Dr. Miller's Weekly Blog

Smartphone Skin Cancer Apps

2012-01-31T11:59:00.011-05:00

Looking back at my first cell phone I never realized that it would become a technology that I rely on so heavily. But smartphones and their millions of applications have changed the way we communicate, track appointments, follow the news, bank, shop, watch movies, listen to music, and check the weather. Now mobile technology is even changing how we approach wellness, fitness, healthcare, and medicine. An estimated 44 million health apps were downloaded in 2011 ranging from simple calorie counters and workout logs to ones that track symptoms and even diagnosis illness. There are now even new skin cancer apps: Skin Scan and LoveMySkin.

I like that these apps raise awareness about the importance of skin cancer screening, however I have strong concerns about anyone using a $5.00 app for real medical decision making. The key to surviving a diagnosis of melanoma is catching it early, and so I cannot recommend any app that might delay a lifesaving medical check-up. Recently I wrote about Melafind, a new imaging technology that looks below the skin’s surface to analyze moles for signs of cancer. It went through years of testing and a thorough FDA approval process. Skin Scan is basically a photo app that can give different readings on the same mole depending on how bright the ambient light is.

If you are concerned about skin cancer and want to use these apps, use them for mole mapping and as a photo archive, but leave the analysis to a trained dermatologist. I do like and recommend apps that have been developed for improving sun-smart behaviors. MyUVAlert by Coppertone is free and provides local UV forecasts and reapplication reminders. It even lets you create profiles for every family member.

There is a strong drive to empower consumers across all levels of healthcare which has led to a surge in medical apps. But with Apple’s recent hire of a Director of Medical Marketing, and the FDA soon to publish its final guidelines on mobile medical applications, health apps should become more medically trustworthy. Until then there is no substitute for a professional medical evaluation.

Skincare for the Mommy-to-Be

2012-01-27T13:41:00.006-05:00

You’re expecting and you’re dealing with the wild hormone fluctuations, weird food cravings, and drastic changes to your body that go along with growing a healthy baby. There are a million things to do to prepare and the last thing you probably want to think about is your skin.

We’ve all heard of “the glow” of pregnancy. Unfortunately, in reality skin problems turn out to be just as common as radiant skin. Although, most over-the-counter treatments are fine to use, many of the products you depended on before are now unsafe. Since creams and lotions get absorbed into the bloodstream and ultimately come in contact with your developing baby, it is important to know which products and ingredients need to be avoided.

Soy products are appealing to many women looking for natural ingredients and are generally safe to use. However, they can have strong estrogenic effects causing some women to experience the “mask of pregnancy” or melasma. If you have dark skin tones you should avoid soy or look for products with “active soy” which has had those compounds removed.

Retinoids are vitamin A derivatives that boost collagen production and cell division. These anti-aging products are great for reducing fine lines and improving skin tone, but oral retinoids are a known cause of birth defects. To be safe, it’s wise to avoid even topical skin care products containing them.

Salicylic acid is in the aspirin family. It is commonly found in acne treatments, creams, cleansers, gels, and toners. It works as an exfoliant, keeping pores clear and preventing breakouts. Like retinoids, salicylic acid has been shown to cause birth defects in its oral form and is best to be avoided.

Manufacturers for both BOTOX and Restylane recommend discontinuing use during pregnancy. If you had treatments before learning you were pregnant, don’t worry. It is unlikely toxin levels would be high enough to cause any harm. Just wait until post-partum to resume injections.

Since many products and ingredients get listed under different names below is a chart to help you sort through them all.

SAFE	AVOID
Active soy	Accutane
Alpha hydroxy acid	Avage
Azelaic acid	Benzoyl peroxide
Glycolic acid	Beta hydroxy acid
Lactic acid	BHA
Mineral based products	Differin
Sulfur based products	Renova
Topical vitamin C	Retin-A
	Retinoic acid
	Retinol
	Retinyl linoleate
	Retinyl palmitate
	Salicylic acid
	Soy
	Tazorac
	Tretinoin
	Vitamin A derivatives

Flawless Fridays

2012-01-11T12:05:00.002-05:00

Greenville Dermatology would like to wish all of you a Happy New Year, and to celebrate we are launching a new promotion for 2012. On January 20th, we will host our first Flawless Friday. Be sure to join us for $10 off per unit of BOTOX and $50 off JUVÉDERM. Throughout the year, we will continue to bring you new discounts on the last Friday of each month*. Please check our website or call to speak with our staff for more details.

In addition to the monthly specials, all year we will be offering buy one, get one free LATISSE kits. You can learn more about LATISSE from my website by clicking here.

I’m looking forward to a great year and hope you’ll take advantage of these offers. As always I am proud to serve you with the best in skin health, cosmetic treatments and spa services. Trust your skin to the best and be sure to join us for Flawless Fridays.

*Due to a scheduling conflict I will be hosting Flawless Fridays on the third Friday in January, (January 20th) call our office to book your appointment today.

Resolve to Save a Life

2012-01-04T09:00:00.009-05:00

Every New Year it’s the same thing. We resolve to get fit, manage debt, stop smoking, recycle more, and drink less. And usually we do a good job until the end of February when old habits start to creep back into our routines. This year instead of making the same perfunctory resolutions, resolve to make a difference in someones life.

Educate a young person about the dangers of skin cancer and malignant melanoma. Melanoma, the most deadly form of skin cancer is linked to excessive sun exposure in the first 10 to 18 years of life. All it takes is just one blistering sunburn in adolescence to more than double a person's chances of developing melanoma later, and according to the CDC, one third of US teens aged 14-17 had a sunburn last year.

Although children are not commonly diagnosed with skin cancer, it is becoming a more frequent diagnosis in teenagers. Melanoma is the second most common form of cancer for young people 15-29 years old and it is largely preventable. “Dear 16-Year-Me” was just named one of the most shared videos of 2011. It has a powerful message every teenager needs to hear. Please share it with friends and family. And resolve to prevent skin cancer.

Lash Care and Latisse

2011-12-16T09:17:00.006-05:00

As we age, our lashes become thinner and shorter. The lash root is extremely delicate and years of daily wear and tear damage follicles and can cause it to stop producing hair. To get the sweeping, full lashes that always seem to get wasted on little boys, give your lashes a little love and consider trying Latisse.

There are several steps you can take to improve the look and health of your lashes. First, stop abusing them. Mascara may make them look fuller and darker, but the rubbing, wiping, and pulling to remove it can damage your lashes – especially if you use long-lasting or waterproof formulas. Sleeping in mascara is also a big no-no. Choose a mascara that will not dry out or overly stiffen your lashes. Never pull or tug on your lashes and if you use a curler, do so before applying mascara.

A good eyelash conditioner can keep your lashes from becoming brittle and breaking. They contain proteins and moisturizers that protect lashes and can help them look and grow fuller.

If your lashes are healthy, but still not long and lush; you have several options. There are volumizing mascaras, falsies, extensions, and even a medication - Latisse. My clients that have tried Latisse have seen remarkable results. It is a topical medication that gets applied to the upper lash line. It works from the inside out by increasing the growth phase of eyelashes. Improvement is noticeable in four to six weeks as lashes become longer, darker, and fuller.

The application takes less than a minute and has few possible side effects. Originally developed to treat glaucoma, it has a very high safety profile. Redness, irritation, and darkening of the periocular skin occurred in less than 4% of users and went away once the patient discontinued use.

A common myth is that it will darken the iris. This is a rare side effect seen in only 1-2% of glaucoma patients who use the medication in its original form, as eye drops, applied directly to surface of their eyes. And only those with green or hazel eyes are at risk. Latisse is applied to the base of the lashes and has never had a documented case of iris darkening in any of its users.

If you are curious about Latisse or would like to have long, youthful lashes again, we will be running a buy one get one free Latisse special for $120.

New Tool in the Skin Cancer Screening Kit

2011-12-06T13:16:00.004-05:00

70,000 people will be diagnosed with melanoma this year. The most deadly form of skin cancer, it is without a doubt the most serious diagnosis I make in my practice. Caught in the early stages, it is very curable. Unfortunately, too many are diagnosed once it has spread to other parts of the body. 85% of patients with late stage melanoma will die from it within just 5 years.

Melafind, a newly approved imaging and analysis device is a first-of-its-kind. It emits a penetrating light that travels below the skin’s surface and makes detailed, digital images. A computer then analyzes the depth and shape of skin growths and looks for signs of cancer. The results are compared to an archived database of 10,000 images and a recommendation is made on whether a biopsy is needed.

It is not uncommon for a patient to come in with 10 to 20 body moles. I currently rely on my years of training and experience to visually evaluate their size, shape, and color in determining which, if any, look suspicious and need to be biopsied. Some moles will exhibit easily recognizable signs of cancer; many however are not so obvious.

I am excited about this new, non-invasive technology. The system has proved highly effective in clinical trials. In a study of 1,300 patients, Melafind correctly suggested biopsies on 125 of 127 melanomas. It is not meant to replace biopsies, but to help improve a dermatologist’s ability to identify melanomas and reduce the number of unnecessary biopsies.

I think everyone should be aware of this new technology. I hope to bring it to the Upstate and that it will do for skin cancer what mammograms have done for the detection breast cancer.

Your Skin Flight Plan

2011-11-21T15:45:00.019-05:00

November means the holiday travel season is upon us. Whether you’re off to a family gathering or a much deserved getaway, it’s important to remember when flying that the unique pressurized environment of a plane is rather hostile to the human body. In addition to travel fatigue, swollen feet and motion sickness, flying causes severe dehydration.

Most of us find a relative humidity of 50% comfortable. In-flight humidity levels register at 10%. Considering that the Sahara desert reaches a just bearable 25%, flight conditions are extreme. Since your skin is your largest organ, when you lose moisture, it shows. To protect yourself and arrive in un-wilted condition, I cannot stress drinking water enough. Not soda, not coffee, not alcohol - water. In a 3 hour flight, the human body loses 1.5 liters of water! I recommend bringing your own, so you can rehydrate immediately and continuously.

Before the flight, in addition to making sure you embark well hydrated, apply moisturizer from head to toe. Most manufacturers have travel or sample sizes so you can bring your favorite moisturizer in your carry-on or purse. You will want to reapply often during your flight. Give your face a quick spritz from a water atomizer or small spray bottle before reapplying moisturizer to get an extra moisture boost. Other good items to have are saline eye drops, antibacterial hand wash and lip balm.

My other piece of advice – keep your hands away from your face. Think about the amount of germs covering every surface. Whatever you may have thought, planes are not deep cleaned after each flight. With thousands of travelers having flown on any given aircraft, it’s too easy to come in contact with unknown bacteria that can result in breakouts and skin problems. Use wipes or sanitizer religiously.

We know that part of the appeal of a vacation is a change in routine, as well as scenery, but do not let that extend to your skincare habits. Pack your regular beauty products. An abrupt change in products can upset your skin’s acid balance and cause an unwanted vacation breakout.

