972-985-9003
Plano | 5044 Tennyson Parkway, Suite B, Plano, TX 75024
McKinney | 4701 Medical Center Drive, Suite 1B, McKinney, TX 75069
Flower Mound | 4001 Long Prairie Road, Suite 145, Flower Mound, TX 75028
Grapevine | 1042 Texan Trail, Suite 200, Grapevine, TX 76051

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You can meet us in our conveniently located offices in Plano, McKinney, and Flower Mound. Dr. Selkin, our director, is a Harvard-educated dermatologist with extensive experience in both cosmetic and medical treatments. Browse our blog to learn more about the various conditions we treat, and innovative new happenings in the world of dermatology.

Plano dermatologist shares the importance of addressing sun spots on the skin to fight the signs of aging

12/06/16 | by admin | Categories: Sun Spots

Sun SpotsIn our Plano office, we see many women who are unhappy with the lines and wrinkles. But many don’t realize that sun spots also contribute to an aged appearance. Nearly two-thirds of women over age 35 have discoloration, sun spots, or uneven skin tone. These skin conditions can make the face appear much older. To achieve a more youthful appearance, patients should be addressing sun spots and uneven skin tone as well as wrinkles and fine lines.

 

In dermatology, we refer to these skin conditions as hyperpigmentation, but they may be called:

 

  • Age spots
  • Sun spots
  • Liver Spots
  • Solar lentigines

 

To address sun spots and other hyperpigmentation issues, we may recommend the following treatments:

 

  1. 1.       Topical treatments. There are several products available that are very effective in evening out skin tone and minimizing the appearance of dark spots on the skin.
  2. 2.       Chemical Peels. Chemical peels remove the upper layer of skin, allowing for growth of fresh, clear skin.
  3. 3.       Light Therapy. Intense pulsed light therapy delivers focused light to the skin to reduce the appearance of spots while leaving surrounding healthy tissue untouched.

 

In addition to the above-mentioned treatments, patients who are prone to sun spots should heed the following advice.

 

Do:

  • Wear a broad-spectrum sunscreen with an SPF of at least 30 when outdoors year around. Remember to reapply often.
  • Use long sleeved clothing, pants, and hats when outside for prolonged periods of time.
  • Keep skin hydrated by using moisturizers and drinking plenty of water.

 

Don’t:.

  • Utilize indoor tanning beds. There is no safe type of tan.

When in doubt, you can always call your Plano area dermatologist. We can evaluate your sun spots, offer treatment options as well as recommendations for at-home skin care solutions to prevent additional spots from occurring.

 

Plano dermatologist explains various treatment options including light therapy for acne

10/19/16 | by admin | Categories: Acne

various treatment options including light therapy for acneMillions of teenagers and adults suffer from acne. It can be embarrassing and leave the face scarred. Acne can be found anywhere on the body, but most commonly on the face, back, neck, arms, chest, and shoulders. It is one of the most common skin disorders affecting people in the United States.

Acne occurs when the hair follicles become clogged with dead skin and oils. This process produces bumps, referred to as comedones. When comedones remain closed, the result is whiteheads. When they are open and exposed to air, the result is blackheads. Blackheads are easy to distinguish because of their color. They are not typically painful or inflamed like pimples, but can be slightly raised.

Risk factors for blackheads:

  • Hormonal changes: puberty, menstruation, birth control pills
  • Certain medications: lithium, androgens, corticosteroids
  • Overproduction of body oil

Treatments for Acne:

  1. Over-the-counter creams, gels, and pads.  Many patients are able to eliminate blackheads through medications that are available at the drugstore. Look for ingredients such as benzoyl peroxide, salicylic acid, and resorcinol. All work to dry up oil, kill bacteria, and help shed dead skin cells.
  2. Prescription Medications.  If you’ve tried over the counter methods with little success, you may need prescription medication that can help keep the hair follicles free from forming clogs. In addition, patients who have developed painful pimples may benefit from antibiotics.
  3. Photodynamic light therapy. Sometimes called blue light therapy, this treatment destroys acne-causing bacteria as well as reduces the size of oil glands. A chemical is first applied to the skin to enhance the efficacy of the treatment. Less oil and fewer bacteria can resolve acne in the affected areas.
  4. Chemical peels. We have gentle chemical peels that can be applied in the office in order to exfoliate the skin with acne fighting ingredients that work quickly and effectively.

