come a long way. The tools we use to tattoo beautiful brows for patients that have lost their brow hair or just want an extra boost of confidence have had a major upgrade from what it used to be. I hear every day how women struggle to apply their brow pencil or pomade to get the perfect / symmetrical brows we see all over social media. This is where permanent makeup can come into your life and make your morning much easier and faster for you. Come in for your 15-minute consult and we can see if you are a great candidate!

What is Permanent makeup?

Permanent cosmetics procedures are performed using various devices, including the traditional tattoo coil machines, the pen or rotary machine (includes the digital rotary machines) and the non-machine or hand device. The process includes a consultation, the application of pigment, and at least one or more follow up visits for evaluating the healed design work and color of the pigment. A tattoo can mimic eyeliner or lipstick, or it can darken and create the look of thicker eyebrows. It can also camouflage scars and help with the look of an uneven hairline. Anna also specializes in areola tattooing for mastectomy patients. Interest in this service spans the young to the more mature; those who desire a soft, natural enhancement to their appearance. It is especially  valuable to people who can’t wear traditional cosmetics due to allergies and skin sensitivities; active people who want to look their best for sports activities such as swimming, hiking, biking, tennis, aerobics; and those who don’t want to worry about “sweating off” or reapplying cosmetics. Permanent Cosmetics also benefits the vision challenged who have difficulty applying their cosmetics; and others with dexterity related conditions  such as arthritis, Parkinson’s disease, multiple sclerosis, stroke survivors, and busy people who don’t have time to spend applying and refreshing makeup throughout the day and evening.

Click here to check out Anna’s work.

“Be true to your story no matter what it looks like”

My career is a perfect example of this quote. I actually went to Esthetics school to legally become a makeup artist. I quickly learned I love this skin stuff! I started out doing very minimal facials at a retail store. It very dissatisfying but I realize years later I needed to work there to learn product lines, ingredients, the necessity of education and how to speak to clients about the importance of skincare. I had no idea that would bring me to a very fulfilling career doing what I love every day. Your beginning might not seem like much, but it always prepares you for your future. So, pay attention in your “stagnant” state because it is prepping you for your amazing future.

Featured Products

ISDIN Vital Eyes

A smooth, rich repair cream for the eye area that helps target fine lines and wrinkles. Formulated with melatonin and caffeine, Vital Eyes stimulates the skin’s antioxidant defenses and provides a detox action for a revitalized look you’ll love. Unique ingredients LiftFirm and rice extract nourish, smooth, and give an anti-wrinkle effect while the deluxe applicator lends itself to a cooling effect that helps decongest the area. Enjoy visible results in just 28 days.

Benefits:

  • Helps stimulate the skin’s natural antioxidant defenses against daily skin aggressors
  • Helps dramatically diminish fine lines and crow’s feet while also smoothing the under eye area
  • Eliminates toxins around the eye area and combats fatigue for a revitalized look

Neocutis- Micro Night

Delivers essential nourishment to help revitalize and rejuvenate the appearance of skin through a combination of Proprietary Peptides, glycerin and essential moisturizing lipids to provide nightly anti-aging benefits with power of micro-proteins.

Benefits:

  • Revitalizes with proprietary peptides
  • Assists in natural collagens
  • Promotes silky, smooth skin texture
  • Multifunctional night cream helps restore moisture and soothe skin after procedures

Men’s Health Month

When it comes to skin care, men have traditionally kept it simple. However, more men are now pursuing healthier, younger-looking skin, making it a great time for men to evaluate their skin care routine and learn more about how to take care of their body’s largest organ. Although there are key differences between men and women’s skin — for example, men’s skin is thicker than women’s — the basic elements of an effective skin care plan remain the same.

First, it’s important that everyone, including men, identify and understand their skin type:

  • Sensitive skin may sting or burn after product use
  • Normal skin is clear and not sensitive
  • Dry skin is flaky, itchy or rough
  • Oily skin is shiny and greasy
  • Combination skin is dry in some areas and oily in others

Understanding your skin type will help you learn how to take care of your skin and select skin care products that are right for you.

To help men develop healthy skin care routines, dermatologists recommend the following tips:

  • Consider product labels and ingredients. The skin care products you choose will depend on your skin type. If you have acne-prone skin, look for cleansers and moisturizers that say “oil free” or “non-comedogenic,” as these won’t clog your pores. If you have sensitive skin, use mild, “fragrance free” products, as products containing fragrances can leave skin feeling irritated and dry. However, beware of products labeled “unscented,” as many of these contain masking fragrances that can still irritate your skin.
  • Wash your face daily and after exercise. Because regular bar soap often contains harsh ingredients that can be drying to the skin, wash your face with a mild facial cleanser and lukewarm — not hot — water.
  • Watch your shaving technique. For some men, multi-blade razors can work too well or shave too closely to your skin. If you often experience razor bumps, razor burns, or ingrown hairs, use a single- or double-blade razor instead and do not stretch your skin taut while shaving. Before you shave, wet your skin and hair to soften it. Use a moisturizing shaving cream and shave in the direction of hair growth. Rinse after each swipe of the razor, and change your blade after five to seven shaves to minimize irritation.
  • Moisturize daily. Moisturizer works by trapping water in your skin, which can help reduce the appearance of fine lines and make your skin look brighter and younger. For the best results, apply moisturizer to your face and body immediately after bathing, showering or shaving while the skin is still damp.
  • Check your skin regularly. New spots or moles that itch, bleed, or change color are often early warning signs of skin cancer. If you notice any suspicious spots, make an appointment to see a dermatologist. Men over age 50 have a higher risk of developing melanoma, the deadliest form of skin cancer, than the general population. However, when caught early, skin cancer is highly treatable.
  • Wear sunscreen whenever outdoors. To help prevent sun damage that can lead to wrinkles, age spots and even skin cancer, before going outdoors, apply sunscreen to all exposed areas of skin, including your scalp, ears, neck and lips. For best protection, use a broad-spectrum, water-resistant sunscreen with an SPF of 30 or higher and reapply every two hours or immediately after swimming or sweating. You can also protect your skin by seeking shade and wearing sun-protective clothing, such as a lightweight and long-sleeved shirt, pants, a wide-brimmed hat and sunglasses with UV protection, when possible. For more effective sun protection, select clothing with an ultraviolet protection factor (UPF) label.

Every man’s skin is different, and there is no “one size fits all” approach to skin care. If you aren’t sure what skin type you have, or if have questions about how to take care of your skin, see one of our dermatologists!

Melanoma Strikes Men Harder

Researchers have found yet another way that men and women differ. Melanoma, the most-serious skin cancer, affects the sexes differently.

Men are more likely to die of melanoma than women. This is true at any age. White adolescent males and young adult men are about twice as likely to die of melanoma as are white females of the same age.

By age 50, men are also more likely than women to develop melanoma. This number jumps by age 65, making men 2 times as likely as women of the same age to get melanoma. By age 80, men are 3 times more likely than women in that age group to develop melanoma.

Why melanoma seems to strike men harder

One reason may be that men know less about skin cancer. A survey conducted by the American Academy of Dermatology in 2016 found that fewer men than women knew the following facts:

With less knowledge, it’s natural that men are less likely to protect their skin from the sun.

Sun protection can lower men’s risk of getting melanoma

While sun protection alone cannot explain why men are hit harder, we know that it can reduce the risk of getting melanoma.

Men who dislike applying lotions and creams can still protect their skin from the sun. When outdoors, even on cloudy days, men can:

  • Put on a wide-brimmed hat and sunglasses
  • Seek shade whenever possible
  • Wear long sleeves and pants when possible
  • Stay out of the sun when the sun’s rays are strongest (from 10 a.m. to 2 p.m.)

It’s a proven fact that sunscreen also helps. Sunscreen can protect skin not covered by clothing.

To encourage men to wear sunscreen, there are sunscreens formulated just for men. To get the needed sun protection, the AAD recommends wearing sunscreen that offers SPF 30, broad-spectrum protection, and water resistance.

Featured Products

ISDIN K-Ox Eyes

Combat bags, puffiness, and dark circles in one stroke, restoring youthfulness to your expression. Provides visible results in just 28 days of use. K-Ox Eyes now features a cooling ceramic applicator to refresh skin during application, with the same beloved formula that offers a firming effect and protects skin from moisture loss, leaving the eye area feeling smoother and visibly more rejuvenated.

Benefits:

  • Helps visibly reduce puffiness and dark circles.
  • Gives a firming effect which visibly rejuvenates the under-eye area.
  • Helps to even skin tone while restoring skin elasticity.

EltaMD UV Aero Broad-Spectrum SPF

EltaMD UV Aero Broad-Spectrum SPF 45 shields the skin from the harmful effects of the sun. Zinc oxide provides protection from UVA and UVB rays to prevent sun and aging damage. The lightweight formula goes on white and dries to a clear finish without leaving skin greasy.

Benefits:

  • Gentle enough for the whole family
  • Formulated with SPF 45 for head-to-toe protection
  • Sweat and water resistant for up to 80 minutes
  • Applies and easily rubs into wet skin

Melanoma May

Dr. Puja KathrotiyaBy Dr. Puja Kathrotiya

Melanoma is a deadly form of skin cancer; however, when it is detected in early stages, melanoma is highly treatable.

Therefore, it is recommended that individuals perform a monthly self-skin exam to check for possible red flags.  You can identify the warning signs of melanoma by looking for the following.  These are referred to the A, B, C, D, E’s of melanoma.
A- asymmetry
One half of the lesion is unlike the other half.
B- borders
Borders are irregular, jagged, scalloped, hazy or poorly defined.
C- color
More than one color or shade of tan/brown within one lesion. Sometimes even red, white, blue areas may appear.
D- diameter
A lesion that is larger than 6 mm( roughly the size of a pencil head eraser)
E- evolving
A mole that is changing in size, shape, color or starts to develop symptoms (bleeds).
People of color are most likely to develop acral melanoma. Acral melanoma forms in areas that are not typically exposed to the sun, such as the palms, soles of feet, or under finger or toenails.
Melanoma rates in the United States have been rising rapidly over the past 30 years — doubling from 1982 to 2011. In 2022, it is estimated that more than 99,000 cases of melanoma will be diagnosed in the US.  In the US, It is estimated that melanoma will affect 1 in 27 men and 1 in 40 women in their lifetime.
Risk factors for melanoma include:
  • Having more than 50 moles
  • Use of tanning beds
  • History of blistering sun burns, or excessive sun exposure
  • Having red or blonde hair, pale skin, blue, or green eyes
  • Family history of melanoma
  • Previous history of non-melanomatous skin cancers
  • Previous history of internal cancers such as breast or thyroid cancer
  • Presence of atypical moles (dysplastic nevi)
How can melanoma be prevented?
  • avoid tanning beds
  • Seek shade. Avoid mid-day sun
  • Sunscreen with SPF 30 or higher, hats, sunglasses, and sun-protective clothing
  • Get regular skin checks by a dermatologist
If you’re at risk for melanoma or have a history of melanoma, call to make an appointment for a skin check at Midstate.

Featured Products

EltaMD- UV Elements SPF 44

EltaMD UV Elements is a 100% physical sunscreen in a tinted, moisturizing base. It is gentle for even the most sensitive skin types, including post-procedure skin. Its chemical-free actives, zinc oxide and titanium dioxide, provide safe but sure sun protection. These mineral-based UV filters work with ultra-hydrating hyaluronic acid to protect and hydrate the skin. UV Elements has a universal tint that beautifully enhances most skin tones for a more youthful appearance.

