Our Dermatology Blog

Posts for: August, 2016

By Warrenton Dermatology & Skin Therapy Center
August 22, 2016
Category: Dermatology
Tags: Voluma®  

When comparing pictures of a face taken 20 to 30 years apart, it's likely that while the general shape and contours of the face will mostly look the same, the face will look rounder and fuller in the younger version of the picture. While most people think of fine lines, wrinkles, and crow's feet as the first and most visible signs of aging, volume and collagen loss account for the sunken, loose skin that makes a face look older.

In the past, men and women would generally have to resort to getting a surgical facelift to tighten their skin. But with injectable treatments like Voluma®, it is now possible to maintain volume and firmness in the cheeks and skin without surgery.

Cosmetic Dermatology and Facial Rejuvenation in Warrenton & Surrounding Areas
By now, most people are familiar with (and may have even tried) Botox®, which is used to temporarily relax the muscles that cause creases in the forehead and around the mouth and eyes. (Fun fact: Botox® also has medical applications, and has been used to treat diverse conditions like migraines and hyperhidrosis, which causes excessive sweating). Voluma® is a filler that helps to restore fullness and firmness to the skin when we start to lose our natural fat-pads and collagen production begins to slow down with aging.

Voluma® is the first and Only FDA-Approved injectable gel for the cheek area
Juvederm® Voluma XC is the first FDA-approved injectable gel, made to instantly add volume to your face's cheek area. This gel contains modified hyaluronic acid (HA) made from a naturally occurring complex sugar, and has the ability to correct age-related volume loss in adults over the age of 21. Juvederm® Voluma XC can provide a subtle lift and contour for up to two years.

How It Works & Possible Side Effects
Juvederm® Voluma XC is injected under the skin using a fine needle. It can instantly add just enough volume to gently lift the cheek area. To reduce discomfort during the procedure, Voluma® contains an anesthetic called lidocaine. Side effects are moderate (uncomfortable) and generally last between 2 to 4 weeks. The most common side effects include temporary reactions at the treatment site such as tenderness. swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching. Do not use if you have a history of severe allergies or severe allergic reactions (anaphylaxis), or if you are allergic to the proteins (gram-positive bacterial proteins) used to make the hyaluronic acid (HA) in Juvederm® Voluma XC.

Contact a Dermatologist in Warrenton
Board certified dermatologist Dr. Juan-Carlos Caballero at Warrenton Dermatology & Skin Therapy Center helps patients maintain a youthful and more natural looking appearance with cosmetic injectable treatments. With Voluma®, Dr. Caballero can restore the volume of the earlier picture from a person's youth, rather than drastically altering the appearance in a way that looks unnatural. Injectable cosmetic therapies are ideal for anyone looking to maintain a healthy, youthful appearance without appearing to have had "work" done on their face.
To learn more about Voluma® and other cosmetic injectable procedures, contact Warrenton Dermatology & Skin Therapy Center by calling 540-341-1900 to schedule a Free Consultation with Dr. Juan-Carlos Caballero today.

By Warrenton Dermatology and Skin Therapy Center
August 10, 2016
Category: Dermatology
Tags: Acne  

While acne is famous for being a teenager’s concern, this frustrating condition can also occur in adulthood and take a toll on your confidence. However, in many cases, acne can be prevented or treated by simply changing the bad habits that cause it. Learn more about habits that could be causing your acne with Dr. Juan-Carlos Caballero at Warrenton Dermatology and Skin Therapy Center in Warrenton, VA.

What causes acne? 
While the true cause of acne is unknown, we do know that it occurs when the skin’s pores become blocked. This blockage happens when the skin’s sebaceous glands produce too much oil, which mixes with dead skin cells and clogs the pore. Bacteria grows in the clogged pore, causing a pimple to form.

