All posts by windsderm45

Spider Veins Stopping You from Moving More in April? How Sclerotherapy Treatment Can Help

Treat Spider Veins This April Thanks to Sclerotherapy

With April being deemed the “Move More” month by the American Heart Association, many individuals are looking for ways to get out and be active daily. If you suffer from purple, red, or blue lines on your legs known as spider veins, the idea of dusting off your shorts and sportswear may not be at the top of your spring bucket list. The good news is there is a spider vein treatment available to treat your lines known as sclerotherapy.

What are spider veins?

Spider veins are blood vessels that become dilated with blood and then appear on your skin’s surface. They are often caused by poor circulation, but can also occur due to standing for long lengths of time, obesity, pregnancy, and hormonal changes. In some cases, spider veins cause discomfort or burning, but mainly they are cosmetic concern that create a lack of confidence in individuals who experience them.

Spider veins are not limited to your legs either. Some individuals experience spider veins on their nose and cheeks (caused by sun exposure) or on their abdomen. Spider veins are most common in women because they are triggered by female hormones.

How do you treat spider veins?

If your spider veins aren’t causing any discomfort, you may not need to seek treatment. Many of our patients contact us about treatment options because they are embarrassed by how the lines look and they no longer want to expose their legs during warm months. Proper treatment of the veins can minimize their appearance or make them disappear entirely.

While there are several steps you can take at home to help with spider veins including changing your diet, wearing compression socks, elevating your feet, applying concealer or self-tanning lotion, and, of course, wearing clothes that cover them completely, we often recommend sclerotherapy to our patients.

What is sclerotherapy?

The Sclerotherapy procedure is a spider vein treatment where a dermatologist injects a salt solution into the impacted vein. The salt solution causes the blood vessel to swell and the blood to clot. After two to three months, the vessel becomes scar tissue and fades from being noticeable on your skin.

Sclerotherapy is a relatively painless procedure. You can expect to feel a pinch when the injection occurs, and there is a possibility of some minor bruising and discomfort afterward. You should wear compression socks to help with the healing process. You should also avoid strenuous exercise or aerobics for up to a week after the procedure, but you can take slow walks to help increase the blood flow and the healing time.

Spring has just begun, and April is the perfect time to treat spider veins with sclerotherapy. Windsor Dermatology has worked with numerous individuals to rebuild their confidence by eliminating spider veins, so contact our office at 609-443-4500 to schedule a consultation with one of our doctors today. We will work with you to explain sclerotherapy, create a plan, and minimize your spider veins.

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Close up of female eye area getting botox injection by syringe

BOTOX vs. Juvederm: Which Is Right for Your Skin?

Understand the Differences of BOTOX vs. Juvederm

The aging process brings us more than just new wisdom. It usually comes with unwanted lines and wrinkles. Modern cosmetic procedures with BOTOX Cosmetic and fillers (such as Juvederm) give you an opportunity to fight these unwanted signs of aging. Below is an introduction to the BOTOX vs. Juvederm procedures to help you understand how they work to rejuvenate your appearance.

What is BOTOX Cosmetic?

BOTOX Cosmetic is a brand name for botulinum toxin. Using BOTOX Cosmetic relaxes the muscles that cause frown lines, forehead lines, and crow’s feet to appear. During a treatment, a physician injects diluted medicine into the problem areas. You can expect a mild, brief pinch during the treatment.

Treatment takes under 15 minutes. Improvement is seen a few days after the treatment. Results usually last for three months.

What is Juvederm?

Juvederm is the brand name for a family of injectable cosmetic fillers based on the active ingredient hyaluronic acid. Hyaluronic acid exists naturally in the skin and helps the skin stay hydrated. With age, the quantity of natural hyaluronic acid in the skin decreases, leading to increased laxity and wrinkles. Replenishing hyaluronic acid with Juvederm reduces the appearance of aging.

One use of Juvederm fillers is to directly fill or soften unwanted wrinkles such as in the nasolabial folds (“laugh lines”). It may also fill marionette lines below the mouth corners and vertical lip lines. In addition, Juvederm may be placed into the lips to augment their fullness.