Benefits:

  • UVA/UVB protection
  • Chemical-free UV filters
  • Hyaluronic acid boosts moisture-retention for a smoother, more youthful appearance
  • Water-resistant (40 min)

Elon R3 Extra Strength

The Elon R3 Extra Strength is a nutritional supplement rich in essential vitamins and minerals which help to Revitalize, Rejuvenate, and Restore thinning hair. Added benefits include healthy nail growth and more youthful-looking skin.

Benefits:

  • The Biotin (also known as Vitamin B7), Fish Collagen Peptides, Silicon Dioxide, and L-Cysteine combine to help with thinning hair issues, brittle nails, and dull skin
  • This TIME-RELEASED nutritional supplement has been shown to provide an extra boost for faster results than those that do not contain Fish Collagen Peptides

National Stress Awareness Month

Dr. Ashley Cauthen

Dr. Ashley Cauthen

By Dr. Ashley Cauthen

What is one emotion that every single person will experience to some extent every day? You got it, stress. Stress is a physical and emotional reaction that people experience as they encounter changes in life. Stress can result from minor nuances such as getting stuck behind a school bus and being late to work to major life events like navigating a divorce, loss of a job, or dealing with a pandemic. Society is so stressed, we even have Stress Awareness Month (yes, it’s April!).  However, long term stress can lead to a myriad of health problems.

When you feel stressed, your body releases the stress hormones cortisol and adrenaline. Prolonged elevated levels of these hormones can affect all of our organ systems in different ways. We’ll focus on our largest organ, skin.

Elevated levels of cortisol will lead to increased production of oil from sebaceous glands and result in acne. It can also shift our immune system into a more inflammatory state and cause various rashes or hives. Patients with chronic skin conditions like eczema, psoriasis, and rosacea are always at risk of flaring secondary to stress. Autoimmune conditions like vitiligo and alopecia areata (a type of hair loss most commonly presenting with circular patches of baldness), are known to be exacerbated by stressful life events. Telogen effluvium (a generalized shedding of hair) is another type of hair loss closely tied to stress. Elevated cortisol can also lead to impaired wound healing and resistance to infection.

In addition to how the hormones our body releases during stressful situations effects our skin, the habits or coping mechanisms we create while stressed can also affect our skin, hair, and nails. For example, some people touch their face more while stressed leading to increased exposure to microbes and worsening of acne. Nail biting is another common habit that is exacerbated during stressful situations. More severe behaviors include trichotillomania, a type of hair loss due to someone pulling out their hair, or skin picking habits resulting in erosions or bumps on the skin.

I have come to realize that stress is a normal part of living. Stressful situations come in may forms, such as a demanding job, or an argument with a loved one. It can even come from positive experiences like planning a wedding or preparing for a new baby.  It’s inevitable, we will all experience stressful situations in life. How we allow ourselves to process these situations is typically what will dictate the emotional and physical toll the stress will have on us.

There are many techniques available aimed at reducing stress: meditation, deep breathing, exercise, distraction, self-care, etc. These are useful tools once you already feel stressed. However, what if you could control when you felt stress. What if you had the ability to change whether something provokes stress for you. What if, instead of constantly reacting to situations, we had the power to change our mindset, which ultimately dictates our feelings. Once I realized that MY THOUGHTS regarding a situation CONTROL MY FEELINGS (i.e., an emotion such as stress) and that I had the POWER TO CHANGE MY THOUGHTS, stress played a much smaller role in my life. It is not simple to rewire our brains to this way of thinking (it will always want to take the path of least resistance) but it is so liberating once you learn the tools to be in control of your emotions. I am far from mastering this but thankfully life provides endless opportunities to practice.

As we move through Stress Awareness Month, be cognizant of your thoughts. If they are negative, replace them with positive ones. Take ownership that you (and only you) are in control of how you react to things. As you work to change your mindset, you’ll realize stress doesn’t affect you as much. This, in turn, with lead to a healthier mind and body.

Be well friends!

Featured Products

ISDIN- Eryfotona Actinica

Eryfotona Actinica

Eryfotona Actinica is a fast-absorbing, ultralight emulsion providing all-mineral broad spectrum sun protection. Its innovative formula contains DNA Repairsomes®, naturally occurring enzymes which are clinically proven to repair existing sun damage. Eryfotona Actinica is the perfect lightweight sunscreen for all day use, every day.

Benefits

  • Fast Absorbing
  • Mineral sunscreen containing photolyase enzymes
  • Silky emulsion provides the perfect base for makeup

 

ISDIN- Eryfotona Ageless

Eryfotona Ageless

Protect, repair, and correct with Eryfotona Ageless, an ultralight tinted sunscreen with zinc oxide which helps fight the signs of photoaging. Its innovative formula uses 100% mineral SPF 50 sunscreen, an innovative blend of peptides, antioxidants, and DNA Repairsomes® to repair existing sun damage and reduce the appearance of fine lines and wrinkles.

Benefits:

  • Provides high broad spectrum protection using zinc oxide
  • Addresses previous sun damage and supports collagen
  • Provides the perfect finish with a versatile tint

Good skin isn’t about luck!

By Allison Weber, APRN-C

Don’t be green with envy, here are some top treatments that are worth it. Treat yourself!

Acne scars

  • Microneedling: Increases collagen production, which helps with tissue growth and healing. It is important to know you will most likely need 3-4 sessions of microneedling to see optimal results!
  • Dermal Filler: While no everyone may be a candidate for this, its helpful to know It is an option for deep acne scars! They can be used to raise the scar tissue and give the scars a smoother appearance. And guess what?! For some, the filler can last up to 1 year!
Men need to treat themselves too!!

Neurotoxins like Botox and Dysport are for everyone! All our offices are trained to help achieve the look you are going for. For those only wanting a subtle enhancement, smaller dosing of neurotoxin works surprisingly well. While we do recommend follow ups every 3-4 months, everyone metabolizes the neurotoxin differently, and some may need it sooner, or later than others. Another great option is to come in 1-2 months prior to events. Especially, if this is something you are only able to do for special occasions, it is still worth it. Neurotoxins are great to help with fine lines and wrinkles, and some may even notice improvement in the texture of their skin.

Our office also offers the Emsculpt Neo! This machine helps to tone muscle, and eliminate fat. Its like doing 20,000 crunches in 1 session (recommending around 5 sessions). This is a great option for those who are already relatively fit looking for more definition, those looking to kick start their weight loss journey with a stubborn area, and even those recovering from sports injuries to strengthen specific muscle groups. My favorite advice with Emsculpt Neo is to use it as a great wedding prep, to get that little extra definition.

“Good skin isn’t about luck”

Yes, it is true, some people are just blessed! But that “luck” definitely does not last forever. Many people come into the office saying, “my skin never used to look like this”, “I’ve never had dark spots or freckles all over my face”, and its important to know a good amount of these things can be avoided! Starting early is key. While everyone’s skin routine may be specific to their own skin type and daily activities, EVERYONE should be wearing sunscreen daily. I always recommend a mineral based sunscreen. My absolute favorite is our ISDIN Eryfotona Ageless tinted sunscreen. Bringing the sunscreen down to the neck, chest, and hands is a must.

“Lucky we caught this in time”

Precancerous lesions known as Actinic Keratosis are mostly found on the head, neck and extremities of men and women. They usually appear as a white/yellow flat or thickened scale on these regions. Sometimes people have 1to 2 that can come and go, while others can have many in one specific area. This usually results from a lot of sun damage to this location. The importance of treating these lesions, stems from their potential to turn into a squamous cell carcinoma. It’s very important to let you provider know if you are experiencing any lesions on the skin like this, because fast treatment of them may prevent surgery down the road.

Melanoma is a very serious type of skin cancer, that is important to catch early, due to its ability to spread to the lymphatic system. This type of skin cancer usually appears as an irregular shaped, flat, dark mole, >7 mm in size. I think the biggest misconception is that a bad skin cancer, like melanoma, would have to be raised. A majority of melanomas that we find are usually flat (though a melanoma can still be raised). That being said, a majority of us have multiple brown, flat, moles which are completely normal! This is why It is so important for even younger adults in their 20-30’s to start having annual skin exams at a Dermatology office. Keeping a close eye on moles, and identifying any changes in a mole early, can make a huge different in the patient’s treatment outcome. It is also important to ask immediate family members if they have had any history of melanoma. This is because there have been two genes found that are primarily linked to familial melanoma.

Things to watch for:

A- asymmetry of shape or color

B- border irregularity

C- color change

D- different diameter

E- evolving/changing

Featured Products

ISDIN- Hydralift

An intensive facial serum to rejuvenate and energize skin, containing plant-based stem cell extract, peptides, antioxidants and hyaluronic acid. Hydralift harnesses the power of apple stem cell extract to help promote healthy cell turnover, improving skin firmness, texture and hydration, while softening the appearance of fine lines and wrinkles.

Benefits

  • Rejuvenates firmness and elasticity
  • Improves overall skin hydration
  • Energizes the skin with antioxidants

 

 

 

Heliocare- Advanced

Heliocare Advanced is a daily dietary supplement made with exclusive Fernblock® Polypodium leucotomos extract (PLE) technology. This clinically proven natural extract is packed with antioxidant properties that help maintain your skin’s ability to protect itself against the aging effects of free radicals to help promote younger, more resilient-looking skin.

Benefits:

  • Clinically proven, patient extract
  • Non-flushing form of Vitamin B3
  • Antioxidant rich formula
  • Gluten free & vegan

All About Skin!

Katie Keel

By Katie Keel, APRN-C

We made it through the first month of the New Year! If you had resolutions and kept them – good for you! If you never made a resolution and need an idea – consider the 44% of Americans for the 2022 New Year who made a pledge to eat healthier and the 48% who wanted to exercise more. Though most made these resolutions to lose weight there is an added benefit to eating healthy and exercise – clearer more radiant skin!

Exercise results in improved circulation to all of our body’s cells as well as improvement in removal of toxins from the skin. Exercise also releases endorphins and decreases stress which can improve chronic skin conditions like acne, eczema, rosacea and psoriasis. If you weren’t sold on exercise yet – a research study involving 65+ year olds that maintained a moderate aerobic exercise routine for three months found that the skin of individuals who were exercising more frequently more closely resembled healthy skin of patients in their 40s.
On to healthy eating – what does “healthy” actually mean? What foods should we try to incorporate into our diet for happy skin? Foods that are full of omega-3 fatty acids, as well as vitamins A, C, and E, antioxidants and minerals such as selenium and zinc. Great options include fatty fish (like salmon), avocados, walnuts, sweet potatoes, red/yellow bell peppers, broccoli, tomatoes, and saving the best for last – dark chocolate! I think this one deserves a little added love – a study found that after 6-12 weeks of consuming a cocoa powder high in antioxidants each day those participants had thicker, more hydrated skin that was less rough/scaly, with increased circulation and were less sensitive to sunburn. Red grapes are also on the healthy skin list due to their skin containing resveratrol which slows aging. This compound is also found in red wine but unfortunately there is not much evidence that the amount of resveratrol you get from a glass of red wine is enough to affect your skin and since it does contain alcohol there are negative skin effects.

Alcohol promotes dehydration and inflammation of the skin and the oxidative stress from alcohol can speed up the aging process. If you are choosing to drink choose wisely – cocktails that contain syrups and sugar can bring along added inflammation, accelerated aging by damaging collagen in the skin. White wine and champagne typically contain a lot of sugar as well and are more likely to cause facial flushing. Also avoid dark liquors like bourbon and whiskey – they contain compounds called congeners which can cause worse hangovers and dehydrated, red, puffy skin. If you choose to indulge, reducing your intake, picking the right type of alcohol, and drinking plenty of water are the best places to start.