If you are dealing with acne, there is hope. Call us today at 972-985-9003 to learn more about effective treatment methods, including light therapy.

 

 

Diagnosis and treatment for psoriasis in Plano

09/07/16 | by admin | Categories: Acne

Psoriasis is a skin condition that causes red, thickened areas of skin, most commonly on the scalp, elbows, knees, and back. Many people have mild forms of psoriasis without even realizing it, while others have outbreaks that cover large parts of the body. Psoriasis can be persistent and uncomfortable, which is why so many patients visit their dermatologist for relief.

 

While psoriasis is not contagious, it does have a genetic connection, and is likely to occur in members of the same family. It is diagnosed by a full examination, including the skin, nails, and scalp.

 

The cause of psoriasis is unknown, although it appears to be an immune response on the skin. Inflammation causes the skin cells to grow too quickly, causing the thickened, scaly patches. In most people, skin replaces itself every 30 days, and  in patients with psoriasis that process is sped up to every three to four days.

 

People with psoriasis will often notice new outbreak spots a couple of weeks after the skin is cut, rubbed, or sunburned. Psoriasis can also flare-up with infections such as strep throat or with certain medications.

 

The goal with psoriasis treatment is to reduce inflammation and control the shedding and replacement of skin. Topical treatment may include synthetic Vitamin D, retinoids, or cortisone creams. Light therapy can also be very effective in controlling psoriasis flare-ups. In some severe cases, oral or injectable medications can be used in combination with light therapy.

 

Many with psoriasis have joint pain in addition to skin involvement. The two commonly flare together. The good news is that many of the anti-inflammatory medications that treat the skin also dramatically help the joints. Often, patients think the joint pains are from exercise or aging, not realizing the link to their skin rash.

 

There has been an explosion in new medications and treatments for psoriasis, giving patients many options and the ability to maintain the skin completely clear in many cases. The providers at Center for Dermatology have extensive experience in treating all forms of psoriasis, offering patients the safest most effective regiments.

 

If you live in or around Plano and want to learn more about diagnosing and treating psoriasis, call our team today to book an appointment.

 

Can patients in Plano turn to injectable fillers for aging skin?

09/07/16 | by admin | Categories: Acne

Acne TreatmentDoesn’t everyone want to put their best face forward? Nearly everyone cares a lot about their appearance, and issues like acne can have a profound impact on them. Acne can be particularly hard during the adolescent years. It’s a time of great changes in a teenager’s life and dealing with skin breakouts and scarring can be very difficult.

 

Most people have had a pimple at some point in their lives. Unfortunately for some, it goes beyond the occasional breakout. Patients suffering from chronic acne are often left with faces covered in blackheads or whiteheads, and some bear the scars of acne for years after it has “gone away.” Because everyone’s skin is different, most over-the-counter solutions are ineffective for treating severe acne. We have several treatment options that can help restore your skin to a healthy, youthful glow and dramatically reduce the appearance of acne scars.

 

Treating adolescent acne


With proper treatment, acne can be effectively treated. The first tip is to avoid excessive washing and scrubbing, as it can make the acne worse. Gentle washing in the morning and evening with a mild cleanser and lukewarm water work best to remove excess sebum.

 

Topical treatments are a great option for mild cases of acne. These medications come in gels, lotions and creams, some of the most common being benzoyl peroxide, antibiotics, salicylic acid, and retinoids. Oral antibiotics are another option that can be very effective. Some of the most common antibiotics are doxycycline, minocycline, ampicillin, bactrim and erythromycin. For patients who are not candidates for pills or creams or prefer not to use them, Blu light therapy can be markedly effective. Safe wavelengths of light are used to ill the bacteria that cause acne, in short treatments with no recovery. For many patients, combination therapy can be the best method for complete treatment.

 

Acne is not a condition that can be cured, but it can be controlled until it naturally goes away, in order to avoid scarring and maximize appearance . With proper treatment, we can reduce outbreaks and help prevent or improve acne scars. To schedule a visit with our Plano area team and discuss acne treatment options, call us today.

 

Plano, TX dermatologist discusses some of the best treatments for sun damaged skin

06/23/15 | by admin | Categories: Dermatology

 

Nearly everyone loves to lay out by the pool on a sunny, summer day. And while long days out in the sun may seem like the only appropriate way to spend our summers, it can really take a toll on our skin.

