While dermatology and cosmetic surgery has a tendency to be glamorized or simplified as a manipulation of self image, removing blemishes, or luxury skin care treatments for wealthy clients, dermatology is unique in that it serves all demographics, ages, abilities, genders, ethnicities and economic backgrounds. Dermatology is much more than having good nails and skin care

Dermatologists can identify diseases, perform surgery, and prescribe treatment just by looking at the skin. The practice of dermatology bridges many fields including internal medicine, resolving life threatening diseases and cancers, cosmetic enhancements, repairing disfiguring traumas or burns, and helping to create life changing and emotional breakthroughs, restoring confidence, dignity and health from the inside out. Dermatologists see an entire age range of patients, from children, to teens, to adults.

To be a Dermatologist certified by the American Board of Dermatology, many preparations and years of schooling must be considered and completed in order to satisfy requirements and move into the dermatology career. A board certified dermatologist includes a full MD licensure and complete medical school training and residency.

The dermatology path is appealing to many pre-med candidates because it involves a majority of outpatient care, and usually carries a lighter work load than other general practice disciplines or other specialized fields. Hair, nail and skin care covers everything from common cosmetic enhancements, to serious ailments and diseases. A board certified dermatologist can diagnose a skin ailment by studying the affected area and prescribing a specific treatment.

Because of the niche practice of dermatology boasts fewer demanding, around-the-clock hours than other fields of medicine, there is a lot of competition to enter the field. Securing a residency is difficult because there are only about 100 dermatological residency programs in the U.S. Each dermatology residency program receives over 250 applications per year to fill a handful of available positions. To see a complete list of residency programs required to be a board certified dermatologist, see the Accreditation Council for Graduate Medical Education http://www.acgme.org/adspublic/.

Because of the competitive nature of the residency program, it is very important for aspiring dermatology candidates to decide on the dermatology field early in medical school. For a comprehensive review of the requirements to be a board certified dermatologist, see The American Board of Dermatology, Inc. http://www.abderm.org/residency/residency.html

Training to be a Dermatologist

It would be great if we could all jump into a serious career right out of high school. Considering the cost and commitment to undergraduate, medical school, and residencies takes time, careful planning, flexibility and openness to alternative options and careers. An undergraduate degree with solid grades and pre-medical or biology courses from an accredited college in the United States or Canada is acceptable preparation for the MCAT Examinations and subsequent application and acceptance to medical school.

Taking the Medical College Admission Test (MCAT), coupled with a lengthy application process for acceptance into medical school, takes about a year. Often pre-med majors will begin the process in the winter of their junior year of college. High scores on this exam are an important consideration for acceptance into top medical school programs. Study plans and exam preparation courses are highly recommended. This is especially important for candidates considering the dermatology field, due to the competitive nature of the field. More information on the MCAT exam and medical school applications can be found at the Association of American Medical Colleges https://www.aamc.org/students/applying/mcat/.

Standing out as a good candidate for a dermatology residency is extremely important for medical school graduate students. It is always important to consider a wide range of possibilities in moving forward as an MD or Osteopath. If dermatology is your motivation, make sure to consider it as an elective in the third year. Become familiar with dermatology professors, demonstrate an eagerness for the field, ask about dermatology related research opportunities, demonstrate an eagerness to advance the field to your dermatology professors, and secure solid letters of recommendation.

Another way to establish rapport with your professors, increase your exposure to experience and your personal confidence in the medical field is to attend Grand Rounds. This will also solidify your letters of recommendation when it comes time to apply for the highly competitive residency for dermatology. For more tips on succeeding in medical school, see the AAMC website: https://www.aamc.org/students/medstudents/

Graduation from medical school is usually followed by four years of clinical experience in a residency program. The first year is Post Graduate Year 1 (PGY1) and is a transitional program with choices in broad based residency of emergency medicine, family medicine, general surgery, internal medicine, obstetrics & gynecology, or pediatrics.  For more information and a complete list of broad based residency programs, see the Accreditation Council for Graduate Medical Education http://www.acgme.org/acWebsite/home/home.asp

The next challenge posed to future dermatologists is securing the competitive residency. The American Board of Dermatology requires PGY2, 3 and 4 in an accredited dermatology residency program. According to the American Medical Association, there are only about 100 dermatology residency positions nationwide and each program receives about 250 applications per year for 1-3 openings. It is estimated that nearly 33% will fail to match with a dermatology residency program, and it is highly recommended that residency applicants apply for an alternate residency program in another practice. Dermatology residency interviews are generally scheduled for later than internal medicine interviews. During the interview process, use your experience in PGY1 to demonstrate what you have gained from medical school. Show that you are a solid candidate and demonstrate your extensive knowledge of your commitment to dermatology, and prepare for extensive and comprehensive interviews, as well as solid letters of recommendation from your medical school professors.