Finally, have a safe flight and a great holiday!

Cut. Color. Cancer Screening?

2011-11-16T10:51:00.013-05:00

Your new ally in the fight against skin cancer just might be your hairstylist. Researchers have found that although few hairdressers have been formally trained to spot cancer, many are checking their clients’ scalps and necks for moles and 58 percent have made a recommendation to get one checked.

While fatal melanomas on the scalp are rare, it is an area that is difficult for people to check on their own. Some don’t even realize it is possible to get skin cancer there. Unfortunately our scalps are often ignored when applying sunscreen. If not specially formulated for scalps, sunscreen tends to make hair look greasy. Hair does offer some protection, but part-lines, cowlicks and areas of thinning hair are vulnerable. There are sprays available that offer protection and hats are always a good choice.

If your hairdresser finds a mole, it is important to remember that moles are common. The average person has 10 to 40 on their body and not every mole is cancerous or needs to be removed. The American Academy of Dermatology has published the ABCs of evaluating moles to help you examine your skin. Look for abnormal Asymmetry, Border, Color, Diameter or Evolution.

Checking your skin often improves your chance of finding melanoma early which in turn increases your chance for a positive outcome. So next time you go into a salon ask your stylist to alert you to any moles, but don’t let that replace regular visits to your dermatologist.

Caring for Dark Skin

2011-11-11T16:04:00.020-05:00

When thinking about skin care, most people focus on whether they have oily, dry, or sensitive skin and stop there. Just as important as skin type, however, is skin tone. Skin conditions, for the most part, are color blind and will cause problems regardless of whether you have a fair, olive or dark complexion. While light skin is more vulnerable to damage and premature aging from excessive sun exposure, there are several conditions that afflict dark or black skin more frequently and with more severity.

Dark skin is more susceptible to both vitiligo (loss of pigment) and hyperpigmentation. Vitiligo occurs when melanin producing cells are damaged. It affects all skin tones, but is considerably more noticeable on dark skin. If you have this condition there are topical and phototherapy treatments available to re-pigment the skin.

Hyperpigmentation occurs when the skin produces too much pigment. It is usually the result of a pimple, cut, scrape, or burn and can even be caused by cosmetic and acne treatments that are not administered correctly. Sunscreen can keep dark spots from getting darker while they heal. However this can take months. Properly controlled chemical peels and skin bleaching can lighten affected areas.

Ingrown hairs are also a common problem affecting blacks and Hispanics who have curved hair follicles. They result in bumps under the skin and can lead to infections and hyperpigmentation. Laser hair removal has shown to be an effective treatment, but because ingrown hairs look similar to acne, it is important to be diagnosed by a dermatologist familiar with ethnic skin.

Other problems for darker skin are eczema and keloids. According to the National Eczema Society, eczema occurs twice as frequently in people of color. Unfortunately, it is often misdiagnosed leading to a thickening of the skin and pigmentation problems. Topical creams and ultraviolet light therapies are effective once the correct diagnosis is made.

Keloid scars tend to develop more in darker skin. They are different from other scars in that they continue to grow for several months and spread beyond the original injury site. Early treatment can minimize keloid development and includes cortisone injections, pressure dressings, and silicone gel applications. Once formed, laser surgery can be used, but it hasn’t shown to be very effective.

As you can see, it is important to treat dark skin gently. Avoid harsh cleansing puffs and products that contain benzoyl peroxide and salicylic acid. Look for cleansers made for sensitive or ethnic skin. Darker skin has a tendency to appear "ashy" when not well-hydrated. Moisturize and use sunscreen daily. It is a common misconception that dark-skinned people don’t need sunscreen, in reality they have the highest skin cancer mortality rates.

Healthy skin is worth the effort and a skin care program specifically tailored for dark skin will bring out the best qualities in an ethnic complexion.

California Bans Tanning for Teens

2011-10-27T10:15:00.003-04:00

“The Young and the Tanless” caught my attention a couple weeks ago as news coverage highlighted California’s ban on teenage tanning bed use. The Golden State has become the first to outlaw anyone under the age of 18 from using tanning beds. There are 30 states that have laws in place that restrict tanning for minors. Current South Carolina law states that for anyone under the age of 18, a parent must give permission in person and that protective eyewear must be worn.

I wholeheartedly support California’s new legislation and would love to see more restrictive policies here. I know it’s homecoming season for most high schools and colleges, if you or your child are thinking about going to a tanning bed to keep your summer color longer – don’t! The World Health Organization has placed tanning beds in its Group 1 Carcinogen Category along with cigarettes and plutonium.

If that doesn’t cause you to rethink tanning beds, consider that the American Academy of Dermatology has research showing that people who have used indoor tanning have a 75 percent higher risk for developing melanoma, the most deadly form of skin cancer and the leading cause of cancer death among women ages 25 to 29.

I read that Los Angeles County has shockingly more tanning salons than Starbucks coffee shops and McDonalds restaurants. A quick Google search shows that similarly Greenville is not hurting for tanning choices. As an alternative to tanning, please consider using a spray tan. Many salons offer them as a substitute to harmful tanning beds. Or come visit our office, my staff and I can give you guidance on tanning lotions, bronzers and keeping a radiant, and more importantly, healthy glow through the fall.

Allergies and Your Skin

2011-10-21T10:13:00.006-04:00

The Asthma and Allergy Foundation of America recently released their 2011 list of “The top 100 Fall Allergy Capitals.” Not surprising to those of us living in the Upstate, several southeastern cities made the top 20, including Columbia, S.C. Our hometown of Greenville, S.C. came in 31^st, just above Charleston at 32^nd.

Experts predict this fall to be one of the harshest allergy seasons yet. Severe weather throughout the summer including flooding and an active tropical storm season have increased ragweed levels and produced higher quantities of mold spores.

With this allergen alert, it’s important to take steps to manage your allergies and to adjust your skincare regime accordingly.

Tips:

Drink plenty of water and moisturize frequently to ward off the effects that antihistamines can have on your skin.

Keep your eyes, nose and lips from becoming chapped or red by using tissues with lotion, aloe or vitamin E.

Switch to hypoallergenic moisturizers and make-up.

To fight redness, use a bronzer with brown instead of red undertones and look for concealers with a green or gold base.

Avoid matte textures which make dry skin look drier. A little shimmer will give your skin a rested and dewy appearance.

Blue eyeliners and mascaras will brighten the whites of your eyes, making you look more rested.

To see the complete list of all cities included in the “The top 100 Fall Allergy Capitals,” visit the link below:

http://www.aafa.org/pdfs/Public%20LIST%20FALL_2011%20v2.pdf

Antioxidants 101

2011-10-06T17:24:00.004-04:00

We constantly hear buzzwords like antioxidants and free radicals in the news. They have us drinking more green tea and buying products with labels that claim to contain the marvelous compounds, but what are they?

It’s a little strange to think of our bodies rusting, but as we age a similar process of oxidation affects body tissues. Free radicals form in the body as oxygen interacts with certain molecules and trigger a chain reaction in the skin that damages its structure and weakens it on the cellular level. Antioxidants are our bodies’ defense against cell damage. They protect cells and promote healthy aging as they equip our bodies with the ability to fight free radicals caused from such factors as sun exposure, pollution, alcohol and stress.

Antioxidants can be taken orally as vitamins or delivered topically. They work under the skin's surface by fortifying the body’s natural repair systems and preventing new damage. Some antioxidants have been shown to reverse some of the discoloration and wrinkles associated with aging and over exposure to the sun.

Remember that even though a product may claim to contain useful antioxidants, it is difficult to know what quantities are in some antioxidant-based products. To be effective as a topical treatment, they need to be in high concentrations and formulated properly to remain stable. Common names to look for are coenzyme Q10, alpha-lipoic acid and retinoic acid. If you are considering using an antioxidant for your skin, we can talk about which products are best for you.

Meet our New Primary Medical Esthetician

2011-09-27T11:05:00.005-04:00

Dr. Miller and the staff of Greenville Dermatology are excited to announce LeeAnn Faulkner, as the practice’s new Primary Medical Esthetician.

LeeAnn will work hand in hand with our board certified dermatologists to provide customized medically directed skincare treatments tailored to each patient’s needs. LeeAnn is dedicated to her patients care and offers an expert touch to rejuvenate skin, remove sun spots and even out skin tones. Her expertise lies in clinical and restorative facials, chemical peels and microdermabrasion. LeeAnn is also well-versed in cutting-edge cosmeceutical products & corrective cosmetic treatments.

A graduate of Greenville Technical College, LeeAnn received her Esthetics Certificate Program license, and then went on receive her medical esthetician training from Grace Medical in Summerville, SC.

LeeAnn is excited for the opportunity to provide Greenville Dermatology patients with the best skincare and customer service possible. “I love what I do, and truly enjoy making a difference in my patient’s lives by supporting them with their skincare needs.”

Services:

· Facials

· Acne Treatments

· Chemical Peels

· Free Visia Scans

· GloMineral Consultations

· Microdermabrasion

· Waxing

· Electrolysis

· IPL Hair Removal

· IPL Pigmentation

· Fractional Laser Resurfacing

· Capillaries

· Hyper Pigmentation

· Facial Rejuvenation

Call today to book your appointment, mention this blog and receive $25 dollars off your next service with LeeAnn.

Are You a Brilliant Distinctions Member Yet?

2011-09-21T09:43:00.005-04:00

Are you a member of the Brilliant Distinctions® program?

Well you SHOULD BE!

The new Brilliant Distinctions Points Program offers fantastic rewards when you visit your physician for BOTOX® Cosmetic and/or JUVEDERM® XC treatments, as well as LATISSE® or VIVITÉ® product(s). You will start earning points that can be used immediately towards discounts on select ALLERGAN products and services.

Members of the Brilliant Distinctions program enjoy:

Points each time you get BOTOX and/or JUVÉDERM XC treatments

Points each time you purchase LATISSE or VIVITÉ product(s)

Redeem your points for big savings on BOTOX, JUVÉDERM XC, LATISSE and VIVITÉ product(s)

Option to donate your points to Dress for Success or the Make-A-Wish Foundation

A personalized monthly eNewsletter that includes:

o Helpful tips, articles and information personalized just for you

o Promotions to earn bonus points, points balances, treatment reminders and exclusive invitations to events in your area

Redeeming points is a breeze for qualified patients - simply login and go to the Redeem Points section on your web page and choose how you wish to redeem your points.

Coupons can be used for a number of great rewards, including dollars off BOTOX Cosmetic treatments, JUVÉDERM XC treatments, and the purchase of LATISSE or VIVITÉ Skin Care product(s).

The more points you earn in the program, the more dollars you can save!

Call the Greenville Dermatology office today at 864-242-5872 where we can assist you in joining Brilliant Distinctions or answer any questions you may have about the program.

Fall Makeup Trends

2011-09-12T16:22:00.003-04:00

Fall is almost upon us, and as we see the seasons changing, we begin to notice the makeup trends changing, as well. So this fall make sure your makeup is not only fashionable, but also healthy for your skin. Mineral based makeup is an ideal option to achieve both.

