Skin Flaws, Correcting (cont.)
The treatment for pores includes daily exfoliation with either a scrub soap, washcloth, done gently. Next is to apply either a tretinoin product from your dermatologist (Retin A, Tazorac, Differin) nightly. Microdermabrasion by a professional is also helpful if done weekly and used with a prescription grade tretinoin. Daily use of SAL acid in leave-on lotions, as well as retinol over the counter can be helpful for this chronic condition. In all cases, we are unplugging the pore and clearing it of oil and debris, but unfortunately we are unable to shrink the sebaceous gland that lies beneath.
You can try a bleaching/lightening agent that contains hydroquinone. I also suggest to my patients who are going into mosquito-infested areas to get a prescription of a strong topical steroid gel to have on hand. This medicine is helpful to apply immediately to the bite so that it will resolve quickly and be less likely to leave a dark stain behind.
Facial veins, unlike leg veins, respond beautifully to laser treatment. For best results, see a dermatologist who has either the VersaPulse Laser or Intense Pulsed Light (IPL) device. Within one or two treatments, your red facial veins will disappear.
In general, if a mole changes in size, shape or color, it is important to have it checked by your dermatologist. If it's larger than a pencil eraser, if it went from flat to raised (even slightly raised),has gone from a round border to an irregular border or changed any in color (not necessarily black, red is also suspicious) these could all be early symptoms of a melanoma.
Never, never visit a tanning salon! In spite of the ads, these salons do not deliver a safe tan.
I also recommend to my fair complexioned patients and those with many moles, to see a dermatologist regularly, at least once or twice a year, to have their moles checked and possibly documented with photography. The key to melanoma is early detection and diagnosis.
Melanoma is on the rise. In the 1930s one in 400 people got melanoma and today it's 1 in 70. Melanoma, when caught early and treated via surgical excision, can be curable. If detected late, it is deadly. Any lesion, including a brown or black pigmented one or even a red bump that is persistent, changing or new, should immediately be evaluated by a board-certified dermatologist.
The condition is also associated with acne, where pimples form primarily on the nose, cheeks and forehead as red bumps without blackheads. The acne component of rosacea can be treated with over-the-counter benzoyl peroxides, sulfur and SAL acids on a daily basis to heal and prevent the problem. Prescription medications include topical metronidiazole, Finacea, benzoyl peroxides, and sulfurs. Oral tetracycline can be used for more severe cases.
The facial redness itself, if it is persistent and consistent with blood vessels across the face, can be improved with Intense Pulsed Light (IPL) light sources by your dermatologist or by using vascular lasers. It does not cure the condition, but after several treatments the baseline color of the skin can be improved with much less facial redness.