Say Farewell to Acne ?

Acne is the most common skin condition in the United States. While acne usually begins in puberty or teen years, it can persist into adulthood as well. Dermatologists commonly treat teen and adult acne patients. Acne can regress or improve in adulthood, but may also worsen in some populations such as adult women and may be more severe in men. Approximately 15% of the US population has suffered from acne and, by some estimates, nearly 9 out of 10 adolescents are affected by this chronic skin condition.

Acne vulgaris is a skin condition that occurs when your hair follicles become plugged with oil and dead skin cells. It causes whiteheads, blackheads or pimples.

Acne skin lesions vary, and include:

  • Whiteheads (closed plugged pores or comedones)
  • Blackheads (open plugged pores or comedones)
  • Small red, tender bumps (papules)
  • Pimples (pustules), which are papules with pus at their tips
  • Large, solid, painful lumps under the skin (nodules)
  • Painful, pus-filled lumps under the skin (cystic lesions)

 

Following acne lesions, your skin can be left with discoloration (post inflammatory hyperpigmentation or erythema) or even permanent marks (acne scars) in some cases.

Four main factors cause acne:

  1. Excess oil (sebum) production
  2. Hair follicles clogged by oil and dead skin cells
  3. Bacteria
  4. Inflammation

Acne typically appears on your face, forehead, chest, upper back and shoulders because these areas of skin have the most oil (sebaceous) glands. Hair follicles are connected to oil glands.

The follicle wall may bulge and produce a whitehead. Or the plug may be open to the surface and darken, causing a blackhead. A blackhead may look like dirt stuck in pores. But actually the pore is congested with bacteria and oil, which turns brown when it's exposed to the air.

Pimples are raised red spots with a white center that develop when blocked hair follicles become inflamed or infected with bacteria. Blockages and inflammation deep inside hair follicles produce cystlike lumps beneath the surface of your skin. Other pores in your skin, which are the openings of the sweat glands, aren't usually involved in acne.

Certain things may trigger or worsen acne:

  • Hormonal changes. Androgens are hormones that increase in boys and girls during puberty and cause the sebaceous glands to enlarge and make more sebum. Hormone changes during midlife, particularly in women, and pregnancy, can lead to breakouts too.
  • Certain medications. Examples include drugs containing corticosteroids, testosterone or lithium.
  • Friction or pressure on your skin. This can be caused by items such as telephones, cellphones, helmets, tight collars and backpacks
  • Diet & acne. Studies indicate that consuming certain foods — including chocolate and carbohydrate-rich foods, such as bread, bagels and chips — may worsen acne. Further study is needed to examine whether people with acne would benefit from following specific dietary restrictions. Low glycemic index diets, reducing inflammation may help (read more).
  • Emotional health & acne. For many people who have acne, the skin disease affects more than their appearance. Acne can take a toll on one’s emotional health. Researchers have found in study after study that people with acne can also develop depression, anxiety, low self-esteem, poor self-image, and decreased quality of life. Treatment of acne may improve these as well (read more).
  • Family history. Genetics plays a role in acne. If both of your parents had acne, you're likely to develop it too.

Myths:

  • Stress. Stress doesn't cause acne, but if you have acne already, stress may make it worse
  • Hygiene. Acne is not caused by dirty skin. Overwashing the skin may dry and irritate the skin, especially in dry climates like Colorado. We recommend washing your skin with either a gentle cleanser or acne cleanser if recommended by your dermatologist once to twice daily followed by a non-comedogenic moisturizer.

When To See Your Dermatologist

Acne may be managed at home with over-the-counter products, but some cases are more serious. If you don’t see a difference with careful skin care, changes in diet, and over-the-counter treatments within 6-12 weeks, you should make an appointment with our board certified dermatologists. Early treatment can help your confidence and prevent scarring.

Although acne is one of the most common skin disorders that dermatologists diagnose, it remains challenging to treat. Acne needs to be treated based on the subtype of acne–it’s not a one-size fits all type of pathology. Patients with hormonal acne often benefit from oral contraceptive pills, spironolactone, and over-the-counter and prescription topicals medications. Patients who have comedonal acne have more improvement with topical retinoids. Patients with papular-pustular presentations may need a combination of topical retinoids and topical or oral antibiotics. Patients with chronic, scarring, or moderate to severe acne may be candidates for systemic therapy with isotretinoin.

Lasers and similar energy based therapies can be used safely to treat acne–photodynamic therapy has also been use in some of patients. Aesthetician performed facials with or without extractions and chemical peels are helpful in-office acne treatments.

Acne Treatments

Ready for results? Our team of board certified dermatologists and licensed medical aestheticians will create a plan to treat your acne concerns.

