June Newsletter

by Dr. Ashley Cauthen

Mens Health Month

We all know some men tend to neglect their health. This is so prevalent that the month of June is devoted to Men’s Health awareness. Maintaining good overall health involves taking care of every aspect of your body, including your skin. While often overlooked, men’s dermatological health is essential for both appearance and overall well-being. In this months newsletter, we will focus on dermatologic conditions that more commonly afflict men.

Some of the more common skin ailments men deal with include acne, seborrheic dermatitis, fungal infections, razor bumps, male pattern baldness, scrotal dermatitis, and skin cancer.

  1. Acne: Acne is a common skin condition that can affect men of all ages. It occurs when hair follicles become clogged with oil and dead skin cells, leading to the formation of pimples, blackheads, and whiteheads. This occurs most commonly in teen years when testosterone is surging and good hygiene practices haven’t yet been implemented. It has also become more prevalent in middle aged men as testosterone replacement therapy has become popular.
  2. Seborrheic dermatitis: Seborrheic dermatitis is characterized by red, itchy, and flaky patches on the scalp, face (especially hair bearing areas like eyebrows and beard), ears, and other oily areas of the body. The cause is multifactorial but an overgrowth of a type of yeast called Malassezia is often involved. Men tend to be more prone to this condition due to increased oil production and more facial hair. This condition is also more commonly seen in patients with Parkinson’s disease. Over-the-counter or prescription shampoos containing ketoconazole, selenium sulfide, or pyrithione zinc can help relieve symptoms.
  3. Fungal infections: Men are susceptible to various fungal infections such as athlete’s foot (tinea pedis) and jock itch (tinea cruris). These infections thrive in warm and moist environments, making areas like the feet, groin, and armpits prone to infection. Most of the time these can be treated with topical antifungal creams, but more severe cases require oral antifungal treatment. It is important to treat your shoes to prevent reinfection.
  4. Razor bumps: Men who shave regularly may experience razor bumps, also known as pseudofolliculitis barbae (PFB). Razor bumps occur when shaved hairs curl back and grow into the skin, leading to inflammation, redness, and small bumps. PFB is more prevalent in men with curly or coarse facial hair. Using a sharp razor, shaving in the direction of hair growth, and applying a soothing aftershave can help prevent this condition.
  5. Male pattern baldness: Is a common condition causing hair loss. It is also called androgenetic alopecia and typically starts with a receding hairline and thinning on the crown of the head. This type of hair loss is primarily caused by genetic factors and hormonal changes. While there is no cure for this type of hair loss, there are several treatment options to slow the progression and promote hair growth. The most common medications used include minoxidil (topical and oral) and finasteride. In cases where significant hair loss has occurred, hair transplant surgery may be an option.
  6. Scrotal dermatitis: This refers to inflammation and irritation of the skin on the scrotum. It can be caused by various factors such as allergic reactions, fungal or bacterial infections, excessive sweating, or friction from clothing. Proper hygiene and wearing breathable fabrics can help prevent scrotal dermatitis. Sometimes despite these efforts, a prescription strength cream will need to be prescribed to treat this condition.
  7. Skin cancer/Sun damage: Overexposure to the sun’s UV rays can lead to premature aging, wrinkles, and an increased risk of skin cancer. While both sexes can certainly be at risk for this, occupational exposure and less consistent sunscreen use, put males at higher risk. Studies have shown that men are more neglectful at having non healing lesions evaluated which leads to skin cancer being diagnosed at a later stage and requiring more invasive treatment modalities.

It’s important to consult with a dermatologic provider for accurate diagnosis and appropriate treatment if you suspect you have any of these skin conditions. We can provide personalized advice and recommend suitable skincare routines or medications to alleviate symptoms.


Featured Products

EltaMD Aox Mist

A sheer-finish 100% mineral sunscreen spray that’s enriched with antioxidants to help prevent premature aging and rejuvenate skin.

  • Broad-Spectrum SPF 40
  • Transparent Zinc Oxide finish
  • Enriched with skin-rejuvenating antioxidants
  • Visibly reduces signs of premature aging
  • Gentle formula for daily use on body & face
  • Water resistant for up to 40 minutes

Skinbetter Sunbetter Tone Smart SPF 45

Our highest level of sun protection in a tone-adapting, creamy lotion that provides a hint of color.

Why You’ll Love It: Free of pore-clogging oils, broad spectrum sunscreen acts as a primer under makeup or in place of a light coverage foundation. Helps prevent sunburn if used as directed with other sun protection measures to decrease the risk of skin cancer and early skin aging caused by the sun.


  • 100% mineral, non-nano sunscreen actives with no shaking required.
  • Extraordinary level of protection against UVA (aging), UVB (burning) rays.
  • Benefits beyond UV, including blue light, pollution and infrared radiation.
  • 80-minute water resistancw

May Newsletter

Sierra Rebchook, PA-CBy Sierra Mahoney, PA-C

Melanoma May!

April showers bring May flowers, and the flowers certainly are in full bloom this season! It’s warm, the sun is shining, and the sweet smell of melanoma is in the air.

“Melanoma is the most serious form of skin cancer, characterized by the uncontrolled growth of pigment-producing cells. Sadly, melanoma rates in the United States doubled from 1988 to 2019, and worldwide, the number of melanoma diagnoses are expected to increase by more than 50% by 2040”, according to the American Academy of Dermatology Association. The good news is that melanoma is treatable when caught early. Here at Midstate Skin Institute, we recommend that everyone over the age of thirty get at least one annual skin exam to help detect and treat melanoma- as well as other forms of skin cancer.

Living in Florida has many wonderful benefits, one of which being the warm, sunny climate. However, more sun means more UV ray exposure which means more skin cancer. One of my favorite lines to tell patients is that everyone will develop a skin cancer at some point if they live long enough. This is because our skin can only handle so much UV radiation before cells start to misbehave, which is why establishing care with a dermatology practice is so important. So, what are some things you can do as a patient to help ensure your skin stays as healthy as possible?

1. Wear Sunscreen

We all know that “back in the day,” baby oil and iodine was the perfect way to develop the nice, crisp, golden-brown tan…and to increase your risk of developing melanoma. Interestingly enough, there is a genetic component to melanoma, which can sometimes explain why we see melanoma in young kids, or in places where the sun does not shine, like in between the toes (RIP Bob Marley) or in the genital region, which leads me to my next point…

2. Fully undress for skin exams

As uncomfortable as it may be, removing all undergarments, shoes and socks during skin exams just may save your life. My favorite joke to tell patients when they come in for skin exams and do not wish to fully undress is that my x-ray vision is not working today…however, this is true. I just recently had a patient develop a melanoma between his toes who had been seen for “waist up” skin exams for years. Luckily, the melanoma was discovered in the very beginning stages, but had he not removed his shoes and socks this time, the story may have ended differently. Please do not let insecurities, being “too cold,” or not “feeling” like fully undressing be the thing that prevents catching something potentially life-threatening on your skin. Taking the extra 30 seconds to fully undress just may save your life.

3. Be an advocate for yourself

As a dermatology provider I can whole-heartedly say that I do my best to diagnose and treat every possible harm that may come your way…however, you know your body best and we at Midstate Skin Institute will not dismiss or ignore anything that you as a patient have a concern about. Not all melanomas “read the textbook,” so it is especially important that you advocate for yourself as patient. See a new mole appear (especially after the age of forty) and want to have it looked at? Notice a change in a pre-existing spot? Have a spot that looks different than your other spots?

Develop a spot that is tender to the touch or that bleeds spontaneously? Please call or schedule an appointment online so we can help treat you accordingly.

4. Stay Informed

While (unfortunately) it is true that not all melanomas read the textbook, there is a quite easy and fairly accurate mnemonic that everyone should know when it comes to detecting a melanoma: ABCDE.

A: Asymmetry (does one part of the spot look different from the other? Make an appointment in office)

B: Borders (does a spot have weird borders surrounding it or an unusual shape? Make an appointment in office)

C: Colors (pinks, blues, grays, and blacks are not always normal. If you see this in a spot, make an appointment in office)

D: Diameter (the larger the spot, the more concerning. If you see a spot growing- make an appointment in office)

E: Evolution (have a spot that started out looking one way, and has morphed/changed over time in size, shape, color, or appearance? Make an appointment in office).

There is far more that could be said on the topic, but the bottom line is that we love and care for our patients here at Midstate Skin Institute and we always want what is best for you. Please come and see our smiling faces so we can continue to work together to provide you with the best care possible and to keep your skin as healthy as possible this blossoming season!


Featured Products

Circadia Amandola Milk Cleanser

This conditioning almond milk cleanser contains Lactic and Mandelic Acids that gently exfoliate, hydrate and brighten damaged skin


  • Non-foaming cleanser
  • Exfoliating benefits of lactic and mandelic acids
  • Skin brightening and hydrating

Circadia Lipid Replacing Cleansing Gel

This revitalizing cleanser effectively removes dirt, makeup, and excess oil without damaging the skin barrier or denaturing keratin. Best for normal or slightly oil skin.


  • Non-irritating foaming gel
  • Slightly acidic pH


Circadia 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.


    • Gently exfoliates, leaving the skin silky and smooth
    • Naturally oil absorbing and hydrating
    • Gentle enough to be used twice daily

April Newsletter

Colby BeckBy Colby Crile, PA-C

Stress and your skin

April is National Anxiety Awareness Month! What an important topic that does not get talked about enough! Unfortunately mental illness has a stigma associated with it even though it affects so many. According to the National Alliance of Mental Illness, 1 in 5 US adults experience mental illness each year. Mental illness includes but is not limited to anxiety, depression, PTSD, eating disorders, etc. Anxiety affects so many individuals on some level or another and can look different for each person. Anxiety can feel like nerves, unable to relax, constant worry, etc. It can manifest itself physically by being unable to sit still, teeth grinding, nausea, headaches, changes in bowel habits, and even panic attacks. Most anxiety can stem from finances, work, relationships, etc. but it can also be from fears and phobias. Now as you can imagine, stress can largely play a role in making anxiety worse. According to the American Institute of Stress “Americans are one of the most stressed out in the world. The current stress level experienced by Americans is 20 percentage points higher than the global average”.


Now relating this back to the dermatology world. Unlike other conditions such as high blood pressure or high cholesterol which are internal; dermatological conditions manifest themselves externally making them visible to others. This can significantly impact a persons self esteem and cause stress, anxiety, depression etc. I have seen mental illness and stress make certain diseases/disorders significantly worse. I have personally suffered from cystic acne most of my life. Having cystic acne has impacted my self esteem and confidence. There has been times when I wouldn’t leave the house without make up or wanted to attend certain social events because of it. When you have a condition that other people can see, that’s all you can think about In social situations. Are they looking at my acne or staring at my pimple? Did they not shake my hand or give me a hug because they think my rash is contagious? This is just a few examples of internal dialogue that could be happening for someone struggling with a skin condition that is causing anxiety and stress. I have seen eczema, psoriasis, acne, hidradenitis suppurativa and more significantly impact a patient’s mental health. I think it is extremely important to consider and address when treating patients.


Managing the anxiety/stress is the hard part. Common unhealthy coping skills include binge eating, sedentary lifestyle, excessive caffeine consumption, drinking alcohol. All of these can actually make your anxiety worse and increase your stress level. Healthy coping mechanisms include exercising, meditation, spending time with family or friends, taking time for yourself, decrease caffeine consumption and increase water. Therapy and speaking with health care providers about treatment options including medication is another great option. Speaking to a therapist can allow you to gain tools to better manage your symptoms when triggered.


In conclusion, it is important to remember you are not alone in this battle of stress and mental illness. We have all faced some form of it at one point in our lives. Speaking about your feelings and symptoms to others is the only way to gain awareness and make others feel comfortable and confident talking about it too. Being open and honest about mental health could make a big impact in yours or someones else life.





Featured Products

ISDIN Melatonik

Your beauty sleep redefined. Melatonik® is a restorative night time serum-in-oil which works while you sleep to help your skin recover from daily stresses. The 3-in-1 formula containing melatonin, bakuchiol and vitamin C stimulates natural antioxidant defenses and helps to restore vitality and elasticity, for radiant, healthy skin.


  • Stimulates skin’s natural antioxidant defenses at night, helping to combat free radicals and repair oxidative damage accumulated during the day.
  • Supports collagen and elastin and helps to boost skin elasticity and firmness, while reducing the appearance of fine lines and wrinkles.
  • Provides overnight hydration and reinforces the skin’s moisture barrier for up to 8 hours after application¹, giving skin a healthy glow.

ISDIN Retinal Advanced

Retinal Advanced is a youth-boosting night serum that helps visibly reduce wrinkles and fine lines. Designed with an innovative dual-phase technology, it combines the power of retinaldehyde, melatonin and bakuchiol with Soothing Complex at the moment of application. Add it gradually into your PM routine to unveil smooth, rejuvenated skin after 4 weeks.


  • Reduces wrinkles and fine lines, smoothing the skin for a younger-looking complexion.
  • Promotes gentle skin surface turnover, helping improve the skin’s overall texture and appearance.
  • Hydrates and calms the skin, minimizing the sensation of dryness.

March Newsletter

By Brooklynn Curley, APRN

A Healthy Body = A Healthy Mind

Long ago; Hippocrates, an ancient Greek physician, once said, “let thy food be thy medicine”. This is a powerful quote that still holds true today.  March is my favorite month and not only because it is my birthday month. March represents National Nutrition Month, and this is such a powerful thing. One of the few things in this life that we have control over is what we choose to fuel our bodies with. This decision alone can affect us in so many ways including our health, energy, performance, mind, body, and spirit. So let’s dive in on some tips to help you become the best version of yourself.

Digest This!!

