What’s so cool about CoolSculpting?


What is so cool about CoolSculpting?


If you watch television or go on social media, you have probably seen an advertisement for Coolsculpting, which means you have probably asked yourself, “What’s all the fuss about?”

Coolsculpting is a noninvasive alternative for fat reduction that can be used to treat many areas of the body including the chin, abdomen, flanks, arms and thighs. It’s based on one simple principle…when you freeze fat cells, you kill them. The scientific term is cryolypolysis. By using external applicators that isolate and then freeze unwanted pockets of fat, one is able to contour body parts that have been resistant to traditional diet and exercise. What is even better is since the procedure is completely noninvasive, including no needles or incisions, there is zero downtime.

Am I a candidate?

There are a number of factors that come into play when determining if a patient is a good candidate for Coolsculpting. One of the most important considerations is does the candidate have the right type of fat? There are two types of fat on the body, visceral and subcutaneous. Visceral fat is the stubborn fat under the muscular wall located in our abdominal cavity. Subcutaneous fat is the fat directly below your skin that you can grab and squeeze. This is the fat that can be treated with Coolsculpting. Other factors like skin laxity or looseness also determine results and need to be evaluated on a case by case basis. Appropriate candidates once treated can expect to see a 20-25% reduction in the number of fat cells treated by the procedure.

So what happens to the fat?

This is probably the most common question I get asked during a consultation. After a fat cell is frozen, it starts an inflammatory process resulting in apoptosis or programmed cell death. Over the course of weeks and months, our body’s inflammatory cells break down these dead cells resulting in their eventual removal from the treatment site. After a treatment, patients will start to see reduction after 6-8 weeks, but see the greatest improvement at 3 months.

To learn more about Coolsculpting and to find out if it’s a good option for you, schedule your free consultation today! 

What is Vitiligo & How is it Treated?


What is Vitiligo & How is it Treated?


About 1% of the global population has vitiligo—a condition causing white patches on the skin. While it is unclear what causes this skin condition, a dermatologist can help determine potential treatment options for vitiligo.

What is Vitiligo?

Vitiligo is a condition where the skin loses its color due to the loss of pigmentation, causing white and light-colored patches to appear on the skin. Vitiligo can affect any part of the body, and commonly occurs on the chin, forehead and nose. The skin condition can occur at any age, and typically begins between the ages of 10 and 30.

Common signs of vitiligo can include patchy loss of skin color and whitening or graying of the hair, eyelashes, eyebrows or beard.

There are a few different types of vitiligo:

  • Universal vitiligo appears on nearly all of the skin’s surface, covering about 80% of the body
  • Generalized vitiligo, the most common type, causes discoloration on corresponding body parts
  • Segmental vitiligo, typically occurring at a younger age, affects only one side or part of the body
  • Localized vitiligo appears on just one or only a few areas of the body
  • Acrofacial vitiligo affects skin on the hands and face, particularly around the eyes, nose and ears

While it is not painful, life-threatening or contagious, vitiligo can cause patients to feel self conscious. We recommend seeing a doctor to discuss potential treatment options.

What Causes Vitiligo?

Vitiligo occurs when the cells that produce melanin, our natural skin pigment, stop functioning. It is unknown what causes these cells to stop functioning, but it may be brought on by:

  • Autoimmune conditions: Immune system disorders can raise your odds of vitiligo
  • Genetics: You’re more likely to develop vitiligo if another family member has it
  • Trigger events: High-stress situations or skin trauma can set off vitiligo

What are the Treatment Options for Vitiligo?

Currently, there is no cure for vitiligo, but a dermatologist can provide treatment options such as light therapy, surgery, or medications. These options may restore color to the affected areas, but won’t prevent a recurrence or continued loss of melanin.

Occasionally, vitiligo stops forming without treatment and patients’ skin may even get its color back. Due to the lack of pigmentation, it’s particularly important for patients with vitiligo to protect their skin against the sun. Apply sunscreen daily, wear protective clothing and stay in the shade when the sun is at its strongest.

Visit Windsor Dermatology for a Consultation

If you think you may have vitiligo, call us today to schedule a consultation. Our team of expert dermatologists is here to help you manage your skin condition, so you can enjoy life to the fullest.

What Are Molluscum & How Is It Treated?


