Our Dermatology Blog
July 13, 2018
Category: Dermatology
Tags: safety   Tips   sun exposure   Burns  

According to dermatologists from the American Academy of Dermatology (AAD), first-degree burns are very common and frequently occur after accidentally touching a hot stove, curling iron or hair straightener. Sunburn can also be a first-degree burn. Burns can easily happen during summer firework and campfire season; However, unlike the more severe second or third-degree burns, first-degree burns only involve the top layer of the skin. If you have a first-degree burn, your skin may be red and painful, and you may experience mild swelling.

“Most first-degree burns can be treated at home, however, it’s important to know what to do,” says boardcertified dermatologist Darrell S. Rigel, MD, a clinical professor at New York University. “Although first-degree burns aren’t as serious as higher-degree burns, they can hurt quite a bit and can leave a scar if not properly treated.”

To treat a first-degree burn, Dr. Rigel recommends the following:

  1. Cool the burn. Immediately immerse the burn in cool tap water or apply cold, wet compresses. Do this for about 10 minutes or until the pain subsides.
  2. Apply petroleum jelly two to three times daily. Do not apply ointments, toothpaste or butter to the burn, as these may cause an infection. Do not apply topical antibiotics.
  3. Cover the burn with a nonstick, sterile bandage. If blisters form, let them heal on their own while keeping the area covered. Do not pop the blisters.
  4. Consider taking over-the-counter pain medication. Acetaminophen or ibuprofen can help relieve the pain and reduce inflammation.
  5. Protect the area from the sun. Once the burn heals, protect it from the sun by seeking shade, wearing protective clothing, or applying a broad-spectrum, water-resistant sunscreen with an SPF of 30 or higher. This will help minimize scarring, as the redness from a burn sometimes persists for weeks, especially in those with darker skin tones.

“First-degree burns usually heal on their own without treatment from a doctor,” says Dr. Rigel. “However, if your first-degree burn is very large, if the victim is an infant or elderly person, or if you think your burn is more severe, go to an emergency room immediately.”

By WARRENTON DERMATOLOGY & SKIN THERAPY CENTER
July 09, 2018
Category: Dermatology
Tags: lip fillers  

Full lips have always been in fashion, but not everyone's genetics get the message. Lip liners and glosses can only do so much, and youlip filler might not feel comfortable with the idea of surgery. But if you're interested in a natural, immediate and minimally invasive way to plump up your lips, lip fillers are offered at Warrenton Dermatology & Skin Care in Warrenton, VA. Learn how Dr. J.C. Caballero uses lip fillers to enhance his patients' smiles and self-confidence!

What do I need to know about lip fillers?

The lip fillers we use at Warrenton Dermatology & Skin Therapy Center are made from hyaluronic acid, which occurs naturally in the body and provides cushioning, lubrication and regeneration of cells. When injected under the skin around the lips using a hypodermic needle, it smooths out lines and enhances the natural curvature of the mouth. The longevity of the results varies from patient to patient; it's all dependent on which filler you choose and how long it takes for your body to metabolize the ingredients. On average, you can expect your lip fillers from your Warrenton dermatologist to last between six and twelve months before needing a "refill."

Who should/shouldn't get lip fillers?

Patients who want to customize the way their lips look are excellent candidates for lip fillers. That's because each product offers slightly different results, and can be administered to both the upper and lower lips or just one area. Although your results should be obvious immediately, it will be a few days before the initial swelling disappears. Therefore, if you are planning to have this procedure before a wedding or a photo session, you may want to plan it a few weeks in advance. If you want permanent changes to the shape or size of your lips, you may want to look into other options, since lip fillers are naturally absorbed by the body within a few months.

A consultation with your dermatologist about your goals with lip fillers will help determine a realistic result that fits your budget. Contact Warrenton Dermatology & Skin Center in Warrenton, VA to schedule your appointment with one of our medical professionals today!

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.





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