Don’t Be Tempted! What You Need To Know About Pimple Popping & Scarring

An inflamed blemish happens when the pore becomes engorged with excess sebum, dead skin cells, and bacteria. When you squeeze a pimple, you may inadvertently force the debris from the pore deeper into the follicle. That can cause the follicle wall to rupture and spill infected material into the dermis, the deeper layer of the skin, just beneath the epidermis. Not only do you run the risk of scarring if you pick at or pop your pimples, but you can also worsen the blemish and make it last longer on your face than it would originally have stayed. Don’t be fooled if you are able to coax pus and debris from the pore opening, you are most likely pushing some of the infected material deeper into the dermis. Squeezing a pimple can lead to a nodule, which is a hard, red, painful blemish deep within the skin; or a cyst, which is a buildup of tissue that may feel like a pea beneath your skin and can be filled with air, fluid, or pus. A cyst is the most serious form of a blemish and may become a large and painfully inflamed lesion. They develop when a membrane forms around the infection in the dermis, creating a soft, fluid-filled lump and must by treated and drained by a physician. Picking at your blemishes can spread infection, and ultimately worsen any level of acne you may have. It is apparent that the only way to truly avoid worsening a breakout is a hands-off policy is the best choice when it comes to taking care of your skin. Acne scars are typically classified into boxcar, ice pick and rolling scars. Lasers are a commonly used modality in […]

Just had surgery? Find out what you can do for that ugly scar

Scars, especially those that mark the most visible areas of the body such as the face, arms and legs, can really impact our lives. You don’t have to live with the leftovers from your most recent surgery, which was probably hard enough to get over. Fraxel has revolutionized the treatment of acne scars, as well as wrinkles, surgical scars, melasma and other skin conditions. This laser utilizes a wavelength that penetrates deep into the tissue to create tiny zones of micro-damage. The new damage stimulates a healing process, in which the body naturally creates new collagen and elastin that remodels the skin’s surface and leaves behind a smoother surface. Collagen is a naturally occurring protein responsible for keeping the skin tight and smooth. Located in the dermis, the layer located just beneath the epidermis, collagen has the ability to partially reverse the aging process. One of the best and most effective tools for significantly decreasing surgical scars is the Fraxel laser. Dr. Rokhsar worked alongside dermatologist, Dr. Richard Fitzpatrick, and were the first physicians to introduce the clinical applications of the Fraxel laser technology. Dr. Rokhsar was involved in the development of the Fraxel laser in 2003 and designed many of the protocols for treatment currently in place. He has trained more physicians on the use of Fraxel laser for fractional resurfacing in the world than any other physician. The laser works by treating microscopic sections of the skin at a time, stimulating collagen production, which creates a tighter and less wrinkled skin appearance. Collagen is the key, the more healthy collagen production is encouraged, the more youthful the skin appears to be.

January 28th, 2014|Fraxel Laser, Scars|0 Comments

Stretched holes from heavy earrings? We can fix that

For most people with pierced ears, the hole gradually enlarges over time usually due to the weight and weakness of the skin due to aging. It can tear because of the natural aging and wearing down process or if an earring caught on a sweater or was pulled abruptly. It can be painful when the tiny piece of skin at the bottom of the lobe rips to the bottom. When it first tears you must wait until the torn skin has healed and the inflammation has subsided. Some of the conditions we treat are partially or totally torn earlobes, keloid scars of earlobes, elongated earlobes, or earlobes with a fold or crease in them. Earlobe repair or rejuvenation can be a very simple and successful procedure. The surgical treatment is tailored to the patients’ particular situation and level of damage. This technique can also apply to people with keloid scars on their earlobes after getting their ears pierced. For the patient who is bothered by a protruding or elongated earlobe, a wedge of skin can be removed, which ultimately shortens the earlobe. If there is a crease in the middle of the earlobe and creates a fold, then injecting the ear with Restylane or Radiesse can solve the problem for months to years, but is not a permanent solution. It will fill the crease and lift to create a smooth and even surface and more symmetry to the overall face. The stitches that hold the repaired pieces of skin together can be removed one to two weeks after the repair procedure. A thin layer of antibiotic ointment is usually the only application necessary. Don’t be alarmed if the ear drains from the wound as it […]

January 27th, 2014|Scars, Skin Care|0 Comments

What acne treatments can you use during your pregnancy?

