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Excel V Laser

Paradise Dermatology is excited to now offer a solution to patients concerned with rosacea, facial veins, cherry angiomas, and spider veins on the legs - the Excel V Laser

What is the Excel V laser?

 The Excel V laser system uses a unique, high-powered multi-wavelength laser that eliminates unwanted blood vessels on the face and body and reduces facial redness. 

How many treatments will I need? 

The number of treatments will depend on condition and area treated.  Results are seen with one treatment, but some conditions such as rosacea and facial redness get the best results with multiple treatments.

Is the treatment painful?

Treatments are quick and pain-free.  The laser treatment can feel similar to a rubber band snapping against skin. Depending on the procedure, a cooled treatment tip will be in contact with the skin to protect and provide comfort during the procedure.

Are there side effects or downtime?

Redness and swelling are common after treatment but typically resolve in a few days. If you are having leg veins treated, we will ask you wear compression wraps to the treatment area for 3-5 days and avoid activities that heat the body up like saunas or workouts for a few days. 

Excel V laser is a great tool to help you have the clear, beautiful skin you want. Call our office to schedule a consult. 

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December Blog Image

Many of our patients come in for skin checks and have one or more skin biopsies (samples) performed to determine if a suspicious lesion is benign or malignant. How do we determine which lesions are worrisome? What elements of the patient’s history make us concerned for a malignant lesion? What does it mean when we reassure you that a lesion is benign? What about a malignant lesion – how worried should you be?

A benign lesion or tumor is a noncancerous growth. Non-cancerous means it is unable to spread throughout the body. Benign lesions can be removed if they are irritated or bothersome, otherwise they are harmless.

A malignant tumor has the ability to grow uncontrollably, metastasize (spread) to other areas of the body and invade normal surrounding tissue. Malignant tumors can bypass the body’s normal mechanisms to control cell growth and spread. As malignant tumor invades surrounding tissue and spread to other areas of the body, they cause destruction along the way.

The most common malignant tumor of the skin is a basal cell carcinoma. They are locally destructive but rarely metastasize. They create a slow growing, non-healing sore on the skin. If left untreated they can be disfiguring and painful. Recently there has been much debate whether these “slow growing, nonlethal cancerous lesions” are being overtreated, especially in the elderly. I know I opted for more conservative treatments in my elderly patients and often deferred treatment if the lesions are small and not bothersome.

One of the less common but more dangerous malignant tumor of the skin is melanoma. Even small lesions with no symptoms can eventually metastasize and be fatal. Many of my patients come in for other concerns like itchy rashes or sore, rough spots and we incidentally find a melanoma on their back or leg. This is why I encourage all my patients to have a once a year full body skin check. The most dangerous skin lesions are not necessarily the ones that bother them!

What types of lesions should you be worried about?

  • New or changing mole or one that looks different than other moles
  • Non-healing sore or sore that heals and returns
  • Brown or black streak under a nail
  • Dome shaped growth

 PD October Blog Image Skin

Interesting Facts About Your Skin!

Your skin is the human body’s largest organ.
Skin accounts for about 15% of your body weight.
The average adult skin weighs approximately 9 lbs.
Your skin is its thickest on your feet (1.4mm) and thinnest on your eyelids (0.2mm).
You renew your skin every 28 days.
When you get a sunburn, it’s not your skin cells being damaged by the sun and dying, it’s your skin cells’ DNA being damaged by the sun and them killing themselves so they don’t turn into cancer
Your skin constantly sheds dead cells, about 30,000 to 40,000 cells every minute.
It is estimated that at least half of the dust in your home is actually dead skin.
Scar tissue lacks hair and sweat glands
Sweat is odorless, it’s the bacteria that produces body odor
Your skin contains more than 1,000 species of bacteria.
On average, 14 types of fungi species grow in between your toes.
It takes 6 months for babies to form their natural skin tone

PD October Blog Image Milia

What are Milia?

Milia are tiny white bumps or cysts that appear under the skin. These bumps are often confused with acne, but they are really a completely different type of skin breakout. They are typically one to two millimeters(1-2 mm) in size and can show up as single bump or in clusters. Milia are most common in newborns but many adults and children suffer from them as well. They are not contagious and are painless and completely harmless.

How to treat Milia?

Although milia are found in the outer layers of skin, they are difficult to remove without the proper tools. Do not try to remove them at home, as you may leave a scar. Milia are best treated in a dermatology office or by a licensed Aesthetician. The practitioner will create an opening in the above layer of skin and express the milium contents. Although it sounds invasive, milia extractions are rather quick and pain free. If you are prone to milia, a topical retinoid may be prescribed to help decrease the frequency of break outs.

Mole blog image

Mole or Melanoma?

Summer is fast approaching and that means more fun in the sun! It is time to get sun-smart to prevent UV radiation from causing skin cancer. It is estimated that one in five Americans will be diagnosed with skin cancer. Melanoma is a type of skin cancer that develops from changes in our melanocytes, the pigment producing cells in our skin. Melanoma can occur anywhere on the body. If left untreated, melanoma can spread to organs inside the body and ultimately lead to death. Melanoma is estimated to claim 10,000 American lives this year and is considered the most deadly type of skin cancer. However, if detected early, melanoma can be easily treated with a five-year survival of 98%! It is important to check yourself monthly and receive annual full body skin exams.

