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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.

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.

While beauty can begin inside, for many people, what they see on the outside when looking into a mirror - wrinkles and other signs of aging - can impact their self-confidence. It’s time to reverse that and boost your confidence with Botox® - one of our most popular treatments here at Feinstein Dermatology & Cosmetic Surgery in Delray Beach.


What is Botox®?


Botox® or botulinum toxin type A is an injectable used to reduce or eliminate the appearance of facial wrinkles. According to the American Society of Plastic Surgeons (ASPS), among the 15.7 million cosmetic minimally invasive procedures performed in 2017, Botox® was the most popular. Its numbers seem to grow in popularity each year.


Rejuvenate Your Face


Botox® is the first and only treatment FDA-approved to temporarily make moderate to severe frown lines, crow's feet and forehead lines look better, less noticeable. The way it works is the injections block nerve impulses, and weakens muscles, relaxes wrinkles and gives the face a rejuvenated look. It is injected under the skin into many areas including the following:

  • Crow’s feet area/surrounding the eyes
  • Forehead/Brows
  • Mouth/Frown lines/worry lines

While it’s an injectable, don’t let the thought of a needle alarm you. The only thing you’ll feel is a little pinch.


How Long Will It Take and How Many Injections Will I Receive?


Getting Botox® injections are quick. You’ll notice an improvement with your skin within 24 to 48 hours. The results can last up to four months. Like all of the treatments and procedures we do here at Feinstein Dermatology & Cosmetic Surgery, the Botox® treatment is customized and based on the patient’s goals and needs.  So, when you come in, we’ll discuss your concerns, along with your aesthetic goals.


Other Uses for Botox®


While Botox® was originally designed for aesthetic purposes, it has evolved and is now used to target other issues, including excessive sweating, called hyperhidrosis. If you suffer from excessive sweating of your palms, feet or any other body part, we can assist you.


When Should I Get Botox®?


Obviously, getting this popular anti-wrinkle treatment is a personal decision, and there’s much to consider. Many women start getting them at the first signs of fine lines and wrinkles, while younger women, more interested in prevention, sometimes start getting injections in their late 20s. Again, it’s a personal decision.


Make an Appointment to See Us


So, are you ready to look in the mirror and smile? Are you ready to boost your confidence with Botox®?  We hope so.  Call us at 561-498-4407 to schedule your appointment today. We’ll also tell you about all of the other cosmetic and anti-aging treatments we offer here.  Our compassionate, licensed doctors are great at creating and managing your individualized treatment plan, ensuring the highest quality care with the most effective results. And don’t forget to check out the specials on our website. Some of the packages would make great gifts.


We’re Ready to Help You Look and Feel Your Best


Feinstein Dermatology & Cosmetic Surgery is a one-stop shop with a medical dermatologist, surgical dermatologist, an aesthetician, in-house lab, and yes, a staff made up of with compassionate people. Let us give you the personal attention you deserve, and help you look as young as you feel. We look forward to caring for your needs. Call us today at 561-498-4407.

January 30, 2018
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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
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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.