Teen Facials with Extractions

A teen facial can help get rid of acne and decrease acne breakouts on the face, chest, or back. Our aestheticians create effective plans to care for skin to promote continued results. Facials will properly treat the skin and remove clogged pores to lessen and help clear up acne lesions. Schedule an appointment with our licensed aestheticians, Katie or Ashli.


Salicylic Acid Peel

Visibly reduce the appearance of mild to severe acne-prone skin while improving skin clarity, texture and tone. Light chemical peels are a great treatment for teens with acne and acne scarring. A solution is applied to the face that “peels” off the top layers of the skin. This helps even out the tone and texture of the skin, especially if acne scarring is present. It also makes it easier for acne medicines to penetrate and get into the pores where they have their effect.

Glytone Acne Treatment System

Glytone Acne Treatment System uses the best acne-fighting ingredients to heal and prevent blemishes. Formulated with salicylic acid, benzoyl peroxide, bakuchiol and more, this powerful system washes away excess oil and debris while gently exfoliating, unclogging pores and preventing breakouts.

Treat acne in 3 key blemish-fighting steps:
1️⃣ Cleanse: Acne Self-Foaming Cleanser
2️⃣ Hydrate: Acne Treatment Lotion:
3️⃣ Treat: Acne BPO Treatment Gel

Clinical Results: decreases severity of acne after 7 days of use.








by Pure Dermatology

							

														

															

					

				

									
Let's Explore Psoriasis
August is National Psoriasis Awareness Month


An estimated 8 million Americans have psoriasis – making it one of the most common autoimmune disorders in the United States. August is observed as “National Psoriasis Awareness Month” with the objective to spread awareness about psoriasis.




Psoriasis is a chronic, autoimmune condition that causes a rapid buildup of skin cells that result in scaling on the skin’s surface. The buildup of skin cells can cause red, itchy, scaly patches, most commonly on the knees, elbows, trunk, and scalp. Some people with psoriasis can also develop a type an autoimmune joint disease called psoriatic arthritis.




Types of Psoriasis


Plaque (plack) psoriasis - most common


Patches of thick raised skin covered with a silvery scale. Usually appears on the scalp, elbows, knees, or lower back — but they can develop anywhere on the skin.




Scalp psoriasis


Thick or thin scaly, itchy patches along the hairline of the scalp and extending onto the forehead, neck or ears. Very thick patches can lead to hair loss.




Nail psoriasis


This can develop with any type of psoriasis. Signs include purple-black lines, yellow-brown spots, tiny pits, crumbling nails, and nails separating from fingers or toes.




Guttate (gut-tate) psoriasis


This type often develops in children and young adults, after they’ve had an infection, such as strep throat or another trigger. It causes a sudden onset of lots of small, scaly spots on the trunk and extremities.






Pustular psoriasis


Painful, pus filled bumps on the hands and feet. Appear to be infected but the bumps have no bacteria in them.




Inverse psoriasis


Shiny, smooth patches instead of scaly ones that are bright red and often sore. Patches are found where skin touches skin, such as the armpits or the groin area.




Erythrodermic (eh-rith-row-der-mic) psoriasis


This type of psoriasis is rare and causes large areas of skin to look burnt. This type of psoriasis can be life threatening.




Psoriatic arthritis


20% or more of people with psoriasis of their skin can develop a type of arthritis called psoriatic arthritis. It causes swollen tender joints especially in the hands and feet, back pain and/or morning stiffness.








Psoriasis Triggers


    

  • Infection (such as strep throat)
    • 

  • Skin injury (such as a sunburn or cut)
    • 

  • Stress
    • 

  • Cold weather
    • 

  • Smoking
    • 

  • Heavy alcohol consumption
    • 

  • Medication use (beta-blockers, lithium, or antimalarial drugs)
    • 







 








 


1. Prescription and OTC creams and ointments


    

  • 

      

    • Rx topical steroids, vitamin D analogues, topical retinoids, and calcineurin inhibitors can calm down the inflammation.
      • 

    • OTC products that contain salicylic acid, coal tar, zinc, selenium sulfide, and moisturizers can exfoliate and hydrate the skin.
      • 

    

    • 



2. Ultraviolet light


    

  • 

      

    • Skin exposure to natural sunlight or artificial UV light causes the hyperactive immune cells in the the skin to die, which slows down the cell turnover and calms down inflammation.
      • 

    • Limited UV exposure to avoid sunburn and increased risk of skin cancer.
      • 

    

    • 



3. Systemic medications


    

  • 

      

    • Rx oral or injectable medications, including immunomodulating medications (such as Otezla, Skyrizi, Cosentyx, Stelara, and more), retinoids, methotrexate, and cyclosporine can eliminate the skin and joint disease of psoriasis.
      • 

    

    • 








If you feel like you might be experiencing psoriasis or would like to explore a more comprehensive treatment approach to your symptoms, schedule an appointment with our board-certified dermatologists, Dr. Cera Hill and Dr. Ghiselli.