Sun exposure is the most preventable risk factor for melanoma. It is recommended that you use an SPF of 30 or greater daily and to reapply often. Other risk factors for the development of melanoma include light skin and hair, many moles or freckles, those with a 1st degree relative with the diagnosis of melanoma, a personal history of a previous melanoma, or immune suppression. Melanoma is usually black or brown but can be multicolor, blue, black or colorless. When checking your own skin, it is important to remember the ABCDE’s of melanoma.


Mens Skincare Blog Image

Yes, men come to the dermatologist for more than their annual skin check. Here are some of the top skin concerns I hear from men and some of my recommendations:

1. Dry, flaky skin – most of the time this is a seborrheic dermatitis – a common rash that causes dandruff in the scalp, dry skin in the ears and dry, flaky skin around the nose, beard and eyebrows. It is a reaction to common yeast on the skin. Some patients improve with using dandruff shampoo to wash the effected areas. Others improve with prescription treatments like Promiseb or Alocortin A, which treat the overgrowth of yeast and calm irritated skin.

2. Oily skin – men don’t have powders and make up to cover up oily skin. They are looking for treatments to reduce the shine and oil. Many acne treatments reduce oil, so I usually start with those. Benzoyl peroxide (BP) washes and retinoid (aka Retin-A) products reduce oil production. Proactive and Panoxyl are two readily available BP washes. Now there is a topical retinoid available without a prescription – Differin is a gentle form of retinoid available over the counter. I also like the Revision Retinol Complete treatment – it is gentle and effective.

3. Aging skin – fine lines, crow’s feet and brown spots. Sun exposure is primarily responsible for signs of skin aging, so I always remind men to wear sunscreen everyday and wear a hat when outdoors. Revision Intellishade is a great Super Sunscreen – it SPF 45 with antioxidants and peptides to reverse skin aging. Popular treatments with men include Botox for crow’s feet and frown lines, Forever Young BBL laser to even out brown spots and redness, and Kybella to reduce the double chin.

My aim with my treatments and recommendations is to maintain good skin health, keep things simple, and deliver results.MEN BFW DEJE MPC wise guys 1505 CC

Restylane blog image

As we age, one of the most common concerns we have is the appearance of wrinkles. And although the formation of wrinkles is a natural part of the aging process, we’d all like to find the best techniques for diminishing them. At Paradise Dermatology, a few of our favorite treatment options are Restylane® Refyne and Restylane® Defyne. These new next generation fillers are used to smooth wrinkles and folds that may form at the sides of your nose down to the corners of your mouth—AKA, your “laugh lines”. The key thing to know about these fillers is that they are safe, easy and produce lasting results.

Let’s dig a little deeper. Here are the main reasons why these fillers are at the top of our list.

  • These fillers are flexible and stretchable so they move within the face as facial expressions are made
  • This new XpresHAn technology™ produces very natural results
  • Results last 12 months
  • There is minimal discomfort associated with the procedure

Our providers; Sue McCann, ARNP-BC and Dr. Michelle Pennie have mastered their skill of injectables over many years of experience. They are happy to share this expertise with you in order to produce the most effective and natural looking results possible.

If you’d like to learn more about Restylane® Refyne and Restylane® Defyne, please give us a call.

Rosacea blog image

If you haven’t heard: April is National Rosacea Awareness Month. And while we’ve all heard about rosacea, surprisingly, 95% of Americans suffering from it know little to nothing about it—or its signs and symptoms. This may be due to the fact that it’s often mistaken for acne or other common skin conditions. So let’s break down what it is, what causes it and treatment options.

What is Rosacea?

Rosacea is a common skin condition that causes redness in your face and often produces small red bumps similar to acne. Most people with rosacea seem to flush or blush more often than the average person. Rosacea can’t be cured, but can be controlled. Left untreated, rosacea tends to worsen over time. Using your medications faithfully can give you much clearer skin and help keep the symptoms from coming back.

What Causes Rosacea?

This is unknown! There are many theories about what can cause rosacea, though:
• Bacteria
• Blood vessel abnormality
• Neurologic abnormality
• Demodex (follicle mite)

What Triggers Rosacea?

There are many potential trigger factors, but they do not affect all people with rosacea. Here are the most common ones:
• Alcohol
• Spicy foods
• Stress
• Exercise
• Extremes of heat or cold
• Some fruits; including tomatoes, citrus and bananas
• Irritants applied to facial skin (soaps, astringents)

What Are Treatment Options for Rosacea?

• Oral antibiotics to reduce inflammation
• Topical antibiotics to reduce red bumps (Metrogel, Finacea)
• Laser ablation of dilated blood vessels
• Mirvaso cream to minimize appearance of redness and flushing
• Soolantra cream to reduce inflammation and provide anti-parasitic properties

Have further questions about rosacea? Give us a call or make an appointment today. We’re always happy to help!

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An Affiliate of Premier Dermatology, LLC