Dermatology in Wilmington
offices serve Wilmington 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.
Acne starts when oil and dead skin cells clog up your pores. Some people call it blackheads, blemishes, whiteheads, pimples, or zits. When you have just a few red spots, or pimples, you have a mild form of acne. Severe acne can mean hundreds of pimples that can cover the face, neck, chest, and back. Or it can be bigger, solid, red lumps that are painful (cysts).
Acne is very common among teens. It usually gets better after the teen years. Some women who never had acne growing up will have it as an adult, often right before their menstrual periods.
Acne starts when oil and dead skin cells clog the skin's pores camera. If germs get into the pores, the result can be swelling, redness, and pus.
For most people, acne starts during the teen years. This is because hormone changes make the skin oilier after puberty starts.
Using oil-based skin products or cosmetics can make acne worse. Use skin products that don't clog your pores. They will say "noncomedogenic" on the label. Acne can run in families. If one of your parents had severe acne, you are more likely to have it.
Types of acne
Identifying which type of acne you’re experiencing is key to successful treatment. Acne may be noninflammatory or inflammatory. Subtypes of acne within these two categories include:
Noninflammatory acne includes blackheads and whiteheads. These normally don’t cause swelling. They also respond relatively well to over-the-counter (OTC) treatments.
Blackheads (open comedones)
Blackheads occur when a pore is clogged by a combination of sebum and dead skin cells. The top of the pore stays open, despite the rest of it being clogged. This results in the characteristic black color seen on the surface.
Whiteheads (closed comedones)
Whiteheads can also form when a pore gets clogged by sebum and dead skin cells. But unlike with blackheads, the top of the pore closes up. It looks like a small bump protruding from the skin.
Whiteheads are more difficult to treat because the pores are already closed. Products containing salicylic acid can be helpful. Topical retinoids give the best results for comedonal acne. Currently, adapalene (Differin) is available over the counter as a retinoid. If it does not work for you, stronger topical retinoids are available by prescription from your dermatologist.
Pimples that are red and swollen are referred to as inflammatory acne.
Although sebum and dead skin cells contribute to inflammatory acne, bacteria can also play a role in clogging up pores. Bacteria can cause an infection deep beneath the skin’s surface. This may result in painful acne spots that are hard to get rid of.
Products containing benzoyl-peroxide may help reduce swelling and get rid of bacteria within the skin. These can also remove excess sebum. Your doctor may prescribe either an oral or topical antibiotic along with the benzoyl-peroxide to treat your inflammatory acne. Topical retionoids are also an important part of combatting inflammatory papules and pustules.
Papules occur when the walls surrounding your pores break down from severe inflammation. This results in hard, clogged pores that are tender to the touch. The skin around these pores is usually pink.
Pustules can also form when the walls around your pores break down. Unlike papules, pustules are filled with pus. These bumps come out from the skin and are usually red in color. They often have yellow or white heads on top.
Nodules occur when clogged, swollen pores endure further irritation and grow larger. Unlike pustules and papules, nodules are deeper underneath the skin.
Because nodules are so deep within the skin, you can’t typically treat them at home. Prescription medication is necessary to help clear these up.
Your doctor or dermatologist will likely prescribe the oral medication isotretinoin (Sotret). This is made from a form of vitamin A and is taken daily for four to six months. It can treat and prevent nodules by decreasing oil gland size within the pores.
Cysts can develop when pores are clogged by a combination of bacteria, sebum, and dead skin cells. The clogs occur deep within the skin and are further below the surface than nodules.
These large red or white bumps are often painful to the touch. Cysts are the largest form of acne, and their formation usually results from a severe infection. This type of acne is also the most likely to scar.
The prescription medication isotretinoin (Sotret) is commonly used to treat cysts. In severe cases, your dermatologist may surgically remove a cyst.
It’s possible to have multiple types of acne at once — some cases may even be severe enough to warrant a visit to the dermatologist.
There are many home treatments that are effective for people with acne. However, if a more aggressive approach is needed a dermatologist use a variety of treatments.
Photodynamic therapy (PDT) and other light and laser-based therapies are being used to treat acne. These include the use of blue light, red light, intense pulsed light (IPL), and infrared or pulsed dye lasers. Sometimes these therapies are used along with medicines, but they may also help people who cannot be treated with medicines.
Other treatments include dermabrasion, microdermabrasion, and laser skin resurfacing are effective treatments for severe acne. They can make acne scars less noticeable. Dermal fillers also work well for some types of acne scars.
In Wilmington 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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