Finally, I want to touch on a hot area in nutraceuticals when it comes to skin health – collagen supplements. Their use has been rising but regulations are lacking when it comes to quality, absorption and efficacy. However, there are studies regarding the potential health effects. One literature review of eleven studies and over 800 patients found that preliminary results are promising for short and long term benefits of collagen supplements for both wound healing and skin aging. The studies found that collagen did increase skin elasticity, hydration, and dermal collagen density. This is a growing market as evidenced by the increase in products on our store shelves – 5 years ago collagen supplements were a $3 billion dollar market and today it has doubled to a $6 billion dollar market. But how do you know you are getting a good supplement? When checking out supplement labels aim for 20g of hydrolyzed collagen per day and bonus points if you can find one that also contains hyaluronic acid. Hyaluronic acid produced in the body helps to keep skin hydrated, healthy and looking and feeling young. In fact, one gram of hyaluronic acid can hold six liters of water. As we age, though, our bodies produce less, contributing to signs of aging. Studies show that both oral and topical hyaluronic acid can be effective to restore levels and improve the appearance and feel of aging skin. A popular, easy to find collagen supplement that contains hyaluronic acid as well as bovine hydrolyzed collagen is Vital Proteins Collagen Peptides.

Your skin is your largest organ (and your most visible one!) and it is important to show it some love! One thing for certain – no one ever regrets investing in their health!

Featured Products

Circadia- Amandola Milk Cleanser

SKIN TYPES – Hyperpigmentation, Aging Skin

This conditioning almond milk cleanser contains Lactic and Mandelic Acids that gently exfoliate, hydrate and brighten damaged skin. Ideal for hyperpigmentation, and aging skin.

Benefits:

  • Non-foaming cleanser
  • Gently removes dirt and debris
  • Provides the mild exfoliating benefits of lactic and madelic acids
  • Skin brightening
  • Hydrating properties

 

SkinSmart- Antimicrobial Would Care Therapy

SkinSmart tackles the #1 obstacle to healing skin: bacteria. Bacteria has been linked to many skin conditions like eczema and chronic wounds. SkinSmart works by removing problem bacteria, allowing skin to finally heal. SkinSmart’s advanced technology comes from wound care centers, and is now available for at-home care, without a prescription. Use it for eczema, atopic dermatitis, stubborn wounds, acne and toenail fungus.

Benefits:

  • Targets bacteria
  • Accelerates healing
  • Delivers the antimicrobial healing benefits of hypochlorous
  • All natural

 

Specials

Valid for the first 10 clients who book and pay for Restylane Kysse. Must book by February 14th, 2022. Limit 1 promotion per client. Code word: VALENTINE

Must book by February 28th, 2022.

Commitment

As I think about our Commitment theme for January, it seems the term “commitment” is woven throughout many aspects of MidState Skin Institute. First and foremost, I think of our commitment to provide amazing patient care. As indicated in our mission statement, we want to exceed the expectations of our patients and their referring physicians. We continually look for ways to improve ourselves and to make the experience better for the patients.

When I am looking for new staff members to join our team, commitment certainly comes into play in that area as well. I want to make sure that applicants are passionate enough about patient care to be a part of our team for the long haul. As we perform purposeful and fulfilling work, we become a connected work family all working towards a common goal.

I also see commitment in our patients on a daily basis. Some have made the decision to take care of their skin issue by seeking treatment and prevention. Others seek to improve concerns by utilizing our latest products and procedures. It isn’t always easy making time in your day for a skin care routine, but if you make it important you will see positive results. Patients make the commitment to be healthy and feel good about their skin which starts with scheduling those regular exam appointments and by committing to wear SPF daily.

I urge you to think about what is important to you and whole-heartedly commit to it. That dedication is what gives depth to things you do. Whether it be something big – like a company owner ensuring his/her staff is treated well, or something small – like deciding to follow through on skin care routines and treatments, commitment brings about action. Without action, there is only interest or hope. It’s the commitment that will ensure success because if something doesn’t work, you will find a way to make it work when there is commitment.

~ Becky Hall

Human Resource Director

Featured Products

EltaMD- UV Daily Broad Spectrum SPF 40

EltaMD UV Daily Broad-Spectrum SPF 40

SKIN TYPES – COMBINATION, NORMAL, POST-PROCEDURE
Serious UV protection and superior hydration join forces in this sheer facial sunscreen. EltaMD UV Daily has hyaluronic acid to boost moisture retention and diminish fine lines. This lightweight moisturizer with UV protection can be worn alone or under makeup. Choose from tinted and untinted formulas for use every day.

Benefits:

  • UVA/UVB sun protection
  • Hyaluronic Acid increases skin smoothness, softness and decrease wrinkles
  • Glides on easily and absorbs quickly into the skin
  • Fragrance, paraben, sensitivity free

 

 

EltaMD UV Clear Broad-Spectrum SPF 46

SKIN TYPES – ACNE-PRONE, HYPERPIGMENTATION, ROSACEA
Oil-free EltaMD UV Clear helps calm and protect sensitive skin types prone to discoloration and breakouts associated to acne and rosacea. It contains niacinamide (vitamin B3), hyaluronic acid and lactic acid, ingredients that promote the appearance of healthy-looking skin. Very lightweight and silky, it may be worn with makeup or alone. Choose from tinted and untinted formulas for use every day.

Benefits:

  • UVA/UVB sun protection
  • Calms and protects acne-prone skin
    Leaves no residue
  • Fragrance, oil, paraben and sensitivity free

Dry Skin December

The drier the air, the drier the skin and there are a lot of factors that contribute to dry skin in the winter months. Indoor heating, cooler temps, and hot baths could all be drawing moisture right out of your dermis. Let’s take a look at some ways to treat some cold weather ailments like psoriasis, eczema, and dry lips.

Eczema

What exactly is eczema?
The word “eczema” has two meanings. It can mean either of the following:
  • A group of conditions that causes inflamed, irritated, and often itchy skin
  • Any one of the conditions within this group, such as atopic dermatitis, contact dermatitis, or stasis dermatitis.

Eczema is a common skin condition that is often exacerbated by the cold. Flare-ups are common in the winter months due to the drier air. Here are 7 tips to dealing with eczema during these chilly months.

  1. Skip hot baths. Because heat can dry your skin out, you’ll want to skip the very hot baths. Try lukewarm water, and to keep your skin moist while bathing you can even add some moisturizing products to the water. Look for things like moisturizing oatmeal products. After your bath, try not to scrub the skin. Instead, pat dry with a soft towel.
  2. Use gentle soap. Eczema prone skin is sensitive, and therefore you’ll want to treat it as such. Avoid soaps and other bath products with unnecessary ingredients like fragrance, dye or alcohol.
  3. Try a thick moisturizer immediately after the bath. Lotions may not cut it, you might try a cream or ointment or even petroleum jelly. For itchy, painful flare ups you may need a cream containing hydrocortisone. You should talk to your doctor before using one of these though, they may be able to prescribe something stronger to curb the itch. Make sure to moisturize more than once a day.
  4. Avoid annoying fibers. Some of these fibers are wool and nylon as they may cause overheating and irritated skin. Dress in breathable materials such as cotton, and avoid wearing tons of layers. This applies to your bed as well, ensure your sheets are clean and breathable.
  5. Try adding a humidifier. Our central air and heating systems pump a lot of hot air into our homes. This is likely an irritant to your eczema, but can be combatted with a humidifier to add moisture back to the air. Change the water in your humidifier regularly, and consider using distilled water since you’re breathing in the moisture it’s pumping out.
  6. Drink lots of water. Keeping your body hydrated will keep your skin hydrated from the inside. Drink at least 8 glasses a day, and yes those can include tea, coffee, or other warm winter beverages.
  7. Take Vitamin D supplements. Vitamin D has been proven to help with flare-ups as during these winter months your skin sees less UV rays.

Psoriasis

What is psoriasis?
This condition develops when the body makes skin cells too quickly, causing skin cells to pile up and form visible patches or spots on the skin.

Another skin condition that’s affected by these cold winter months, here are some tips to deal with flares.

  1. Smooth on moisture. Keep your skin moist to ease the redness and itching. The thicker the cream, the better so think ointment in these cases. Use a moisturizing soap AND creamy lotion after washing your hands, or bathing.
  2. Choose a soothing bath over a hot shower. Long showers remove moisture from your body. However, you can relax in the tub and allow your skin to soak up moisture instead. Sprinkle in oil, finely ground oatmeal, or Epsom salts in a warm bath and soak for about 15 minutes.
  3. Use a humidifier. Similar to eczema, replacing the moisture in your home that central heat takes out can reduce the drying effects.
  4. Wear soft layers. Psoriasis can make not only your skin irritated, but your joints ache. Bundle up in a soft scarf, hot and gloves to protect exposed areas of skin. Sweating can make psoriasis worse, so dress in layers.
  5. Drink plenty of H2O. Tip- if your urine is dark colored, or bright yellow you’re likely not getting enough. Urine should be pale yellow.
  6. Ease your stress. Stress can be synonymous with the holidays, but stress can make psoriasis worse. Try a massage, or maybe a spa treatment to moisturize your skin and beat those winter blahs.
  7. Lighten your mood. Psoriasis can make you depressed, add to it seasonal affective disorder (why is it called S.A.D.?!) and you might find these winter months challenging. If you’re sad often, talk to your doctor. Light therapy can be prescribed, or anti-depressants to lighten the mood.

HOW TO PREVENT AND TREAT DRY, CHAPPED LIPS

Cold, dry weather, sun damage, and frequently licking your lips are just some of the reasons your lips might feel dry and chapped. To prevent and treat dry, chapped lips at home, follow these tips from board-certified dermatologists. CLICK HERE TO LEARN MORE!

MidState Favorite Lip Products

EraClea- Ever Moist

A deeply hydrating lip treatment that helps repair dry, distressed lips while replenishing lost moisture. It is rich in emollients, to give lips a satiny-smooth look and feel, while shea butter, jojoba, and antioxidants condition and revitalize lips.

  • -Keeps lips soft and healthy
  • -Helps repair dry distressed lips
  • -Replenishes lost moisture
  • -Conditions and revitalizes lips

Available at MidState- $16

Dr. Dan’s CortiBalm

Dr. Dan’s CortiBalm, developed and proven by a leading dermatologist, is specially formulated for all types of chapped lips. If your lips are chapped due to weather, cosmetics, sunburn or medications, the ingredients in ordinary lip balms may irritate them and prevent healing.

Available at MidState- $7.55

Featured Products

EltaMD- Barrier Renewal Complex

EltaMD Barrier Renewal Complex

EltaMD Barrier Renewal Complex is clinically proven to moisturize the stratum corneum and improve dry, compromised skin after a single application within 24 hours. This advanced formula works to visibly minimize the appearance of fine lines and wrinkles while significantly improving skin texture, tone and pore size.

Benefits:

  • Visibly improves skins appearance
  • Promotes healthy skin barrier
  • Replenish moisture

 

Rose Skin Care Green Tea Toner

Rose Skin Care- Green Tea Toner

Formulated to be effective for all skin types, this non-greasy facial and body treatment removes excessive oils and cleans pores. Ingredients such as aloe vera, green tea and chamomile extracts leave your skin vibrant.

Benefits:

  • Balances the skin’s pH level
  • Energizes the skin’s upper layer with Green Tea Polyphenols and nutrients
  • Leaves the skin feeling rejuvenated, free of residual oils and firmer

Healthy Skin at All Ages

Healthy skin comes in many forms. It starts early, when teens are dealing with acne, hormones and more! Do you know how to handle your skin at every stage? We’ve got a cheat sheet here to help you start, or continue in your skincare journey.

HOW OFTEN DO CHILDREN NEED TO TAKE A BATH?