What are molluscum & how is it treated?


What are molluscum? 

Molluscum is a viral infection caused by a poxvirus (not the same as chicken pox!). It is very common in toddlers and school aged children. They usually present as smooth, small pink or skin colored bumps, sometimes with an indentation in the center. Molluscum usually are painless, but sometimes can become itchy, especially if they become inflamed. They can occur on any location on the body including face, genitals, trunk and extremities, but usually spare the palms and soles. 

How is it transmitted?

The virus spreads via direct skin to skin contact or through contaminated surfaces such as gym mats.  The virus that causes molluscum can also spread on other areas of a person’s body by touching or scratching a lesion then touching somewhere else on their body.

How we can prevent transmission?

  • Frequent hand washing
  • Avoid sharing towels and bathing with siblings
  • Discourage scratching or touching lesions
  • Avoid direct skin to skin contact with an infected area
  • If around other children, should keep lesions covered with bandage or clothing to prevent transmission

How are they treated?

Molluscum can last for months to years without treatment. Even with treatment, molluscum can last over a year.  We usually recommend treatment to avoid spread to other areas, however if not bothersome, watchful waiting is also an option.

  • Physical removal: with curette or liquid nitrogen which is usually reserved for older children or adolescents
  • At home topical treatments: aim to irritate the skin to illicit an immune response for the body to fight the virus. Retin-A is a prescription that would be applied nightly to lesion. Zymaderm is a homeopathic remedy that is over the counter, which is applied twice daily.
  • In office topical treatment: Cantharidin (“Beetle juice”) application is a painless destructive procedure which involves applying Cantharidin on each lesion and then washing off after a specified time. Cantharidin causes inflammation, redness and usually causes formation of a blister with the goal of resolution of molluscum as the blister heals.

If new onset molluscum, we recommend you visit your local dermatologist to discuss treatment options.

What is Psoriasis & How is it Treated?


What is Psoriasis & how is it treated?

Psoriasis is a skin disorder that causes scaley patches of inflamed skin, typically appearing on the knees, elbows, torso and head (facial and scalp psoriasis).

What is Psoriasis?

Psoriasis is a chronic skin condition caused by inflammation. Affecting 2% of the US population, psoriasis results from rapid skin cell growth in the epidermis (the top layer of skin). During normal cellular turnover, skin cells are produced and slough off every 24 to 30 days.

With psoriasis, the production of skin cells is accelerated, up to 10 times faster than normal. New skin cells are produced every 3 to 4 days. This abnormally fast production prevents the skin cells from maturing and sloughing off properly. Rather, the skin cells build up, creating raised plaques of red skin with flakey, white scales.

What are the treatment options for Psoriasis?

The Psoriasis Center of New Jersey has been involved in the research & education of all forms of psoriasis treatment since 1990. While there is no cure for psoriasis, there are fortunately several psoriasis treatments that are safe and effective for improving plaque psoriasis, arthritis, facial psoriasis and scalp psoriasis.

Psoriasis treatments can include:

Topical Therapy:

Topical therapy for mild to moderate psoriasis localized to specific areas of the body. 

Ultraviolet Light Therapy:

  • Phototherapy & Excimer laser to deliver concentrated, high-dose ultraviolet B treatment to psoriasis plaques
  • Narrowband UVB, a safe and effective treatment in which the patient stands in a specially designed cabinet containing UVB light tubes
  • PUVA (Psoriasis Ultraviolet A), involves the patient standing in a specially designed cabinet containing UVA bulbs
  • Hand foot phototherapy for psoriasis treatment of hands & feet

Biological Therapy:

Biologic therapy has advanced to the forefront of psoriasis treatment where most recently, the FDA approved biologic therapy (all subcutaneous) which can safely be administered at home.

Four weeks after the first & only dose of Skyrizi most people are 50% improved. After 2 shots by week 12, 80% of people are 90% better, 55% (over half) of the people are totally clear with no psoriasis, and most people continue to stay that way with 1 dose every 12 weeks. works the same way, which is also FDA approved for Psoriatic Arthritis.

Other biologic meds that are effective include: Talz, Cosentyx, Ilumya, Humira, Siliq. Cimzia, Enbrel, Remicade, and an oral medication Otezla is also utilized frequently.

What is Hidradenitis Suppuritiva & How is it Treated?