While minerals have been used as enhancers in makeup for some time, new healthier formulas have been developed as of late. These products have been updated to remove potentially irritating fillers like talc, harmful chemicals and synthetic dyes. Instead of chemicals on your skin you get makeup that looks beautiful and is kinder to your skin.

When researching mineral makeup, it is a good idea to look for certain ingredients like zinc oxide and titanium dioxide. Makeup containing these ingredients will be higher quality and better for your overall complexion. At Greenville Dermatology, we recommend Glo Minerals to our patients. This makeup line contains vitamins that additionally improve and heal the skin.

If you are in need of a makeup-makeover call our office today. Medical esthetician LeeAnn Faulkner will help you update your fall look and refresh your complexion with the new Fall 2011 Glo Minerals collection. With so many shades to choose from in matte and shimmering hues, there is something for everyone’s skin tone.

Melanoma and Young Women

2011-08-29T11:39:00.005-04:00

A recent article in the Chicago Tribune discusses the sobering fact that melanoma is now the most commonly diagnosed form of cancer in young women. Incidents of melanoma have been on the rise in the last 30 years, according to the American Academy of Dermatology, and the rate among white women aged 15 to 39 has grown by an average of three percent a year for the last 20 years. The article goes on to state that melanoma “is the most common form of cancer for women aged 25 to 29…and the second most common for females 15 to 30, together the prime age range of tanning salon customers.”

This trend parallels a rise in the use of tanning salons and time spent tanning on the beach. Most women report that after lying in a tanning bed they feel more confident and beautiful, thus leading to more frequent visits. The article states that “despite the warnings and growing body of scientific evidence, young women continue to go to tanning salons, in part, some experts believe, because the tanning salons play down the scientific evidence and play up the benefits of vitamin D from ultraviolet rays."

Most young women do not realize the seriousness of this cancer. In intense circumstances, melanoma may need to be treated with chemotherapy and frequent visits to the dermatologist for the remainder of their lives.

Stay away from tanning beds, wear sunscreen and remember most skin cancers are treatable when caught early. Visit your dermatologist today.

Poison Ivy and Poison Oak

2011-08-22T15:52:00.006-04:00

Our office sees a significant increase in poison ivy and poison oak cases at this time of year. With many individuals enjoying the summer weather and spending more time outdoors, they may unknowingly come into contact with these pesky plants.

When you come into contact with poison oak or ivy, the oil, called urushiol, rubs onto your body and almost immediately begins to soak into your skin. Most people are susceptible to an allergic reaction from this oil. If you have encountered either of the plants, it is recommended that you immediately wash the area with soap; this can remove up to 50% of the oil if washed in the first 10 minutes, greatly decreasing your degree of irritation.

After you have been exposed, you can expect to see a rash forming within two days of exposure. The rash typically will last about two weeks and will be itchy and cause significant irritation. Once you have poison oak or ivy, it is not contagious, but ensure you wash anything else that may have come in contact with the oil.

Contrary to popular belief, the fluid that is sometimes seen oozing from the rash does not cause the rash to spread. New areas of irritation showing up on the skin is usually due to having a lesser amount of the oil touching those parts of the skin, thus taking longer for the rash to show up. Another cause of new irritation or rash can be a result of transfer of the oil from clothing or pets. If trace amounts of the oil touch the skin after the initial exposure, it can prolong the rash or make it appear that it is spreading.

Cool wet clean washcloths or gauze applied to the area and allowed to dry on the skin will help especially if it is oozing. Applying calamine lotion or hydrocortisone as well may help the itching. If large areas of the body or swelling occur, then its time to make an appointment so that we can prescribe stronger medications to speed up recovery.

Get the Facts about Staph

2011-08-09T14:45:00.004-04:00

As your child goes back to school and fall sports begin, make sure you are informed about staph infections.

Staph infections are caused by a type of bacteria called staphylococcus. These bacteria live harmlessly on your skin, but can cause infection if they enter a wound.

Staph infections can spread through contaminated objects and skin-to-skin contact. Sharing bed linens, towels, or clothing with someone who has a staph infection increases your risk of getting a staph infection. Warm, humid environments and excessive sweating can also contribute to the spread of staph infection.

A particularly severe form of staph infection is called MRSA or Methcillin Resistant Staph Aureous infection. It is more severe because it is resistant to many antibiotics and is more easily transmitted from person to person.

Tenderness, swelling, and redness are common signs of infection. If your child develops these or other symptoms, call your doctor immediately.

Help your child prevent staph infection by teaching them about cleanliness and good hygiene. The single most important way to prevent staph infections including MRSA is frequent hand washing. If he or she has a cut, keep the skin clean and dry, use antiseptic ointment, and cover the wound.

For more information about staph and other skin infections, talk to your dermatologist today!

It’s Never Too Early to Treat Aging Skin

2011-08-01T16:05:00.003-04:00

Although you may not see laugh lines or crow’s feet yet, it’s never too early to start thinking about aging skin. As we age, our skin becomes drier, thinner, and even begins to sag. By beginning an anti-aging skin care routine early, you can postpone and even reduce the effects of aging.

When you are in your twenties, you should have a skin care routine that includes acne treatment, daily cleansing, and moisturizing. You should also start using preventative aging products. Don’t forget that the sun is one of the leading causes of aging skin, so try to use a product with sunscreen. When shopping for acne products you will want to buy those containing salicylic acid or benzoyl peroxide. Serum’s that include Vitamin C will also help fight damaged skin.

Once you reach your thirties, it is time to expand your skin care routine. Look for anti-aging products that firm, prevent lines, and repair your skin. Exfoliating is another good way to cleanse your skin and give you a healthier glow. Look for products that contain a retinoid to help improve the overall texture and tone of your skin.

By the time you are forty, you should pick specialized products that target your problem areas. Everyone’s skin is unique and requires different treatment, so make sure your skin is getting the attention it needs. Collagen-building ingredients like peptides are often helpful for more mature skin.

No matter what stage of life you are in, it is time to take care of your skin. Talk to your dermatologist about an anti-aging skin regiment that works for you.

People of Color and Skin Cancer

2011-07-26T12:53:00.004-04:00

By the year 2050, the United States Census Bureau predicts that the population will be 50 percent Hispanic, Asian, or African American. That is why now, more than ever, we must raise awareness of the potential for life-threatening skin cancers in people of color.

It has for a long time been an urban myth that only Caucasians are susceptible to skin cancer. But this couldn’t be further from the truth! It is true that people of color are less likely to develop skin cancer due to the genetic makeup of their skin. But this also means that people of color who develop skin cancer are more likely to die from it due to delays in detection and difficulty seeing moles and spots on their skin.

The skin is made up of the epidermis, the dermis, and fat layers. In the outermost layer of the skin, the epidermis, cells called melanocytes are produced. It is these cells, melanocytes, which determine the amount of melanin or pigment in the skin. The more melanin that is present, the darker the skin will be.

It is melanin that helps defend our skin against the harmful effects from the sun which cause skin cancer. In many ways, it is your own personal SPF. According to the Skin Cancer Foundation, “in African American skin, melanin provides a sun protection factor approximately equivalent to 13.4, compared to 3.4 in white skin.”

There are several forms of skin cancer. The most common is basal cell carcinoma (BCC) and the second most common is squamous cell carcinoma (SCC). There are also other skin cancers, including melanoma. Just as there are various types of skin cancer, those who are affected by them vary too.

Squamous cell carcinoma is the most common form of skin cancer among African Americans. When people of color are exposed to certain skin conditions that prevent complete healing, such as scarring, burn tissue, and ulcerations, there is not the same level of melanin as before. Therefore, the person has a higher likelihood of developing very aggressive skin cancer that can eventually spread to other places on the body and lead to death. As we said before, these are more likely due to late detection which can often mean it is too late for treatment.

No one is immune to skin cancer, be sure to check your skin regularly and visit your dermatologist at least once a week.

Say Good-Bye to Your Spider Veins

2011-07-19T09:48:00.005-04:00

Dr. Miller is excited to welcome Dr. Kelli Favata to the Greenville Dermatology practice for a limited time this summer. Dr. Favata is a specialist in sclerotherapy, a treatment for the removal of spider veins and smaller varicose veins.

Spider veins are caused by weak vascular walls and inefficient circulation. Small to medium spider veins are removed by injecting a sterile chemical sclerant. This irritates the lining of the vein vessels causing it to become inflamed, harden, and then fade away completely. Outward appearance and the pain associated with problem veins can be significantly reduced with this procedure.

Nearly everyone is eligible for treatment, unless they are pregnant or breastfeeding. Sclerotherapy can be performed on the hands, arms, face, legs, and other delicate areas. The injection process is typically complete in just 15 to 30 minutes. Minor stinging and burning are common during and after the procedure, but are short lived.

Dr. Favata will be at Greenville Dermatology from July 18th to the end of August, so call and make your appointment today!

Questions to Ask Before Getting Cosmetic Dermatology

2011-07-08T10:21:00.009-04:00

Deciding to undergo cosmetic dermatology is an important decision. Before you jump into it, there are a few questions you should ask your doctor.

Questions you should ask:

1. Do you know your dermatologist?
It’s ok to ask for a background or examples of past work. It’s your body so you need to be comfortable.

2. What are your options?
Ask your doctor about your treatment options and which he/she would recommend for you. This includes both products and costs that you are agree with.

3. Who administers the procedure?
If your doctor isn’t the one who will be with you on the day of your procedure, find out who will be and ask to meet him or her. It can also be reassuring to ask where your procedure will take place so you know what to expect.

4. What are the typical results?
Always ask about the recovery process and be aware of any potential side effects. You should know what to expect and be prepared

Your dermatologist should also ask you some questions:

1. What is your medical history?
Your dermatologist should know your complete medical history before performing any procedure.

2. What results are you looking for?
Your dermatologist should care about what is important to you.

3. Do you have any questions or concerns?
Your dermatologist should be willing to give you ample time and his or her full attention to make sure your questions are answered and you are confident in your decision.

Remember: You’re in charge of your body. Take control and be confident in your decisions by choosing the right dermatologist and asking the right questions!

New Rules for Sunscreen Labels from the FDA

2011-06-20T14:05:00.008-04:00

When you walk down the sunscreen aisle at the drug store, the variety of products can seem endless. Each brand makes different claims about its ability to block the sun, stand up to sweat and swimming, or protect you while you tan.

The Food and Drug Administration (FDA) recently released new regulations for sunscreens that will set standard guidelines to measure the effectiveness of sunscreen products. These new guidelines will go into effect next year in hopes of assisting consumers with the task of choosing a sunscreen. That, in turn, will hopefully make it easier for you to protect yourself from the sun’s harmful effects.

One of the changes to be implemented will be with the manufacturers of sunscreen, and what they can and cannot claim on their labels. Sunscreen can no longer be marketed as “sunblock.” Products that protect against UVA and UVB radiation will now be labeled “broad spectrum.” Sunscreens that do not protect against both UVA and UVB rays will carry a warning.

