Our Dermatology Blog

Posts for category: Uncategorized

Lumps and bumps that are present under the skin should always be checked by a dermatologist. coolsculptingA lump or bump which is new, getting bigger, is tender or painful needs to be checked. Even if it turns out to be nothing, it’s important to know for sure that your lumps and bumps aren’t something more serious. When in doubt, call the board-certified professionals at Warrenton Dermatology. Some of the most common types of skin bumps and lesions include:

Skin Cysts

are common and can appear on all parts of the body. They may occur as a result of injury or infection, around a clogged pore, or around a foreign body like a splinter or even a new earring. Cysts are extremely slow-growing, painless, and they feel smooth. Many people describe their cyst as feeling like there’s a pea stuck below their skin. When a cyst is formed around a foreign body, or if it becomes irritated, inflamed, or filled with fluid, surgical excision may be necessary.

Open & Closed Comedos

commonly referred to as blackheads and whiteheads, occur when oil and skin cells accumulate and block pores. If the clogged pore remains open, it looks black. A closed comedo is typically white in appearance. Often, facial cleansers and topical products are effective in removing or reducing the numbers of blackheads and whiteheads. However, you should never pinch or squeeze the skin to remove them. The Estheticians at Warrenton Dermatology will professionally extract them as part of a deep pore cleansing facial or Hydrafacial treatment.

Cherry Angiomas

take their name from the cherry-red coloring of the bump, and typically impact those over the age of 40. They are usually smooth to the touch, and may be as small as a pinhead or grow as large as a quarter inch in diameter. In most cases, these asymptomatic bumps don’t need to be treated. If you don’t like the appearance of these lesions, they can easily be removed using a Lam Probe or cosmetic laser.

Dermatofibromas

are hard, round, reddish-brown bumps, and they most often occur following an injury (bug bite, bump or bruise, cut or scratch). Dermatofibromas contain scar tissue, so they will feel hard. Some people describe them as feeling like a BB gun pellet stuck below the skin. Usually asymptomatic, they may cause some itching, pain, or tenderness. These typically don’t need to be removed, but they can be surgically removed if they become painful.

Folliculitis

occurs when hair follicles are inflamed. This can happen after using chemical-laden products or due to physical irritation from chafing clothing, shaving, or other causes of friction against sensitive skin. Folliculitis most often occurs in the hair follicles on the face, scalp, and thighs. Treatment usually includes avoiding irritation by wearing loose clothing, avoiding shaving the area, and making changes to shaving methods and products. You may also want to use calming lotion or cortisone cream to relieve the itchiness and inflammation. Some patients experience dramatic improvement in symptoms by simply applying a warm, moist compress to the impacted areas. In some cases, a bacterial or fungal infection may occur in combination with folliculitis and will need to be treated using oral and/or topical antibiotics or antifungals. It is best to work with your Dermatologist to develop a treatment plan for this condition

Keratosis Pilaris

looks like “goosebumps” or “chicken skin bumps.” While it may not be attractive, these small bumps that usually appear on the upper arms and thighs, are completely harmless. Treatment is not medically necessary, but there are some medical-grade topical products to improve the cosmetic appearance of keratosis pilaris (often referred to simply as KP). Most people see a dramatic reduction in the appearance of this condition by the age of 30. Symptoms of KP can be treated at home by moisturizing and exfoliating regularly.

Lipomas

are subcutaneous (below the skin) benign soft tissue tumors. The word tumor can be frightening, but lipomas are usually slow-growing and benign. They can occur anywhere on the body, but lipomas most often appear on the neck, shoulders, and trunk. The majority of lipomas are soft, malleable lumps that don’t grow larger than 5 cm in diameter. While they are typically painless, a lipoma may grow large enough to compress nerves in specific areas. If a lipoma grows large enough to cause cosmetic or functional concerns, we may recommend surgical removal.

When Should I Call Warrenton Dermatology?

If your lesion, bump, or lump isn’t growing and doesn’t itch, hurt, burn, or feel warm to the touch, it’s probably a benign skin condition. Still, we recommend having new growths or bumps on the skin checked by a professional. Lumps and bumps can be cancerous, and the only way to diagnose that is to biopsy it. Dermatologists are specially trained to know which lesions need to be biopsied, which need to be treated or removed, and which can be left alone.

By WARRENTON DERMATOLOGY & SKIN THERAPY CENTER
January 31, 2019
Category: Uncategorized
Tags: Dermatologist   Tips   Skin Care   Dry Skin   Winter  

winterskinThe winter months can be tough on skin. While most people think summer sun exposure is the hardest on the skin, winter can be just as difficult for our skin cells. In cold, dry winter climates, skin is prone to itching and flaking. Without an effective winter skin care routine, you may experience significant discomfort and potential damage throughout the winter season.

