English Dermatology

English Dermatology

Basal Cell Carcinoma

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About Basal Cell Carcinoma

What is it?

Basal cell carcinoma (BCC) is non-melanoma skin cancer caused by mutations in the DNA of skin cells, which then spread to adjacent cells. BCC occurs in the deepest (basal) layer of the skin’s outer layer, the epidermis. BCC is the most common form of skin cancer in the country. It often appears as a flat lesion with a waxy, yet scar-like appearance and usually forms in areas frequently exposed to the sun, such as the nose, neck, ears, and scalp.

What causes it?

Though rarely dangerous, basal cell carcinoma should not be ignored. Contact your neighborhood skin health care provider if you notice unusual skin bumps, lesions, discolorations, or other irregularities. Although chronic sun exposure is a leading cause of BCC, other common risk factors include fair skin, a history of sunburns, a history of skin cancer in your family, sunny climates, and high-altitude locations.

Common treatments?

We understand that a diagnosis of basal cell carcinoma can cause apprehension and even be physically and emotionally traumatic. As your community skin cancer experts, we’re here to provide advice and solutions if you ever receive such a diagnosis. We provide a range of customizable treatment options to suit your needs based on your individual goals and concerns. We’ll be with you each step of the way with compassionate care and comprehensive support so you can live your life to the fullest.
If you are found to have basal cell carcinoma, we have a variety of treatment options to choose from. These include topical medications, excision surgery, cryotherapy, electrodesiccation with curettage, photodynamic Therapy (PDT), and superficial radiation therapy (SRT).

Providers

Our approach & expertise

Our skin cancer experts have the experience and training to help eliminate basal cell carcinoma. What sets us apart from others is our focus on you as a person. Our warm, compassionate practitioners are ready to address your concerns and be an essential part of your support. Together with you, we find the best solution to address this skin cancer.
Healthy skin is our passion. Contact our skin cancer specialists to get the customized treatment that suits your case.

Alopecia Areata

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About Alopecia Areata

What is it?

Affecting nearly 5 million Americans, alopecia areata is a medical condition in which the hair falls out in patches. It is unpredictable; if you have it, your experience may not be the same as someone else’s. For example, you may have hair loss followed by full regrowth while another person may have only partial regrowth. Or your case may last a few months while someone else’s may last several years. In addition to patchy hair loss, other symptoms of this condition include widespread hair loss, nail irregularities (e.g., splitting or changes in color, texture, shape), and single strands of hair in or near the bald patch(es).

What causes it?

Alopecia areata occurs when your immune system mysteriously attacks hair follicles, causing hair to fall out in clumps. Although the reasons for this are still unclear, it’s thought to be related to genetics.

Common treatments?

Despite there being no known cure for this type of alopecia areata, there are ways to manage the loss of hair and/or help it grow back. Among the options are Minoxidil, an over-the-counter topical lotion also offered in prescription strength; corticosteroids for immune system suppression; Anthralin, a topical medication that disrupts the immune system and promotes hair growth; and Diphencyprone, a topical medication that disturbs the immune system to stop hair loss and stimulate hair growth.

Providers

Our approach & expertise

We realize the impact that gradual hair loss can have on both appearance and self-esteem. However, alopecia areata is a different type of hair loss, and as your neighborhood skin and hair experts, we’re here with answers to all your questions about this condition. What sets our skin and hair experts apart is our focus on you as a person. Our neighborhood practitioners customize your treatment, and you can turn to us for compassionate support and advice.
Healthy skin is our passion. Contact us to know more about alopecia areata and how we can help manage this condition to improve your confidence in your appearance.

Aging / Sun Damaged Skin

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About Aging / Sun Damaged Skin

What is it?

We realize that our culture tends to associate suntanned skin with a lifestyle that is healthy and active. Unfortunately, this is a myth that should be retired; sun and age damage go hand in hand and can affect you both physically and psychologically. A “healthy tan” is not good for your skin; any sun exposure, no matter how small, causes irreversible damage. The subsequent damage is not just skin deep, as it alters the DNA of your skin cells. That’s why as much as 90 percent of the signs of aging are related to sun exposure.

The sun gives off ultraviolet light that damages the skin and contributes to premature skin aging, dark spots, and other problematic conditions.

What causes it?

The sun’s UV rays are the main cause of aging, sun-damaged skin. Sun and age damage are linked because they exacerbate one another. Together, they reduce your skin’s elasticity by breaking down collagen while decreasing your skin’s shape and fullness. Telltale signs of sun and age damage include wrinkles on your face, neck, and chest, lines around your mouth and eyes, sagging skin, age spots, and freckles and/or moles.

Common treatments?