What is Hidradenitis Suppuritiva & How is it Treated?

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Hidradenitis Suppuritiva or HS causes inflamed and painful swollen lesions in areas of the body where hair grows, such as the armpits, groin, anal regions and areas where skin often rubs together including around the breasts.

These lesions typically get infected, causing pus-filled pockets to form under the skin that turn into hard lumps that produce a constant discharge. HS is not contagious, and affects about .2% of people in the United States.

What Causes Hidradenitis Suppuritiva?

Hidradenitis Suppuritiva occurs when hair follicles or sweat glands become blocked by excess keratin, leading to inflammation, redness and infection.

There is no clear-cut reason to why certain individuals experience HS, but there are a few factors known to increase your risk, including:

  • Smoking
  • High levels of stress
  • Obesity
  • Hormonal changes

HS commonly occurs by the age of 20 and tends to burn out around the age of 40. It occurs more often in women than in men, and more often in African Americans than Caucasians.

What are the Symptoms of Hidradenitis Suppuritiva?

Symptoms of Hidradenitis Suppuritiva include:

  • Blackheads that appear in a double-barreled pattern
  • Red bumps filled with fluid
  • Hard, painful lumps under the skin
  • Any seepage of pus from under the skin

Some of the first signs of HS are blackheads or recurring lesions on armpits, groin or anal region.

What are the Treatment Options for Hidradenitis Suppuritiva?

Until recently, there have been very few treatments for Hidradenitis Suppuritiva. While there is no permanent cure for HS, there are several Hidradenitis Suppuritiva treatments that can help patients manage the symptoms.

  • Medications: Oral and topical antibiotics are often used to treat the infected area, minimize its effect and prevent recurrence
  • Biologics: Humira is an injection that helps calm down inflammation from the inside out and alleviate symptoms on a continuous basis
  • Corticosteroid Injections: Injecting steroids into the infected area can help to alleviate inflammation and swelling
  • Surgical Procedures: In severe cases, surgery is an option to remove the lesions, abscesses, and scarring in the area. Surgical procedures can cut away the infected skin, or drain the area

When seeing a dermatologist for HS, be sure to tell your doctor when and where it started, how many courses of antibiotics you’ve been on, how many times you’ve had surgery or lancing and where on the body. This will give your dermatologist a history of the duration and treatment you’ve had so far.

At-home remedies for Hidradenitis Suppuritiva can help patients to manage the condition and pain. Some steps to take at home include:

  • Embracing a healthy lifestyle and well-balanced diet
  • Focusing on good hygiene in the impacted areas
  • Avoiding tight clothes
  • Decreasing smoking

While Hidradenitis Suppurativa impacts a small number of individuals, the painful symptoms are often detrimental to happiness and quality of life. Seeking treatment from a professional is the best way to take control of the disease.

Visit Windsor Dermatology for a Consultation

You don’t have to suffer through the painful symptoms of Hidradenitis Suppuritiva. If you are experiencing symptoms, call Windsor Dermatology today to schedule a consultation. Our cutting-edge treatments and expert dermatologists are here to help!

What You Need To Know About Skin Cancer


What you need to know about skin cancer


One in five Americans will develop skin cancer in their lifetime, making skin cancer the most common form of cancer in the United States.

What are the most common types of skin cancer?

The three most common types of skin cancer are basal cell carcinoma, squamous cell carcinoma, and melanoma. 

Basal cell and squamous cell carcinomas are highly treatable if detected early and treated properly. Basal and Squamous cell are found in areas that receive sun exposure. Basal and squamous cell skin cancers can present on the skin as a slowly growing, non-healing spot that sometimes bleeds, red scaling or crusting patch, or a pimple that does not heal. 

Melanoma may appear on the skin suddenly as new moles but can also develop within an existing mole. Melanoma is highly treatable when detected early, but advanced melanoma can spread to the lymph nodes and internal organs, which can result in death. 

The five-year survival rate for people whose melanoma is detected and treated before it spreads to the lymph nodes is 99%. Having five or more sunburns doubles your risk for melanoma. Melanoma often presents as an irregular new or changing existing mole.

How can I reduce risk of skin cancer?

