The term porokeratosis refers to skin lesions with a thin center, surrounded by a ridge-like border called the "cornoid lamella". The cause of this condition is unknown, however there may be a genetic disposition to developing it. Porokeratosis of Mibelli is one type of porokeratosis, however other types of porokeratosis include linear porokeratosis or disseminated superficial actinic porokeratosis (DSAP). Lesions start as small, light brown, scaly papules and patches, that may join into one or more plaques with irregular boundaries.
Here is a photo of an actual patient who was battling toenail fungus, also known as onychomycosis, for years. I started him on a topical antifungal medication called Jublia, and look at his transformation! This is my actual patient, and photos are posted with permission. Images are copyrighted by Dr. Cindy Berthelot, MD.
Onychomycosis may affect one or more toenails and/or fingernails, and most often involves the great toenail or the little toenail. It can present in one or several different patterns:
Botox for crow's feet is one of our most requested procedures we perform in our office. It can help relax and soften the lines around our eyes. With just a few simple injections, results can be dramatic! Crow's feet are thought to be caused by repeated muscle contractions over a lifetime through facial expressions like frowning, smiling and squinting. Injections may last approximately 3-4 months, depending on the patient.
Many of my patients wonder why I only recommend Vaseline after surgical procedures. This is a photo of a patient I saw today, who was applying Neosporin on his wound. You can see the small blisters along his wound edge. Neomycin was the allergen of the year in 2010. With repeated usage, about 10% of people will develop an allergy to this antibiotic. In addition, studies have shown that non-infected wounds do not heal faster with Neosporin versus Vaseline. These same studies have shown that white petrolatum jelly (Vaseline) is the preferred wound care agent after skin procedures.
This patient wanted a fuller upper lip, and defined cupid's bow. I added volume with Restylane to subtly increase her pout, and soften the fine lines in and around her lips. Studies have also shown that hyaluronic acid fillers, such as Restylane, Juvederm, and Belotero, increase collagen production after injections. I believe the most natural temporary fillers are hyaluronic acids, such as Restylane and Juvederm. Depending on the filler used, results may last up to 6-8 months. You will see the results almost immediately.
My heart is so full today. I'm taking time to celebrate this moment. Being a solo private dermatologist is sometimes hard, but so worth it. We have amazing patients, employees I value to the core, and a neighborhood that has embraced me with open arms. Happy Boss's Day to all the boss's out there! #houstonskindr #skincare #dermatology #happybossday #riseandgrind
Botox (technically called onabotulinumtoxin A) is specifically FDA approved for treating frown lines between the eyebrows (glabellar lines), and lines around the eyes (crows feet). The most popular use of Botox is to temporarily smooth facial wrinkles around the eyes and forehead. It is also used to temporarily treat many medical conditions, and cosmetically to remove wrinkles. Botox injections work by weakening or paralyzing certain muscles, or by blocking certain nerves.
A milium is a small cyst containing keratin (skin protein); if there are multiple milium, then they are referred to as milia. These harmless cysts present as tiny, pearly-white bumps just under the surface of the skin. Milia are common in all ages and both sexes. They most often arise on the face, and are particularly prominent on the eyelids and cheeks, but they may occur elsewhere. Milia can be found in infants, children, in certain genetic conditions, after trauma, and rarely after certain topical medications.