 








 







EltaMD Moisture Rich Body Crème


One of our favorites for patients with psoriasis or eczema or for anyone seeking extra hydration in Denver’s dry climate. Non-greasy, luxurious, ceramide-enhanced formula with enzymes to promote a healthy skin barrier. LEARN MORE









ISDIN Uradin Podos Gel Oil


Lightweight hydrating gel oil which quickly absorbs into the skin, designed to eliminate hard, rough skin on both the heels and soles of the feet, elbows or knees. Dual exfoliating and moisturizing action works to help rough areas feel softer and look visibly smoother. LEARN MORE


by Pure Dermatology

							

														

															

					

				

									
Get that Summer Skin Glow ☀️
July means outdoor activities and vacation days! Update your summer skin care for healthy-looking skin all season long. Now is the time to glow!




See below as we explore:


    

  • Summer skin tips
    • 

  • Wallaroo UPF Hats
    • 

  • Our favorite facial treatments for summer
    • 









SUMMER SKIN TIPS


    

  • SPF, SPF, SPF: It's the most important, fundamental, don't-leave-home-without-it tip, wear sunscreen. We recommend a broad-spectrum sunscreen of SPF 30 or higher. Don't forget about hands, feet, ears, and lips. Come by our office and let us help you find the perfect sun protection for you.
    • 

  • Invest in a good vitamin C serum: Vitamin C is great year-round, but all the more important in the summer. Vitamin C helps prevent hyperpigmentation, improves the appearance of fine lines, and can help with collagen production. Layer a few drops on your skin between cleansing and your moisturizer.
    • 

  • Don't forget to exfoliate: While we often remind patients not to over-exfoliate, in the summertime, 'tis the season to slough away. That doesn't mean a daily dose of all your favorite acids, but try slowly increasing the amount of days you exfoliate per week. Need some extra TLC? Schedule a complexion-enhancing facial with one of our aestheticians.
    • 

  • What about vitamin D: The myths about vitamin D can be confusing. Is vitamin D important for our health? Absolutely! Can you get enough vitamin D, even if you wear sunscreen every day? The answer is yes! But instead of getting a daily dose of Vitamin D from the sun or tanning beds, turn to foods rich in vitamin D and supplements rather than risk the harmful rays of the sun.
    • 

  • Schedule your skin check: Keep your skin healthy and detect skin cancer early with an annual skin check. Discuss any skin concerns you may have with your board-certified dermatologist, schedule today.
    • 









Sun Protective Hats



Wallaroo UPF Hats


As a leader in the sun-protective hat industry, Wallaroo has developed a line of functional, fashionable designs that can go with you on all of your adventures. Wallaroo hats are tested and rated according to the UV radiation blocking capabilities of materials used in the construction of each hat.


Pure Dermatology carries a wide variety of Wallaroo UPF Hats, stop by our office to shop the current styles. You are sure to find the perfect hat for all your summer plans.


Our Favorite Summer Treatments: HydraFacial and SilkPeel Dermalinfusion


This summer, it is time for your skin to glow. With no downtime required and instant results, both our HydraFacial and new SilkPeel Dermalinfusion facials will have your skin feeling bright, clean, and glowy. Learn more about the benefits and which treatment is the perfect fit for you.






SCHEDULE YOUR APPOINTMENT




Denver Hydrafacial



HydraFacial


CHEMICAL EXFOLIATION


with glycolic and salicylic acid




CUSTOMIZED BOOSTERS


reduce redness, brighten skin, improve texture, fine lines & signs of aging




COSMETIC GOALS


a gentle and relaxing treatment that cleanses, exfoliates, extracts and hydrates




CONTINUOUS GOALS


all in one treatment to address acne prone, mature, or dry skin




ADDITIONAL FOCUS


can treat dryness, dark spots, redness and aging on the back of hands




END RESULT


leaves face dewy, skin is plump and hydrated with a noticeable glow


SilkPeel Dermalinfusion



SilkPeel Dermalinfusion


MANUAL EXFOLIATION


with diamond tip technology




MEDICAL-GRADE SERUMS


refine pores, hydrate skin, address growth factors, antioxidants & discoloration




CLINICAL GOALS


cleanses, exfoliates, extracts and hydrates, flushes toxins and stimulates blood flow




CORRECTIVE CARE


treatment for correction of active acne or other clinical concerns




ADDITIONAL FOCUS


can treat delicate tissue around eyes and


lips




END RESULT


skin feels fresh, exfoliated and hydrated, yet dry to the touch




by Pure Dermatology

							

														

															

					

				

									


TWO NEW REASONS TO LOVE PURE DERMATOLOGY!