Apply to your desired dermatology residency program, and apply to as many programs as possible. You can visit the program’s website and follow their application process or you can use a program called ERAS, Electronic Residency Application Service. If a match in a dermatology residency is not made, consider completing an internship or field related research fellowship, and re-apply for the residency the following year. For more information about residency programs, visit the American Medical Association http://www.ama-assn.org/ama/pub/about-ama/our-people/member-groups-sections/minority-affairs-consortium/transitioning-residency/residency-programs-an-inside-look.page

Go to the interview for your prospective residency. Tell the interviewer how well you performed in medical school, your PGY1 and tell them about any prestigious internal medicine residencies you may have been offered. This will increase your chances of securing a dermatology residency.

The resident’s time throughout each year (PGY2 – PGY4) will be primarily clinical work, related to outpatient and inpatient care. The resident will also need to attend clinical conferences and didactic lectures relevant to patient care, consultations, inpatient rounds, and other research, rotations and lectures concerning dermatology. For a complete list of guidelines for determining adequacy of clinical residency training, see the American Board of Dermatology website http://www.abderm.org/residency/guidelines.html

Once the clinical training has been completed, the dermatology candidate will take a final certifying board examination. The comprehensive exam includes multiple choice questions, identifying histopathologic slides, and digital image identification.  For further information on the Board examination process, visit the American Board of Dermatology website http://www.abderm.org/certification/exam.html

Once the candidate has successfully passed the examination and receives approval from the American Board of Dermatology on meeting the full requirements, the candidate will be licensed to practice dermatology in the United States and Canada. Please note that the American Board of Dermatology has maintenance of certification program which is designed to assess the competence of physicians on an ongoing basis. Visit http://www.abderm.org/moc/overview.html for more information about recertification and certification maintenance.

A Variety of Career Paths and Specialties in the Dermatology Field

Dermatopathology

A dermatologist may specialize in the behavior of diseases related to the skin, usually a dermatologist or pathologist will complete one year of dermatopathology fellowship consisting of six months in general pathology, and six months in dermatopathology. Alumni of both specialties can qualify as dermatopathologists. At the completion of a standard residency in dermatology, many dermatologists are also competent at dermatopathology. Some dermatopathologists qualify to sit for their examinations by completing a residency in dermatology and one in pathology.

Immunodermatology is a sub specialty field of dermapathology, but relates specifically to the treatment of immune-mediated inflammatory skin diseases and disorders. This sub-specialty focuses on everything from photo immunology (effects of UV on skin defense), to inflammatory and microbial diseases.

Pediatric Dermatology

Candidates wishing to specialize in dermatology related to the care of children must complete one additional year of fellowship training in Pediatric Dermatology. Prior pediatric training is helpful, and candidates will often seek a residency in both pediatrics as well as dermatology to fulfill the requirements for this specialty, or the candidate can complete a post-residency fellowship.

Teledermatology 

A new form of dermatology where telecommunication technologies are used to exchange medical information via media, audio, visual, data and photo communication of dermatologic conditions (usually made by non-dermatologists for evaluation off-site by dermatologists). This subspecialty deals with options to view skin conditions over a large distance to provide treatment for those in economically or physically isolated or rural areas where access and distance to dermatology specialists are limited.

Mohs surgery

The surgical practice focuses on the excision of skin cancers using a tissue-sparing technique that allows intraoperative assessment of 100% of the peripheral and deep tumor margins. Dermatologists trained in for Mohs surgery are must have residency experience in both dermopathology and cosmetic surgery, and are encouraged to seek additional training either through preceptorships to join the American Society for Mohs Surgery or complete a one- to two-year Mohs surgery fellowship training programs.

Cosmetic dermatology

Some dermatology candidates complete a fellowship in surgical dermatology is also an optional path for a dermatology specialty. Some residencies train dermatology candidates on the use of botox, fillers, laser surgery, as well as cosmetic surgical procedures including liposuction, blepharoplasty, and face lifts. However, some dermatologists choose to focus on minimally invasive procedures. Other cosmetic procedures practiced by cosmetic dermatologists include but are not limited to:

Laser hair removal

Hair transplantation

Intralesional treatment

Laser therapy

Tattoo removal

Photodynamic therapy

Phototherapy

Tumescent liposuction

Chemical or topical treatment

Allergy testing

Cryosurgery

Skin grafts

Systemic therapies

Dr. Douglas K. Ulmer received his medical credentials from UCLA School of Medicine and is a board certified dermatologist from the American Academy of Dermatology as well as the American Academy of Dermapathology. He has received fellowships from the American Society of Dermatologic Surgery, The American Academy of Cosmetic Surgery, and the American Society of Cosmetic Dermatology.

Dr. Zena H. Gabriel specializes in dermatology surgery, including laser and cosmetic surgery and Mohs Micrographic Surgery. She is board certified from the American Academy of Dermatology and completed a trained fellowship from the American Society for Mohs Surgery. She also received a fellowship from the American Society of Dermatologic Surgery.

The following is a comprehensive list of the many societies, associations and specialization groups that are associated with dermatology.

American Board of Dermatology

The purpose of the organization, founded in 1932, is to maintain the integrity of the practice of dermatology by establishing the professional standards through training and for board certified dermatologists.

The Board of Dermatology establishes general qualifications for the practice of dermatology, including general residency training requirements, the dermatology certification examination, as well as maintenance of certification. The purpose of the board is not only for professional standards, from all specialties and sub specialties from cosmetic surgery to dermatology surgery to pediatric dermatology, but for public safety as well. In any medical field, patients must know that they are in the hands of a well qualified medical professional.