It is important to protect your skin from the sun’s damaging ultraviolet rays to reduce your risk of skin cancer. Avoid the sun between 10 am and 2 pm and wear sun protective clothing. Apply a broad-spectrum sunscreen with an SPF of 30 or higher and reapply every two hours. Most adults need about one ounce, enough to fill a shot glass, to fully cover their body. 

Annual skin exams can help detect skin cancer at its earliest and most treatable stages. These exams can also allow your dermatologist to find and remove precancerous lesions before they develop into skin cancer.

If you notice a mole on your skin, you should follow the ABCDE rule, which outlines the warning signs of melanoma:

  • Asymmetry: One half does not match the other half.
  • Border irregularity: The edges are ragged, notched or blurred.
  • Color: The pigmentation is not uniform. Different shades of tan, brown or black are often present. Dashes of red, white, and blue can add to the mottled appearance.
  • Diameter: While melanomas are usually greater than 6mm in diameter when diagnosed, they can be smaller.
  • Evolving: The mole or skin lesion looks different from the rest or is changing in size, shape or color.

All About Eczema

All About Eczema

According to the National Eczema Association, 31.6 million people in the U.S. have some form of eczema, a common, but not contagious inflammation of the skin. Yet, despite its prevalence, many sufferers aren’t really sure what triggers it or how they can keep the symptoms at bay.

What is Eczema?

Eczema, also referred to as atopic dermatitis, is a chronic, recurring, itchy rash that usually develops during early infancy and childhood. The condition causes the skin to become red, itchy, and swollen — sometimes leading to fluid-filled bumps that ooze and crust.

In a recent episode of Windsor Dermatology’s webinar series, Healthy Skin Highlights, nationally recognized eczema expert Dr. Jerry Bagel explained, “One of the manifestations of eczema is lichenification, a thickening of the skin caused by chronic scratching. Some physicians consider eczema more of an itch than a rash because it’s the itch that induces the rash.”

Fortunately, most cases of eczema resolve by the age of 10, but about 10-15% continue into adulthood. Although less likely, some people experience an onset of eczema in adulthood.

“It can happen at any time but it’s most common in kids. I actually think there’s been an increase of eczema in adults,” Dr. Bagel said.

What are the Symptoms of Eczema?

Eczema is a capricious disease that will flare up, subside, and then flare up again without much notice. If you have a red, itchy rash, but you’re not sure if it’s eczema, here are some other symptoms that can help you identify it:

  • Intense itching
  • Red or brownish-gray patches
  • Thickened, scaly skin
  • Small, raised bumps that ooze fluid

With such intensely irritated skin, simple activities like sleeping, working, or playing can become difficult for those with eczema. It’s important to remember that scratching may satisfy the itch temporarily, but it will only irritate and inflame the skin further.

“When the rashes become oozy, it’s probably infected, known as impetiginization,” Dr. Bagel said. “In normal skin, the epidermis usually produces antimicrobial peptides to help us fight infection. With eczema, the skin doesn’t produce enough of these peptides.”

What Triggers Eczema?

The root cause of eczema is not known; although, it’s believed to be caused by an overactive immune system. That said, several eczema triggers have been identified, and being aware of them can help your risk of a flareup on a day-to-day basis. Some of these include:

  • Stress
  • Sweating
  • Hormones
  • Climate
  • Irritants like metals, fragrance, and fabrics
  • Airborne allergens
  • Insect bites

What Types of Treatments Exist for Eczema?

To treat eczema, it’s essential to see a doctor who can evaluate your condition and prescribe the appropriate medication for your mild or severe eczema.

For mild eczema, you can take some simple steps, according to Dr. Bagel:

  • Avoid hot water in the shower
  • Avoid using harsh soaps like Ivory
  • Avoid taking frequent showers or baths
    • When you do bathe, use oatmeal or Aveeno powder, Dove soap, and lukewarm water for 20 minutes
  • Avoid lotions
    • Use creams and ointments like Aquaphor or Cetaphil instead
  • Take antihistamines like Benadryl and Zyrtec at night
  • Avoid going from really hot temperatures to really cold temperatures
    • Wear layers and take them off one by one to adjust your body’s temperature

For more severe cases, a medical professional may recommend corticosteroids, medication, phototherapy, or Dupixent, a monoclonal antibody that’s been FDA-approved for four years.