If getting your kids to take a bath is a struggle, you’ll be glad to know that a daily bath might not be a crucial part to your kids routine. However, it really depends on your child’s age and activities. Let’s look at some of our tips for all ages-

Babies up to a year old

Chances are you bathe your newborn almost every day. But, it’s not necessary as most infants don’t exert themselves enough to work up a sweat, or even get dirty. The Academy of Pediatrics recommends washing your baby with soap just 2-3 times a week. Between baths, you can wipe your kids with wet clothes to keep them fresh paying special attention to their neck, armpits and genitals.

Toddlers up to 3yo

Most toddlers are on the go, honing their motor skills, crawling, walking and even running. They’re learning to be more independent therefore, they are probably feeding themselves. Overall, they’re more likely to accumulate bacterial and dirt all over their body. However, that doesn’t mean they need a full scrub down daily. Try to ensure your tot is getting a full bath 2-3 times a week, with daily clean ups and if they’re really stinky, a full bath can happen. Use gentle soap, and try not to scrub their delicate skin.

Pre-Schoolers (3-5yo)

This is the critical age where we are teaching kids good bathing habits!! Teaching them how to bathe properly, how to rinse off and instructing them on water temperature can be setting them up for healthy habits as they age. Preschoolers should be bathing as needed (at minimum 3 times a week), and this can be daily now that their skin is less sensitive.

Children 6-11yo

This age group has many facets, from becoming more active, starting school and into the tween years there are a lot of changes. However, daily bathing isn’t necessary. 2-3 times a week is still acceptable for children with some caveats. They should be bathing when they get dirty, after being in the pool/lake/ocean, or if they start to have a noticeable body odor. This is also an important time to instill good hand washing habits into your child. Teach them to wet their hands with warm water, rub their hands together to create a lather that should go all over their hands and in between their fingers. Continue rubbing for 20 seconds at minimum, you can sing happy birthday twice and you’ll be done!! Rinse with warm, running water and dry hands on a clean towel.

Tweens & Teens

With any luck, by instilling the above habits once you reach the tween and teen years, bathing won’t be a fight. Tweens & teens should be bathing daily as puberty starts. This is a crucial time to show them how to properly wash their faces twice a day (morning/night) to help with acne. If your tween or teen plays sports, you might find them on another level of stinky and it’s important that good hygiene is tackled early. No one wants to be the smelly kid.

5 Tips to help your teen survive acne

  1. Take acne seriously! Telling your teen that those blemishes, bumps and blackheads will clear up eventually may do more harm than good. While waiting for a miracle to happen, many studies have shown your teens self-esteem could plummet. Treating acne now can also prevent it from worsening. Without treatment, sometimes acne goes from moderate to severe. When severe acne clears, your teen could be left with permanent scars.
  2. Be cautious with your reminders. In a recent small study, dermatologists found the more parents reminded their kids to take their acne medications the less likely they were to use it. The teens said the daily reminders felt like nagging, and cause them to push back more. What may help more is keeping your teens dermatology appointments. Allow your dermatologist to impress the importance of routine and follow instructions.
  3. Try to reduce stress. Just about everything stresses a teenager out, but anything you can do to reduce that can help reduce flare ups caused by stress hormones’.
  4. Watch for signs of depression. Having acne can affect how teens and even adults see themselves. Many studies have shown acne can lead to depression and anxiety. Some signs may include sadness lasting longer than 2 weeks, loss of interest in activities your teen once enjoyed and avoidance of activities. Thanks to advancements in treatment, acne can be managed now in many forms and reduce the risk your teen may become depressed.
  5. Let your teen meet with their dermatologist alone. This does a few things, mainly it creates a bond between the doctor and patient. It can allow your teen to develop a rapport and creates trust, which hopefully makes them more likely to follow instructions! It can be a lot harder to do when a parent is in the room.

SKINCARE AS AN ADULT

20’s & 30’s

As you age, it’s natural to experience thinner, drier skin and you can even start to develop wrinkles and start seeing signs of aging. However, your environment, lifestyle choices and skincare routine can sometimes cause your skin to age prematurely. Let’s look at some tips you can use in your 20’s and 30’s to prevent premature aging!

  • Always wear SPF (30 or higher)
  • Protect your skin by seeking shade and wearing UPF rated clothing when you’re outside
  • Use a moisturizer every single day. It doesn’t have to be costly, our favorite over the counter brand (CeraVe) is around $10!
  • Be gentle! Use products that say “fragrance free”, “non-comedogenic”, or “hypoallergenic” on the label
  • Avoid scrubbing your face, washing your face more than twice daily or using skincare products that sting or burn
  • Now’s the time to avoid repetitive facial movements that can cause wrinkles! Squinting (wear sunglasses), frowning, holding straws (or cigarettes) in your lips. Preventative Botox can treat these before they start
  • Stay out of tanning beds. Period
  • Maintain a healthy life-style with regular exercise, eating a well-balanced diet and try to avoid alcohol in excess

40’s & 50’s

Wrinkle creams, eye serums and other anti-aging products will be a part of your routine by now and can help diminish the signs of aging. The benefits of a healthy skincare routine can prevent blotchy complexion, retain your skins youthful firmness, reduce fine lines and wrinkles, avoid leathery skin and reduce your risk of cancer.

  • Protect your skin from the sun by using SPF daily, seeking shade when possible or covering up if you can’t
  • Applying moisturizer twice daily
  • Washing dirt and grime off your skin twice a day
  • If you smoke, stop! Tobacco not only contains toxins that can lead to a smokers complexion (dry, dull, loss of firmness, premature lines and wrinkles, leathery skin) but it’s just not good for you
  • Healthy food promote healthy skin from the inside. Plenty of fruits, veggies and lean meat with healthy fats.
  • Get enough sleep. It’s called beauty rest for a reason!!

60’s & beyond

In this season of life, your skin can feel dry and irritated easily. This happens for many reasons, including thinner skin and you lose water more easily. Medications can also play a huge role. If you’ve kept up with our list until now, chances are these tips won’t come as a surprise. Here are some tips from your derm for aging skin.

  • Bathe to relieve dry skin. Always use gentle, fragrance-free, moisturizing bar soap, cleanser or body wash. Moisturizing ingredients to look for are glycerin, hyaluronic acid and lanolin. Always use warm water for baths, not hot water. Use a soft wash cloth, and keep it short (5-10 minutes). Long showers can strip your skin of it’s natural oils. Pat your skin, do not rub. Apply a creamy, fragrance-free moisturizer for dry skin within 3 minutes of bathing (and throughout the day).
  • Use a humidifier when the air feels dry. Heating and air conditioning can strip the humidity right out the air. Keeping your indoor humidity between 45-60% can reduce dry, itchy skin.
  • Wear gloves while doing housework and gardening. Exposing your skin to harsh chemicals, sunlight and other irritants can dry your skin.
  • Protect your skin from the sun! If you’re seeing age spots, wrinkles, blotches of discolored skin you aren’t getting enough sun protection. You might think it’s too late, but you can prevent new spots from forming, and reduce your risk of developing skin cancer.
  • Go fragrance free. Fragrances can irritate your skin, and cause dry, itchy patches. Unscented and fragrance free have different meanings. Unscented products can still irritate your skin as they typically have a chemical in them to cover up the smell of other ingredients.
  • Examine your skin for signs of skin cancer. Around 50, your risk of skin cancer and precancerous growths increases. When found early, you can drastically reduce the severity and have more treatment options.

Featured Products

Latisse

Grow your lashes longer, fuller and darker with Latisse. Latisse is the first FDA approved prescription medication for inadequate, or not enough eyelashes.

Benefits:

  • Fuller lashes
  • Darker in just 16 weeks
  • Longer
  • Give your mascara more to work with!

 

 

 

EltaMD- Renewal Eye Gel

EltaMD Renew Eye Gel is an oil-free formula that helps eliminate the appearance of under-eye puffiness, dark circles, fine lines and wrinkles while generating brighter, healthier-looking skin. Special peptides, hyaluronic acid and natural extracts support the skin matrix to help prevent and reduce the appearance of skin aging.

Benefits:

  • Oil free formula
  • Helps eliminate the appearance of under-eye puffiness, dark circles, fine lines and wrinkles
  • Visible improvements within 30 days

Fall Tips for Skincare

Seasonal changes can have a dramatic effect on your skin, even in sunny Florida! As the temperatures drop, some of your skincare needs will change. Learn how to enjoy some of the year’s best weather while protecting your skin with these tips!

1. Avoid long, hot showers and soaks in the tub

As cooler temps roll in, it might be tempting to take the chill off with a hot shower or bath soak. However, with these drops in temperature comes dry, cracked skin. Skin conditions like eczema can also intensify in cooler, dry weather. It’s best to avoid long periods of time in hot bathes and showers, because they dry out the skin and can cause redness and cracking. Try lukewarm water and moisturizing immediately after to help seal in the moisture.

2. Use moisturizer daily

Less humidity, means less moisture in the air which can strip your skin from it’s natural glow. The results in these cooler months is dry, flaky skin that can even itch. Using daily moisturizer that is more nourishing can help to hydrate and sooth. Oil-based moisturizers are generally better at helping your skin retain. Some of our favorites are CeraVe Moisturizing Cream, CeraVe Healing Ointment, Isdin Uradin 10.

3. Use Mild Soaps

Dry, flaky skin can lead to an excess of dead skin cells that can clog your pores and cause acne to develop or worsen. Sometimes the use of thicker, more intense moisturizers like mentioned above can also contribute to acne. Make sure you’re washing your face twice a day with mild soap that won’t further dry your skin.

4. Don’t stop wearing SPF!

Sun damage occurs ALL YEAR LONG! The leading cause of skin cancer and premature aging is UV rays. Even when it’s cold outside, the sun is just as intense. Always wear your SPF. Some MidState favorites are EltaMD, Isdin and CeraVe. The key ingredient in these is zinc.

5. Use a humidifier

Temperature changes don’t just happen outside, they happen inside. As it gets colder, you might be tempted to kick on the heat. Central heating draws the moisture from the air, and unfortunately from the surface of your skin. Humidifiers work by adding moisture back to not only the air around you, but your skin.

6. Exfoliate

You might have read dead skin cells above and said EW!! That’s where exfoliation comes into play. Dry skin is dead skin cells, and so exfoliating your skin is crucial. If your skin has a barrier, your moisturizer might not work as well. Physical exfoliation involves physically and manually removing dead skin cells using a product like a face scrub that contains some type of small, rough particles. Chemical exfoliants for the face slough off dead skin cells using chemicals that break the bonds between skin cells to loosen up the dead skin making it easy to wipe away. Choosing the right exfoliation type comes down to personal preference and what works well for your skin. Because physical and chemical exfoliation work in different ways, it’s also safe to incorporate both into your skincare regime. However, most dermatologists recommend chemical exfoliation as it tends to be more gentle on the skin.

7. Use hand cream

As flu season approaches (as if we don’t have enough on our plates!!) hand washing will continue to be an important part of our daily routines which results in dry, cracked hands. Add to it the cold weather, and you’re in a losing battle. After washing your hands, use a thick moisturizing cream (not lotion) that builds the barrier back up and helps you retain moisture.

8. Don’t forget your feet and elbows

Head, shoulders knees and toes! As the nursery rhyme goes, don’t forget the other parts of your body that need moisture. Use a thick cream or overnight lotion on these parts of your body when you go to bed. To really let them set in, add a pair of socks. A MidState favorite is O’keeffe’s Healthy Feet.

9. Don’t forget to eat healthy

Some of falls most treasured traditions revolve around food! Trick-or-treating, Thanksgiving and tail-gaiting can lead to an increase in processed foods. Foods that are high in refined carbs, and have a high glycemic index can cause your hormones and sugars to spike. This increase can have a negative affect on acne, and other skin conditions. Try to trade out the potato ships for another crunchy snack like carrots or celery.

