And Other Skin Conditions for Patients of All Ages
Pre-Cancerous Skin LesionsIf you suspect these conditions, please see a dermatologist as soon as possible for the most effective treatment. Abnormal Moles (Dysplastic Nevus) Actinic Keratoses
AcneAcne is a common skin disease that affects patients of all ages. In addition to producing painful lesions that can result in permanent scarring it can also be embarrassing and have a profound psychological impact. Most commonly acne is the result of genetic factors and hormonal influences. At Lone Star Dermatology we offer a wide array of treatment options to include: topical medications, oral medications, microdermabrasion, chemical peels, and skin care products that can be tailored to treat your particular type of acne. In addition, the providers at lone star dermatology are registered participants in the I pledge program which allows them to prescribe accutane (isotretinoin) for acne that does not respond to more traditional therapies.
Eczema (Atopic Dermatitis)Atopic dermatitis (eczema) is a common, chronic skin condition characterized by dry, scaly, itchy skin. atopic dermatitis commonly develops in early childhood and the symptoms may lessen as the child grows older. Atopic dermatitis has a genetic predisposition and is more common in individuals with a personal or family history of atopic dermatitis, asthma, or hay fever type allergies. there are a large number of factors which can cause a flare of the atopic dermatitis to include stress, changes in weather, and certain allergens. in individuals with atopic dermatitis (eczema) is important to maintain gentle bathing and moisturization to help keep the skin barrier intact. gentle bathing consists of using lukewarm water and a gentle cleanser. Immediately following the bath, any prescription medications should be applied to the affected areas followed by a layer of moisturizer to the entire body. in addition to proper bathing and moisturization there are several prescription treatments that can be utilized to improve a patient's symptoms. these treatments include topical medications, oral medications, and phototherapy.
PsoriasisPsoriasis is a chronic, inherited skin condition that occurs in patients of all ages. It is characterized by red patches of skin that develop a white/silvery scale. It can occur anywhere on the skin but is most common on the elbows, knees and scalp. occasionally individuals with psoriasis will develop psoriatic arthritis which causes pain and stiffness of certain joints. psoriasis can dramatically impact a person's quality-of-life and have a strong psychological effect. fortunately, there have been many great advances in the treatment of psoriasis over the past several years resulting in the ability to control this disease and most persons. at lone star dermatology, we specialize in the treatment of psoriasis and offer the latest treatments available to include: topical medications, oral medications, injectable/biologic medications, phototherapy (full body/hand and foot) and Excimer laser therapy.
RosaceaRosacea is a common condition involving sun exposed skin mainly of the face. It most commonly presents as redness, swelling, pimples, small red veins, or cysts of the central face. Rosacea can also cause permanent enlargement of the nose termed rhinophyma. Occasionally it can involve the eyes resulting in an uncomfortable "gritty" or "itchy" sensation. most individuals with rosacea also complain of sensitive, dry or easily irritated skin. although rosacea has a genetic component it can be worsened by certain environmental factors to include: sun exposure, heat, wind, stress, spicy foods, and alcohol. In individuals with rosacea gentle skin care and proper sun protection are very important. At lone star dermatology we have a wide array of treatments for rosacea to include: topical medications, oral medications, skin care products, and intense pulsed light/PhotoFacial.
Dysplastic NevusA dysplastic nevus is an atypical or abnormal mole. they are benign but have unusual features and may eventually develop into a melanoma skin cancer. The appearance of a dysplastic nevus is similar to that of a melanoma and normally a biopsy is necessary to differentiate these two entities. individuals with a history of a dysplastic nevus are at an increased risk of developing melanoma skin cancer. regular dermatology visits with close monitoring of the skin along with monthly self skin examinations and proper sun protection are strongly recommended.
