Dermatology Specialists of Brighton

First-Time Botox: What Patients Should Expect

Thu, 26 Feb 2026 08:34:09 GMT

Are you wondering what it’s like to get Botox in Grand Rapids, MI, for the first time? Many local residents share this curiosity as they explore options to smooth wrinkles and refresh their appearance. Botox remains one of the most popular nonsurgical cosmetic treatments because it delivers effective results with minimal downtime. At Hamzavi Dermatology and Dermatology Specialists, we focus on guiding first-time patients through every step of their Botox journey with expert care, education, and personalized attention.

In this blog post, we’ll offer a comprehensive look at what you can expect during your initial Botox appointment, explain the benefits of this wrinkle-reducing treatment, and help you make an informed choice when selecting a trusted provider in Grand Rapids.

What Exactly Is Botox, and How Does It Work?

Botox is a purified neurotoxin protein that temporarily relaxes the tiny muscles beneath the skin responsible for wrinkles and expression lines. When injected in precise doses, Botox inhibits the signals that cause muscles to contract, allowing the skin to smooth out over time.

Common treatment areas include forehead lines, crow’s feet near the eyes, and the frown lines between the eyebrows. Because Botox targets the muscles causing these wrinkles rather than the skin itself, the results provide a natural, refreshed look without affecting facial expressions. This makes Botox an ideal wrinkle reduction option for men and women in Grand Rapids, MI, who want to maintain their youthful appearance without surgery.

Why Botox Is the Preferred Choice for Wrinkle Reduction in Grand Rapids

Botox is a safe, FDA-approved treatment known for its proven effectiveness. A big reason it’s favored throughout Grand Rapids is because it fits seamlessly into busy lifestyles. Each treatment takes around 10 to 15 minutes and is often referred to as a “lunchtime procedure,” with little to no recovery time needed.

Unlike more invasive procedures, Botox does not require anesthesia, incisions, or significant healing periods. Many patients appreciate the convenience and the ability to return to their daily routines immediately after treatment. Plus, Botox results typically last 3 to 6 months, allowing you to refresh your look regularly and prevent deeper wrinkles from forming.

A Detailed Step-by-Step Overview of Your First Botox Appointment

Understanding what happens during your appointment will help set your mind at ease. Here’s a clear step-by-step look at the Botox treatment process at Hamzavi Dermatology:

Initial Consultation and Assessment
The first step is a thorough consultation where your provider learns about your medical history, aesthetic concerns, and goals. We discuss your expectations from Botox and evaluate your facial anatomy to determine the optimal injection points for natural results.
Skin Preparation
Next, the treatment areas are gently cleansed to remove oils and makeup. A topical numbing cream or ice may be applied to minimize any discomfort, though many patients find the injections quite tolerable without it.
Botox Injection
Our trained specialists carefully inject Botox using ultra-fine needles into targeted muscles. Depending on your specific treatment plan, the number of injection points will vary. The entire injection process usually takes just a few minutes.
Post-Treatment Instructions
Once the injections are complete, you’ll get personalized aftercare advice. Instructions often include avoiding touching or massaging the treated area, skipping heavy exercise for the day, and staying upright for several hours to ensure the Botox settles properly.
What to Expect After Treatment
Some patients notice mild redness or tiny bruises that fade quickly. Results normally begin to develop within 3 to 5 days, reaching maximum effect after about two weeks. We provide follow-up appointments to assess results and discuss maintenance plans.

Common Questions From First-Time Botox Patients in Grand Rapids, MI

So many patients ask, “Will my face look frozen or unnatural after Botox?” The answer is no; when Botox is expertly administered, you retain your natural expressions and simply look refreshed.

Others inquire about the safety of Botox. It’s important to know that Botox has been approved by the FDA for cosmetic use since 2002 and has a strong safety profile when injected by qualified professionals like those at Hamzavi Dermatology.

Some people worry about pain or discomfort, but most report only a quick pinch at the injection site. There is no downtime, meaning you can plan your appointment around your schedule easily.

How to Choose the Right Provider for Botox in Grand Rapids, MI

Choosing the right clinic and provider is essential to getting the best Botox results. Experience matters because precise injection technique influences both safety and appearance.

Hamzavi Dermatology and Dermatology Specialists stand out among providers in Grand Rapids because of their professional credentials, patient-centered approach, and customized treatment plans. Our goal is to deliver wrinkle reduction that enhances your natural beauty, not masks it.

Scheduling your Botox with experienced dermatology specialists eliminates guesswork and diminishes risks like over-treatment or uneven results. You deserve the best care when considering cosmetic treatments.

Ready to Refresh Your Look? Take the First Step Today!

If you are ready to smooth away fine lines and rejuvenate your appearance, Botox in Grand Rapids, MI, is an outstanding choice. Hamzavi Dermatology and Dermatology Specialists offer personalized Botox treatments designed to enhance your natural beauty while maintaining your unique facial expressions.

Don’t wait to discover the benefits of wrinkle reduction through expert Botox care. Connect with our team today by visiting our contact page or calling (734) 495-1506 . Whether it’s your first time or you’re considering ongoing maintenance, we’re here to support your journey to a more youthful, confident you right here in Grand Rapids, MI.

Acne Myths & Real Acne Dermatology Treatment in Livonia, MI

Fri, 10 Oct 2025 03:12:48 GMT

Acne is a common skin condition that affects individuals of all ages. In Livonia, MI, residents seeking effective solutions often turn to professional acne dermatology treatment in Livonia, MI to address persistent breakouts and prevent long-term skin damage. Acne can result from a combination of factors, including hormonal changes, genetics, stress, and certain lifestyle habits. Understanding the root causes is essential, which is why consulting with experts in acne dermatology in Livonia, MI, can provide tailored treatment plans based on your specific skin type and condition. Proper diagnosis and professional guidance not only help reduce active breakouts but also prevent scarring and other complications, ensuring healthier skin in the long term.

Debunking the Top 5 Acne Myths and Effective Dermatology Treatments in Livonia, MI

Acne is one of the most common skin conditions, yet it is surrounded by myths that can prevent effective care. Misconceptions about acne often lead people to try ineffective remedies, waste time, or even worsen their skin. Professional acne dermatology treatment in Livonia, MI, is designed to address these myths and provide personalized solutions based on each patient's skin type and condition. Understanding the truth behind acne is the first step toward healthy, clear skin.

Myth 1: Acne is only for teens: While hormonal changes during adolescence can trigger acne, adults are also susceptible. Stress, hormonal imbalances, and environmental factors can cause breakouts at any age. Seeking professional acne dermatology treatment in Livonia, MI, ensures that adult acne is treated effectively with medical-grade solutions tailored to mature skin.
Myth 2: Diet alone causes acne: Although certain foods, like high-glycemic or dairy-heavy diets, may aggravate acne in some individuals, diet alone is rarely the sole cause. Genetics, hormones, and skincare routines play a much larger role. Dermatologists specializing in acne dermatology in Livonia, MI, can identify these underlying factors and recommend treatments that target the root causes.
Myth 3: Over-the-counter products are enough: OTC products may help with mild acne, but they often fall short for moderate to severe cases. Prescription-strength creams, oral medications, or advanced treatments such as chemical peels or laser therapy are often required. This is why professional acne dermatology treatment in Livonia, MI, is crucial for achieving lasting results and preventing scarring.
Myth 4: Sun exposure clears acne: Many people believe that sunbathing or tanning can "dry out" pimples, but excessive sun exposure can damage the skin, increase inflammation, and trigger post-inflammatory hyperpigmentation. Safe, effective dermatology treatments provide long-term acne control without risking skin damage.
Myth 5: Popping pimples helps them heal faster: Squeezing or picking at pimples can push bacteria deeper into the skin, leading to increased inflammation, infections, and permanent scarring. Proper extraction and treatment by professionals in acne dermatology treatment in Livonia, MI, ensure that blemishes are safely removed while minimizing risk.