10. Dress the part

Long sleeves, scarves, pants, gloves and hats are all in! Make a statement by protecting your skin while looking cute, don’t forget… the suns rays are still lurking about even when it’s fall ya’ll!

Featured Products

Eraclea- Ever-Moist Lip Balm

A deeply hydrating lip treatment that helps repair dry, distressed lips while replenishing lost moisture. It is rich in emollients, to give lips a satiny-smooth look and feel, while shea butter, jojoba, and antioxidants condition and revitalize lips.

Benefits:

  • Keeps lips soft and healthy
  • Helps repair dry, distressed lips
  • Replenish lost moisture
  • Condition and revitalize lips

EltaMD- Foaming Facial Cleanser

Give your skin a fresh start with EltaMD Foaming Facial Cleanser. A gentle enzyme and amino acid blend loosens makeup, oil and other impurities on the skin and in the pores. The thick, rich foam gently cleanses leaving your skin feeling clean and balanced.

Benefits:

  • Safe for all skin types
  • Enzymes help reduce inflammation
  • pH-balanced
  • Gentle enough for daily use, morning and night
  • Oil, paraben and sensitivity free

Skin September

What can vitamins do for our skin?

Casey Overturf, PA-C

We all know that foods rich in vitamins and minerals are good for you. They are essential for growth and development, energy production, bone growth and strength, and immune function just to name a few. But what do they do for our skin? And will topical creams and serums be beneficial for delivering vitamins into our skin or is it just a myth?

Vitamin A

Also known as retinol or retinoic acid, will reduce fine lines and wrinkles and increase skin thickness. It does so by increasing collagen and procollagen production. We also use retinols paired with hydroquinone or other lightening agents to treat dark spots and reverse sun damage because it increases skin cell turnover. Lastly, it down regulates inflammation and decreases sebaceous gland production, therefore it can be used to treat acne. Studies have shown these benefits are attainable in as little as 12 weeks of use. There are OTC and prescription strength forms of vitamin A available.

Vitamin B3

The active form is called Niacinamide. It has been proven to decrease inflammation, reduce hyperpigmentation, and increase the production of ceramides and lipids in our skin. Studies have been published showing its efficacy in improving melasma and inflammatory conditions, such as acne. We are even seeing Niacinamide included in more anti-aging creams after medical studies showed its efficacy in increasing skin elasticity and reducing red blotchiness.

Vitamin C

Or L-ascorbic acid, is a powerful antioxidant that can prevent the harmful effects of UV irradiation, boost collagen production and even reverse sun-damage. Uneven skin tone and texture can be improved by up to 10% after as little as 8 weeks of use! The reason vitamin C is typically more expensive is because it is difficult to stabilize the molecule and it needs to be at a high enough concentration to be beneficial. Dermatologists typically recommend morning application of vitamin C so that you can receive the maximum benefit from its properties since it provides photoprotection.

Vitamin D

There are many conditions in dermatology where the treatment includes topical vitamin D. It is used to decrease skin cell proliferation and is therefore often used to treat psoriasis and dry skin disorders. It can also increase the efficacy of topical chemotherapy used to treat precancers!

Vitamin E

This is another antioxidant that can prevent sun-damage. Oftentimes it is paired with vitamin C because they help stabilize each other and prevent breakdown of the molecule. Vitamin E can also help stabilize the skin barrier, so it is commonly used to treat recent scars.

Katie Keel, APRN-C

So, you wear sunscreen of at least 30 SPF and remember to reapply every two hours. You wear hats with a brim, sunglasses and sun shirts. You moisturize after getting out of the shower. You drink half your body weight in ounces of water daily. But if you are still looking to do more for your skin and you are one of the over 75% of Americans that take vitamins or supplements regularly here are some you might not be familiar with and can benefit from!
Nicotinamide – 500mg twice daily
The prevention of common skin cancers and precancers is possible by taking an inexpensive, widely available, oral pill twice daily. The pill—the vitamin B3 supplement called nicotinamide decreased the rate of new squamous cell and basal cell skin cancers by 23% compared with placebo after 1 year among patients at high risk for skin cancer. Nicotinamide also reduced the risk for developing actinic keratosis, a common precancer of the skin. In this study, patients took oral nicotinamide 500 mg twice daily and while on treatment, the patients did not develop any new AKs and had resolution of existing lesions with an average of 3 to 5 fewer actinic keratoses observed from the baseline count compared with the placebo group.
Zinc – 50mg zinc twice daily
A supplement that can make your Botox work faster and last longer? Where has this been all your life? Zinc has been found to be effective in extending the effects of botulinum toxin injections up to 30 percent. According to the Journal of Drugs In Dermatology, the results of the clinical trial of the drug showed that almost 92 percent of the patients who took zinc reported that the effects of their Botox treatments were noticed more quickly and lasted several weeks longer.
If you (or your child) has ever had a wart you know how troublesome they can be. Besides being cosmetically annoying, they can also be painful and can be quite difficult to get rid of. There have been several studies looking into recalcitrant warts and zinc supplementation. One in particular found that 87% of patients had completely clearance of their warts after two months of zinc therapy. In the study, the participants had over 15 warts and had been previously resistant to treatment. In that study the dose was 10mg/kg up to 600mg a day.
Vitamin D – dose dependent on individual blood levels
Of course the “sunshine vitamin” had to be on this list! Vitamin D is produced naturally by our skin in response to sunlight. However the UVB rays from the sun also contribute to the development of skin cancers and premature aging, so rather than foregoing your sunscreen consider starting a vitamin D3 supplement.
From a skin standpoint, vitamin D deficiency is associated with the risk of psoriasis, atopic dermatitis, chronic idiopathic urticaria (hives). Other health conditions linked to low vitamin D levels include: diabetes, heart disease, certain types of cancer including breast, colorectal, and prostate, dementia, depression, osteoporosis and more.
It is important to remember that vitamin D is a fat soluble vitamin and there is a risk of toxicity. A simple blood test can ensure you are within optimum levels.
Polypodium Leucotomos – 240mg daily – (Brand Name Heliocare)
Now to finish this list with a supplement you are (probably) not familiar with. Polypodium leucotomos – a compound from a species of fern that has been shown to protect its users from ultraviolet radiation and helps your body fight off free radicals for fewer sunburns, less long-term damage from environmental stressors, and younger-looking skin. It has also been found to be beneficial for the treatment of various skin disorders including atopic dermatitis, vitiligo, and polymorphic light eruption.

Featured Products

Isdin Mineral Brush- Photoaging defense: anytime, anywhere

Mineral Brush provides on-the-go protection against the visible signs of photoaging: the ideal complement to your daily sun protection and skincare routine. A silky, smooth, fine powder containing titanium dioxide, zinc oxide, mica and iron oxides provides protection against free radical pollution damage, blue light and infrared radiation (IR). Take it with you for photoaging defense and matte, natural coverage wherever you go!

Benefits:

  • Protects the skin from free radicals and environmental damage caused by pollution exposure.
  • Helps target uneven skin tone caused by blue light and minimize IR damage in the skin.
  • Leaves skin with a silky smooth matte finish, which reduces shine and feels beautifully soft.
  • Perfect for protecting your scalp from the sun!

Isdin- Eryfotona Actinica

isdin actinic care

Eryfotona Actinica is a fast-absorbing, ultralight emulsion providing all-mineral broad spectrum sun protection. Its innovative formula contains DNA Repairsomes®, naturally occurring enzymes which are clinically proven to repair existing sun damage. Eryfotona Actinica is the perfect lightweight sunscreen for all day use, every day.

Benefits:

  • Fast-absorbing- The ultralight mineral formula melts into skin without feeling heavy.
  • A mineral sunscreen containing photolyase enzymes, clinically proven to repair existing sun damage.
  • A silky emulsion provides the perfect base for makeup with no white, greasy finish.

Casey Overturf, PA-CRoutines

by Casey Overturf, PA-C

 

The importance of a good skin care routine, might sound unnecessary these days with some of the “quick fix” options available and full coverage makeup. To be honest, there are very few truly “quick fixes” when it comes to our skin. Even some of the amazing procedures that are offered by medical professionals will not be nearly as beneficial without the proper maintenance and follow up. Not to mention that full coverage makeup used to cover your flaws for one night might cause a week of breakouts without the proper skincare. Our skin is the largest organ in our body as you know and we must take care of it. The good news is taking care of it can be easy when you have a routine that’s right for you. This applies to anyone who struggles with a dermatological condition such as acne, dandruff, skin cancer, those fighting signs of aging, and so many more.

I will provide some ideal routines both in office and at home for various dermatology concerns below that will ensure optimal results!

Are you concerned about skin cancer?

If you have a recent history of skin cancer you should be having a skin cancer screening every 3-6 months to ensure another one isn’t popping up. If no history of skin cancer then once a year is appropriate. At home you should be applying a sunscreen every morning and every 90 minutes if spending a fun day out in the sun.

Do you struggle with acne?

You will likely see your dermatology provider every 2-3 months at first, but once we find the right plan for you it may be only every 6-12 months. For your at-home routine, the saying “less is more” applies. You don’t want to over exfoliate or over dry your skin. Use a dermatologist recommended facewash and moisturizer that is non-comedogenic (meaning it won’t clog your pores) every morning and night. The facewash may include a benzoyl-peroxide, glycolic acid, or salicylic acid. However, you will likely benefit most from a prescription strength topical retinoid, which is the first line treatment for acne. This will be applied as a pea-sized amount for the whole face every night.

Do you want to prevent or reverse signs of aging?

There are many in-office procedures available such as Botox/Dysport, fillers, chemical peels, lasers, etc. Botox or Dysport will prevent and soften fine lines and wrinkles and treatments are recommended every 3-5 months, it varies person to person on how long it lasts. For chemical peels and lasers treatments are done every 4-6 weeks until desired results are achieved and then every 3-6 months for maintenance. Fillers are used to treat volume loss and deep wrinkles and typically lasts 6 months to a year depending on the filler chosen and the area being treated. While in-office routines can greatly improve our skin, a solid at home routine can too! My favorite daily routine is starting every morning with a glycolic acid cleanser, then applying topical vitamin C followed by a moisturizer with spf. At night I recommend using a hydrating cleanser, applying a prescription strength topical retinoid and then finish with a moisturizer that includes hyaluronic acid.

Do you have flares of eczema?

If so you may need to see your dermatologist every 2-4 weeks until it is under control. Once it has calmed down and you have a maintenance treatment plan, you should come in every 6-12 months. An at-home daily routine is key for preventing eczema, just like many other conditions of the skin. Avoiding fragranced lotions, soaps, and detergents and long hot showers combined with dermatologist recommended moisturizers 2-3 times a day. For some, you may also require a prescription strength topical steroid for flares or non-steroidal cream for prevention.

If you implement a solid skin care routine no matter the concern you will find your skin is more hydrated, the tone is even and the texture is smoother on a daily basis AND… you will maintain your results! If any of this sounds daunting and you don’t know what to do because there are thousands of skincare products available these days, then please schedule an appointment with your dermatology provider. We can form a routine that is completely catered to your skin and your desired outcome!

Featured Products

Neocutis Micro Night

preview imageDelivers essential nourishment to help revitalize and rejuvenate the appearance of skin through a combination of Proprietary Peptides, glycerin and essential moisturizing lipids to provide nightly anti-aging benefits with power of micro-proteins. Non-comedogenic • Dermatologist tested • Free of color additives and fragrances • Not tested on animals.

Benefits:

  • Revitalize with Proprietary Peptides
  • Hydrates with glycerin, wheat germ oil and essential moisturizing lipids
  • Replenish

Neocutis Micro Firmpreview image

An intensive anti-aging treatment formulated specifically for the neck and décolleté. This moisturizing complex helps firm and tighten skin, support the restoration of lost collagen and elastin, and diminish the appearance of age spots and uneven skin tone. Non-comedogenic • Dermatologist tested • Free of color additives and fragrances • Not tested on animals.