Eating is one of America’s favorite social pastimes. However, what we don’t think about is what we consume and the digestion process that follows. Did you know the acid in our stomach is powerful enough to dissolve most metals? Our stomach is a chemical and mechanical machine. Its job is to break down the food for absorption of nutrients and storage for fuel. Water helps soften food and assists with easier digestion.  Our body has a circadian clock that helps regulate our daily behaviors including but not limited to the sleep/wake cycle, hormone release, and heart function. Our body expects certain fuels like fats and sugars at certain times of the day. Random eating and mindless snacking overwork your stomach and can cause bloating and indigestion. Fiber for the win, as it passes through our body undigested and can help regulate our hunger sensation. This can be found in oats, peas, beans, carrots, etc.  KEY TIPS: Eat every 3-5 hours smaller meals to process food and fuel the body. Chew your food since the chewing motion mixes with saliva (packed with digestive enzymes) and helps your body absorb the greatest amount of nutrients.

Drink your Water!

When you want to reach for the diet coke, energy drink, sweet tea, or coffee….think again. Water is vital to the human body. It aids in the livelihood of cellular functions, digestion, and both mental and physical performance. The human body is roughly made up of 60% water. We are constantly losing water through urine, sweat, and even breathing. Assuring we have adequate water intake helps ensure all cells, tissues, and organs are functioning optimally. Adequate water intake energizes you and helps flush toxins out of your body. H2O is a lubricant for all joints helping produce synovial fluid and cartilage which helps maintain healthy joints and smooth movements. The smallest amount of dehydration which amounts to a loss of water at 1-2% of your body weight can affect cognitive function, concentration, alertness, and physical performance and endurance. KEY TIP: Within 30 minutes of waking up, drink 12 oz water, which will help kick-start your metabolism for the day. Also, here in the Dermatology world…hydration is key for your immune system, and it can even help prevent acne. Adequate water helps keep your skin’s microbiome strong and helps fight off acne-causing bacteria.

Our health is in our hands. What does this mean?

Don’t let 2024 be the year you fall into the fad diets and the crash diets. The theme for this year’s national nutrition campaign is “Beyond the Table”. I love this idea that addresses the farm-to-fork aspect of nutrition. This campaign helps address food production and distribution, how to navigate grocery stores and farmers markets, and how to implement home food safety and storage practices. Meal prepping, smart snacking, and tips and tricks to choosing foods is a great way to get your nutrition under control for you and your family. Here are some easy-to-follow guidelines. Be sure to choose salt-free seasoning and liquid aminos for flavor. Celery, carrots, and cucumbers are foods that you can eat as much as you want as they are full of fiber and help keep you full. Do not drink your calories, meaning say no to juices, milk, or sodas. With that being said, there is nothing wrong with balancing your nutrition and enjoying life. Alcohol consumption stops your body from burning fat. It decreases the digestive enzymes and inhibits the absorption of nutrients and the breakdown of food. Hence why, it is sometimes forced to be stored as fat. KEY TIP:  No sugary drinks and avoid drinking more than 1 night a week. Shop the outside of the grocery store first. Why? The outside perimeter of a grocery store is where you tend to find the freshest foods including produce, meat, and dairy. Your processed foods are typically in the center isles. By shopping this way, you have better control over your diet’s fat and sodium intake. Remember, processed foods contain preservatives or chemicals and additives to maintain shelf life.

Midstate Skin Institute: Here for you.

What can we offer you to help you meet your 2024 goals? A former trainer of mine once said, “You can’t workout a bad diet”. That has stuck with me for years. Nutrition is the key to a healthier, longer, and more fulfilling life. I truly believe that having a supportive team behind you, you can achieve anything you want in life. We are happy to offer the latest and greatest lasers, ultrasounds, and medication management to help you get closer to your “health” goals.  One of our services includes EMSCULPT NEO. This uses radio frequency and high-intensity electromagnetic energies to help with fat reduction and muscle growth. The main mechanism is heat, think about an intense warm-up before a workout. Clinical studies have shown a 30% reduction in subcutaneous fat. It is non-invasive and is only 30 minutes! Another service offered is Sofwave. This is a skin-tightening ultrasound approach. This can be used on all skin types and is also noninvasive. It is FDA-approved for short-term improvement of cellulite. This machine helps stimulate the production of new collagen and elastin helps reduce fine lines and wrinkles. We would love to consult with you and come up with a plan to help you achieve success.

To sum it up…

As you can see, I am very passionate about nutrition and taking control of your life. It could be the former personal trainer in me but I LOVE helping others change their lives and feel their best from the inside out. This is why I LOVE Dermatology because our skin’s health truly starts on the inside. Knowledge is power. Feed your brain, feed your soul, feed your body and you will be unstoppable. Until next time…. Brooklynn.


Featured Products

Skinbetter Mystro

A new way to achieve visible improvement in skin quality and glowing skin by uniquely supporting skin’s natural ability to adapt to stress and maintain balance. Designed to improve visible skin quality by addressing the global appearance of redness, rough skin texture, dullness, pore size and/or uneven pigment.


  • Improves visible skin quality in just 2 weeks.
  • Significant improvement in the appearance of redness, skin texture, dullness, pore size and uneven pigmentation after 8 weeks of twice-daily use.
  • Helps achieve glowing, healthier-looking skin.
  • 98% of patients said they felt more confident in the appearance of their skin after 12 weeks

Skinbetter InterFuse Face & Neck

Our cutting-edge approach to collagen, featuring InterFuse Technology, in a skincare cream designed for the face and neck. Improves the appearance of skin sagging, lines and wrinkles.Benefits

  • Patented technology delivers ingredients more efficiently and helps in the improvement of appearance of skin firmness.
  • Targets the nourishment of five types of collagen.
  • Leaves the skin feeling firmer, for a more lifted and contoured appearance.
  • Offers a smoothing effect from a neuro-calming peptide.
  • Provides a breathable layer of moisture to give skin a radiant glow.
  • Can also be used on the neck for improved resiliency of the skin.

Skinbetter InterFuse Lines

A no-needle, hyaluronic acid solution that improves the appearance of deep expression lines and wrinkles. Improves the appearance of deep expression lines.


  • Patented, state-of-the-art technology features high-molecular weight, injectable-grade hyaluronic acid for the improvement in the appearance of deep expression lines.
  • Four additional types of hyaluronic acids of varying molecular weights work to bind water to the surface of the skin to improve moisture retention to smooth the appearance of lines and wrinkles.
  • Peptides help expression lines appear smoother upon application.
  • A collagen complex made up of amino acids, peptides and Vitamin C work synergistically to support the skin.
  • This targeted formula helps reduce the look of deep wrinkles and expression lines and is complementary to in-office treatments.

February Newsletter

By Katie Keel, Cosmetic Nurse Practitioner

Reasons to love your skin and how to show your skin some love!

February! The season of love! I wanted to start by giving you a few reasons to love your skin that you probably weren’t familiar with, and probably didn’t think you could “love” as they involve blood vessels, bacteria, and your sweat!

The blood vessels in your skin alone equate to over twice the height of Mount Everest. Your skin is home to about 1,000 species of bacteria which help you heal, reduce inflammation, and fight infection. Believe it or not your sweat is a love potion. Smells can be very seductive-and expensive perfumes are not the only answer. Oxytocin is a brain chemical which, when sniffed in the name of science, made people appear more attractive to each other. Sweat, meanwhile, is your body’s natural “perfume” and, remarkably, we’re wired to prefer the sweat of genetically dissimilar people (which helps in reproduction). Top dating tip this Valentine’s season-smell his/her sweat?

The top layer of your skin (the epidermis) renews and regenerates itself! This process of skin cycling can take anywhere from 14-90+ days. Why the large variability in time? – well yet another thing we can blame on age. Once the skin cell reaches the top layer, it fully matures and then becomes rough and dry. As the “mature” skin cells sit and wait for new skin cells to arrive, your complexion becomes dull, uneven and flaky. Children have the fastest cell turnover rate as they are in the stage of rapid growth. Their skin cell turnover rate is two to three times as fast as adults – hence they constantly have new, bright, healthy skin resurfacing. As we age, our cell turnover rate slows down. The older skin – dead skin – sits on the uppermost layer 20-60 days longer. That’s why aging skin don’t look quite as smooth, soft and luminous as it once did.

Here is a general guide to skin turnover rate at different ages.

We cannot blame our lackluster skin on age alone – our hormones, overall skin health, weather such as sun/wind/pollution and stress level can affect the skin cycle as well.

Now, you know I wouldn’t leave you hanging without an answer how to get your skin back to being as bright and smooth as a baby’s bottom! The answer lies in medical grade retinol and in office energy based/laser procedures.

My favorite retinoid is Skin Better Alpha Ret Overnight Cream. It improves the appearance of lines, wrinkles, uneven tone and texture. It does this by increasing skin cell production, proliferation, and thus increasing cellular turnover speed (which as discussed above slows significantly as we get older). It helps unclog pores, exfoliates your skin and increases collagen production, which can reduce the appearance of fine lines and wrinkles, giving your skin a fresher, plump appearance. In clinical trials Skin Better Alpha Ret Overnight Cream was as effective as prescription tretinoin (Retin-A) with better tolerability since it contains moisturizing ingredients as well. Added benefit – Skin Better Alpha Ret Overnight is also free of nasties such as parabens (a preservative), fragrance, sulfates, dyes, etc. and is cruelty free.

The packaging your products come in is important at maintaining the potency. Airless pumps are best as they keep the product away from light and air and of course Skin Better Alpha Ret Overnight comes in an airless pump. If you already have a retinol and you like it, check the packaging. Is it in a jar, dropper/vial, tube or a pump you can open and look inside? Keep in mind that the active ingredient that induces a change in your skin (and arguably the main ingredient you are paying for) breaks down quite easily with exposure to air and light. Every time you open the jar/bottle and use the product the active ingredient is degrading and you are not getting your monies worth out of the product and will see less of a change in your skin.

My favorite in office energy based laser treatment is Moxi. Moxi is a non-ablative fractionated laser, meaning it puts small areas of heat into the skin but does not break the skin’s surface. Moxi treats superficial texture and pigmentation concerns, delivering tonal and textural improvements to your skin while correcting the initial signs of sun damage and aging. It is safe to use on all skin tones and even patients with melasma. It can be done year round, summer included! You can wear makeup the day after your treatment. It is a minimal to low downtime procedure that biopsy proven and in clinical trials was shown to induce a positive change in the skin.

When you think about it, your skin is truly amazing. There’s no better way to love your skin than to protect it and keep it healthy. Two of the best ways to do this is to make regular dermatology appointments for routine skin checks and to wear sun protection – i.e. mineral based/zinc oxide sunscreen, hats, sunshirts etc. And consider giving your skin a well-deserved treat with some medical grade skincare and/or an in office laser/energy based procedure.


Featured Products

Rose Skin Care- Vitamin C

An age-defying serum with a concentrated stabilized form of pure L-Ascorbic Acid, Aloe Vera, and Algae Extract that is intended for use on sun-damaged skin and wrinkles. This serum helps to visibly reverse the look of aging, making skin look radiant and younger. It is especially recommended for the eye- and lip-surrounding areas.


  • Mature, sun-damaged skin with wrinkles
  • Age-defying serum
  • With a concentrated dose of stabilized pure Vitamin C
  • Improves skin elasticity
  • Brightens uneven skin tone

Rose Skin Care Glycolic 10%

A gel-based daily exfoliant with Glycolic Acid for oily, combination, normal and mature skin types with deep-cleansing and revitalizing properties. It improves the texture of the skin, makes pores appear smaller, and visibly reduces the look of wrinkles. It is a great way to complement professional peels and other salon services at home.Benefits

  • Mature, sun-damaged skin, uneven skin tone.
  • Highest strength, gel-based exfoliator for daily use.
  • Provides mild exfoliation, and rejuvenates the skin.
  • Visibly reduces the appearance of wrinkles and pore size.
  • Especially a great product to complement professional peels.

Rose Skin Care Green Tea Toner

A natural, alcohol-free toner with Green Tea, Ginseng and Cucumber Extracts, Aloe Vera Gel, and Vitamin E that soothes and revitalizes the skin.


  • Green Tea-based revitalizing and soothing toner for all skin types
  • Enriched with nutrients including soothing, protective botanicals and vitamins
  • Balances skin pH and energizes the skin’s uppermost cell layer
  • Hyaluronic Acid hydrates skin leaving it soft and smooth
  • Excellent to use after microdermabrasion or AHA peels

January Newsletter

It’s that time of year again – a fresh start, a new beginning. As we step into 2024, it’s the perfect opportunity to set some resolutions for our skin health. After all, our skin is not only our body’s largest organ but also a reflection of our overall well-being. So, why not make some skincare goals that will leave you with healthy and radiant skin throughout the year? In this article, we’ll explore some dermatologist-recommended resolutions to help you achieve your best skin yet.

