Our Dermatology Blog
February 05, 2018
Category: Uncategorized
Tags: Acne   Skin Care   treatments   anti-aging   microneedling   PRP  

What is microneedling?

acneMicroneedling is a professional esthetic treatment to reduce the signs of aging (like fine lines, wrinkles, large pores, texture irregularities) and acne scarring. Like the name implies, we use a device called the SkinPen to prick the skin with tiny surgical steel needles to a very specific, therapeutic depth in the skin. These micro-injuries stimulate the body’s natural healing process, and the renewed production of capillaries, collagen and elastin produce smoother, healthier, plumper-looking skin.

How is it different than the at-home dermarollers?

A dermaroller is a round tube with needles sticking out of it on a handle, which the user rolls back and forth across the skin repeatedly. It is designed for in-home use or superficial day spa treatments. Unfortunately, the needles eventually dull with continued use, and it is difficult to ensure that the needles are sterile each time they are used. Also, there is only one, superficial depth to which the skin is penetrated with one of these devices. The SkinPen is a medical device and SkinPen Microneedling is performed by a Licensed Esthetician with a fresh, sterile needle cartridge for each treatment. It is far more maneuverable, can be used anywhere on the body. It will not drag or tear at the skin, and needle length is adjustable, so procedures are custom tailored to each patient’s need - penetrating to a deeper more therapeutic depth.

What is the PRP add-on to microneedling?

Kim Kardashian made headlines when she posted pictures of herself receiving a “Vampire Facial®”, which is a microneedling service including Platelet Rich Plasma (PRP) extracted from her own blood draw, which is applied topically to the freshly treated skin. At Warrenton Dermatology & Skin Therapy Center, you can choose to add PRP therapy to your microneedling service, for delivery of your own human growth factors deep to the skin and maximum skin rejuvenation.

How much down-time after treatment?

Aside from some mild post-procedure pinkness for 2 to 4 days, there is no downtime associated with microneedling when a SkinPen device is used (some see their skin return to normal within 24 hours). Makeup should not be worn for 48 hours after treatment, until the tiny channels in the skin have had time to close. You will experience light peeling several days post-treatment, but nothing that is not totally manageable within your normal routine.

Does it hurt?

No. Before beginning the treatment, our Master Esthetician will cleanse your skin then apply a numbing agent to relieve any potential discomfort.

How long does it take?

Each session is approximately 1 hour long, depending on your skin condition and the size of the area being treated. Multiple sessions are most often recommended for best-case-scenario results, with the services being spaced 4 to 6 weeks apart. We offer discounted treatment packages to encourage our patients to commit to the number of treatments they need to achieve their desired results.

If you would like to know more about microneedling, or think it might be just what your skin needs, take advantage of our introductory pricing and experience the skin rejuvenation trend that has swept the nation!

Call 540-341-1900 today to schedule a service or a FREE Consultation appointment to learn more.

By WARRENTON DERMATOLOGY & SKIN THERAPY CENTER
January 04, 2018
Category: Skin Care
Tags: Dermatologist   Acne   Skin Care   Pimples  

Your teen years may be several decades behind you, but your skin may not have gotten the message. Acne can affect people at any timeacne in their life; 20% of its sufferers are adults. Regardless of your age, it can be very frustrating to manage by yourself, especially if it's painful and recurrent. The skin care professionals at Warrenton Dermatology and Skin Therapy Center in Warrenton, VA are here to help you understand what acne is and how we can help you treat your condition in this informative article.

What is acne?

The skin contains sebaceous glands to create its own oil, which helps to lubricate the skin and keep it from drying out. However, these secretions of oil can become trapped in the hair follicles, the tiny openings of the skin's surface, and cause lesions to develop from a combination of the oil and dead skin cells. Everyone gets a pimple or blackhead now and again, but when they are numerous and chronic, your Warrenton dermatologist will likely diagnose you with acne. Contrary to what you might have heard, acne isn't a problem associated with too much chocolate or bad hygiene. The causes of acne are thought to be linked to hormones and genetic predisposition.

How is acne treated?