If a product wants to claim to lower the risk of cancer, it must be SPF 15 or higher; if they are lower than SPF 15, they will carry a warning. The FDA has also proposed that no product can be labeled higher than SPF 50.

Marketing claims such as “waterproof” or “sweatproof” are now prohibited. Water resistance will now be made in terms of time – 40 minutes or 80 minutes. The FDA is also taking a closer look at sprays. You should always be careful to accurately apply spray-on sunscreen, especially when it is breezy by the pool or at the beach.

It will take one full year for the new regulations to go into effect, so don’t expect to see a total change to that row of sunscreen labels in the drugstore until next summer. To read more details about the FDA regulations, visit http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm258416.htm.

The Dark Side of Tanning

2011-06-09T08:58:00.004-04:00

With warmer weather finally here, it’s only natural for young men and women to head to the beaches or their local swimming pools to catch a few hours of sunlight. Having tanned skin often goes hand-in-hand with feeling more attractive and confident.

However, these pool and beach ventures can pose a serious risk to your health. UV radiation exposure from indoor and outdoor tanning is the leading cause of skin cancer. Individuals who tan indoors increase their risk of melanoma by 75%. While skin cancer is a prominent side effect of tanning, other risks are likely, such as burns and injury to the skin, premature aging of the skin, and immune system suppression.

Despite the risks and potential impact that tanning indoors and/or outdoors can do to your skin and health, young women and teens continue to pursue the bronze glow. A recent study showed 86% of tanners recognize that tanning beds could lead to skin cancer.

So why do people continue to tan despite the many health risks that are associated with indoor and outdoor tanning? In a recent survey, 35% of respondents felt peer pressure to be tan. This pressure might arise more intensely when special events are approaching, such as graduation, prom, galas, and even bathing suit season.

It is important that teens understand there are healthy alternatives to tanning. Spray tans, sunless tanning lotions and gels are great alternatives to traditional tanning. These products contain the chemical DHA which acts as a safe tanning ingredient when applied externally on the skin.

Fighting the sunlight’s dangerous UV rays with healthy alternatives to tanning will provide your skin with a more youthful complexion. But most importantly, it will significantly decrease your chance of developing skin cancer.

Think Skin Cancer is Rare? Think Again!

2011-06-02T14:33:00.010-04:00

On May 14th, I participated in a free skin cancer screening at St. Francis Hospital. The participating physicians and I saw 171 people.

Out of those screened, 31 people had some form of skin cancer, either basal cell carcinoma or squamous cell carcinoma. Fifty-six others had actinic keratosis, a precancerous growth.

Twenty-four participants had atypical moles. Doctors also found possible melanoma on two people and suggested biopsies for another 53 participants.

And that was just in three hours!

Though skin cancer is the most common kind of cancer, it is also the easiest to prevent. Using sunscreen, reducing sun exposure, and getting regular check-ups are a few easy ways to lower your risk.

Remember, the earlier you detect skin cancer, the easier it is to treat.

As skin cancer awareness month comes to a close, don’t forget about the risks. Talk to your dermatologist about a skin cancer examination today!

Hats off to Greenville Dermatology’s hats

2011-05-24T13:33:00.016-04:00

Did you know Greenville Dermatology sells stylish and functional hats that boast an Ultraviolet Protection Factor (UPF) of 50+?

Greenville Dermatology is proud to sell protective hats from the popular brands Scala and Wallaroo.

Both brands are committed to providing the best sun protection possible while offering a variety of styles to suit your taste. From fedoras to fishing hats, from visors to bucket hats, Scala and Wallaroo are guaranteed to have a hat for you.

In addition to the plethora of sizes, shapes and colors, Scala and Wallaroo hats offer generous brims for optimal coverage and high quality wicking fabrics that keep you cool.

The hats are tested and rated to block 97.5% of the sun’s ultraviolet (UV) rays. The UPF demonstrates how well the fabric protects your skin from UV rays.

Hats range from as low as $11 to $42, allowing you to have the protection you need, no matter your budget.

However, it’s important to remember that hats only protect what they cover. Wearing sunscreen is critical to protect the rest of your body!

Call Greenville Dermatology at (864) 242-5872 to get your hat today and protect your head from harmful UV rays!

Sun Protection Tips for Working Outdoors

2011-05-19T12:44:00.011-04:00

On average, outdoor workers receive five to 10 times more sun exposure each year than indoor workers. For those who work outdoors more than indoors, you are at a greater risk for skin cancer.

According to SunSmart, there are five simple steps that will protect your skin and reduce your risk.

Seek shade! Limit your sun exposure by working in the shade, indoors, or when UV levels are lower, such as in the early morning or late afternoon.
Slip on sun protective work clothing.
Slap on a sun protective hat, such as a Scala or Wallaroo hat sold at Greenville Dermatology.
Slide on sunglasses, preferably ones with ultraviolet protection factor.
Slop on SPF 30+ broad-spectrum sunscreen. It’s crucial to use sunscreen that is broad-spectrum, meaning it protects your skin from both UVA and UVB rays.

Following these small but important points will keep your skin safe and diminish your risk of skin cancer and prevent you from being another skin cancer statistic.

For more information on sun protection and to schedule a comprehensive skin cancer screening, call Greenville Dermatology at (864) 242-5872.

Save Our Skin!

2011-05-12T11:32:00.001-04:00

Did you know that more people will be diagnosed with skin cancer this year than all other types of cancer combined? The truly disturbing fact is that skin cancer is the most preventable type of cancer.

Through education, early detection and protection, the number of skin cancer diagnoses in the future can diminish drastically. In fact, 99% of people today survive skin cancer with early detection.

The sun does not discriminate, nor are you only at risk when you have a bathing suit on. We commonly make the mistake of only applying sunscreen when we go to the beach or pool and wear a swimsuit, but no matter the color of your skin or where you are, you are at risk for sun damage.

I strongly encourage my patients to apply sunscreen as part of their morning routine. The product line I stand behind and offer at my office is Anthelios. A product of La Roche-Posay, Anthelios has an advanced formula that protects against both UVA and UVB rays while still feeling light and non-greasy on your skin.

La Roche-Posay and Anthelios didn’t stop at making trusted sunscreens. They also started a campaign to increase awareness of the dangers of being unprotected in the sun. Save our Skin, or SOS, is making strides to educate people, young and old, about skin cancer and how to lower your risk.

Join the cause by signing up and La Roche-Posay will donate to organizations such as The Skin Cancer Foundation. As if that wasn’t enough, you’ll receive a gift certificate for Anthelios products just for signing up.

To learn more about SOS and to join the cause, visit www.sossaveourskin.com.
Call (864) 242-5872 to make your appointment today for a full body examination or to speak with me about Anthelios.

Stressing Stress Relief

2011-04-26T12:24:00.004-04:00

More than ever before, life is stressing us out!

You may be familiar with the common effects of stress such as poor sleep or insomnia, headaches and even heart attacks, but from a dermatological aspect, stress can greatly affect your skin, hair and nails, too.

It’s normal to lose hair as part of its life cycle, but stress can significantly increase hair loss. You can lose up to ½ to ¾ of your hair, which may not fall out until three months after the stressful event. It takes a while to affect your hair, but will take an additional six to nine months to grow back!

Stress also can affect your skin by aggravating pre-existing conditions such as psoriasis, acne and rosacea. It also dehydrates your skin, which lowers the skin’s ability to repair itself.

When you’re tense, cortisol levels in your body shoot up, causing an increase in oil production and possible acne flare-ups. Worse yet, higher cortisol levels have been shown to advance the growth of harmful melanoma, the most dangerous form of skin cancer.

To help fight against stress-causing acne, I prescribe to my patients topical treatment that they can apply to troubled spots to help decrease flare-ups and speed up recovery. I find that when patients feel more in control about handling stress, their stress levels actually decrease.

Brittle, broken nails are another result of stress. Stress not only weakens nail beds but also may form habits such as rubbing or biting nails, which also damage or destroy your beautiful digits.

To lower your stress, figure out what is the source of your stress so you are better equipped to handle it the next time.

You can also decrease the negative effects of stress when you exercise more, lower the temperature on your showers or baths, use detergent-free soaps and sunscreen, and moisturize, moisturize, moisturize!

For more information or for treatment options to help lower the side effects of stress, call (864) 242-5872 today.

Is Your Diet Affecting Your Skin?

2011-04-12T12:53:00.013-04:00

Your diet is helping slim your waistline and keep you staying healthy, but if you’re not careful, you could be depriving your body of essential vitamins and antioxidants that keep your skin glowing. Read on to see if your diet passes the test!

Mediterranean Diet
This diet emphasizes fish, leafy greens, olive oil, fruit and red wine, all of which are heart-healthy options that may also protect against melanoma, the deadliest form of skin cancer. Eating fish helps skin keep its elasticity, while leafy greens such as spinach and olive oil protect against UV damage.

Doctor’s Orders: Red wine contains an antioxidant that your skin loves, but drinking too much can leave your skin dry.

Vegetarian/Vegan Diet
Fresh produce and whole grains contain an abundance of antioxidants that neutralize free radicals that are known to cause aging. Plant-based protein sources such as beans not only contain pimple-fighting zinc but also decrease inflammation that causes redness and premature wrinkles.

Doctor’s Orders: This diet is typically low in fat, but including ground flaxseeds and olive and safflower oils helps your skin stay hydrated.

High Protein, Low Carb Diet
Minimizing your intake of bread and pasta can decrease the secretion of the stress hormone cortisol, which in turn may reduce breakouts. Whole grains, fresh produce and lean meats provide you with antioxidants and collagen-building protein.

Doctor’s Orders: It’s important to limit your intake of red meat because animal fat can increase free radicals that age your skin.

Low Fat Diet
Vegetable oils contain linoleic acid, which strengthens the skin barrier that keeps moisture in and irritants out.

Doctor’s Orders: Cutting back on animal fat keeps free radicals in check, but your skin needs fat because it helps absorb antioxidants and fat-soluble vitamins as well as strengthen your skin cells. Focus on unsaturated fats such as olive oil, nuts and foods rich in omega-3.

High Carb Diet
Carbohydrates that act like fiber keep you feeling full, which help you resist snacks with high fat and sugar counts that produce oil and clog pores.

Doctor’s Orders: Be sure you are getting enough lean protein and fresh produce that arm your skin with antioxidants and skin-strengthening fats.

The 411 on Chemical Peels

2011-04-05T12:19:00.016-04:00

Chemical peels are a very popular cosmetic facial service due to the quick procedure is quick and little to no downtime. At Greenville Dermatology we offer two types, glycolic and TCA peels.

Glycolic peels involve applying alpha- and beta-hydroxy peeling agents in tailored concentrations for two to five minutes. The chemicals slough away dead skin cells and penetrate the upper layers of the dermis to smooth away fine lines, improve complexion and dry out an acne flare-up.