Introducing SilkPeel® Dermalinfusion




Welcoming our new licensed aesthetician, Ashli LaMadrid












SilkPeel® Dermalinfusion


SilkPeel® Dermalinfusion is more than a facial, it provides radiant results that last. Unlike traditional facial treatments, which rely on manual and chemical exfoliation to treat skin at a surface level, our new device contains a diamond tip wand that delivers a next-level resurfacing treatment that deeply cleans and rejuvenates the skin.


    

  • Improvement in overall skin dryness and roughness providing a new glow to the skin.
    • 

  • After only one session, skin clarity and luminosity is enhanced. Skin will be instantly dewy, brighter, and infused with nourishing serums.
    • 

  • Positive results are seen immediately, and in the days following your treatment, with no peeling of the skin.
    • 







Book Your SilkPeel® Dermalinfusion




Introducing Ashli LaMadrid


We are pleased to introduce the newest team member at Pure Dermatology, licensed aesthetician, Ashli LaMadrid.





    

  • Ashli is seeing patients now, schedule your FREE consultation today.
    • 

  • Update your skin care regimen with the best medical grade skin care products specifically customized to you to maximize results and skin health.
    • 

  • Understand which Cosmetic Services including Microneedling, Laser, PRP, Facials, Peels, Microdermabrasion, and more, are best for your skin. See a detailed list of cosmetic services available on our website.
    • 



Schedule an aesthetician treatment or consultation by calling our office at 303-333-7873 or booking via online scheduling.


Book Your Free Consultation!




Ashli LaMadrid, Licensed Aesthetician


Ashli is a licensed aesthetician with a decade of experience in the skin care industry. She is originally from Florida where she worked for a med spa and gained a passion for the aesthetic field. She moved to Colorado where she obtained her aesthetic license at The College of International Esthetics. Since then, Ashli has continued to expand her aesthetic knowledge and training working in the dermatology setting.


Ashli is trained and certified in a variety of laser treatments including IPL, laser resurfacing, and laser hair removal, microdermabrasion, dermaplaning, microneedling, chemical peels, and body contouring.


As an aesthetician, Ashli is passionate about skin health and loves educating her patients and helping them obtain their skin care goals. She enjoys working in conjunction with our board certified dermatologists, Dr Ghiselli and Dr. Cera Hill to create a customized treatment plan designed for the best outcome and results. Ashli has an excellent rapport with patients and prides herself on the long term relationship she builds with them.


When not working, she enjoys hiking with her husband and 2 dogs.



							

														

															

					

				

									
Melanoma Monday + Skin Cancer Awareness Month
The American Academy of Dermatology has designated the first Monday in May as Melanoma Monday. Today officially kicks off Skin Cancer Awareness Month. We join the cause to raise awareness of skin cancer and to encourage you to examine your skin for suspicious spots and schedule your annual full body skin exam.


Early detection saves lives!


See below as we explore:


    

  • Types of Skin Cancer
    • 

  • Sun Protection Favorites
    • 





TYPES OF SKIN CANCER


Basal Cell Carcinoma



Basal Cell Carcinoma


Basal cell carcinoma is the most common form of skin cancer.


    

  • Presents as what appears to be a harmless non-healing pimple, scar, sore or scaly patch.
    • 

  • Occurs most commonly in the highly sun exposed areas such as the face, neck, chest, arms, hands and balding scalp.
    • 

  • Highly treatable with a very low risk of metastasis of <1%.
    • 

  • Treatments include Mohs micrographic surgery, excisions, topical chemotherapy and immunotherapy creams, and radiation.
    • 



Squamous Cell Carcinoma



Squamous Cell Carcinoma


Squamous cell carcinoma is the second most common form of skin cancer.


    

  • Presents as a non-healing, red, crusted, or scaling bump or sore.
    • 

  • Occurs most commonly in the highly sun exposed areas such as the face, neck, chest, arms, hands, and balding scalp.
    • 

  • Risk of spreading ranges from 1-10%, if detected early they are easily treated with Mohs surgery, topical treatments or radiation.
    • 






Melanoma


Melanoma is less common but the most serious form of skin cancer.


    

  • Presents as a new or changing mole or brown spot.
    • 

  • More common on the sun exposed skin but can occur anywhere including the bottom of your feet, eyes, scalp, and other unexposed skin.
    • 

  • If detected early, melanoma has a 99% cure rate. However, it can become life threatening by spreading to the lymph nodes and internal organs.
    • 

  • ABCDEs of melanoma help us detect which brown spots on our skin are concerning.
    • 



A: Asymmetry (one half does not match the other)


B: Boarder Irregularity (edges are ragged, notched or blurred)


C: Color Variability (pigmentation is not uniform, different shades of tan, brown, blue or black)


D: Diameter (growing in size)


E: Evolving (changing in size, shape or color)


 


At Pure Dermatology both Dr. Cera Hill and Dr. Ghiselli can perform skin exams to screen and detect skin cancer and provide many options for treatments for skin cancers including Mohs Micrographic Surgery.