Juvederm Voluma is a used to correct age-related facial atrophy by restoring volume which has been lost from deep facial fat pads. The effect of this revolumizing is particularly dramatic on the upper cheeks, where it restores a more youthful facial contour and creates a subtle lift.

The effects of Juvederm fillers are long-lasting, and improvement commonly lasts for one year or longer. Treatments may take anywhere from 15 minutes to 45 minutes, depending on the extent of the procedure.


Both BOTOX Cosmetic and Juvederm produce satisfying and rejuvenating results. Often they are used together as part of a comprehensive rejuvenation program which may also include laser and light-based treatments to reduce photoaging.

The best way to know what procedure is right for you is to contact Windsor Dermatology to schedule a personal cosmetic consultation with a board-certified dermatologist. We will guide you through the treatment selection process and help you understand what to expect.

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Rosacea Awareness Month: Five Facts About Rosacea You Need to Know

Understand What Causes Rosacea and More During Rosacea Awareness Month

“Why is your face red?” is a question you may often hear if you are one of the 16 million Americans that live with Rosacea. Chances are even if you don’t have Rosacea, you have heard of the chronic skin condition. Too often, Rosacea is only thought of as the red face condition, when in actuality, there are many additional characteristics you should be aware of. Since April is Rosacea Awareness Month, what better time is there to learn?

What causes Rosacea?

Rosacea is a common skin condition that causes facial redness and in some cases acne-like bumps on the face. There are currently no concrete causes of the condition, but there are several theories including genetics, dilated blood vessels under the facial skin,  lifestyle choices, sun damage, or skin irritation. Side effects of rosacea are typically manageable until the individual undergoes a “flare up” causing the redness to occur.

5 Facts about Rosacea you need to know

To help increase awareness, we’ve put together five facts about Rosacea to help you understand symptoms, triggers, and available treatments.

  1. There are several known lifestyle triggers.

Everyday choices can cause a flare up in Rosacea patients. Spicy foods, red wine, overexposure to the sun, hot showers, and hot beverages are a few choices to be careful of. A few unknown triggers include exercise and emotions; for example, if you tend to blush during speaking engagements, it can also cause a flare-up.

  1. Treatment depends on the type of Rosacea you have.

There is more than one type of rosacea and depending in which you have will determine your choices for treatment.

  1. It’s common in fair-skinned individuals.

Anybody can be diagnosed with rosacea no matter gender or skin tone. But it is most often diagnosed in fair skin individuals because the redness is more noticeable than in those with darker complexions.

  1. Symptoms get worse if not treated.

Redness will only get worse if you avoid seeing a dermatologist for treatment options. Types of available treatments range from antibiotics, medications to reduce redness, acne prescriptions, dermabrasion, light therapy, and electrosurgery.

  1. Symptoms include more than redness and bumps.

While redness and bumps are the most common signs you have Rosacea, there are additional symptoms to be aware of. If you experience swollen blood vessels, thickened skin around the nose, and itchy or dry eyes, you should contact a dermatologist for a proper diagnosis.

Rosacea Awareness Month

The National Rosacea Society (NRS) named April as Rosacea Awareness Month 26 years ago to increase awareness of the skin condition. Their goal is to educate as much of the community as possible, so those suffering take the initiative to get help from a doctor. More than 95% of patients diagnosed knew little or nothing about the disease before diagnosis.

If you have experienced signs of rosacea or have concerns about your skin condition, contact the team at Windsor Dermatology to schedule a consultation today. We can review your symptoms and create a treatment plan to best suit your needs.

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April Showers: Spring Skin Care Tips

April Showers: Healthy Skin Tips You Can Do in the Shower

Take Advantage of These Simple Shower Skin Care Tips

Taking a relaxing shower is the perfect way to unwind from a long day or to jumpstart your morning. It gives you a chance to relax your body’s muscles, clear your mind, and feel refreshed. While showering has many health benefits like improved blood circulation, decreased stress, and creating white blood cells to fight sickness, most of us don’t fully take advantage of everything a shower can do for our bodies, especially our skin. Take advantage of these simple shower skin care tips to achieve healthy, glowing skin before you leave the house.