The American Board of Dermatology works in partnership with the American Medical Association as well as the Accreditation Council for Graduate Medical Education.

http://www.abderm.org/

American Academy of Dermatology

Founded in 1938 and represents nearly all practicing dermatologists in the United States and internationally, with 17,000 members worldwide. With a vision for “Excellence in Dermatology,” The American Academy of Dermatology “promotes excellence in patient care through education, research and advocacy.” The Academy always strives to put patients first to ensure the “highest quality of care,” encouraging professionalism and high ethical standards, “honesty, integrity, transparency and mutual respect.

The American Academy of Dermatology provides benefits, events, and educational opportunities for members, as well as important information for the public; including skin care and safety, tips, and even free skin cancer screenings

http://www.aad.org/

American Society of Dermapathology

The Society was founded in 1962 to “improve the quality of dermatopathology and treatment of skin diseases.” The mission of the society focuses on the improvement of “quality of dermapathology” as practiced by both dermatologists and pathologists, providing knowledge and education to relevant topics as well as encouraging research in the field.

The ASDP posts career training information, annual events, and the Journal of Cutaneous Pathology, a monthly publication of “manuscripts relevant to diseases of the skin in a broad sense, with aims of advancing scientific knowledge regarding dermatopathology and enhancing the communication between clinical practitioners and research scientists.”

The American Society of Dermapathology is closely linked to American Academy of Dermatology and the Intersociety Pathology Council.

http://www.asdp.org/Home.htm

 American Society for Dermatologic Surgery

The society was founded in 1970 with nearly 5,400 members, and maintains a commitment to “the development of safe, in-office procedures that are saving lives by diagnosing and treating potentially deadly skin cancers earlier and more effectively.”

The ASDS is a resource provides membership for dermatologic surgeons, and promotes the education and research in the field of aesthetic medicine and surgery. The society maintains a large range of corporate and public partnerships and also has many programs and resources for the public. The ASDS also has an extensive categorical list of information about various cosmetic treatments, tips, preventative advice, and an extensive directory of recommended and reputable Dermatologic Surgeons.

http://www.asds.net/

American Academy of Cosmetic Surgery

The Academy was founded in 1985 specifically to “advance the specialty of cosmetic surgery and quality patient care.” The AACS welcomes surgeons with various specialties, including dermatological surgeons, facial plastic surgeons, head and neck surgeons, oral and maxillofacial surgeons, general surgeons, plastic surgeons, ophathalmic plastic surgeons; all included in the cosmetic surgery field.

The AACS is committed to a strict code of ethics among members and promotes “education and awareness of the practices of cosmetic surgery and research and development into new procedures.”

The AACS also publishes the American Journal of Cosmetic Surgery, discussing new procedures, breakthroughs, advancements and cutting edge knowledge in the field.

http://www.cosmeticsurgery.org/

American Society of Cosmetic Dermatology & Aesthetic Surgery

The mission of ASCDAS is “to promote the advancement of ethical aesthetic dermatology as a medical and surgical discipline” by “ education training, research, and public awareness.

ASCDAS focuses on education and outreach and has an internationally based membership and is unique in that it is open to both “physicians and non-physician professional medical staff members employed by core specialty physicians.”

The publication Journal (trademark) focuses on aesthetic related aspects of dermatology with reports, reviews, comparisons, as well as meetings, events and conferences within the industry.

http://www.ascdas.org/

American Society for Mohs Surgery

Mohs Surgery was developed in 1930 by Dr. Frederick E. Mohs, and is specifically used as a common surgical treatment to remove melanoma and basal cell carcinoma, to complete coircumferential peripheral and deep martin assessment.

The American Society of Mohs Surgery was founded in 1990 as an association of dermatologists who specialize in the Mohs Surgery procedure, and provides services to over 1,000 dermatologists and Mohs Surgery patients. ASMS provides educational resources for patients, including a patient video, detailing what to expect from a Mohs Surgery procedure. The ASMS also provides a referral list for certified Mohs Surgeons throughout the United States.

ASMS is also closely associated with the American College of Mohs Micrographic Surgery and Cutaneous Oncology.

http://www.mohssurgery.org

American Dermatological Association, Inc.

The ADA boasts itself as the first national dermatological society in the United States, founded in 1931, but the history of the dermatology focused events dates all the way back to 1877. The goal of the Association was designated to the study and science of dermatology, recently holding its 131^st annual meeting.

In 1957 the ADA established the Medical Student Fellowship Program to help finance research, lectureships and gain experience in the field of dermatology. The Fellowship awards a student of dermatology.

Another Unique feature of the American Dermatological Association is the inventory of archives by “preserving, organizing, and making accessible the historical, administrative, and legal records of enduring value.”

http://www.amer-derm-assn.org/

Dermatology Foundation

The 501(c)3non-profit charitable organization committed to providing research support for financial assistance for teachers, research, patient care for the advancement of dermatology. The Foundation has a broad base of contributing members, corporate partners and public outreach.

