Is it a blush, a burn, or something more serious? Understanding Rosacea.

It may appear as a “flush” or “blush” or even a sunburn. But when facial skin does not return to normal within a few days, you may actually have Rosacea.

Rosacea is a common skin disease that causes redness, pustules, papules, and swelling on the face. Often referred to as “adult acne,” rosacea frequently begins as a tendency to flush or blush easily. It may progress to persistent redness in the center of the face that may gradually involve the cheeks, forehead, chin, and nose. The eyes, ears, chest, and back may also be involved. With time, small blood vessels and tiny pimples begin to appear on and around the reddened area; however, unlike acne, there are no blackheads.

The condition may last for years, rarely reverse itself, and can become worse without treatment. Middle-aged women are most susceptible, along with people who have fair skin and tend to blush easily.

There is no known cause for rosacea, but hereditary and environmental factors can play a role in this condition. Many triggers have been identified, which can stimulate the flow of blood to the skin. Some triggers include:

  • Hot drinks and spicy foods
  • Alcohol
  • Temperature extremes
  • Exposure to sun or wind
  • Stress
  • Exercise
  • Drugs that dilate blood vessels, including some blood pressure medications

If you are concerned about your condition or how to deal with it, it’s best to meet with a professional.

Windsor Dermatology is now offering telemedicine. Call today to schedule your consultation.

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When Should I Take my Child to a Dermatologist?

It’s not unusual for a normal childhood to include lumps and bumps and rashes and itches. But sometimes it’s best to have a pediatric dermatologist take a look.

If your child has a skin condition, such as a birthmark, eczema, warts, or psoriasis, a pediatric dermatologist has the experience and qualifications to treat your child. Pediatric dermatologists treat a wide variety of pediatric skin conditions using the latest available treatment methods. Pediatric dermatologists treat children from birth through adolescence.

At Windsor Dermatology, we are honored to have Dr. Jessica Simon on our team. Dr. Simon is double board certified in both dermatology and pediatric dermatology, and is well versed in all areas of dermatology. She is an active member of both the Society of Pediatric Dermatology and the American Academy of Dermatology. Dr. Simon has been recognized for her academic excellence with multiple award nominations such as the Golden Apple Award for Teaching Excellence Award by the New Jersey Medical School. Dr. Simon has presented at both national and international meetings on both adult and pediatric dermatology

Dr. Simon provides medical care for a wide variety of skin conditions, such as:

  • Diagnosis of various skin conditions, including hemangiomas and other vascular birthmarks, pigmented birthmarks, and congenital skin disorders, eczema or atopic dermatitis, psoriasis, contact dermatitis, vitiligo, hives, and warts to name a few
  • Medical/prescription treatment for a wide variety of conditions affecting the skin, hair, and nails
  • Minor surgical procedures, including skin biopsies, surgical removal of skin lesions (e.g., cysts, warts), and laser treatment of vascular birthmarks

Children are not just small adults. They are not always able to say what is bothering them. They cannot always answer medical questions or be patient and helpful during a medical exam. Pediatric dermatologists like Dr. Simon know how to examine and treat children in a way that puts them at ease, in kid-friendly offices using medical equipment designed for children.

Call today to schedule your consultation.

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Understanding Hidradenitis Suppurativa

Though it may not be rare, the condition that causes cysts and boils in the folds of the skin, typically in the armpits and groin can be painful. For those with Hidradenitis Suppurativa, the frustration is real, especially because the cause of this inflammatory skin disease is unknown.

Even though our current understanding is incomplete, it is important to understand that the symptoms are not due to poor hygiene, and Hidradenitis Suppurativa (HS) is not contagious.

Your treatment will be based on how severe your case is. Unfortunately, finding the correct treatment can take time and lots of trial and error. You and your doctor might have to try multiple treatments to find the one that works best for you.

Some of the most popular classes of prescription treatments include antibiotics and biologics. Although HS is not an infection and is not contagious, antibiotics can help control it. Additionally, biologics assists the body’s the immune system, which likely plays a role in HS by over-reacting to clogged hair follicles.

Patients can also take steps at home to manage the condition including embracing a healthy lifestyle by focusing on good hygiene in the impacted areas and losing weight. Warm sodium chloride compresses and avoiding tight clothing also help with minimizing the symptoms and managing pain.

NSAIDs(nonsteroidal anti-inflammatory drugs). These over-the-counter medicines can ease your pain and help manage swelling.

No matter the treatment, there is currently no known cure. The team at Windsor Dermatology is committed to HS research. Recent clinical trials are moving dermatologists towards improved treatments and outcomes.

Windsor Dermatology is now offering telemedicine. Call today to schedule your consultation.

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Is Botox Right for Me?

Our increasingly virtual world and seeing yourself on Zoom may have alerted you to signs of aging that you’d rather not have, namely lines and wrinkles. For many, Botox can help.