“Dupixent is injected subcutaneously every other week, and decreases the amount of histamine and T cells, while increasing the number of antimicrobial peptides on the epidermis,” Dr. Bagel said. “Within four weeks, about 50 percent of people will have a significant improvement in itching.”

Another option your dermatologist may suggest is a bleach bath, which can help kill the staph on your skin without having to take antibiotics. It’s important to only use this treatment if it’s been recommended by a doctor.

Visit Windsor Dermatology for a Consultation

You don’t have to suffer through life with itchy or inflamed skin. If you or your child are experiencing symptoms of eczema, call Windsor Dermatology today to schedule a consultation. And if you can’t afford a doctor, Dr. Bagel urges, “Please give us a call and let us see what we can do for you!”

How Often Do You Do a Body Check?

How Often Do You Do a Body Check?

Your skin is a remarkable organ that’s constantly replenishing and repairing itself. In fact, it’s estimated that the human body sheds up to 40,000 dead skin cells every single minute. That’s almost too many to comprehend. As amazing as human skin is, though, it’s not impervious to damage. There are many things that can potentially harm your skin, including poor dietary choices, UV rays and cancer cells.

Skin cancer affects millions of people, and approximately 9,500 more are diagnosed with it every day. It’s the most common cancer in the United States and can affect anyone, regardless of age or race. If detected early, the survival rate is very good for the two most common types of skin cancer, squamous cell and basal cell carcinomas. That’s why it’s important to check your body regularly so you can detect potential skin issues early on. Here’s how often you should do a body check, where, and why.

Why Monthly Checks Are Recommended

Inspecting your body for unusual moles, skin darkening and other signs of cancer should be done at least once per month. You know your body better than anyone else, so you’re more likely to see change in skin color or mole shape before anyone else does. If you’re doing a thorough self-examination once per month, you’re more likely to notice potential problems before they become major health issues. Going longer than a month between body checks is not a good idea and could potentially give skin cancer more time to develop.

How To Do a Body Check

There’s no precise way to check your skin for unusual issues. The key is to make sure you can look at all areas of your body, including those that you don’t normally see. Mirrors can help you inspect your back and other hard-to-reach areas, while a blow dryer can help you see your scalp. If you notice a strange-looking mole on your back, shoulder, neck or any other areas that are difficult to see, get a friend to take a picture of the area in question for you. Photographs make it easy to keep track of any changes a mole makes month after month.

What To Look for

While it’s important to do regular body checks, they won’t help you if you don’t know what you’re looking for. Here are a few common signs of potential problems that require a doctor’s visit:

  • Moles that change shape and/or color
  • Scabs that won’t heal, even after weeks
  • Unusual growths that keep reopening and bleeding
  • Moles that appear pearly or have multiple colors
  • Moles with irregular or jagged-looking edges
  • Any moles that are larger than six millimeters or look much different from your other moles

Remember, it’s far better to make an appointment and be reassured there are no problems than it is to avoid making an appointment when you actually do have skin cancer.

Schedule Your Appointment

If you’re concerned about a mole or skin discoloration and want to receive a skin cancer screening, don’t delay. Prompt diagnosis and treatment are key to a good outcome. Call Windsor Dermatology today or schedule an appointment online.

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Are Hot Baths Putting Your Skin at Risk?

Are Hot Baths Putting Your Skin at Risk?

There is nothing better than taking hot baths after a long, grueling and chilly winter day, right? Wrong. While the hot water may feel wonderful against your skin, it is actually harming it, depleting natural oils, possibly worsening conditions like eczema and even causing inflammation. As excellent as a long, hot bath may feel at the moment, the risks to your skin can make it not worth it. Therefore, what can you do to protect your skin and still feel rejuvenated?

Limit Bath Times

The first thing you can do is limit your bathing time. The longer you are in hot water, the more damage you do to your skin. Therefore, try limiting sessions to about 10 minutes or less. In fact, a shower may make it easier to complete essential washing and hygiene tasks in a shorter time frame.

Add Oil to Water

As baths are known for drying out the skin, you can add oils to the water. Some dermatologists even recommend taking oatmeal baths to prevent dry skin and to help the body maintain natural oils and moisture. You can discuss specific oils and additives with your dermatologist.