Schedule Your Annual Skin Check

One of the most important resolutions you can make for your skin health is to schedule an annual skin check with us. Skin cancer is the most commonly diagnosed cancer in the United States, and early detection is key to successful treatment. Everyone should be screened for skin cancer, but if you have a family history of the disease, multiple moles, or a history of intense UV exposure (yeah, this is Florida), you are at a higher risk and should prioritize a comprehensive skin check.
Before your appointment, take a moment to examine your body for any unusual growths or changes. If you notice anything different, make sure to alert your doctor before the examination begins. Remember, a regular skin check can give you peace of mind and the best chance of a quick and easy recovery if any suspicious moles are found.Simplify Your Skincare Routine

With the abundance of skincare products on the market and in social media, it’s easy to get overwhelmed and pile on multiple products in the hope of achieving better results. However, more isn’t always better when it comes to skincare. Layering too many products can irritate the skin, lead to inflammation, and even interfere with the efficacy of active ingredients.
Instead, focus on keeping your skincare routine simple and effective. Start by using a line of products designed to work together for enhanced effectiveness. Schedule a facial with one of our aestheticians to get a customized product recommendation list. Remember, the outermost layer of your skin, known as the barrier, plays a crucial role in protecting your skin from environmental toxins and preventing water loss. Replenish your barrier with products like EltaMD’s Barrier Renewal, available at all three MidState locations.Show Some Love to Your Body

While we may give extra attention to our facial skincare, it’s essential not to neglect the skin on the rest of our body. This new year, make a resolution to care for your body skin just as you would your facial skin. Consider incorporating products specifically designed for body care into your routine.
ISDIN’s Uradin 10 Lotion retains water in the skin to promote optimal hydration and helps to restore the body’s moisture barrier. With 3% dexpanthenol and 10% Urea, this lotion will relieve itching, and can help in dry to very dry skin. If you struggle with occasional breakouts on your chest, back, and shoulders, the CeraVe’s Acne Cleansing Foam can help unclog pores and slough away dead skin cells that lead to inflammation and breakouts.
Remember, healthy and radiant skin extends beyond your face, so make a commitment to care for your entire body this year.Embrace Sunscreen as Your Best Friend

Sun protection is a year-round commitment, even in the winter months when the sun may not be as intense. Make it a resolution to apply sunscreen daily to protect your skin from harmful UV rays. Sunscreen is crucial in preventing sunburns, premature signs of aging, wrinkles, and even skin cancer.
Choose a sunscreen that suits your skin type and provides adequate protection. ISDIN’s Eryfotona is a favorite, offering both sun protection and Nobel Prize winning benefits with it’s actinic keratosis fighting properties. Don’t forget to protect your lips as well with Eraclea’s Evermoist, a deeply hydrating lip treatment with shea butter, jojoba and antioxidants.Hydrate Your Skin from Within

Drinking enough water is not only essential for your overall health but also for your skin. When you’re dehydrated, your skin can appear dry, dull, and prone to wrinkles. Make it a resolution to drink more water and keep your skin hydrated from within.
Strive to drink at least eight cups of water a day to flush out toxins and maintain your skin’s natural moisture. If you find plain water boring, try adding fruit or electrolyte powder for a refreshing twist. Your skin will thank you for the hydration, and you’ll notice a more radiant and clear complexion as a result.As we embark on a new year, let’s not forget to prioritize our skin health. By making simple yet effective resolutions, such as scheduling regular skin checks, simplifying our skincare routines, embracing sunscreen, and more we can achieve healthy and radiant skin throughout 2024. Remember, self-care starts from within, and taking care of your skin is an essential part of overall well-being. Cheers to a new year and new skin!


Featured Products

EltaMD Barrier Renewal Complex

EltaMD Barrier Renewal Complex is an advanced formula that works to visibly minimize the appearance of fine lines and improve elasticity while significantly improving skin texture, tone and pore size. A selected blend of ceramides and other essential lipids help strengthen the barrier and restore its natural hydration system, peptides help smooth fine lines, while enzymes and vitamins help promote gentle exfoliation and minimize the appearance of redness.


  • A selected blend of ceramides and other essential lipids help strengthen the barrier and restore its natural hydration system
  • Enzymes and vitamins minimize the appearance of redness and promote natural skin exfoliation for brighter, more-even, healthier looking skin
  • Within 21 days, skin appears softer, smoother, healthier and more youthful

EltaMD Renewal Eye Gel

EltaMD Renew Eye Gel helps minimize the appearance of under-eye puffiness, dark circles, fine lines and wrinkles while revealing brighter, healthier looking skin.
Formulated with peptides and natural extracts to help visibly reduce the appearance of skin aging around the delicate eye area. Significant results within 30 days.Benefits

  • Contains Peptides and natural extracts to visibly reduce the appearance of skin aging around the delicate eye area.
  • Formulated with a brightening complex of Niacinamide and Antioxidants C&E to help reduce the look of dark circles and free-radical damage to brighten the eye area.
  • Clinically proven to significantly reduce the appearance of under-eye fine line, wrinkles, and dark circles in 4 weeks.

December Newsletter

By Anna Wilemon, Licensed Medical Aesthetician & Laser Tech

When it comes to hair, skin, and nails…we’re kind of experts. Whether you’re looking for less hair or more hair, to make your skin glow, or to grow your nails we’ve got a plethora of information just for you in this month’s newsletter!

Let’s talk hair! Hair can be a beautiful thing and a pain if it’s not on the area of your body you desire! The good news is we treat all the above. If you are having trouble with hair loss, we have a few options to help with growth.

One treatment we have for hair loss on the scalp is PRP, Platelet Rich Plasma. This is described as “fertilizer for your garden”. This means your plasma is “fertilizing” your hair follicles to cause hair growth that they otherwise would not. PRP is a series of 6 treatments over a period of 6 months. We draw your blood, spin it in a centrifuge to separate your blood cells from your stem cells/plasma and inject your own plasma into your scalp for a safe and effective treatment. Come in and see a provider to find out if you are a candidate for PRP! Another alternative is to go the medication route. Some common medications you might be prescribed for hair loss are spironolactone, finasteride (Propecia) and dutasteride (Avodart), or minoxidil (think Rogaine!).

On the other hand, we all have those areas that we want hairless right? My absolute favorite treatment we provide is laser hair removal. This treatment is great for dark/unwanted hair on ANY part of our body (like, anywhere). Laser hair removal can help with PCOS (polycystic ovarian syndrome), ingrown hairs, and razor irritation after shaving. There is a common misconception that laser hair removal is painful and expensive. But rest assured, not only is the treatment very tolerable, we also have pay-as-you-go options! Since laser hair removal is a multi-treatment regime, we allow you to pay each time you come in. Give me (Anna Wilemon) a call to schedule your laser consult to see if it’s right for you.

Do you have that annoying white peach fuzzy hair on your face? Make an appointment for Dermaplaning. It’s not as scary as “we use a scalpel on your face” sounds, just hear us out. This treatment removes that vellus hair and removes your top layer of dead skin cells using a medical grade scalpel and a trained, licensed medical aesthetician. Your skin will be glowing after dermaplaning, and look brighter, and healthy, and the best part is your skincare penetrates better along with your makeup looking flawless. We’ve got two aestheticians, Brenda at Jasmine and Lacy at Deerwood to take care of you.

SKIN! My favorite subject! My absolute number one piece of skin advice is to get your skin exam at least yearly from one of our providers. Skin exams can catch skin cancer before it’s too late. And my second piece of advice… wear your sunscreen every day. Cloudy days. Days spent inside. Every. Day.

Along with those tips, we recommend having a good skincare regimen to fit your specific skin concerns. The best way to find out what you need is to book a facial with one of our Aestheticians (Brenda or Lacy). During your appointment, they can look at and feel your skin to help you with a good treatment plan, skincare products especially for your skin, and an at-home regimen. Good skin only happens by appointment.

Nail care comes from the inside out. Healthy nails can have a lot to do with supplements and vitamins. We recommend Elon supplements for your hair, skin, and nails. This supplement has many benefits and ingredients like biotin, fish collagen peptides, and L-cysteine to help with thinning hair and brittle nails. The best part, it’s available at any of our offices without a prescription. As a nail technician myself, I highly recommend applying solar oil to your nails a couple of times a day and massaging it in. This helps the nails stay hydrated and your cuticles moisturized to prevent them from peeling. This works even if you have gel, dip, or acrylic on your nails! You can usually purchase this from your nail tech.


In addition to all the healthy habits mentioned above by Anna, we got with Sierra Mahoney, PA-C to find out how sleep can aid in healthy hair, skin, and nails.

Sleep is awesome. It’s the one time of the day that is truly all about you. Sleeping is a time to relax, recuperate, and replenish your…skin?! That’s right! Sleeping is so important for skin health. Let’s look at some of the wonderful benefits sleep has to offer our largest organ: 1) blood flow! Sleep is a great time to help encourage an increase in blood flow to your skin to help repair the damage done throughout the day ultimately leading to a lighter and brighter complexion in the morning. Damage done by UV rays throughout the day is best mended in the evenings. 2) less acne! Poor sleep hygiene can lead to an increase in stress, which is a leading culprit of acne and breakouts, even in adults!


Featured Products

ISDIN Uradin 10

Uradin Lotion 10 provides long-lasting moisture and helps to re-establish optimal levels of hydration in the skin. The ideal body lotion for dry or very dry skin, it works to restore skin’s natural smoothness through 24-hour intense hydration. Uradin Lotion 10 helps to reduce the itching associated with dryness, and absorbs quickly into the skin without feeling heavy or greasy.

Important Ingredients

  • 10% ISDIN urea- Retains water in the skin to promote optimal hydration
  • Emollients- Help to restore the skin’s natural moisture barrier
  • 3% dexpanthenol- Hydrating properties help relieve itching, common in normal to dry and very dry skin


ISDIN Essential Cleansing Oil

Essential Cleansing is a gentle yet powerful cleansing oil with an oil-to-milk texture. Experience the blend of Mediterranean extra virgin olive oil, sunflower oil, and clary sage that transforms into a deep-cleansing emulsion. Melt away stubborn makeup, sunscreen, and unwanted oils – leaving nothing behind but soft, glowing skin.


  • Mediterranean extra virgin olive oil- Nourishing antioxidant benefits, plus protective & regenerative properties, sourced straight from the Mediterranean
  • Sunflower oil- Rich in omegas 6 and 9, which help restore and reinforce skin barrier functions
  • Clary sage- Helps even skin tone and enhance radiance

November Newsletter

National Healthy Skin Month

November is National Healthy Skin Month, a time to celebrate and prioritize the health of our skin. Your skin is not only the largest organ of your body, but it also plays a vital role in protecting you from external threats and reflects your overall well-being. In honor of this month, we have gathered expert tips and advice to help you maintain healthy, glowing skin all year round.

Your skin is a remarkable organ that performs numerous essential functions for your overall health. It acts as a protective barrier against harmful viruses, infections, and environmental factors. Additionally, it helps regulate body temperature and fluid balance. Taking care of your skin is not just about looking good; it is an integral part of maintaining your overall well-being.

Understanding Skin Cancer Prevention

Skin cancer is a significant concern worldwide, with one in five Americans developing it by the age of 70. It is crucial to raise awareness about skin cancer prevention and early detection. By following these tips, you can significantly reduce your risk:

  • Wear Sunscreen Daily: Protect your skin from harmful UV rays by applying a broad-spectrum sunscreen with at least SPF 30 every day. Don’t forget to reapply every two hours, especially when spending extended periods outdoors. Some of MidState’s favorites are ISDIN Eryfotona Ageless & Actinica, EltaMD Elements and UV Clear.
  • Cover Up: When spending time outdoors, wear protective clothing, such as wide-brimmed hats and sun-protective clothing, to shield your skin from direct sun exposure.
  • Stay in the Shade: Seek shade whenever possible, especially during peak sun hours between 10 am and 4 pm, when the sun’s rays are the strongest.
  • Perform Self-Skin Exams: Regularly examine your skin for any changes, including new moles, growths, or spots. If you notice anything unusual, remember your ABC’s. A- asymmetry, B- border, C- color, D- diameter (less than 10mm), E- evolving.

Dermatologist-Recommended Skincare Habits

Maintaining healthy skin requires adopting good skincare habits. Follow these expert-recommended tips to keep your skin looking and feeling its best:

  1. Cleanse and Moisturize Daily- Start your skincare routine by cleansing your face with a gentle cleanser suited for your skin type. Follow up with a moisturizer that provides hydration and nourishment.
  1. Determine Your Skin Type- Understanding your skin type is essential for choosing the right skincare products. Whether you have dry, oily, combination, or sensitive skin, select products that address your specific needs.
  1. Protect Your Skin from Environmental Factors- Environmental factors, such as pollution and harsh weather conditions, can damage your skin. Using antioxidants, like vitamin C, can help neutralize free radicals and protect your skin from premature aging. Snag ISDIN’s Vitamin C from one of our three locations.
  1. Embrace the Power of Retinol – Incorporating retinol or retinoid products into your skincare routine can help improve skin texture, reduce wrinkles, and even out pigmentation. Start with a low concentration and gradually increase usage to avoid irritation. Skinbetter Sciences’ AlphaRet is a great starter retinoid that’s safe for all skintypes.
  1. Get Your Beauty Sleep – A good night’s sleep is not just crucial for your overall well-being but also for the health of your skin. Aim for seven to nine hours of quality sleep to allow your skin to repair and rejuvenate itself.
  1. Stay Hydrated – Hydration is key to maintaining healthy skin. Drink at least eight glasses of water daily to keep your skin hydrated and flush out toxins. Limit alcohol consumption, as it dehydrates the skin and can exacerbate skin issues.
  1. Visit a Dermatologist – Regular visits to a dermatologist are essential for maintaining healthy skin. A dermatologist can assess your skin’s condition, provide personalized recommendations, and address any concerns or issues you may have.

As the winter season approaches, it’s essential to give your skin some extra attention. The cold weather and dry indoor heat can lead to dryness, itching, and other skin problems. Here are some tips to keep your skin healthy and radiant during winter:

  • Moisturize Intensively: Use a heavier lotion or skin cream after showers to lock in moisture and prevent dryness. Don’t forget to apply a lip balm with SPF protection to keep your lips hydrated and protected from the elements.
  • Protect Your Skin During Winter Sports: If you enjoy winter sports, such as skiing or snowboarding, remember to apply sunscreen with at least SPF 30 and wear protective clothing to shield your skin from harmful UV rays and cold wind.
  • Be Mindful of Indoor Heating: Indoor heating can strip your skin of its natural moisture. Use a humidifier to add moisture to the air and prevent dryness.

During National Healthy Skin Month and beyond, prioritize the health of your skin by adopting good skincare habits, protecting yourself from the sun, and seeking help from MidState when needed. Remember, healthy skin is not just about looking good; it is an investment in your overall well-being. Take care of your skin, and it will reward you with a radiant and vibrant appearance that reflects your inner health and happiness.


Featured Products

ISDIN Retinal Advanced

Retinal Advanced is a youth-boosting night serum that helps visibly reduce wrinkles and fine lines. Designed with an innovative dual-phase technology, it combines the power of retinaldehyde, melatonin and bakuchiol with Soothing Complex at the moment of application. Add it gradually into your PM routine to unveil smooth, rejuvenated skin after 4 weeks.


