Mysterious Rash Getting You Down?

May 16th, 2012

Dr. Marie Jhin, a dermatologist in the SF Bay Area, answers your questions about pityriasis rosea.

If you have small pink ovals on your arms, torso, or back, it could be pityriasis rosea, a skin problem that causes a rash.

Although the rash can be alarming, with red bumps and patchy blotches, it is usually nothing to be concerned with. Unfortunately, it is unknown what causes the rash, but some simple at home steps can help manage the rash and make you much more comfortable.


Who gets pityriasis rosea?

The rash is most commonly seen  in people younger than 35 years old, but can affect anyone. No one knows what causes it, but the rash is not contagious or sexually transmitted.
What does the rash look like?

Pityriasis rosea begins as a single pink patch, ranging in size from 2cm-10cm.  Within a few weeks, small, pink ovals, sometimes accompanied by red bumps and blisters, appear in patches on the soft skin of the stomach, back, chest, arms, legs and neck. The rash rarely spreads to the face. Pityriasis rosea is also known as the “Christmas Tree Rash” due to the characteristic shape that the rash commonly forms on the back.

How can I manage the rash at home?

The rash doesn’t have many negative side effects. However, about 75% of individuals with pityriasis rosea experience some degree of itching. To treat itching, take an oatmeal bath or use an over the counter anti-itch cream.

If you are looking for a way to get rid of the rash, some suggest getting out in the sun. A few minutes in the sun may speed up the time it takes for the rash to leave your system. But don’t forget to apply sunscreen to your face before going outside!
When should I see a doctor?

Pityriasis rosea should go away on its own within 8 weeks.

If pityriasis rosea lasts for more than three months or if you are pregnant, make an appointment with the doctor. Another reason to see your doctor is if the rash appears on the palms or the bottoms of the feet—this could indicate a more serious skin condition.

 

If you are concerned about a rash, contact Robert, our Patient Manager, to schedule an appointment. He can be reached at info@premier-dermatology.com or by phone at 415-371-8600 (SF office) or 650-551-9700 (Peninsula office)

The One Thing You Should Be Doing for Healthier Hair

April 30th, 2012

Dr. Marie Jhin, a dermatologist in the SF Bay Area, answers your questions about greasy hair.

You may think that your hair is oily because of chemicals in your hair products, but the most likely reason your hair is greasy is because of over washing.

You might not realize it, but when you wash your hair every day, you strip your hair of its natural oils.  Your scalp compensates by producing even more oil–which results in dirty looking hair after only one day.

If your your hair is oily, you need to break the cycle!  This means washing your hair less–which can be hard to do after a hot summer day or a trip to the gym.

One of the best kept secrets to having a clean looking mane is by using a dry shampoo in between washes. Dry shampoos come in powder and spray forms, and a little goes a long way. Just add a bit to the roots and brush through with your fingers. The dry shampoo will soak up excess oil and allow you to wait another day to wash.

Over time, your scalp will adapt to your new, heathy hair washing cycle, and you will be able to go even longer without washing your hair. That means, beautiful, healthy hair and a great looking scalp!

If you suffer from oily or dry scalp and are having a hard time managing it on your own at home, contact Robert, our Patient Manager, to schedule an appointment. He can be reached atinfo@premier-dermatology.com or by phone at 415-371-8600 (SF office) or 650-551-9700 (Peninsula office).

 

Do you know which popular skin product just celebrated its tenth birthday?

April 23rd, 2012

Last week Botox celebrated its 10th anniversary!

Botox, the most popular injectable, first came onto the skin scene in the early 2000s, and since then, has transformed the way 11 million Americans have feltabout wrinkles and aging. Botox initially entered the market to treat eye disorders, but now is best known for eliminating harsh wrinkles between the eyebrows.

Botox is so popular because it offers profound results quickly and easily. After only one treatment, facial skin appears smoother and younger–and the results last for up to four months!