 

No one can avoid the natural aging of the skin. As we grow older our skin thins out and loses hydration and volume. Wrinkles and lines begin to appear, skin begins to sag and birthmarks tend to look worse. Excessive sun exposure can speed up this process. It causes the skin to wrinkle prematurely, a process called photoaging. People who have experienced this type of skin damage may notice dry skin, excessive freckles or discoloration, leathery skin, and deep folds or wrinkles.

 

So, what is one to do to combat the effects of sun damage on the skin? Undoubtedly you’ve seen countless ads for creams that claim to reverse the signs of aging and sun exposure. And while some of them may help with one or two symptoms, photoaging typically requires dermatological intervention.

 

Some of the most common and best treatments for sun damaged skin include:

 

  • Topical mediations -- customizing a treatment program with specialized topical creams with ingredients such as retinol or glycolic acid is an effective way to combat sun damage at home. Our providers have tremendous experience in creating individualized programs for our patients.
  • Chemical Peels – Chemical peels work by removing the upper layer of skin. They can help minimize the visible effects of aging as the skin begins to regenerate with a smoother, improved appearance.
  • IPL Phototherapy – IPL delivers multiple lightwaves that are absorbed by the melanin in the skin. The light damages the melanin and it is then absorbed by the body. This makes sun damage or age spots less visible on the skin.
  • Facial fillers – There are some injectable facial fillers that can address sun damage. Fillers work by targeting the collagen network and signaling the body to increase production. This adds volume and hydration to the skin that can help out hollowed areas of skin caused by sun damage.
 

Harnessing light for good with phototherapy procedure to undo damage from sun, other conditions in Plano TX

04/27/15 | by admin | Categories: Cosmetic Dermatology

 

Every day Dr. Bryan Selkin and his team see the effects of sunlight on the skin. Much has been made of how the sun’s Ultraviolet rays damage the appearance of the skin and overall health. Patients show up at the Center for Dermatology and Cosmetic Laser Surgery with everything from freckles and “liver” spots to suspicious lesions and cancers.

 

You may also read about some benefits of sunlight. Exposure to the sun’s rays has also been connected to the production of vitamin D, beneficial to keep bones strong.  Exposure to sunlight is also thought to boost immunity and lift those “feel good” endorphins. This could explain why a sunny day can immediately lift spirits in a way gloomy or rainy days don’t.

 

UV light can also be used as a therapy to treat a number of different skin conditions, including some types of skin cancer and challenging cases of psoriasis.

 

How is this possible?

 

By exposing the skin to controlled amounts of specific wavelengths of ultraviolet light under medical supervision, the center can effectively treat conditions such as psoriasis.

 

Unlike other skin conditions where cell turnover slows, psoriasis has the opposite effect on patients’ skin. Cells grow so quickly that they build up on the surface. The result is patches of skin that look scaly or red and may be quite painful.

 

With controlled, regular exposure to ultraviolet B light, patients’ skin cells stop growing so quickly. Narrowband UVB light uses less than 1 percent of the wavelengths found in natural sunlight. This artificial light also clears psoriasis faster and achieves longer remissions than with its broadband counterpart, which releases a greater range of ultraviolet light.

 

It is also considered a safe and effective treatment for vitiligo, whose white patches present themselves when the production of the color-giving pigment melanin slows.

 

Vitiligo and psoriasis plaques may also be treated with lasers. The excimer laser also harnesses UVB light. A beam of this high-intensity light may be emitted to a targeted area from the laser. By delivering precise amounts of laser light to the treatment area based off of the thickness of the skin and complexion, this energy starts a process of repigmentation in the case of vitiligo. The process takes only a few minutes and requires repeat sessions to see desired results.

 

Photodynamic therapy has many medical uses. In the derm world alone it can be used to treat:

  • Premalignant Actinic keratosis
  • Moderate to severe acne
  • Superficial basal cell carcinoma and other nonmelanoma cancers
  • Psoriasis
  • For photorejuvenation (treating sun damage such as spots)

 

The light used in PDT works with a drug that selectively destroys abnormal cells. The drug is applied to the skin and becomes activated only when in contact with a controlled amount of specific, intense wavelengths. 

