My Blog
By Feinstein Dermatology
February 16, 2018
Category: Skin Care
Tags: Healthy Skin  

Skin Care ProductsDon’t over-complicate your skin care routine with a multitude of products. Taking care of your skin should be simple. In most cases, all it takes is daily cleansing, proper nourishment and protection from the sun and other harmful toxins.


All skin types need cleansed once or twice a day, especially before bed. Gently wash your face to remove old make up and grime that accumulate over the course of a day. If you notice a pimple or blemish, don’t pick. It won’t get rid of it faster and may lead to scarring. Follow with a moisturizer or lotion to retain moisture and prevent skin from drying out.


A well-balanced diet should also be an important part of your skin care regimen. Drink plenty of water and eat vegetables, fruits, whole grains and lean protein. Berries, leafy greens, nuts and fish are rich in antioxidants and good for your skin. Exercise, get plenty of rest and reduce stress to keep skin looking and feeling its best.


Sun protection is important for every skin type. To guard against sun exposure, wear a hat and sunglasses when outdoors, seek shade when possible and avoid the hours of the day when the sun is its strongest. Always apply sunscreen to avoid premature aging, wrinkles and skin cancer, no matter what time of the year. Smoking is not only bad for your general health, but it can also damage your skin - when you smoke you expose skin to harmful toxins, which can accelerate aging skin.

A basic skin care routine is not only essential, but it’s easy. In many cases, enhanced daily cleansing, improved diet and heightened awareness about sun exposure and skin protection is all it takes to achieve more youthful, flawless skin. Talk to your dermatologist whenever you have questions or concerns abut your skin or your daily skin care routine.

By Feinstein Dermatology
February 02, 2018
Category: Skin Care
Tags: Smoking  

SmokingWhile most people are aware of the potentially life-threatening health consequences of cigarette smoking, including lung cancer and emphysema, many people do not recognize the negative impact that smoking can have on the health and appearance of their skin.

Smoking causes biomechanical changes in our bodies that can speed up the normal aging process of the skin, contributing to deep wrinkles and fine lines that make us look older. The more cigarettes you smoke and the longer you smoke, the more wrinkled, leathery skin you will develop.   

Why does smoking cause wrinkles?

Smoking accelerates skin aging in a number of ways.

  • Nicotine in cigarettes deprive skin cells of oxygen and constricts the blood vessels that feed nutrients to the skin cells.
  • Smoking damages collagen and elastin, the fibers that give skin its strength and elasticity. As fibrous substances are destroyed, skin begins to sag and droop.
  • Smoking reduces the body’s store of vitamin A and vitamin C, which provide skin protection.
  • Continual pursing of the mouth when inhaling or squinting of the eyes to avoid smoke can cause deep wrinkling around the eyes and mouth.
  • Continual exposure to cigarette heat and smoke can make skin appear sallow and yellowish in color.
  • As collagen is destroyed, other parts of the body such as the inner arms and neck may appear saggy and wrinkled with time.

There’s Help—Quit Now

Skin damage caused by smoking won’t be completely reversible. But the signs of smoking can be dramatically diminished and even avoided the sooner you stop smoking. Even those who have smoked for several years show noticeably less wrinkling and improved skin tone when they quit smoking.

If you are ready to stop smoking or have recently quit, but the visible signs of aging smoking left behind bother you, talk to your dermatologist. There are many different cosmetic treatments available that can reduce fine lines caused by smoking. Laser resurfacing, chemical peels, and some topical treatments can restore skin, giving it a rejuvenated and smoother appearance. We will examine your skin, discuss your goals for treatment and recommend suitable options.  

The longer you smoke, the greater chance you have of developing irreversible wrinkles. By stopping your smoking habit now combined with an improved diet and a great anti-aging skin care regimen, it is possible to regain your youthful skin.

January 30, 2018
Category: Uncategorized
Tags: Untagged

Aging is a natural part of life, and our skin changes as we age.  Some of the most visible signs of aging are lines or folds on the face and loss of volume that makes the face look less smooth and youthful as it once did.  Fillers are a great way to combat these unwanted changes whether by maintaining your natural look or by enhancing your features.

What are fillers?

Dermal fillers are non-invasive treatments to smooth the appearance of skin folds, restore volume and enhance facial features.  Fillers have been used in the United States since the 1970s and have gained popularity over the past decade.  Over the years, the number of filler products available has proliferated and the demand has increased with over 2 million procedures performed in the U.S. in 2016.  The immediate results and the minimal downtime make fillers especially appealing.  As a result, fillers have become one of the most widely used cosmetic procedures in the U.S and worldwide.  Fillers are popular among men and women, young and old, and in those of all skin colors and types.

How do fillers work?

Injectable fillers resemble materials that are naturally present by our body.  The most commonly used fillers are composed of hyaluronic acid (HA) which is a type of sugar that is found in skin and cartilage.  HA has the ability to bind water and provides the skin with hydration, volume and elasticity.  As the skin ages, it produces collagen and hyaluronic acid.  As a result, wrinkles, folds, and volume loss may become more prominent.  Hylauronic acid based fillers can be used to combat these concerns by restoring lost volume and softening existing wrinkles and folds in the skin.  In addition to providing immediate volume, fillers can stimulate increased production of collagen in the skin.  