By addressing these common myths, patients in Livonia, MI, can gain a clearer understanding of their skin and make informed decisions about their care. Professional guidance from acne dermatology treatment in Livonia, MI, not only treats active breakouts but also prevents future flare-ups, improves skin texture, and boosts overall confidence.

What to Expect When Using Acne Dermatology Treatment in Livonia, MI

Understanding what to expect during acne dermatology treatment in Livonia, MI, can help patients feel confident and prepared for their journey to clearer skin. Each treatment plan is customized based on the individual's skin type, acne severity, and lifestyle, ensuring the most effective results. Working with specialists in acne dermatology in Livonia, MI, provides a comprehensive approach that addresses both the visible symptoms and underlying causes of acne.

Initial Consultation and Assessment: A dermatologist will evaluate your skin, review your medical history, and identify factors contributing to your acne. This step ensures a personalized plan for acne dermatology treatment in Livonia, MI.
Customized Treatment Plan: Based on the assessment, treatments may include prescription topical medications, oral medications, chemical peels, or laser therapy to target acne at its source.
Ongoing Monitoring and Adjustments: Regular follow-ups allow your dermatologist to track progress, adjust medications, and ensure the treatment is effective and safe.
Education on Skincare and Lifestyle: Patients receive guidance on proper skincare routines, dietary considerations, and habits that support long-term skin health.
Visible Results Over Time: While some improvement may be seen in a few weeks, most treatments require consistent use and monitoring for optimal results. Professionals in acne dermatology in Livonia, MI, ensure that treatment is both safe and effective, minimizing the risk of scarring or flare-ups.

By knowing what to expect, patients can approach acne dermatology treatment in Livonia, MI, with realistic goals and confidence, knowing they are receiving expert care tailored to their individual needs.

Essential Benefits of Acne Dermatology Treatment in Livonia, MI

Investing in professional acne dermatology treatment in Livonia, MI, offers numerous benefits beyond simply reducing breakouts. Working with experts in acne dermatology in Livonia, MI, ensures a comprehensive approach that addresses both the visible symptoms and underlying causes of acne, providing long-lasting results and improved skin health.

Effective Acne Control: Professional treatments target acne-causing bacteria, clogged pores, and inflammation, offering faster and more reliable results than over-the-counter solutions.
Prevention of Scarring: Early and proper treatment reduces the risk of permanent acne scars, helping maintain smooth and healthy skin.
Personalized Treatment Plans: Dermatologists create customized plans based on your skin type, acne severity, and lifestyle, ensuring optimal results.
Expert Guidance and Monitoring: Regular follow-ups allow for adjustments to treatment, minimizing side effects and maximizing effectiveness.
Boost in Confidence and Skin Health: Clearer skin improves self-esteem, while professional care addresses overall skin health, including texture, tone, and resilience.

With professional acne dermatology treatment in Livonia, MI, patients receive a safe, science-backed approach to managing acne, guided by specialists in acne dermatology in Livonia, MI, who understand the complexities of the condition.

Don't let acne control your life. Contact us today to schedule a consultation and explore effective acne dermatology treatments in Livonia, MI. Take the first step towards clearer, healthier skin!

5 Things to Expect at a Skin Exam in Chelsea, MI

Thu, 03 Jul 2025 08:28:18 GMT

If you’re preparing for a skin exam in Chelsea, MI, it’s natural to have a few questions. Whether it’s your first appointment or a routine visit, knowing what’s involved in a full-body skin examination helps ensure you feel confident and ready. Skin exams are crucial for early detection of skin conditions, including skin cancer, and are a proactive way to maintain overall health.

Step-by-Step Skin Exam in Chelsea, MI

1. A Warm Welcome and Intake Process

Your appointment starts with a simple intake process, where you’ll provide updates on your medical history and note any new or ongoing skin concerns. This step ensures that your skin health is reviewed within the context of your overall wellness.

2. Private and Comfortable Exam Room Setup

Exams take place in a private, comfortable environment. You’ll be asked to change into a gown and may request a chaperone during your exam. The focus is always on making you feel at ease while ensuring a thorough and professional experience.

3. Comprehensive Full-Body Examination

The dermatologist will examine your skin from head to toe, looking for any unusual spots, moles, or discolorations. The full-body skin exam typically includes areas you might not think of, like the scalp, between your toes, and behind the ears. The goal is to catch potential issues early when they are easiest to treat.

4. Personalized Discussion and Recommendations

After the examination, your dermatologist will share their findings with you. If anything unusual is spotted, such as a mole that may need a biopsy, it will be explained in detail. You’ll receive tailored advice for skincare and follow-up appointments if necessary.

Some recommendations during this conversation may include:

Regular sunscreen use and sun safety tips.
Monitoring specific moles or spots at home.
Scheduling follow-up visits for high-risk patients.
Discussing treatment options for existing conditions.
Guidance on cosmetic or preventative procedures.

5. Your Next Steps and Easy Scheduling

Before you leave, the front desk will help you schedule any follow-up appointments and provide written instructions if needed. You’ll also have the opportunity to ask final questions and discuss any skincare concerns.

Take Charge of Your Skin Health With a Skin Exam in Chelsea, MI, Today

Don’t wait for a problem to appear. Protect your skin with a proactive skin exam in Chelsea, MI. At Hamzavi Dermatology, our team is ready to help you achieve peace of mind and healthier skin. Call us at (586) 286-8720 or send us a message to book your appointment today.

Importance of Acne Dermatology Treatment in Livonia, MI

Wed, 30 Apr 2025 07:58:37 GMT

Struggling with persistent breakouts can take a serious toll on your confidence and overall skin health. That's why finding the right acne dermatology treatment in Livonia, MI , is so crucial. At Hamzavi Dermatology, we understand the impact that acne can have on your daily life, and we're here to offer expert, compassionate care to help you achieve clear, healthy skin. Many people in Livonia attempt to manage acne with over-the-counter products that offer minimal results. However, seeing a professional dermatologist ensures you receive a personalized treatment plan tailored to your specific skin type and acne severity.

How Professional Acne Treatment in Livonia, MI, Can Help

Choosing professional care for acne has many benefits. Here's what you can expect with expert acne dermatology in Livonia, MI:

Accurate Diagnosis: Identify the root causes of your acne, whether it’s hormonal, bacterial, or environmental.
Customized Treatment Plans: Get a regimen tailored to your skin type and severity.
Advanced Therapies: Access to treatments like chemical peels, laser therapy, and prescription medications.
Scar Prevention: Early treatment helps prevent long-term scarring and discoloration.
Ongoing Support: Regular follow-ups ensure your skin keeps improving over time.

What Makes Acne Dermatology in Livonia, MI, Different?

Not all acne treatments are created equal. When you seek professional help through acne dermatology in Livonia, MI, you’re tapping into expert knowledge and advanced resources.

At Hamzavi Dermatology, we use a combination of the latest medical research and personalized care strategies to:

Address both the symptoms and underlying causes of acne.
Offer guidance on skincare routines tailored for your skin type.
Recommend preventative steps to minimize future breakouts.

Why Acne Dermatology Treatment in Livonia, MI, Is So Important

Acne is more than just a cosmetic issue; it can significantly affect your self-esteem and emotional well-being and even leave permanent scars if left untreated. That’s why seeking professional acne dermatology treatment in Livonia, MI, is so important. A trained dermatologist can correctly diagnose the type of acne you're experiencing and create a targeted plan that clears existing breakouts and prevents future flare-ups. Early and effective treatment can save you from years of frustration, help maintain the health of your skin and restore your confidence. With expert help, you’ll experience quicker healing, better long-term results, and a clearer, healthier complexion.