    

  • Mohs surgery is a specialized surgical and microscopic procedure that progressively removes thin layers of cancer containing skin until the margin is clear of cancer. It allows removal of as little skin as possible while attaining the highest cure rate. This procedure is performed by Dr. Samantha Ghiselli at Pure Dermatology.
    • 



Schedule An Appointment




SUN PROTECTION FAVORITES


Living in Colorado we are all exposed to the sun on a daily basis and are at risk for skin cancer. Check out our favorite products available at Pure Dermatology to help protect you from the sun and reduce your risk of skin cancer while still enjoying the outdoors.





UPF Hats & Clothing


Protect your face, neck and chest by wearing a wide-brimmed hat with UV protection. Pure Dermatology carries a large selection of our team's favorite sun protective hats from Wallaroo. Stop by our office to find the perfect hat for you!





Dietary Supplement — Heliocare


    

  • Heliocare is a once-a-day dietary supplement that contains a unique extract from a Fernleaf plant called Polypodium leucotomos which helps your skin protect itself from the free radical DNA damage caused by the sun.
    • 

  • We recommend taking it any time you have extended sun exposure whether that is on a tropical vacation, golfing, hiking, or watching your child's or grandchild's soccer game.
    • 

  • For patients with a history of skin cancer, we recommend taking it on a daily basis.
    • 






Broad-Spectrum Sunscreen


    

  • Different occasions call for different sunscreens.Some days call for a water-resistant SPF and others call for a light weight product.
    • 

  • Pure Dermatology carries a wide range of broad-spectrum sunscreens from a range of professional skin care lines in many different formulations from creams, powders, sprays and sticks. Come in and we will help you pick the perfect SPF products for your skin for every occasion.
    • 



Daily ✔️


Beach ✔️


Workout ✔️


Post-procedure ✔️


by Pure Dermatology

							

														

															

					

				

									
April is National Rosacea Awareness Month
14 million Americans have rosacea, a chronic and common skin condition that is characterized by persistent facial redness and flushing along with bumps, pimples, visible blood vessels, and skin thickening. Rosacea is most frequently diagnosed in women with fair skin and is commonly found on the nose, cheeks, forehead and chin. While there is no cure for rosacea, there are many proven treatment options that can relieve symptoms.




    

    See below as we explore:
    

      

    • 

        

      • Types of rosacea
        • 

      • Triggers that may cause rosacea
        • 

      • Treatments to minimize rosacea
        • 

      • Featured rosacea skin care product
        • 

      

      • 

    


    

    1. Rosacea has Four Subtypes
    

      

    • Erythematotelangiectatic rosacea - Redness, flushing, visible blood vessels
      • 

    • Papulopustular rosacea - Redness, swelling, and acne-like breakouts
      • 

    • Phymatous rosacea - Skin thickens and has a bumpy texture, usually on the nose
      • 

    • Ocular rosacea - Eyes red and inflamed, may feel dry and irritated
      • 

    

      

    • 

    

    Rosacea and acne can sometime become confused. Acne is mainly characterized by pimples, while the main characteristic of rosacea is redness. Additionally, acne usually begins at a younger age (between 15 and 25 years) while rosacea usually occurs after the age of 30. Both acne and rosacea sometimes have a chronic character, the right treatments and advice can calm the skin and make sure the symptoms stay away for a longer period of time. It is important that you visit with your board-certified dermatologist to be sure you have the correct diagnosis for proper treatment.
    

    2. Rosacea Triggers
    

      

    • Extreme hot or cold temperatures
      • 

    • Excessive exposure to sunlight
      • 

    • Drinking alcohol
      • 

    • Eating spicy foods
      • 

    • Certain ingredients in skin care products (alcohol, urea, fragrance, glycolic acid, sodium laurel sulfate, menthol, lactic acid, camphor)
      • 

    

    

    3. Dermatologist Recommended Treatments for Rosacea
    

      

    • Prescription oral and topical products are effective and safe treatments for rosacea. Oral anti-inflammatory medication such as prescription doxycycline is effective in papulopustular rosacea and gold-standard treatment for ocular rosacea. Common prescriptions topical ingredients include anti-inflammatory medications such as metronidazole, and acaricidal agents such as ivermectin, and exfoliating ingredients such as azelaic acid.
      • 

    • Over-the-counter anti-inflammatory products, including ingredients such as niacinamide
      • 

    • Sun protection, daily SPF
      • 

    • Surgical debunking of rhinophymatous changes of the nose
      • 

    • Intense Pulse Light (IPL) laser-like treatments, typically recommended a series of treatments 2-4 weeks apart for significant reduction of redness and diminishment of blood vessels
      • 

    

    

    

    Intense Pulsed Light (IPL) to Treat Rosacea
    

    IPL uses controlled light in specific wavelengths to alleviate the inflammation, redness, pimples and uneven skin tones caused by rosacea. By treating the blood vessels causing rosacea the vascular response is diminished. We have seen dramatic results for patients with rosacea even in patients suffering with stinging and burning sensations. Depending on the severity of the symptoms results can be seen in 1-3 treatments.
    