The first line of defense in treating acne at Warrenton Dermatology and Skin Therapy Center is often topical therapies, which can be either over-the-counter or prescription-strength, depending on the severity of your acne. Oral medications that treat the bacteria associated with acne can also be effective. There are other medications that can help to control hormones if your Warrenton dermatologist determines that your acne is due to hormonal imbalances. Your treatment plan will be tailored to your specific needs.

You don't have to live with embarrassing and uncomfortable acne. Contact Warrenton Dermatology and Skin Therapy Center in Warrenton, VA to make an appointment with Dr. Caballero today!

December 07, 2017
Category: Hair
Tags: hair  

With more than 35 million men and more than 21 million women currently suffering from hair loss in the United States alone, it is easy to understand why fear of losing hair is something that can affect us all.  This fear has led many to speculate wildly about things that could potentially help, or worsen, hair loss.  While the majority of these myths about hair loss represent either wishful thinking or unfounded paranoia, one common belief, specifically that hair loss becomes more pronounced during the autumn and winter months, may actually have some validity.  A study published by the journal Dermatology in 2010 documents how scientists tracked regular cycles of hair shedding in 800 healthy women over the course of six years and found that, on average, the group lost more hair during the autumn months.  To help understand why, we need to take a close look at the natural hair growth cycle.

Each of the 100,000 to 150,000 individual hair follicles on the human scalp goes through a life cycle of growth and shedding that can be influenced by age, disease, and a wide variety of other factors.  At any given time about 90% of the follicles are in the actively growing, or anagen, stage, while the other 10% are in the telogen (or “resting”) phase.  Those in the telogen stage remain there for approximately two to six months before their hairs are shed to make room for the next cycle of growth.  However, any kind of severe physiological or emotional stress, like a car crash, undergoing major surgery, or even the death of a loved one, can potentially trigger temporary hair loss, in the form of a condition called telogen effluvium where a greater than normal number of hair follicles all enter the telogen phase at once.  About two to six months after whatever trauma initiated the telogen effluvium, all of these follicles shed their hair at the same time, making it appear as though the patient is suffering widespread hair loss.

Some scientists speculate that the seasonal trend in hair loss is the result of a similar phenomenon.  Harmful ultraviolet radiation from the sun, which is far more prevalent in the hot summer months, triggers a higher than normal percentage of follicles to enter the telogen phase around July, which means that by about October or November those follicles are ready to shed.  Moreover, some damaging hair styling practices and environmental factors common to the cooler months can further exacerbate the problem.  Long term exposure to artificially heated air from a furnace or central heating unit can dry out the hair, while hot water, heated curling and flat irons, and hair dryers strip moisture and essential oils.  Ultimately, this damage can make the ends of the hair strands appear frayed, a condition commonly known as “split ends”, and can make any hair loss that may be occurring far more noticeable.

Fortunately, the hair loss that results from telogen effluvium is usually only temporary.  The hair follicles are not permanently damaged, so if the particular external cause that triggered the condition is short lived, the hair follicles should return to their growing state and start producing new hair strands within six months. 

If you are concerned about hair loss, problems with your scalp or other skin conditions, the skin care professionals at Warrenton Dermatology & Skin Therapy Center are ready to help you! Call 540-341-1900 to schedule an appointment. It would be our pleasure to be of assistance to you!

October 12, 2017
Category: Uncategorized
Tags: Tips   Skin Care   Hydration   products   Moisturizer  

Moisturizers, Luminosity & Skin Firmness Q & A

Q:  How does a moisturizer increase skin firmness?

A:  “Increased firmness” is commonly used by skincare companies to describe the beneficial effects of moisturizers. 

You should know that the substance that naturally gives our skin firmness is collagen, while the substance that increases skin firmness from the use of a moisturizer is water. Moisturizers work by creating an environment for enhanced water content in the skin. Ingredients such as dimethicone, petrolatum, mineral oil, and hyaluronic acid reduce trans-epidermal water loss, thereby increasing the skin’s water content. When the skin is full of water, it becomes firmer – like a full water balloon, versus a half-full water balloon. Likewise, if you want your skin to be more luminous, it needs to be well hydrated.

