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Conditions and Treatments

Conditions

Our clinical practice specializes in the diagnosis and treatment of skin, hair and nail disease. Some of the conditions we treat include skin cancer, acne, skin blemishes, moles, warts, hair and scalp disorders, facial blood vessels, birthmarks, eczema, dry skin, skin allergies, nail problems, wrinkles, frown lines, and childhood skin conditions. We continually search for the latest technology and most beneficial treatments. Our methods of treatment include surgical dermatology (surgical excision), electrosurgery, cryosurgery, laser surgery, phototherapy (NBUVB and PUVA), wrinkle fillers and BOTOX and other non-surgical cosmetic procedures.
Dermatology: the treatment of skin, hair and nails. The largest organ of the body.

A Brief Description of Conditions we treat:

Acne
Acne is a disease that affects not only teens but adults as well. It generally appears on the face (nose, cheeks, chin), chest and back. You may call them pimples, zits, blackheads, whiteheads and, in more severe forms, large and sometimes painful cysts. Acne occurs when the pores of the skin become clogged with oil, dead skin cells and bacteria. At first, very mild cases can be treated with over-the-counter acne medications containing benzoyl peroxide, but if this does not resolve the problem, you should consider an appointment with the physicians at Associated Dermatologists in West Bloomfield, Commerce or Novi. Multiple medications, both topical and oral, are effective in controlling this condition that if left untreated can result in permanent scarring. In the case of severe, scarring nodular and cystic acne, the medication istotreinoin (better known as Accutane) is a treatment that if often considered.
Rashes
All rashes are not equal: Atopic Dermatitis, Eczema, Contact Dermatitis, Poison Ivy, Hives, Fungus, Psoriasis--A trained dermatologist will be able to identify what kind of a “rash” you have and how it should be treated. Our physicians can perform biopsies, take cultures or immediately identify a rash by the clinical presentation. If you have a rash that does not clear or is extremely itchy or spreading, you can make an appointment with a physician or physician assistant at any of our three locations to get you on the path to healthy skin.
Warts
Warts are a common skin virus that can appear in many areas of the body, but primarily they appear on the hands and feet. Viruses require your body’s immune system to help fight the infection, and often times several treatments are necessary for clearing. Warts can be contagious and therefore spread. If over-the-counter wart treatments are unsuccessful after a few weeks, it is best to seek the expertise of a physician who treats warts with a multitude of treatment options: liquid nitrogen, topical medications, laser and sometimes injections.
SPECIFIC SKIN CONDITIONS TREATED BY PRACTIONERS AT ASSOCIATED DERMATOLOGISTS (CONTINUED)
  • ACNE ROSACEA
  • AGING SKIN, WRINKLES, HYPERPIGMENTATION
  • ALLERGIC SKIN RASHES
  • ALOPECIA AREATA
  • ATOPIC DERMATITIS
  • DRUG ERUPTIONS/REACTIONS
  • EXCESS HAIR
  • EXCISIONS OF LIPOMAS, EPIDERMOID CYSTS
  • HYPERHIDROSIS
  • KELOIDS
  • MOLLUSCUM CONTAGIOSUM
  • POISON IVY
  • PRE-CANCEROUS SKIN GROWTHS: ACTINIC KERATOSES
  • PSORIASIS
  • TELANGIECTASIAS
  • VITILIGO

HOW OFTEN SHOULD I HAVE A FULL BODY SKIN EXAM?

Skin cancer is always easier to treat when it is detected early. We recommend full body skin exams yearly to all patients to search for early skin cancers. For patients with a history of skin cancer, we recommend more frequent skin exams.
  • Skin Cancer (the American Academy of Dermatology)