With decades of experience, Hamzavi Dermatology is your go-to for expert acne dermatology treatment in Livonia, MI. Our compassionate team is committed to helping you regain clear, healthy skin with personalized care every step of the way. Ready to transform your skin? Contact . Clear skin is just one appointment away!

5 Reasons for a Full Body Skin Exam in Chelsea, MI

Tue, 04 Mar 2025 15:09:24 GMT

As health-conscious individuals, taking proactive steps to safeguard your well-being is crucial. A full body skin exam in Chelsea, MI can be a lifesaving tool, especially when it comes to detecting skin cancer and other skin conditions early.

5 Reasons to Make a Full Body Skin Exam Part of Your Health Routine

1. Early Detection of Skin Cancer

Skin cancer, including melanoma, is highly treatable when detected early. During a full body skin exam in Chelsea, MI, a dermatologist will thoroughly check for abnormal moles, lesions, or changes in your skin that could indicate the presence of skin cancer. Early detection can significantly improve treatment outcomes and even save your life.

2. Monitor Skin Changes Over Time

Your skin constantly changes, and it can be hard to notice small differences on your own. Regular skin exams allow a professional to monitor moles, freckles, or other spots for any signs of growth, color changes, or irregular shapes that might signal a problem.

3. Identify Non-Cancerous Skin Conditions

A full body skin exam isn’t just about skin cancer . It’s also an opportunity to diagnose and treat other skin conditions like eczema, psoriasis, or rosacea. Addressing these issues early can prevent discomfort and long-term complications.

4. Personalized Advice for Skin Health

Every person’s skin is unique, and a dermatologist can provide tailored advice on protecting and maintaining it. From sunscreen recommendations to tips for keeping your skin healthy through Michigan’s changing seasons, the insights gained from a skin exam are invaluable.

5. Peace of Mind

A full body skin exam in Chelsea, MI can provide significant peace of mind by allowing a trained professional to thoroughly evaluate your skin. This proactive approach is an investment in your health and well-being, as it can help rule out potential problems and detect conditions like skin cancer early on. Consider scheduling an annual skin exam as part of your routine healthcare, especially if you notice any suspicious moles or spots, have recently had prolonged sun exposure or a history of tanning, or have a family history of skin cancer.

Schedule Your Full Body Skin Exam in Chelsea, MI Today

Don’t wait to prioritize your skin health. At Hamzavi Dermatology in Chelsea, MI, our expert dermatologists are dedicated to providing comprehensive and compassionate care. With early detection being key, scheduling a full body skin exam in Chelsea, MI could make all the difference in protecting your health.

Contact us today to book your appointment and take the first step toward healthier skin!

5 Reasons to Schedule a Skin Exam in Chelsea, MI

Thu, 16 Jan 2025 16:49:57 GMT

As an ultimate optimist, I have never been one to occupy myself with doomsday scenarios. But in light of the recent developments around the worldwide spread of COVID-19, I am obligated to be ultra-prepared and exercise the ultimate caution in helping prevent any further potential spread of this disease. Even though as a relatively young and healthy adult I do not have a high chance of becoming severely ill from this coronavirus, I will help my community ( and the world) the most by not participating in the spread. I think we should all prepare for the worst, and compulsively clean our environment, because our neighbors, patients, family members and those around us need us to.

Why a Skin Exam in Chelsea, MI Is Important for Your Health

1. Early Detection of Skin Cancer

Skin cancer is the most common form of cancer, but it is also among the most treatable when caught early. A full-body skin exam can help identify suspicious moles, spots, or discolorations that may indicate melanoma or other skin cancers. Whether you have a family history of skin cancer or have spent years exposed to the sun, early detection through regular exams is your strongest defense.

2. Assess Sun Damage

While Michigan summers may not seem as harsh as other regions, prolonged exposure to UV rays can still cause significant skin damage. Sunspots, wrinkles, and changes in skin texture can develop over time. A thorough skin exam can pinpoint areas of concern and help prevent further complications, giving you the tools to protect your skin from additional harm.

3. Personalized Dermatology Guidance

Everyone’s skin is different, and dermatologists understand that a one-size-fits-all approach doesn’t work. During your exam, your dermatologist can provide:

Tailored advice to address chronic skin conditions like eczema or rosacea.
Recommendations for acne dermatology treatment , to clear your skin and restore your confidence.
Suggestions for creating a personalized skincare routine that aligns with your skin’s specific needs.

4. Comprehensive Screening Beyond Visible Areas

Did you know that certain skin conditions can develop in areas that are difficult to monitor on your own, such as the scalp, back, and feet? A full-body skin exam ensures every area of your skin is evaluated, leaving no room for overlooked concerns. This level of thoroughness is essential for a comprehensive understanding of your skin’s health.

5. Preventive Care Leads to Peace of Mind

Regular check-ups are more than just precautionary measures; they are a vital part of long-term health and wellness. Catching potential issues early not only reduces anxiety but also promotes an overall sense of well-being, knowing that your skin is in its healthiest state.

Acne Dermatology Treatment in Livonia, MI

If stubborn acne is a concern, a visit to a dermatologist can make all the difference. Acne dermatology treatment is designed to target breakouts at the root, improving skin clarity and boosting self-esteem. By pairing acne care with a full-body skin exam, you’ll be addressing both cosmetic and health-related concerns, ensuring your skin is treated holistically.

Call Now for Your Full-Body Skin Exam in Chelsea, MI

Don’t wait to make your skin health a priority. At Hamzavi Dermatology, we’re here to make early detection and prevention simple and effective. Call (586) 286-8720 or send us a message today to schedule your full-body skin exam in Chelsea, MI. Take the first step toward healthier, radiant skin; you deserve it!

Immediate and Practical tips on preparing for the spread of the Coronavirus ( COVID-19)

Tue, 16 Feb 2021 20:57:00 GMT

By Francisca Kartono, DO, FAOCD

Who is most at risk for getting very sick with this virus:

What can we do to prevent spread of viruses in general :

When should you call your doctor and stay home or go to the Emergency Room (ER) when you are ill:

Have a household plan of action:

Even though the virus is not at our doorstep in Michigan, don’t wait to prepare until it is too late. The best way to help our society is to be prepared so that in the case of exposure, we can contain it as quickly as possible by isolating the infection and getting ourselves better. If we are well equipped for isolation, we will not need to venture outside when sick and expose or put others at risk.

Talk to your doctor via phone if you suspect you may have symptoms of the coronavirus. Your doctor can guide you in managing your situation, and a lot can be done via telephone to avoid transmission of the disease. Ask your doctor if testing for COVID-19 is appropriate and together you can alert the state and local health departments for more guidance. Put on a face mask if you are venturing into a clinical setting with symptoms.

For additional information about coronavirus or COVID-19 infection, please refer to the CDC’s website : https://www.cdc.gov/coronavirus/2019-ncov/index.html

For more information and guidance from the WHO regarding the COVID-19 outbreak, please check : https://www.who.int/emergencies/diseases/novel-coronavirus-2019

For more local developments and Michigan updates on coronavirus cases , please visit: https://www.who.int/emergencies/diseases/novel-coronavirus-2019

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Microneedling: Do I Need it ?

Fri, 18 Sep 2020 19:41:00 GMT

Let’s talk about microneedling. We have been performing microneedling procedures for quite some time in our clinic , and this technique has been around even longer since the 90’s. We have noticed it continues to be a very popular requested service by our patients.

For those of us unfamiliar with the technique of microneedling and its benefits,… you are missing out! So let’s break down what microneedling is all about.

What is microneedling?

Microneedling is the practice of inserting tiny needles into the skin superficially to create small holes in the skin in a controlled fashion. It is also known as a Collagen Induction Technique, a non-invasive skin rejuvenation technique with little down time, and excellent results that boosts the deposition of collagen in the skin. Microneedling can be done at home with various at home devices (eg. Dermaroller) available over the counter, but when done in the clinic, can often be done in a more controlled, consistent, safer, cleaner way, and create better results with less potentially unwanted side effects.