These peels also strengthen the effectiveness of other skincare products because the peel eliminates a layer of skin allowing the product to penetrate deeper.

The only effects patients will experience from a glycolic peel are mild redness or irritation.

Another type of chemical peel that is available at our practice is a TCA peel. TCA, which stands for trichloroacetic acid, is a deeper peel that reduces fine lines, smoothes skin’s texture and improves effects of sun damage.

TCA is often used in higher concentrations instead of laser resurfacing to diminish acne scarring, soften wrinkles and remove the surface layer of dead skin cells to reveal radiant skin.

In low concentrations, TCA peels require no downtime. The higher concentration peels may require one to two weeks of downtime to allow the skin to heal.

Chemical peels are a great way to improve complexion and give your skin back that healthy glow, but it is important to remember the increased risk of sun damage. After a chemical peel, using sun protection when you step outside is essential.

For more information about chemical peels or other cosmetic procedures, or to schedule an appointment, call (864) 242-5872. You’re just a phone call away from radiant, youthful skin!

Your Kids & Sun Exposure

2011-03-24T11:16:00.003-04:00

Did you know that just a few serious sunburns could greatly increse your children's risk of developing skin cancer when they're older?

Kids love playing outdoors, but the extra sun exposure is harmful to their skin. It's important that children cover up, wear a hat and sunglasses, and apply sunscreen, sunscreen, sunscreen!

Be sure to put sunscreen on ears, noses, lips and the tops of feet, and take sunscreen with you to reapply throughout the day, especially after swimming or exercise.

It only takes 15 minutes for unprotected skin to be damaged by sun exposure. Pink sunburn and tan skin both indicate sun damage to your skin.

Infants are even more affected by the sun and should avoid sun exposure at all costs.

If your teen is going to the tanning bed, talk to them! The AAD, the World Health Organization and others fully support legislation that prohibits minors from accessing tanning salons or other artificial tanning devices.

The best thing you can do for your children is educate them about the dangers of sun exposure! Sun protection practices wane around the age of 9 or 10, so talk with your kids about the importance of protecting their skin.

For questions or to schedule an appointment to discuss sun exposure, call (864) 242-5872.

AAD publishes latest Psoriasis guidelines

2011-03-15T10:25:00.007-04:00

The American Academy of Dermatology (AAD) recently published its newest edition of Psoriasis guidelines that examines the use of a variety of treatments for psoriasis and psoriatic arthritis patients.

The guidelines stress the importance of treatment plans that are tailored to the individual patient because there are many factors that can affect treatment, from the severity of the disease to the overall health of the patient.

Nearly 7 million Americans have psoriasis, a chronic skin condition characterized by red, scaly patches of skin that itch and sometimes bleed. Psoriasis is widely known for affecting the skin and joints, however new research suggests that psoriasis patients are at an increased risk of developing serious medical conditions such as heart disease, type 2 diabetes, lymphoma and obesity.

The newest guidelines emphasize to dermatologists the importance of regular health screenings and continual monitoring of their psoriasis patients, and also discuss the key role that patients play in improving their outcomes.

The AAD encourages patients to not deviate from their treatment plans and keep their dermatologists informed of any concerns. Additionally, psoriasis and psoriatic arthritis patients should avoid common triggers such as increased stress, smoking and consuming alcohol.

If patients notice changes in their condition or experience signs of associated medical conditions, they should consult their dermatologist immediately.

Call (864) 242-5872 today should you have any concerns or would like to schedule an appointment.

To access the guidelines, click here.

Probiotics- The Super Bacteria!

2011-03-02T13:36:00.003-05:00

Probiotics are becoming increasingly popular for their ability to alleviate digestion problems such as irregularity, diarrhea, IBS and lactose intolerance. However, probiotics don’t just provide benefits internally. Dermatologists are learning the incredible benefits that probiotics offer your skin.

One main cause of acne is an overgrowth of bacteria on the skin’s surface. Probiotics taken orally help treat acne-prone skin by regulating bacteria in the stomach. They can also be applied topically to protect against harmful bacteria and restore skin’s protective barrier and normal bacterial flora to help prevent breakouts.

Not only do probiotics help combat acne but they also improve eczema by creating good bacteria that release oxygen so skin breathes easier, blood flows and skin balance is restored.

These powerful bacterial microorganisms even aid in the fight against premature aging. Sun, smoke and pollutants all speed up aging by destroying the skin’s protective barrier and increasing skin’s elasticity that eventually causes wrinkles. Probiotics work to balance skin’s moisture, boost cell function and regenerate skin cells so skin becomes softer and smoother.

Taken daily, probiotics will boost the effectiveness of the skin products you already use. Other daily supplements typically take weeks or even months to show results.

Probiotics are a great addition to your daily routine that will have you feeling and looking better, inside and out!

Didn’t get the gift you really wanted on Valentine’s Day?

2011-02-18T15:09:00.011-05:00

My gift to you is longer, more beautiful lashes!

Right now we are offering buy one, get one free LATISSE® kits. This is a terrific opportunity to try the product everyone is talking about!

LATISSE® is one of the most requested products in my office, and the first and only FDA-Approved lash growth treatment used for the purpose of eyelash enhancement. With LATISSE®, my patients can expect to see longer, fuller and darker lashes in as little as four weeks. It is an excellent alternative to false eyelashes and leaves patients with natural looking and feeling results.

LATISSE® uses the active ingredient bimatoprost, which works with the eyelashes you already have to make them longer and fuller. The product is a topical solution you apply once a day to the base of your lashes.

The potential of LATISSE® was discovered accidentally as a side effect from a glaucoma medicine called Lumigan. Patients who used this medication developed longer and thicker eyelashes.

Years of research followed and LATISSE® was created by the pharmaceutical company, Allergan. Allergan performed studies and made changes to ensure that LATISSE® was safe and effective for general public use.

There has been a growing interest in the product since it was introduced in early 2009, and with this interest has come misconceptions. Many patients are concerned about using LATISSE® because they are afraid that it will change the color of their eyes. As earlier stated, the medication that is used in LATISSE® was originally created as a glaucoma medication. In extremely rare instances, there was a change in eye color when the glaucoma medication was applied directly to the cornea. However, in the clinical trials there were no patients that reported this side effect. At Greenville Dermatology, my patients have never experienced a change in eye color.

As with any prescription treatment, you should consult a doctor to determine if LATISSE® is right for you. Call Greenville Dermatology (864-242-5872) to make an appointment and find out how you can benefit from LATISSE®. You’ll be batting those lashes with confidence in no time!

Week 0

Week 16

Radiant Winter Skin

2011-02-08T10:57:00.003-05:00

That's right, it doesn’t have to be a bleak midwinter for your skin!

We have had more snow this winter than we’ve seen in over twenty years and your skin is starting to show it. If you’re experiencing the typical winter dry skin, I have some advice that will help ease the irritation and itch.

You have heard that drinking eight glasses of water a day is key to keeping your body healthy and hydrated, but it is a common myth that drinking a lot of water will help hydrate dry skin.

Instead of guzzling gallons of water, there are a few things that will help and not leave you feeling bloated! For example, hot water tends to dry out skin, so when showering and especially washing your face, turn the faucet until the water is lukewarm. When finished, apply moisturizing lotion while your skin is still slightly damp so your skin will absorb it more quickly.

Not only hot water but also hot air will dry out your skin. If you have to have the heat on (and who doesn’t in this cold weather?) turn on a humidifier to keep moisture in the air.

Postpone the facial peel until the weather warms up. While exfoliation keeps your skin glowing, masks and peels draw moisture out of your face.

I have access to a wide array of gentle cleansers, masks and moisturizers that will keep your skin looking radiant even in the blistery, winter months. Call (864) 242-5872 today to schedule an appointment!

Instantly Youthful

2011-01-21T17:02:00.009-05:00

There is no way around it. As we age, our skin changes. Over time, the natural volume of youthful skin begins to diminish as wrinkles and folds form. To combat this specific type of skin aging, the dermatology world has relied on new techniques to help patients stop the hands of time. Juvederm does just that.

Juvederm, or "filler", is the fastest growing non-surgical cosmetic procedure in the United States. Juvederm consists of a very smooth gel made of hyaluronic acid - a naturally occurring substance in your skin - that helps to add volume and hydration.

As we discussed in last week's blog, BOTOX Cosmetic is not a filler. BOTOX Cosmetic relaxes muscle activity and is used to treat moderate to severe lines caused by the dominant frown muscles between the eyebrows.

With Juvederm, I am able to ease the product under the skin and instantly restore your skin's volume, while smoothing away facial wrinkles and folds, like your "smile lines" or "parentheses" (nasolabial folds - the creases that run from the bottom of your nose to the corners of your mouth).

Juvederm provides a smooth, natural look and feel, so everyone will notice how great you look (but no one will know)! Juvederm is a convenient procedure and results are almost instantaneous.

The injection process takes about 15 minutes and normally, patients return to work, school or their usual routine, right after the procedure. Our office will provide cold compresses to help reduce swelling or bruising and make-up may be worn immediately after treatment.

Juvederm is FDA-approved for use in the United States and is the ONLY hyaluronic acid (HA) filler that will provide you with beautiful results lasting for up to 1 year. Call our office to learn more about Juvederm so you can start seeing results today! Olivia, After:
Olivia, Before:
Lisa, After:
Lisa, Before:

Clear Up Confusion - And Wrinkles

2011-01-13T13:55:00.006-05:00

I've been intending to write about cosmetic services for some time. Of all the cosmetic procedures I perform in my office, Botox is the most popular, and in a lot of cases it is the most misunderstood. This blog post will provide some insight into the Botox procedure and hopefully clear up any confusion.

Botox was approved by the FDA for cosmetic use in 2002, and since its inception into the marketplace it has fast become a favorite procedure for A list celebrities and housewives alike.

The protein Botox is injected into the facial muscle that controls the unwanted wrinkle and prevents nerve impulses from reaching the nerve. The surrounding skin then relaxes and produces a smoother area. Botox is specifically useful to rid a face frown or worry lines, crow’s feet, lip wrinkles, uneven brows and even severe underarm sweating. The result is the end of wrinkle-free days for its millions of loyal users.

It takes a skilled dermatologist to pinpoint the exact location of injection necessary to optimize the effects of Botox without causing any adverse reactions or downtime. I have been injecting Botox for eleven years, and because of my familiarity and advanced techniques, my patients suffer no downtime and minimal to no bruising.

The effects are natural and beautiful and require absolutely no downtime (many patients come in for appointments on their lunch break). You may be asking: what should I expect during the procedure? Botox takes only a few minutes, is virtually painless, and the amazing results can last up to four months.

I know many readers and patients are concerned about the “frozen face” look we see in the media and with celebrities, but this image of Botox is extremely rare. In fact, the majority of these expressions are as a result of surgical procedures like brow and face lifts- not Botox.

