Juvederm in Gaithersburg
offices serve Gaithersburg and the surrounding area. We offer state-of-the-art dermatology services and a comprehensive range of medical and cosmetic dermatological care. Board certified doctors are here to solve your medical skin problem
or help you look your best. We have a range of tools, techniques and strategies that will rejuvenate your skin and help you look 20 years younger. We are committed to providing you with the highest quality of care for your skin.
We pledge to provide you with superior, individualized, and confidential care starting with a comprehensive consultation and ending with natural looking results. We run an efficient and pleasant practice believing your time is just as valuable as ours. So, call and set up an appointment. That’s the first step toward looking your best.
We can help you treat and manage your psoriasis. Below are descriptions of the different types of psoriasis
is a skin condition but it is in fact a systemic disease resulting from a malfunction of the immune system. According to the National Psoriasis Foundation
, 7.5 million people suffer from the disorder Psoriasis is a common skin condition that comes in several common types:
consists of raised lesions covered with a variable amount of silvery scales most commonly seen on the elbows, knees, scalp, and trunk
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is small circular lesions that come on suddenly and are seen after infections. This type of psoriasis attacks children more than adults. This type of psoriasis is not always chronic. inverse, pustular, scalp, erythrodermic,
and psoriatic inflammatory arthritis
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is when the scaly plaques develop in skin fold areas like the axillae, groin and buttock creases
and the folds under the breasts
. It develops from the heat and moisture generated from skin to skin friction.
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often comes from stress to the body like an infection or fever. This condition has bright red legions, over larger areas. Finger nail color
changes and can even be lost with Erythrodermic psoriasis. There are special psoriasis treatments for this condition.
Triggers to psoriasis leading to psoriasis treatment
Psoriasis is controllable, but not curable. Many things can trigger the onset and continuation of psoriasis:
1. Bacterial and viral infections
emotional or frictional on the skin surface inducing new areas of psoriasis to breakout.
beta-blockers, lithium, antimalarial medications, prednisone and other oral steroids
4. Injury to the skin:
intentional such as with surgery, or unintentional such as a cut or scrape
5. Dry skin:
may lead to scratching of the skin
6. Too little sunlight
and even too much sunlight causing a sunburn
7. Alcohol can affect psoriasis.
smoking and smokeless tobacco products
9. Patients with weakened immune systems
(AIDS, cancer chemotherapy patients, and patients with autoimmune disease such as rheumatoid arthritis) may have more severe bouts of psoriasis.
There are three options for treating psoriasis:
Moisturizers, topical steroids, and “peeling” agents (salicylic or lactic acids, and dandruff shampoos.) The effectiveness of this psoriasis treatment depends on the individual reaction.
"Biological” injectable medicines are being to treat psoriasis. These require a consultation with a dermatologist. They include : adalimumab, etanercept, infliximab, ustekinumab and ustekinumab. These drug treatments are also known by their trademarked names. Consult with Dr. Norman Levan to see if this type of psoriasis treatment is right for you.
This is careful exposure and precise exposure of your skin to ultraviolet light. But UVA and UVB treatments are used. It is a painless procedure and must be used in combination with oral and topical treatments. This type of psoriasis treatment is call PUVA treatment and is usually done in the office of a dermatologist.
Psoriasis treatment vary widely from simply using over the counter remedies to photo therapy under the care of dermatologist. Find out how to treat your psoriasis.
and a member of the American Association of Dermatology
In Gaithersburg call us learn how to look your best
Look 10 years younger. Tighten your skin. Eliminate blemishes. Look younger with a dermabrasion or microdermabrasion.
is a non-surgical procedure which exfoliates (takes off) the Stratum Corneum (the top layer of skin) with an abrasive scrubbing tool. Once removed, the remaining skin rejuvenates with skin that is usually smoother, clearer and tighter than before. Dermabrasions go deep below the skin's top layer and thus are performed under the care of a board certified
are similar, but are a cosmetic form of dermabrasions because microdermabrasions do not remove as much of the Stratum Corneum.
There is less risk of skin damage with a microdermabrasion.
Thus, it can be performed by a clinician at a “medi-spa”. Every year, 23,000 women get dermabrasions and about 4,500 men. Whereas over 452,000 women and 28,000 men get microdermabrasions. Microdermabrasions treatments produce fantastic results.
To perform, both the microdermabrasion and dermabrasions are safe, the clinician uses a handheld device with a spinning wheel and rough surface. This abrasive tool is then rubbed on the surface of your face which removes the upper layer of skin. The tool is very similar to sandpaper but various surfaces are used. The resurfacing of the skin can be cause discomfort during the procedure. Specific areas can be targeted or the procedure can be applied over the entire face.
The micro dermabrasion can be administered by an aesthetician or even at a spa. However, a dermabrasion is a much deeper removal of the top layer of skin and must be performed by a board-certified dermatologist/physician.
Below is a quick video that compares microdermabrasions and chemical peels.
What conditions are treated?
Am I good candidate?
You are a good candidate for a dermabrasion if you have sun-dried skin, uneven or blotchy skin, scars, facial wrinkles, acne scars, pits and discoloration.
During and after the procedure your face will likely feel stiff and tight. It will be visually alarming with the bruises produced by the rubbing off the top layer of skin. Some people look as if they have been in a very bad fist fight or car accident. Avoid the temptation to panic. As seen in the before and after photos, your face will heal smoother and tighter than before. You may also experience tightness, as the under layer of skin is slightly less elastic then the Stratum Corneum, the top layer. Your skin will also be slightly red and or swollen. The clinician will likely prescribed an ointment to be applied after the procedure for the pain and swelling.
If you experience long lasting pain or extreme pain then you should contact your physician to find out if your pain is normal or part of a bigger problem.
Post Treatment Expectation
Dermabrasion recovery takes about 7 to 10 days for new skin to form. After six weeks the redness will have subsided and you'll see the results of the treatment. Initially, you should avoid direct sun, swimming and any strenuous physical activity.
Adverse reactions include hematoma or sir, which is blood under your skin, infections, bleeding, scarring, damage to underlying skin and skin sensitivity to microdermabrasions.
Microdermabrasion is a cosmetic procedure and does not require any down time. You can resume your daily routine immediately after the microdermabrasion treatment.
A dermabrasion goes much deeper to resurface your skin down to the college in layer. The downtime is approximately 10 days and this procedure must be performed by a physician. The cost ranges between $1,800-$3,000. The microdermabrasion procedures produces fantastic results.
A microdermabrasion cost is typically $150-$300, depending upon the size of the area treated. It is typically performed by aestheticians and doesn't require board certified medical care.
Because dermabrasions and microdermabrasions are an elective procedure, most medical insurances do not cover the cost. However, if it can be shown that it is the prescribed treatment for precancerous cells or some other skin ailment it may be covered through insurance. Consult with your physician to see if your circumstances could be covered by medical insurance.
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