  • Rejuvenates- Reduces wrinkles and fine lines, smoothing the skin for a younger-looking complexion.
  • Renews- Promotes gentle skin surface turnover, smoothing the skin for a younger-looking complexion.
  • Soothes- Hydrates and calms the skin, minimizing the sensation of dryness.


ISDIN Vitamin C

Flavo-C Ultraglican is a supercharged antioxidant serum designed to protect against oxidative stress and deeply hydrate skin for a natural, radiant glow. Formulated with vitamin C, UltraGlycans and hyaluronic acid, it helps soften the appearance of fine lines and wrinkles.


  • Protects- Formulated with potent antioxidants to help protect skin against oxidative stress and fight the visible signs of skin aging.
  • Moisturizes- Provides deep, lasting moisture care, boosting hydration and giving skin a natural glow.
  • Illuminates- Restores elasticity and returns brightness to dull, tired-looking skin, for a radiant, even complexion.

September Newsletter

Colby BeckBy Colby Beck, PA-C

Lifestyle Modifications for Diseases

Being in the medical profession we are trained on many different ways to treat diseases. We use a variety of therapies including prescription medications and laser/light treatments. However, there are many lifestyle modifications that patients can do at home that do not require seeing a specialist to help with their condition. We will review a few of those conditions and changes that can be made at home to help relieve symptoms.


Acne comes in many different forms and does not discriminate against who it affects. Dermatologists have many different ways to treat acne but we are going to list a few things you can do at home to try to reduce acne breakouts and even treat those annoying pimples that appear overnight.

  • Changing your pillowcase/towels often.
    • With repeated daily use of your sheets/pillowcases/towels, bacteria can accumulate from dirt and oils on your body and hair. Because of this, it is important to change your pillowcase and towels more frequently. Being acne prone myself, I use a new gentle washcloth for my face with each use and I change my pillowcase nightly.
    • I also use a satin pillowcase at night which they say can reduce acne breakouts, and on the plus side it helps keep your hair less frizzy. If you do not have an abundance of pillowcases at home, you could use a clean cotton t-shirt over your pillowcase instead.
      Washing face for 60 seconds and double cleansing at bedtime.
    • This is such an important step! I definitely know most teenagers and probably most adults do not wash their face for long enough. It’s important to double cleanse at night, especially if you wear makeup. Micellar water is a great first step to remove makeup then followed by a cleanser. I personally use disposable cloths with Micellar water to remove makeup prior to washing my face.
  • Consistency with skin regimen.
    • It can take more than 1 month to see changes after adding a product in your skin care regimen. This takes a lot of patience to stick with a product, especially since most of us all want instant gratification. If you add a new product into your skin care regimen, wait at least 4-6 weeks before making any new or more changes.
  • Cleansing makeup brushes weekly.
    • Makeup brushes and applicators can be breeding grounds for bacteria and build up of product over time. Try to wash your makeup brushes/applicators weekly. I use a silicone pad I got off Amazon which makes the process go much quicker.
  • Diet changes (Dairy, Whey protein)
    • There is not a ton of evidence on diet being the cause of acne. However, there is some supporting evidence regarding dairy causing acne to flare. The theory is that dairy from cows milk contains hormones that can increase inflammation in the body, leading to clogged pore and acne breakouts. Something you may not know is whey protein is derived from cows milk. Therefore it is important to be aware of this if you use whey protein and are acne prone.
    • The AAD also reported eating a low glycemic diet may help reduce acne by decreasing the amount of the inflammation in your body.
    • https://www.aad.org/public/diseases/acne/causes/diet


Many children and adults suffer from eczema, also known as Atopic Dermatitis. Sometimes children will outgrow eczema but unfortunately some do not and it can flare throughout all the seasons. There are many ways to treat eczema with topical steroids, non-steroidal creams, systemic steroids, and injections. But I would like to provide some tips and tricks on how to control eczema at home.

  • Shower frequency, time, water temp.
    • Limiting baths and showers can help reduce flares. Excessive exposure to water, especially hot water, can actually dry the skin out more and cause a flare. We advise taking showers over baths, and limiting showers to once daily or every other day if not dirty (especially for kids). It is also important to shower in lukewarm water instead of hot water.
      Oatmeal (colloidal) baths for 10-15 minutes can be helpful in relieving itching skin. However, it is very important to moisturize the skin immediately after the bath.
  • Moisturizing
    • Many kids and adults do not moisturize enough. This is one of the most important steps in preventing eczema flares. Using a fragrance free, sensitive skin cream or ointment is recommended. Applying multiple times daily is best practice, but it is the most important to apply after a shower to lock in the moisture. After a shower, pat dry, then apply a layer of Aquaphor/Vaseline all over. Some brands we recommend include Cetaphil cream, CeraVe Cream, Vanicream cream, or Aquaphor/Vaseline.
  • Avoiding triggers
    • Many things in the environment can trigger eczema to flare. Some controllable and some not. Things you can control are avoiding any dyes, fragrance, and perfumes in products. I know this can be hard to do but slowly eliminating these products from your household can significantly reduce the amount of flares you get.
    • For example switching your detergent to an all free and clear brand. Avoiding any fabric softener, dryer sheets, or fragrance boosters. You can try using wool balls in the dryer to help reduce static if needed.
    • Avoiding the scented body washes and shampoos/conditioners. Dove sensitive skin body wash, Cetaphil body wash, Vanicream free and clear shampoo and conditioner are all examples of products that can help reduce flares.
    • Now for the triggers you cannot avoid such as weather changes. Taking an over the counter antihistamine (Claritin, Zytrec, Allegra, etc) can help reduce the itching some.
    • Avoid scratching the best you can. Eczema is known as the itch that rashes and the rash that itches. Once you start scratching, the Itch-scratch cycle begins and it is very difficult to stop. When itching presents try not to scratch by using cool cloths/ice packs and moisturizer after, wearing clothing that covers the area so it makes it more difficult for you to scratch the area.


Psoriasis is a chronic condition that presents with thick, pink-red scaly plaques or patches on the skin. It can be genetic in nature and triggered by illness and stress. Psoriasis can be a debilitating disease between the skin involvement and if there is associated joint involvement. Over the years, many treatment options have become available, making psoriasis a livable condition. Even if a patient seeks medical treatment there are things you can do to help lessen flares.

  • Stress management
    • Stress can make everything worse in life, including psoriasis flares. Trying to eliminate stress in your life can help reduce the frequency and severity of psoriasis. This is easier said than done, but try finding ways to cope with stress including meditation, exercise, yoga, etc.
  • Healthy Lifestyle
    • Psoriasis is a chronic inflammatory condition and due to that, it can make patients more at risk of developing high blood pressure, high cholesterol, and diabetes. Trying to maintain and live a healthy lifestyle can prevent development of other comorbidities. Patients are encouraged to eat a healthy diet, limit alcohol intake, and avoid smoking. Patients who lose weight may find their psoriasis flares are less and if treated with medication, their medication could actually work better.

Hidradenitis Suppurativa
Hidradenitis Suppurativa (HS) is the last condition we will cover. It presents with chronic, recurrent boils in the skin folds areas such as the armpits, below the breast, buttock, and groin. These boils can be very painful and patients often say once one boil starts to heal, another appears.

  • HS is a common condition in obese patients, however I have seen HS affect all shapes and sizes. That being said, if patients who have HS are overweight, they can notice a reduction in flares after weight loss.
  • Smoking is also another big trigger for HS flares. Patients who quit smoking may notice a significant reduction in how many boils they get. Aside from reduction in flares, smoking cessation will also help reduce development of heart disease.
  • Washing with antibacterial soap daily. Using Panoxyl (benzoyl peroxide) or Hibiclens wash is what I recommend for patients.
  • Laser hair removal – many patients will experience flares after shaving/waxing. Getting laser hair removal can reduce flares by decreasing how many hair follicles you have.
  • If you have to shave or wax, use hot water to soften hair. Wash the area with antibacterial soap first. Use a new sensitive skin razor and sensitive skin shave gel/cream.
  • Reduce friction – decrease friction can help lessen irritation in the sensitive areas. Patients are advised to avoid tight fitting clothing. Change out of wet clothes as soon as possible. After exercise and sweating, it’s important to shower to decrease bacteria and get out of the clothes you were wearing.


Featured Products

ISDIN Vital Eyes

Vital EyesA 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.


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



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.


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

August Newsletter

By Brooklynn Curley, APRN-C

Wow! Can you believe it is already August? If you are a mamma like me, the anxiety of back to school season might be creeping up on you if it hasn’t hit already. It’s such a magical time of new backpacks, “first-day” pictures, new milestones, and more, but we sometimes forget the impending overwhelming mental load of keeping up with homework, field trips, last minute need for childcare, sick days, sports, chauffeuring kids in every direction, preparing dinners, bedtime struggle, early morning blues, time constraints, and all the in betweens.

BREATHE. Here you will find tips and tricks to help you gain a grip on this overwhelming but beautiful season of life. The biggest trend and one I think we can all agree we want to get on, is de-stress, de-clutter and self care for ourselves and our family.  Let’s dive in.

It’s All About the Kids…

Lets Talk Dermatology: Adolescent Skin Issues

Did you know that there are adolescent skin issues that directly correlate with back to school?

Lets talk about contact dermatitis. This is when the skin becomes irritated or inflamed after it comes into contact with a triggering environment. This can lead to new onset of rashes, itchiness, scaly skin or lesions. Being a kid, this can interfere with their daily life especially concentrating in school. Fungal infections and viral skin infections are among the most common causes of contact dermatitis. Remember good personal hygiene such as proper hand washing starts at home. Be sure to keep antihistamines and corticosteroid creams on hand for instant relief.

Lets talk puberty and Acne Vulgaris

Acne is a normal part of puberty but depending on the severity it can be debilitating and leave permanent scarring. Acne is caused by hair follicles getting clogged with oil, skin cells, and bacteria. It is important to know as a parent, there are safe and effective treatment options. If your child is suffering from mild to moderate acne, we can offer an in-office treatment that is FDA approved. It combines a gentle vacuum with broadband light technology. This is a comfortable treatment and your child will have no downtime with improvement seen as early as 2 treatments. See the results of one of our very own patients below!

Additional tip:

Remember to apply sunscreen for the kids whether its school recess, after school sports, or weekend activities.

Lets Talk Healthy Routines and Habits

 Good routine and healthy habits will ease the stress of the back to school blues. Here are a few tips to keep in mind to optimize the sleep, health, and productivity of your little ones.

  • Limit screen time before bed and healthy sleep patterns
    • The National Sleep Foundation recommends stopping the use of electronic devices which include phones, tv, and game consoles at least 30 minutes before bed time.
    • Blue light can cause damage to retinas with extreme exposure
    • Blue light increases alertness in the brain which makes it harder to fall asleep
    • Blue light decreases total amount of REM sleep which can lead to next day drowsiness and sluggishness
    • Maintain a pre sleep routine and a consistent bedtime to assure adequate rest
  • Limit caffeine
    • The American Academy of Child and Adolescent Psychiatry suggest a max of 100mg of caffeine daily which is about two 12 oz cans of soda for adolescence 12-18 years old
    • Caffeine is found in soda, tea, sports drinks, juices, and chocolate
    • Excess caffeine can cause insomnia, hyperactivity, nausea, upset stomach, headache, fatigue, and problems concentrating
  • Keep hydrated
    • For kids in sports and regular outside activity, hydration helps improve muscle function and circulation. It also helps prevent fatigue and muscle injury.
    • Hydration helps replace the water lost through excessive sweating and is key for thermoregulation and prevention of heat exhaustion.

Additional tip:

 Get your kids active, outdoors, and moving. This is important for heart and lung health, boosting immune system, strengthening bones and muscles, maintaining a healthy weight, boosting a child’s mental health, improving concentration and memory, reduces stress, and improves sleep.

Mamma’s Put Yourself First……

Have you ever heard that saying, “You can’t pour from an empty cup”? How is your cup looking? Remember, we can’t take care of others until we take care of ourselves. There is so much truth and power in those simple words. How? With the chaos of back to school schedules, how do we find the time to put ourselves first? Read more for some tips and tricks…..

 Exercise and Nutrition

    • Exercise is a natural stress reducer
    • Exercise reduces the levels of the body’s natural stress hormones being adrenaline and cortisol, while at the same time increasing the production of our happy hormone called endorphins
    • You don’t need to go to the gym daily, it could be something as simple as walking the dog morning and night, doing family strolls, or 20-30 min of that Instagram or Ticktock video of at home body weight workouts you saw, after all the kids go down for bed.
    • Nutrition is key, and this isn’t trying to stick to some FAD diet or trying a new approach every week. This is as simple as eating whole and nutritious dense foods while being mindful. Good nutrition also improves quality of life, sleep, inflammation, health, and stress.
    • Simple foods that are packed with omega-3s, antioxidants, fiber, protein, and other nutrients include
      • chia seeds, pumpkin seeds, fresh herbs, cinnamon
    • Keep easy to grab no prep snacks like fresh fruit, mixed nuts, crackers and hummus, yogurt

Side note:

 I am a certified personal trainer and what I always preach that we are stronger than our excuses.

  • Self Care Routine
    • Let’s destress and make sure we are taken care of first. Make a schedule and plan out your days. Assuring you wake up on time with adequate time to complete morning tasks will help prevent the stress of a rushed morning.
    • Give up control over things that don’t provide joy. This includes endless hours of cleaning, cooking, and house chores. Make a split schedule and complete only certain tasks each day. This will pour time back into you and into your family.
    • Categorize tasks by day, week, and month
    • Set a timer for 30 minutes a day and accomplish household tasks within that time and then call it quits
    • Now you have some extra time back in your day, what does self care look like? You can journal, take a bath, read, find empowering podcasts, meditate, try yoga, massage, facials, etc. Remember you are an individual who deserves a break too.
    • Try meal preps, crock pot meals, ready to go dinners, make weeknights easy
  • Back-to-School Affirmations for Moms
    • (from com which is a great resource for moms in 2023)
  • “My children’s successes and failures are not my own.”
  • “I deserve help.”
  • “I’m doing enough.”
  • “I deserve rest.”
  • “I’m a good mom.”