The Dermatology Foundation awards funding to eligible applicants pursuing a career in dermatology and cutaneous biology; which “benefits the dermatology community at large by “shaping tomorrows teachers, innovative investigators and master clinicians in dermatology.

The Dermatology Foundation publishes a quarterly publication Dermatology Focus to “communicate to practitioners the latest advancements in medical and surgical dermatology” to a circulation of 10,000, including members of the American Academy of Dermatology.

http://dermatologyfoundation.org/

Society for Pediatric Dermatology

The objective of SPD is to “advance education, research and care of skin disease in all pediatric age groups.” Pediatric Dermatologists are specially trained in both medical care of children, as well as all the dermatology. The society also sponsors residencies and fellowships for those pursuing careers in pediatric dermatology.

The SPD publishes the bimonthly journal Pediatric Dermatology, with articles on a range of topics “such as hemangiomas, atopic dermatitis, rare and unusual presentations of childhood diseases, neonatal medicine and more. The journal has top rankings and citations among many scientific journals in its class.

For information about the journal, fellowship and job opportunities, or to find a pediatric dermatologist, see the Society for Pediatric Dermatology website.

http://www.pedsderm.net/index.php

American College of Mohs Surgery

 This fully accredited college was founded was founded in 1967 by Frederic E. Mohs, who developed the Mohs micrographic surgical technique. After a candidate completes a dermatology residency, they may complete the ACMS-approved fellowship training to become a Mohs Surgery specialist.

Mohs surgery continues to be one of the leading treatments for skin cancer, and “offers the highest potential for cure, even when treated with another method.  ACMS works closely with its patient education program at www.skincancermohssurgery.org as well as the American Society for Mohs Surgery.

ACMS is committed to patient care, as well as training, research, education, and public advocacy, and strives to be “recognized as the premier organization for skin cancer education and research.

http://www.mohscollege.org

American Contact Dermatitis Society

Contact dermatitis is an allergic inflammation of the skin, caused by an irritating substance, and is a large part of dermatology research and treatment. The ACDS is an association of “dermatologists, allergists, physicians, researchers and health care professionals,” for specific research and education about contact dermatitis.

Candidates seeking careers in dermatology related to dermatitis can apply for fellowship awards and educational outreach programs

The ACDS promotes the publication called Dermatitis. The organization also provides resources for patients and public, including a list of online databases such as: Contact Allergen Management Program, and Cosmetic Manufacturer information for personal care, cosmetics and fragrance materials.

http://www.contactderm.org/i4a/pages/index.cfm?pageid=3299

International League of Dermatological Societies

ILDS establishes itself as a non-governmental organization that works closely with the World Health Organization.  The purpose of the organization is to bring awareness to issues concerning dermatology on a global level, and “encourages the worldwide advancement of dermatological education, care and sciences.” The organization also attempts to promote professional relationships among dermatologists around the world.

The first international congress of dermatology began in 1888 and has since then flourished as a general worldwide movement through the World Health Organization, to move toward awareness, education and humanitarian efforts through an entire network of non-governmental organizations.

The ILDS supports a World Congress of Dermatology every four years, and is the only international dermatology organization with direct ties and endorsement from the World Health Organization.

http://web.ilds.org/cms/

Internet Dermatology Society

This dermatology based internet society is part of a growing movement called “telemedicine.” This describes use of telecommunication between patients and medical professionals for patients who are physically displaced or limited access to specialists and medical support.

Patients and dermatologists use video, phone, client/server applications, internet and other “telemedical” devices to communicate, make diagnoses, follow up, and prescribe treatment, and keep patient records.

The Internet Dermatology Society represents a growing database of education, patient resources, medical professionals, and other telemedicine resources relevant to dermatology and skin care.

The IDS was founded by Dr. Rhett J. Drugge, and hosts an annual Scientific and Technological Meeting.

www.telemedicine.org

Pacific Dermatologic Association

The Pacific Dermatologic Association was founded in 1948, to create a lasting relationship of practicing dermatologists in the “Western United States, Canada, Mexico and Pacific Rim countries.” However, the membership is no longer specific to location, and boasts a wide international base, including south and north Asian countries, New Zeland, Australia, Philippines, North and South Korea, and all over the United States.

PDA is “committed to helping develop the next generation of dermatologists and improve the overall quality of patient care.” The PDA also partners with dermatology residency programs. Member benefits include a bimonthly e-newsletter, case based diagnosis quiz, and access to Member Forum.

http://www.pacificderm.org/index.php

Society for Investigative Dermatology

The Society for Investigative Dermatology was founded in 1937, specifically for the coetaneous investigation of dermatology; promoting future research and education in the lab and scholarly setting, rather than clinical practice. The SID is committed to promoting the “culture of discovery and serve as the premier forum for the scientific information relating to dermatologic research.”

SID promotes a variety of Educational Programs for Dermatology trainees who are seeking careers in investigative and scholarly work. SID hosts a Resident retreat to “engage young dermatology trainees in academic careers by bringing them together” for a weekend of enrichment and networking.