You are a good candidate for Botox if one or more of the following applies to you: You have crow’s feet or worry lines around your eyes. You have moderate to severe frown lines between the brows. You find that your makeup is collecting in facial creases and lines.

Botox is injected into muscles, where it blocks nerve impulses to those tissues. The muscle activity that causes the frown lines is reduced, and a smoother look results. Without a contracting muscle beneath it, the skin has a difficult time wrinkling.

Typically, people will notice a younger appearance without being able to point out that you had a cosmetic procedure done, which creates a more natural, aging gracefully appearance. Some user even select to use Botox BEFORE they develop the early signs of aging to help stave off the onset of wrinkles.

Since Botox doesn’t work for all wrinkles, however, you should consult with a doctor first. For example, facial lines that exist when your face is totally relaxed are not very good candidates for Botox. These lines are better handled by the dermal fillers. A dermatologist can help advise you on the best course of action for your specific needs.

Windsor Dermatology is now offering Telemedicine appointments. Call now for a consultation.

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Are My Hives a Sign of an Allergy?

One out of every five people will get hives at some point in their life, according to the American College of Allergy, Asthma & Immunology. These raised skin welts can be as small as the tip of a pen or as large as a dinner plate.

Hives are caused when the body releases the chemical histamine, a response to inflammation, infection, or acute stress. When histamine is released, the blood vessels under the skin, called capillaries, are dilated. This dilation results in the appearance of hives. Often times, the exact cause of why a person has hives is unknown. Usually, histamine is released in response to an allergic reaction; allergies are one of the most common causes of hives.

Other causes of hives may include:

  • Infections
  • Excessive scratching
  • Anxiety
  • Sun exposure
  • Extreme temperatures
  • Pressure or rubbing on the skin

Acute hives will most likely alleviate themselves within hours or days. Chronic hives, on the other hand, which are defined as hives that last more than six weeks, are more serious. Typically, a review of potential allergens will help identify what is causing the problem as well as provide a guide for treatment.

Hives and swelling treatment options most often include antihistamines and corticosteroid medications, plus lifestyle modifications to help you avoid allergens and other hives and swelling triggers. Epinephrine (adrenaline) injections may be prescribed for more severe hives and swelling.

Windsor Dermatology offers in person and telehealth visit options. Call today to schedule your consultation.

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Fight scars, wrinkles and aging with microneedling

Looking for a way to improve your wrinkles and fine lines without any down time? Microneedling is a quick and virtually painless procedure that can give you smoother, firmer, and younger looking skin.

Using a wand with a series of very fine needs, your microneedling technician passes the tool over your area of concern. The needles create micro “injuries” in the skin that trigger the body to produce new collagen and elastin to fill the microscopic wound. This procedure has no major side effects and results are typically noticeable in a short period of time. (Though multiple sessions are often recommended for best results.)

Microneedling is proven to diminish the look of surgery and acne scars as well. Stretch marks, too, can be improved with this technique since the procedure breaks down old tissue and triggers the production of new elastin and collagen for healthier skin.

While researching microneedling, you may discover advertising suggesting that at-home products and treatments are the way to go for microneedling. However, like with any skin treatment, you’ll want to trust a professional to do it safely, cleanly, and with the best results.

Want to know more about what microneedling might be able to do for you? Schedule a consultation with the team at Windsor Dermatology. Windsor Dermatology offers in person and telehealth visit options Call us today!

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Is My Sweating Normal?

Everyone deals with sweat from time to time. Sweating is the body’s natural response to regulating body temperature due to warm temperatures, exercise or even emotions like fear, anger or embarrassment.

But, for some, sweating happens excessively and without the above triggers. Hyperhidrosis is a medical condition that causes a person to sweat unpredictably. This uncontrollable sweating may cause both physical and emotional discomfort.

The cause of hyperhidrosis is unknown.

When it is associated with another condition, such as anxiety or menopause, it is called secondary hyperhidrosis. Once the underlying cause is treated, the hyperhidrosis typically ends. When it is not caused by another condition, it is termed primary hyperhidrosis, which appears to run in families.

Hyperhidrosis is often diagnosed through a simple discussion with a doctor, who will ask the patient when, how much and where they typically sweat, and if the patient has noticed any specific triggers.

There are a number of ways to treat hyperhidrosis, depending on the type and severity of the individual’s situation. Non-surgical methods are used first.

Treatments include:

  • Antiperspirants: Antiperspirants plug sweat ducts. They may cause skin or clothing irritation, if they aren’t used carefully. Deodorants, although helpful in controlling body odor, are different from antiperspirants because they don’t reduce sweating.
  • Medication: Sedatives may be used if the patient has stress-induced hyperhidrosis. Anticholinergic drugs, which help prevent sweat gland stimulation, are common for other kinds of hyperhidrosis.
  • Botox: Botulinum toxin, or botox, injections may ease symptoms in some patients with motility disorders.
  • Surgery: Surgery is an option for patients for whom other treatments have been unsuccessful. The surgery addresses the nerves responsible for overactive sweat gland by locating and then removing them, using a camera for guidance.