    

    

    See our board-certified dermatologists, Dr. Cera Hill or Dr. Ghiselli, for diagnosis and treatment options of rosacea.
    

    Schedule An Appointment
    

    

    Featured Product: Senté Dermal Repair Cream
    

    Lightweight, deeply hydrating, and post procedure approved! Dermal Repair Cream is formulated with sensitive skin in mind. During the month of April, buy any Senté product with HSA and receive one mini two-week supply of Dermal Repair Cream or Dermal Repair UltraNourish as a gift from us.
    

    What makes Senté’s medical-grade skincare unique is their patented technology, Heparan Sulfate Analog (HSA). When using a formula that contains HSA, like Dermal Repair Cream, the benefits are limitless. Heparan Sulfate Analog prevents irritation and enhances results.
    

    

    Dermal Repair Cream has been clinically proven to:
    

    ?Clinical trials show reduced visible redness and sensitivity after only 4 weeks
    

    ?Deeply hydrate and renew skin
    

    ? Promotes healthier, more even-looking skin
    

    ? Improvements in the appearance of fine lines and wrinkles
    

    ? Recommended by 500+ dermatologists
    

    by Pure Dermatology

							

														

															

					

				

									
Tips For Keeping Skin of Color Healthy and Looking Great
COMMON SKIN CONCERNS FOR DARKER SKIN TYPES


    

  1. Dark Spots

      

    • Dark spots have multiple different causes including sun damage, post inflammatory hyperpigmentation, and melasma. Skin of color is more prone to these common skin conditions.
      • 

    • Treatments for dark spots include procedures such as IPL, Microneedling and Peels.
      • 

    • OTC and Rx products can also help lighten these spots. These include:

        

      • SPF 30 or >
        • 

      • Hydroquinone
        • 

      • Cysteamine
        • 

      • Retinoids (tretinoin, adapalene, tazarotene or retinols)
        • 

      • Heliocare
        • 

      • Azelaic acid
        • 

      • Glycolic acid
        • 

      • Kojic acid
        • 

      • Vitamin C
        • 

      

      • 

    

    2. 

  2. Post-Inflammatory Hyperpigmentation

      

    • Following injury to the skin, darker skin types are at a higher risk for dark spots on the skin known as post-inflammatory hyperpigmentation (PIH) and may last 6-8 months.
      • 

    • Common skin conditions such as acne, eczema, and burns often cause PIH.
      • 

    • Treatment of PIH starts with treatment of the underlying condition.
      • 

    • Fading the pigmentation can then be achieved with a combination of OTC and Rx topical products and treatments done in our office such as chemical peels and microneedling.
      • 

    

    3. 

  3. Melasma

      

    • Melasma is a pattern of irregular dark patches primarily on the face, often on the forehead, upper lip, and cheeks but may be on other sun exposed areas as well.
      • 

    • Melasma is more common in women, skin of color, with exposure to hormones, ie. on oral contraceptive pill, pregnant or recently given birth.
      • 

    • Treatment is difficult and often requires multiple different approaches including daily sun protection with sunscreen and hats, Rx creams containing topical hydroquinone, OTC products, oral Rx and dietary supplements and in office treatments including peels, microneedeling and lasers.
      • 

    • Be careful! Laser treatments can sometimes worsen melasma due to the light and heat.
      • 

    

    4. 

  4. Vitiligo

      

    • Vitiligo is a condition where depigmented (lighter) patches of skin form on various parts of the body.
      • 

    • The cause is unknown but thought to be an autoimmune and genetic condition.
      • 

    • While any skin tone can develop vitiligo, it is more noticeable in skin of color.
      • 

    • Treatment includes topical Rx medications and light therapy both prescribed by your dermatologist.
      • 

    

    5. 

  5. Ingrown Hair & Razor Burn

      

    • Folliculitis or ingrown hairs is a common concern in all skin types, but are much more common for men and women with darker skin types and curly hair.
      • 

    • When hairs regrow and get trapped beneath the skin they form red, irritated bumps. In darker skin types as these bumps heal they leave dark pigmented spots, in lighter skin types often red marks.
      • 

    • Prevention is the best treatment for folliculitis. By making changes to shaving habits, ingrown hairs may often be avoided or minimized.
      • 

    • Your dermatologist may treat folliculitis with oral and/or topical antibiotics, steroid creams, topical retinoids, or laser treatments.
      • 

    

    6. 