SID PhD Retreat is held in conjunction with the resident retreat to show the variety of options for the academic and non-clinical opportunities.

http://www.sidnet.org/

There are many preventative methods to treat dry skin before seeking the professional help of a dermatologist. Here are 10 tips that many dermatologists and doctors will recommend to help prevent, treat and heal dry skin outbreaks.

1. Keep Hydrated

It is just as important to drink water in the winter as it is in the summer. Water intake is essential for your health and is beneficial for digestion, immunity, improving your mood and of course, skin moisture and elasticity.

2. Balanced Nutrition

Internal health is reflected on your skin. Eating a diet rich in Omega 3-fatty acids including eggs, fish, flax, nuts and oils will reinforce your skin’s natural ability to retain oil and water. Foods that are high in saturated fats, sugars, salts, and chemical preservatives can dehydrate your body and should always be eaten in moderation.

3. Moisturize

Using a good quality moisturizer after bathing, showering, or washing hands will help naturally lock water into your skin will keep your skin soft. Ask your doctor or dermatologist about what type of moisturizer will be work best for your specific skin type.

4. Sunscreen

Dermatologists recommend sunscreen as the most important way to protect your skin from sun damage and signs of aging. Whether you are spending the winter in sunny Long Beach, CA or in wintery Fargo, ND; you can be exposed to damaging UV rays even on cloudy or snowy days. Use sunscreen with SPF 15 or higher on exposed skin all year. Most lip balm or chapstick now comes with SPF to prevent chapped lips.

5. Avoid Hot Water

While taking a long hot bath or shower may be tempting to warm up on a cold day, very hot water can irritate and dry the skin.

6. Limit harsh soap or cleansers

When bathing, showering or washing your hands, some soaps or cleansers may actually be drying out your skin. Check with your dermatologist to see what kind of soaps and cleansers are better for your skin.

7. Protect your hands with gloves

Cleaning products, bleach, detergents, dish soap, and even hot dish water can be tough on hands, especially if the cold weather has already dried them out. Use rubber gloves while cleaning to help protect your dry hands.

8. Use a Humidifier

Extra humidity is always beneficial in your home, especially in a bedroom or common area. Humidifiers help your body and skin stay hydrated and can also help with respiration and inflammation.

9. Avoid irritable fabrics

Sometimes synthetic, wool or polyester fabrics can irritate the skin and exacerbate dry skin. Wearing soft, breathable clothing such as cotton knits will help alleviate dry skin. Also be aware that certain laundry detergents with dyes, perfumes and harsh chemicals may contribute to skin irritation.

10. Bundle up

Extreme cold, wind, rain and snow can also be hard on your skin. Wear layers and bundle up with gloves, hat, scarf, coat and cover exposed skin to help keep your skin healthy and dry.

Remember that severe dry skin with symptoms of intense inflammation, cracking, itching or burning could signal an allergy. Always contact your doctor or dermatologist if you have questions about your skin.

We’re all familiar with the signs that winter is approaching: There is a chill in the air, the leaves are turning, the heavy coats and warm sweaters come out of storage, and winter weather can be merciless on our skin. Whether you live in Long Beach, CA or Fargo ND, there are many ways to protect your skin and your health during the winter months.

There are many preventative methods to treat dry skin before seeking the professional help of a dermatologist. Here are 10 tips that many dermatologists and doctors will recommend to help prevent, treat and heal dry skin outbreaks.

1. Keep Hydrated

It is just as important to drink water in the winter as it is in the summer. Water intake is essential for your health and is beneficial for digestion, immunity, improving your mood and of course, skin moisture and elasticity.

2. Balanced Nutrition

Internal health is reflected on your skin. Eating a diet rich in Omega 3-fatty acids including eggs, fish, flax, nuts and oils will reinforce your skin’s natural ability to retain oil and water. Foods that are high in saturated fats, sugars, salts, and chemical preservatives can dehydrate your body and should always be eaten in moderation.

3. Moisturize

Using a good quality moisturizer after bathing, showering, or washing hands will help naturally lock water into your skin will keep your skin soft. Ask your doctor or dermatologist about what type of moisturizer will be work best for your specific skin type.

4. Sunscreen

Dermatologists recommend sunscreen as the most important way to protect your skin from sun damage and signs of aging. Whether you are spending the winter in sunny Long Beach, CA or in wintery Fargo, ND; you can be exposed to damaging UV rays even on cloudy or snowy days. Use sunscreen with SPF 15 or higher on exposed skin all year. Most lip balm or chapstick now comes with SPF to prevent chapped lips.

5. Avoid Hot Water

While taking a long hot bath or shower may be tempting to warm up on a cold day, very hot water can irritate and dry the skin.

6. Limit harsh soap or cleansers

When bathing, showering or washing your hands, some soaps or cleansers may actually be drying out your skin. Check with your dermatologist to see what kind of soaps and cleansers are better for your skin.

7. Protect your hands with gloves

Cleaning products, bleach, detergents, dish soap, and even hot dish water can be tough on hands, especially if the cold weather has already dried them out. Use rubber gloves while cleaning to help protect your dry hands.

8. Use a Humidifier

Extra humidity is always beneficial in your home, especially in a bedroom or common area. Humidifiers help your body and skin stay hydrated and can also help with respiration and inflammation.