Over the past decade, many new uses for Botox have been discovered. Botox is used to reduce sweatingtreat migraines, and reduce the pain and discomfort associated with TMJ.

No matter what use Botox is for, make sure you find a good, reputable doctor to perform whichever procedure you are interested in. In order to achieve ageless, natural looking skin, make sure to visit a board certified physician with the correct education and experience.

Learn more about Botox and other popular injectables here.

Happy Birthday Botox!

If you are interested in reducing the appearance of wrinkles, contact Robert, our Patient Manager, to schedule an appointment. He can be reached atinfo@premier-dermatology.com or by phone at 415-371-8600 (SF office) or 650-551-9700 (Peninsula office).

The item in your beauty cabinet that could be poisoning you

April 14th, 2012

Last month, the FDA released a statement warning consumers about certain beauty products sold illegally in the United States containing mercury.

Which beauty products contain Mercury?

Unlabeled face creams sold primarily to ethnic communities have been found in New York, California, Illinois, Texas, and Virginia. The creams claim to reduce wrinkles, fight acne, and lighten skin.  This makes sense because Mercury blocks melanin, the component which gives skin its color.

What Mercury does?

Mercury attacks the bodies nervous system, and can have extreme effects on personality.  Mercury is also particularly problematic for children whose bodies are still developing.

What to look for?

The FDA suggests that users look for words on ingredient labels like mercurous chloride, calomel, or mercuric.

Signs of Mercury poisoning.

Signs of Mercury poisoning include loss of vision, coordination problems with speaking, walking, or hearing, and tremors of the hands or feet, as well as depression.

The best way to fight wrinkles, treat acne, and even skin tone is by staying out of the sun and using FDA approved skin products and treatments!

If you are interested in learning more about safe and effective techniques to combat your skin concerns, contact Robert, our Patient Manager, to schedule an appointment. He can be reached atinfo@premier-dermatology.com or by phone at 415-371-8600 (SF office) or 650-551-9700 (Peninsula office).

The skin condition you may not realize you have

April 5th, 2012

Dr. Marie Jhin, a dermatologist in the SF Bay Area, answers your questions on rosacea.

Many more people have rosacea then you may realize—more than 16 million Americans!

Even though this skin condition is extremely common, affecting 1 in 20 Americans, most people don’t realize they have rosacea or what it is. April is national rosacea awareness month, so now is a great time to learn more about this common skin condition!

Rosacea may is characterized by red blotches and raised pimples. Many people mistake rosacea with adult acne. The cause of rosacea is unknown, but there are common triggers that set rosacea off.

What to do?

Living with rosacea is difficult, and since there is no cure, many people suffer from depression and anxiety because of their skin. Rosacea tends to worsen over time, so acting fast is key.

The best way to start dealing with rosacea is to recognize and cut out your triggers. Common triggers include menopause, stress, hot water or steam, and spicy or sugary foods.  Keep a food diary of all of the foods you eat and when flare-ups occur. Bring your food journal to your doctor to discuss your triggers and strategies to avoid them.

Treatment is available:

IPL, Intense Pulse Laser, like the one at Premier Dermatology, can reduce the appearance of rosacea. At home, try applying primrose oil directly to the affected skin. Your doctor may also prescribe oral or topical treatment to reduce the red blotches on your skin.

If you think you may have rosacea, contact Robert, our Patient Manager, to schedule an appointment. He can be reached atinfo@premier-dermatology.com or by phone at 415-371-8600 (SF office) or 650-551-9700 (Peninsula office).

What everyday items in your house could prevent wrinkles, cure cracked skin, and treat warts?

March 27th, 2012

Dr. Marie Jhin, a dermatologist in the SF Bay Area, answers your questions about how to treat your skin problems with household items.

Steri-Strips to Prevent Wrinkles

If you sleep on your stomach, and notice parts of your face are being squished while you sleep, put steri-stips (aka band aids), on those places on your face at night. The strips will keep the skin from squishing together and will prevent wrinkles in the long run!