Let’s make this the best back to school season yet! Happy August.


Featured Products

EltaMD AOX Mist

Enjoy a reimagined sunscreen spray experience with EltaMD UV AOX Mist Broad-Spectrum SPF 40 – a sheer-finish 100% mineral sunscreen spray that’s enriched with antioxidants to help prevent premature aging and rejuvenate skin. This lightweight and water-resistant formula is gentle enough to wear daily and leaves skin feeling hydrated and moisturized. With our white-to-clear technology, the only time you see the sunscreen is when you’re spraying it on (so you don’t miss a spot!). It conveniently absorbs into the skin within seconds and blends flawlessly into all skin types – no streaks, patches or white cast in sight. It’s air-powered technology removes the need for chemical propellants, and features 360-degree sprayability for easy application from any angle – even upside down for hard-to-reach places, like the nape of your neck or in between your shoulder blades.


  • Broad-Spectrum SPF 40
  • Transparent zinc oxide finish
  • Enriched with skin-rejuvenating antioxidants
  • Visibly reduce signs of premature aging
  • Gentle formula for daily use on body & face

EltaMD UV Restore

EltaMD UV Restore Broad-Spectrum SPF 40 is a 100% mineral sunscreen that improves sun-damaged skin and helps revitalize it. This advanced formula contains Squalane which restores skin’s natural moisture and suppleness.

UV Restore is designed with Ginger Root Extract and Saccharide Isomerate which promote a healthy complexion by improving skin smoothness, minimizing dark spots and reducing the appearance of fine lines and wrinkles. It contains antioxidants which combat skin-aging free radicals associated with ultraviolet (UV) and infrared radiation (IR) and offers high-energy visible (HEV) light protection.Benefits

  •  UVA/UVB sun protection
  • Designed with anti-aging benefits, to help revitalize sun-damaged skin and promote healthy complexion
  • Improves skin’s natural moisture and suppleness

EltaMD UV Sheer

UV Sheer has a lightweight, hydrating formula that feels silky to the touch and light and airy on the skin. It goes on smooth absorbing quickly into skin and helps even out skin tone. This facial sunscreen offers up to 80 minutes of sweat and water-resistance making it the ideal choice for an active lifestyle, hot and humid weather and for anyone looking for a lightweight and hydrating sunscreen to live freely under the sun. UV Sheer is formulated to be compatible on all skin tones without leaving a white cast.

  • UVA/UVB sun protection
  • Hydrating formula goes on smooth, absorbs quickly and does not leave the face shiny
  • Helps even out skin tone and soothes heated skin
  • Water & sweat resistant (80 min)

July Newsletter

Sunscreen 101: Protecting Your Skin From Harmful Rays

The sun is a great source of vitamin D, but it can also be harmful to your skin. Sunburns and skin cancer are some of the risks associated with prolonged exposure to UV rays. That’s where sunscreen comes in as an essential tool for protecting your skin from these harmful rays. In this post, we will cover everything you need to know about sunscreen- from why it is important, the different types of sunscreen available in the market, how much SPF you should use, and more. We will also touch upon how sunscreen affects the environment and what to look for while selecting eco-friendly options. So read on and get ready to protect your skin from any harm caused by those harmful rays.

Why is sunscreen important?

Using sunscreen is crucial to shield your skin from harmful UV rays responsible for sunburn, early aging, and skin cancer. Regular use can also prevent dark spots and hyperpigmentation. Remember to apply it on cloudy days too, and pick one with broad-spectrum protection and an SPF of 30 or more for optimal coverage.

Understanding SPF

To protect your skin from the harmful effects of UV radiation, it’s essential to understand the importance of sunscreen. Sun Protection Factor (SPF) measures a product’s ability to shield your skin from UVB radiation that causes sunburn and increases the risk of skin cancer. For optimal daily protection against UV exposure in the United States, dermatologists recommend broad-spectrum sunscreen products with at least SPF 30. Remember that higher SPF doesn’t necessarily mean better protection; other factors like reapplication frequency play a crucial role.

Different types of sunscreen

Physical, chemical, and combination are the three main types of sunscreen available in the market. Physical sunscreen has mineral-based ingredients such as zinc oxide or titanium dioxide that reflect the sun’s rays off the skin. In contrast, chemical sunscreen has organic compounds that absorb UV radiation and convert it into heat. Combination sunscreen is a mixture of both physical and chemical ingredients to provide broad-spectrum protection. It’s essential to choose a broad-spectrum SPF with an SPF of at least 30 for maximum protection against UVB (skin burn) and UVA (ageing). Zinc oxide and titanium dioxide are common active ingredients in physical sunscreens, while avobenzone is a common active ingredient in chemical sunscreens. We’d recommend a physical sunscreen if you want to avoid chemicals, and especially if you’re going to use it on your face as chemical SPF’s can burn your eyes all day. Some of our favorites are ISDIN’s Eryfotona Ageless & Actinica, both contain zinc. If you’re going for an all over option, check out EltaMD’s Sport, which is an SPF 50 and water-resistant.

Water-resistant sunscreens

When spending extended periods outdoors, water-resistant sunscreens are an excellent choice to keep your skin protected from harmful UV radiation. Whether you’re taking a dip in the ocean or working up a sweat on the tennis court, these sunscreens will remain effective. Remember to reapply often and select the appropriate water-resistant level based on your activity level. EltaMD’s Sport is made with beeswax, so instead of dripping into your eyes, your SPF will stay put even during the most strenuous of activities.

Does higher SPF mean better protection?

SPF only measures UVB protection, not UVA. A higher SPF doesn’t necessarily mean better protection: SPF 30 blocks about 97% of UVB rays while SPF 50 blocks about 98%. Choose a broad-spectrum sunscreen that protects against both UVA and UVB, and consider factors like application and water resistance.

Best practices for applying sunscreen

To adequately protect your skin from harmful UV radiation, it’s essential to follow best practices when using sunscreen. For the body, apply about two tablespoons (or a shot glass) of broad-spectrum sunscreen at least 15-30 minutes before sun exposure and reapply every two hours or after swimming or sweating. Be sure to get the hands and feet. For the face, you should be using at least a nickel size dollop. Be sure to pay attention to high-risk areas such as the nose, ears, and shoulders.

Common sunscreen myths

  • Contrary to popular belief, you need to use sunscreen even on cloudy days because UV rays can penetrate through clouds.
  • A higher SPF doesn’t necessarily mean better protection against UV radiation.
  • Oxybenzone present in some sunscreens can harm coral reefs and other aquatic life forms.
  • Using a base tan does not provide adequate protection against harmful UV rays and increases the risk of skin cancer.
  • Make sure you choose broad-spectrum sunscreen with appropriate SPF based on your skin type and reapply every two hours.

Sunscreens for different skin types

Choosing the right sunscreen for your specific skin type is essential in ensuring maximum sun protection. Oily-skinned individuals should opt for oil-free and non-comedogenic formulas that prevent breakouts and control shine. We love EltaMD’s UV Clear, which is specifically for acne-prone skin. Dry-skinned people should look for moisturizing formulations containing ingredients such as hyaluronic acid or squalene to keep their skin hydrated. UV Restore is for all skin-types, comes in tinted and non-tinted, and restores skin’s natural moisture and suppleness. Those with sensitive skin require fragrance-free and hypoallergenic sunscreens that are gentle on their delicate complexion. Combination-skinned people benefit from lightweight and non-greasy formulations that cater to both dry and oily areas. UV Sheer is your go-to for combination skin, hosting a lightweight formula that is silky to the touch and is compatible with all skin tones, so you’re not left with a white cast.

Sunscreen and the environment

To ensure our skin stays safe from harmful UV rays while keeping our environment protected, we must choose our sunscreen wisely. When selecting a product, look for mineral-based sunscreens with natural ingredients like zinc oxide and titanium dioxide. These options are not only better for the planet but also provide excellent protection against UVA and UVB rays. Avoid using spray-on sunscreens as they release harmful aerosols into the air; instead, opt for reef-safe alternatives that don’t contain oxybenzone or octinoxate.

Sunscreen is a crucial component of any skincare routine, protecting your skin from harmful rays that can lead to sunburn, premature aging, and even skin cancer. With the right information, choosing the best sunscreen for you becomes easy. Take note of your skin type and the occasion before you buy a sunscreen product. Sunscreens that are water-resistant and have an SPF of at least 30 are ideal for daily use. Always be mindful of the environment when applying sunscreen and choose products that are reef-friendly. Lastly, don’t forget to schedule your annual skin exam with us so we can make sure your SPF is doing it’s job!


Featured Products

Viviscal Professional

Viviscal Professional Hair Growth Program promote healthy hair growth for men and women of all hair types. Everyday stress, hormonal fluctuations, medication, age and heredity can all have an impact on hair health, leading to breakage, shedding and premature loss. Viviscal Professional supplements are scientifically formulated to nourish thinning hair and promote existing growth.


  • Strengthens weak, thinning hair with biotin
  • Helps encourage healthy growth and prevent breakage
  • Perfect for hair loss due to everyday stress, hormones, heredity and more


LATISSE® is the first prescription product to treat inadequate lashes-it’s believed to prolong the active eyelash growth phase. It’s clinically proven to deliver lashes that are fuller, longer, and darker at 16 weeks.


  • Improves lash length
  • Thicker lashes
  • Darker lashes resulting in fuller look

June Newsletter

Sun safety is always in season, but especially in these warmer months that are upon us it’s vitally important to protect yourself from the suns harmful rays. We decided to get with all our providers and find out their favorite sun tips! Check out the list below, and don’t forget to schedule your annual skin exam!

Dr. Ashley Cauthen

1. Don’t skip the sunscreen

2. Don’t skip the sunscreen

3. Don’t skip the sunscreen
For real though. When people aren’t hot from the sun, they often forget to apply and/or reapply. On a completely overcast day, 10-15% of suns UV rays still get though. It’s twice that on a partly cloudy day. Also, I’m a huge advocate of hats but that doesn’t mean you can forgo the sunscreen. Water reflects about 10% of UV rays and sand reflects 25%! That means if you are under an umbrella at the beach, you still need sunscreen. Lastly, a lotion or stick is better than a spray, BUT sprays are convenient and better than nothing. And, I can at least get something on my kids as they are squirming and running away with a spray. Just be sure to not inhale the aerosolized sprays. You want them coating your skin, not your airway passages and lungs. Now go and enjoy the Florida sunshine…just be smart and wear sunscreen!

Colby Crile, PA-C

Apply mineral based cream sunscreens before putting on your bathing suit and leaving the house. My favorite SPF is Elta MD Sport for body and I use Clearstem mineral based sunscreen/moisturizer as base, then use their powder for reapplication.

Katie Keel, APRN-C

My mom tip/trick for sunscreen with kids is to try a beauty blender (or similar) sponge to get sunscreen on every crease and crevice of their faces. I also love the ISDIN powdered Mineral Brush for quick reapplication for busy, squirming kiddos.  Personally, I am an ISDIN fan for sure ! The ISDIN Eryphotona tinted sunscreen lays so beautiful on the skin – better than a lot of makeup I have tried and it offers SPF 50 and other moisturizing and antioxidant ingredients that are good for the skin. It also doesn’t break me out which a lot of other sunscreens do. I also love the ISDIN Mineral Brush for easy reapplication.

Anna Wilemon, Licensed Medical Aesthetician & Laser Tech

I don’t go out without a wide brimmed hat, my makeup on and sunglasses! (yes, full face of makeup even at the beach!) And our powder brush by ISDIN is my favorite for reapplying and easy coverage throughout the day, especially your part in your hair.

Sierra Rebchook, PA-C

Mineral based SPF is the way to go! Apply every two hours, if not more when in the water. Pro tip: Elta MD UV Sport has beeswax in it so it can prevent the sunscreen from dripping in your eyes when having fun in the sun!

Hope Allen, PA-C

My tip is to remember to pick a hat that covers your ears! When it comes to skin cancer, the ears are considered a high-risk area based on the chance of metastasis. Also, surgeries on the ears are challenging to repair so remember prevention is key!

Dr. Puja Kathrotiya

When driving in the car, UPF gloves are a great way to keep the sun off your hands. The backs of our hands get a lot of sun through the wind sheild while we’re driving.

Allison Harbilas, APRN-C

UV Elements from Elta MD is my favorite sunscreen. I also love the spray zinc sunscreen. Remember to apply sunscreen 10 minutes before you leave your house and don’t forget to grab a hat.

Featured Products

Rose SkinCare Glycolic Serum

Glycolic 10% Acid Serum works by thoroughly exfoliating the outer layer of dry, rough, or environmentally damaged skin, as well as leaving it smooth and more radiant. With daily use, this best glycolic serum can retexturize dull, damaged skin and reduce the appearance of wrinkles.


  • Chemically exfoliates the skin by dissolving dead skin cells and oils
  • Helps boost collagen production
  • Supports skin moisture
  • Helps to clear pores, smooth fine wrinkles & improve skin tone

Rose SkinCare Vitamin C Serum

An age-defying serum with a concentrated stabilized form of pure L-Ascorbic Acid, Aloe Vera, and Algae Extract that is intended for use on sun-damaged skin and wrinkles. This serum helps to visibly reverse the look of aging, making skin look radiant and younger. It is especially recommended for the eye- and lip-surrounding areas.



  • Mature, sun-damaged skin with wrinkles
  • Age-defying serum
  • With a concentrated dose of stabilized pure Vitamin C
  • Improves skin elasticity
  • Brightens uneven skin tone

May Newsletter

Melanoma May- Casey Overturf, PA-C

Did you know May is nationally recognized as melanoma and skin cancer awareness month? That makes this the perfect time to educate our community on the most aggressive and deadly type of skin cancer, melanoma. Let’s learn how we can prevent and recognize this malignancy and, as a result, possibly save a life.