9. Avoid irritable fabrics

Sometimes synthetic, wool or polyester fabrics can irritate the skin and exacerbate dry skin. Wearing soft, breathable clothing such as cotton knits will help alleviate dry skin. Also be aware that certain laundry detergents with dyes, perfumes and harsh chemicals may contribute to skin irritation.

10. Bundle up

Extreme cold, wind, rain and snow can also be hard on your skin. Wear layers and bundle up with gloves, hat, scarf, coat and cover exposed skin to help keep your skin healthy and dry.

Remember that severe dry skin with symptoms of intense inflammation, cracking, itching or burning could signal an allergy. Always contact your doctor or dermatologist if you have questions about your skin.

Any seasoned skier or snowboarder can tell you how unprotected skin can lead to painful repercussions. A fine day of winter sports without sunscreen, even with goggles, hats, helmets and gloves can still result in a painful sunburn and seriously embarrassing raccoon like tan lines. Keep in mind that UV Radiation can sometimes be worse in high altitudes and cloudy, wet or snowy conditions.

Sunscreen is not simply a vanity cure, overexposure to UV rays is serious risk to your health and is directly linked to skin cancer which, if left untreated can spread to other areas of your body and be potentially fatal. Fortunately, skin cancer is easily preventable if you take the appropriate precautions.

While summer is the prime time for sun protection, UV damage can occur in cooler winter months just as easily as on warm, sunny days. UV radiation actively affects exposed skin through clouds, haze and reflections from water and snow.  UV exposure can be even worse at high altitudes, creating a sunburn risk for winter sports like skiing or snowboarding.

Specialists for skin cancer treatments in Long Beach and the rest of the country recommend wearing sunscreen every day, no matter the weather, as a way to help protect against UV exposure. Sunscreen is specially designed to absorb, reflect and scatter sunlight and protect the skin. Using sunscreen every day in combination with protective clothing and sunglasses will greatly reduce your skin’s exposure to UV rays.

Melanoma is one of the most common forms of skin cancer, and it is identified by changes in size, shape and colors of moles, birthmarks or other skin growths. Skin cancer is attributed to a combination of environmental, genetic and habitual factors but is commonly linked with prolonged sun exposure to UV rays. Affected skin can become dark and leathery, losing elasticity. Mole removal may be necessary as changes occur such as thickening, bleeding, swelling, irritation that can be signs of cancer.

In addition to mole removal, common skin cancer treatments in Long Beach include:

• Surgical excision, which is the surgical removal of the affected skin
• Mohs micrographic surgery- a common procedure for patients with a risk of recurrence
• Advanced skin cancer has potential to spread to the lymph nodes and may require more aggressive treatments, including radiation or chemotherapy.

While the consequences of untreated and badly damaged skin can be painful and potentially catastrophic, the preventative treatments are easily obtainable. In addition to traditional sunscreen, look for products such as daily moisturizers, lip-balm, lipstick and hand lotion with an SPF of 15 or higher. This winter, keep in mind that a little preventative care goes a long way to maintain your health and wellbeing.

Our office is dedicated to helping our patients achieve their cosmetic goals. We know that these goals vary among individuals and we provide each patient with informative, professional and customized care.

Aging is a natural process that nobody can escape but there are tools we can use to slow the rate of this process in our skin. The key is collagen – the flexible strands of protein which is the connective tissue in our skin giving it the texture and tone that we see. Collagen is degraded by ultraviolet light exposure and this is why sunbathers tend to have more wrinkled, aged-looking skin. In addition, as we age, collagen production decreases and cells begin to lose shape. Yet, collagen can be bolstered by some medical treatments such as topical treatments like Retin-A, and injections of dermal fillers.

Below we have provided some information to educate you on the possibilities of slowing the aging process in the skin and help rejuvenate areas where tissue loss is more prominent. We hope you find this information useful as you look for new reasons to improve yourself in the New Year!

Dermal Fillers

Today, many people are showing interest in correcting wrinkles and folds, shaping facial contours, and augmenting the lips. Dermal fillers are products that are injected into the dermis and subcutaneous tissue (fat) which add volume where there is loss of fullness. This loss of fullness leads to wrinkles and folds. The injected gel gives natural volume under the wrinkle which is lifted and smoothed out. Smoothing out folds and wrinkles can make an enormous difference to a patient’s appearance and sometimes can make them look several years younger. There are many dermal fillers on the market and the type of dermal filler used is based on the anatomical site being augmented and what your doctor or nurse deems is the best filler for the area being treated. Some fillers are best used in the lips while others are great for the chin, cheek or jowl augmentation. Dermal fillers result is an instantaneous, natural enhancement that is gentle and safe and produces long-lasting results.

Anti-Aging creams

There are so many facial creams and serums on the market that promise to reverse the signs of aging. Creative marketing strategies by large companies serve to hype many products but most do not deliver what they promise! This makes it difficult to make an educated decision about which facial creams to use to help your face maintain a youthful glow and help slow the aging process. People are sometimes desperate to find that fountain of youth and end up spending a lot of money on products that don’t work.