When was your last “skin exam”? Although skin cancer can develop on people of all ages and skin types there are particular factors that increase your risk:
  • Fair skin
  • Skin that burns or freckles
  • Blond or red hair
  • Blue or Green eyes
  • More than 50 moles
  • Irregularly-shaped or darker moles
  • Use (or used) indoor tanning devices
  • History of sunburns, (especially blistering)
  • Personal or Family history of skin cancer
  • Weakened immune system
  • Area of the skin that has been badly burned
  • Received x-ray treatments for acne or long term x-ray therapy
The physicians and physician assistants can do a thorough examination of your skin and if necessary biopsy any suspicious growths.
Basal Cell Carcinoma
This is the most common type of skin cancer and can appear on the skin in many shapes and sizes. If you have a lesion that continues to bleed, a “pimple” that won’t resolve, a sore that heals and then returns you should have your Dermatologist evaluate it. Basal Cell Carcinoma (BCC) usually develops in sun exposed areas- such as the nose, scalp neck ears and hands. Bcc rarely spread to other areas of the body but can become larger and affect the surrounding tissue and sometimes into the bone.
Treatment for a non-invasive BCC can be as simple as a procedure in the office with electrodessication and curettage. But a nodular or invasive BCC may require more extensive, yet more definitive treatment such as Mohs surgery. (See the section regarding this procedure)
Squamous Cell Carcinoma
Squamous Cell (SCC) is the second most common type of skin cancer and can appear as a crusted or rough bump that grows and bleeds and like a BCC can appear to be a sore that doesn’t heal. It is also commonly fou
 
nd on the areas of sun exposure: face ears, lips, back of the hands and arms. But in addition, SCC can appear inside the mouth or on the genitals and smoking or chewing tobacco can increase your risk of SCC in the mouth or throat. I
 
f left untreated, SCC’s can spread and therefore make future treatment difficult. Mohs surgery is a common treatment for this skin cancer.
Melanoma
image-1416447-melanoma.jpg
This is the deadliest form of skin cancer. It may develop on normal skin or in an existing mole.
The ABCD and E’s of Melanoma
 A: Asymmetry
 B: Irregular Border
 C: Varied Colors or very dark
 D: Diameter- greater than an eraser on a pencil (6mm) but can be smaller
 E: Evolving- a mole or skin growth that looks different from the rest or is hanging in size shape or color.
Make an appointment with a Dermatologist as soon as possible if you notice any of these new or changing lesions.
Dermatologists treat many different diseases of the hair skin and nails. In addition to clinical treatments, such as biopsies, surgeries, cryotherapy, and prescription medications Dermatologists also offer many cosmetic solutions to sun damage and aging skin, including laser treatments, fillers, botox or dysport, acid peels, laser hair removal, medical-grade cosmetic products and most recently a procedure known as microneedling.
For information about cosmetic solutions, please make an appointment with any of our estheticians – who will discuss your concerns, your expectations, outcomes and pricing at all three locations for your convenience

Treatments

Accutane

Isotretinoin (Accutane) is a medicine that revolutionized the treatment of acne. Accutane belongs to the family of medicines called retinoids, which are similar to vitamin A. Accutane, like other retinoids, works by altering DNA transcription. This affect decreases the size and output of sebaceous glands. It also makes the cells that are sloughed off into the sebaceous glands less sticky, and therefore less able to form blackheads and whiteheads (comedones). It also reduces the number of bacteria in the sebaceous gland and on the skin surface.
Who Takes Accutane?
Accutane is generally used for nodular, pustular acne that has not responded to full courses of several oral antibiotics. The trend in Accutane prescribing for acne has been towards using it earlier in the course of the disease, especially if there is significant scarring.

Chemical Peels

We offer a wide range of peels that aid in the reduction of wrinkles, acne, uneven skin tone and sun damage while unclogging pores and improving skin texture.
Currently our chemical peels include:
Glytone® peels
  • Contain glycolic acid to reduce cosmetic signs of aging
  • Contain glycolic acid to help improve appearance of skin - tone and texture
  • Used for the treatment of a variety of conditions including acne, aging skin, and melasma (hyperpigmentation)
Beta hydroxy acid peels
Vitalize® peels
  • Very superficial peel requires little to no downtime
  • The only superficial peel suitable for all skin types
  • Special formulation includes a unique blend of peeling agents: alpha-hydroxy acids, beta-hydroxy acids, resorcinol, and retinoic acid (obtained by physician)
  • Results are predictable and noticeable after just one peel
  • Dramatic results are seen after a series of peels
This treatment is for:
  • Acne
  • Photo Damage
  • Wrinkles

Daavlin UVB and PUVA Phototherapy Unit

Our offices in West Bloomfield, Commerce and Novi all  have this device to treat psoriasis, vitiligo, and pruritis.
This device is used to treat:
  • Psoriasis
  • Vitiligo

Botox for severe primary axillary hyperhidrosis

Botox© is injected into the skin to treat the severe symptoms of excessive sweating when topical medications do not work well enough. As a reminder, many insurance plans cover this procedure but require a prior authorization first. Since the medication is costly make sure you have an authorization in place prior to coming in for an appointment for this procedure.
For information, go to the link:
http://www.botoxseveresweating.com
This treatment is for:
  • Hyperhidrosis

