Chemical peels are topically applied formulas that revitalize the skin surface by creating an even, and controlled shedding of skin cell. Chemical peels remove old, dead skin cells from the outer layers of the skin in order to reveal new under layers of skin that are softer, smoother, brighter, even toned, and more radiant appearance. Peels can address a myriad of skin issues including acne, sun damage, hyperpigmentation, wrinkles and lines, clogged pores, and even pre-cancerous skin lesions.
As you get older, more than half of the general population will develop some form of skin tags within their lifetime. For many people unwanted skin tags can be a source of embarrassment, or poor self image. Skin tags often look like small little skin colored balls, and can dangle off of your skin. They like to occur in areas that rub, such as the neck, under the arms, groin area, and around the eyes. Skin tags can vary in number from a single tag, to a cluster of dozens. One may have a genetic predisposition, but they can grow in anyone.
This is a photo of a patient who had actinic keratoses on his skin, also know as pre-cancers of the skin. He was previously treated with liquid nitrogen. However, he had recurrent lesions and we decided we needed to treat him with a chemotherapy cream called 5-fluorouracil (5-FU) cream to obtain better response and clearance rate. This photo is 2 weeks into his treatment.
Chemical peel progression! This patient had four peels to help improve her acne scarring. Acne scarring is the direct result of deep trauma or inflammation. External factors, such as picking or scratching your acne, can make acne scarring even worse. Acne scars manifest as areas of pitted or raised skin, and can occur any where on the body.
There are my favorite sun protective gloves! They are from Coolibar clothing, and online retailer that offers sun protective clothing, UV protection swimwear, sun hats, and sunscreen that will help protect against the UV rays that cause skin cancer. The bonus is these gloves will also help your skin from getting sun spots. One of the most common concerns I hear from patients is how one's hands look older, typically because of sun spots and thinning of the skin. I wear these every time I drive, even if it is cloudy or raining. I also wear these when I am getting my nails done.
Here is a before and after photo of my patient who had only ONE treatment of Vbeam laser for her rosacea. Vbeam lasers can safely and effectively remove vascular lesions, port wine stains, and facial veins. It may also be utilized in post-acne redness, and acne scarring. The Vbeam laser uses Pulsed Dye Laser (PDL) technology to deliver intense but gentle bursts of light onto the targeted areas of the skin. The light is absorbed by the blood vessels in the dermis, causing the pigment to disperse.
I thought this photo was appropriate for the upcoming holidays! I saw a patient today who had an irregualar thumbnail in the shape of a Christmas tree. After further questioning, the patient admitted she routinely picks at her nail and cuticle. This condition is called Median nail dystrophy, or Median canaliform dystrophy of Heller.
Here is a photo of a patient who was battling toenail fungus for years. I started him on a new anti-fungal topical medication that does not require any lab testing, and look at the transformation!
Dr. Cindy N. Berthelot, M.D. is a board certified dermatologist treating patients in the greater Houston community, including Clear Lake, League City, Friendswood, Pasadena, Deer Park, Dickinson, Pearland, Alvin, Seabrook, Kemah, Webster, Galveston, Texas City, La Marque, and Santa Fe, Texas. To make an appointment with Dr. Berthelot, please contact us at 281.480.7272.
Chemical peel progression! This patient of mine had a series of three chemical peels for her acne and acne scarring. She was super happy with her results, and her skin looks more smooth and luminous in the bottom photo. Best results are typically seen after 3-6 chemical peels. Peels are an amazing way to easily resurface the skin, improve fine lines, reduce sun spots, and rejuvenate the complexion.
Shave biopsy is one of the most widely used procedures performed in dermatology practices. The technique is used to obtain tissue for testing, and is useful for removing superficial lesions in their entirety. Pedunculated (elongated) lesions above the skin surface are particularly well suited for this removal technique, however flat lesions that are higher in the dermis may also be removed by shave technique. There are three main types of skin biopsies: