November 2014 Newsletter for Dermatology Associates of Charlotte

Caring for Pierced Ears

It takes just a few minutes a day to keep newly pierced ears healthy. This month’s video shows you exactly what you need to know. You’ll learn how to avoid an infection and prevent the piercings from closing.

If you know anyone with newly pierced ears, be sure to share these dermatologists’ tips.

Caring for pierced ears (1:30)

Ear piercing is now offered at the DSC office. Call for details.

What Dermatologists Tell their Patients

If you plan to get your ears pierced, ask the person piercing your ears to use earrings made of surgical steel, titanium, 14- or 18-karat gold, or niobium. Earrings are more likely to cause itchy, red skin when made of nickel, cobalt, or white gold.

Related Resources


Office News

ZO Store is back!

Zo Medical

  • Revised and expanded original protocols
  • New guidelines for the safe use of hydroquinone
  • New alternative to hydroquinone
  • Improved patient results and compliance

Call to make an appointment with our esthetician to discuss this new line for your skin!  Then, you can go to our online store and order products whenever you need them.

Dermatology in the News

Eczema know-how helps people feel better
The National Eczema Association (NEA) designates each October as Eczema Awareness Month. This October, the NEA encourages everyone to help “spread the word!” about eczema.
The type of eczema that the NEA wants people to know more about is atopic dermatitis. This type of eczema tends to develop during the first year of life. It causes intensely itchy skin. The itch can cause a child to scratch so often that the skin bleeds. Intensely itchy skin can keep children awake and even lead to sleep deprivation. Skin infections are common.
Learning more about eczema has benefits. Awareness can teach others that eczema is never contagious. It can encourage parents to seek proper treatment, which can help ease the discomfort and improve a child’s quality of life.
You can learn more about atopic dermatitis, get dermatologists’ tips, and even share your child’s story by going to these Academy resources:

If you or your child has eczema, connecting with others facing similar challenges can help. You’ll find links to eczema support groups across the United States at NEA Support Network.

When should you see a dermatologist?
If you had a serious skin disease, what medical doctor would you see? Would you rely on your primary care doctor? Would you see a dermatologist? That’s exactly what dermatologists wanted to know, so they asked Americans throughout the United States.
The dermatologists discovered that many people misunderstand what dermatologists really do. This misunderstanding can affect whether people get the care they need for a serious skin disease.
To learn more about this study and the conditions dermatologists treat, read Many think of dermatology as superficial: Survey.

Academy resources:

Sign of internal disease can appear on skin
Many skin conditions are just that, skin conditions. Occasionally, itchy bumps or discolored skin is a sign of an internal disease. Before jumping to conclusions, it’s wise to see a dermatologist for a diagnosis. When your dermatologist thinks that something else is going on, testing will be recommended.
You should see a dermatologist if you notice any of the following on your skin:

  • Velvety-feeling patches on your skin or a dark crease on the back your neck? This could be a sign that you should have a test for diabetes. Learn more at acanthosis nigricans.
  • Itchy bumps on your wrists, ankles, or elsewhere? This might be a sign of hepatitis C. Learn more at lichen planus.
  • Suddenly seeing welts that itch or sting? This could be a sign of an allergic reaction. Learn more at hives.

Most of the time, these skin conditions affect only the skin. Having an expert examine your skin can ease any concerns. If your dermatologist recommends testing, be sure to follow up. A warning sign on your skin can help find a health problem early when treatment is most effective.

Camp photos capture one-of-a-kind experience
Camp Discovery is a unique summer camp. It gives kids living with a serious skin disease the opportunity to experience summer camp. For some children, this is only possible because the kids receive expert medical care from dermatologists and other medical professionals while at camp.

Many past campers say they look forward to camp all year long.

2014 Camp Discovery photo gallery.

Microneedling: Don’t try it at home, dermatologists say
Studies have shown that microneedling can improve the appearance of scars and minimize wrinkles, but do-it-yourself kits put users at risk of infection and scarring, dermatologists warn. Three consumers treated at a spa suffered allergic reactions to serums applied after microneedling, according to a report in JAMA Dermatology. The Wall Street Journal (tiered subscription model)/Aches & Claims blog (10/6)

Post-rejuvenation skin care is key to lasting results
Patients who receive skin resurfacing or laser therapy to rejuvenate sun-damaged skin must limit sun exposure to prevent complications and get the best results, dermatologist Vivian Bucay says. People often believe treatment results will last indefinitely, and patient education is important, Bucay says. “They can understand ours is a long-term relationship that will require effort on both sides in order to achieve an optimal outcome,” she said. Modern Medicine/Cosmetic Surgery Times (9/30)

Dermatologists agree: Use sunscreen and retinol to keep skin looking young
Dermatologists’ top skin care recommendation is to use sunscreen every day, and they also agree that retinol-containing products go a long way toward keeping skin young-looking. “I don’t know anyone over age 25 who could not benefit from a nightly retinol product,” says dermatologist Brooke Jackson of the University of North Carolina at Chapel Hill. Over-the-counter products are a good starting point, but prescription retinols are stronger and work faster, says dermatologist Emmy Graber of Boston University. The Huffington Post (9/29)

More men seek aesthetic dermatologic procedures
Some 40% of the patients’ dermatologic surgeon Michael Eidelman sees at his practice are men seeking treatments such as wrinkle-relaxing injections, eyebrow sculpting, dermal fillers, laser hair removal and teeth whitening. Dermatologic surgeons Vic Narurkar and Arielle Kauvar say they see more men seeking procedures such as laser rejuvenation and cryolipolysis. GQ (10/2014)

Lack of regulatory oversight means more patients injured by lasers
Patients seeking hair removal and skin resurfacing or rejuvenation at medical spas and retail clinics have been burned, blistered and scarred from botched laser jobs. “I see patients all the time getting burned from going to medical spas,” dermatologic surgeon Susan Van Dyke said. The Arizona Republic (Phoenix)

Probiotics May Become Popular Skin Aid.
ABC News (10/15) reports that probiotics, long a dietary staple of some health aficionados, are likely to become increasingly common in skin care treatments. Similar to how they calm gastric inflammation, “Probiotics send signals that stop your skin cells from reacting to bad bacteria, reactions that cause, you guessed it, acne or rosacea, the American Academy of Dermatology reported this year.”

Probiotics show up in skin care products
Makers of skin care products are increasingly adding probiotics to creams, face washes and face masks, and research has shown that topical probiotics can inhibit acne and rosacea. “When you apply a probiotic directly it can actually act as a barrier because it’s competing with the bad bacteria from taking hold,” said dermatologic surgeon Whitney Bowe, a clinical assistant professor at Icahn School of Medicine at Mt. Sinai Medical Center. ABC News (10/14)

Shifting cultural norms led to rise in melanoma rates
Changing fashions, cultural attitudes about tanning and beliefs about health have contributed to rising melanoma rates, according to an article in the American Journal of Public Health. Tans were once associated with low socioeconomic status but gradually became associated with leisure and good health, revealing clothes became more acceptable and sunshine became associated with curing rickets and tuberculosis. “Attitudes and behaviors shape exposures. More skin, more sun and more tan lead to more melanoma,” said Dr. David Polsky, a professor of dermatologic oncology at NYU Langone Medical Center. HealthDay News (10/7)

Study: Patients with moles might be at high risk for melanoma
Patients who have moles might be at higher risk for melanoma than their peers without moles and should be monitored closely, according to a study presented at the 15th World Congress on Cancers of the Skin. For example, patients with a mole on the trunk had an 8.99 rate ratio for a melanoma on the trunk and a 5.66 rate ratio for a melanoma elsewhere. (10/1)



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