Ask The Dermatological Medical Assistant

Well, I’m a woman, so there goes the razor-nick idea… I may just cover it up.
Thank you!

Oh, just one more thing: every spa I can think of does extractions during facials unless requested not to. I find them a bit painful. Are they really helpful and is it safe to have an esthetician do them?

My doctors don’t recommend them. I do them, but I’m trained to not leave scars and I use instruments that I know are sterile, and I know what areas to leave alone. If you can say the same about your spa, maybe they’re okay. If you can’t… nah. They can be painful- after all, it’s an incision and drainage, the incision part meaning you get a small cut. Getting them done when you’re not premenstrual, and taking Tylenol beforehand might help.

Do you deal with spider veins? I have several “bursts” on my legs. I’m sure if I had a tan, they would be less noticeable, but I’d rather just be rid of them. Do any of those creams actually work, or is laser the only option?

We don’t do spider veins- we refer to a vascular surgeon. I don’t see how a cream could possibly work, unless it was makeup to hide it. There are treatments, but none of my doctors seems to have much faith in them and say they don’t want their patients coming back to them pissed off that their veins didn’t stay away if they treated them, so they just don’t do them. Maybe nowdays there are more successful treatments.

Vascular surgeon, check. I was wondering who I would go to for treatment. Thanks!

As for I & Ds being helpful, yes- your blackheads will be gone, until they come back. What they are most helpful for are milial cysts, which are small whitish bumps under the skin in older women. Not really understood but likely to follow sun damage. I like doing I & Ds, because when the contents comes out, it squeezes up in a solid string, like a worm. It’s quite satisfying.

Well, I guess men get milial cysts, too- I’ve just never been asked to do a treatment for that on a man. Huh. I’ll have to start looking for them on men to see if they do.

Duh, of course there’s a website devoted to rosacea. Thanks! (No, I don’t get the pimples, just the redness.)

Only, now that I look at the site, I don’t look like that. I’m confused.

While it’s sad that I have nothing better to do on a Saturday night than talk about my work, more on rosacea. I have it, because I am a blusher. I will blush if you look at me the wrong way. So, over time, I have developed tiny broken blood vessels on my cheeks, and no medicinal treatments will work on that kind of rosacea. A couple of years ago, I got four Intense Pulsed Light treatments for it, for free, and then the office manager decided they were going to start charging us for them, because tons of my coworkers were getting hair removal for free, so I didn’t finish the series of treatments. It did help quite a bit, and I could see it working if I finished them. It hurts a little bit, but I’m a giant baby, and it is expensive. Worth looking into if you can afford it.

Rosacea doesn’t have to mean big dramatic thick plaques and pimples and such. That’s just one kind. It can also be, like I have, broken blood vessels caused by frequent flushing, or flushing caused by spicy foods, wind, wine, chocolate, etc.

I have been diagnosed with roseaca, but don’t have the pimples, thank goodness. I do get milia, though, mostly on my forehead, but now they are appearing elsewhere. I use metrogel, but not frequently. Does metrogel help with milia, or just the redness? If it 3would help with the milia, I might use it more often.

Thanks!

Oh, well, I am a blusher, that’s for sure. I’ve been looking at the site and I guess I’ll go see a doctor about it; I didn’t know that it can get worse! I’ve been about the same for several years; my chin is reddish and I’m just kind of pink-faced. I do have sensitive skin and use gentle cleansers, and I wear that green face powder, which makes me look pretty normal. I do get a few zits, but they’re connected to my cycle, not the redness.

I don’t know what laser treatments and such cost. Hm.

No topicals will help with milia, unfortunately. That my doctors have told me of, anyway.

Let me just go ahead and make the disclaimer that they may just not yet be practicing some new breakthroughs in any of the cosmetic treatments I speak of. Milia are harmless, and while they do care about your appearance, they’d rather know how long you’ve had that pink spot on your chest.

What’s the best way to get rid of skin tags, and can they be prevented?

Skin tags can’t be prevented that I know of. We snip them off with a pair of scissors, but they can bleed so we don’t recommend that you do it yourself. We don’t bill that to insurance, so you have to pay- it’s around $85 for 1-15. Some people say you can tie a string around them and they will die and fall off, but I don’t know if that works.

Thank you! The swelling is a little better today! :slight_smile:

I’ve got something … maybe its a rash, on my left forefinger. It covers a little over half of the first joint on the finger vertically, and goes down the the first joint, but does not go below the joint. I have had it for a couple of weeks, it will not go away. Normally when I’ve had poison ivy and stuff, the pattern is, it gets worse, I treat it, it gets better and goes away. This will not go away. It also doesn’t grow or get worse. There’s a very clear dividing line between normal, healthy skin and this reddish, raw looking skin with a thin layer of dry flaky skin on top. What the heck is going on here?

I’ved tried treating it with topical OTC cortisone cream and it made the raw skin look a little less raw, but it hasn’t changed the extent of the rash.

I don’t have a ton of money to spend, but I’d like to diminish the dark circles under my eyes. I tried some L’oreal under eye treatment for fifteen dollars, but it did nothing and it was a very small tube.

Is there anything over the counter for under, let’s say $25.00, that might help?

I have tenia versicolor (I think that’s right), blotches on my torso and onto my neck. A few questions:

  1. I’ve noticed similar blotches in the inside of both elbows,the color is lighter than the surrounding skin, is this the same tenia?I thought it occurred just on the torso.

  2. What is the best over-the-counter treatment for tenia?

  3. Years ago a doctor prescribed a strong Selsun solution to shower with. Is there anything better now?

  4. Do those pills you take for a few days work? Are there concerns/side effects?

  5. Ignoring the previous questions, what is the best treatment for tenia?

Thanks.

  1. I’ve heard alternately that moisterizer is essential for healthy skin, and that it’s a scam and totally unnecessary. Which is true?

  2. I am very fair and have a family history of skin cancer. I burn if I think about the sun. When I was a kid, though, I usually ignored my mom’s admonistions to use sunblock and got burned pretty badly on multiple occasions. In the last four years or so, I’ve changed my tune and now wear sunblock pretty much every day (I do forget occasionally) and a hat if I know I’m going to be outside in the sun. Can I make up for all of the damage I did to my skin as a kid now, or is it too late? At this point, is there anything else I can do to prevent skin cancer?

Thanks for starting this thread!