Dr. Rockoff received his undergraduate degree from Yeshiva College with the distinction of Summa Cum Laude. He received his medical degree from the Albert Einstein College of Medicine. His internship and two years of Pediatric residency were at the Bronx Municipal Hospital Center, followed by training in Dermatology at the combined residency program at Tufts and Boston Universities. Dr. Rockoff is certified by both the American Board of Dermatology and the American Board of Pediatrics.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Doctors do not understand exactly why keloids form in certain people or
situations and not in others. Changes in the cellular signals that control
growth and proliferation may be related to the process of keloid formation, but
these changes have not yet been characterized scientifically.
Which people are most susceptible to keloids?
Keloids are equally common in women and men, although at least in times past more women developed them because of a greater degree of earlobe and body piercing among women. Keloids are less common in children and the elderly. Although people with darker skin are more likely to develop them, keloids can occur in people of all skin types. In some cases, the tendency to form keloids seems to run in families.
In which area of the body are keloids most likely to
appear?
Keloids develop most often on the chest, back, shoulders, and earlobes. They
rarely develop on the face (with the exception of the jawline).
Keloids and piercing
Keloids can develop following the minor injuries that occur with body
piercing. Since doctors do not understand the precise reasons why some people
are more prone to developing keloids, it is impossible to predict whether
piercing
will lead to keloid formation. Although there are some families which seem prone
to forming keloids, for the most part, it's impossible to tell who will develop a
keloid. One person might, for instance, develop a keloid in one earlobe after
piercing and not in the other. It makes sense, however, for someone who has
formed one keloid to avoid any elective surgery or piercing, especially in body
areas prone to scarring.
Is keloid prevention possible?
The best way to deal with a keloid is not to get one. A person who has had a
keloid should not undergo elective skin surgeries or procedures such as
piercing. When it comes to keloids, prevention is crucial, because current
treatments are often not completely successful and may not work at all.
Acne is a localized skin inflammation as a result of overactivity of oil glands at the
base of hair follicles. This inflammation, depending on its location, can take the form
of a superficial pustule (contains pus), a pimple, a deeper cyst, congested pores, whiteheads, or blackheads. Treatments vary depending on the severity of the acne.
Ingrown hairs may be caused by improper shaving, waxing or blockage of the hair follicle. Symptoms and signs of ingrown hairs include itching, tenderness, and small red pus bumps. Ingrown hairs usually heal on their own, but topical antibiotics, chemical depilatories, and hair-removal laser may be used in the treatment of ingrown hairs.
Itching can be a common problem. Itches can be localized or generalized. There are many causes of itching to include: infection (jock itch, vaginal itch), disease (hyperthyroidism, liver or kidney), reactions to drugs, and skin infestations (pubic or body lice). Treatment for itching varies depending on the cause of the itch.
Burns are categorized by severity as first, second, or third degree. First degree burns are similar to a painful sunburn. The damage is more severe with second degree burns, leading to blistering and more intense pain. The skin turns white and loses sensation with third degree burns. Burn treatment depends upon the location, total burn area, and intensity of the burn.
Scar formation is a natural part of the healing process after injury. The depth and size of the wound incision and the location of the injury impact the scar's characteristics, but your age, heredity and even sex or ethnicity will affect how your skin reacts.
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