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What You Need to Know About Babies & Sunscreen

If you’re going to the beach or you’re heading outside for a day in the sun, the first thing you should do is apply sunscreen. It helps block harmful UV rays that can cause burns, blisters, and even skin cancer. But, should sunscreen be applied to a newborn baby’s skin? New studies suggest that sunblock isn’t safe for infants, and here are the reasons why.

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Offices Will Be Closed July 3rd & 4th

Category: News

Our offices will be closed on Monday July 3rd and Tuesday July 4th in observance of Independence Day. We will resume normal office hours on Wednesday July 5th. We hope everyone has a safe and happy 4th of July!

 

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Hormonally-Induced Acne – A Post From Dr. Krathen

Category: Acne, Dermatology
As many of us are aware, acne is very common and presents in various subtypes. Hormonally induced acne, one of the more common subtypes of acne, is, unfortunately, both under-recognized and under-treated.
Generally, hormonally induced acne is characterized by deeper sometimes tender pimples occurring on the jawline, chin, forehead, and trunk of female acne patients. Typically this acne subtype flares reliably in relationship (before, often) to one’s menstrual cycle (but not always). Menstrual cycles may be regular or irregular. Importantly, if one’s menstrual cycles are irregular, in conjunction with acne and hirsutism (excess hair growth), one should consider evaluation by an endocrinologist or gynecologist for polycystic ovarian syndrome (PCOS) or other disorder.
In my experience I divide hormonally induced acne into the following typical presentations:
1) Teens with significant acne flaring during the week before menstrual cycle
2) Young women (age 20’s-30’s), often with no history of teenage acne, with rather abrupt onset of deeper tender pimples
3) Pregnant women
4) Peri-menopausal acne (sometimes occurring several years before or after menopause as well), women in the 40’s or 50’s with tender deeper pimples generally occurring on the chin, jawline and neck.

 

 Women of all ages who recently (2-3 months prior to onset of acne) switched birth control to include one of the following progesterones: norethindrone, levonorgestrel, etonorgesterel, among others.
Treatment of hormonally induced acne can be a bit of a challenge. Topical treatment generally is insufficient to improve hormonal acne, although mild hormonal acne may be improved by clindamycin, azelaic acid, niacinamide, dapsone or other antimicrobials/anti-inflammatories. Coordinating with one’s primary care physician, dermatologist, pediatrician, and/or gynecologist is crucial, as optimizing the selection of a low-androgenicity oral contraceptive can make a huge difference in the treatment of hormonal acne. The optimal progesterones for hormonal acne include desogestrel, norgestimate, and drospirenone. Lastly, spironolactone, a diuretic often employed in the off-label treatment of hormonal acne, may be used as mono-therapy or in combination with an oral contraceptive.
The final comment to make about hormonally induced acne is regarding the use of isotretinoin. Now, I love isotretinoin as much as the next dermatologist, however one must recognize its limitations as well. Although hormonal acne will improve during an isotretinoin course of therapy, it will generally recur after the treatment has completed. As a result, before female patients commence a course of isotretinoin, it is often sensible to optimize hormonal acne treatment to determine if the isotretinoin course is actually necessary.
If the above sounds like you or someone you care about, know that effective therapies exist and the prognosis is great.

 

Michael Krathen, MD

A Letter From Dr. Krathen

Category: News

“I am very excited to join DermCare in July. Given our shared values of exceptional patient care and service, partnering with DermCare will be a natural fit. My practice will continue to focus on offering the following: 1) data-driven, cutting edge medical dermatological care; 2) straightforward, cost-effective, and cosmetically-sensitive surgical dermatological care; 3) approachable, honest and patient-driven aesthetic dermatological care. It is my privilege to provide such care and I look forward to doing so in the Natick office in the near future.”


Introducing Dr. Michael Krathen

Category: News

We are excited to announce that Dr. Michael Krathen will be joining the Dermcare Physicians & Surgeons team mid-July 2017! Dr. Krathen will be working in our Natick office and specializing in Adult, Pediatric and Aesthetic Dermatology.

Learn more about Dr. Krathen and his areas of specialization here.