What are the benefits of microneedling?

Microneedling can be used to freshen up skin that has laxity, fine lines, fine wrinkles, acne scars, facial scars, and signs of aging skin. Clinic appointments for microneedling sessions can range from $200-$700 depending on the equipment, operator, and training of the operator. You can also combine microneedling treatments with potent anti-aging product application post procedure, or combined with PRP (platelet rich plasma) for a more bloody but more amazing end result! Microneedling has also been touted as a booster for its effects on hair growth, especially when combined with PRP treatments for hairloss or alopecia. This technique is also suitable for any skin types, including darker skin patients who are typically not good candidates for laser resurfacing treatments.

How is it done and what is the recovery like?

The procedure is done in the clinic, with the use of a topical anesthetic agent, or a numbing gel, to help our patients stay comfortable during the procedure. The procedure can be performed on the face, neck, scalp, chest, hands, wherever rejuvenation is needed. The procedure lasts approximately 20 minutes, and the sensation is less like needles, but more prickly of a sensation. Needles used in this procedure range 30-32 gauge in size, and can penetrate the skin ranging from 0.2 to 4 mm depth depending on the device and skin need. The procedure can be repeated every 4-6 weeks, with most optimal improvement being noticeable after 3-4 sessions. Even after one session, you will notice that the skin is overall more glowing, smooth, bright with a more improved texture.

To allow your skin to hold on to the replenished collagen from a microneedling session, it is best to periodically get microneedling sessions done throughout the year.

Where should I go to get it done ?

I recommend that you get this procedure done at a medical facility trained to do this procedure safely for your skin. Supervision with a dermatologist or physician on site is preferred in case adverse reactions happen. Following treatment, you should be counseled on how to keep the areas clean and protected from too much sun exposure. There will be open channels on your skin that remain open after the procedure for a short period of time. I always advise my patients to avoid the gym or other questionable situations after the treatment to avoid complications and unwanted side effects. It is common to take advantage of the open microneedling channels and apply post procedure topicals and healing masks after a microneedling session so your skin can soak up all the antioxidnats, nutrients, and hydration that is beneficial for your skin. Redness and puffiness will resolve in the next 2-7 days.

In summary, microneedling is a safe and effective treatment for anyone looking for non-invasive treatments of fine lines, wrinkles, scars and rejuvenation of the skin with minimal downtime and great results. Please schedule a consultation first before you commit to a session because there are so many variations of incorporating microneedling in your skin’s anti-aging routine.

Call or email us today!

810.355.4300

dsbtelederm@thedermspecialists.com

The post Microneedling: Do I Need it ? appeared first on Dermatology Specialists of Brighton .

What to do after a Melanoma diagnosis

Mon, 10 Aug 2020 19:59:00 GMT

Few things are as distressing as a telephone call from your dermatologist saying that you have been diagnosed with a melanoma, and that you need to come in for further discussion. I hope this blog will be able to provide helpful explanations and guidance for patients who are in this situation. While melanoma is not the most common skin cancer that is found in the US population, it is one of the most dangerous skin cancers. Most melanomas are detected early and can be treated. However, fatalities from melanoma can happen when detected late. It is estimated that we will lose 6,850 people from melanoma this year in the US.

What should you expect at the initial doctor visit after your skin biopsy to discuss a melanoma finding?

Although all this info may sound scary, the statistics has shown that the odds are with you. 83% of all melanomas are diagnosed at Stage ZERO or 1. The relative survival rate of localized melanoma of the skin is 99%. Meaning if your melanoma is detected in the skin and has not spread, you have a 99% chance of living 5 years or longer after diagnosis (after 5 years, it is considered a CURE in the cancer world and low risk of this cancer causing harm).

If you have a Stage ZERO or 1 melanoma, the standard treatment involves removing more skin around the biopsy site, with a surgical procedure that can be done on an outpatient basis, most of the time this can be done with patient being awake. Some complicated locations, especially on the face, may require Mohs surgery (a special tissue sparing technique), or plastic surgery involvement.

For those with early stage melanomas, this surgery (referred to as a “wide local excision”) may be the only treatment needed for the melanoma.

For those who have advanced melanoma, lymph node testing, imaging scans, and more complex treatment regimen will be discussed. Every treatment plan will be different depending on the patient’s age, health history, and personal preferences. A referral to a university hospital may be needed for more complex treatment of advanced melanomas.

Good website resources:

Good questions to ask on your visit to discuss a melanoma diagnosis:

For more info or further questions about your skin health contact us at dsbtelederm@thedermspecialists.com or (810) 355-4300 . We continue to offer virtual visit appointments for medical concerns in addition to our clinic hours.

The post What to do after a Melanoma diagnosis appeared first on Dermatology Specialists of Brighton .

Is acne driving you crazy?

Thu, 18 Jun 2020 15:23:00 GMT

Acne is a multifactorial disease that can vary from mild breakouts to severe, scarring lesions. This is one of our most commonly seen problems in dermatology. It affects all ages, genders, and races. Most of the population considers it a “teenage problem” but it can occur at any point in one’s life, and it is not the result of poor hygiene.

So, what causes acne?

It is an inflammatory response within the pilosebaceous unit that is made up of a hair follicle and oil gland. Within this unit, there is a build up dead skin cells, increased oil production, and overgrowth of bacteria which all leads to inflammation. This process causes a variety of skin manifestations, such as whiteheads, pustules, papules, and cysts, depending on the severity. Acne can be worsened by hormones, trauma (a.k.a. squeezing and picking at pimples), environment (things such as makeup, irritating facial products or lotions, wearing masks and helmets), and diet. Diet has always been an area of interest and there is a known link with low-fat dairy products. A recent publication in JAMA Dermatology discussed an association (NOT causation) with adult acne from milk, along with sugary beverages and fatty foods.

There are different types of acne:

Treatments include a mixture of over the counter products and prescription medications. All treatment starts with a consistent routine of washing your face morning and night. After that, it depends on the type of acne you have and your skin type (e.g. sensitive, oily, dry), as this will determine what type of products you will be able to tolerate. Listed below are typical (but not complete) items dermatologists use to treat acne.

Mild acne can usually be treated with over the counter products. Some of these include face washes that have active ingredients like salicylic acid, benzoyl peroxide, or sulfur. There is one prescription-strength retinoid that is now found in drug stores, Differin (adapalene 0.1%) gel. Other drug store brands carry retinol products (will need another blog post to discuss those differences!) and are a good start if you are new to retinols/retinoids. Starting a new skincare regimen can be irritating, cause dryness, so definitely do not skip moisturizing after your AM and PM routine (preferably a non-comedogenic one). Topical treatments take 8 weeks of consistent use before seeing significant improvement. However, most inflammatory acne, and certainly nodulocystic and hormonal acne, will require a prescription at some point. Do not delay in seeking professional medical help as acne scarring can be difficult to treat.

A question that frequently comes up: how do I get rid of the dark spots?! This is called post inflammatory hyperpigmentation (PIH), and is not permanent scarring. It is the result of inflammatory acne as it causes excess production of melanin. This is commonly seen in skin of color due to the increase of melanin and sensitivity of melanocytes. This can be disheartening as it may takes weeks to months for the pigmentation to fade on its own. Most patients seek assistance with speeding up this process. General guidelines include upkeep of skincare routine to prevent further acne and daily sunscreen (physical blockers, zinc or titanium oxide, provider better protection) to prevent darkening from UV rays. From there, we can add a variety of topicals to help aid in the lightening of dark spots, along with chemical peels for more aggressive treatment. Ingredients we often use for PIH are salicylic acid, glycolic acid, azelaic acid, retinoids, and hydroquinone. Other topicals includes vitamin C, kojic acid, arbutin, and resorcinol. Working with your dermatologist, you can find a routine that fits your skin type and budget.