 

One of the many benefits of these therapies is they are so targeted. Also, no oral medications are needed, avoiding side effects on internal organs. Surrounding healthy tissues are not touched or damaged during sessions. In addition, these procedures may achieve results in patients who have tried numerous other medications and topical products with no success.

 

Contact the team to find out what phototherapy procedure in Plano TX is best for you.

 

McKinney patients ask, “What are the best treatments for sun damaged skin?”

04/21/15 | by admin | Categories: Cosmetic Dermatology

 

Who doesn’t love spending a day out in the sunshine enjoying the beautiful weather? While this may seem like a great idea, the problem is that too much sun exposure can cause the premature aging of the skin. We’re all familiar with the natural aging of the skin, including loss of elasticity and volume along with wrinkles. Sun damage can worsen these natural effects of aging. When the skin ages from sun damage, it can end up looking dry, leathery, discolored, and with deep wrinkles.

 

Treatments for sun-damaged skin depend on a variety of factors including the extent of the damage, the patient’s age, and the type of skin.

 

Some of the most common treatments for sun damage include:


Microdermabrasion

 

Microdermabrasion works by building upon our body’s natural tendency to eliminate or slough off damaged skin. The gentle abrasion technique can remove sun damaged skin cells and stimulate collagen production to yield healthier and more radiant looking skin.


Chemical Peels

 

Chemical peels vary in intensity and work by removing the upper layer of skin. This allows the skin to regenerate and yield a smoother appearance.


Botox

 

Botox is an injectable that can temporary immobilize the muscles that cause wrinkles and lines, particularly on the forehead and around the eyes. This softens the appearance of the face and makes skin look tighter and younger.


Dermal fillers

 

Dermal fillers work to help replace the collagen that has been lost in the face due to sun damage or aging. They can “fill in” the areas to erase the appearance of facial lines.


Light Therapy

 

IPL Light therapy is a non-invasive way to target deep into the skin. The light spectrum targets pigment and it can help lighten and even the texture. 


Laser Therapy

 

Laser resurfacing uses high-energy light waves to minimize the appearance of lines and wrinkles. The down time is minimal, and the results are maximal!

 

If your time out in the sun has led your skin to make you look older than you are, contact your McKinney area dermatology center today to find out more about the available treatment options for sun damage.

 

 

Health risks associated with varicose veins send Plano, TX patients searching for treatments

03/18/15 | by admin | Categories: Vein Treatment

 

We all know that varicose veins can be an aesthetic problem, but many are not aware of the health risks associated with the condition. Varicose veins are caused by the inability of a weakened vein to pump blood properly. Because the blood is not moving quickly and efficiently through the vein, it accumulates and causes the vein to swell. The result is bulging veins that look unsightly and can pose a health risk.


Ruptures

This is the number one health concern with varicose veins. Ruptures are typically spontaneous and require surgical intervention. While these ruptures usually are not a medical emergency, any surgical procedure poses certain risks to the patient.


Ulcers

Build-up of fluid near the site of the varicose veins can lead to ulcers. Typically, ulcers can be identified by swollen, discolored skin. Ulcers can also put you at risk for infection.


Blood Clots

There is a possibility that blood platelets may pool in the area of the varicose vein and eventually lead to a blood clot. If a blood clot breaks free, it can potentially travel to other areas of the body including the brain, lungs, or heart. Most cases of varicose vein induced blood clots do not travel, however, there is the possibility that the clot could break through.

 

Identifying varicose veins and seeking treatment is important to reduce these health risks. In general, varicose veins do not cause pain, but for those who do experience physical symptoms they may include achy legs, throbbing, muscle cramps, itching around the veins, or skin ulcers. Other signs may include dark purple or blue veins, or veins that appear to bulge or swell on the legs.

 

Treatments for varicose veins may involve Sclerotherapy or Laser Vein Removal.

 

Sclerotherapy is performed by injecting a solution directly into the affected veins. This causes the veins to close slowly and the blood will re-route through nearby healthy veins. Sclerotherapy may require multiple injections in each vein.

 

Laser vein removal involves the use of light waves that target the vein and cause it to fade away gradually. For larger veins, Sclerotherapy is usually the most effective option.

 

There are also many new medications and other technological advances to help with vein issues, and the providers at Center for Dermatology use all of these available modalities in individualized patient programs.

 

To learn more about varicose vein treatments in Plano, TX contact the team at the Center for Dermatology and Cosmetic Laser Surgery today.  

 

 

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