 


Six Common Botox Myths

Category: Botox

 

Common Botox Myths in Boston, MA

Considering getting Botox but too afraid to take the leap based on the negative things you’ve read? Here are just a few myths to ignore when doing research on Botox:

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Top 10 Anti-Aging Skin Care Tips

Category: News

While skin care products and various beauty regimens can help your skin look great later in life, it’s important to build a healthy foundation by following a few simple and proactive skin care tips.

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Jump into Spring with Radiesse!

Category: Events, News, Radiesse

This April take $100 off one 1.5 syringe of Radiesse or purchase two syringes for $995!

Offer valid April 1st through April 30th 2017. Call 978.244.0060 to book your appointment with Dr. Ali.

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Go Red for Women: American Heart Month

Category: News

With the end of February upon us, which we know is hard to believe, it’s important to reflect on American Heart Month and understand how you can help moving forward. This year, Go Red for Women is the American Heart Association’s national movement to end heart disease and stroke in women.

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“We Can. I Can.” – World Cancer Day

Category: Events

Cancer is the leading cause of death around the world. Every year, approximately 12.7 million people are diagnosed with cancer and 7.6 million of them will die from the disease.

For World Cancer Day in 2017, individuals and organizations are adopting the “We can. I can” approach to cancer. This means that organizations and individuals will both do their part to reduce the global burden of cancer.

“We Can” – What Organizations Can Do

Organizations have the power to positively impact their members and the communities they serve. They are encouraged to:

Inspire action. By working together, organizations can call on governments and leaders to to push for actions that will reduce premature deaths, improve quality of life and increase survival rates.

Promote knowledge. Knowledge is power! By equipping the general community with appropriate knowledge of cancer prevention, causes and general lifestyle improvements, individuals will be more likely to make healthy choices.

Work together. The global cancer burden can be eased when government entities, civil groups and the private sector all work together by adopting common goals to prevent cancer.

Create healthy schools & workplaces. Creating environments that encourage healthy behaviors will help to reduce the cancer rate over the long-term.

“I Can” – What You Can Do as an Individual

Make healthy lifestyle choices. Everyone can take steps to reduce their risk of cancer. Simple choices include: quitting smoking, eating a balanced diet and becoming more physically active.

Understand that early detection saves lives. Be sure to make regular visits to your doctor. They will perform tests and exams that could find abnormalities early in their development. In almost all cases, timely treatment greatly impacts cancer survival rates.

Ask for / provide support. For those with cancer, never be afraid to ask for emotional and physical support. If your loved one is living with cancer, try to be available to meet their needs. A positive support structure can make all of the difference in the world when coping with the disease.

 

Skin Cancer

One in five Americans will develop skin cancer in the course of their lifetime. Skin cancer is the abnormal growth of skin cells and it develops in three forms: basal cell carcinoma, squamous cell carcinoma and melanoma. Melanoma is the most dangerous form.

Most skin cancer develops due to exposure to UV rays from the sun or tanning beds, but lifestyle choices like alcohol consumption, cigarettes smoking and poor diet can also have an effect. The single most powerful tool against skin cancer is the use of sun screen.

Basal Cell Carcinoma Symptoms

Typically occurring in sun-exposed areas of the skin, basal cell carcinomas tend to appear as:

  • A waxy bump.
  • A flat scar-like lesion.

Squamous Cell Carcinoma Symptoms

Squamous cell carcinoma occurs on sun exposed areas of the skin, but is also more likely to develop on those with darker skin in areas that aren’t exposed to the sun. it may appear as:

  • A firm, red bump.
  • A flat lesion with a crusted surface.

Melanoma Symptoms

Melanoma can develop anywhere on the body, even areas where exposure to the sun is limited. Anyone can develop melanoma, but people with darker skin tones are more likely to develop melanoma in the palm, fingernails or toenails. Signs of melanoma can include

  • A large brown spot with dark speckles.
  • A mole that changes in shape and bleeds.
  • A small lesion that has a white, red, blue or black border.

Skin Cancer Detection

Each month, do a head-to-toe examination of your skin to determine if there are any changes, bumps, marks, or discoloration. If you find something that is concerning, make an appointment with your dermatologist right away.

A dermatologist will visually inspect your skin for the signs of skin cancer listed above. If any suspicious areas of skin are found, a sample will be taken for testing to determine if the tissue is cancerous, and if so, what type of cancer it is.