Benefits:

  • Revitalize with proprietary peptides
  • Tighten, strengthen, retexturize, defend
  • Hydrates with glycerin, argan and jojoba oils and wild yam root extract

Confidence

Confidence comes from so many different places. Someone might feel confident about a physical aspect of themselves, perhaps their ability to perform something well, book-smarts or just an overall confidence that comes from happiness. This month we are focusing on confidence in not only yourselves, but MidState as providers of healthcare.

Many patients come to us for skin conditions that may not be life threatening but they affect their mental health. It’s just as important to feel good about yourself, after all self care is health care. In this months blog we will go over the different services that MidState offers that can help you boost your confidence from head to toe!

Common Skin Disorders

Some of the most common skin disorders can cause patients to be unhappy with their appearance. The good news is, there’s help! While there are a number of conditions that aren’t curable, there are treatments that MidState can offer to lessen or reduce the appearance of the issues that are associated with them and provide patients some comfort.

One of the most common skin disorders we treat is acne. In fact, acne is the most common skin condition in the US, affecting up to 50 million Americans annually. Approximately 85% of people ages 12-24 will experience at least minor acne however it can occur in up to 15% of adults. Treatment can range from creams like retinoids, benzoyl peroxide, salicylic acid and combinations of those. If a patient as cystic acne, treatment could involve prescription medications and antibiotics, as well as hormone therapy. Additionally, patients can have laser light therapy or corticosteroid injections for larger, painful breakouts. The important part is, treatment is available!

Eczema, or atopic dermatitis affects one in every 10 Americans. Typically, AD develops by age 5 and produces extremely itchy rashes that come and go. They can look like permanent goosebumps, dark patches, extremely dry skin, knots and red spots. The causes of AD are complex, and likely come from family history of AD, food allergies, asthma, your immune system, where you live, or external factors from everyday life such as tobacco smoke and pollution. Eczema is one of the conditions that cannot be cured, however proper treatment can control it. With a proper plan, you can reduce flare-ups, ease symptoms like itching, decrease your risk of developing thickened skin, lower your risk of infection. Medications like corticosteroids are prescribed and applied in conjunction with avoiding triggers to help patients.

Hidradenitis suppurativa, or HS has gotten some recent publicity as patients have taken to platforms like TikTok to bring it to light and find better cures. HS is a chronic, systemic (meaning it affects the entire body) inflammatory condition where an overactive immune condition causes inflammation under the surface of the skin. HS shows up as bumps, nodules and abscesses in the underarms, inner thighs, underneath breasts, buttocks, groin, back of the neck and ears. The cause of HS is unknown, and it can get worse overtime causing tracts or tunnels to form between abscessed deep within the skin. Some common misconceptions about HS are that it is caused by poor hygiene, or a patients weight. These are untrue, despite the exact cause being unknown it is directly linked to genetic and immune factors. Treatment options can range from antibiotics to corticosteroids, and even biologics have been used. In severe cases, surgery may be recommended to drain and separate lesions.

Botox & Fillers

Botox has been around since the late 1980’s and was invented by a Vancouver ophthalmologist and her husband, a dermatologist. In stark contrast, fillers have been used since the 1800’s when an Australian surgeon experimented with mineral oil & paraffin as soft tissue filler for facial defects! The first traditional collagen fillers however were approved by the FDA in 1981 and HA fillers in 2003.

Botox and fillers have gotten a bad rep with misconceptions like “you won’t be able to move your face”, or “you’ll look fake!” circulating around the procedures. The truth is, it takes A LOT to over do it and if you find a trained injector, board certified dermatologist or APRN/PA like at MidState your chances of mishaps are slim to none. For example, unless you’re ready to shell out $5,000+ you won’t be looking like Kim Kardashian anytime soon. It would take over 10 syringes to achieve that look, and most people are starting with less than half of that. Similarly, a trained injector won’t leave you looking lifeless or in a constant state of shock with your neurotoxins. The goal is to achieve a less stressed look, and reduce those lines and wrinkles.

Common areas that neurotoxins can be used in are-

  • Forehead
  • Frown lines (11’s)
  • Eyebrows
  • Top of the nose
  • Around the eyes/crows feet
  • Lipstick lines
  • Jawline/neck
  • Masseters (TMJ)
  • Chin (dimpling)

Some “off label” uses-

  • Hyperhidrosis (excessive sweating)
  • Migraines
  • Facial “lifts”
  • Facial “slimming”
  • Lip Flip

Common areas for filler-

  • Tear trough
  • Nasolabial folds (folds coming off the nose)
  • Cheeks
  • Marionette lines (smile lines)
  • Plump lips
  • Smooth chin
  • Rejuvenate hands
  • “Nose job”
  • Jawline

Lastly, and a new addition to the MidState line up is the Core to Floor program. While you might not associate your dermatologist with body contouring and pelvic floor treatment, the truth is physicians are always on the hunt for tools to add to their toolbox that can benefit their patients. The recent addition of the Core to Floor program that utilizes the Emsculpt Neo & Emsella devices is leaving patients with a sense of confidence like never before. Now you can tackle-

  • Core strength
  • Muscle definition
  • Back pain
  • Reverse muscle loss
  • Abdominal separation
  • Pelvic floor issues
  • Intimacy issues
  • Fat cell loss
  • Sooooo much more

The Emsculpt Neo is the first of it’s kind, simultaneously eliminating fat cells while building muscle. Back pain? Gone! Strengthen your core in four 30 minute sessions! Treatment areas include the abdomen, buttocks, arms, thighs and calves. Partnered with the Emsella, a revolutionary device that combats not only urinary incontinence, but intimacy issues, the Core to Floor program will leave you with a renewed confidence in all aspects of your life.

Featured Products

EltaMD AM Therapy Facial Moisturizer

EltaMD AM Therapy moisturizes while it smoothes skin texture and evens skin color and tone. This lightweight moisturizer stimulates the skin’s natural water system to moisturize without oil or heavy emollients. Hyaluronic acid helps increase moisture absorption and retention. AM Therapy is oil-free, fragrance-free, noncomedogenic and safe for sensitive skin.

Benefits:

  • Moisturizes and smoothes skin
  • Brightens and improves skin tone
  • Stimulates the skin’s natural water system

EltaMD PM Therapy Facial Moisturizer

EltaMD PM Therapy is oil-free, fragrance-free, noncomedogenic and safe for sensitive skin. Ceramides strengthen the skin’s natural moisture barrier. Niacinamide and antioxidants work to improve skin color and tone, while also speeding the metabolism to maximize the nightly skin repair process. Small rice protein peptides penetrate to stimulate cell growth and collagen formation, resulting in more skin elasticity. As it nurtures, revitalizes and oxygenates the skin, wrinkles fade and skin tone improves, resulting in a smoother, fresher appearance.

Benefits:

  • Strengthens skins natural moisture barrier
  • An antioxidant, peptide and ceramide blend helps diminish visible signs of aging
  • Repairs and restores elasticity and vitality

Expose Yourself

by Colby Beck, PA-C

 

Living in Florida, AKA “The Sunshine State” during the summer months is HOT. With scorching temperatures and humidity, many people tend to wear clothing such as bathing suits, shorts, and sleeveless tops that expose sensitive areas in attempt to stay cool. However, those who suffer from dermatological disorders may feel uncomfortable exposing their skin, especially in the summer. In this article, we are going to discuss options to treat these visibly affected areas so we can all feel comfortable and confident wearing those summer clothes.

Eczema, psoriasis, hidradenitis suppurativa, folliculitis, and intertrigo are only a few common skin conditions that can affect areas commonly exposed to the sun. I am going to briefly explain each condition and treatment options that are available.

  • Eczema is a chronic inflammatory skin condition that can be caused by genetics or environmental factors. It presents as an itchy, inflamed, dry rash. There are various treatment options for eczema. First and foremost, it is important to avoid known triggers (i.e. perfumes, lotions, washes, detergents, etc.) Using All brand Free and Clear detergent without any fabric softeners and/or dryer sheets, Dove sensitive skin body wash, Cetaphil or Vanicream face cleanser and moisturizers are just a few dermatologists recommended products. Eczema can also be triggered by dry skin, therefore moisturizing daily is of utmost importance. It is best to moisturize with a cream base multiple times throughout the day, and especially right after the shower. Patting your skin dry and then applying an emollient (Aquaphor, CeraVe Healing ointment, Vaseline) will help keep your skin hydrated. Prescription therapy is also used to treat eczema. Depending on the severity of your eczema, your provider may prescribe a single topical or a combination of treatments to clear your skin. Topical therapy includes topical steroids, topical calcineurin inhibitors (Elidel, Protopic), and Eucrisa. Systemic therapy may be necessary for more severe or refractory cases, which include oral steroids for quick relief or Dupixent injections for more long-term relief. Phototherapy is another treatment option that uses UV light to reduce symptoms.
  • Psoriasis is a chronic inflammatory condition that is genetic and caused by the immune system. Psoriasis presents as scaly, red, plaques, and in some cases joint pain. Psoriasis can affect any part of your skin, scalp, and even nails. It is most often triggered by infections, stress, or injury to the body. Since psoriasis is a chronic condition, it is important to identify triggers and limit them as much as possible to decrease flares. Try to find ways to decrease/manage stress in your life and decrease smoking. Treatment for psoriasis typically includes combination therapy. Providers may prescribe a combination of topical therapy (topical steroids, topical calcineurin inhibitors, topical retinoid, coal tar, or vitamin d analogue), phototherapy, systemic therapy or biologic therapy. Biologics are commonly used for psoriasis patients; especially those whose psoriasis is widespread or affecting sensitive areas such as palms/soles, genitalia, face etc. Biologics are typically injections that target specific parts of your immune system to decrease symptoms and disease process. Throughout the years, many classes of biologics have been developed that each target different parts of your immune system to alleviate symptoms. Therefore, if a patient fails one biologic, the provider can switch to a different class and see if another therapy works better.
  • Hidradenitis suppurativa (HS) is a chronic inflammatory disorder characterized by recurrent cyst/boils in the axillae, breast, groin, and buttock region. This condition is very painful and overtime can lead to severe scarring. Due to the natural course of this condition, it is important to diagnose and treat early to limit scarring. Those who have HS should wear loose fitting clothing to avoid friction and reduce flares. Weight gain also attributes to more flares therefore, losing weight can help alleviate symptoms. Smoking has been found to be a trigger for HS and patients are encouraged to quit. Treatment for HS includes washing the affected areas with antiseptic washes like benzoyl peroxide or Hibiclens. Oral antibiotics and topical antibiotics are also used to decrease bacteria and inflammation. Humira is biologic that has been approved to treat HS and many patients notice less flares being on Humira. There are also in office procedures that can alleviate painful cyst such as incision and drainage or injecting a steroid solution to decrease the inflammation. Excision of the cyst is sometimes necessary as well.
  • Folliculitis means inflammation of the hair follicles. Most women and men have probably experienced this at some point in their life, especially after shaving. This most often presents as inflamed, red, pimple like lesions. Even tight-fitting clothing can cause folliculitis due to friction. To reduce flares, you can wear loose fitting clothing and it is important to use a new razor each time you shave. Using hot water to soften hair prior to shaving, and shaving in the direction of hair growth will reduce flares as well. Treatment for folliculitis includes washing affected areas with Hibiclens or benzoyl peroxide wash. Topical antibiotics are effective for limited areas. In refractory or moderate/severe cases, oral antibiotics may be necessary.
  • Intertrigo is a rash that develops in sensitive areas such as axillae, inframammary areas of breast, and groin. It is found in the skin-on-skin areas and appears with red, inflamed, moist patches. Intertrigo starts after exposure to heat/humidity causing increased sweating and areas staying moist for prolonged periods. This condition is very commonly seen among those living in Florida due to activities such as routine yard work, walking at theme parks, and other activities done in the hot sun. Treatment focuses on keeping areas dry and clean. It is important to change out of wet/sweat soaked clothing. Providers typically prescribe a mixture of topical antifungals with topical steroids and absorbent powders to reduce symptoms and maintenance. Infections can occur in some patients and treatment with oral antifungals or antibiotics may be necessary.