If your acne is not under control or you are noticing scarring, please see a board-certified dermatologist to get a treatment regimen started!

Call or email us if you need an appointment

810.355.4300

dsbtelederm@thedermspecialists.com

The post Is acne driving you crazy? appeared first on Dermatology Specialists of Brighton .

Myths and Facts on Coronavirus Disease 2019 (COVID-19)

Wed, 17 Jun 2020 15:28:00 GMT

Dear friends and amazing patients,

You may have heard that we are opening our clinic doors again to see our patients this week. While we focus on taking care of your skin concerns in clinic, we also will be implementing new protocols to keep the clinic environment as safe as possible. Part of that is done by educating ourselves with the right knowledge about this infectious pandemic.

So here are a few myths and facts that can help us understand what is true and what is not about COVID-19:

1. Myth: You can protect yourself from COVID-19 by injecting, swallowing, bathing in or rubbing onto your body bleach, disinfectants or rubbing alcohols.

These products are highly toxic and should never be swallowed or injected into the body. Call 911 if this occurs and correct others that believe this absurd suggestion.

2. Myth: A vaccine to cure COVID-19 is available.

There is no vaccine for the new coronavirus right now. Scientists have already begun working on one, but developing a vaccine that is safe and effective in human beings will take many months.

3. Myth: The new coronavirus was deliberately created or released by people.

Viruses can change over time. Occasionally, a disease outbreak happens when a virus that is common in an animal such as a pig, bat or bird undergoes changes and passes to humans. This is likely how the new coronavirus came to be.

4. Myth: Eating garlic can help prevent infection with COVID-19

Garlic will help only because it makes social distancing certainly easier! There is no evidence that shows garlic protects people from the virus.

5. Myth: Antibiotics can kill the virus that causes COVID-19. No antibiotic can kill a virus. Antibiotics are only to be used when there is known, documented co-infection with bacteria.

6. Fact: COVID-19 is not the same as the flu.

Although both COVID-19 and seasonal influenza are both respiratory illnesses, they have many differences. They share some of the same symptoms, but symptoms usually appear more quickly with the flu than with COVID-19. The fatality rate from COVID-19 is much higher.

One other key difference: There is a vaccine and specific medicines to treat the flu. There is currently no vaccine or medication for COVID-19.

7. Fact: People of any age should worry about COVID-19, not just the older population.

COVID-19 can affect people of any age. It is true that older adults have a higher risk of getting COVID-19 and of having more serious complications from it. However, people of all ages can get the disease. It’s important for everyone to use prevention tactics such as handwashing and masks. Other at-risk groups include people with existing medical conditions like chronic lung disease, asthma, heart disease, liver disease, or renal failure, people who are immunocompromised due to factors like cancer treatment, HIV, transplants, and other causes

All those factors can put people of any age at risk.

8. Myth: Hand dryers can kill COVID-19 No, hand dryers are not a treatment to kill the virus that causes COVID-19. The reason for that is that they just increase the air circulation of the viruses, as that air ― either warm or not warm ― is blowing against the skin of your hands.

9. Myth : Hot, humid climates protective you from COVID-19

Evidence to date actually shows that COVID-19 can be transmitted in all areas, and climate has not been shown to be a factor.

10. Myth: Mosquitoes can spread coronavirus

Some people believe mosquitoes can spread the virus, but that’s not the case. Humans are spreading the coronavirus to each other via airborne droplets, and no mosquito is needed as a vector.

Clinic and virtual visits are available by emailing dsbtelederm@thedermspecialists.com , or contact us at (810) 355 4300.

The post Myths and Facts on Coronavirus Disease 2019 (COVID-19) appeared first on Dermatology Specialists of Brighton .

Hidradenitis Suppurativa (HS) Awareness Week

Mon, 08 Jun 2020 15:24:00 GMT

Dear friends and patients,

June 1-7, 2020 was Hidradenitis Suppurativa awareness week and I would like to provide some useful self-care tips for those who are living with or caring for someone with Hidradenitis Suppurativa (HS). The last few months with this COVID-19 pandemic have been anything but routine and normal for all of us, and this undoubtedly pose a bigger risk of stress and flare ups for those of us with chronic skin diseases. Our structured days become tremendously different in lockdown, and with these changes comes a level of anxiousness and stress that can lead to worsening of our skin’s predispositions. I hope with these tips and tricks we can help alleviate some of these stressors in order to keep your skin wellness a priority.

What is Hidradenitis Suppurativa?

HS is a debilitating, chronic, complex systemic inflammatory skin disease. It can have a huge impact on one’s quality of life physically, mentally, and emotionally. HS consists of extremely painful reccuring bumps or abscesses that can develop anywhere hair follicles are found. Hair follicles are present throughout the body with the exception of palms of our hands, soles of feet, and lips. Therefore, it is possible to get hidradenitis lesions anywhere on the body.

Who gets HS?

Majority of patients getting HS are women ( 3:1 ratio in women :men) , although men can also get HS. Family members with HS seems to be found in 10% of HS patients. Smokers, unhealthy lifestyles and being obese or overweight are often factors found in patients with HS. There is also a predisposition for African American patients diagnosed with HS over other ethnic backgrounds.

What does HS look like?

HS can look like acne, boils, tunnels in the skin, or painful lumps on the skin. Many patients are diagnosed initially as acne or infections. It takes an average of 7 years for an HS patient to get the correct diagnoses, thus consulting a dermatologist is key in this regard.

What can you do to prevent HS from becoming severe?

Early diagnosis and correct management is key. Some lifestyle changes can be adopted early and may prevent worsening course of HS. Some key lifestyle changes that will improve HS :

Over the counter items and other tips I recommend often for HS flares:

How can a doctor help my HS condition?

Your doctor can help assess your HS, correctly diagnose you if it is or is not HS, and advise on interventions that can be done to help with symptoms. Medical interventions may include prescription washes, ointments, and oral pills or injections. Surgical interventions can also be done to remove areas of HS.

Your doctor will not be able to cure your HS, but there are options your doctor can prescribe or recommend to alleviate pain and discomfort, and most importantly, we can be there for you and have an honest discussion of what to expect and what can be done for your HS.

Support groups such as www.HopeforHS.org , www.hs-foundation.org , and www.nobsabouths.com are also great resources for patients looking to learn more about HS, wondering about a diagnosis of HS, and those looking to connect with others with HS.

Clinic and virtual visits are available by emailing dsbtelederm@thedermspecialists.com , or contact us at (810) 355 4300.

The post Hidradenitis Suppurativa (HS) Awareness Week appeared first on Dermatology Specialists of Brighton .

What to do about tired-looking eyes?

Mon, 18 May 2020 15:42:00 GMT

If sheltering at home for the past 2 months has caused a very irregular schedule for you and caused some tired-looking eyes to develop, then this article is for you! Be it the lack of sleep, the stress of this pandemic, or way too much screen time and webinar attendance, they all can contribute to eye puffiness and make the lines and discoloration around the eye more visible. Although there are many eye rejuvenating procedures a board-certified dermatologist can offer at the office, there are also things you can try at home to soothe the eyes. This way, by the time you come in to our office for procedures, you will already be on a maintenance routine that can provide the most optimal outcome!

What causes puffy eyes and dark circles anyways? The answer is not so simple. Many factors can contribute to tired looking eyes. It is important to recognize what the dominating reasons are in each person. Everyone is unique and so are your eyes. Treatment recommendations are tied to the reason behind the appearance of the eyes. Each person will have a different combination of reasons for their “tired eyes” and thus the treatment recommendations for each person will be a bit different.