At West Dermatology, we have a variety of options to address sun and age damage, and we have the knowledge and experience to tailor it to your unique case. However, there are many steps you yourself can take to prevent and even repair your skin. These steps include wearing 30+ SPF sunscreen daily (even on cloudy days!), covering up exposed skin when outside, avoiding intense sun between the hours of 10:00am to 3:00pm, the avoidance of indoor tanning beds, and the use of moisturizing creams and lotions at night.

Providers

Our approach & expertise

At West Dermatology, we focus on you as a person. Our compassionate community staff works with you to address your signs of sun and age damage, and you can rely on us to answer your questions and be an integral part of your support system. Healthy skin is our passion. Contact us today if you notice sun and age damage so that we can help you repair and restore your skin.

Actinic Keratosis

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About Actinic Keratosis

What is it?

Actinic keratosis (ak-TIN-ik ker-uh-TOE-sis) is a rough, scaly patch on the skin that develops from years of sun exposure. It’s often found on the face, lips, ears, forearms, scalp, neck, or back of the hands.
Also known as a solar keratosis, an actinic keratosis grows slowly and usually first appears in people over 40.
You can reduce your risk of this skin condition by minimizing your sun exposure and protecting your skin from ultraviolet (UV) rays.
Left untreated, the risk of actinic keratosis turning into a type of skin cancer called squamous cell carcinoma is about 5% to 10%.

What causes it?

Actinic keratosis vary in appearance. Signs and symptoms include:
  • Rough, dry or scaly patch of skin, usually less than 1 inch (2.5 centimeters) in diameter
  • Flat to slightly raised patch or bump on the top layer of skin
  • In some cases, a hard, wartlike surface
  • Color variations, including pink, red or brown
  • Itching, burning, bleeding or crusting
  • New patches or bumps on sun-exposed areas of the head, neck, hands, and forearms

Common Treatments?

  • Freezing (cryotherapy). Actinic keratoses can be removed by freezing them with liquid nitrogen. Your doctor applies the substance to the affected skin, which causes blistering or peeling. As your skin heals, the damaged cells slough off, allowing new skin to appear. Cryotherapy is the most common treatment. It takes only a few minutes and can be done in your doctor’s office. Side effects may include blisters, scarring, changes to skin texture, infection, and changes in skin color of the affected area.
  • Scraping (curettage). In this procedure, your doctor uses a device called a curet to scrape off damaged cells. Scraping may be followed by electrosurgery, in which the doctor uses a pencil-shaped instrument to cut and destroy the affected tissue with an electric current. This procedure requires local anesthesia. Side effects may include infection, scarring, and changes in skin color of the affected area.
  • Laser therapy. This technique is increasingly used to treat actinic keratosis. Your doctor uses an ablative laser device to destroy the patch, allowing new skin to appear. Side effects may include scarring and discoloration of the affected skin.
  • Photodynamic therapy. Your doctor might apply a light-sensitive chemical solution to the affected skin and then expose it to a special light that will destroy the actinic keratosis. Side effects may include redness, swelling, and a burning sensation during therapy.

Providers

Our approach & expertise

Our practice has skilled dermatologic experts who have the experience and knowledge to provide effective solutions for your particular needs and goals. Our focus on you as a person is what makes us different from others, and we’ll be with you each step of the way with empathy, advice, and support. Healthy skin is our passion. Contact us today if you have actinic keratosis so that we can help you.

Psoriasis

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About Psoriasis

What is it?

Psoriasis is an autoimmune disorder in which your skin produces skin cells much faster than normal. This causes them to build up into thick, flaky, itchy, inflamed patches. There are several types of psoriasis, including plaque psoriasis, guttate psoriasis, nail psoriasis, inverse psoriasis, and several other types that are rare. Common areas of the body where psoriasis develops include the scalp, torso, arms, thighs, armpits, groin, fingernails, and toenails. There’s also very painful psoriatic arthritis, in which both the skin and the nearby joints are stiff and inflamed. While psoriasis most commonly appears in people between the ages of 15 to 35, approximately 10% of people who develop psoriasis will be under the age of 10 when symptoms appear and 4% will have their first sign of psoriasis occur over the age of 60.

External Symptoms

Symptoms of psoriasis, especially early on, can be similar to other conditions like eczema or skin allergies. However, as time goes on, the physical symptoms of psoriasis can worsen including itchy, flaking skin that bleeds or cracks and thick, discolored, and/or ridged nails.

Internal Symptoms

Some of the most damaging symptoms of psoriasis occur internally with the emotional distress one faces with psoriasis, as well as psoriatic arthritis which occurs in 30% of people who are affected by the disease. Psoriatic arthritis is painful and affects the joints most commonly in the fingers and toes, feet, and lower back. Also, there is a higher rate of heart disease, stroke, and other internal diseases associated with psoriasis.

What causes it?

Genetics and the immune system function play major roles in the appearance of psoriasis. Instead of the immune system protecting the body from viruses, foreign proteins, and bacteria, the immune system in someone with psoriasis “misfires” and attacks healthy cells. This causes inflammation in the skin leading to more rapid growth of skin cells. The increased growth of skin cells requires more blood circulation to feed the process which results in a multitude of psoriatic symptoms.
The genetic predisposition to psoriasis involves the abnormal function of the inflammatory cells called T-lymphocytes, or “T-cells”. While many people live with these abnormal T-cells without having symptoms of psoriasis, there are many situations that can trigger these cells to create the red, scaly patches of psoriasis.
Common triggers include…

Strep infections

For children ages 10 or younger, the most common trigger for psoriasis is strep infection, the most common of which is strep throat.

Emotional distress

Emotional distress is a common trigger of psoriasis in adults.

The abuse of substances like alcohol and tobacco

Skin irritation

Skin irritations such as scrapes or irritations from getting a tattoo applied are other triggers for psoriasis.

Medications

Certain medications including lithium, antimalarials, Inderal, quinidine, and indomethacin have been associated with triggering psoriasis.

Common treatments

Though psoriasis is not contagious, it is unpredictable. You may heal without warning only to have it return just as quickly or years later. Unfortunately, there is no known cure for psoriasis, but our dermatologists have the knowledge and experience necessary to help you manage your symptoms. Our psoriasis treatment options include topical medications, Vitamin D (steroids or retinol creams/gels), oral treatments, biologic treatments (retinoid pills, chemotherapy medicine), light therapy, and UV-B light (controlled doses of sunlight).

Providers

Our approach & expertise

We know that an aggressive and troublesome skin condition like psoriasis can affect you both physically and psychologically. As your community skin specialists, we’re here to provide encouragement and answers to questions you may have about this problematic skin issue. Contact us today if you notice symptoms of psoriasis so that we can help you deal with this unpredictable condition. We provide treatment options that can be tailored to suit your needs and goals, and we’ll be by your side each step of the way, addressing your concerns and providing advice and after-care support.

Botox

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About Botox

What is it?

Botox is an extremely popular wrinkle treatment that’s ideal for dynamic wrinkles (wrinkles that form over time from repeated movements, such as smiling or frowning). Derived from Botulinum toxin, Botox is injected through a very fine needle into a muscle underlying a bothersome wrinkle. This process blocks the nerve impulses that move the muscle, causing it to relax. The result is a smoother wrinkle and a softer-looking appearance. Since only the targeted muscle is affected, surrounding muscles continue to move freely, allowing your facial expressions to be easily shown and avoiding the dreaded “frozen face” look when performed by an experienced dermatologist. Botox is ideal for the upper half of the face, including the areas around the eyes, the upper nose, forehead, cheeks, and jaw.

What to expect

A single Botox injection session often lasts under an hour and is virtually painless. You may feel a tingling sensation during the process, but there is no downtime; you can go about your daily routine afterward. Side effects are typically mild and typically include tenderness at the injection site, muscle stiffness or weakness, bruising, itchiness, and swelling.

After the procedure

Within a week after your Botox injections, you should start to notice results, although this can vary from patient to patient. Over the following 3-4 months, the targeted wrinkles gradually vanish, and touch-up injections are suggested every 6 months in order to maintain the rejuvenating effects of the treatment.

Providers

Our approach & expertise

We recognize that troublesome facial creases, lines, and wrinkles can impact your appearance and self-esteem, which is why our experienced community skin experts provide one of the safest, most popular wrinkle treatments in the world: Botox. Botox treatment at our center is unique. Practitioner experience and skill are critical in getting safe, effective results. Our experts are trained to administer the precise dosage at the precise location, ensuring a safe procedure and natural-looking results that meet your aesthetic goals.
Healthy skin is our passion. Contact us today for more about Botox and how it can revitalize your appearance.

Kybella

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About Kybella

What is it?

If you’re like many people, you may think that a double chin only affects overweight people and that it can be eliminated with conventional fat loss methods. However, a double chin can develop even if you are in good shape and keep an ideal weight. Kybella is an FDA-approved injectable designed specifically to destroy fat cells in a saggy chin. It consists of synthetic deoxycholic acid, which naturally and easily breaks down and absorbs fat. It’s a minimally-invasive way to eliminate a double chin that does not disappear due to exercise, diet, or regular fat-loss methods.

What to expect

The experts have the experience to administer Kybella treatments that reduce a double chin. One treatment session with our skillful practitioners takes a half hour and depending on your aesthetic goals, you may need one session every 4-6 weeks for about 6 months. Another benefit of Kybella is that the destroyed fat cells will no longer store or accrue fat; it’s a permanent solution that other options cannot duplicate.