Now that we have discussed several dermatological conditions that may prevent people from wearing that bikini or sleeveless top in the summer, let’s talk about something everyone suffers and can relate to…HAIR. I’m sure many can relate getting a last minute invitation that involves being in a bathing suit or shorts and a tank top and you have to jump in the shower to shave your legs, bikini area etc. It’s a burden in so many ways including time, but even worse is razor burn, and/or irritation from using shaving creams/gels. Fortunately, waxing and laser hair removal are great alternatives to shaving with a razor. Laser hair removal is a very quick and effective procedure to rid unwanted hair. It works by targeting dark pigmented hair and cannot remove “peach fuzz”. It takes multiple treatments depending on the body area, and the pain associated with this treatment is tolerable. You can always apply topical numbing prior to appointment for a more comfortable experience. Laser hair removal is definitely worth every penny to not have to worry about shaving for those last minute plans.

Lastly, I am going to address the most important thing, which is sun protection. The summer months in Florida offer so many outdoor activities such as boating, theme parks, cook outs, etc.  It’s all fun and games until the next day waking up with that red, crisp sunburn. Sunscreen is not only important in protecting your skin from skin cancer, but also preventing physical signs of aging. Sun exposure is one of the main contributors to aging and there are many ways to protect your skin. A broad-spectrum mineral based (zinc/titanium) sunscreen should be used daily on the commonly exposed areas including face, neck, chest, arms. If you are in the sun for longer periods, it’s important to apply sunscreen to all exposed areas and reapply at least every 2 hours. You may need to apply more frequently if you are sweating or swimming. Another way to protect your skin from the sun is with clothing. Wide brim hats that cover ears, neck, and face are best. Temperature regulated clothing with UPF are also great options when outside that provide coverage but not warmth.

I hope anyone suffering with any of the above conditions realizes there is treatment options available to them and calls any of our offices to get them summer ready!

Featured Products

EltaMD UV Sport SPF 50

Have your fun in the sun—but play it safe. This sunscreen is great for swimmers, skiers, runners, golfers and other athletes – or for those who just love to be outdoors! UV Sport is water-resistant so it won’t rinse off in water or drip into your eyes and sting when you sweat.

 

Benefits:

  • UVA/UVB sun protection
  • Will not rinse off in water or drip into eyes due to perspiration
  • Water-resistant (80 minutes)

Neocutis Micro Day

Revitalizing & Tightening Day Cream SPF 30. A powerful day cream that provides four benefits in one: skin revitalization, anti-oxidant care, broad-spectrum UVA and UVB protection and lasting hydration.

Benefits:

  • Revitalize with Proprietary Peptides
  • Hydrate with glycerin and sodium hyaluronate
  • Defend against free radicals with a blend of green tea extract, vitamin C and E plus melanin
  • Protect from photo aging and photo damage with zinc oxide
  • Replenish and restore moisture

Melanoma May

By Dr. Jessin Blossom

 

 

 

 

Melanoma is a type of skin cancer that develops when melanocytes (the cells that give the skin its tan or brown color) start to grow out of control. Melanoma is much less common than some other types of skin cancers. But melanoma is more dangerous because it’s much more likely to spread to other parts of the body if not caught and treated early. Skin cancer screenings are the best way to catch it in the early stages, and also the best pathway to treatment.

Melanoma can arise in a preexisting mole or show up all by themselves. Often times, it’s an irregular dark spot that you notice changes rapidly. Living in Florida, an annual skin exam is a must!!

Dermatologists have many tools at their ready to help patients diagnose their melanoma. Dermoscopy, which involves examination of the skin using skin surface microscopy, total body photography, biopsy and genetic testing of lesions. Treatment can involve excision, immunotherapy, radiation therapy and other options.

There are options when it comes to treating your other skin cancers. One that is performed here at MidState for basal cell and squamous cell carcinoma is Moh’s Surgery. Moh’s is considered a skin conservation surgery. This surgery has a unique benefit in that during surgery, the surgeon can see where the cancer stops. This isn’t possible with other types of treatment for skin cancer.

The ability to see where the cancer stops gives Mohs (pronounced Moes) two important advantages:

  1. Mohs has a high cure rate.
  2. Mohs allows you to keep as much healthy skin as possible because the surgeon only removes the skin with cancer cells. This is especially important when skin cancer develops in an area with little tissue beneath (e.g., eyelid, ear, or hand).

On the day of the surgery, your surgeon will first examine the area to be treated. You’ll then be prepped. This includes giving you an injection of anesthetic. This injection only numbs the area that will be operated on, so you’ll be awake during the surgery. Once the anesthetic takes effect, the surgeon starts by first cutting out the visible skin cancer. Next, the surgeon removes a thin layer of surrounding skin. You’re then bandaged so that you can wait comfortably in our private Moh’s patient lounge (complete with snacks and coffee!). While you wait, the Mohs surgeon looks at the removed skin under a microscope with slides prepared by our histotech. The surgeon is looking for cancer cells and clear margins. If cancer cells are found, patients would go back for a second removal of tissue. This process of removing a thin layer of skin and looking at it under a microscope continues until the surgeon no longer sees cancer cells.

Having any type of surgery can be scary. If your dermatologist recommends Mohs, you can take comfort in knowing a what to expect. Mohs has a high cure rate. Your surgeon will remove the least amount of skin needed to treat the cancer.

What’s a physical sunblock?

Some sunscreen brands might throw around the term “physical” blocker as opposed to “chemical” blocker. You might be curious what that means when it comes to the type of protection you’re getting. Physical sunblock’s such as titanium or zinc oxide do not get broken down by the suns UV rays. The same can’t be said for chemical blockers like avobenzone or oxybenzone which are degraded by sunlight. While it’s always a good idea to reapply your sunscreen, physical blockers will offer more protection in the long run.

So what’s the best physical blocker besides the ones you apply? Clothing!! Covering up in hats, shirts and clothing with a UPF rating of 50 or higher will always be the most fool proof way to prevent sunburns. Some of our favorite brands are Columbia sun shirts, and Coolibar clothing.

When it comes to head protection, a wide brim hat wins the award for best coverage. It doesn’t leave the ears, neck and cheeks exposed to the harmful rays.

Why should you pay for that?

Have you ever had that thought cross your mind when your doctor tells you their recommendations for products? Typically their cost is slightly higher, and you have to buy them in office, but your doctor has your best interest in mind.

Dermatologist “brands” have been put through more research and have science behind the ingredients in the products to ensure optimal delivery in every product. Brands are chosen with the best efficacy and stability. For example, your average over the counter vitamin C is degraded the instant you open it by heat and light. The dermatologist brand recommended and sold at MidState, Rose Skin Care, was chosen because of it’s stability in testing and it’s longevity. So while you might pay slightly more, you’re getting better results.

All the cosmecueticals sold at MidState have not only been tested by our dermatologists and staff, but they’re chosen to ensure they aren’t irritating to your skin. You wouldn’t consult a car salesman to do your taxes, so don’t listen to Tiktok or Twitter for your skincare.

May Featured Products

EltaMD UV Elements is a 100% physical sunscreen in a tinted, moisturizing base. It is gentle for even the most sensitive skin types, including post-procedure skin. Its chemical-free actives, zinc oxide and titanium dioxide, provide safe but sure sun protection. These mineral-based UV filters work with ultra-hydrating hyaluronic acid to protect and hydrate the skin. UV Elements has a universal tint that beautifully enhances most skin tones for a more youthful appearance.

Benefits:

  • UVA/UVB sun protection
  • Chemical-free UV filters
  • Hyaluronic acid boosts moisture-retention for a smoother, more youthful appearance
  • Water-resistant (40 minutes)
  • Dye-free

EltaMD UV Aero provides sheer but sure sun protection. This continuous spray sunscreen makes it easy to protect hard-to-reach places. EltaMD UV Aero sprays on white so you can see coverage then dries clear when rubbed in.

Benefits:

  • UVA/UVB sun protection
  • Continuous spray convenience
  • Water-resistant (80 minutes)

Dr. Puja KathrotiyaVitamins for Skincare

By Dr. Puja Kathrotiya

 

 

 

  1. Vitamin A derivatives

    Referred to as retinoids, or retinols

  • Can be found in over the counter skincare products as well as prescription creams

Benefits

  • Increases skin cell turnover, leaving skin looking younger, smoother and brighter
  • Increases collagen production, reduces appearance of wrinkles, fine lines and prevents skin from getting thin
  • Decreases sebaceous gland activity,  helps prevent comedone (black-head, white head) formation and treats acne
  • Anti-inflammatory, treats acne and other inflammatory skin conditions

OTC recommendations:

  • RoC retinol correxion Deep Wrinkle Night Cream
  • Neutrogena Rapid Wrinkle Repair
  • La Roche Posay Pure Retinol Face Serum
  • Elizabeth Arden Retinol Ceramidses Capsules
  • Olay Regenerist Retinol 24
  1. Vitamin B3

    Referred to as Niacinamide, Nicotinamide

Benefits

  • Helps reduce hyperpigmentation (helps treat melasma, or post-inflammatory hyperpigmentation from acne, ingrown hairs, etc)
  • Helps reduce sebum production (helps with excessively oily skin, and acne)
  • Helps decrease redness and inflammation (helps with inflammatory skin conditions such as acne, rosacea, perioral dermatitis)

OTC Recommendations:

  • CeraVe Skin Renewing Night cream
  • Paula’s Choice Niacinamide 20% Treatment
  • The Ordinary Niacinamide 10% + Zinc 1%
  • Olay Tone Perfection Serum B3 + Vitamin C
  1. Vitamin C

    Referred to as L-Ascorbic acid

  • Helps reduce hyperpigmentation (helps fade sunspots, post-inflammatory hyperpigmentation)
  • Boosts UV protection when used in conjunction with a sunscreen (keeps skin looking younger, and  thicker)
  • Helps increase collagen production (helps prevent fine lines, wrinkles and maintain skin thickness)

OTC Recommendations:

  • Neutrogena Rapid Tone Repair 20% Vitamin C serum
  • La Roche Posay Active C10 Dermatological Anti-Wrinkle Concentrate
  • CeraVe Skin Renewing Vitamin C Serum
  • RoC Multi Correxion Revive + Glow Daily Serum + Vitamin C
  1. Vitamin E

    Referred to as Tocopherol

  • A fat soluble anti-oxidant that has emollient like properties (keeps skin soft and hydrated)
  • Helps prevent against sun-damage (prevents sun-induced damage such as sunspots, freckles, and lines)

OTC Recommendations:

  • Olay Total Effects 7 in 1 Moisturizer
  • CeraVe Skin Renewing Night Cream
  • Cetaphil Deep Hydration 48 Hour Activation Serum

April Featured Products

   

An Ounce of Prevention is Worth a Pound of Cure

By Katie Keel- APRN-C & MidState Skin Institute

Now that January and February are behind us it’s time to ask – did you keep your New Year’s Resolutions? About 50% of adults in the US make New Year’s Resolutions but fewer than 10% actually keep them. If you were one of the 90% of those who don’t, it’s not too late to make a new one. One you can keep and reap the benefits for years to come. One you don’t have to wake up at 5am to get to the gym for or miss out on your favorite candy, chip, or baked good. Let’s pick one you can do in the comfort of your own bathroom and takes 2-3 minutes, the same amount of time you spend brushing your teeth. Let’s take care of our skin!

