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photodynamic therapyDo you know how to spot an actinic keratosis lesion on your skin? According to, approximately 58 million Americans are affected by actinic keratoses. The more you have been exposed to the sun, the greater your chance of developing actinic keratosis.  Unfortunately, the effect of sun exposure is cumulative, so those long days out in the sun when you were younger can add up to a significant amount of sun damage. Even if you didn’t suntan much or have a history of sunburns, years of exposure from playing sports outside, walking your dog or driving in your car can add to an increased risk factor toward developing precancers such as actinic keratosis.

What Are Actinic Keratoses (AKs)?

Actinic keratoses (AKs) are considered the first step in the development of skin cancer.  Detecting an AK early can give you the opportunity to treat the lesion and prevent skin cancer before it starts. If left untreated some actinic keratoses may progress to squamous cell carcinoma. While most AKs are benign, the majority of squamous cell carcinomas arise from AK lesions.  

How do you know if you may have an actinic keratosis lesion? Aks are usually found on areas of the body that are exposed to the sun. The most common places they develop are the face, ears, scalp, back of hands and forearms. Actinic keratoses can vary widely in appearance. Some AKs can be as small as a pinhead, while some are larger than a quarter. They can be thick, rough-textured, dry, scaly patches. Or, they can appear as red bumps with a tan crust that keep coming back and don’t heal. AKs are caused by long-term exposure to ultraviolet light, such as the sun. 

Actinic Keratoses occur due to long term exposure to the sun, so they generally begin to appear after the age of 40. If you suspect you may have an AK, it is very important to see your dermatologist for treatment, to prevent cancer growth.  

There are several different treatments for AKs ranging from topical creams to surgery, which may depend on how many lesions you have, where they are located and your age and overall health. Surgery is usually used in cases where a person has one or more isolated lesions. Your dermatologist can either scrape or shave off the lesion, then use heat or a chemical agent to destroy any remaining AK cells, or they can use liquid nitrogen to freeze the tissue, which eventually falls off, allowing healthy skin to grow. Some doctors may also recommend a chemical peel which will cause the top layers of skin to peel off, causing new skin to regrow. 

However, when a patient has a large surface area with multiple AKs, your dermatologist may recommend either topical creams or Photodynamic Therapy. Below, we’ll explain more about photodynamic light therapy, what is involved in the process, and how the procedure may benefit you or a loved one. 

What Is Photodynamic Therapy?

Photodynamic therapy (PDT) is a type of skin treatment that uses a photosensitizing topical agent called a Levulan Kerastick and a blue light source. The 2-step (drug + blue light) treatment is designed to treat minimally to moderately thick actinic keratoses (AK) lesions on the face, scalp or upper extremities. Once the drug is applied and penetrated into the skin, the blue light will “turn on” the drug, causing it to react with oxygen which forms a chemical that will weaken and destroy precancerous cells. The combined result is a gentle, non-invasive treatment that provides highly-effective results.  

What Does the PDT Process Entail?

When you come to the office for a photodynamic therapy, the first step will be to clean and prep the area being treated with alcohol and acetone. This will remove any excess oil from the skin to allow the absorption of the topical photosensitizing drug. Next, the unique photosensitizing Levulan Kerastick will be applied to the skin, and you will wait anywhere from 1-2 hours for the medication to be absorbed into your skin. After the incubation period has passed, you will be given protective goggles and positioned under the blue light for 16 minutes and 40 seconds.  Most patients rarely report pain during treatment, but some may experience a slight tingling or mild burning sensation. You will be given a fan to help cool your skin during the short treatment.

After treatment, your face will be cleaned and sunscreen will be applied. Your skin will be extremely light-sensitive, so it is imperative that you stay inside and out of the sun for at least 48 hours. The day after treatment, your skin will be red and possibly swollen, similar to a sunburn.  It is also normal to experience mild peeling after a PDT treatment. Depending on the severity of a patient’s actinic keratosis, one to three treatments will be recommended, spaced one month apart.  

Are You Concerned About Past Overexposure to the Sun and Related Skin Damage?

For many years, most people were unaware of the dangerous effects of overexposure to the sun. Today, however, we know that this is the leading cause of skin cancer. When you don’t wear sunscreen and protective clothing, or allow yourself to get a sunburn, your skin is left unprotected from the sun’s harmful ultraviolet (UV) rays.

Fortunately, with the advancement of science and technology with an increasing number of beneficial procedures such as photodynamic therapy, has helped individuals combat the harmful effects of the sun.