Actinic KeratosesActinic keratoses are pre-cancerous lesions that can develop into squamous cell skin cancers if left untreated. They are the result of cumulative sun exposure and normally are found on areas chronically exposed to the sun such as the head, arms, and hands. Actinic keratoses usually present as a rough or crusted spot that may be slightly tender or sensitive. early treatment is important because it is estimated that each lesion has approximately a 10% chance per year of becoming a squamous cell skin cancer. Treatment of actinic keratoses normally involves cryotherapy ("freezing" of the lesion) and at times the application of creams that can help to remove precancerous lesions that are too small to be detected. It is very important that individuals with a history of actinic keratoses receive regular skin checks and treatment to decrease the likelihood of these lesions developing into squamous cell skin cancers. Additionally, proper sun protection is important because continued sun exposure will increase the development of new lesions.
The Most Common Types of Skin Cancerbasal cell carcinoma (BCC) squamous cell carcinoma (SCC) malignant melanoma (MM) The diagnosis of a skin cancer is confirmed by a skin biopsy. this is an easily performed procedure done under local anesthesia. A portion of the suspicious lesion is removed and examined with a microscope. there are multiple treatment options for skin cancers to include both surgical and nonsurgical options. Many factors must be taken into consideration when tailoring skin cancer treatment to a particular individual.
Basal Cell CarcinomaBasal cell carcinoma is the most common form of skin cancer. approximately one million new cases are diagnosed in the United States each year alone. Basal cell carcinomas most frequently occur on sun exposed areas of the body, especially the head and neck area. they commonly present as an area that bleeds easily and doesn't heal, a red and scaly area that is persistent, or a waxy, translucent bump on the skin often with visible blood vessels. basal cell carcinomas tend to be slow growing and nonaggressive skin cancers. It is very rare for basal cell carcinomas to metastasize (spread to other areas of the body). there are multiple treatment options for basal cell carcinomas to include both surgical and nonsurgical options which must be tailored to each individual patient. Proper treatment of basal cell carcinomas has a very high cure rate. However, individuals with a history of a basal cell carcinoma are at a much higher risk of developing additional basal cell carcinomas in the future. therefore, regular skin examinations and sun protection are very important.
Squamous Cell CarcinomaSquamous cell carcinoma is the second most common form of skin cancer. the development of a squamous cell carcinoma is strongly associated with chronic sun exposure and therefore they most commonly develop in sun exposed areas. The development of squamous cell carcinomas can also associated with human papillloma virus (wart virus) infection and therefore can develop in non-sun exposed areas such as the genital area. squamous cell carcinomas typically develop as a rough, scaly area that at times may be sensitive or tender. they commonly develop from a precursor lesion called and actinic keratosis. squamous cell carcinomas can rarely metastasize therefore early detection and treatment are very important. there are multiple treatment options for squamous cell carcinomas to include both surgical and nonsurgical options which must be tailored to each individual patient. Individuals with a history of a squamous cell carcinoma are at increased risk for the development of additional skin cancers. It is important that they have regular dermatology examinations and maintain proper sun protection.
MelanomaMalignant melanoma is one of the most serious types of skin cancer. Melanomas that are left untreated commonly metastasize (spread) to other areas of the body. If detected early however, surgical excision of the lesion is normally curative. Melanoma usually presents as a new or existing mole that changes. a popular method for remembering the most common signs and symptoms of melanoma is the ABCDE Rule:
A AsymmetryOne half of the mole looks different from the other half
B BorderA mole with an irregular or "scalloped" border should raise suspicion
C ColorA mole that is either very dark or has multiple colors within it should raise suspicion
D DiameterMoles that are greater than 6 mm in diameter, the size of a pencil eraser, are at increased risk of melanoma
E EvolvingAny mole that is changing should be evaluate
Regular dermatology visits and monthly self skin examinations can increase early detection and increase survival. Proper sun protection can decrease an individuals chances of developing melanoma.
Treatment and prognosis of melanoma is mainly based on the depth of tumor invasion. Most melanomas are treated with surgical excision. Deeper melanomas may also be treated with the addition of chemotherapy. In individuals with a history of melanoma skin cancer it is very important that they are monitored closely for recurrence of the melanoma and the development of new melanomas.