When assessing eyes in the mirror for puffiness, try to do it first thing in the morning. Eye puffiness will often be at its worst in the morning and gradually improve during the day. Several factors can play a role. Those who suffer from airborne allergies, have a lot of congestion in the eye areas that lead to puffiness. This puffy look can cause a bluish look of the veins that become more visible. Lack of sleep can also be blamed for this. Treatments aimed at reducing these issues include using cooling agents such as cold rollers, metal-tip applicators for eye creams, soothing gel patches for the eyes, and a daily antihistamine such as Zyrtec or Claritin for those who suffer from allergies. Caffeine and peptide ingredients in your eye cream can help de-puff the areas. Check out Replenix Eye Repair cream and Colorescience total eye hydrogel masks for extra relief.

The color around your eyes is a combination of how deeply pigmented your skin is, how thick your skin is and how large your blood vessels are around the eyes. Those who have fair skin may have a bluish hue under the eyes, where many blood vessels sit. This imparts a “bruised” look around the eye. Those who have deeply pigmented skin, may notice more pigment or darker color around the eye that is physiologic, or completely normal given their heritage. Then for those with airborne allergies, the frequent eye-rubbing leads to thicker skin around the eyes. This too can lead to a darker color appearance of eyelid skin. Age can also lead to increased breaking down of collagen, and when this occurs around the eye, it leads to thinner skin in this area giving it a more “crepey skin” appearance. Look for ingredients in your eyecream that can stimulate cell turnover and calm inflammation. Look into Neocutis’ Lumiere, Alastin Eye cream, and SkinBetter Eye to help here.

Another component of aging is the loss of the bony infrastructure of the skin. Yes, the bony platform that holds our cheek up starts to erode and change over time. Besides losing collagen, age also causes fat pockets in the face to thin out. All this can lead to the formation of a more “hollow” look around the eyes. Injectable fillers, retinols, peptides/ growth factor containing creams, radiofrequency devices, microneedling and surgical methods can help in this aspect. SkinBetter’s Interfuse face, Alastin’s eye cream and Alastin’s skin nectar can lend a hand.

Finally, check with your doctor as well if under eye puffiness especially if acute in onset or accompanied by a difficult rash and other symptoms such as overall fatigue or weight loss or weight gain, your eyes may be a window to your internal organs. Your physician can screen in this case for thyroid disorders or connective tissue diseases.

Stay home, stay safe, and save lives!

All of our skin care products are 25% off right now with free shipping on most orders.

We are available for virtual visits during this pandemic. Please email at dsbtelederm@hamzavi.com if interested.

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Skincare and PPE

Sun, 17 May 2020 15:44:00 GMT

First, what is PPE?

This stands for personal protective equipment. Currently, we think of PPE as the supplies worn in hospitals by healthcare workers when caring for patients with COVID-19. This includes masks (N95 and surgical), goggles/glasses, face shields, hair coverings/caps, gowns, and gloves. However, PPE is worn daily in various occupations. It is: gloves worn by our sanitation workers; face shields worn by welders in car assembly plants; goggles worn in your chemistry glass; masks worn by painters; ear plugs and hard hats worn by construction workers. All of these different articles are considered PPE.

With COVID-19, the issue of PPE has come into the spotlight as hospitals continue searching for enough supplies and most governors are urging individuals to wear some when they are in enclosed public spaces. The continued use of PPE has already been wreaking havoc on the skin of doctors, nurses, and hospital staff. I’m sure the general population will be next. The most commonly seen skin reactions are marks and indentations from wearing a mask for long hours, dry and irritated skin, and acne flares.

Here are some simple tips for taking care of your skin while using PPE for both healthcare workers and quarantiners alike!

Keep up your routine! Maintaining your skincare regimen will help combat the negative effects of wearing a mask and prevent acne from flaring. You may just need to alter your normal routine a bit – keep reading!

Use a gentle face wash. Wearing a mask can cause increased dryness of your facial skin and irritation, even microtears, from rubbing the same area over time. A gentle face wash, such as Cetaphil or CeraVe Hydrating Cleanser, will cleanse your skin without drying it out even more. Avoid harsh exfoliating washes, especially those with the abrasive scrubbing particles in them (I see you St. Ives Apricot Scrub users!), as these can worsen an already irritated face. Now may also be the time you hold off on or reduce the frequency of using your retinol/retinoid because they are a chemical exfoliator.

Lather on the moisturizer. Some people skip this step in the morning because they feel they get oily throughout the day. However, lotion not only moisturizes your skin but gives you a layer of protection from the environment. This will help protect your face from the dryness and irritation caused by a mask.

Lighten up on the makeup! Heavy foundation already clogs the pores but putting a tight fitting mask on top – hello breakouts! You can continue wearing eye makeup but maybe skip the foundation, concealer, bronzer, blush, highlight – no one will be seeing that underneath a mask anyway. Perhaps opt for a tinted moisturizer, or even better, a tinted sunscreen!

You may need a barrier. For those having to wear a mask, especially the N95, for prolonged hours at work this tip is for you. Applying a barrier on high contact areas of your skin (bridge of nose, cheeks, chin, forehead, behind the ears) before putting on your mask and goggles can help with the discomfort. This can be as simple as a layer of Vaseline or Aquaphor ointment. For those wearing this PPE daily, you may need a stronger barrier, such as Triple Paste cream, applying paper tape, or a gel bandage like DuoDERM. Be advised that using the thicker barriers may affect the seal of your N95 and would recommend retesting the fit.

I hope you find these tips helpful as you continue to stay safe. If you are following the above tips and still having skin issues, contact us – we are here to help!

Virtual visits are available by emailing dsbtelederm@thedermspecialists.com , or contact us at (810) 355 4300

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Top 5 things to know about preventing and detecting skin cancer while at home

Mon, 04 May 2020 15:46:00 GMT

May is Skin Cancer Awareness month! In the spirit of this national awareness month, we at Dermatology Specialists of Brighton would like to educate our patients and community on how to look for and prevent dangerous skin spots while we shelter in place. Our practice offers virtual appointments for focused skin concerns, but we realize that a total body skin exam cannot be practically done in a virtual visit setting. So until we can see you safely in our offices again, and restrictions of shelter in place has been lifted or relaxed significantly, here are 5 steps you can do to help prevent and detect spots suspicious for skin cancer:

Did you know that women who tan indoors before the age of 30, are 6 times more likely to develop melanoma- the deadliest form of skin cancer? Just one indoor tanning session can increase the risk of developing melanoma by 20%, squamous cell carcinoma by 67%, and basal cell carcinoma by 29%. For a glowing tan color in your skin, opt for the self-tanner that comes as wipes, creams, or lotions, and take the smarter option this way instead of taking the risk of skin cancer.

The sun’s rays are strongest during these times of the day between 10 am and 4 pm. Even on cloudy days, up to 80% of sun rays can still reach your skin after penetrating cloud coverage. If you are around snow surfaces, an additional 80% of rays can be reflected off the shiny surface. Sand also can reflect 20% of sun rays, so be careful to reapply sunscreen even under the shade.

Even one blistering sunburn in one’s past can double their risk to develop melanoma later in life. Be careful to pick the correct sunscreen for your outdoor activities. Wear a broad spectrum sunscreen that blocks UVA and UVB, with an SPF of 30 or greater, with a physical blocker such as zinc or titanium dioxide. Reapplication is important since sweat and water activities can decrease the amount of sunscreen that remains on our skin. Apply sunscreen to all exposed areas of your skin including the ears, your lips (there are lip balms, lip glosses with SPF 30 sold in drugstores and in our office!), back of the neck, and tops of your feet.

Check out options of sun protective clothing made from tightly woven light weight material. Made not just for little kids, adults too can benefit from wearing these types of clothing in the sun and on the water. Websites such as UVskinz.com and Coolibar.com make good resources for what to look for when it comes to sun protective clothing options. You can seek similar outfits at your local sporting goods stores as well.

