Skin Growths: When You Should be Worried

By Maryann Mikhail, MD

  Skin cancer is by far the most common type of cancer in the United States.  It is also the only type of cancer we can physically see before it becomes a problem.  There are 3 main types of skin cancer: Basal Cell Carcinoma, Squamous Cell Carcinoma and Malignant Melanoma.  Basal and Squamous Cell skin […]


Losing Hair? Here’s What You Need to Know

By Maryann Mikhail, MD

  Alopecia (the medical term for hair loss) sufferers spend a whopping 3.5 billion dollars a year on products to attempt to regrow their hair.  Unfortunately, 99% of these products are completely ineffective for the majority of patients.  This is because successful treatment of hair loss is dependent on understanding why it is occurring. Accurate […]


When Should You Start Getting Botox?

By Maryann Mikhail, MD

  The short answer to this question is: before your wrinkles set in.  Wrinkles appear because the muscles of the face repeatedly contract the skin.  The more expressive you are, the more lines you will have in time.  In the beginning, superficial fine lines are only seen when you make certain faces.  However, over the […]


5 Reasons You Still Get Acne in Your 30s

By Maryann Mikhail, MD

  Acne is the most common skin condition in the United States, affecting over 50 million people per year.  Adult acne is particularly distressing as it typically affects people over the age of 30 who are well passed the teenage years and should not be breaking out anymore.  Management begins with proper skin care and […]


Facial Redness: Triggers and Treatments

By Maryann Mikhail, MD

  Facial redness is one of the most common and most embarrassing dermatologic issues. While many skin diseases can result in redness, most people with chronic, recurrent flushing suffer from rosacea.   Rosacea usually begins after age 30 and presents with recurrent redness on the cheeks, forehead, nose, and chin.  Over time, visible blood vessels (telangiectasias) […]


The New Eczema Medicine We Have Been Waiting For

By Maryann Mikhail, MD

  Moderate to severe eczema (atopic dermatitis) is notoriously difficult to treat.  Patients suffer with extremely itchy, red, scaly bumps.  Scratching leads to swelling, cracking, weeping, fissuring and, eventually, coarsening of the skin and pigmentation changes.  Current management begins with instructions on proper skin care and prescription topical steroids.  For those who have extensive disease […]


Everything You Need to Know About Laser Hair Removal

By Maryann Mikhail, MD

Excess unwanted hair is unsightly at best and, at worst, difficult to manage.  Temporary removal techniques such as shaving, plucking, waxing, threading and depilatories are short lasting and high maintenance.  Often times, they result in skin irritation, bumps, hyperpigmentation and scarring.  In some cases, they can even cause or spread skin infections.  For patients with […]


Post Acne Scarring can be Fixed!

By Joey Pang, RPA-C

Long term cystic acne can result in both pigmentary and textural scarring.  While most pigmentary scarring will fade over time, textural scarring can be permanent. For many patients, the long term uneven appearance of the skin is just as distressing as the acne breakouts themselves. Textural acne scarring occurs when inflammation recurs repeatedly in the […]


The Alternative Treatment for Acne You’ve Never Heard Of

By Maryann Mikhail, MD

  Acne occurs when sebaceous glands attached to hair follicles overproduce the oil-like substance sebum.  Sebum, along with dead skin cells, is trapped within pores until skin surface bacteria penetrate and induce inflammation.  Acne can be caused by hormones, genetics and some medications.  Potential aggravating factors include improper skin care, diet, and stress. Traditional acne […]


When Sunlight is the Answer

By Maryann Mikhail, MD

Inflammatory skin diseases like psoriasis, atopic dermatitis (eczema), vitiligo, itch (pruritus), lichen planus, mycosis fungoides and vitiligo can have a tremendous impact on quality of life. Not only do many patients suffer from associated symptoms that range from itching to burning and pain, but the appearance of affected skin can be extremely stigmatizing. Fortunately, in […]