If you are experiencing acne, you understand all of the hormonal balancing acts you’ve had to play in order to find the right treatment plan. If you’ve found out you’re pregnant, your acne doesn’t just go away. Instead your body will undergo a myriad of hormonal changes that could easily worsen your acne and force you to find a whole new treatment plan while ensuring a safe pregnancy for you and your baby. Review the oral and topical treatment options you have and make clear skin with a happy pregnancy glow a non-stressful reality for you! Oral Treatment of Acne Oral Antibiotics: The most commonly used antibiotics are tetracycline and erythromycin and work by decreasing the number of bacteria in the follicle, as well as reducing irritating chemicals produced by white blood cells. Antibiotics also regulate inflammation by reducing the concentration of free fatty acids in the sebum oil. It is important to remember that some oral antibiotics can lessen the effectiveness of birth control pills, and only certain antibiotics are safe during pregnancy. Accutane: The oral medication Accutane is one of the most popular and powerful acne treatments available and works to dramatically reduce the size of the skin’s oil glands, which in turn reduces the amount of oil secretion. Accutane’s anti-inflammatory properties help to smooth the skin and encourage healing from previous acne breakouts. Although it’s fast-acting, it needs to be closely monitored because it’s associated with severe birth defects and cannot be taken by pregnant women or those who may become pregnant within several weeks of use. Aldactone: This medication is used in the treatment of hormonal acne in women by reducing oil production in the sebaceous glands, which helps to improve or eliminate […]

January 14th, 2014|Acne, Scars, Skin Care|0 Comments

Acne scars don’t have to haunt you after high school, Continued…

Acne scars are painful reminders for those who suffered through periods of acne, whether it was during the hormonal high school years or even into your adulthood, it’s important to realize that you don’t have to keep on living with noticeable scars on your face. Aside from cutting into the skin and temporary solutions such as dermal fillers, laser therapy is a viable and effective option for permanently removing scars with new, fresh skin. Laser resurfacing has been known to provide the best results for hyperpigmentated-scars, such as te Alexandrite pigmentate laser or the Pulse-dye laser for red scars. Laser resurfacing has been used for a long time to treat acne scars, especially the Fraxel laser for skin unevenness, large pores and scars. The Fraxel Re:store provides desired results afer 3 to 5 sesssions at 20 to 30 percent improvement each time. It works by creating areas of microdamage into the skin. The skin responds by creating  new collage, which is the foundation protein that provides structure to the skin. The CO2 laser  works very well for skin resurfacing purposes by improving the appearance of acne scars, however it’s a deeper-treating laser so it will require one week of downtime from regular activity as opposed to the Fraxel Re:pair, an advanced version of the CO2 laser that has the benefit of reduced downtime.   The Vbeam Perfecta is another laser, but is specifically designed to treated redness, birthmarks, vascular lesions, scars, facial veins and neck and chest redness in addition to acne scars.

December 31st, 2013|Acne, Fraxel Laser, Scars|0 Comments

Acne scars don’t have to haunt you after high school

Acne is one of the infamous marks of a high school student who is experiencing many hormone fluctuations until their body finds the right balance when they reach adulthood. However, some adults still struggle with acne throughout their lives and if they don’t still have acne, many are left with acne scars. It is estimated that 60 million Americans suffer from acne and 20 million suffer from it badly enough to cause scarring. The collagen that forms the structure of your skin becomes deformed or scarred from picking, scabbing or general acne suffering. The scars can range from deep pits to angular or wave-like scars. The treatment option you and your dermatologist agree on completely depends upon the type of scar and your skin type. In order to treat rolling scars, which are scars that change the surface of the skin because of tissue bands pulling it in different directions, dermal fillers work well. Fillers such as Restylane, Juvederm, Perlane, Radiesse, or Sculptra works to fill in the depressions in the skin. They can also effectively fill in box scar indentations which are round, oval and have sharp depressions with a crater-like base. However, it’s important to note that dermal fillers are temporary because they are made out of hyalauronic acid, which will naturally digest in your body between six months to a year after injection. Punch excisions is a different approach, which cuts the edges of a scar 1.5-3.5mm and then sutures the edges back together to create a less noticeable scar that will fade naturally and evenly. A subcision is for rolling scars in order to break up the bands that pull a the skin. Bleeding and bruising may occur as a result. […]

December 30th, 2013|Acne, Fillers, Scars|0 Comments

Acne: Clear Up Acne and Its Common Misconceptions Revealed

1. Tan Acne Away: Not only is baking in the sun an ineffective way to reduce acne, but it also puts a person at risk for developing skin cancer. The skin can burn despite the tanning that just masks the red acne blemishes. In addition, the burns cause the skin to become dry and flaky, leading to wrinkles later on in life if tanning because a habitual activity. Even if a sunscreen with at least a protection level of SPF 30, it could still be harmful. 2. Let Acne Run Its Course: It’s not a good idea to leave acne untreated. Without treatment, acne can leave a person with dark spots and permanent scars that could have easily been avoided had it been treated with the proper care and attention it demanded. Ignoring the presence of acne can worsen the skin condition, especially if an individual’s daily skincare isn’t adjusted to the skin’s new needs. 3. The Popping Pimple Treatment: Popping pimples will not make them less noticeable, in fact, it will only encourage irritation, which puts the skin in risk of infection and future acne scars that are more permanent and difficult to treat. 4. Wash Your Face More: Yes, of course it’s important to maintain good hygiene routines to remove dead skin cells, excess oil, and dirt from the surface. However, it’s not beneficial to over-wash and scrub the face because it will only irritate the skin and make acne worse. Stay away from scrubs, exfoliants and products that contain alcohol because they will only dry the skin. Instead, wash the face twice a day with mild soap or cleanser, then gently pat the skin dry with a soft towel. 5. It’s Only […]

October 10th, 2013|Acne, Scars|0 Comments

What Is The Best Scar Cream?