TREATMENT OPTIONS AVAILABLE FOR PIGMENTATION AT PURE DERMATOLOGY


Microneedling for Melasma


Lasers are great for most pigment, however the heat they generate can potentially make melasma worse.


By contrast, microneedling mechanically breaks up the pigment and generates no such heat.


Through a series of clean, controlled micropunctures, microneedling is able to reach the deeper dermis that is affected by melasma. The healing mechanisms triggered essentially force the surrounding skin to make brand new skin that has not yet been agitated by hormones or the sun.


Best results are seen when cosmeceutical grade skin lightening agents are applied post procedure to penetrate into these micro channels.


Call today to schedule a consultation with our aesthetician, Katie, to discuss treatment options for your melasma!


Tips-for-keeping-skin-of-color-healthy-and-looking-great


The Perfect Derma™ Peel


The Perfect Derma™ Peel is safe, effective medium depth peel for all skin types and ethnicities. This product is virtually painless, with no pre-peel skin preparation and little downtime. The Perfect Derma™ Peel is the only peel that includes the powerful antioxidant Glutathione, which lightens and brightens the skin, slows down the aging process and helps prevent wrinkles.


BENEFITS


    

  • Improve the overall clarity, tone and texture of the skin
    • 

  • Reduce or eliminate hyperpigmentation, sun damage and melasma
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  • Improve acneic skin conditions and reduce acne scars
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  • Stimulate the production of collagen, resulting in firmer, more youthful skin
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  • Reduce the appearance of pore size
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Tips-for-keeping-skin-of-color-healthy-and-looking-great Tips-for-keeping-skin-of-color-healthy-and-looking-great


by Pure Dermatology

							

														

															
mens-skin-care-routine

					

				

									
Top Tips to Help Men Develop Healthy Skin Care Routines
When it comes to skin care, men have traditionally kept it simple. Today, it is more common than ever for men to pursue healthier, younger-looking skin and hair. To help those just getting started, we've put together our top tips for a healthy men's skin care routine!


1. Wash your face daily and after exercise.


    

  • Regular bar soap often contains harsh ingredients that can be drying to the skin.
    • 

  • Wash your face with a mild facial cleanser and lukewarm — not hot — water.
    • 



2. Watch your shaving technique.


    

  • Multi-blade razors can work too well or shave too closely to your skin. If you often experience razor bumps, razor burns, or ingrown hairs, use a single- or double-blade razor instead and do not stretch your skin taut while shaving.
    • 

  • Before you shave, wet your skin and hair to soften it, and shave in the direction of hair growth.
    • 

  • If irritation persists schedule an appointment with our board-certified dermatologists to help with treatment.
    • 



3. Moisturize daily.


    

  • Moisturizer works by trapping water in your skin, which can help reduce the appearance of fine lines and make your skin look brighter and younger.
    • 

  • After washing and/or shaving use a daily moisturizer with SPF in the morning and one without in the evening.
    • 



4. Wear sunscreen whenever outdoors.


    

  • Use SPF 30 or greater on a daily basis.
    • 

  • Daily SPF helps prevent sun damage that can lead to wrinkles, age spots and skin cancer.
    • 



5. Check your skin regularly.


    

  • This is an extremely important part of any men's skin care routine. Non-healing spots or moles that itch, bleed, or change color are often early warning signs of skin cancer.
    • 

  • Skin cancer is common in men over age 50.
    • 

  • We recommend skin checks every 1 to 2 years depending on your risks.
    • 

  • Schedule your skin check now with Dr. Cera Hill or Dr. Ghiselli.
    • 



 




TREATMENT OPTIONS AVAILABLE AT PURE DERMATOLOGY





Platelet- Rich Plasma (PRP) Hair Loss Treatment


Consider PRP scalp injections for treatment of hair loss. Treatment can be done alone or in combination with prescription oral medications, topical medications, or oral supplements to maximize hair growth in both men and women. Schedule an appointment with Dr. Cera Hill or Dr. Ghiselli to develop the best hair treatment plan for you.


How it works: Three step process when your blood is drawn, spun to retrieve the platelet-rich portion, then injected into the scalp. PRP injections are an effective, alternative, natural treatment of hair loss.


    

  • Duration of procedure: 60 minutes
    • 

  • Recommended # of treatments: 3+
    • 

  • How long does it last: Permanent, 1-2 maintenance treatments per year
    • 

  • Recovery time: 2-3 days of scalp tenderness, swelling and bruising is possible
    • 

  • Pain: Low
    • 

  • Results: Increased hair density in 70% of patients, in 12 weeks
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Platelet- Rich Plasma (PRP) Hair Loss Treatment


Combat fine lines, wrinkles, and volume loss. Cosmetic injectables for men include Botox, Dysport, and fillers. Whether you’re looking for more facial definition, brighter eyes, angled jawline, or to smooth your skin’s appearance and restore a more youthful look, Dr. Cera Hill and Dr. Ghiselli offer non-surgical treatments to help you reach your aesthetic goals.