I encourage any of my patients who are looking for facial rejuvenation to schedule a consultation so I can explain in detail all of the options available to help you look and feel your best. Call our office at 864-242-5872 to make your appointment. Below are several before-and-after pictures that allow you to better understand what Botox can do for you.

Before

After

Before After

Myth 6: You just have to let acne run its course

2011-01-05T13:37:00.003-05:00

Busting Myths on Acne! Myth 6 of 6
Myth 6: You just have let acne run its course. BUSTED!
There is no cure for acne, but it is treatable, which means you shouldn’t give up. From over-the-counter (OTC) and prescription products to micro dermabrasion and light therapy, there are so many ways to fight acne.

If OTC products aren’t cutting it, let’s set up an appointment and discuss a plan of attack. Every product is different, and one may work for someone else that doesn’t work for you, so we’ll keep trying until we get results you’re happy with.

Be careful not to overuse acne medication. If you use your products more than recommended on the label or by the dermatologist, you may actually cause your acne to worsen by drying out and irritating your skin.

At Greenville Dermatology, we have a wide selection of facial cleansers, topical treatments, oral medications, and cosmetic procedures to choose from. It’s time to be proactive about your acne. Start 2011 off right and call (864) 242-5872 today to make your appointment!

Happy Holidays

2010-12-23T11:07:00.003-05:00

Happy Holidays from Greenville Dermatology!

Check back in the new year when we will reveal the 6th and final myth on acne.

Busting Myths on Acne! Myth 5 of 6 Myth 5: You can’t wear makeup if you are prone to acne.

2010-12-17T16:39:00.001-05:00

BUSTED!
While there are many cosmetics that will clog pores and make acne worse, if you know what to look for you can find makeup that not only hides blemishes but also helps clear up your skin. Now doesn’t that sound like a product you want in your arsenal?

Things to look for in cosmetics:
• Oil-free: This is a must. Your face naturally produces oil, so adding more oil will only clog your pores.
• Non-comedogenic: Means it won’t clog your pores. Always a good thing!
• Oil-free, matte, or semi-matte foundations are the best for acne prone skin.
• Mineral makeup contains no preservatives or fragrance, which often irritate sensitive skin. But be wary- if the makeup says mineral-enriched, you’re getting more than just minerals.
• Avoid oil-based cosmetics as well as creamy foundations and blush.

Also be sure to apply cosmetics with applicators rather than with your hands. This helps to limit the amount of oil on your face. And no matter how tired you are, wash your makeup off before going to sleep. You don’t go to bed in the clothes you wear all day, so don’t go to bed with the makeup you wore all day.

At Greenville Dermatology we offer glominerals cosmetics that use the power of vitamins and minerals to even complexion, hide blemishes, and improve the overall look and feel of your skin. Call (864) 242-5872 today to learn more about glominerals products.

2010-12-08T11:41:00.002-05:00

Busting Myths on Acne! Myth 4 of 6
Myth 4: Only teenagers get acne.

BUSTED!
Thought you finally kissed bad skin goodbye along with your teen years? Contrary to popular belief, adult acne is much more common than one may think. Having skin problems as an adult can be just as embarrassing as when you’re a teen, or even more so, but you are not alone. About 25% of men and 50% of women experience some degree of acne in their adult lives. These numbers are higher for women than men because acne is hormonally related and women’s hormones tend to fluctuate with their cycles and pregnancies.

As an adult, your skin is different than it was during your teen years, so your treatment should be different as well. It may be tempting to just visit your pharmacy store and grab some over-the-counter cleanser, but what you really need is a visit to the dermatologist. There are a lot more treatment options available and as your dermatologist, I can suggest the best option for you based on your unique skin.

In addition to prescription topical or oral medications, Greenville Dermatology also offers Omnilux Therapy, an intense pulsed light designed to treat acne or rosacea. Unfortunately Omnilux is not covered by insurance companies at this time, but it is competitively priced for our clients.

Make your appointment and start treating your acne the grown-up way. Call (864) 242-5872 today!

Busting Myths on Acne: Myth 3 of 6

2010-12-01T16:36:00.004-05:00

Myth 3: Acne is caused by uncleanliness.

BUSTED! You have been told for years that you get acne because your skin is dirty, so you scrub and you scrub multiple times a day. Acne is not caused by not washing your face enough. In fact, washing your face too often and scrubbing your face irritates your skin, which may actually worsen your acne.

You should not wash your face more than twice a day- once in the morning and once at night. When you wash your face too often, you risk drying out your skin. Dry skin will either result in redness and peeling, or it will overcompensate by producing too much oil, giving you an oily complexion. Overly dry skin irritates acne while too much oil clogs pores and causes pimples to form. Limit washing your face to twice a day and your skin will thank you!

If you can’t pronounce the ingredients in the facial cleanser, chances are your skin won’t like it. Unless you have a face wash prescribed by me, your daily facial cleanser should have simple ingredients. Many over-the-counter cleansers contain Benzoyl Peroxide or Salicylic Acid to help fight acne-causing bacteria, but that is about as complex as it should be. Ingredients that aren’t natural can be quite harmful for your skin.

If your face is still very dry after limiting your cleansing to twice daily, I suggest taking it down to once daily and using an oil-free non-comedogenic moisturizer immediately after washing your face.

Lastly, don’t scrub your face! Most cleansers that advertise deep-clean scrubbing or come with their own scrubbing pad will only serve to irritate your skin. Your skin is vulnerable so wash it gently!

As a dermatologist, I have a wide selection of skincare products, including many face cleansers with key ingredients such as Benzoyl Peroxide to help kill acne-causing bacteria. Call (864) 242-5872 to make your appointment today and start cleaning your acne the right way!

Busting Myths on Acne! Myth 2 of 6

2010-11-17T13:20:00.009-05:00

Myth 2: Tanning helps clear up skin.

BUSTED! While tanning may hide your pimples, it certainly does not help get rid of them. In fact, tanning may worsen your acne.

After a day in the sun your skin looks better because exposure to the sun helps to even complexion and dry up the surface of the skin, but the long-term damage isn't worth it. Not only are you exposing yourself to harmful UV rays that permanently damage your skin, leading to wrinkles, sun spots and skin cancer, but you are also irritating your skin when you are exposed to too much sun, which in turn aggravates acne.

Additionally, sun damage thickens your skin over time, which makes it harder to clear your pores of acne-causing bacteria. There is no evidence that sun exposure helps reduce acne, so why risk your skin's health? By wearing SPF 30 or higher every day, you are protecting your face from overexposure and the harmful effects of the sun.

If you suffer from acne, look for a sunscreen that is oil-free non-comedogenic, which means it doesn't clog your pores, or a moisturizer that doubles as a sunscreen.

It may be tempting to soak in the sun to disguise your acne, but the results are temporary at best. As I always say, sunscreen is your best ally. Not only does sunscreen protect your skin from premature aging but also prevents the sun from worsening your acne.

Schedule an appointment with me and we'll discuss sunscreen options that won't clog your pores or make you feel greasy. Call (864) 242-5872 today!

Don't forget about our Latisse® discount program going on now, just in time for the holidays! Patients who receive BOTOX® or JUVEDERM® until December 31 will be qualified to receive $100 off their purchase of Latisse®!

Busting Myths on Acne! Myth 1 of 6

2010-11-10T14:13:00.006-05:00

Acne is extremely common and can be a very hard thing to deal with, regardless of your age. MedScape reports that more than 17 milion Americans suffer from acne, and 80-90% of adolescents experience some level of acne. There are a lot of myths circling acne and its causes, so I decided to begin a short series in which I debunk the myths one at a time.

Myth 1: Eating chocolate and junk food causes acne.

BUSTED! Eating fast food or high-fat foods does not cause or worsen acne. Doctors and scientists have extensively studied correlations between diet and acne, and have found no relation between junk food and acne.

On the other hand, studies have shown that people who consume dairy products are at a higher risk for developing acne. Similar studies have demonstrated a link between high-glycemic-index foods and acne, showing that people who ate foods with a high GI were more likely to have acne problems than those who ate foods with a low GI.

In conclusion, while dairy and foods with a high GI may worsen acne, your diet, whether healthy or unhealthy, does not cause acne. But it is important to note that while food does not cause acne, it can affect your skin, so don't start eating 10 candy bars every day! As the old adage goes, everything in moderation.

2010-11-05T17:19:00.000-04:00

We have an exciting opportunity to share with you!

Just in time for the holiday season, the makers of BOTOX® Cosmetic and JUVÉDERM® are proud to introduce the Latisse® Real Lash Growth, Real $100 Rewards program. From now until December 31, 2010, when qualified patients receive Botox® Cosmetic or Juvéderm®, they will be qualified to recieve $100 off their purchase of Latisse®!

Latisse® is proven to increase the growth of eyelashes, including length, thickness, and darkness.

Now you can get longer, thicker, darker eyelashes just in time for the holidays at a great price! Call (864) 242-5872 to schedule your consultation or appointment with us today!

World Psoriasis Day: Shedding Light on Childhood Psoriasis

2010-10-27T13:35:00.009-04:00

This Friday,October 29 is World Psoriasis Day, a day to recognize people suffering from psoriasis and psoriatic arthritis worldwide.

This year the International Federation of Psoriasis Associations is focusing its efforts on childhood psoriasis. Currently there is no drug approved by the FDA to treat childhood psoriasis, and these children struggle with bullying and discrimination along with the physical and emotional challenges they already face.

You can help raise awareness by participating in a walk near you, signing a thank you note to legislators who support psoriasis research, or by sending an e-card to friends and family. For more information on these and other awareness campaigns, please click here.

If you or someone you know has psoriasis, we can help! At Greenville Dermatology we are currently treating 523 patients for psoriasis. We offer every treatment available, including oral medications such as methotrexate and soriatane, topical medications, light treatments both narrow UVB as well as an Eximer laser, and the more recent treatments seen on TV such as Enbrel, Humira, Remicaid and Stelara.

Call (864) 242-5872 and make your appointment at Greenville Dermatology today!

To learn more about World Psoriasis Day, please visit the website.

Not all anti-aging products are created equal

2010-10-20T13:28:00.004-04:00

In 2008, Americans spent over $7 billion on anti-aging products. It may be tempting to buy the product that claims you'll look 10 years younger, but the product doesn't always deliver. You need to be educated on safe and effective anti-aging treatments before you go shopping. With some help from the American Academy of Dermatology, here is some advice you should follow as a consumer:

Do your homework. You could try a bunch of products and feel disappointed when you d0n't get the results you want and then call your dermatologist for help, or you could call and make an appointment with us today and avoid wasting your money, time, and energy. Greenville Dermatology is your best resource on anti-aging information and treatment.
Protect by day and repair by night. All dermatologists agree that wearing sunscreen daily is your number one anti-aging weapon. Using a sunscreen with UVA and UVB protection that is SPF 30 or higher will not only protect your skin against sun damage but will also help repair damage your skin has already incurred. Moisturizers are typically the "secret ingredient" in anti-aging creams because it plumps up fine lines and improves skin's complexion.
Expensive doesn't always mean better. Sometimes you're just paying for the name. There are many over-the-counter products that work just as well or better than their pricey competitors.
No one product works for everyone. Your friend may swear by a product, but you may not experience the same results because you have different skin types or skin concerns.
"Clinically proven" doesn't necessarily mean effective. Oftentimes the product is given to a sample of people to try for a few weeks and then they report whether or not they saw improvement. Products tested in this way are not reviewed by the FDA.