Crazy Glue to Fight Dry Skin

Crazy glue creates a seal on the skin to prevent further cracking on your hands and feet. Put a very small amount directly onto the cracks in your skin, rub petroleum jelly on the affected spots before bed, cover with plastic wrap, and wake up with smooth, healed skin the next morning.

Duct Tape to Treat Warts

Use duct tape to fight against warts. You may be surprised to learn that duct tape is a great tool against warts. The tape brings the wart to your body’s attention so it will know about and fight the virus. Use silver duct tape to completely cover the wart for six days, on the sixth day, remove the tape, soak your wart in warm water, and then scrub with a pumice stone for a few seconds. Put another piece of tape on the wart, wait six days, and repeat again. It will take a few weeks, but your wart should grow smaller and eventually disappear!

If you would like to learn more about warts, wrinkles, and dry skin, contact Robert, our Patient Manager, to schedule an appointment. He can be reached at info@premier-dermatology.com or by phone at 415-371-8600 (SF office) or 650-551-9700 (Peninsula office).

Regretting that tattoo?

March 16th, 2012

Dr. Marie Jhin, a dermatologist in the SF Bay Area, answers your questions on laser tattoo removal.

Are you lusting for the time when your skin was clear and ink-free?

There has been a lot of talk lately about tattoo removal. The idea of living with a drawing forever has really gotten people talking about their options for removing images from times gone by.

Tattoos are harder to get off than to get on, and unfortunately, more painful.

If you are thinking about getting your tattoo removed the best option is laser tattoo removal.

Other options for removal include extraction of skin (literally removing the layers with the tattoo and stiching it up after–ouch!) and dermabrasion, where the skin is chemically “sanded” to the middle layers of skin to where the ink has penetrated.

Laser tattoo removal is the best choice because there is little chance of infection, a limited number negative side effects, and very little blood. The laser uses high intensity pulses to break down the ink deep within the skin. With more improved lasers, like the Q-switched and ND Yag lasers at Premier, different wavelengths are used to effectively remove different colors of ink.

Most tattoos take several visits under the laser to remove, but once it’s gone, it’s gone forever!

If you would like to learn more about tattoo removal, contact Robert, our Patient Manager, to schedule an appointment. He can be reached at info@premier-dermatology.com or by phone at 415-371-8600 (SF office) or 650-551-9700 (Peninsula office).

I know I have a nail infection, what do I do now?

March 13th, 2012

Dr. Marie Jhin, a dermatologist in the SF Bay Area, continues to answer your questions on nail infections.

Welcome back to the third post in our nail infection series. Today we will go over how to treat your nail infection at home and when you should make a visit to your doctor.

What you can do at home to treat your nail infection:

  • Use a topical medication from the drugstore like Lamisil or Penlac to prevent the spread of infection. These creams are also used to kill fungal infections, but are not 100% effective at getting rid of nail infections.
  • Apply tea tree oil or cream to dry out the area and prevent the spread of infection.
  • Keep your hands and feet dry. Fungi thrive in moist environments, so reduce your risk of infection spreading by creating a dry environment.
  • Avoid cutting your nails too short. Injuring your nails is a common way of spreading a nail infection; it gives fungus a chance to get into your system.
  • Don’t smoke! Believe it or not, smoking greatly increases your risk of getting a nail infection, or spreading one that you already have. Smoking decreases blood circulation, which increases the risk of nail infection.

When you need to call your doctor:

  • If your nail infection is exhibiting signs of a bacterial infection. Sings of a bacterial infection include pain, swelling, redness, puss, or fever.
  • If the fungal infection appears to be spreading to surrounding skin or under the nail
  • If your nail is very thick and uncomfortable, or if you are concerned about the infection

 

What will the doctor do?

