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| Acne Control |
Acne is the common term used for pores that are blocked (blackheads and whiteheads), pimples, and even deeper lumps (cysts or nodules). Acne can occur on the face, neck, chest, back, shoulders, and even the upper arms. It is one of the most common skin disorders affecting every age group, although the majority of cases are seen predominately during the teen years. While it is not a life threatening condition, acne, especially when severe, can lead to serious and permanent scarring, both physically and psychologically.
Control of acne is an ongoing process. All acne treatment works by preventing new acne; existing blemishes must heal on their own. Improvement takes time. If your acne has not improved after 6-8 weeks, you may need a change in your treatment.
The treatment your dermatologist recommends will vary according to your type of acne. Occasionally, an acne-like rash can be due to another cause, such as from makeup. It's important to help your dermatologist by providing a history of what you are using on your skin or taking orally. Many non-prescription acne lotions and creams help milder cases of acne, however many can also make your skin dry if used too often. ...More details |
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| Acne Rosacea |
Rosacea is a frequently seen skin disorder which presents itself as diffuse redness, flushing that comes and goes, telangiectasia (distended capillaries and couperose), especially in the nose and upper cheeks, or may involve large, isolated or widespread papules and pustules. The lesions and problems normally affect the center panel of the face, mainly the nose and cheeks, but may involve the forehead and chin as well. In advance stages, the nose can become enlarged in a condition known as rhinophyma.
No cure is known for rosacea, but it can be managed with dermatological care. Treatment modality varies according to the patient's condition. Mild topical steroids and topical antibacterial agents may improve rosacea in the first three to four weeks.
Systemic antibiotics tend to produce faster results than topical agents. Oral isotretinoin has proved an effective agent for patients with rosacea resistant to the use of antibiotics, reducing both erythematic and the number of inflammatory lesions, and improving rhinophyma if present.
Laser surgery is a safe, effective way to help telangiectasias disappear, but it is not known if this has a permanent effect on reducing flares (patients report less flaring after laser surgery). It is a relatively painless outpatient procedure with minimal postoperative wound care. Selective lasers give excellent response in eliminating erythema and telangiectasia, as well as in diminishing papules and pustules.
Rhinophyema may be sculpted by a different type of laser surgery, significantly reducing the size. Additionally, excess tissue that developed can be carefully removed with a scalpel or elector surgery. Derma abrasion can be helpful in improving the look of scar tissue on the facial skin. ...More details |
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| Vitiligo |
Vitiligo is a skin condition affecting any part of the body, causing milky-white patches as a result of loss of pigment (melanin). Melanin determines the color of skin, hair and eyes and is produced in cells called melanocytes. If these cells die or cannot form melanin, the result is white patches. The white patches are commonly found on the face, lips, hands, arms, legs and genital area. Vitiligo is associated with systemic illnesses such as diabetes and pernicious anemia.
In some cases, the best treatment for vitiligo is no treatment at all. For people with fair skin, avoiding tanning of normal skin can make areas of vitiligo almost unnoticeable. However, for those with really white vitiligo skin, it is easily sunburned and should be protected with use of a sunscreen of SPF 15 or higher.
Vitiligo can be disguised with waterproof cosmetics available in a variety of colors matching most skin tones. There are self-tanning creams that contain a chemical called dihydroxyacetone that do not need melanocytes in order to tan the skin, in addition to stains that dye the skin, and can be used to dye white patches to more closely match normal surrounding skin. Additionally there is micropigmentation (tattoo) for small areas. Except for tattooing, all other remedies are not permanent, nor do they change the disease, but they can improve the appearance.
Depending on the case, treatment aimed at returning normal pigment (repigmentation) or destroying remaining pigment (depigmentation) may be recommended, although none of the repigmentation methods are total, permanent cures. ...More details |
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| Warts |
Warts are benign skin growths caused by infection with the Human Papiloma virus. They are a common disease affecting around 10% of the population, with peak incidence occurring between the ages of twelve and sixteen years. Warts can be spread by contact or autoinoculation. The average incubation period is two to three months.
When other treatment modalities fail, laser therapy will eliminate most types of warts. L'institute offers patients several selective lasers in the treatment of warts. The efficacy of laser therapy, in addition to its ease and lack of pain and scarring, make laser therapy a superior tool in eliminating most warts over that of the traditional modalities.
Selective lasers; yellow, red and infra red long pulse, along with the Erbium YAG, are used for all types of warts, including for those patients with recalcitrant warts. Lesions appear gray to purpuric; becoming black after 24 hours. Generally, patients are treated every 1-2 weeks until resolution.
Wart regression following laser therapy, results from vascular-specific injury inflicted on the prominent dermal blood supply, which is thought to provide nutrients to infected epidermal cells. ...More details |
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| Atopic Dermatits |
| ... Atopic dermatitis is an intensely pruritic, chronic eruption often associated with a family or personal history of asthma, hay fever or eczema. Patients with atopic dermatitis are more liable to viral and bacterial infections. It is the most common type of infantile eczema; approximately three percent of infants have some evidence of atopic dermatitis during the first few months of life. Around ninety percent of affected children manifest their disease by five years of age. About fifty percent of children with atopic dermatitis develop either rhinitis or asthma. Although atopic dermatitis may disappear with time, it is estimated between thirty and eighty percent of atopic patients will continue to have intermittent exacerbation throughout life, often under physical or emotional stress. ...More details |
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