  1. Take cooler showers

Taking a hot shower is one of life’s simple pleasures, but when you expose your skin to hot water, it can damage the skin. Hot water strips away the outer layer of your skin where natural oils lay. When you do this often, the skin isn’t able to reproduce the oil, causing it to be continually dry.

  1. Limit your time in the shower

Depending on your daily activity, you may not need to shower every day. While that may be hard for many of us to grasp, 100 years ago, it was reasonable to only bath once per week. Showering too often or for too long damages your outer skin and minimizes the amount of natural oils it can produce daily.

If your day was spent 100% indoors, you should consider skipping the shower. If you shower in the morning and then work out later in the day, your second shower should be less than five minutes.

  1. Wash your hair as needed

Just like you don’t necessarily need to shower daily, you may not need to wash your hair every day either. If your hair is dry from coloring or graying, you won’t need to wash it daily because the shampoo will dry it out, causing the hair to break easily. It is also important to not go too long without washing your hair, or you risk dandruff buildup and an itchy scalp.

  1. Tackle dry skin the right way

Dry, itchy skin is never enjoyable to endure. Plenty of individuals are tempted to exfoliate daily to eliminate the symptom. Daily exfoliation is too harsh for skin and can often increase itchiness when overdone. Stick to exfoliating one to two times per week for best results. To tackle dry skin, use a moisturizing cleanser instead to instill moisture back into your skin.

  1. Always shave last

Shaving should be the last activity you do in the shower to give the hair time to soften from the water. This leads to a closer shave and less damage to your skin.

  1. Pat yourself dry

Skip rubbing yourself dry with the towel you only wash once per week. Being too forceful on your skin after a shower irritates it and may cause itchiness as a result. Instead use a clean towel to gently pat yourself dry and prevent itchy, red skin from occurring.

  1. Apply lotion

A good chemical-free moisturizer just three to four minutes after you’re done showering can make all the difference in your skin’s look and feel. It also prevents transepidermal water loss, the loss of your body’s water through the skin allowing it to remain healthy.

If you find yourself suffering from dry or irritated skin this spring, contact Windsor Dermatology to set up a consultation with one of our experienced doctors. Life’s too short to constantly worry about your skin!

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Dr. Bagel Moderates Round Table Discussion on Hidradenitis Suppurativa

Hear Dr. Bagel’s Input During a Round Table Discussion on Hidradenitis Suppurativa

Windsor Dermatology is excited to announce that our very own Dr. Bagel was asked to speak at a round table discussion in Parsippany, NJ with several other doctors specializing in the study of dermatology. Dr. Bagel acted as the moderator alongside Drs. Donnica Moore, Lauren Orenstein, and George Han. The event, hosted by Frontline Medical Communications, focused on the skin disease, Hidradenitis Suppurativa.

Hidradenitis Suppurativa is a chronic skin disease that causes inflamed, acne-like boils to form in the folds of one’s skin. It is typically found on areas of the body where hair grows, such as the armpits or groin. It is not contagious, but can be uncomfortable and even painful, affecting one’s daily activities. There is no permanent cure for the disease; however, there are treatments that help manage the symptoms.

During the round table discussion, the doctors sit down to talk about the impact Hidradenitis Suppurativa has on quality of life, how specialty physicians can work together for improved outcomes, clinical trials, and the roles of biologics and other therapies. The discussion was recorded and broken up into four videos to share with those interested in the topic.

To watch Dr. Bagel and the four round table discussion videos, click here!

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Eczema Treatment NJ

Is Itchy Skin a Sign of Seasonal Allergies?

Your Seasonal Allergies Symptoms May Include Itchy Skin This Spring

Spring is here, and you may be ready for the warmer weather, time outside, and chance to let the fresh air back into your homes. But, every year 67 million individuals suffer from seasonal allergies, so for some, the spring season is dreaded thanks to the increase of pollen, dust, and mold that cause these allergies. Even if you expect or plan for seasonal allergies, they can often leave you feeling miserable with their adverse impact on your sinuses and skin.

