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:
Acne blemishes often appear very quickly, and your first reaction may be to pop the pimple. However, the short-term benefits of popping may end up leading to long-term harm to your skin. Popping the pimple destroys this barrier, exposing it to bacteria and other harmful environmental irritants. Here are a few issues that can arise from pimple popping:
The most common negative effect of popping a pimple is the development of even more pimples. This happens as excess oil and bacteria leak out of the pustule, and become reabsorbed back into the pores.
This patient was squeezing lemons for lemonade over Easter weekend, and subsiquently developed these strange, punctate, round blotches her hands. A visit with me quickly identified her rash as phytophotodermatitis. This is a phototoxic reaction to contact with certain plants. Phytophotodermatitis generally occurs during in spring or summer following some outdoor activity on a sunny day during which there has been contact with one of the responsible plants. Its name has 3 components: phyto (plant), photo (light) and dermatitis (inflammatory rash).
Here is a photo of a patient's acne journey with medical grade skin care and treatment. This patient received a series of 4 trichloroacetic acid (TCA) peels for his acne and acne scarring. A TCA peel is a chemical peel used for skin resurfacing. A solution of TCA is applied to remove the outer layer of skin, and allows new, healthier skin to emerge. TCA chemical peels are commonly used to treat sun damage, facial wrinkles, uneven skin tone, acne, and pigment abnormalities. We would individualize the treatment to your particular type of acne.
This patient has a condition called acne rosacea. He received 2 months of medical treatment with an oral pill, and topical prescription creams. He was very pleased with his results, as he suffered with acne rosacea for years before seeking treatment. Rosacea is a chronic skin condition that causes redness of the skin, especially on the face, and can also cause skin sores that resemble acne, and possibly swelling. While rosacea is harmless, it can create embarrassment and self-consciousness in those who suffer from it.
This patient was concerned about the sun damage on her hands. We performed only one treatment of IPL/PhotoFacial, and her results are significant! IPL/Photofacial uses precise amounts of visible light (IPL is ‘intense pulsed light’) to effectively treat facial redness and improve sun-damaged skin. The light energy is absorbed by the damaged tissue resulting in a stimulation of the production of collagen. Through this stimulation of collagen, the appearance of aging skin is softened, fine lines and wrinkles are improved, and dark pigmentation and age spots fade.
Rosacea is a chronic skin condition that causes redness of the skin, especially on the face, and can also cause skin sores that resemble acne, and possibly swelling. While rosacea is harmless, it can create embarrassment and self-consciousness in those who suffer from it. In fact, a majority of rosacea patients report a loss of self-esteem and adverse affect on social and professional interactions due to the condition.