Dr. Berthelot's blog

What to look for: ABCDE's of Melanoma

Follow these tips from board-certified dermatologists to increase your chances of spotting skin cancer early, when it’s most treatable. If you notice any new spots on your skin, spots that are different from others, or spots that are changing, itching or bleeding, make an appointment to see a board-certified dermatologist.

A = Asymmetry
One half is unlike the other half.

B = Border
An irregular, scalloped or poorly defined border.

C = Color
Is varied from one area to another; has shades of tan, brown or black, or is sometimes white, red, or blue.

Botox for the Neck

After seeing my neck in a few selfies, I was concerned about the fine lines I was beginning to notice. Little horizontal creases, etching their way into my neck and threatening to become permanent if I didn't act fast! I decided it was time to get these little lines gone. My schedule is super busy, so I thought the simplest way would be to inject Botox into my "platysma" muscles. Botox is not just strictly for your "11's", or crow's feet. A little-known technique is also using Botox to paralyze neck muscles, and smooth out fine lines.

Another Pulse Dye Laser/Rosacea Success Story

Here is a photo of my patient with rosacea of the central face, and thick, dilated, purple colored vessels around her nose. After three sessions of Vbeam/Pulse Dye Laser, the patient was ecstatic with her results! We have been getting great, consistent results with this laser, and my patients have been so grateful. They are more confident about their skin, and many of my patients tell me they can finally walk out of their house without make-up!

Chemical Peels for Acne and Acne Scarring

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.

Skin Tag Removal

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.

Actinic Keratosis: Red, scaly patches on your skin

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.

Sun Protective Gloves

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.

Bye Bye Redness and Rosacea!

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.

Nail Deformity in the Shape of a Christmas Tree

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.

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