Changes in temperature and humidity can negatively impact your skin’s health. The main cause for concern during winter months is dryness. Cold weather usually means decreased humidity. Windy winter weather and use of heaters will further strip the skin of moisture. Dry skin can feel scaly, chapped or tight, and it may even crack open and bleed. Those who suffer from chronic skin conditions like eczema are much more likely to deal with flare-ups during winter months. The main goal of skin care during winter months is to avoid stripping moisture from the skin and take steps to alleviate dryness.

Winter Skincare Tips:

Turn Down the Heat – It’s not just air temperature that effects your skin…water temperature is very important. Turn down the heat in the shower or bath, as hot water can worsen dry skin; and limit your bath and shower time, because prolonged exposure will also dry out your skin. Apply a moisturizer immediately following your shower or bath.

Major Moisturizer - Use a thick, cream-based moisturizer at least twice per day over the entire body. You should apply a moisturizer immediately following your shower or bath and at least one other time during the day. If you start to experience itching or notice cracking and dryness, apply moisturizer to the affected area right away.

Use a Humidifier - Constantly running heaters during the cold, winter months can strip moisture from the skin. Consider installing a furnace humidifier or putting a humidifier in your bedroom. These humidifiers can replace some of the moisture that the heater is stripping from your home.

Cover Up - Exposure to wind, snow, and ice can also negatively impact your skin. Protect your skin by covering it with accessories like gloves, hats and scarves. For sports like skiing and snowboarding, make sure you wear goggles and other barrier clothing to protect your skin from chapping and windburn. If your clothing becomes saturated with water from melting snow or ice, you should find warm, dry clothing as soon as possible.

Drink Water - Dehydration is not a summer-only concern. Drinking water won’t immediately add moisture to the skin, but regularly consuming plenty of water will help to keep skin cells hydrated. Drink at least 64 fluid ounces of water each day, which is about 8 glasses.

Sunscreen All Day, Every Day - Skin that is exposed to the sun, even in limited amounts, should be protected with sunscreen on a daily basis. There are many sunscreens that can serve as an effective daily moisturizer and sunscreen (get EltaMD UV Lotion at Warrenton Dermatology). Look for SPF 30 or higher.

Protect Your Lips - Our lips are just as likely to become dry, chapped and sun exposed as the rest of the body. Apply a liberal coat of balm with sunscreen built in several times throughout the day. Aloe Vera and Vitamin E are often used to heal damaged skin and relieve dryness, as well.

Visit A Skincare Specialist at Warrenton Dermatology – our skincare professionals are here to help you! Schedule a medical visit for treatment of skin issues that flare in the winter, or schedule a complimentary skin care consultation appointment for help in finding the right products and winter skincare routine just for you. 540-341-1900

Fat is complicated. It's stubborn, demonized, praised, misunderstood. As the recent wave of body positive conversations has helped to scratch at, everyone's relationship with fat is different. One thing that has remained fairly consistent is a cultural obsession with mastering fat — whether that means embracing it or erasing it.

As far as the latter is concerned, plastic surgery has always had seemingly magical answers. First there was liposuction, which, according to the most recent data from the American Society of Plastic Surgeons (ASPS), has declined in popularity by 30 percent since 2000 (though it still remained one of the top 5 cosmetic surgical procedures performed in 2017).

Then came the advent of non-invasive fat-reducing procedures, such as CoolSculpting and SculpSure, which are designed to get rid of the spots that your devotion to Barry's Bootcamp hasn't managed to budge. Given these are pretty much the closest things you can get to a fat-erasing magic wand, it's not surprising the ASPS reported a 7 percent rise in these procedures last year. Here's what the hype is about and what you need to know if you're considering a non-invasive fat-reduction procedure.

What is CoolSculpting?

CoolSculpting — scientifically known as cryolipolysis — is essentially a procedure to freeze (and thereby kill), fat cells. Here's how the FDA-approved treatment works: An applicator (think of it sort of like a giant vacuum hose) applies suction to the area you want to target. "The applicator then applies carefully regulated cooling plates to bring fat cells down to a temperature at which they are irreversibly damaged," Darren Smith, a board-certified plastic surgeon in New York City, tells Allure. For most areas, the process takes about 35 minutes [per attachment]. After the deep-freeze damage to the fat cells, they will eventually die and be eliminated by the body — a process which takes a little time. You'll start to see results after a few weeks with the final effects revealed in three months.

In theory, CoolSculpting can tackle just about any unwanted bulge — it's FDA-approved for the abdomen, "love handles," thighs, upper arms, "bra fat," back fat, "banana roll" underneath your butt, and "double chin" — but there is one big caveat: you have to have "enough fat for the applicator to adhere to," Stephen Greenberg, a board-certified plastic surgeon in New York and Florida, tells Allure. In other words, there has to be enough fat to pinch for the treatment to work.

What Is SculpSure?
"SculpSure essentially tries to arrive at the same end as CoolSculpting but with the opposite approach," explains Smith. Instead of freezing fat cells, heat is used to kill fat cells. "During a SculpSure treatment, applicators are placed over the treatment area, and a laser is used to heat fat in the treatment area to the point of irreversible damage," he says. Once damaged, the fat cells are swept away by the body's lymphatic system. Just like CoolSculpting, it takes about three months to see full results. SculpSure is currently FDA-approved to treat the stomach, "love handles," back, thighs, and the "double chin."

Which One Should I Get?

CoolSculpting and SculpSure are approved to treat almost all the same areas where stubborn fat is common. But there are still a few things to consider when choosing between treatments. First, consider your pain sensitivity. "SculpSure must reach a fairly high temperature, and this can be quite uncomfortable," explains Smith. While the treatment is designed to be safe for skin (it has a cool cycle built in so you don't have to worry about any burns) it heats fat cells to about 107 degrees, according to the ASPS. It can be painful to sit through if you have sensitive skin. CoolSculpting, on the other hand, is less uncomfortable, since the cooling action will have a numbing effect, Smith says. Secondly, consider how much fat you're hoping to erase. "For a candidate who has more fat to remove, CoolSculpting would be the better option," says Greenberg, since the treatment needs a solid pinch of fat to latch onto. One of the biggest perks associated with both procedures is that there's no downtime and the risks are minimal — you might expect some light bruising, swelling, or soreness afterwards, says Greenberg.

All things considered, "if someone is seeking a noninvasive body contouring option, I would recommend CoolSculpting over SculpSure," says Smith.

Do They Actually Work?

Neither treatment is a magic bullet. In a clinical trial published in Clinical, Cosmetic and Investigational Dermatology in 2014, CoolSculpting showed pretty impressive results — up to a 25 percent reduction in subcutaneous fat in the treatment area. However, the same study found that 14 percent of participants didn't see any improvements. There's less data available on SculpSure. One review of non-invasive body-contouring devices published in the Journal of Drugs in Dermatology found that the treatment reduced fat by about 11 percent.

The good news is, the results of both treatments are theoretically permanent. Bear with us for a brief anatomy lesson: When you lose weight by going to the gym or eating healthier, your fat cells shrink — when you gain weight, they expand. Either way, you maintain the same number. With CoolSculpting or SculpSure, fat cells are actually eliminated, which is a lasting change. That said, if you return to unhealthy habits post-procedure, gaining weight can eclipse the slimming effects. "I always recommend that my patients maintain a healthy lifestyle in order to maintain the results," says Greenberg. Like any procedure, make sure you consult with a physician to weigh your options.

What's the Difference?

acne

Microdermabrasion is one of the top 5 non-surgical procedures performed by medical providers. Using a mechanical device, the provider exfoliates the skin surface with an ablative material, like sodium bicarbonate crystals, to scrub off dead and dull surface skin cells. The device simultaneously uses suction to stimulate circulation in the skin. The result is smoother, brighter looking skin. There is little discomfort, treatments take about an hour, and there is no down-time afterwards. It is suitable for most skin types, but not all.

Microneedling, however, is different than a superficial Microdermabrasion treatment and provides much more benefit, because it reaches below the skin surface. The procedure creates many microscopic punctures in the skin's outer layers. This is sometimes called "collagen induction therapy," because the process stimulates the body's production of collagen and elastin during the wound healing response. It is used to help reduce the appearance of fine lines and wrinkles, acne scars and even stretch marks on the body. There are at-home devices called "dermal rollers," which have small surgical steel needles which are rolled over the skin. This is very superficial in nature, so it is not very effective; and it can be difficult to keep the device sanitary, so it is also potentially problematic.

The SkinPen Microneedling device used at Warrenton Dermatology & Skin Therapy Center has revolutionized microneedling, offering improved results compared to dermarollers and microdermabrasion. SkinPen is more sanitary because it uses disposable needle cartridges. Numbing cream is used to ensure comfort during the treatment session, and there is little down-time. Nothing should be put on the face (including products and makeup) for 48 hours post-treatment, until the micro-channels in the skin close. You may experience light peeling (like dry skin) a few days after your session, but nothing that should take you out of your normal routine.

SkinPen Microneedling is safe and effective for all skin types. If you desire a smoother, healthier, brighter complexion, you should consider Microneedling as one of your best treatment options!

Schedule a FREE Cosmetic Consultation with one of our Estheticians to find out which treatments would be best for you, and develop a customized treatment plan that fits with your lifestyle and budget. We are here to help! To learn more:

Call 540-341-1900, or go to  https://WarrentonDermatology.us12.list-manage.com/track/click?u=b51847402c05e65d5b84344c7&id=3598f161bd&e=864a15906e.

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.