Your dermatologist is your best ally. Schedule your appointment with me and we'll work together to find the right product for you. Call Greenville Dermatology today at (864) 242-5872 and make your appointment today!

The ABCs of Melanoma

2010-09-29T13:16:00.007-04:00

Since the beginning of this year, Greenville Dermatology has diagnosed over 550 new cases of skin cancer, including one patient under the age of 30. Furthermore, 20 of those cases were classified as melanoma, the least common but most dangerous form of skin cancer. The best preventative for skin cancer is protecting yourself from the sun and avoiding tanning beds. In addition to visiting your dermatologist once a year for a full body exam if you are at normal risk, you should also perform regular self checks to look for lumps, discolorations, and changes in moles. The easiest way to determine if you may have skin cancer is as easy as your ABCs.

Asymmetrical skin lesion
Border of the lesion is irregular
Color: multiple colors or changing color in a mole
Diameter: moles greater than 6 mm are more likely to be melanomas than smaller moles
Enlarging: enlarging or evolving

Make an appointment at Greenville Dermatology today for your skin cancer screening. Early detection is key for prevention!

Sleep Tight, Don't Let the Bedbugs Bite

2010-09-20T09:37:00.002-04:00

It seems like you can't watch the news today without seeing a story about bedbugs. Despite all the recent buzz, bedbugs have actually been around for a long time and by the look of things, they are here to stay.

Bedbugs were common in the U.S. before World War II, but became rare after the pesticide DDT effectively wiped them out. Despite the chemical eviction from the United States, bedbugs did just fine in the rest of the world and since they can hitch a ride on clothing and luggage, international travel eventually brought them back.

Not exactly sure what a "bedbug" is? They are small, oval, non-flying insects, often mistaken for ticks or small cockroaches. Adult bedbugs range from 5-7mm in length, while nymphs (juveniles) can be as small as 1.5mm. With a reddish brown color, they feed by sucking blood from animals or humans.

The bites itch and in some cases can cause an allergic reaction, but they do not carry disease. While it may make your skin crawl just thinking about them, bedbugs are actually clean critters. The prevailing theory is that new bugs were introduced from overseas, because the ones found in cities now are resistant to different insecticides from those used on poultry or cockroaches. Visiting hotels and other infested homes are common ways to get the bedbugs. They hide in mattresses, pillows, and curtains, but have no problem climbing into your luggage or clothing and tagging along for the ride.

Today's bedbugs have now evolved to be DDT-resistant and bug killers around the country have learned quickly that one chemical alone will not eliminate these pests. Some of the innovative techniques used to get rid of bedbugs are heat treatments, steam, and vacuums. Bug-sniffing dogs, trained in a similar way as bomb- or drug-sniffers, can alert to an infestation at an early stage, when it's easier to manage.

Some people overreact, even developing delusional parasitosis, the illusion that bugs are crawling on them. It is smart to be aware, but not panicky. Despite the fact that they do not carry disease, the bites can become infected by too much scratching.

Experts say that if you don't have bedbugs now, there is a high likelihood you will one day. But you can minimize your chances with simple steps, such as learning what a bedbug looks like and then keeping your eyes peeled. So tonight, sleep tight and don't let the bedbugs bite!

A special event just for you!

2010-09-10T16:36:00.003-04:00

Do you have a stubborn wrinkle you're dying to get rid of? Have you seen the Latisse commercials and wanted to try the product that dermatologists are raving about? On Friday, September 17, 2010, Greenville Dermatology will be hosting a Botox event offering exclusive promotions on Botox, Latisse and many other of our most popular products and services. If you book your appointment for Friday, September 17th, from 10 a.m. and 2 p.m., you'll receive extraordinary savings, including Botox injections at $10 a unit and $50 off Juvederm injections. We are also offering great savings on Latisse and Vivite. With any purchase, your name will be entered into a drawing for a year's supply of Latisse! Also, be sure to meet out Licenced Medical Esthetician Rachelle A. Patterson and receive a free Visia Skin Analysis. You don't want to miss these incredible deals! Call (864) 242-5872 to book your appointment today!

The Skinny on Skin Cancer

2010-08-31T15:01:00.002-04:00

Have you ever heard the expression, "ignorance is bliss?" Well, not when it comes to matters of your health. Skin cancer is now the most common form of cancer. Being well informed on the risks can help protect you and your family.

There are three different conditions that "skin cancer" refers to: basal cell carcinoma (most common form, accounting for more than 90% of all skin cancer in the U.S.), squamous cell carcinoma (second most common form), and melanoma (generally considered the most serious form because of how quickly it spreads).

UV (ultraviolet) radiation from the sun is the main cause of skin cancer and the most common place for cancerous lesions to occur is the face.

Although most skin cancers don't appear until after the age of 50, the sun's damaging effects begin at a much earlier age. Here are some ways that you can help prevent the two most common forms of skin cancer:
- Avoid unprotected exposure to the sun during peak radiation times (the hours surrounding noon)
- Undergo regular checkups and bring any suspicious looking lesions to the attention of a dermatologist
- Avoid tanning beds and always use sunscreen with an SPF of at least 30
- Wear broad-brimmed hats and tightly-woven protective clothing while in the sun (like our Scala hats!)

It is often hard to tell the difference between a basal cell carcinoma and a benign growth without performing a biopsy. If you notice any unusual lesions, it is best to have them looked at immediately by your dermatologist. With that said, there are many ways to successfully treat a basal cell carcinoma with a good success rate; typically 90% of these types of cancers are treated successfully.

Even though most skin cancers are cured, those who have been treated have a higher-than-average risk of developing a new cancer of the skin, so follow-up care is extremely important. Patients must continue to examine themselves regularly and visit their dermatologist for regular screenings. If you haven't had a skin cancer screening this summer, now is the time to make an appointment!

The importance of board certification

2010-08-17T16:41:00.003-04:00

Are you getting your skin care advice from anyone BUT a board certified dermatologist?
At Greenville Dermatology, your cosmetic dermatology procedures such as Botox, Juvéderm and Restylane are always performed by a board certified dermatologist. At a medi spa… it could be anyone.

I want to take the time to explain what being “board certified” in dermatology means.

When a dermatologist is board-certified, it means that the dermatologist has:

• Completed a three-year residency in dermatology;
• Passed a rigorous two-part test administered by the American Board of Dermatology.
• Required to maintain certification by completing prescribed courses yearly, having other dermatologists review my care, and re-testing by taking the board exam every 10 years.

The certification process is designed to assure the public that a certified medical specialist has successfully completed an approved educational program and evaluation, including an examination process designed to assess the knowledge, experience and skills requisite to the provision of high quality patient care in that specialty.

These rigorous standards are in place to ensure our patients safety and care. That is why it is so important for you to do your research when you are considering any type of cosmetic or medical dermatology procedure. Many medi spas and plastic surgery offices are providing these services without being supervised or administered by a Medical Doctor.

At Greenville Dermatology I administer all injections and fillers for my patients. I have been providing “Botox Cosmetic” (which is produced by Allergan in the United States) injections for the last eleven years, and have never had a single adverse reaction.

For an appointment or more information on any of our Dermatology services, call our office at 864-242-5872.

Dr. Miller

DWT: Breaking the laws of skincare

2010-08-03T12:47:00.003-04:00

We have all heard about the risks of driving while texting but what about another DWT to consider...Driving While Tanning?

A recent report released from The Skin Cancer Foundation discusses the importance of protecting your skin from damaging UV rays even while in the car.

The report revealed that nearly 53 percent of skin cancers in the US occur on the left, or drivers' side of the body. It is reasonable to assume that the increase in skin cancers on the left side of the body could be caused by the UV exposure one would receive while driving a car. If you're one of the over 200 million licensed drivers in the US, this should be of concern to you!

Car windshields are partially treated to filter out UVA, but the side windows of cars let in up to 63 percent of the sun's UVA radiation, and rear windows are not protected at all, leaving your backseat passengers completely exposed.

So be sure to keep sunscreen handy when you take long road trips and skip the sun roof AND the convertible.

For even more sun protection, be sure to wear a hat while driving, particularly one with a 3" brim or larger. We carry a wide variety of Scala hats, these hats offer built-in sun protection, while still looking fashionable. Come by our office to take a look at our selection or call for more information, (864) 242-5872.