Looking for ABCDEs means looking for asymmetry, irregular borders, multiple colors, diameter bigger than the tip of a pencil eraser, and evolution in any of your moles. Those are the characteristics of a mole that may be a skin cancer spot. Look for those signs when you do the following 5 STEPS of a self skin exam at home:

Virtual visits are available by emailing dsbtelederm@thedermspecialists.com , or contact us at (810) 355 4300

Please stay home, stay healthy, and save lives.

Dr. Francisca Kartono & the staff at DSB

The post Top 5 things to know about preventing and detecting skin cancer while at home appeared first on Dermatology Specialists of Brighton .

How To Care For Teenage Acne While Sheltering In Place

Mon, 27 Apr 2020 15:48:00 GMT

In an office setting, your dermatologist can help you with clearing your acne effectively and efficiently. However, during shelter-in-place situations like today you may want to exhaust your self-care options first before trying to Zoom, Skype or facetime with your doctor.

Here are several tips on what to try at home for teenage acne:

1. Wash your face twice daily with your fingertips using lukewarm water, and a good cleanser- more on this next. Once in the morning you should use a gentle cleanser and the other time in the evening you can use a medicated wash for acne if the skin is not too dry. Over the counter options for gentle cleansers include: Cerave hydrating cleanser, Cetaphil gentle cleanser, Neutrogena hydroboost cleansing lotion, or Purpose wash for more oily skin. For the medicated wash, you can use a cleanser with 2-10% benzoyl peroxide , salicylic acid , or sulphur component in its ingredient list. This medicated wash should be used once a day in the shower to wash the torso if you also have stubborn back or chest acne. 2. Choose to use oil-free moisturizers, sunscreen, and make up items. A bonus if they happen to also be non – comedogenic moisturizers, sunscreen, and make up. Remove your make up in the evening using oil-free make up remover prior to washing the face. 3. Use an over the counter topical acne treatment once daily at night time. Your options include adapalene 0.1% gel, retinol cream, 2-5% benzoyl peroxide gel (the higher the percentage, the more irritating it gets), a salicylic acid gel, or an azelaic acid or sulphur based topical. Brands such as Clean and clear, Neutrogena, Panoxyl, Acne Free, Differin and The Ordinary will be a good source when looking for the above ingredients. Make a habit of reading a product’s ingredient list on the back of the bottle to find out about its main active ingredient. Don’t just buy a product because of their advertising statements. 4. Modify your diet to avoid too much dairy, sugar, and processed food items. Limit protein powder intake, or eliminate completely if possible.

5. Do not pick your pimples, do not scrub hard when washing the face, and let things heal naturally. Resist the temptation to “pimplepop”. 6. Do not use tanning beds to clear your acne.

7. Don’t torture your skin with toners, astringents, harsh detergents, or alcohol solutions. 8. Be patient, and give your skin about 6-8 weeks at a chance for improvement when starting over the counter options.

If all the above fails, or you don’t have the patience to figure out an over the counter routine, your dermatologist can rescue you with an oral agent or prescription topical agents. We also love to make recommendations for over the counter items that would be suitable for your skin type.

Virtual visits are available by emailing dsbtelederm@thedermspecialists.com , or contact us at (810) 355 4300

Please stay home, stay healthy, and save lives.

Dr. Francisca Kartono & the staff at DSB

The post How To Care For Teenage Acne While Sheltering In Place appeared first on Dermatology Specialists of Brighton .

Top 5 things to brighten your complexion

Mon, 20 Apr 2020 15:50:00 GMT

Uneven complexion and blemishes on the face are very common skin concerns that patients bring up during cosmetic consultations with me. As a board-certified dermatologist in Brighton, Michigan, I have multiple clinic lasers and procedures that I can use to help brighten one’s complexion. However, I always remind patients that there are many good over the counter products as well that can be tried before committing to procedures and prescription products. Here are a few items to look for if you want to even up a blotchy complexion with over the counter products:

You should always understand the science behind why blemishes happen on the face. Dark uneven complexion on the skin happens from the presence of too much melanin and inflammation in the skin. Melanin is produced by pigment producing cells called melanocytes in the skin. Melanocytes are activated by ultraviolet light (UV, found in sunlight), and makes more color in response to it. To a lesser extent, visible light and infrared light too can activate melanocytes.

To prevent this activation of melanocytes, reducing or avoidance of UV light, infrared, and visible light can help in reducing eventual pigmentation, and to maintain improvement from a successful regimen. The use of facial sunscreen for this purpose should be daily, regardless of season, enough of the product should be used, and reapplication during the day should happen if possible.

The best daily sunscreens on the market that would not irritate even those with sensitive skin types, are light weight mineral based or physical sunscreens with a tint. Sunscreen brands with a good reputation include : Avene tinted mineral fluid, La Roche Posay Anthelios mineral, Colorscience Face Shield, Replenix Ultimatte , and Alastin hydratint pro mineral.

Another reason why skin sometimes looks uneven, is due to the presence of skin dullness, often due to too much dead skin cell layers that are not being shed efficiently. The use of retinols every night, or every other night for the sensitive skin types, can help with exfoliating the dead skin cell layers over time. Think of this category of products as chemical exfoliants. The main concern with this category of products is that it can leave the skin dry and irritated if the formulation is not tolerable. It is also not suitable for those who are pregnant or nursing .

Some over the counter options include: ROC retinol correxion, the Ordinary, Renova, and SkinBetter Alpharet.

Ascorbic acid, or Vitamin C is an antioxidant. It protects our skin from the presence of free radicals and helps build collagen and reduces pigmentation. Vitamin C formulations are often quite acidic and those with sensitive skin need to be careful. I suggest starting at a low concentration for Vitamin C like a 10% formulation and slowly increase as tolerated gradually. There are formulations that are as high as 30% , but one must anticipate that irritation is more likely at these higher concentration. Vitamin C when combined with other antioxidants can create even better results than Vitamin C by itself.

Several combination vitamin C brands include: SkinBetter Alto and CE Ferulic.

Over the counter vitamin C preparations exist that are at a lesser price point: Drunk elephant C-Firma, and Murad.

Arbutin is an organic skin lightening agent found in the leaves of pear trees and certain plants such as wheat and bearberry, and in lower quantities in cranberry and blueberry leaves. Arbutin is also an antioxidant in the skin. It is less potent than hydroquinone (a prescription skin lightening agent with some side effect potential), but has a better safety profile than hydroquinone. Over the counter, it is found in the Ordinary skin line for a very affordable price.

Azelaic acid is a naturally occurring molecule derived from rye, wheat, and barley. It is a molecule capable of multiple effects on the skin, from reducing inflammation in the skin, acting as an antioxidant, helping fight comedones and thickened skin, and reducing pigmentation. Although easily available as a somewhat pricey prescription, at a much lesser price point and reduced concentration it can be found over the counter in the Ordinary line.

Some did not make the list

There are other molecules that we can discuss in future posts that can help the skin’s complexion as well. But if I were stuck on a remote island and only had room for 1 to 5 items, they would be found in the above categories ( Number one would be sunscreen of course!). If there is room for other options, I would consider adding products that contain niacinamide, exfoliating agents such as weekly peels with glycolic, salicylic, or lactic acids, hydroquinone, cysteamine, and oral supplements such as oral niacinamide and polypodium extract.

*Some of the products mentioned above such as SkinBetter are available at our clinic, please click on our “SKINCARE PRODUCTS” section on our website.

Spring Savings: 25%-30% discounted pricing on all products and services for April and May 2020, including brands such as Colorescience, Alastin, Revision and SkinBetter.

Virtual visits are available by emailing dsbtelederm@thedermspecialists.com , or contact us at (810) 355 4300.

Stay home, stay healthy, and be safe!

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Don’t just trust Dr. Google: Ask Us!

