about mole removal. It is something I would like to remove
and wonder if there are any side effects, and how much for
Moles can indeed be removed to improve one's
cosmetic appearance. There are a variety of techniques that
are typically used. However, dermatologists are all aware
that melanoma, a form of skin cancer, can develop from pre-existing
moles. Therefore, before any removal is considered, a thorough
skin exam must be performed. The cost of removal depends on
the number of lesions to be removed and the method by which
they will be removed.
I have flat
warts on my hands and feet. I was wondering if laser surgery
would be effective?
In general, because of cost and possible scarring,
laser surgery is not considered the first choice of treatment
for flat warts. Initially, liquid nitrogen, salicylic acid
and trichloroacetic acid and even Retin A™ cream are likely
to be used.
I have a few
questions. First, I have been to the doctor for what they
say are "keratoses". I am 27 years old and used to tan but
have stopped. I have what looks like white or flesh colored
bumps, or little crusty spots, on my legs and feet, arms and
hands. It has been a while since I've been tanning and they
are still appearing. My doctor says not to worry, but I am
young and don't like the way these things look. What can I
do? And is it no big deal? I also have veins on the side of
my nose that are dark. Why? With in the last 2 years my skin
is going to crap. I do smoke. Can that play a part in my complexion?
superficial growths of skin. The type you describe sound like
the benign, harmless type, since your doctor said not to worry
about them. They can be easily removed, either by freezing
or burning them off, usually with minimal discomfort. Since
some keratoses are pre-cancerous, it's important to accurately
identify the benign and malignant types. A dermatologist is
expert at this.
may not cause skin cancers or other growths, it's one of the
worst things you can do to your skin. It can play a role in
the development of veins and wrinkles on the face. Veins can
also be caused by an inherited tendency for them to occur.
I suggest you follow up with your dermatologist
to get treatment for these problems.
My husband has 2 large sebaceous cysts: one,
which is about an inch across, in the center of his chest;
and another about ¾ of an inch in diameter on the left side
of his back. Is there any reason for concern?
Generally, sebaceous cysts are not dangerous.
However, they can enlarge, or become inflamed or infected.
For these reasons, I recommend that cysts be removed surgically.
I recommend a visit to a local dermatologist who can advise
the best course of action for your husband's cysts.
diagnosis (scalp) was tinea capitis, a fungus infection.
Therefore, I took extreme anti-contagion/re-infection measures: e.g.
daily laundering of bedding, boiling combs and super cleaning
the shower after use. Now my condition has been diagnosed
as alopecia areata. Do I need to continue these burdensome
is not contagious. Since you do not have a communicable condition,
you do not need to continue the anti-infection measures.
The cause of alopecia areata is unknown. The
usual treatments include topical cortisone creams and occasional
local cortisone injections. Typically, alopecia areata persists
for only a limited amount of time before resolving. Dermatologists
would be your best source of advice.
I have an irritated
area on my right hand. My middle finger and ring finger developed
tiny blisters that are filled with clear fluid. The two fingers
show a little edema and itch. The blisters will break causing
crusting. Cultures are negative. Biopsy done on tissues show perivascular
chronic dermal inflammation. I am a nurse and work at a dialysis
facility. I am wondering if this sensitivity could be from
the ethylene oxide found in the packaging of the sterile
products we use.
The signs and symptoms you describe could be
due to allergic contact dermatitis. One way to test for this
would be to do appropriate patch testing. Hand eczemas due
to frequent exposure to soap and water or a fungus infection
could also produce similar rash and biopsy findings. I recommend
a follow-up appointment with a dermatologist who can tell
you if a patch test is appropriate for you.
Hello. My dermatologist has me on Doxycycline™ (100
mg). I've been on it for a little over a year; I went
off of it for about 4 months, and the problems returned.
I would like to know if there is an herbal antibiotic instead
that I can take. Thank you.
While health food stores may tout a number of
herbal remedies for acne, I am personally unaware of any scientific
critical evaluation that has proven them to be of benefit.
Acne is a time-limited but often extended condition that sometimes
requires long-term treatment. Fortunately, we have many years
of experience with the medicines commonly used and know these
to be extremely safe for the vast majority of patients. If
you have concerns, I would strongly suggest that you review
them with your dermatologist.
How should I take care of the skin on my
breasts? Should I keep them dry with powder or moisturized
with a lotion? I have large breasts that sweat and chafe.
How should I handle red bumps?
Typically, the skin of the breast is treated
in the same manner as the skin on the rest of the body. Large
breasts may cause rashes in the folds under the breasts.
"Red bumps" if associated with a rash could be a sign of infection.
It may be necessary to use prescription medication to control
the chafing that you described.
I have some light colored moles on my face one
on my nose and two on my cheek. I want to know how easy is
it to get rid of them without any scarring? I am 31 years
of age with good skin. What is the best procedure for removal
of these pests?
Moles that are clinically benign are often removed
for cosmetic purposes. In these instances, it is important
for the dermatologist to select a method that will minimize
the risk of scarring. The method most commonly used is referred
to as "shave" or "horizontal" excision in which the elevated
portion of the mole is removed resulting in a flat surface.
No sutures are required and healing takes about 5 to 7 days.
I hope this information is useful to you.