After the procedure

The full results of Kybella will be visible within 2-3 weeks after your injections, but results can vary. Downtime is minimal, although you should take it easy for 24-48 hours, and side effects such as swelling, redness, tenderness, and bruising are usually mild and subside in 5-7 days.

Providers

Our approach & expertise

We understand that changes to your appearance, such as a double chin, can lead to a decrease in self-esteem. We’re here to provide support and offer a variety of treatment options, and what distinguishes our Kybella treatments from others is our focus on you as an individual. Our compassionate staff is here to address your questions and concerns throughout the entire treatment process.
Healthy skin is our passion, so contact us to find out more about how Kybella can erase your double chin and restore a more attractive profile.

Skin Cancer

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About Skin Cancer

What is it?

Skin cancer is the most common form of cancer in the US, affecting around 20 percent of Americans. However, it does not have to be fatal, especially when caught early. That’s why you shouldn’t ignore unusual skin bumps, lesions, discolorations, and other irregularities when they appear. Although the causes of skin cancer vary, there are common risk factors to be aware of, which include chronic sun exposure, a family history of skin cancer, fair skin, multiple sunburns throughout your life, precancerous skin lesions, and sunny and/or high-altitude climates and locales.

What causes it?

Skin cancer is caused by mutations in the DNA of skin cells, which then spreads to adjacent cells. When the spread is rapid or uncontrolled, it can easily become malignant. Three types of skin cancer are prevalent. The first is squamous cell carcinoma, which is located in cells just beneath the skin surface. The second is basal cell carcinoma (the most common type of skin cancer) which develops in the layer beneath squamous cells. Lastly, there is melanoma, the most dangerous variant. Melanoma forms under the other two layers of cells. A precancerous lesion, actinic keratosis (AK), also is possible; it usually is not life-threatening, but it can become cancerous if ignored.

Common treatments

Our skin cancer experts have the experience and training to help you overcome this disease. We highly recommend regular skin cancer screenings, especially if you are prone to the above risk factors. If a carcinoma is found, we’ll discuss the best solution with you from among the following treatment options: excisional surgery, electrodesiccation and curettage (EC&D), cryotherapy, and Mohs micrographic surgery.

Providers

Our approach & expertise

We provide an assortment of treatment options that can be customized to suit your needs based on your goals, concerns, and opinions about which treatment is right for you. We’ll be with you throughout the process with compassionate care and support so you can have your life back and live it to the fullest. We understand that a diagnosis of skin cancer can be traumatic and painful, both physically and emotionally. As your community skin cancer specialists, we’re here to provide encouragement, advice, and answers to your questions should you ever receive such a diagnosis. What sets us apart is our focus on you as a person. Our warm, compassionate practitioners are ready to address your concerns to be here as an essential part of your support.

Acne

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About Acne

What is it?

Affecting more than 50 million Americans, acne is the most common skin problem in the country. Acne is the result of clogged pores that eventually become small red bumps, or pimples, which can be characterized as blackheads, whiteheads, cysts, pustules, and more. While these blemishes commonly appear on your face, they also can develop on the neck, shoulders, upper arms, chest, back, and buttocks.

What causes it?

When the clogging in your pores builds up too much, they become a breeding ground for P. acnes, the bacteria that cause pimples to develop. However, it’s important to remember what doesn’t cause acne: stress, fried foods and other poor diet choices, poor hygiene, and hormones. While it is true that these things can worsen your acne, there is no truth to the myth that they actually cause the condition.

Common treatments?

Many acne treatments are available, but their efficacy can differ from person to person; what works for you may not work for someone else. Furthermore, some medications and treatments are more effective for milder cases of the condition, while other treatments are better for severe breakouts. Mild or moderate cases of acne (i.e., a few blemishes, whiteheads, and/or blackheads) can be erased with simple over-the-counter medications with benzoyl peroxide, retinoids, or salicylic acid. However, for severe acne cases (red, swollen, often painful blemishes consisting of cysts and/or nodules), an array of treatments can work: these include prescription-strength topical or oral medications, antibiotics to destroy the acne-causing bacteria, a variety of light therapies (including lasers), chemical peels, and drainage and extraction procedures for the most stubborn acne.

Providers

Our approach & expertise

We know how acne can impact you, regardless of age. Not only does it affect your skin, but it can also make you self-conscious about your appearance. As your community skin and acne specialists, we’re here to provide support and answer all your questions. Our knowledgeable dermatologic experts work with you to minimize the effects of this condition and offer solutions that can be customized just for you. We’ll also address all of your concerns and provide compassionate support throughout the entire process.
Healthy skin is our passion. Contact us today to find out how we can address your acne condition to improve both your skin and self-esteem.