Skin-Care Tips

When to see a dermatologist for skin conditions


TUsing a variety of cleansers, serums and creams is what makes skin care so fun. There are many products out there, and with a little patience you can develop a regimen that works for you. Except when it doesn’t work. Depending on the results you want, care products alone may not be enough, says Karen Campbell, M.D., a board-certified dermatologist based in California.

“A good analogy is your hair color. You can of course dye your hair at home, ”she says. But if you have high expectations, you turn to a professional. If you are a little more meticulous or genetically affected by conditions like acne or rosacea, you need more than just over-the-counter medications. It’s not pressure – it’s just who you are as a person and what is important to you? ”

If you’re wondering when to see a dermatologist, Dr. Campbell says that if you’re dealing with any of the list below (which is by no means exhaustive), you should definitely consider making an appointment.

When to see a dermatologist

1. Rosacea and perioral dermatitis.

“Rosacea is an inflammatory skin disease that is common in people of northern European descent,” says Dr. Campbell. “Some have pimples on the skin, especially on the nose and chin, or have a related condition that some people have lumped together called perioral dermatitis, which belongs to the category of inflammatory skin conditions associated with rosacea. And with all the wearing of masks, it became a huge growth. It is centered around the mouth. ”

Both rosacea and perioral dermatitis respond well to anti-inflammatories such as oral antibiotics. And some types of rosacea respond well to a pulsed dye laser called VBeam. While she says prescription sulfur washings, anti-inflammatory vitamin C, and mineral sunscreen can help with rosacea, they work best when used in conjunction with more targeted treatments. “Many of these broken blood vessels, there is nothing you can do to get rid of them,” says Dr. Campbell. You must destroy them with a laser.

Here the dermatologist explains more about rosacea:

2. Eczema and eruptions.

“It sucks because a lot of products are sold for eczema and rashes. And I can’t tell you how many patients come in and whatever they use, it just keeps things going, making the situation worse, ”says Dr. Campbell. “If you have an itchy red rash, buy different eczema creams or over-the-counter antipruritic creams that burn, burn, last longer than a week or two, you should probably see a dermatologist. ”

3. Hair loss.

“Because of COVID, the number of people coming to me for hair loss has skyrocketed,” says Dr. Campbell. “Because, to be honest, nowadays a lot of people suffer from baldness due to stress. This is called telogen wasting. But there are other forms of hair loss, such as scarring and autoimmune, and they all have different patterns. ”

Dr. Campbell says she often sees patients trying to treat hair loss on their own with supplements or topical treatments that don’t really work.

“Hair loss is a situation where it’s easier to get one visit, to understand what type of hair loss you have, so you can treat it appropriately,” she says. You should also make sure that you do not have an iron deficiency or thyroid problems that can cause hair loss. “As for the autoimmune type, you can inject steroids into your scalp every month until it gets better, or there are new oral medications you can ask your dermatologist to help control the immune system. Or for stress-related hair loss, there are natural alternatives such as taking melatonin at night or using Rogaine Male Foam ($ 23). ”

Dr. Campbell says platelet-rich plasma used to treat a vampire’s face may be beneficial for hair loss.

“Here we take your blood, spin it in a centrifuge, and then use the power of growth factors in platelet-rich plasma to stimulate new hair growth,” she says. “It’s really good for male pattern hair loss and also for women suffering from female pattern hair loss and other forms of hair loss, even stress-related.”

4. Acne.

“Anyone with acne can benefit from consulting a dermatologist,” says Dr. Campbell. “Any dermatologist will be able to rid your skin of acne within three to six months of starting your visit.”

This is especially true, she says, if your acne is particularly annoying and you get scarring.

“Seeing a dermatologist if you have large cystic acne is really important,” says Dr. Campbell. “It will save you heartache later if you can get rid of acne faster and get rid of the scarring.”

If you have acne scars, no amount of local or home microneedling devices will help get rid of them, according to Dr. Campbell. “You have to undergo chemical peels, laser therapy, or microneedling,” she says.

Find out more about adult acne here:

5. Dark circles under the eyes.

“You can use PRP, a platelet rich plasma, to eliminate under eye circles. Fillers help restore volume. Lasers are beneficial because the skin becomes thinner, the blood vessels under the eyes become darker, and this can make you tired, ”she says. “Your under eye cream usually doesn’t do the job. This can be beneficial because it contains substances like peptides that help stimulate collagen and caffeine, which helps temporarily restrict blood vessels to make the eyes look a little better. ”

6. Hyperpigmentation or sun spots, brown spots and melasma.

“Topical medications can be helpful, such as vitamin C, mineral sunscreen, AHA, BHA, retinoids. But often you need a laser to get rid of pigmentation, ”says Dr. Campbell. Chemical peels can also be very good under these conditions. “Chemical peels can be somewhat unpredictable. It is very important that you reach out to someone who understands different ethnic groups and skin types, and what is right for one and not for the other. ”

She also says that oral tranexamic acid may help with discoloration.

“It is a medicine that has historically been used for abnormal uterine bleeding in women. But at much lower doses, it helps with melasma and several other hyperpigmentation disorders, ”says Dr. Campbell. She says this is because hyperpigmentation has a vascular component.

7. Wrinkles.

“For anti-aging, there comes a point where you can never improve the laxity of your skin,” says Dr. Campbell. “As you age, you lose facial muscles and bones, and you need to restore that lost volume with fillers. And over time, you contract the muscles under the skin, and this creates lines and folds on the skin that you can never get rid of with anything at home. You have to relax the contraction of the muscles with anti-wrinkle treatments and Botox. ”


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