Exfoliate Your Skin

Another essential skincare practice is exfoliation, especially when dry skin is a concern. Exfoliating the skin removes dead cells and helps to unclog pores, which in turn creates an opportunity for moisturizing. By exfoliating your skin regularly and following that routine with a deep-penetrating moisturizer, you can combat some of the drying effects of bathing and cold winter weather.

Try Cold or Lukewarm Showers

While you may enjoy your baths, specific health benefits have been directly linked to cold or lukewarm showers. Cold bathing helps to shock your body awake and has been shown to reduce fatigue and improve mental alertness. Also, cold water can be used to treat depression. As well, from a dermatological standpoint, cold or lukewarm showers help to protect your skin.

Use Gentle Cleansers, Moisturizers or Oils

Another reason to avoid a hot bath is if you suffer from rosacea or skin redness. Heat seems to exacerbate these conditions. An excellent way to combat the redness and dryness that can occur from the cold weather and hot water is to use gentle cleansers, moisturizers and other essential oils. However, before using any skincare product, especially if you have an underlying condition, it is advised that you discuss options with a dermatologist.

Find Healthy Ways To Keep Warm

While it can be upsetting to discover that those beautiful and soothing hot baths are hazardous to the health of your skin, there are other ways to warm up and relax this winter. For example, you can wear layers, cuddle up under a blanket or snuggle with the one you love. It is recommended that you avoid scratchy materials, though, so bundle up with soft or cotton fabrics instead.

Have you been experiencing any redness or rashes this winter? Does the condition seem to worsen after baths? You may have an underlying skin condition, such as eczema. Contact Windsor Dermatology and schedule an appointment to discuss possible treatment options.

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Holiday Recovery

Holiday Recovery

Most people look forward to the seasonal celebrations that break up the dark and cold that come with winter. It’s a great time to be around friends and family, but the sugar, alcohol and indulgent foods at those parties can wreak havoc on your skin. Here are some of the most common triggers for breakouts and how you can avoid letting them damage your skin during the holidays.

Drinking Alcohol

From Thanksgiving onward, it feels like there’s a never-ending rotation of holiday parties with sparkling wine, hot toddies and other festive drinks. It’s fun to indulge now and then, but for some, drinking alcohol has immediate, obvious effects on the skin. What effect does alcohol have on your skin? Just as it dehydrates the rest of your body, your skin is affected as well. Alcohol tends to absorb moisture from your skin, and it has a drying effect that is visible, making wrinkles more pronounced. It also causes inflammation. This effect goes away as you process the alcohol, but regular drinking can lead to lasting redness and exacerbate existing acne. Skin care can help tend to the dryness or redness in your skin. Moisturizing and drinking water along with alcohol helps your skin recover from the drying effect. When inflammation causes redness or increases existing redness, rosacea medication is one possible solution. Topical medications will help calm blood vessels.

Eating Sugar

Between cookies in the break room and special holiday flavored snacks, there are plenty of opportunities to let your sweet tooth get carried away. Sugary snacks are hard to get away from during the holidays. Sweets can take a toll on your skin, however. Dermatological experts say that sugar can cause inflammation, which is a key factor in acne flare ups. High sugar foods also age your skin, because the sugars can bond to collagen and stiffen it. Collagen is what gives your skin elasticity and youthfulness, so stiffer collagen leads to aged skin. If you have any existing skin issues, such as eczema or psoriasis, sugar can contribute to them and make you more irritated. Combat inflammation with antioxidants and hydration, both with the foods you eat and with skin products.

Staying Up Late

Whether you’re staying out late at parties or simply up late planning for the holidays, a lack of sleep is a common problem toward the end of the year. If you’re getting less than your ideal amount of sleep, which for adults ranges from seven to nine hours a night, chances are it has affected your skin. Lack of sleep can impact your health overall, and your skin often reflects your health. Not getting enough of it causes your stress levels to increase, releasing cortisol. Cortisol is linked to inflammation and it can exacerbate skin problems or cause new breakouts. Like sugar, it can cause psoriasis and eczema to flare up. The best way to address serious, persistent skin issues is with dermatological help. Medications can help counteract the effects of a change in routine.

The holidays are an important time to evaluate your skin care routine, and if unmedicated face washes and creams aren’t effective, you may want to consider getting a dermatologist’s opinion. Contact Windsor Dermatology today for more information.


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