Can you believe as many as 1 in 50 Americans will be diagnosed with melanoma in their lifetime? The good news is there are many ways to prevent it, so let’s start there. First, sun protection which includes wearing SPF 30+, a hat, and sunglasses when out in the sun is a great way to be proactive about preventing all types of skin cancer. These things seem obvious but are often forgotten or underrated. The key is avoiding sunburn, because an increased number of sunburns in your lifetime is one of the risk factors of melanoma. Second, be sure to schedule yearly skin exams with your dermatologist. During this time your provider may take photos of moles or areas of the body so that at your next visit they can compare and recognize changes. Lastly, I encourage you to do self-exams throughout the year and look for any new or changing moles. That’s right! By getting familiar with your skin, you could detect something like melanoma!

Now I hope I have you asking yourself, “what should I be looking for?” Something many patients are surprised to hear is that melanoma often presents as a new lesion. If you are familiar with your skin and your moles, this is an easy one. However, there are many noncancerous lesions that can pop up as we get older so new doesn’t always mean bad. Let’s talk about some different characteristics of melanoma which can be simplified with the mnemonic the ABCDEs.

  1. Asymmetry – a benign (non-cancerous) mole is usually symmetrical, whereas melanoma is often irregular or asymmetrical in shape and/or color.
  2. Borders – melanoma often has irregular, blurry, or jagged edges and hard-to-define border.
  3. Color – many are varying shades of brown but could also be blue, black, tan, grey, pink, and red: up to 50% of melanomas include these other colors.
  4. Diameter – larger than 6 mm (1/4 inch) in diameter, but with early detection they are often found when they are smaller than this.
  5. Evolving – a change in size, color, shape, or structure may be noted over months to years. However, it may be reassuring to know melanoma accounts for less than 3% of all changing skin lesions.
  6. In recent years dermatologists have added “F” to stand for “funny looking”. Sometimes melanoma doesn’t fall into the above categories, and it just looks different from your other moles. This would also be something worth bringing up to your dermatologist.

Lastly, it is important to know the treatment options for melanoma have come a long way in the past few years and it is very treatable. The key to a good prognosis is early detection! I encourage you to check out Melanoma.org for more information and don’t forget to schedule your next skin exam.

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.


  • Restores firmness and elasticity, reducing the appearance of fine lines and wrinkles.
  • Improves overall skin hydration levels to offer a visibly smoother, softer complexion.
  • Energizes the skin with antioxidants, helping fight the daily damage caused by oxidative stress.

ISDIN Hyaluronic Concentrate

Hyaluronic Concentrate is a water-gel serum that treats your skin to deep hydration, providing both a plumping and smoothing effect with a satin finish. Formulated with a mix of hyaluronic acids, BioMarine extract, skin-firming peptides, and lentil extract, add this serum to your daily routine for soft, radiant skin.


  • Dive into smooth, plump skin with this daily serum, designed to lock in moisture and combat the visible signs of skin aging.
  • A multi-functional mix of hyaluronic acids helps provide deep and surface-level hydration, resulting in all-around supple skin.
  • A mix of marine-derived extract and peptides plump up the skin and help soften fine lines and wrinkles for a more youthful-looking complexion.
  • Lentil extract helps reduce the appearance of pores, while the serum’s silky texture provides an ultra-smooth look and feel.

April Newsletter

Let’s talk about lasers!- Anna Wilemon, Medical Aesthetician

We all have things on our bodies that bother us. But some may not know laser / skin treatments can treat most issues that stick out to us when we look in the mirror! I am excited to talk about some specific things we can improve with various lasers and treatments depending on what might be bothering you. Kind of like a cheat sheet!

Do you have dark spots on your body?

Just a few or even from head to toe? BBL laser will be your best friend. No, this is not a Brazilian butt lift! This is a Broad Band Light laser that attacks brown spots to break that pigment up so your body can slough it off. My favorite thing about BBL is that it is not painful, with very little downtime. We can treat from your scalp (Men) to toe.

Does your skin just look rutty, textured, enlarged pores and under eyes looking crappy?

MOXI laser might be what you need. This is a non-ablative laser that goes deep into the skin to rejuvenate and revitalize the overall look of all these issues that could be bothering you. MOXI also has very little downtime and discomfort during the treatment. The most amazing thing about MOXI is that it can treat ANY skin type, full body and also can treat Melasma.

Do you have rosacea, redness, those pesty small veins (telangiectasias) on your face?

Woman with rosacea subtype 1

You may have some hemangiomas or red stretch marks you want improved as well. You probably need Vbeam to help control that redness with a series of treatments and then help maintain those results a couple times throughout the year. This is a pulsed die laser that is specifically made for anything vascular in the skin.

Do you have dark hair on your face or any other part of your body that frustrates you?

Hirsutism (Excessive Hair Growth in Women): Causes, Treatment

We can help reduce or stop that growth with laser hair removal! This is the first thing I did for myself when I started working here at Midstate Skin. Best decision I ever made. I have 90% hair reduction on the areas I have treated and that has changed my life.

I have been working with lasers for almost 10 years now and I am still blown away at the efficacy of them! The great thing about them is it treats a patient who has a couple spots to patients that have pigment from forehead to toe.

Many of you might know we have added a new member to our Aesthetics team, Brenda Richards! But most of you might not know that she and I have known each other for about 15 years! I have seen her work her magic on my skin and so many other clients over the years. I am most excited to be able to actually receive some skin treatments myself and just enjoy the experience and knowledge she has. Her menu includes chemical peels that range from very gentle to peels to deep peels safely. Also Express Facials, Dermaplaning, Microdermabrasion, Dermalinfusion, Waxing and more! Book online anytime.

P.S. Her hands are the best!

Featured Products

NeoCutis Micro Night

A richer, more emollient version of MICRO NIGHT helps replenish moisture and guard against skin dehydration, while providing anti-aging benefits with the power or proprietary peptides.


  • Ultra-hydrating balm formulated with Proprietary Peptides technology enhances natural Collagens to help restore skin’s appearance while you sleep
  • Diminishes the appearance of fine lines and wrinkles
  • Helps to revitalize elasticity and the feel of suppleness
  • Improves the look of skin’s firmness
  • Restores hydration and guards against moisture loss with hydrating Glycerin combined with moisturizing lipids such as Petrolatum
  • Wild Yam Root Extract helps counteract dryness and textural skin changes associated with climate and/or hormonal shifts

IDSIN Melatonik

Your beauty sleep redefined. Melatonik® is a restorative night time serum-in-oil which works while you sleep to help your skin recover from daily stresses. The 3-in-1 formula containing melatonin, bakuchiol and vitamin C stimulates natural antioxidant defenses and helps to restore vitality and elasticity, for radiant, healthy skin.


  • Stimulates skin’s natural antioxidant defenses at night, helping to combat free radicals and repair oxidative damage accumulated during the day.
  • Supports collagen and elastin and helps to boost skin elasticity and firmness, while reducing the appearance of fine lines and wrinkles.
  • Provides overnight hydration and reinforces the skin’s moisture barrier for up to 8 hours after application¹, giving skin a healthy glow.

March Newsletter

What is Dermoscopy? by Hope Allen, PA-C

At some point during a routine skin exam you’ve probably wondered some of the following questions, so let’s break them down!

What is that bright light they’re using to look at my skin?

Dermoscopy, (aka dermatoscopy, epiluminescence microscopy, or skin surface microscopy) is a technique that helps in the evaluation of suspicious skin lesions. A dermatoscope is the tool that is needed to perform this technique. Using a special type of light and magnification the dermatoscope helps your provider see microstructures and colors of the epidermis, the dermo-epidermal junction, and the papillary dermis, which is not visible to the naked eye. The dermatoscope reduces the skin surface reflection by using polarized light. The light reflected by the skin surface that is responsible for the glare of the skin is blocked by the cross-polarized filter. This makes the subsurface structures visible.

What do they see when they look through the dermatoscope?


A benign Seborrheic Keratosis (sign of wisdom)

Basal Cell Carcinoma

A benign nevus

Does using a dermatoscope improve diagnostic accuracy?

When they have done large studies comparing diagnostic accuracy with and without dermoscopy they’ve found that, “When used by specialists, dermoscopy is better at diagnosing melanoma compared to inspection of a suspicious skin lesion using the naked eye alone.” ***How accurate is dermoscopy compared to visual inspection of the skin for diagnosing skin cancer (melanoma) in adults? | Cochrane

Some features when visualized with dermoscopy can give more clues than others and there are formulas that clinicians study to help correlate various features to assist in making a decision on whether or not to biopsy. On average, providers who use dermoscopy biopsy less benign lesions when compared with providers who do not use a dermatoscope during skin exams.

Does a dermatoscope help in the diagnosis of rashes and hair loss?

Yes! The benefits of dermoscopy go far beyond diagnosing skin cancer. It can assist in finding warts, can assist in the diagnosis of many rashes, scalp disorders, and nail lesions or disorders.

Do I still need a biopsy if my provider used a dermatoscope?

The goal of dermoscopy is to help reduce the frequency of unnecessary biopsy and help clinicians find suspicious lesion that do not look concerning to the naked eye. It is not a diagnostic tool and a biopsy is still the gold standard to confirm any diagnosis.

Should I get a dermatoscope to use at home so I don’t need as many skin checks?

We do not advise this. Dermoscopy requires formal training to be effectively practiced. Interpreting dermoscopy takes thorough training and needs to be used within clinical context by clinicians who have studied dermatology and is not going to be helpful to the untrained eye.

If my provider doesn’t use a dermatoscope should I be worried?

Not at all. Some clinicians have not had enough specific training to feel comfortable using dermoscopy and that’s ok. A dermatoscope is one tool, but there is so much more that goes into a provider’s diagnostic decision making.

In summary, although a dermatoscope doesn’t beep when it finds a skin cancer (that would be nice!), it is an extremely helpful aid when it comes to diagnosing and detecting cancer and skin disorders.

Featured Products

Circadia Amandola Milk Cleanser

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


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

Circadia Lipid Replacing Cleansing Gel

This revitalizing cleanser effectively removes dirt, makeup and excess

lipids without damaging the skin barrier.


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

Circadia 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.


  • 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

February Newsletter

Aesthetic Myths and Misconceptions By Katie Keel, APRN-C

There’s a lot of rumors when it comes to cosmetics and injectables. They’ll make you look fake, stiff, they’re painful, or not appealing. We got with Katie, Aesthetic Nurse Practitioner to debunk your most common misconceptions. 

Filler looks fake or filler will make me look like a different person

Filler in the right injector’s hands will leave you looking refreshed and rejuvenated, not fake or puffy or the dreaded “filler face”.   A saying we use at MidState is that we don’t want you to look “different” we want you to look like a “better” version of yourself – whatever “better” means to you. This can include appearing less tired, reduced dark circles, fewer shadows, cheeks where they used to be, fuller lips, and all around rejuvenated! Your treatment and results will be customized to your unique face, not a one size fits all approach.

“I’m too young for Botox and fillers.”

Like the saying goes – “An ounce of prevention is worth more than a pound of cure”. This is also true with injectables. Keeping up the volume in your face that you inevitably lose, sustaining the collagen in your skin that starts to decrease in your 20s and maintaining a refreshed appearance is not about “changing your face”, but keeping it as it is or getting it to back where it used to be!  So when should you start? Whenever you notice any lines, wrinkles, hollowing or volume loss that bothers you! There is no “magic” age to start or one size fits all approach. We all have different genetics and lifestyle factors (sun exposure, smoking, etc) so don’t compare the age you start and treatments you get to what your friends are doing. What is right for you might not be right for them!

Aesthetic “tweakments” are like saving for retirement – start when it doesn’t seem necessary, when you are younger and soon as signs of aging are starting to bother you. If you wait until you are “old enough” to start – it could be more costly and difficult to achieve the desired effect.

Filler will stretch out the skin

False! Yes I have seen the click bait articles and headlines too… “I got fillers and now my face is ruined and all stretched out.” Dermal fillers are used mainly to replace lost volume (bone and fat) that happens as we age. This means the skin has already had volume under it and we are just replacing it. Not to call the patient in this article a liar but arguably the existing the laxity/loose skin of the face was the reason the individual in the article sought out injectables in the first place. And as those fillers dissolved and resorbed naturally over time, the patient went back to the way they were before injectables and the patient was left with the original hollowness, wrinkles and laxity that they were warding off with fillers in the first place. A reputable injector using licensed products is extremely safe and effective without risk of damage to the skin.

Botox/Dysport and fillers are the same thing

Although both are injectables that make you look refreshed they are entirely different products that have entirely different actions and results. Botox and Dysport are what we call neuromodulators – they relax muscles that cause dynamic/movement lines such as the 11’s between your eyebrows, horizontal forehead lines and the crow’s feet that radiate from the corners of your eyes. Filler adds volume, support, and structure to the face. An easy way to remember (although there are caveats to this) is that Botox/Dysport treats lines and wrinkles at the level of your eyes up and filler treats wrinkles from your eyes down.

One treatment will fix everything

Wouldn’t that be nice if one treatment could! Aging doesn’t happen overnight (although it might seem that way) so unfortunately one treatment doesn’t reverse years of facial volume loss and wear and tear on the skin.  Botox/Dysport and fillers are not permanent and your body will break them down over time so they do require maintenance. I know we love the thought of “one and done” but keep in mind permanent treatments can have permanent repercussions and therefore “permanent” is not always better. Aging is multifaceted and therefore requires multiple approaches to get the desired result. This may include Botox/Dysport, filler, laser, collagen stimulating treatments and medical grade skincare.

Injectables are a painful process

Fear of pain should not be a reason for you to avoid injectable treatments. Most patients say that injectable treatments are like a quick pinch and are completely tolerable. Although a needle is used, it is very small and we have prescription grade numbing ointment to help take the edge off. Fillers have lidocaine numbing in them so as soon as the treatment starts it becomes even more comfortable.