    

  • Neurotoxins: ie Botox and Dysport, address wrinkles and fine lines. Results last 3-4 months.
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  • Fillers: define, lift and restore volume to areas with hollowing or sagging, such as the cheeks and temples, jawline and under eyes. Results last 6-24 months.
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  • Excessive perspiration: armpits, hands and/or feet. A single treatment may last up to 6 months.
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Laser Hair Reduction


Laser hair reduction (LHR) is non-invasive and reduces unwanted facial, neck and body hair. LHR is done in a series of 6 treatment sessions every 4-6 weeks. Schedule with our Aesthetician today and be ready for summer! Treatment areas include:


    

  • Neck
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  • Shoulders
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  • Chest
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  • Back
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Men's Clinical Facial


Facials are great skin care maintenance to keep your face skin soft, healthy and youthful! Facials don't have to be fussy to get results! A man’s skin can quickly become damaged just from normal daily activities like your shaving routine and being out in the sun. A facial will help to deep clean skin and soothe irritation.


    

  • Facials improve skin texture, and improve acne.
    • 

  • Exfoliation removes dead skin cells, improves skin tone, reduces the appearance of pore size, and helps the products you’re using penetrate deeper and work better.
    • 

  • Schedule a Clinical Facial now. Customized facial including cleansing, dermaplaning or microdermabrasion, exfoliating enzyme, extractions, and treatment mask. Leaves your skin smooth and glowing!
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Intense Pulsed Light (IPL)


IPL is a laser-like treatment that is an excellent option for men. The procedure can be completed over a lunch break in 30-60 minutes.


IPL is a great solution to treat skin discoloration such as:


    

  • Red or brown spots
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  • Broken capillaries
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  • Rosacea
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Schedule An Appointment


by Pure Dermatology

							

														

															
skin-goals-2022

					

				

									
How to Reach Your 2022 Skin Goals
New year, same skin – or is it? This year, make a point to improve your skin so it looks newer than it did in 2021! We're here to help you reach your skin goals with these tips.





Switch up your showering habits


While soaking in a hot shower is tempting, especially in these colder months, it can actually be damaging to your skin. Hot showers can dry out and irritate the skin, preventing the skin cells from locking in moisture.


    

  • When getting out of the shower, don’t dry your face completely off with a face towel. Leave some moisture on your skin before applying your moisturizer to seal in the hydration and enhance the benefits.
    • 








Moisturize, moisturize, moisturize!


During the colder winter months, you’ll want to invest in a richer moisturizer, colder weather can deplete the skin of its natural oils. A thick, creamy moisturizer will protect the skin barrier more efficiently than a thinner one better suited for the warmer months.









Exfoliate your skin at least twice a week


Exfoliation is key and a very important step in all skincare regimes to keep skin glowing and unclog pores. Use 2-4 times per week in combination with moisturizers to prevent over drying.









Lather on the sunscreen


Wear it year round to protect your skin. The majority of skin aging is caused from sun exposure, which makes sun protection crucial.


    

  • Use sunscreen with SPF 30 or higher everyday!
    • 

  • In addition to face, include ears, neck, chest, and hands when applying your daily SPF.
    • 

  • We recommend SPF products from
    
ISDIN, EltaMD and Alastin.
    • 








Customize your skincare regimen to meet your skin goals


Our board-certified dermatologists, Dr. Cera Hill and Dr. Ghiselli, and licensed aesthetician, Katie Velasquez, are experts in recommending personalized skin care products and treatments to keep your skin healthy and looking its best.


    

  • Winter months are notorious for drying out your skin and that’s why it’s essential to switch out your products for the different conditions.
    • 

  • Consider laser treatments, injectables and rejuvenating aesthetic services.
    • 

  • Schedule a cosmetic consult for a personalized regimen tailored to your unique needs. We're here to help you reach your skin goals!
    • 









Aesthetician Winter Treatment Recommendation: HydraFacial


    

  • Combination of cleansing, exfoliation, extraction, hydration and antioxidant protection.
    • 

  • Removes dead skin cells and impurities while simultaneously delivering moisturizing serums into the skin.
    • 

  • Leaves your skin looking Radiant and Glowing!
    • 










Make 2022 YOUR year and the year you finally achieve our skincare goals!


    

  • Schedule a visit with Dr. Cera Hill or Dr. Samantha Ghiselli for a skin check OR
    • 

  • Schedule a FREE cosmetic consult with licensed aesthetician, Katie Velasquez
    • 

  • Click here to schedule online or call our office 303-333-7873
    • 



by Pure Dermatology