Hello, I am interested in learning more about
the removal of moles from my body and face. I must have about
twenty on my back, five on my chest and two on my face. I
would really like to rid myself of them all, and need to know
first how you go about paying for the procedure. Do I pay
personally or does insurance cover it? So, how do you determine
the cost? I guess that is my first major concern, if I can
afford to do it then I would especially consider going through
with the procedure. Thank you for your time.
Moles that are suspicious are often removed
for biopsy purposes. Usually insurance coverage is applicable
for such procedures. Removal of a mole for purely cosmetic
purposes is not covered by insurance programs. Usually the
technique used for such removal is called "horizontal" excision
because the elevated growth is sliced off at the surface of
the skin to minimize the risk of scarring. The cost of this
type of procedure is based upon the number of lesions to be
removed. The cost must take into account not only removal
but also the routine pathology exam of the lesion removed.
In July I lost 10 lbs which threw me into telogen
effluvium. My hairs shed through Sept. and Oct. and since
then shedding has seemed to be pretty much back to normal.
I was wanting to know when I can expect to start seeing regrowth?
I have lost 40 to 50% of my hair so needless to say this has
been very upsetting. Thank you very much for you time.
You are correct to associate your hair loss
with the rapid weight loss. This is one of a number of conditions
associated with telogen effluvium. Some of the others include
acute illnesses, operations and childbirth. The hair shedding
begins about 3 months after the initiating event and regrowth
begins at just about the same time. Since scalp hair grows
at a rate of about 1/3 millimeter per day, one can calculate
that it takes about a month for 1 centimeter of hair growth.
This is an average so your growth may be faster but as you
can see it can take many months before your hair density returns
I'm really confused if "keloids" can still
be removed. I have searched the net but I got contrasting
answers. So, I hope you can give me clear information about
You may be getting different responses to your
question because keloids on different parts of the body respond
differently to treatment. In some instances keloids can realistically
be improved but not removed. In some cases, for example
on the earlobe, it might be practical to attempt to surgically
remove the keloid. On the other hand, keloids on the torso
and extremities will usually return when surgically removed.
For this reason, non-surgical approaches are usually used
on these areas. These include cortisone injections and special
I am 41 years old. I still have acne. I'm
getting scarring. I tried Accutane™, couldn't stay on it
because it drove my cholesterol up. Any suggestions?
Accutane™ is one of the most effective treatments
used for chronic and severe acne, but increasing cholesterol
levels is one of the possible side effects. This apparently
happens in individuals susceptible to elevated cholesterol.
However, this is not an absolute reason to discontinue the
medication unless the cholesterol reaches very high levels.
You didn't mention if you were male or female but for men,
hormonal therapy is not appropriate but your dermatologist
should be able to review other alternatives. In women who
are unable to use Accutane™, hormonal therapy has been used
successfully. If appropriate, you should consider this approach.
I have a lot of breakouts on my chin. I've
done a lot of glycolic peels, BPO 10%, salicylic acid. I am
a licensed esthetician, so I've tried everything. Please
help me. I can't take anything like Accutane™ or Retin-A™ because I am trying to get pregnant.
There are many reasons for acne not to respond
to the typical topical agents, such as those you have tried.
A thorough medical history and exam would be necessary to
evaluate those other possibilities. However, there are a
number of prescription strength topical agents that might
be appropriate for you to consider. These include a number
of different topical antibiotics not harmful to pregnant females.
In addition, the technique of microdermabrasion would probably
enhance the effect of any topical agents you might be using.
This procedure removes the dead layer of cells on the surface
of the epidermis that might increase the number of new blackheads
and whiteheads that develop. I hope this information is useful.
Thanks for your inquiry.
has an allergy to sunblock, are there any alternatives out
Thank you for your question. There are many
varieties of sunblock available and as in the case of your
daughter, many people find they are sensitive or allergic
to one or more of the components. Many times it is a matter
of trial and error to find the sunscreen/sunblock that does
not cause irritation. As a rule, those blocks using titanium
dioxide or zinc oxide as an active ingredient tend to be associated
with the smallest likelihood of sensitivity. I hope this
I've read that skin cancer is on the rise. I want to check
myself out for any funny looking spots, but frankly, I'm confused
about the different types of skin cancer and what I should
exactly be looking for.
You're right. Skin cancer is on the rise. In fact basal cell
carcinoma is the most common of all cancers. While that may
sound ominous, it's reassuring to know that basal cell carcinoma
is also one of the least dangerous of all cancers and that
only in the most unusual of circumstances does anyone ever
die of this condition. On the other hand, malignant melanoma
will affect about 30,000 Americans this year, and will cause
7,000 deaths. So checking yourself, or seeing your dermatologist
for an exam is an intelligent thing to do.
Any non-healing sore or any enlarging or otherwise changing
growth should be evaluated for the possibility of skin cancer.
Basal cell carcinoma and squamous cell carcinoma, the third
type of skin cancer, usually occur on the most sun exposed
parts of the body, the face, neck, hands and arms. While sunlight
also causes melanoma, it's the intense sunburns that are probably
responsible and if you think about it, our worst sunburns
occur on the covered areas of our body - the back and legs.
Indeed, in men, the back is the most common area for melanoma,
while in women it's the back of the legs. For melanoma, look
for a pigmented mole that may show a change in shape, color,
or size. When melanoma is discovered early, its almost 100%
curable. Sadly, some people disregard the warning signs until
it's too late.