Fortunately, because dermatology is a science-based, researched field we have a plethora of data that teaches us the fundamentals of beautiful, youthful skin. Collagen is a protein in the skin and it is what gives skin its structure, firmness and elasticity. Repeated sun exposure breaks down collagen and elastin and, with age, cells produce less and less collagen and elastin to repair the damage. As collagen is depleted, the skin begins to wrinkle, sag, and lose fullness.

What can we do to decrease the breakdown of collagen or increase it’s density in our skin? Within the aisles of products and layers of claims, one ingredient still stands out: Retin-A.

Retin-A, the drug known generically as retinoic acid or tretinoin, is derived from vitamin A. Retin-A is available in prescription-strength products, including generic formulations, and under brand names like Retin-A Micro, Renova, Avage and Tazorac. Retinol is a less potent form of Retin-A, and can be found in over-the-counter products. Retinol, however, is 1/1000 as effective as Retin-A.

Retin-A can improve skin texture and fade dark spots and freckles because it causes skin cells to turn over more rapidly. It shrinks dilated pores and improves cellular turnover of the skin subsequently causing less pore occlusion and reducing blackheads and whiteheads.

More importantly, Retin-A can reduces small wrinkles and lines. Retin-A has the ability to affect the retention of collagen and generation of new elastin. It is thought that Retin-A activates a collagen-producing pathway in the skin. Ultraviolet light (sunlight) triggers biochemical reactions that destroy collagen and this process causes the skin to look aged and sun-damaged. Daily sunscreen is a prerequisite to youthful looking skin to stop the breakdown of collagen and also prevent DNA damage which causes skin cancer.

In addition, the benefits of Retin-A are not just cosmetic. Research trials of Retin-A (tretinoin) used to treat pre-cancer skin cells show that after two years of use, many abnormal cells returned to normal structure. Therefore, Retin-A and sunscreen are the two most important, research-based, creams we can use on our face to slow collagen breakdown, reverse the molecular basis of sun-damage, and reverse the signs of aged skin.

Using Retin-A can be challenging for people with sensitive skin because it can be drying and irritating. We recommend that light peeling and a mild pink tone is the end point in knowing how much to use. Excessive peeling or redness means you are using too much; and no peeling or redness means you are not using enough. If you have sensitive skin, we recommend that you start using Retin-A only 2-3 times per week and increase the frequency slowly. It can take up to 6 months to “educate” your skin to be tolerant of Retin-A daily. Retin-A is not suitable for pregnant woman because of the theoretical side effects to the fetus.

Don’t let creative marketing and pretty packaging fool you, there is no over the counter cream that can produce the same results as Retin-A. There are several creams that may feel nice, smell nice or even make your skin feel smooth, but research reveals that Retin-A the one cream that can slow the breakdown of collagen and change the molecular structure of your skin. This is why we believe, that together with sunscreen, Retin-A should be a part of everyone’s facial skin care regimen to slow the aging process and, if used correctly, even reverse the signs of aging.

For a limited time only, Ulmer Dermatology in Long Beach is offering 10 Free Units of Botox absolutely FREE with a qualifying purchase.

• First Time Botox Users Only – Buy One Session (42 units) and Get 10 Units for Free.
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Call us today at (562) 435-5621 to schedule your appointment today and take advantage of this offer valued at $250. Hurry, offer ends soon!

Why is this significant? It is a well known fact that acne and pimples happen as a result of bacteria on the blocked pores of our skin. Bacteria can appear as a result of the oil that has been released by the skin. Although this is a simplified explanation, the truth is that if you can keep your pores from getting clogged, you have won at least part of the battle with acne. In fact, if you can do this, you will notice that your acne episodes will probably decrease. Most skin care products like moisturizers, cleansers, sun-blocks and other products consist of contents that help to keep the skin smooth, glowing and younger-looking. Sometimes, they achieve these results using oil-based materials which can clog your skin.

Oil-based ingredients that can clog skin can include items like cocoa butter, wheat germ oil or coconut oil. Although they may leave skin looking healthy, they may also clog your pores. If your skin is sensitive and you are using an acne treatment product, you should avoid products made of those elements.

However, this doesn’t mean that you have to give up having great skin. There are many natural elements that can be the perfect substitutes for the ones which block our pores. These substitutes include almond oil, sunflower oil, olive oil, jojoba, and beeswax. These items are also used in non-comedogenic cosmetics in order to keep our pores clear. This is why it is important to read labels before you purchase your skincare products.

There are many places in the world where patients can go to get excellent acne treatment care. One of those places is in Long Beach, CA. If you need help with your acne, you should talk with a Long Beach dermatologist for more information. Although you may feel that you don’t need the care of a doctor, you would probably be surprised to see what great results you can experience.

Each person is different and this means that a treatment plan that works for your friend may not work for you. Although non-comedogenic products can help the situation, you still might need a little bit more help. This is why you might want to look up a Long Beach dermatologist.

If you are having trouble with skin care products or if you are having trouble clearing up your acne, you should take the first step to achieving clear skin and contact a dermatologist today. You will be glad that you did!