  • Your doctor might prescribe an oral antifungal medication. Taking an antifungal medication orally is the best way to get rid of a nail infection, but oral medications have dangerous side effects that require monitoring.
  • Your doctor might prescribe a stronger cream than you can find at the drugstore.
  • Your doctor can help you work out a plan for dealing with a nail infection and what the best plan of action is best for your body.

If you have a nail infection and want to learn more, check out this article on WebMD. If you want to see a doctor about your infection, contact Robert, our Patient Manager, to schedule an appointment. He can be reached at info@premier-dermatology.com or by phone at 415-371-8600 (SF office) or 650-551-9700 (Peninsula office).

How can I tell I have a nail infection?

March 9th, 2012

Dr. Marie Jhin, a dermatologist in the SF Bay Area, continues to answer your questions on nail infections.

A nail infection is the result of a fungus, yeast, or mold attacking the nail or the skin under the nail.

What signs should I look for?

  • Nails that are thick
  • Yellowness on the nail
  • Nails that have split from the skin, and have started to crumble

A common type of fungus that attacks nails, White Superficial Onychomycosis, has a specific set of symptoms:

  • White spots on the nails
  • A powdery nail surface that gets worse as the infection progresses
  • Damaged, crumbly, brown nail surface, which remains connected to the skin underneath

What puts me most at risk for getting a nail infection?

  • Being over 60 years old
  • Having cuts near the fingernails, a hangnail or ingrown nail
  • Being someplace where your hands or feet are moist and sweaty

Where did I pick up my nail infection?

The most common places are those that have a lot of people coming and going and that are hot and moist (an ideal environment for fungus), such as a public shower, or places with shared equipment, such as nail salons. Make sure you wear sandals in gym showers and check that your nail salon is using clean equipment.

For most people in good health, a nail infection is nothing to worry about.  However, if an individual with a weakened immune system or diabetes experiences a nail infection, medical attention is needed.

Check back in on Friday to learn how to treat your nail infection!

If you have a nail infection and are interested in learning how to treat it, contact Robert, our Patient Manager, to schedule an appointment. He can be reached at info@premier-dermatology.com or by phone at 415-371-8600 (SF office) or 650-551-9700 (Peninsula office).

How do I avoid getting an infection from the nail salon?

March 4th, 2012

Do you love getting your nails done but fear getting an infection from your favorite salon?

Dr. Marie Jhin, a dermatologist in the SF Bay Area, answers your questions on nail salons.

We all hear the horror stories of learning that a nail shop that appears clean and professional is sending people home with infections.

In this three part blog post, we will explain to you what to do when you go to a salon, what the signs of a nail infection are, and what to do if you have a nail infection.

What you should do when you go to the salon:

Look for licensed, trained professionals. These professionals know the importance of a clean salon and have been trained in how to keep a nail salon safe and clean.

Ask questions. Find out how they clean their equipment and how often they do it. This article (link) on About.com suggests looking for an autoclave or disinfectant called tuberculocidal, these disinfect better than the UV lights some salons use.

Bring your own equipment. If you are worried that equipment isn’t being sterilized properly, make a trip to the beauty supply store and stock up on your own nail supplies. Throw them in a cute bag and leave them in a place you will remember—just grab them before you leave for the salon.

Hold off on shaving and opt not to get your cuticles cut. These are two great ways to reduce your chances of infection. Bacteria are looking for little cracks and openings in the skin to get into your body—a shaving nick or a snip of a cuticle that breaks skin are two easy ways for bacteria to enter.

Check back on Tuesday for Part 2: How to Spot a Nail Infection.

Interested in learning even more about the Dos and Don’ts of going to the nail salon? Read more on the ASDS website.

If you have a nail infection and are interested in learning how to treat it, contact Robert, our Patient Manager, to schedule an appointment. He can be reached at info@premier-dermatology.com or by phone at 415-371-8600 (SF office) or 650-551-9700 (Peninsula office).