If you or a loved one has been diagnosed with actinic keratosis, skin cancer, psoriasis, or other related conditions, contact Feinstein Dermatology at (561) 498-4407 today to book a consultation and see if photodynamic light therapy could benefit you.

The field of dermatology is constantly evolving with new, effective, non-invasive treatments emerging every day. One of the hottest skincare trends that boosts collagen and treats everything from acne scars to hair loss is microneedling.  However, not all microneedling devices are created equal. At Feinstein Dermatology we ONLY use the SkinPen® microneedling device from Bellus Medical.  SkinPen® is the FIRST and ONLY FDA-cleared microneedling device in the world, so it is important to ask for it by name. Here’s a closer look at this increasingly popular non-invasive cosmetic procedure.

How Does Microneedling Work?

Also called skin needling, percutaneous collagen induction (PCI), and collagen induction therapy (CIT), microneedling isn’t exactly new. In fact, it dates back to the mid-1990s. 

Because the skin makes less collagen as we age, microneedling is a particularly effective anti-aging intervention treatment. SkinPen creates controlled micro-injuries that stimulates the body’s three-phase wound-healing process while keeping the structure of the skin intact.   As the skin begins to heal, new dermal tissue and blood vessels develop, resulting in increased collagen. Your skin will look and feel tighter and smoother. 

SkinPen is a minimally invasive procedure that can be performed in about 30 minutes in the office with little downtime. It works great for all skin types and you can typically see results in as little as three treatments.

The Many Benefits of Microneedling

Microneedling can be used to address a variety of skin conditions, including fine lines and wrinkles, loose skin, age spots, stretch marks, acne scarring, and hair loss. It can also improve skin texture, stimulate dormant hair follicles, and even reduce cellulite.

One of the best things about microneedling? You get all these benefits with very low risk and minimal recovery time. Many dermatologists report that microneedling is more effective than more aggressive treatments for certain conditions, like acne scarring.

For best results, experts do recommend incorporating this minimally invasive procure into a comprehensive skin care and anti-aging routine.

Are You a Candidate for Microneedling?

Is microneedling right for you? Because of its minimally invasive nature, this treatment is suitable for nearly everyone.  SkinPen® has been clinically proven to improve the appearance of facial acne scars in all skin types.  

If you are considering microneedling, a consultation with Abigail, our aesthetician can help you identify your best cosmetic treatment options.

Experience the Magic of Microneedling at Feinstein Dermatology

There’s a reason why microneedling was included in Refinery29’s 2018 roundup of the “biggest—and most fascinating—skin trends.” It’s incredibly effective. At Feinstein Dermatology & Cosmetic Surgery, our extensive cosmetic skin care treatments, including microneedling, can help you look and feel years younger—no surgery required. Ready to experience the magic of microneedling for yourself? Call Feinstein Dermatology & Cosmetic Surgery at (561) 498-4407 or request an appointment online today.

hydrafacialIt’s the most talked-about treatment all over social media, because no other facial compares to Hydrafacial. It will deliver instant, skin-changing results that you can see and feel immediately. Research shows that in the U.S. today, more Hydrafacials are being performed than Botox injections. Let’s take a look at what’s unique about this amazing facial treatment and how you can reap the many Hydrafacial benefits at Feinstein Dermatology & Cosmetic Surgery.

What Is a HydraFacial?

Get ready to experience the “Best Skin of Your Life.” Hydrafacial is a medical-grade process that resurfaces the skin, leaving it smooth and vibrant, essentially uncovering a fresh new layer of skin below your top layer of dull skin.

The treatment is performed using a unique medical-grade device called a HydraPeel Tip that vacuums out dead skin and other pore-clogging debris. During your treatment, our Aesthetician will first use the HydraPeel tip to cleanse and peel your skin.  The second step of the treatment involves extracting debris from your pores with painless suction and hydrating your skin with intense moisturizers.  The final step infuses antioxidants and peptides into the skin’s surface to maximize your glow.

HydraFacial Benefits

Our Aesthetician will target your unique needs when you come in for your Hydrafacial — whether that’s hydration issues, acne, fine lines, and wrinkles. Hydrafacials are just as popular with our male patients, as they are for women and teens. The beauty of Hydrafacial is that it addresses ALL skin care needs:

  • Fine Lines and Wrinkles
  • Elasticity and Firmness
  • Blackheads
  • Skin Tone and Vibrancy
  • Skin Texture
  • Brown Spots
  • Enlarged Pores
  • Congested and Oily Skin
  • Plumps Skin
  • Redness

Treatment Options

Our signature Hydrafacial deeply cleanses, exfoliates, extracts, and hydrates the skin through super serums filled with antioxidants, peptides, and hyaluronic acids.  It also includes manual extractions and a Dermaplane treatment.  