Acne-Causing Habits

  • Not moisturizing your skin: Dry skin actually stimulates the skin to produce more oil than usual to compensate. This oil mixes with skin cells and hair to cause blockages in the pore, causing acne. Use gentle products specifically for the facial skin and moisturize your face daily.
  • Touching your face: The oils, dirt, and germs on your hands can irritate your facial skin to cause acne. Avoid touching your face with your hands unless you have just washed them.
  • Not washing your bedding often: The oils from your face, hair, and skin rub onto your sheets and pillowcase the entire time you sleep. Be sure to change your pillowcase several times a week and use a fresh towel to dry your face after washing it.
  • Not washing your makeup brushes: Makeup brushes and sponges are a prime breeding ground for bacteria. Be sure to wash them after each use to avoid spreading this bacteria onto your face.
  • Not watching your diet: An unhealthy diet can cause acne. Try avoiding foods high in sugar and fat which will make your blood sugar levels spike and drop quickly.

Acne Treatment in Warrenton, VA
Special toners and cleansers and prescription scrubs and washes can help balance the level of oil your skin produces to lessen the appearance of acne. Treatments like microdermabrasion, laser skin resurfacing, and photorejuvenation help lessen the appearance of discolorations or scarring once acne has been treated. Dr. Caballero can help you determine the best routine for your skin.

For more information about acne and its treatment, please contact Dr. Caballero at Warrenton Dermatology and Skin Therapy Center in Warrenton, VA. Call (540) 341-1900 to schedule your appointment with Dr. Caballero today!

By Warrenton Dermatology & Skin Therapy Center
August 03, 2016
Category: Skin Care
Tags: Lice   hair   treatments   topical treatments  

Excerpts from Dermatology Times 7/20/16

School will soon be back in session, and unfortunately, this usually means an uptick in the incidence of head-lice. Do you know what to do if your child comes home from school with lice?

Here are a few helpful tidbits about the world of lice: Head lice die in one to two days without feeding, and nits die within a week and cannot hatch if they are not near the scalp; Nits (lice eggs) alone do not indicate contagiousness; However, behaviors such as sharing brushes, combs or pillows could transfer nits or lice from person to person; Once hatched, lice move by crawling – they cannot hop or fly; Pets do not play a role in transmission of human lice.

What to Do

If lice are found on someone, machine wash and dry all clothing and bed linens worn or used in the two days before treatment. Items that can’t be washed should be placed in sealed plastic bags for two weeks. Soak combs and brushes in hot water (at least 130°F) for five minutes. And vacuum the floor and furniture around where the infested person sits or sleeps, then discard the vacuum contents in a sealed plastic bag. In addition to these actions, topical treatments may be used to kill the lice and nits on the persons scalp and hair.

Topical Treatments

According to Dr. Raegan Hunt, lice are becoming more immune to traditional over-the-counter treatments like Rid and Nix. Earlier this year, a study examined head lice in 48 states and found 98% had developed mutations. The good news: “There are several fairly recently FDA-approved topical lice treatments that can be used to combat the resistant ‘super lice,’” says Dr. Hunt, a pediatric dermatologist at Texas Children's Hospital:

  • Well-known treatments, such as Rid or Nix, are comprised of permethrin lotion 1%, and may not work due to the development of drug resistance.

  • Malathion lotion 0.5% (Ovide) works in a single application for most patients, but is limited to those 6 and older. Resistance has been reported in the United Kingdom.

  • Ivermectin lotion 0.5% (Sklice) got FDA approval in 2012. It kills baby lice (nymphs) and works as a single application on dry hair without nit combing. It’s approved for children 6 months and older.

  • Spinosad 0.9% topical suspension (Natroba) was approved by the FDA in 2011. It’s approved for children aged 4 and up, and is also effective as a single application on dry hair without nit combing. Retreatment is usually not needed.

  • Benzyl alcohol lotion 5% (Ulesfia) received FDA approval in 2009 and requires repeat treatment on the ninth day. It’s approved for ages 6 months to 60 years.

After treatment, if you see large, live lice, they may be a sign of a re-infestation. Also, according to Dr. Hunt, lice of different sizes can be a sign of possible resistance to treatment.