Seasonal Allergy Symptoms

Seasonal allergies impact individuals differently depending on climate, location, and their individual reactions. For some, the symptoms are severe enough to require medication, and for others, they are more manageable. Common seasonal allergy symptoms include:

  • Runny noses
  • Sneezing
  • Watery eyes
  • Itchy eyes
  • Itchy sinuses
  • Itchy throat
  • Postnasal drip
  • Itchy Skin

Unknown Signs of Allergies

Just like symptoms can vary among individuals, there are many signs of allergies that you may not be aware of, including:

  • Being overly tired
  • Asthma
  • Dark circles under your eyes
  • Respiratory infections
  • Lack of sleep
  • Lack of endurance
  • Headaches

Since these signs are lesser known than the symptoms listed above, many individuals go without a diagnosis of their seasonal allergies for years.

Spring Allergies and Your Skin

To properly manage spring allergies, you should see an allergist that can help you identify what types of allergies you suffer from and create a plan of action moving forward. While most individuals experience sneezing, watery or itchy eyes, and red noses, a common symptom of allergies is itchy skin. If you suffer from itchy skin or dry red patches, you may need more than lotion to cure it.

Causes of Itchy Skin

Starting in late winter/early spring, trees and plants begin to bud creating invisible airborne allergens like mold and pollen. For some individuals, these allergens create an increased amount of histamine in their blood flow which causes inflammation, making the skin sensitive. If the skin is highly reactive, it can trigger allergy-related itchiness and even eczema.

How to Prevent Itchy Skin

While you can’t eliminate pollen, ragweed, or other causes of allergies, there are some steps you can take to help manage your itchy skin. Minimize stress when possible, studies show high amounts of stress can increase histamine and create more adverse allergy reactions. A change in your skin care routine may be necessary to calm the inflammation and reduce itchiness.

It is also important to eat right and drink plenty of water, so your body has the necessary nutrients it needs to effectively manage allergies. Plus, some foods have high amounts of histamine in them that can trigger or increase the severity of the seasonal allergies. If you spend time outdoors, consider changing your clothes once you return inside. Wash your hair every night to remove the pollen and allergens before going to sleep to prevent them from transitioning to your bed linens and pillow.

Sometimes spring allergies can be managed on your own and other times contacting an expert is necessary. If you are suffering from itchy skin that may be eczema, contact Windsor Dermatology today at 609-443-4500.

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male doctor giving coolsculpting treatment to young woman

Freezing Fat Cells: What to Expect After Your CoolSculpting Procedure

Freeze Your Fat Away with CoolSculpting Today

With spring just around the corner, many are already thinking about summer, vacations, and feeling good in their bathing suits. Whether you planned to get in shape as part of a New Year’s resolution or haven’t thought about it at all, spring is often the time when many of us begin to panic and lose self-confidence. CoolSculpting is an option many are turning to that involves freezing fat cells to remove fat.

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spring into confidence with clearer skin

Spring into Confidence with These Clear Skin Tips

Follow These Skin Care Tips for Clear Skin

The secret to being confident about our look starts with clear skin. Taking steps to maintain healthy skin is essential to its appearance and how we feel when we leave the house every morning. Our skin faces harsh elements like every day weather, and just when we adjust our routine, the seasons change, forcing us to create new habits. With spring upon us, we’ve put together a few skin care tips to help you maintain a healthy appearance and boost your confidence.

Drink plenty of water

Staying hydrated has many health benefits including better digestion and circulation. Proper hydration also keeps skin moisturized and prevents dryness, flakiness, and premature wrinkles. The Institute of Medicine recommends women consume 72 ounces and men consume 104 ounces of water daily. The amount that is right for your body depends on your daily activities and should be adjusted as needed.