If you are concerned about your sweating habits, Windsor Dermatology offers in person and telehealth visit options. Call today to schedule your consultation.

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When Should I see a Professional about my Acne

Adult-onset acne can develop anytime between your 20s to as late as your 50s, and often occurs for people who also had acne during their teenage years.

Majority of people will experience acne at least once in their lives. However, not all acne is created equal. While most cases of acne are treatable at home with good skin care products, there are times when a medical professional should be consulted.

  • When non-prescription treatments have stopped working. You’ve probably tried lots of over-the-counter options. But if something that has worked for you before, no longer is, it may be time to get professional advice.
  • When acne is taking a toll on your self esteem. Acne can affect your entire life, and if breakouts are causing you social or psychological distress, regardless of whether it is mild or severe, then it’s time to go see a dermatologist.
  • When your acne is super painful. If your acne is painful enough that it’s hindering your every day activities or constantly on your mind, it’s definitely worth a trip to a dermatologist to see if anything can be done to reduce the inflammation.
  • When your acne lasts a long time and/or keeps coming back. Cystic acne is caused by bacteria that is underneath the surface of your skin and it gets inflamed. It’s hard to treat because it’s so deep. This is when a visit to a dermatologist can benefit you.
  • When you get a lot of post inflammatory pigmentation and acne scars. If acne leaves post inflammatory pigmentation (or dark marks), or acne scars, even if you haven’t picked at your skin, then it’s time to consult a dermatologist.

Windsor Dermatology offers in person and telehealth visit options. Call today to schedule your consultation.

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New Technology in Port Wine Stain Removal

A port wine stain is a benign birthmark that is caused by enlarged capillaries under the skin’s surface. These swollen capillaries produce a light pink to dark-red- violet discoloration of the skin.

Port wine stains can be found anywhere on the body, however, it is common for them to present on the head and neck. Often the biggest problem people with port wine stains experience is low self esteem, and psychological issues due to their negative cosmetic appearance.

The cause of port wine stains is not completely understood by medical professionals. What doctors believe is that port wine stains develop as a result of deficient or absent neurons that would normally regulate blood flow through the skin’s capillaries. As a result, the blood vessels are unable to constrict normally and remain permanently enlarged giving off a pink to red appearance.

In the past, port wine stains have been treated by freezing, surgery, tattooing, and radiation. These treatment options have shown limited success and have been replaced by pulse dye laser (PDL) technology. The laser targets the vessels, and, over time and multiple treatments, causes the birthmark to lighten and diminish in size. Usually a combination of different lasers is needed to significantly reduce the appearance of a port wine stain.

After a PDL session, the skin may look darker or bruised, but this typically lasts only 7 to 14 days. This treatment has also been found to be safe for infants, toddlers, and children.

Call Windsor Dermatology today to schedule your stain-removal consultation.

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Skin Cancer Cure can be done Outpatient with Mohs Surgery

A cancer diagnosis, in any form, can be a scary moment. Fortunately, for many with the most common forms of skin cancer, treatment can often be done outpatient and without significant side effects via Mohs micrographic surgery. The Mohs procedure (named for the doctor who developed the procedure in the 1930s) offers the highest cure rate for basal cell carcinoma and squamous cell carcinoma skin cancers, even if a cancer has come back after previous treatment. In fact, Mohs surgery cures 99 percent of new cancers and 95 percent of recurrent cancers.

Because the roots of a skin cancer may extend beyond the visible portion of the tumor, the roots need to be removed to prevent recurrence.

Mohs Surgery is effective because it removes the diseased area in stages, layer by layer, and the tissue is examined by a Mohs-trained surgeon along the way. This type of treatment helps the physician determine if the tumor is completely removed after the surgery has been performed.

  • The surgeon removes the visible portion of the tumor using careful surgical techniques.
  • The surgeon next removes a deeper layer of skin and divides it into sections. With the help of technicians, the surgeon then color-codes each of these sections with dyes and makes reference marks on the skin to show the source of the sections. A map of the surgical site is then drawn to track exactly where each small portion of tissue originated.
  • In a laboratory, the surgeon uses a microscope to examine the undersurface and edges of each section of tissue in search of evidence of remaining cancer.
  • If the surgeon finds cancer cells under the microscope, he or she marks their location on the “map” and returns to the patient to remove another deeper layer of skin — but only from precisely where the cancer cells originated. This method ensures that the Mohs surgery results in the smallest scar possible.
  • Once the cancer has been removed, the surgeon repairs the wound using reconstructive procedures

Local anesthesia permits faster patient recovery and a lower risk of complications, especially for older patients.

Call Windsor Dermatology today to schedule your consultation.

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