“You can’t help getting older, but you don’t have to get old.” – George Burns

At MidState Skin we like to change that quote a little bit – You can’t help getting older but you don’t have to LOOK old. This month we will discuss with you how to fight looking older, tooth and nail, but first we need a bit of background to discuss the pathology behind lines, wrinkles, skin discoloration and aging. Lines and wrinkles form from a combination of sun damage, gravity, smoking, genetics and muscle movement.

Although some of these things we don’t have control over, the good news is many of these factors we do have control over. First, sun damage – in case you haven’t heard, sunscreen is your friend. The key is finding one that is a physical or mineral sunscreen that contains active ingredients like zinc oxide and titanium dioxide. Apply it every morning even if it’s raining or you “aren’t going anywhere”. It is the little bit of sun exposure every day while driving in the car, walking to get the mail or into the store that accumulates and accelerates skin aging.

Gravity – darn you Sir Isaac Newton, can’t control this one, we will skip it.

Smoking – if you never have, never start, and if you currently smoke there are so many options to help quit. On average it takes seven times to successfully stop smoking. If you slip, get back up and try again. You are not alone.

Genetics – quite literally you can’t live without them. We all have that friend that uses only water to wash their face and Ponds Cold Cream to moisturize and doesn’t have a single spot, line, wrinkle, or acne bump. More likely than Ponds Cold Cream being a miracle product, your friend probably is just blessed with that skin genetically.

Notice we saved the best for last – muscle movement. Despite great advertising and famous paid spokespeople there is nothing topically that will decrease the muscle movement beneath the skin which is driving the collagen loss and furrows and lines. We call these dynamic wrinkles. Each muscle contraction and facial movement causes the skin to bunch together forming lines between the bulk of the muscle. Dynamic lines include the “frown” lines between your eyebrows, “crows feet” on either side of your eyes, and horizontal forehead lines. Once you see fine lines forming the damage is being done. It is time to seriously think about a sprinkle of Botox. The longer you wait because you “aren’t old enough for Botox”, the harder and more expensive it is going to be to improve those lines.

Contrary to popular belief, well placed Botox will not make you look fake or frozen. In fact, well placed Botox will result in barely perceptible decrease in expressions and amazing relaxation of the dynamic lines of your face. Your friends and family won’t be asking if you got Botox, they will be asking you if you got your hair done or what makeup or moisturizer you are using. There is a high likelihood your friend that “only washes her face with water and uses Ponds Cold Cream to moisturize” is sitting in our Botox cosmetic chair as we speak.

But – you may say – Botox is too expensive – WRONG. You can achieve a full face refreshed, natural result from Botox for about 35 – 40 units which will last 3-4 months. For $25 a week, you can have less lines on your face and look more refreshed and radiant. Remember, the deeper the line, the more Botox will be needed; therefore increased cost if you decide to wait until you are “old enough”.

There is no magic age to start but remember, “an ounce of prevention is worth a pound of cure”. Why is it no one bats an eye when you start eating healthier, exercising, reading more, drinking more water, highlighting your hair and getting a fun haircut, or getting a well-deserved pedicure but Botox and filler has to be such a taboo subject? Well it is 2021 and it doesn’t have to be taboo anymore if we don’t let it.

Like all great things in life, repetition, consistency and maintenance is key – whether it is exercising, relationships, eating right, parenting or keeping up with never ending laundry and housework.  Your mind and your body and your health are your greatest gift and it’s time you start investing in all three if you aren’t already. You can invest in your mind by reading, meditating, praying, learning a new language to name a few. You can invest in your body and your health by eating clean, moving your body, and stopping (or at least decreasing frequency of) habits like smoking or fast food.  Let’s take this a step further and discuss investing in your skin!

You owe it to yourself (and your skin) to set aside a couple minutes in the morning and before bed to cleanse, treat, and moisturize. However, walking the aisle in the personal care/beauty section of a store is overwhelming. There are so many options for cleansing, treating and moisturizing where do you start? Let’s start at the basics: cleanse, treat, moisturize and prevent.

This chart below can be printed, taken to the store as your shopping list and taped to your bathroom mirror until it becomes second nature. There are two columns – one for medical grade skincare and one for drugstore finds. Medical grade skincare is of higher potency and active ingredients and therefore is typically a bit more of an investment. If you have been trying drugstore products and not seeing results, it is probably time to run to your dermatologist’s office to pick up something a little more potent.

Good habits start young and in conclusion we will touch on adolescent issues or teenage skincare. Starting a good skincare routine early in life can make it a habit that lasts into adulthood. Good, consistent skin care can help prevent or control acne, prevent acne scarring and prevent sun damage and pigmentation.  Acne scars, sun damage and pigmentation can be forever or extremely expensive to improve (note: we did not use the word cure or fix). What doesn’t bother a teen now, might when they get a little older or in adulthood. A good teenage skincare regimen doesn’t have to be complex or expensive, but it does have to be consistent. Waking up 2 minutes early each day to ensure at least a 30 second cleanse and moisturizer with sunscreen is key to good habits and clearer skin. Trying to tell a teenager this is difficult but if you buy them, number them in order of use or tape instructions to their mirror, there is a good chance they will use them. You can lead a horse to water but you can’t make him drink is true, but if you make it easy and put it in clear line of sight, likelihood increases.

There is no more profitable investment than investing in yourself and an investment in yourself pays the highest dividends. If there is anything we at MidState can do to help your skin goals please give us a call!

Featured Products

Lipid Replacing Cleansing Gel

This revitalizing cleanser effectively removes dirt, makeup and excess lipids without damaging the skin barrier.

BENEFITS

  • Non-irritating foaming gel cleanser
  • Slightly acidic pH
  • Excellent professional cleanser that works well prior to microdermabrasion, chemical peeling, enzyme or oxygen treatments

 

 

 Micro-Exfoliating Honey Cleanser

Micro-beads of natural beeswax gently cleanse and exfoliate, while absorbing excess oil. Leaves all skin types feeling fresh and revitalized.

BENEFITS

  • Gently exfoliates, leaving the skin silky and smooth
  • Naturally oil absorbing and hydrating at the same time
  • Fragrance-free and sulfate-free
  • Gentle enough to be used twice daily

Allison Weber, APRN-CThe Cost of Keeping Up

By Allison Weber- APRN-C & MidState Skin Institute

The cost of treatment will always outweigh the cost of prevention. This holds especially true when it comes to your skin. Once a skin condition has set in, it’s exponentially harder to get rid of. Let’s take a look at some of the costs to prevent these skin issues vs. the cost of treatment.

Melasma and sun spots are common in our beautiful sunshine state. Typically found on the cheeks, nose, forehead and chin, melasma or sun spots are dark grey/brown patches. Prevention starts early, and it’s simple- sunscreen! Choosing a broadband, SPF 30 or higher product with zinc/titanium dioxide and applying it every 2 hours might be the easiest prevention tip we have. Allison Weber, APRN-C at MidState, says her favorite SPF is EltaMD. Treatment for melasma/sun spots can take months, and involve a plethora of options such as prescription topical hydroquinone ($10-100), topical retinoids ($50+), cosmetic peels ($90+), Vitamin C ($20+) and tranexamic acid ($20+). It’s important to note, some forms of melasma are hormonal and may not be preventable.

Wrinkles are a natural part of aging; we can’t change our DNA. However, there are many factors that can speed up aging skin such as excessive exposure to UV rays, smoking, dehydration and pollutants. Prevention of wrinkles should involve daily sunscreen ($10+), a consistent skincare routine ($20-100) and a healthy lifestyle. Additionally, starting preventative neurotoxins like Botox early on can lessen the amount of neurotoxin that’s needed ($100+), and also the number of areas to be treated. Late treatment of wrinkles can almost double the cost of your skin care regime. Not to mention, not keeping up with your health may result in more than just a trip to the dermatologist. Treatment of deep, set in lines could require more product resulting in higher costs ($300+) and additional treatments.

Dyshidrotic eczema is a form of eczema that shows up on the hands or feet, and causes tiny, intensely itchy blisters. For most people, having dyshidrotic eczema falls somewhere between having it once (3-4 weeks) and living with the chronic, debilitating condition. Moisturizer plays a key role in helping your skin heal, and stay healthy. Dermatologists recommend you use a fragrance-free ointment or cream (not lotion) to help prevent skin from reaching the point of severe irritation. A MidState favorite is CeraVe Moisturizing Cream that can be found at your local drug store for $10-15. Alternatively, treating dyshidrotic eczema can involve prescription topical treatments, multiple visits to the dermatologist and steroid injections. Depending on insurance and severity you could be looking at months of treatment and $100’s.
Consistency is key. Keeping up with your skin care is health care. Once a day care adds up to weekly, monthly and yearly benefits. Conversely, neglecting your skin can add up as well. Put the time into yourself, it’s a good return on investment.

Splurge Worthy-
1. Dr. Brandt- No More Baggage
2. Neocutis- Bio Cream
3. Neocutis- Lumiere
4. EltaMD- Barrier Renewal Complex
5. EltaMD- So Silky Hand Cream
6. EltaMD- UV Broadband SPF
Drug Store Finds
1. Yes to Tea Tree- Scalp Relief
2. CeraVe- Vitamin C Serum
3. Vichy- Mineral 89
4. Aveeno- Repairing Cica Hand Mask
5. Burts Bees- Lip Scrub
6. Neutrogena- Hydro Boost Water Gel
7. Neutrogena- Rapid Wrinkle Repair

2020 was definitely a memorable year. As a society, we navigated a crippling pandemic, social isolation, divisive politics, and riots for racial justice. Some of us lost love ones, some of us lost our livelihood, some of us lost our hope. We could dwell on all that negativity or, we could be thankful we are a strong, resilient, loving species and approach 2021 with a refreshed attitude and the confidence to face what tomorrow brings us without fear. That’s what I’m choosing.

Regarding skin, this is a great time of year to start undoing all the damage we did from the summer. Procedures like chemical peels and IPL that we use to treat sunspots require sun avoidance for a couple of weeks which makes these cold winter months ideal timing for scheduling that. Also, if you haven’t already lasered unwanted hair on your body, getting started now, will ensure soft smooth hairless skin in time for summer.

As we look to set resolutions, make goals, and dream big, I encourage you to focus on health, energy and happiness. Be well my friends!

Happy New Year!

 

WINTER AESTHETICS
Did you know there’s a season for certain aesthetics procedures?

Despite the fact we’re here in sunny Florida, sweater weather is upon us! The winter months are a great time for procedures that have a little longer downtime, and the perfect opportunity to hibernate and recover. Let’s look at a few.

IPL- Intense Pulse Light is used to treat a myriad of issues such as wrinkles, age and sun spots, birthmarks, varicose veins, rosacea and so much more! Since it’s recommended to avoid sunlight, these winter months are perfect to start your treatments.

Laser Hair Removal- Laser hair removal is best done when you will have no sun exposure, because it reduces the risk of pigmentation. Treatment can take multiple sessions, so doing it in the winter months when the beach is less tempting is the ideal time.

Sclerotherapy- Treating spider and varicose veins can be hot, not that way! Some patient require compression socks and hosiery, so it’s not always preferable to start these when the temperatures are hitting triple digits. “Pants” season is a convenient excuse, and can allow you plenty of time to heal without anyone ever knowing.

Chemical Peels- Limiting sun exposure after a chemical peel is a crucial part of healing. Peels can make your fresh, baby smooth skin more susceptible to burn and that’s why these chillier months are called peel season.

Ready to book? Call Anna now! 352-512-0092