Product Suggestion:

Revision Skincare Hydrating Serum, an oil-free moisturizing serum with 2 kinds of Hyaluronic Acid for both short and long-term skin hydration.

Q:  How does makeup enhance the luminosity of the skin?

A:  Luminosity is a measure of the intensity of the light reflected from the skin’s surface as it bounces back into the observer’s eye. The amount of light reflected from the skin is dependent on how smooth the skin is. Many facial foundations also enhance light reflection by adding very small light reflective particles and pigments suspended within the liquid foundation. These small particles cannot be seen on the skin’s surface without magnifications, and they create a facial glow that is attractive and youthful, even though the skin beneath the foundation may not be perfectly smooth. This optical illusion is the magic of makeup!

Product Suggestion: 

If you want the skin to really be smoother (so you don’t need magic makeup), you should be using a physician-grade Retinol product (topical Vitamin A). Drugstore products will not have a high enough concentration of the active ingredients necessary to affect change to the skin. Warrenton Dermatology & Skin Therapy Center has a variety of pharmaceutical-grade products, like prescription Obagi NuDerm Tretinoin (Retin-A) and non-prescription Revision Skincare Retinol Complete 1.0.

Ask our skin-care specialists for a personalized recommendation, or Call (540) 341-1900 to schedule a FREE Cosmetic Consultation appointment for a customized skincare plan.

 

September 05, 2017
Category: Dermatology
Tags: Acne   rashes   Skin rash   IPL   Rosacea   Facial Redness  

Rosacea: What You Need to Know

Rosacea is a skin disorder which causes inflammation and red coloring of the skin, especially on the face. It can also impacts the ears, chest, and back.  In addition to a “flushed” appearance, pimples and bumps may accompany the redness. It occurs most commonly in people aged 30-60 with fair skin, and it is now estimated by the National Rosacea Society (NRS) that 16 million Americans suffer from the signs and symptoms of Rosacea. Many celebrities are said to have struggled with Rosacea, including: Princess Diana, Prince William, Cynthia Nixon, Bill Clinton, Renee Zellweger, Rembrandt, W.C. Fields, Cameron Diaz, Sam Smith, and Rosie O’Donnell, to name a few.

Rosacea can cause more than just the classic redness. Due to varying symptoms, this disorder has four subtypes:

  1. Erythematotelangiectatic Rosacea: Redness, flushing, visible blood vessels – looks much like a bad sunburn. Visible blood vessels can turn into spider veins if untreated.
  2. Papulopustular Rosacea: Redness, swelling, and acne-like breakouts.
  3. Phymatous Rosacea: Skin thickens and has a bumpy texture, people are often embarrassed of the appearance of their skin.
  4. Ocular Rosacea: Eyes red and irritated, eyelids swell, sty-like bumps in the eye area.

There are many triggers, such as stress, eating spicy and/or acidic foods, drinking caffeine, dramatic fluctuations in temperature or allergic reaction. So, the first and most important step to controlling the symptoms of Rosacea is lifestyle modifications. It is important to consult with a Board Certified Dermatologist, like Dr. Caballero at Warrenton Dermatology & Skin Therapy Center, to get proper diagnosis and counseling. Oral and/or topical medications may be prescribed, and appropriate skincare products will be recommended by highly trained skincare professionals. The goal is to stabilize the symptoms of your Rosacea. Unfortunately, there is no cure for this disorder and you may experience a recurrence or “flair” at some point.

One of the most effective treatments for facial and chest/décolleté Rosacea is the use of intense pulsed light photo facial, also known as IPL or photo-rejuvenation. It typically requires a series of treatments, and patients experience 50% to 75% or better control of their symptoms.

Successful treatment can be life changing for a Rosacea patient. This is what one of our patients had to say (her before and after photo accompanies this article): “I always thought I had acne – then I was diagnosed with Rosacea by Heather Callahan, PA-C at Warrenton Dermatology. I followed her treatment plan and started topical medications, as well as a series of IPL treatments. Now my Rosacea is under control and I can’t believe how great my skin looks.”

If you think you may have Rosacea, call Warrenton Dermatology at (540) 341-1900 for an appointment to find out for sure. We can help!





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