Dr. Miller

Diagnosis and Treatment of Skin Cancer

2009-10-29T13:28:00.001-04:00

The Diagnosis and Treatment of Skin Cancer: A large part of Greenville Dermatology’s practice involves the diagnosis and treatment of skin cancer. Skin cancer can be basically divided into two types: Melanoma and Non-melanoma skin cancer.
Malignant melanoma is a serious skin cancer. It arises in the melanocytes, or pigment producing cells, in the skin. Early on, malignant melanoma is 100% curable, but it can spread, or metastasize, at any time causing serious health problems and even death. Most of the deaths in the US from skin cancer are from melanoma. A melanoma usually appears as a darkly pigmented but not perfectly round spot on the body. Many of my patients are under the false impression that melanomas are raised spots or “bumps” on the skin, but early on, they can be just flat, irregularly shaped spots. As time goes on, the spot will enlarge and at some point, if not detected or removed, will become raised. Early detection and removal is very important in surviving a malignant melanoma. People who have had a blistering sunburn before age 18 (which, is about all of us!) are at a twofold increased risk for developing a malignant melanoma. However, a much stronger risk factor is having a first-degree relative (i.e. mother, father, sister, brother) puts someone by some estimates at a 60-fold increased risk for melanoma over someone without a family history. Another little known fact is that a melanoma can occur anywhere on the body and does not necessarily have to be on sun exposed skin. In fact, melanoma can occur in the body—most notably the eye as there are melanocytes in the retina of the eye. Therefore, a full skin exam at your dermatologist should include looking at every inch of skin on the body—including the parts of the skin that are never in the sun. This can be embarrassing especially if your dermatologist is the opposite sex from you, but should not be ignored completely. These areas can be examined by the patient themselves, or spouse, or in the case of a female, her OB/GYN and if anything unusual is seen, then it should be seen and examined and possibly biopsied by a dermatologist. Once diagnosed, the primary treatment for melanoma is surgery. There is a standard of care which should be followed in removing melanomas. The amount of normal appearing skin around the melanoma is dependent upon how thick and aggressive the melanoma is. The thicker the melanoma, the more skin around it is removed. Once a melanoma reaches a critical width, then something called lymph node mapping should be considered. This is a procedure a surgeon often will do before the surgery to see what lymph nodes are draining the area of the melanoma, then these lymph nodes will be removed or at least sampled to see if the melanoma has spread to them. Thinner early melanomas don’t usually require this extra procedure. Melanomas can spread, or metastasize, to other organs and once this happens then usually chemotherapy has to be performed along with the initial surgery. This is done under the guidance of an oncologist, or cancer physician.
So, everyone should be performing self exam on their skin and look for spots that look like moles, but are A=asymmetric , B= have irregular or ill defined borders, or C= have multiple colors or a recent color change. Anything like this should be seen by a dermatologist as soon as possible.
Non-melanoma skin cancer is not as serious as melanoma, although ignoring these malignancies can result in serious consequences and even death. Basal cell carcinoma and squamous cell carcinoma fall into this category and make up about 90% of all skin cancers seen. These cancers do not have any inheritance patterns. They are completely due to over exposure to the sun or tanning beds. The more sun you are exposed to in your life, the more of these skin cancers you will be likely to get. If your father or mother had a lot of these, you may not necessarily get them if you protect yourself from the sun. These cancers usually start out as a red, scaly patch on the skin that just won’t heal, or will heal only to recur a few days or weeks later. Eventually, they will grow into a bump that can be skin colored or clear and pink, and will bleed very easily. The most common site for them is on the face, since our faces are usually not covered when we are out in the sun. However, the upper shoulders, back, and arms , and on women, legs, are areas where we see a lot of these types of skin cancers. It would be rare to see one in the genital area although nude sunbathers can get them there. The treatment of these types of skin cancers depends on how advanced and aggressive they are, the location on the body, and the desired cosmetic outcome. They are almost always, with rare exceptions, 100% curable by simply removing them and rarely do they spread, or metastasize elsewhere in the body. Skin cancers on the face we generally recommend that the patient see a “Mohs” surgeon. This is a dermatologist who has specialized further in a specialized type of surgery to remove skin cancer and are well trained in plastic surgery procedures to close the defects left behind. On the back, chest or other areas of the body, your dermatologist usually will treat these themselves by surgically removing them, or scraping them off with a special procedure called curettage and electrodessication. Some very early basal cell carcinomas can be treated by a cream called “Aldara”. Non-melanoma skin cancers make up more than all the other solid tumors combined and will be diagnosed more than 1 million times in the US each year and so represent a significant portion of a dermatologists business.
If you feel you have either of these types of skin cancer, contact us here at Greenville Dermatology or your own dermatologist as soon as possible for an exam.

Sunscreens

2009-09-28T13:10:00.001-04:00

This weeks topic is "Sunscreens". Many people ask us our recommendations on sunscreens. There are a couple points to keep in mind when selecting a sunscreen that many people are not familiar with or do not consider. We hope this blog helps you select a good protective sunscreen that is also comfortable to wear.

1. You need to frequently apply the sunscreen—every hour if you are swimming, sweating or are continuously in sunlight. Sun screen will break down and wear out over time, get rubbed or washed off. Therefore, by paying attention and re-applying it, you will protect yourself better.
2. You need a sunscreen with an SPF of 30 or higher. Studies have shown that most people do not put sun screen on heavily enough to achieve the advertised SPF. When the SPF is measured, it is measured with a controlled amount of sunscreen per square inch of skin. That amount basically equals about 1 ounce of sunscreen to cover the normally exposed parts of the body. Most sunscreen containers contain about 4 to 8 ounces of sunscreen, so spending 4 hours in full sunlight, reapplying sunscreen as you should, would completely use up a 4 ounce bottle and half of an 8 ounce bottle of sunscreen. Most people purchase a bottle of sunscreen in the early summer and are still using that same bottle at the end of the summer which means that they are not putting the sunscreen on thick enough or frequently enough or both, to get the advertised SPF.
3. The SPF only tells you how much protection you will have against a sunburn which is caused by UVB rays. There is another ray of the sun, UVA, that at least one cancer center has theorized may be responsible for causing skin cancer. We know that UVA does cause uneven pigmentation and wrinkles--the signs of aging. The concern is that you may use a sunscreen with a high SPF and not get a sunburn, since you are blocking the UVB, but you will still get lots of UVA which may still cause skin cancer and the signs of aging. There is currently no number or factor like “SPF” that tells you how much UVA protection a sunscreen has. A high SPF does not mean you have good UVA protection. Therefore, you need to look at the back label for active ingredients. Make sure your sunscreen has either “Titanium dioxide”, “Zinc oxide”, “Parsol 1789”, "Avobenzone", or "Mexoryl". These are currently the only FDA approved UVA blockers in the US. In the near future, there will be an "A", "B" or "C", etc. (for example SPF 30-A) that will tell a consumer both the UVB protection and the UVA protection a sunscreen has. For now, we have to read the labels.
4. Match your sunscreen to your activity. If you are going to be sedentary, pick a thicker, creamier sunscreen or sunblock. If you are playing sports, then pick a spray or gel based sunscreen to avoid getting the product in your eyes.
5. We have several sunscreens available here at Greenville Dermatology, all of which have both good UVB and UVA protection. "Anthelios" is a great daily UVA blocker to be used under makeup and as a daily moisturizer. “Kinesys” is an excellent spray-on for sports active children and adults and will not block pores for those of you with acne. “Blue Lizard” which comes in regular, sport, kids and face versions is a great standby.

Causes and Treatments of Acne

2009-09-11T10:35:00.000-04:00

Acne makes up more than 10% of Greenville Dermatology’s patient population so it is a very common affliction of not only teens, but adults as well. I know from personal experience, having acne myself as a teen and missing my senior prom because of it, that it can significantly affect your self-image. Compared to when I was a teen, there are so many more options for treating acne these days. Acne can start as early as 8 years old, although most people get it later in their teens.
CAUSE: Contrary to what some believe, acne is not caused by eating chocolate cake, pizza, coke or junk foods. These beliefs arise I think since most teens eat these types of foods and also have acne. Only one food product, milk, has actually been shown to make acne worse and it is believed that it is because we inject cows with hormones to produce more milk and these hormones get passed into our children when they drink the milk. Getting organic milk, which is supposed to be hormone-free, may help. So, the rapid change in hormones during puberty causes the oil glands to enlarge more quickly than the skin can handle it. The skin cells start to stick together and clog up the pores creating a situation where the acne bacteria start to grow more effectively causing acne. Hormone-rich milk just makes this worse. Acne is also not caused by a dirty face—you cannot “clean” acne away by scrubbing several times a day. In fact, this may actually make acne worse by upsetting the natural bacterial flora on the face enabling the “bad” acne bacteria to grow while the good bacteria are scrubbed away.
TREATMENT: At first, over the counter medications such as benzoyl peroxide or salicylic acid cleansers and gels, or combination packages such as “Proactiv”, etc., can be very effective and for a lucky few, is all that is ever required. Once red bumps (called ‘papules’) and white heads (called ‘pustules’) begin to form, prescription medication is often required and signals the time when an appointment with your dermatologist should be made. Most dermatologists, including myself, will treat acne with a combination of prescription medications. Unfortunately, we do not have any simple, single medication treatments for acne that are relatively side effect free once acne reaches this stage. I usually will treat the papules and pustules with an oral antibiotic. There are many to choose from and currently, there are at least two once-a-day medications, Solodyn and Doryx, that make taking an antibiotic as easy as possible. Oral antibiotics like these usually take at least a month of use before any improvement can be seen. Even at one month, there will still be some residual papules and pustules remaining that will improve with continued use of the medication. I like to see my patients back at this time to ensure that the medication is working. If not, then a switch to another antibiotic is sometimes needed. Unfortunately, we cannot perform a lab test such as a culture or blood test to see what antibiotic a patient will respond to. This makes treating acne somewhat a “trial and error” activity. In addition to the oral antibiotic, I also prescribe a benzoyl peroxide cleanser. This helps to keep the acne bacteria from becoming resistant to the antibiotic we are using, and treats the surface acne. Some dermatologists prefer to prescribe benzoyl peroxide as a gel or cream. I see nothing wrong with this and it is a matter of personal preference. Benzoyl peroxide can bleach the color out of clothing and when using it as a gel or cream, this seems to happen more easily which is why I prefer to prescribe it as a cleanser. Finally, I prescribe a topical “retinoid” product such as Retin-A, Differin, or Tazorac. The American Academy of Dermatology (AAD) suggests using a retinoid on all acne patients as it helps the skin to “turn over” more rapidly, preventing the skin cells from sticking together and clogging up the pores. Therefore, these retinoids prevent acne. Unfortunately, retinoids also are irritating and drying to the skin and take the longest (about 3 months) to see results. Most teens (and adults) tend to quit using these medications long before that because of the lack of quick results and the irritation they sometimes cause.
So, in my clinic, a patient with acne will be treated with an oral antibiotic, a benzoyl peroxide cleanser, and a retinoid which they are instructed to start all at once. The oral antibiotic should start working in a couple weeks to a month, with continued improvement as time goes on. Ideally, if the patient has been using the retinoid and cleanser regularly, they should be able to taper off the antibiotic after two to three months. However, acne changes, getting worse sometimes and better other times, and most of us get lazy with our medication regimens and often times patients are on antibiotics constantly or off and on for many months to years. So, it is VERY important that the patient use the medication as prescribed. Way too often, a patient of mine will come back for their follow up and say that they only took the pills since that was the only thing that seemed to be working. Unfortunately, without the benzoyl peroxide or retinoid, they will always have to take the pill to keep their acne under control.
ACCUTANE: Accutane, or “isotretinoin” is a powerful and special acne medication that has been available to patients for almost 30 years. It acts like high doses of vitamin A in our bodies and so is not an antibiotic as some people believe. In the past, before Accutane, dermatologists would sometimes give acne patients vitamin A injections for their acne. This worked well, but caused some liver problems as well as very dry flaky skin as high doses of vitamin A can be toxic. Accutane is a way to get the effects of high doses of vitamin A, clearing up acne, but minimizing the side effects. Even so, Accutane has a lot of side effects, the most prominent being that it can cause birth defects if a female who taking it gets pregnant. These effects last only a month after completing Accutane, but require that females on Accutane practice strict birth control measures. In addition, it has been known to cause depression in some individuals. We prescribe Accutane for patients who do not respond to multiple antibiotics as described above, or patients who have more severe, deeper acne that is causing scarring. I personally have treated close to if not over 1000 patients with Accutane and have not had any serious problems occur and in fact my own son has successfully been treated with it. Despite its side effects and risks, Accutane works extremely well and is taken usually for only 20 weeks. I cannot recall a case of acne that Accutane did not clear. However, I have seen some patients require a second and rarely, a third course of Accutane, or patients who have had to be on Accutane for 24 or 28 weeks.
I hope that one can appreciate that acne can be a difficult skin affliction to treat and takes both the dermatologist and patient working together in an honest trusting relationship to achieve success. We do our best here at Greenville Dermatology to accomplish this. Please come and see us for your acne. Call 864-242-5872 to make an appointment.

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2009-09-07T10:56:00.000-04:00

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