Use sunscreen

Overexposure to the sun damages your skin and causes premature aging. Sun is especially harmful to individuals with skin conditions like psoriasis, causing it to flare up. The best way to avoid overexposure is to use sunscreen daily and to reapply often. If you spend long periods of time outdoors, you should also wear clothing that covers your skin in addition to a hat with a brim.

Wash your face daily

Makeup traps dirt and oil under it, which can clog your pores and cause less than stellar skin. Keeping your skin clean by removing makeup nightly and washing it daily removes these particles that damage your skin, allowing it to breathe. It is also a good idea to wash your face after working out to prevent sweat from seeping into your pores and causing damage.

Be consistent with your products

It is tempting to switch cleansers, moisturizers, and makeup to save money, but the constant changes sometimes irritate skin. Stick to what you know works for you. Your skin and your spirit will be happier as a result.

Make healthy eating choices

The old saying “You are what you eat” holds a lot of value for your skin’s health. Food rich in vitamins, antioxidants, omega 3 fatty acids, and minerals gives your skin a radiant glow. When you consume foods high in fat and oils, your complexion tends to be oilier and acne prone.

Avoid smoking

Smoking is a leading cause of many illnesses and medical conditions. It also drastically impacts your appearance over time causing premature aging, loss of elasticity, and dreaded wrinkles. The best way to avoid these symptoms is not to smoke or quit smoking.

Ease your stress

The constant on-the-go culture we live increases stress and tension in many individuals. An increase in stress hormones causes more oil production which leads to clogged pores, whiteheads, and irritation to some existing skin conditions. Take time to clear your mind daily and unwind through meditation, exercise, a bubble bath, or unplugging during certain hours.

If you struggle with confidence in regards to your looks, follow these clear skin tips or contact Windsor Dermatology to schedule a consultation at 609-443-4500.

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Surprised young woman finding acne on her face

Q&A with Dr. Keegan: Treating Pimples, Blackheads, Cysts, and More

Identifying the Best Acne Treatment for Your Skin

Q&A with Dr. Keegan: Treating Pimples, Blackheads, Cysts, and More

Many of us have experienced some form of acne in our lives and have wondered the best way to treat the problem. It seems like there are endless reasons for acne to appear, including clogged pores, bacteria, inflammation, and hormones, and that there is no end in sight. Whether you suffer from mild blackheads to severe nodules or cysts, Windsor Dermatology is here to help find a solution to your skin needs. We asked our very own Dr. Keegan to help answer a few questions you may be wondering about if you suffer from acne in any form.

Q: At what point does acne go from something you can treat over the counter to something that requires medication or further treatments?

A: Over the counter treatments typically use three ingredients- Salicylic Acid, Benzoyl Peroxide, and Adapalene (recently changed from prescription to OTC). If patients use these medications and don’t get results, they should contact a dermatologist for more help.


Q: What is the most popular non-prescription method used to treat acne?

A: Over the past 50 years there have been different trends with medications driven primarily by marketing and social media. The ingredients Salicylic Acid, Benzoyl Peroxide, and Adapalene all have solid scientific evidence to support their action, but the name on the products has changed with time. Talk with your dermatologist if you are unsure about a product and its ingredients.


Q: What type of medication is usually prescribed for those with severe acne?

A:  When patients don’t respond to OTC products, we typically add prescription medications that can unclog pores, kill bacteria, or correct hormone abnormalities.


Q: What is the worst thing someone can do when treating their acne?

A:  There are two poor habits to avoid when you suffer from acne:

1) Don’t pick, poke, or squeeze your spots as this can increase the risk of scaring.

2) Don’t ignore them and assume it will just get better with time. This also puts your skin at an increased risk of scarring.


Q: Although acne can last way into one’s adult years, what is the typical age you see acne start to disappear?

A:  Adult and teenage acne are probably two different conditions and while there are common medications we use, there are also specific medications one should use. Waiting to “grow out of it” is never a good option as acne can cause social and self esteem issues that can last longer than the spots themselves. Whether you suffer from teenage or adult acne, find a personalized treatment method that works for you.


Still have questions about how to treat your acne? Contact Windsor Dermatology to set up a consultation today and get your skin back on track.

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