Our Deluxe Hydrafacial includes the signature facial above, but also, addresses specific skin care concerns by adding a Booster of your choice. Boosters can address brown spots, fine lines, wrinkles, skin tone, and elasticity.  

While Hydrafacial provides a number of wonderful benefits, remember that it’s not a one-time quick fix.   It is recommended that you get a treatment once every four to six weeks to maintain and restore skin health.

Find Out the Benefits of Hydrafacial at Feinstein Dermatology

Everyone can benefit from Hydrafacial.  Abigail Rose, our aesthetician at Feinstein Dermatology & Cosmetic Surgery offers complimentary consultations to learn more about the procedure and what is best for your skin concerns. Contact us today to book an appointment at (561) 498-4407.

Do you look in the mirror and notice that your skin is not as tight and smooth as it used to be?

As we age, the skin on our face and body loses collagen and elasticity and begins to sag.  If you are looking for a non-surgical, quick-fix to turn back the hands of time, SkinTyte may be your answer. SkinTyte is performed using Sciton’s BBL™ pulsed light technology and will be able to firm, tighten and lift your skin giving you a more youthful appearance. 

What is SkinTyte Treatment?

 Sciton’s SkinTyte is a non-invasive (non-surgical,) quick and safe laser treatment that uses Sciton’s BBL™ to deeply heat dermal collagen.  The broadband of light penetrates down to the dermal layer, exciting the fibroblast cells which are responsible for producing collagen and elastin. This process initiates the body’s natural healing process, which initiates new collagen formation to give you firmer, tighter skin. SkinTyte is a way to help you get younger looking skin quickly and safely without any downtime. This treatment is safe for all skin types and colors and can be used on any part of your body that you would like to tighten up – from your face to your legs.

SkinTyte for Anti-Aging

So, what can you expect from SkinTyte Treatments? 

SkinTyte treatments take around 45 minutes, and you can resume normal activity the same day.  You will begin to see results after your first treatment, although it is recommended that you get three to four treatment spaced a month apart for the best results.  Full results can take up to four months as the collagen rebuilds and is strengthened.

Come to Feinstein Dermatology for Your Sciton SkinTyte Treatment

Are you ready to experience tighter, more youthful skin?  Call Feinstein Dermatology today at (561) 498-4407 to learn more about SkinTyte, and other treatments that can be used to brighten and tighten simultaneously.  You can also inquire about our personalized specials and book your SkinTyte treatment today!

hyperhidrosisDo you stress over sweat? Hyperhidrosis or excessive sweating can be embarrassing and annoying, but it is a fairly common condition that CAN be treated. For those who have hyperhidrosis, the sweat glands overreact to stimuli or they produce more sweat than is necessary. Hyperhidrosis occurs in both men and women, with the most common areas being the underarms and palms of the hand. 

Normally, the body sweats to cool itself when the temperature is hot or if you are in a certain emotional state. However, people who suffer from hyperhidrosis can also experience perspiration independent of those factors. Their excessive and unpredictable sweating can happen when they are resting or when the temperature is cool.

How do Botox® Injections for Hyperhidrosis Work?

Normally, when your body temperature rises, your nervous system activates your sweat glands to cool your body. Botox® injections are able to temporarily block the nerves responsible for activating your sweat glands.

When you come in for hyperhidrosis treatments, Dr. Feinstein will first numb the area, then map out the area to be injected.  The injections are done just below the surface of the skin, and results may be noticeable about two to four days after treatment and the dryness can last for six to 12 months.  

Call Feinstein Dermatology & Cosmetic Surgery and Stop Stressing Over Sweat

If you are thinking about getting Botox® to treat your hyperhidrosis, it is extremely important to choose a highly experienced, board-certified dermatologist.  Dr. Feinstein is a Platinum Plus Allergan Injector, which means that he is in the TOP 3% of physicians nationwide in terms of the number of patients injected.  Call Feinstein Dermatology & Cosmetic Surgery in Delray Beach at 561-498-4407 and make an appointment so we can see if Botox is right for you. We offer Botox®, as well as other cosmetic injectables, and anti-aging treatments. Let us give you the expert, personal attention you deserve.

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