Lips will be huge after 1 syringe of lip filler

Fun fact! Lips are unique to you just like a fingerprint (lip prints have even been used as evidence in criminal cases because of this distinctiveness.) All lip goals are different and there are treatment plans for the look you desire. Some patients desire a more plump look, other patients want the lips they used to have and some patients want to ward off those pesky perioral/smoker/lipstick lines. As time goes by we lose volume in our faces and lips are no different. This volume loss over time contributes to an aging and tired appearance. Your first syringe of lip filler is placed strategically to hydrate the lips and soften the formation of vertical lines around the mouth.  This treatment will give your lips that youthful, structured shape you used to have and love!

Once you start you will be unable to stop.

Another false! If you decide to stop Botox/Dysport and fillers at any time you will just gradually go back to the way you used to look. Lines that were softened or even erased thanks to injectables, will begin to reappear. To which I would say why would you want to stop a good thing?

“I want to age gracefully!”

Aging with Botox/Dysport and fillers IS aging gracefully – otherwise you are just aging. You might color your gray hairs, have a nice purse or car, get your nails done, have a personal trainer, do your makeup, wear a nice outfit – why not maintain, take care of, and enhance the features of your face? With the right injector, you can either maintain, or age in reverse as we like to say at MidState, while still looking like yourself and therefore age gracefully.

Featured 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

Dr. Dans Coribalm

Specially formulated for all types of chapped lips. Cortibalm helps heal mild to severe chapped lips due to harsh weather, allergies, cold sores, cosmetics, medications, (Accutane and Chemotherapy) eczema, lip licking, mouth breathing and more.


  • Highly effective! Within 24 hours of application you will see and feel the results
  • Dr. Dan’s lip care is a simple blend of beeswax, petroleum jelly, mineral oil and 1 % hydrocortisone.

January Newsletter

Ten years ago this week MidState Skin Institute opened. I was a newly graduated board-certified dermatologist with a dream of providing care to patients in my hometown. I had a total of six patients that entire week. Five were friends or family, the other one was lost and came in for directions but decided to get a spot biopsied while he was here. The phone rang nine times that week. Seven of which were my Mom checking on me. Our entire team consisted of me, Thomas, Brittney and someone to man the phones (that rarely rang). When I think back to those times, I remember the fear and uncertainty I felt. Am I ready for this? Will patients like me? When will I get busy? How will I ever pay back these loans? But I also remember the excitement and commitment to create something I would be proud of.

Today we have three locations and approximately 60,000 patients. An average of 250 patients visit our offices each day and the phone doesn’t seem to stop ringing. I am now supported by a team of fifty coworkers who are invaluable in making what was once a dream a reality. A lot has changed in ten years. Those initial feelings of fear, uncertainty, excitement and commitment still remain though. I think that’s what motivates us to keep improving and making new goals. My main goal for 2023 is to continue to improve the patient experience at our offices. To do that, a few exciting changes will be made.

First, and the biggest undertaking yet, is our Jasmine Park location is moving into a brand new 6000 square foot building that is currently under construction. The new building is within 100 yards of the current location so will be easy for patients to find. There will be PLENTY of parking, a dozen exam rooms, and a dedicated aesthetic suite offering aesthetician services. We are excited to welcome patients into this space starting summer 2023. You can follow along the progress with us on our social media accounts.

Second, we are bringing on new laser technology to improve patient outcomes. We are very excited to be the first and only office in Ocala to offer Scition’s Broad Band Light (BBL) HERO system, the most advanced non-ablative light therapy laser for skin rejuvenation. Virtually anyone can benefit from BBL treatments, and the HERO (high energy rapid output) makes treatment faster and more comfortable than ever before. It has set a new gold standard in treating skin conditions associated with aging, active lifestyles and sun damage for anywhere on the body. This treatment is now available at our Deerwood office. Keep an eye on our social media accounts for special pricing and before and after photos.

Lastly, in an effort to keep up with demand and decrease patient wait times, we are introducing two new providers. Sierra Rebchook, PA-C joined us in April and will have availability at Deerwood this spring. Hope Allen, PA-C has been with us since May and will join the team at Jasmine full-time once we move into the new location. I am thankful they have joined our MidState family and am excited for you to meet them.

Thank you all for being an important part of this journey. I’m excited to see what 2023 brings. Be well my friends!

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  • Boosts hydration and reinforces the skin’s barrier function.

December Newsletter

 Dry Skin December

Dry skin affects virtually everyone in the winter! From changes in the humidity and temperature, to indoor heating. In this month’s blog we’ll take a look at some of the most common dry skin issues, and how you can tackle them.

How your diet can affect your dry skin-

Food is a vital part of skin health. If a person eats a healthy, balanced diet, their skin may be better able to fulfill its protective functions. Eating certain foods may even help protect and moisturize the skin. The same can be said for foods that cause dry skin to worsen. The skin has a protective function which prevents excess water loss and stops dangerous chemicals and allergens from affecting your body, while regulating your temperature. Dry skin can be a symptom of nutrient deficiencies such as Vitamins A, C, D & E, zinc, and selenium. Here are some foods you can add to your diet to ensure your skin is receiving the nutrients it needs.

Vitamin A

  • Beef liver (we know, but stick with us!). Beef liver is an excellent source of Vitamin A because animals store vitamins in their liver. Just a 3 oz serving of beef liver can give you 73% of your daily Vitamin A needs (3,000 mcg). Vitamin A is essential to fighting dry skin as it contains retinoids. BONUS- Vitamin A can help the symptoms of psoriasis.
  • Sweet potatoes. Each baked sweet potato with skin contains 1,400 mcg of Vitamin A. Again, it is worth pointing out that the upper limit for vitamin A consumption is 3,000 mcg per day. Consuming more than this can be harmful.

Vitamin C

  • Sweet red pepper. Half a cup of sweet red pepper contains 95 mg of Vitamin C which equates to 100% of your daily needs! Vitamin C is useful in combating dry skin because it significantly increases skins hydration while also protecting you from harmful UV rays.
  • Kiwi fruit. One medium kiwi contains 64 mg of Vitamin C. Vitamin C has other health benefits aside from skin hydration and protective functions, according to the NIH. For example, consuming vitamin C can lower the risk of developing cataracts and may lessen the severity of cold symptoms.

Vitamin D

  • Cod liver oil is a great source of Vitamin D as one tablespoon contains 34 mcg of vitamin D. That’s 170% of your daily needs!! There are different types of Vitamin D like D3 and D2. These reduce inflammation, and promote healing.
  • Soy, Almond & Oat Milk are fortified with Vitamin D. One serving contains 2.5-3.6 mcg which is about 15% of your daily needs, but in combination with your other vitamin rich foods is a great addition.

Vitamin E

  • Sunflower Seeds. One ounce of dry roasted sunflower seeds contains 7.4 mg of Vitamin E which is about 50% of your daily needs. Vitamin E is an antioxidant which means it can help combat UV damage, dry skin and pigmentation.


  • Oysters. Three ounces of breaded, fried oysters contain 74mg of zinc. Are you ready for this… that’s 600% of your daily needs!! Those slippery devils are rich in zinc which is essential in protecting the skin from UV damage by limiting the amount of radiation that permeates the skin.
  • Baked beans. Half a cup of baked beans contains 2.9 mg of zinc which is only 25% but it all adds up.


  • Yellowfin tuna. Just three ounces of yellowfin tuna contains 92 mcg which equates to 160% of your daily needs. Selenium protects the skin from UV damage by increasing the activity of enzymes in the skin. It’s also useful in treating psoriasis in increasing the levels of glutathione peroxidase.

Cream vs. Lotion- by Seirra Rebchook

While we may not get snow in December, our skin certainly knows when the cold months are upon us! Have you ever noticed that when the air is dry and cool, our skin feels dehydrated? Moisturizing is essential in locking in hydration, keeping our skin soft, smooth and youthful! That being said…not all moisturizers are created equal. Let’s look at different vehicles of moisturizer and which one works best for your individual skin needs:

  • Cream
    • Viscous, non-greasy to mildly greasy. Works well for dry skin and minor rashes. Examples include Cera Ve cream and Cetaphil cream, which come in jars.
  • Ointment
    • Thick, oil based. Works extremely well as trapping moisture. Examples include Aquaphor and Eucerin. Works well for eczema and psoriasis.
  • Lotion
    • Thin, non-greasy. Rapidly absorbs without leaving behind a trace. Great for everyday use. Examples include Aveeno and Lubriderm.

Dry Feet

Don’t forget those feet when you’re bundling up this winter. Dry winter air can steal moisture from not only your skin but your feet, too making them feel hard and crack. Some common causes of dry, cracked heels are:

  • Frequent hot showers
  • Improper footwear
  • Standing for long hours
  • Using harsh soaps that strip your skin
  • Walking around barefoot

What can you do to protect those heels this winter-

  • Soaking your feet regularly in lukewarm water can help keep your feet feeling soft and smooth. Do not use hot water as it will strip away protective oils and leave your skin prone to dryness. Add Epsom salts, essential oils, oatmeal, buttermilk, and honey to add extra moisturizing properties to the water.
  • After your soak, gently exfoliate your feet with a pumice stone or foot file to remove dead skin and smooth down calluses. If calluses become too thick, they can lose their elasticity and flexibility causing cracks when you move or if friction occurs.
  • Once you’ve soaked your feet or finished exfoliating, remember to moisturize! Invest in a good quality balm or ointment that you can apply daily in the morning and night.
  • Make sure you stay hydrated by drinking plenty of water throughout the day. In dry winter climates, it is easy for your skin to dry out so drink more water during the day to keep your skin hydrated and prevent dryness.

Dry 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.

  • Use non-irritating lip balm, lipstick, and other products that you apply to your lips (our fav- Dr. Dan’s Cortibalm)
  • Avoid ingredients like
    • Camphor
    • Eucalyptus
    • Flavoring: Cinnamon, citrus, mint, and peppermint flavors can be especially irritating to dry, chapped lips
    • Fragrance
    • Lanolin
    • Menthol
    • Octinoxate or oxybenzone
    • Phenol (or phenyl)
    • Propyl gallate
    • Salicylic acid
  • Look for products with
    • Castor seed oil
    • Ceramides
    • Dimethicone
    • Hemp seed oil
    • Mineral oil
    • Petrolatum
    • Shea butter
    • Sun-protective ingredients, such as titanium oxide or zinc oxide
    • White petroleum jelly
  • Slather on a non-irritating lip balm with SPF 30 or higher before going outdoors
  • Drink plenty of water
  • Stop licking, biting, and picking at your lips
  • Avoid holding items made of metal with your lips
  • Plug in a humidifier at home

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Neocutis-Neo Firm

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.


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  • Tightens the natural contours of the neck and décolleté
  • Conditions skin while defending against premature aging
  • Rejuvenates crepe looking skin with glycolic acid

November Newsletter

 National Healthy Skin Month- by Hope Allen, PA-C

Happy National Healthy Skin Month everyone! What do you think of when you picture “healthy” skin? When I think of healthy skin, I think of the first time I held my niece and nephew. I remember looking down at their little fingers and toes, those big, bright eyes taking in the world around them, and most of all, their perfect, soft, smooth, newborn skin!
It can be a challenge to keep our skin healthy throughout our lives. Our skin is our largest organ and has the tough job of directly interacting with the harsh environment of the world around us.
Our skin faces potential physical trauma such as cuts, scrapes, and bruises. It is exposed to radiation from the sun’s harsh rays that can cause damage and can lead to cancer. Also, our skin acts as a barrier that protects us against bacteria, fungi, and viruses. It’s not easy being skin. So, let’s take some time to talk about what you can do to keep your skin as healthy as possible by addressing some common questions.
How do I care for skin injuries?
When it comes to wound care, the first step is proper cleansing. Strong antiseptics can sting, burn, and irritate the skin and they aren’t always needed. We recommend that you save rubbing alcohol and hydrogen peroxide for wounds in situations where the risk of bacterial infection is high. For example, animal bites and cuts in the kitchen with knives that have cut raw meat, or wounds sustained outside from dirty or rusty objects. Also, keep in mind that most of these types of wounds should be evaluated by a medical provider since oral antibiotics, and in the later instance, a tetanus shot, are likely needed. For most cuts and scrapes, daily cleansing with your average antibacterial soap, such as Dial, in addition to thorough rinsing, is all you need to clean a wound.The second step to wound care is moisture. Why is moisture so important? When our skin was originally formed in the womb it was in the most heavily moisturized environment imaginable! It was surrounded by amniotic fluid. It makes sense, then, that when we injure our skin and need new skin to grow, it does so the best when heavily moisturized. As we have come to better understand the physiology of skin development, the more we have learned how important this is. Covering a wound with ointment so it never forms a dry scab will decrease scaring risk and help your wound heal quickly. When it comes to choosing an ointment, no antibiotic ointment is needed for most wounds. In fact, studies have shown that the strength of the antibiotic in over-the-counter antibiotic ointments is not strong enough to offer antibacterial benefits but is strong enough to trigger allergic contact dermatitis. Our recommendations for healing ointments includes Aquaphor, Vaseline, CeraVe healing ointment, or Cetaphil healing ointment.

The third and final step to wound care is to keep wounds covered so they stay clean, and ointments are not accidentally wiped off. If the adhesives from band-aids and tape irritates your skin, self- adherent wraps and paper tape are a good alternative.

Another presentation of traumatized skin is bruising. As we age, our blood vessels become more fragile, and our skin loses collagen making us bruise more easily. It is very common in later years to experience a condition called senile purpura. This is where the forearms bruise so easily that the bruises seem to appear out of nowhere since the trauma was so minimal it is not noticed. The best way to delay the development of senile purpura is to take supplemental collagen and avoid sun exposure on the forearms, but it is a natural part of the aging process.