Fri, 17 Apr 2020 15:57:00 GMT

Dear friends and amazing patients,

As we complete week 3 of home isolation, we may find that more and more healthcare concerns may be dominating one’s worries at home. Naturally, with shelter-in-place directives from our top officials, access to information is most practically reached via internet access. As you begin your online search to answer health-related questions, please be careful of incorrect and dubious information that is spreading through online search engines.

Here are TOP 3 things to KNOW to avoid health related #FAKENEWS online :

1. Google is a good starting point to start when thinking about an online search for your symptoms, but often is not the final answer.

We should think of google as an online encyclopedia, except it has content that has not been proofread and fact-checked. An online search engine like google will collect all the information put out there on the internet, at the click of a button. It is an impressive feat, but one needs to keep things in context. Google does not know your past medical history, your gender, your family , and your increased likelihood to develop a certain disease based on your personal history. As physicians, we look at our patients in a personalized way before we come to a conclusion of what is the likely diagnosis for you, as a person with your particular personal, medical, and family history. Thus if there is discordance between what Google says you have and what your doctor thinks you should be treated for, there is a valid reason why.

2. We are fighting an infodemic .

In the background of COVID-19 and the coronavirus, a fast paced churning of information that changes by the hour can allow for anxiety to build up in anyone. During times like these, the fear of the unknown , when nobody’s an expert, everyone sounds like an expert. Always verify the source and author of a written medical piece of information. Great writing does not mean great medical authority. Look for credentials behind the author’s background information. For medical advice, make sure an author with a healthcare degree or board certified physician in their corresponding specialty is making the comment. Stay alert and always look for new information, but you also want your information to come from someone who has had the training to diagnose and advise on medical concerns.

3. Media sometimes gets ahead of the evidence.

Traditional mass media always sells better with the more extreme or controversial photo, the more ridiculous headline, and the more it clashes with current reasoning and medical advice. Media is there to uncover lies and untruthfulness. However when used incorrectly, it can also build mistrust in the medical field, mistrust in the doctor-patient relationship. As physicians and healthcare providers we took an oath to “do no harm” and will not always agree with what is put forth on the internet when it is not backed by evidence-based medicine. The term evidence-based medicine means that clinicians use science, engineering, biostatistics and epidemiology, such as meta-analysis, decision analysis, risk-benefit analysis, and randomized controlled trials to create scientific evidence. The evidence is then translated into practice by selecting treatment options for specific cases based on the best research, patient preferences and individual patient characteristics ( Source: hopkinsmedicine.org) .

Don’t let the anxiety of the unknown scare you into believing the most extreme health news headline on the internet. Stay alert on your quest info, and a physician consult is only a click or a phone call away.

Let us know if we can help, and email us any future topics you’d like to hear more about !

Virtual visits are available by emailing dsb.hamzavi@gmail.com , or contact us at (810) 355 4300

Please stay home, stay healthy, and be safe!

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Dermatology Emergencies

Fri, 17 Apr 2020 15:54:00 GMT

Dermatology: Urgent Conditions – How to stay out of the ER and Urgent Care during this time

Dr. Caitlin Porubsky, DO , FAAD

Dr. Francisca Kartono, DO , FAOCD, FAAD

Dear friends and amazing patients,

With shelter-in-place orders from top health officials until end of April, it is very important that we stay at home as much as possible to curb the spread of COVID-19.

We would like to remind you that certain skin conditions can be rescued by prescription medications and diagnosed from the comfort of your own home. More importantly, there are skin conditions that do not seem urgent at the beginning, but can develop into an emergency situation rather quickly if left untreated.

Here are the TOP 5 rashes that you should not ignore and call your dermatologist ASAP :

Shingles

Abscess

Drug rash

Poison ivy

Hives

Let us know if we can help, and email us any future topics you’d like to hear more about !

Virtual visits are available by emailing dsb.hamzavi@gmail.com , or contact us at (810) 355 4300

Please stay home, stay healthy, and be safe!

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Rosacea during COVID-19

Thu, 16 Apr 2020 15:52:00 GMT

Hi friends and amazing patients,

Let’s talk Rosacea. April is Rosacea Awareness Month!

We have promised on our Instagram account to answer some of your questions on this condition. So here are my answers to your Instagram questions in this blog.

Rosacea is a chronic skin condition where facial blood vessels open and close irregularly and can cause persistent, frequent, and oftentimes severe facial redness. Depending on the type of rosacea, sometimes they may experience facial spider veins, acne cysts, styes, and thickened facial skin.

Yes, there are mites on our skin that can give rise to flare ups of Rosacea. These mites like to live on the nose and cheeks where rosacea tends to flare. Studies have found that when these mites overgrow on the skin, rosacea symptoms can be found. It is thought that the presence of too many of these mites can mount an immune response that results in typical red rosacea bumps. Many rosacea patients have large numbers of this mite on the skin, in their oil glands. However, some people who do not have rosacea can harbor these mites as well.

Yes, niacinamide containing products are suitable for rosacea prone skin. Niacinamide is a VitaminB3, and can be useful in treating acne and rosacea. It increases the barrier function, which allows better tolerance in the skin against irritant reactions. It also has anti-inflammatory effects, and is very suitable for sensitive, rosacea, or redness prone skin. It has also been shown to have an effect to reduce the risk for skin cancer formation when taken at sufficiently high oral dosages.

Many things have been found to trigger worsening of rosacea, or rosacea flares. But scientists are still trying to figure out what exactly causes rosacea. In rosacea studies, the following has been found:

Yes. Here are my 5 helpful hints to decrease signs and symptoms of rosacea:

Let us know if we can help, and email us any future topics you’d like to hear more about !

Virtual visits are available by emailing dsb.hamzavi@gmail.com , or contact us at (810) 355 4300

Please stay home, stay healthy, and be safe!

The post Rosacea during COVID-19 appeared first on Dermatology Specialists of Brighton .

Wearing masks in the Covid-19 Pandemic

Sun, 05 Apr 2020 15:59:00 GMT

This past week the CDC finally made a recommendation that the use of CLOTH face coverings can help slow the spread of COVID-19 . When people exercise social distancing measures , but are still exposed to a certain degree to the presence of others ( such as at the grocery store, pharmacies, ) it would be wise to wear a mask to prevent the unwanted transmission of large droplets that may carry the coronavirus.

What do you need to know about the cloth face covering recommendations:

Why did wearing a mask for the general public become a NEW recommendation ?

We have lots of evidence now pointing to the transmission of this virus when patients are not symptomatic, and shedding the virus happens about 48 hours before the onset of symptoms. Thus people who act and feel healthy, may not knowingly be spreading the virus via coughs, sneezes, or exhalation. That is why wearing a mask in everyone may be a helpful idea.

What materials do I use for a homemade cloth mask?

Studies comparing materials for home made masks were investigated in a paper by researchers at Cambridge University. Their study showed that for homemade masks, a two-layered cotton material or double layer pillowcase material are more superior in balancing breathability and effectiveness to capture virus particles when compared to other materials such as dish towel, vacuum cleaner bag, silk, scarf, or linen.

Lastly, although the cloth mask recommendation may be a very good idea for the general public, the evidence does not seem very promising for healthcare workers to wear cloth masks at work. Several studies have pointed out the inadequate protection from cloth masks for healthcare workers. In the only prospective randomized controlled study of cloth mask vs. surgical mask vs. control group by MacIntyre et al. in 2015, the data shows a higher infection rate in the cloth mask arm over control and surgical mask group. Thus it appears that for the healthcare worker, a homemade cloth mask should only be considered as a last resort, as it would only be better than no protection at all.

For more info or further questions about your skin, email us at dsb.hamzavi@gmail.com or (810) 355-4300 and please explore our virtual visit appointments for medical concerns.

The post Wearing masks in the Covid-19 Pandemic appeared first on Dermatology Specialists of Brighton .

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