What can fillers be used to treat?

Several types of fillers are available and each has its own unique properties and indications. Here are some of the areas where fillers can be beneficial:

-  Nasolabial folds

-  Marionette lines

-  Jowls 

-  Volumize and lift cheeks 

-  Improve facial contour

-  Enhance the size, shape or definition of the lips 

-  Soften vertical lip lines 

-  Soften tear troughs

How long do the results last?

Although treatment with fillers can be very effective, it is not permanent.  Each product has a different duration of effectiveness.  The results typically last between six months

By Feinstein Dermatology
January 30, 2018
Category: Uncategorized
Tags: Untagged

What is PDT?

Photodynamic therapy (PDT) is a medical treatment for actinic keratoses (pre-cancers) and sun-damaged skin.  Photodynamic therapy combines the use of a topical photosensitizing agent which is applied to the skin and a light source which activates the medicine to kill the abnormal cells.  PDT is also referred to as blu light therapy.

What is PDT used for?

PDT is used to treat actinic keratosis (AK).  An actinic keratosis is a crusty or scaly growth that occurs in sun exposed areas such as the face, chest, arms and hands.  Actinic keratoses are often red or pink in color and feel rough compared to the normal skin.  In very early stages, AKs are so small that they may be easier felt than seen.  Oftentimes, patients have many more invisible actinic keratoses than what is seen on the surface of the skin.

Actinic keratoses are considered precancerous because if left untreated they have the potential to become more abnormal and develop into a squamous cell skin cancer.  PDT is especially useful for widespread lesions on the face and scalp.  Although PDT is a medical treatment, it may also provide cosmetic benefits, typically leaving the skin more even-toned and with no scarring or pigmentary changes.

What is the procedure like?

PDT is performed in a dermatologists office and consists of three basic steps. First, the skin is cleansed and a topical photosensitizing substance is applied to the area of skin to be treated.  Second, there is an incubation period which may range from 30 minutes to 3 hours or even overnight during which time the photosensitizer is absorbed by areas of the skin that have become abnormal (both what is visible and not yet visible).  Third, the area to be treated is exposed to a light source that activates the photosensitizer and kills the abnormal cells.  This last stage lasts approximately 16 minutes and feels very warm, like you are getting a sun burn.

Does the PDT treatment hurt?

PDT is very well tolerated by patients.  Most patients experience some burning (as if sitting in the sun) during the treatment which is alleviated by the use of fans or cold air (provided in our office). 

What restrictions do I have?

The treated area is extremely light sensitive for the first 48 hours following the procedure.  It is recommended to avoid sun exposure during this time.  Hats, scarves, and sunscreen with zinc oxide are also recommended.

What can I expect after the procedure?

After the procedure, the treated skin will be pink or red and may peel for the first few days (may feel like a sun burn).  This typically resolves in about a week.  Less commonly, more intense reactions can involve itching, swelling and pronounced crusting and discomfort.  This may be more likely to occur if the area being treated has a large number of pre-cancers or if the area treated is inadvertently exposed to sun during the first 48 hours after treatment.  Oftentimes, people who have very intense reactions to the treatment have excellent results.  

By Feinstein Dermatology
January 15, 2018
Category: Skin Condiition
Tags: Dermatologist  

Chicken PoxWhen your child breaks out all over in a blistery, itchy red rash, there’s a good chance it’s the chicken pox. Chicken pox is caused by the varicella-zoster virus, and although it’s typically a childhood disease, people who have not contracted it as a child can suffer from it in adulthood as well.

Chicken pox is highly contagious and can spread from person to person by direct contact or through the air from an infected person's coughing or sneezing. 

Symptoms of Chicken pox

Itchy red spots or blisters all over the body are telltale signs of chicken pox. It may also be accompanied by a headache, sore throat and fever. Symptoms are generally mild among children, but can cause serious complications in infants, adults and people with weakened immune systems.

The most common symptoms of chicken pox include:

  • Itchy rash all over the body, including the face, on the arms and legs and inside the mouth
  • Fatigue and irritability
  • Fever
  • Feeling of general illness
  • Reduced appetite

The symptoms of chicken pox may resemble other skin problems or medical conditions, so it is always important to consult your child's physician or dermatologist for proper diagnosis. If the chicken pox rash seems generalized or severe, or if the child has a high grade fever or is experiencing a headache or nausea, seek medical care right away.

The incubation period (from exposure to first appearance of symptoms) is 14 to 16 days. When the blisters crust over, they are no longer contagious and the child can return to normal activity. 

Relief for Chicken Pox

It is important not to scratch the blisters as it can slow down the healing process and result in scarring. Scratching may also increase the risk of a bacterial infection. To help relieve the itching, soak in a cool or lukewarm oatmeal bath. A physician may recommend anti-itch ointments or medications, such as over-the-counter antihistamines, to control this troublesome itch.

Although about four million children get chicken pox each year, it may be preventable via a vaccine. Usually one episode of  chicken pox in childhood provides lifelong immunity to the virus.

Fortunately, chicken pox is more of a nuisance than a concern. With time and extra rest, the rash will pass and the child will be good as new! Contact your dermatologist whenever you have questions or concerns about chicken pox.

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