Facial Capillary Therapy

Damaged facial capillaries are small red or bluish lines visible just under the skin which can create a reddish, blotchy look. This may also result in vascular flushing, such as with rosacea. We have several treatment options that eliminate redness and produce exceptional results for a wide range of patients including our vascular laser and intense pulse light (IPL) therapy.
This treatment is for:
  • Photo Damage
  • Rosacea
This treatment uses:
  • Candela Vbeam

Laser Photorejuvenation

Photo damage can manifest as mottled pigmentation, fine wrinkling and thinning of the skin, and vascular dilation and flushing.  Laser and intense pulse light therapy (IPL) can eliminate years off of the skin of the face and chest by improving skin texture, color and laxity. These specialized non-ablative techniques gently treat small blood vessels in the dermis beneath the skin quickly and painlessly. They can enhance skin texture and reduce redness while decreasing uneven pigmentation. They have also been observed to stimulate collagen production, thereby minimizing wrinkles and reducing the appearance of pore size.
This treatment is for:
  • Photo Damage
  • Rosacea
  • Wrinkles

Photodynamic Therapy

Photodynamic Therapy is a method of destroying specific cancerous or precancerous cells. A photosynthezing chemical is applied to the damaged area and exposed to a controlled wavelength of light that only attacks the desired area.
This treatment is for:
  • Actinic Keratosis

Biologics

Only a qualified health care professional can determine whether or not you have plaque psoriasis. Although your family doctor may be able to diagnose your symptoms, it's a good idea to see a dermatologist if you suspect you have psoriasis. Dermatologists specialize in treating skin diseases and can work with, or as a consultant to, your physician. Because dermatologists treat a range of skin conditions, it may be helpful to find out if yours treats psoriasis before you make an appointment. Although Humira and Enbrel were the pioneers in biologic treatment of psoriasis every year there are new discoveries too numerous to describe. Make an appointment with one of our physicians for both biologic and non-biologic solutions to controlling your psoriasis.
Humira™
Hate psoriasis? Love clearer skin. You know the challenges can be more than skin deep. Plaque psoriasis can mean red, scaly and sometimes painful skin, which can have a real impact on you. But now there is another option for some people suffering from psoriasis. HUMIRA is used to treat moderate to severe chronic (lasting a long time) plaque psoriasis in adults who are under the ongoing care of a physician, have the condition in many areas of their body, and who may benefit from taking injections or pills (systemic therapy) or phototherapy (treatment using ultraviolet light alone or with pills). When considering HUMIRA, your physician will determine if other systemic therapies are medically less appropriate. In one clinical trial for plaque psoriasis patients, 7 out of 10 adults taking HUMIRA saw 75% skin clearance and 6 out of 10 patients had clear or almost clear skin at 16 weeks. Individual results may vary. HUMIRA is available by prescription only. Talk to your dermatologist today about your treatment options and if HUMIRA may be right for you.
Enbrel™
In patients with plaque psoriasis, there is an overproduction of skin cells. Normally, skin cells are formed underneath the surface of the skin and move up to the surface over a period of about 30 days. These cells are eventually shed, revealing new skin cells. In people with plaque psoriasis, however, this skin cell cycle is sped up so that the skin cells multiply in just 3 to 4 days. The body has no way to shed the skin cells fast enough, and they accumulate on the surface, forming raised, red patches or lesions. ENBREL works in a targeted way inside your body, on the immune system, to help slow the rapid growth of skin cells and reduce the inflammation associated with moderate severe plaque psoriasis. In other words, ENBREL works from the inside out. Because ENBREL works on the immune system, it may lower your ability to fight infection.
Xtrac Laser
Using a carefully focused beam of laser light delivered through a sophisticated liquid light guide delivery system, the XTRAC system is designed to clear unsightly psoriatic skin plaques quickly and effectively. Because it concentrates light on active lesions, XTRAC allows your health care technician to deliver the high therapeutic doses necessary for rapid clearing without risk to healthy skin.
This treatment is for:
  • Psoriasis
  • Vitiligo

Sclerotherapy

To treat varicose and spider veins, a small needle is inserted, applying a medication that collapses the vein upon itself. The body then absorbs the shrunken tissue, removing the diseased vein.
This treatment is for:
  • Spider Veins