Stress has indeed been known to cause inflammation in the body. That inflammation during stressful times – not increased sebum production, is what causes us to break out more when we are stressed out. This works the same for both teenagers and adults. Although most adults might argue that adults experience more intense stress than teenagers due to the demands of everyday life, the body responds similarly (with inflammation) no matter the severity of the stress. If the body perceives a situation as highly stressful (even if it is not stressful in comparison to most peoples’ situations) the inflammation response is going to be similar to that of a person going through a truly life-threatening situation.

While it is wise to seek acne treatment if your blemishes get out of control, the best treatment is always prevention. In this case, prevention primarily means decreasing stress in your life. Washing your face; not allowing hair, hats or other things to rub against your face excessively; frequently laundering your sheets and pillowcases; and changing make-up and skin care products to those deemed non-comedogenic help with prevention as well, but lowering your stress level works wonders for your skin and overall wellbeing.

Lowering stress is almost always easier said than done as we all know, but if you are conscious of high stress situations and do your best to avoid them, you are doing yourself a huge favor. This strategy is also ideal for people who don’t breakout frequently. Lowered stress levels are beneficial for everyone.

At Ulmer Dermatology, our acne treatments are spectacular and have worked miracles for many people, but we still don’t like seeing our patients stressed out. Our hope is that you can avoid getting breakouts in the first place.

Obviously stress can’t be totally avoided. It is even arguable that a small amount of stress is invigorating and helps push us to improve ourselves. An occasional exam or work presentation isn’t going to hurt us in the long term. However, constant high amounts of stress aren’t good for anyone.

Long term stress is even worse than occasional high stress. Constant breakouts may indicate unhealthy amounts of long term stress associated with depression, anxiety, or other similar challenges. If you believe that long term stressors are causing your acne, perhaps treating the root of the problem with also make your breakouts go away.

Of course anytime you need an effective treatment, we are here for you.

For those who are unfamiliar with what a laser treatment involves, this post will give you an idea of what to expect during a laser procedure. Talking with your dermatologist or doctor before undergoing any sort of cosmetic treatment will give you peace of mind and clear knowledge of what is ahead. If you know what to expect, you are more likely to have a positive experience with your laser procedure.

In general, a laser treatment is not painful or causes very little pain that is manageable for most people. However, for some treatments that do involve more pain (such as Fraxel) or for individuals who have a lower tolerance for pain, topical analgesics can be applied a few minutes prior to the procedure to reduce or eliminate discomfort. Oral pain relievers can also be taken beforehand if you are worried about pain.

Some people describe the feeling during a laser procedure as a stinging sensation or the feeling of a rubber band being pulled taut and snapped across the skin. The experience is different for everyone because everyone handles pain and new situations differently. Honestly, the only way to know what a laser treatment is like is to experience it for yourself.

Many people experience less pain when a small area is treated as opposed to a larger area. Also, people with dark skin may experience more pain than people with lighter skin tones because darker skin absorbs more laser energy.

If during the laser session you experience intolerable pain, be sure to immediately let the person performing the procedure know so that he or she can stop and/or adjust the intensity of the laser. However, keep in mind that lower settings will likely negatively impact the results of your laser procedure. The default settings are default because they are proven to provide optimal results. Often, if you can hang in there for a few minutes, everything will be finished quickly and effectively.

In the Long Beach area, a variety of skin conditions can come up that require laser correction. See your dermatologist to find out which laser procedure is best for you.

Sculptra is safer than facelift surgery and other types of fillers because it uses a biocompatible material that actually works with the contours of your face to restore lost fat, stimulate new collagen growth, or to fill in wrinkles. No cutting or other invasive techniques are involved in a Sculptra treatment.

The use of Sculptra is helpful in many different circumstances with the most common being that it aids in gracefully restoring volume and elasticity to the skin. However, Sculptra can also be used to treat the side effects of medical conditions such as lipoatrophy in people with HIV. Here are four 4 conditions that Sculptra can address by helping to restore the skin back to its youthful self.

Sculptra for Wrinkles and Aging Skin

Most patients get Sculptra treatments to fill out wrinkles and firm aging skin. Sculptra can add more color, elasticity, and overall sense of youth to your skin. Aging-related contour deficiencies and fat loss can also be treated with Sculptra.

Sculptra for Lipoatrophy (Facial Fat Loss) in HIV Patients

Sculptra injections can be used to treat lipoatrophy in people who have HIV. This facial fat loss that is common in those infected with HIV can now be countered with Sculptra treatments. Although the results are gradual and only last for 2 years, this is the best option to date for treating lipoatrophy.

Sculptra for Dark Under Eye Circles and Bags

For people with hereditary dark under eye circles or bags, Sculptra is a dream come true. This filler is safe, effective, and works gradually so that no one can tell you had “work” done on your face. Because it also helps to thicken the delicate, thin skin under the eyes, Sculptra is all the more amazing and useful to people who are tired of using under eye creams and concealers that don’t work.

Sculptra Repair for Pockmark Acne Scars

Indented “ice pick” scars or pockmarks left from old acne breakouts can also be improved with Sculptra treatments. Similar to the way wrinkles are filled in, ice pick acne scars can be raised so that they are even with the surface of the surrounding skin.

To see the results for yourself, view the Sculptra before and after photos. Prepare to be amazed!