Skin is held tight and smooth by three fundamental components: collagen, hyaluronic acid, and elastin. A scar ultimately disrupts the natural healing process and design of the skin’s cells. Collagen is essential to the skin and provide a structural framework with firmness. Kinetin aids in the stimulation and production of collagen, which encourages regrowth and a less traumatic scar. Skin Labs MD provides Dr. Rokhsar’s patients with an extensive variety of skin care products and factors that encourage growth stimulation and are found in several products including Skin Medica and neocutis. Each scar needs to be treated in a specific way in order to address all the best healing practices. There are a variety of different scars, which include keloids scars, that cannot be effectively treated with scar cream, as they are a result of an overly aggressive healing process. Treatments include invasive surgery, steroid injections or laser surgery and are more common among people with dark skin. Contracture scars are a result of a burn. The skin tightens and can, in some cases, impair a limb or joint’s ability to move. Because these scars can go deeper and affect muscles and nerves, they cannot be treated well with scar cream. Hypertrophic scars are raised scars, similar to keloids but not in the extreme enough to stretch beyond the original injury area. Certain steroids can be used to reduce inflammation and flatten scars, and creams can help speed up that process. Acne scars cannot be treated with scar cream. Severe acne can cause deep pits, uneven skin tone and wavelike appearances. Holes and pokes could also occur which would require laser treatments such as Fraxel for scars and V-beam for any redness caused by the […]

August 21st, 2013|Scars, Skin Care|0 Comments

Treating the Scars that Acne Leaves Behind

Acne is one of the most common skin diseases in the United States. Scarring from acne occurs in over 20 million suffers in the United States alone. Even without irritating the skin through picking and popping, scarring can be left behind when pimples and redness no longer remain.  Acne scars are typically classified as boxcar, ice pick, and rolling scars. Lasers are a common and effective modality to treating acne scars. Laser resurfacing has been a reliable treatment Dr. Rokhsar, a fellowship trained dermatologist, has been using for years. As one of the leading authorities in fractional laser treatment, Dr. Rokhsar has taught more physicians on laser treatments than any other physician in the world. Fraxel is the most current and effective fractional laser resurfacing treatment available. Dr. Rokhsar spent a significant amount of time refining and developing applications for Fraxel and after working with the prototype device, has a considerable and incomparable amount of training with the laser. This laser resurfaces the skin 20 to 30 percent at a time, which encourages a rapid healing process while eliminating the risk of rawness. Because it treats minute sections of the skin at a time, the body naturally heals itself at each small area at a time. The thermal laser stimulates collage production, resulting in up to 50 percent improvements in the appearance of acne scars. Ways to avoid the worsening of acne scars is to stay out of the sun or constantly protect your skin with at least SPF 30 sunscreen.  Exposing scars to the sun can cause them to darken and slow down the natural healing process. Even if laser treatments are done, sun exposure can lead to ineffective results. The ultraviolet rays the […]

May 22nd, 2013|Acne, Scars|0 Comments

Treating Burn Scars (1st, 2nd, 3rd degree)

Burns scars are arguably the most difficult scars to treat. Burns often leave raised and discolored scars that, depending on the severity, will leave a permanent scar behind. Burns are categorized into three stages of damage. Fire, steam, hot liquids, radiation, electricity, chemicals, friction, heated objects, or sun exposure can all cause burns. The most common kind of burns are thermal which can occur when the skin comes into contact with flames, hot metals, scalding liquids or steam. A first-degree burn is considered the most mild and least invasively damaging. They result in pain and reddening of the epidermis- the outermost skin layer. These scars can usually be effectively treated with aloe vera cream or antibiotic ointment. A second-degree burn affects not only the epidermis, but dermis, which is the layer underneath. This will result in pain, redness, swelling and blistering. This can also be treated with antibiotic creams, ointments or prescription medications. A third-degree burn goes even deeper than the epidermis and dermis. It damages the tissue beneath and will appear white, blackened and charred that may have damaged nerve cells to the point of numbness. These are the most difficult to treat. Under these circumstances, the person suffering from a third-degree burn should seek medical attention and will have to attend to the scar’s healing process with advice from a specialist, like Dr. Rokhsar. If a burn is severe enough, the skin may have a hard time repairing itself because of the extensive tissue damage, or if it repaired itself an uneven and misshapen scar will be left. A skin graft can be done. This involves taking skin from one area of the body and placing it in the damaged area. Dr. Rokhsar […]