Who needs sun protection?
Protecting your skin from the sun is the number one most important thing you can do to keep your skin healthy! Unprotected exposure to UV rays causes damage that can alter the DNA affecting a gene that suppresses tumors and increases the risk of sun- damaged skin cells turning into skin cancer. This is true for all skin types. It is a common misnomer that only lighter skinned individuals who burn easily are at risk for developing skin cancer. The truth is that if you have skin, you can get skin cancer.In addition to increasing your risk for developing skin cancer, UV rays from the sun also damage the skin leading to premature aging. Photoaging (sun damage) causes wrinkles, dark spots, whote spots, and loss of skin elasticity. These changes can be easily appreciated by comparing the skin on the sun exposed areas of an individual (face, chest, arms) to the sun protected areas (abdomen, upper legs, buttocks). As you age, the goal is for your skin to look and feel the same when you compare these areas.

How do you go about protecting yourself from the sun? The best sunscreen to buy is any mineral sunscreen that is at least 30 spf. Mineral sunscreens use minerals like zinc and titanium to protect your skin and are safe for all ages. They also have no harmful impacts on the environment such as coral reefs.
The ideal sun protection is a combination of these sunscreen lotions and physical protection. Hats, sunglasses, and UPF clothing provide physical protection against UV rays and play a critical role in sun protection since regularly applying lotion to all exposed skin is not always practical or convenient.
Do I really need to use lotion?
This is a common question I hear, especially from my male patients.
For many men, the hassle of applying lotion seems to result in thoughts of “Do I really have to do this?” and “Why do I have to if my dry and flakey skin doesn’t bother me?” One reason why dry skin can be harmful is because excessive dryness can cause activation of a disease called eczema that presents as an itchy and sometimes painful rash. Another reason that moisturizing is important is that it helps the skin maintain its barrier function. When skin becomes too dry, small cracks can form and increase your risk of infection. Our skin constantly encounters countless different types of bacteria, fungi, and viruses. Healthy skin with a skin barrier that is intact and functioning properly keeps pathogens from entering our bodies.
Supplementing your skin’s moisture and hydration by applying lotion after you shower and drinking plenty of water, helps prevent your skin from becoming too dry. This becomes increasingly important as we age, and our skin can’t self-regulate its moisture as affectively. When skin is chronically dry for years it becomes more difficult to restore the moisture and barrier function. For this reason, starting to moisturize regularly is a habit you’ll want to start sooner rather than later.
Why am I getting more spots?
This final question is probably the most common we hear. The answer is usually age, sun exposure, and genetics. The following are 4 of the most common types of “spots.”Seborrheic keratosis- The amount of these lesions you will get in your lifetime is based on your genetics. However, after the age of 30 just about everyone starts to accumulate a few. You’ll hear them referred to as “SKs,” “age spots,” “skin barnacles,” or my personal favorite, “signs of wisdom.” They can range in color from white to dark brown, and feel raised, crusty, and waxy.

Cherry angiomas- Hemangiomas can range in color from bright red to dark purple and are smooth and round. Cherry angiomas are often referred to as “red moles.” These are another type of benign lesion that have some genetic inheritance, and almost everyone will get at least a few. The prefix angi- means vessel and the suffix -oma means tumor or growth. As the name implies, these lesions are growths that develop from blood vessels.

Solar lentigo- Solar lentigos aka “liver spots” or “sunspots” are smooth, light brown areas that appear in sun exposed skin. They are associated with sun damage or photoaging, so they are best prevented by diligent sun protection.

Idiopathic guttate hypomelanosis- Although we typically think of the previously mentioned solar lentigos when we hear “sunspots,” there is another common presentation of sun damage on the skin. This condition presents as countless small, white spots and is most common on the forearms. IGH is common in patients with fair skin and the white spots are consistent with their natural skin tone while the surrounding skin is darker due to sun damage.

Fortunately, these 4 types of “spots” are completely benign. Unfortunately, they can act as camouflage for cancerous lesions that like to mimic their appearance. For this reason, we recommend everyone over the age of 30 years old schedule an annual skin exam for skin cancer screening by a dermatology medical provider.

Another way that healthy skin makes me think of my nephews and nieces is that skin is like a child-It doesn’t keep secrets!
Our skin is out there for everyone to see. So, while we of course want to feel healthy, we also want to look healthy and there is no better way to look healthy than to have healthy skin.
These tips of course only scratch the surface on the broad topic of skin health, but hopefully they will propel you one step further on your journey to happier, healthier skin!
I hope everyone has a very happy Thanksgiving and remember to take a quick moment to give thanks for healthy skin!

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Why you’ll love it:

  • Reduces the appearance of fine lines and wrinkles, pores, and rough patches.
  • Lactic acid moisturizes while exfoliating to support hyaluronic acid.
  • Supports exfoliation and removes dead skin to help prevent clogged pores.

EltaMD- AM & PM

Lightweight daytime formula pairs with added moisture for nightime, or whenever you like!

Benefits of AM:

  • Moisturizes and smoothes skin
  • Brightens and improves skin tone
  • Stimulates the skin’s natural water system
  • Compatible with all EltaMD sunscreens

Benefits of PM:

  • Strengthens the skin’s natural moisture barrier
  • An antioxidant, peptide and ceramide blend helps diminish the visible signs of aging
  • Repairs and restores elasticity and vitality
  • Safe for all skin types

October Newsletter

Not all skin is alike! Just like most things with men and women, there are some major differences between men and women’s skin and those things definitely affect the way each sex tackles skincare. The hormone testosterone determines the masculine characteristics of male skin and gives it a different structure to female skin. While every man’s skin is unique, in general, male skin – on both the face and the body – is thicker, oilier and ages differently.

  • Male skin is, on average, approximately 20% thicker than female skin. It contains more collagen and has a tighter, firmer appearance.
  • The collagen content of male skin reduces at a constant rate. Female skin is affected later in life, especially after the menopause. Female skin then thins more dramatically and the effects are more pronounced than in male skin.

Sebum (oil) production in men is double that of women, and they have more and larger pores. This means that not only is male skin oilier and shinier than female skin, but that they are also more prone to acne and less prone to dry skin.

The higher collagen density in male skin means that it ages slower than females. In fact, a woman’s skin is about 15 years older than a man’s of the same age (how unfair!). However, since men can be less sun savvy than women and are less likely to use sunscreen, the “15 year” skin age difference is not readily noticed. UV damage from the sun can add years to a man’s skin and negate the benefit of slowed intrinsic aging.

It’s important to remember that there are also similarities between men’s and women’s skin. For example, men want healthy looking skin just as much as women do. And just like women, they deal with issues such as skin sensitivity, acne, and aging. They may not be as regimented as women in taking care of their skin, but they do care.

Our Medical Aesthetician is well versed in men’s and women’s skin, and is ready to book a facial with you to get you started on your skincare journey.

Hormonal Acne

by Sierra Rebchook, PA-C

I am a woman. I am strong, smart and bold, nothing can stop me…wait, what is that? A pimple? Noooooo! As someone who has delt with pesky acne since the age of 12, I know just how frustrating, painful and unattractive acne can be. Like everything in life, acne itself is multifactorial. This means that there are lots of different factors that play into the development of pimples. Bacteria, issues with skin exfoliation, and even hormones can lead to the formation of acne. As this month is all about women, I’m going to focus on the hormonal aspect of acne- what it is and what treatments are available in preventing it from totally taking over our lives!

Hormonal acne: what is it?

Hormonal acne is caused by androgen excess in the skin. Androgens, also known as sex hormones (like testosterone) are vital for healthy human development. While androgens do many wonderful things for the human body, they also do some not so cool things. One role that androgens play in the body is the enlargement of sebaceous glands. Sebaceous glands produce sebum (aka oil). Oil production in our skin is vital for helping keep the skin moisturized, young healthy and glowing. Unfortunately, excess sebum can mix with bacteria that live on our skin to cause follicular plugging (plugging of the hair follicle). This in turn does not allow dead skin cells to exfoliate off, ultimately leading to blackhead and pimple formation.

Because androgen release is part of what stimulates the sheading of the uterine lining (aka your period), it is common to have more breakouts during “that time of the month”. Isn’t it great being a girl?

How do I treat hormonal acne?

  • Birth control- birth control pills with low androgenicity can help improve acne in many patients. Examples of birth control brands FDA approved for acne include Yaz, Ortho Tri-Cycles and Estrostep
  • Antiandrogens- Spironolactone (a potassium sparing diuretic originally used to treat high blood pressure) is an oral medication used off-label in many women (myself included!) to help with hormonal acne. Topically, a new medication called Winlevi can also be used as an antiandrogen for acne.

Fun fact: Spironolactone is a fan favorite because it can help limit hormonal acne, while increasing hair growth, making it a great treatment option in younger women with acne and androgenetic alopecia (female pattern hair loss)!

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  • Significantly reduces the appearance of wrinkles in as little as four weeks, with little-to-no irritation.
  • Provides moisture to help counteract dryness associated with traditional retinoid-based products.
  • Combines two gold standard skin rejuvenation ingredients – a retinoid and an AHA (lactic acid) – joined together to create the revolutionary AlphaRet technology that minimizes irritation, enhancing satisfaction and experience.
  • A blend of antioxidants helps neutralize free radicals.

SkinBetter- AlphaRet Clearing Serum

A uniquely formulated retinoid-based serum designed for those who wish to maintain a youthful-looking complexion and clarify the appearance of oilier, blemish-prone skin.Why you’ll love it:

  • Improvement in the appearance of skin clarity, pores, skin surface shine, and overall tone and texture.
  • Smoother, more even-looking complexion.
  • Healthier-looking skin, with little-to-no dryness or flaking.

September Newsletter

by Sierra Rebchook, PA-C

Hair Loss

Pronounce: alopecia (al-low-pee-she-ah)

  • What is it?
    • Hair loss
  • Is all hair loss the same?
    • There are many different types of hair loss. Some common types of alopecia include androgenetic hair loss (male and female pattern hair loss), alopecia areata, telogen effluvium (stress induced hair loss), and tinea capitis.
  • How is hair loss diagnosed?
    • Typically, patients are the first to notice hair loss, as it can be very distressing and discouraging. However, clinicians can also assess hair loss by doing a hair pull test, tracking photos of the scalp overtime, and even taking a biopsy to determine what type of hair loss a patient has and what may be causing the hair loss.
  • What causes hair loss?
    • Hair loss is often idiopathic, which means we simply don’t know what causes it. However, certain factors such as hormone imbalances, vitamin deficiencies, stress, genetics, environmental factors, allergies, infection, illnesses, etc. have been linked to hair loss.
  • How do we treat hair loss?
    • There is no perfect solution for any type of hair loss. However, there are many different treatment options available depending on the type of hair loss in question. Forms of treatment range from topical to oral to even injectable medication to either stop hair loss from progressing or to help stimulate hair regrowth.
  • What can I do to prevent hair loss and to keep my hair healthy and happy?
    • Unfortunately, certain things like genetics, allergies and illness are out of our control. However, eating a healthy, well-balanced diet, limiting stress, washing hair with gentle cleansers sparingly, avoiding pulling on hair, and beginning medical treatment at the first signs of hair loss are a few examples of many of how we can keep try and limit hair loss.
    • Sometimes, despite our best efforts, hair loss is inevitable. In these extreme circumstances, hair transplants or wigs are the best option.

Alopecia Areata

Many people who develop alopecia areata are otherwise healthy. They have hair loss and sometimes nail changes, but they remain in good health. The hair loss tends to be unpredictable. Hair may regrow without treatment. This happens more often when someone has a few bald patches. When the hair regrows, it may fall out again-or it may not. If alopecia areata affects the nails, you may see dents, ridges, or brittle nails. Some people develop red nails.

When does alopecia areata usually begin?

It can begin at any age; however, most people develop it during childhood or their teenage years. About half them see their hair regrow within 12 months without treatment. When the hair regrows, it may never fall out again. It’s also possible to have unpredictable cycles of hair loss and regrowth for years.

If a parent has alopecia areata, will a child get it?

If a parent or close blood relative has (or had) alopecia areata, a child has a greater risk of developing this disease. While the risk is greater, not every child with this increased risk will get alopecia areata.

Research leading to new treatment

Because hair loss can greatly affect a person’s quality of life, researchers continue to study alopecia areata. Much of this research focuses on developing more effective treatments. This is giving new hope to patients, especially those living with widespread hair loss. Dermatologists are conducting much of this research. If you are an adult with widespread alopecia areata, your dermatologist may talk with you about the possibility of joining one of these studies.

Types of alopecia areata

When talking about treatment, your dermatologist may mention the type of alopecia areata that you have.

The main types are:

Alopecia areata: Alopecia is the medical term for bald. Areata means patchy. This patchy baldness can develop anywhere on the body, including the scalp, beard area, eyebrows, eyelashes, armpits, inside your nose, or ears.

Alopecia totalis: The person loses all hair on the scalp, so the scalp is completely bald.

Alopecia universalis: The person loses all hair, leaving the entire body hairless. This is rare.

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  • Plumps– A mix of marine-derived extract and peptides plump up the skin and help decrease fine lines and wrinkles for a youthful-looking complexion.
  • Smoothes– Lentil extract, which helps reduce the appearance of pores, combined with the serum’s silky texture, provides an ultra smooth look and feel.


ISDIN- Uradin Lotion 10

Uradin Lotion 10 provides long-lasting moisture and helps to re-establish optimal levels of hydration in the skin. The ideal body lotion for dry or very dry skin, it works to restore skin’s natural smoothness through 24-hour intense hydration. Uradin Lotion 10 helps to reduce the itching associated with dryness, and absorbs quickly into the skin without feeling heavy or greasy.Benefits:

  • Hydration– Provides deep, lasting hydration for 24 hours.
  • Moisture– Nourishes without feeling greasy or heavy on the skin.
  • Relief– Helps relieve the itchiness associated with dry, flaky skin.

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.

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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.

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  • 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.

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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.

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EltaMD UV Aero Broad-Spectrum SPF

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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.

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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!

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ISDIN- Eryfotona Ageless

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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

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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.


  • 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.


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



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.


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

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

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.


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.


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.


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.


  • 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.


  • 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.


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.


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


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


  • 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.


  • 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.


  • 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!


  • 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.


  • 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 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.


  • 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.


  • 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.



  • 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.


  • 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.


  • 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


  • 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


  • 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.


  • 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.


  • 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!


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