Narrowband UVBPhototherapy consists of the exposure of the skin to ultraviolet light which can help regulate the immune system and decrease inflammation in the skin. this can be helpful in treating many skin diseases such as psoriasis, eczema/atopic dermatitis, vitiligo, and pruritus (itching of the skin). narrowband UVB is the latest technology of phototherapy that utilizes a narrow range of wavelengths of light to improve the effectiveness of the treatment. At Lone Star Dermatology, we offer treatments utilizing both a full body unit and individual hand and foot units.
XTRAC Excimer LaserThe XTRAC Excimer laser uses an intense beam of focused light to target only the affected tissue and avoid damage to surrounding healthy skin. It has been approved for the treatment of psoriasis, atopic dermatitis (eczema), and vitiligo. It is ideally suited for patients with localized areas of skin involvement. the advantages it offers over traditional phototherapy are that results can usually be achieved in fewer treatments and you can treat areas such as the scalp that are shielded by hair during traditional phototherapy
Stay IndoorsWhen possible, avoid sun exposure during the most intense hours of the day, usually 10 a.m. to 4 p.m.
Monitor the UV IndexTry to schedule outdoor activities on days with a lower UV Index.
Avoid tanning bed exposureThese bulbs release ultraviolet radiation similar to that from the sun
Sun Protective Clothing
Wide-Brimmed Hatstry to wear hats with a wide brim that goes all the way around the hat. Baseball caps protect the front of the face but leave the sides of the face and neck exposed.
Clothing with a high SPFthere are several companies that manufacture clothing that is light weight and has a high SPF. Sometimes this clothing can be expensive therefore, one option is to buy a pullover that can be worn with multiple outfits.
SunglassesIn addition to protecting the skin it is important to protect the eyes from damaging ultraviolet rays.
The FDA currently requires sunscreens to be measured by an SPF (sun protection factor). The SPF only measures UVB protection and currently there are no standards to measure UVA protection in sunscreens. The FDA recently set forth a new four-star rating system for UVA protection with one star symbolizing poor UVA protection and four stars representing the best available UVA protection. Look for sunscreens to start displaying this Star Rating system on their labels in the near future.
How to use sunscreen:
Apply sunscreen 30 minutes prior to sun exposure so that it has a chance to penetrate the skin and begin working.
Apply enough sunscreen. It is recommended that you apply 2 ounces of sunscreen for the average person (one shot glass).
Reapply sunscreen every one to two hours or sooner if sweating heavily or swimming.
Aesthetic & Laser Dermatology
The Aesthetic CenterTrust the care of your skin to the aesthetic center at lone star dermatology under the supervision and guidance of board-certified dermatologist aubrey chad hartmann, M.D. the aesthetic center at lone star dermatology provides a wide array of scientifically-based cosmetic procedures and products to enhance the health and beauty of your skin. Dr. Hartmann and his staff will tailor a treatment plan to your specific skin type and then provide education and guidance to help you achieve your desired goals.
Deep-Cleansing FacialThis is a purifying facial focusing on exfoliation (the removal of the outer dead layers of skin) and extractions (the removal of white heads and black heads) thus giving the skin a more smooth texture and polished tone. this facial is customized to aid in reducing inflammation in the skin and speeding up the healing process for healthier skin.
Acne FacialThis facial is designed for the person who is discouraged with acne breakouts and desires a healthy skin care program. It consists of several steps including cleansing, exfoliation, extractions, and the application of a mask to help heal existing acne lesions and decrease future breakouts. (this procedure is also commonly performed on the back and chest areas as well.)
Anti-Aging FacialThis is a European-style facial that includes cleansing, exfoliation, steam application, extractions and finishes with a special antioxidant treatment designed to target fine lines and wrinkles.
Glycolic Acid/Salicylic Acid Chemical PeelsThese formulas are used to perform superficial chemical peels most often used in treating minor skin irregularities and acne with minimal downtime.
Vitalize PeelsThe vitalize peel is a unique blend of chemical peeling agents (alpha-hydroxy acids, beta-hydroxy acids, resorcinol, and retinoic acid (obtained by physicians only)) that results in smoother skin with a more even complexion. although the results can be dramatic, downtime is minimal with most patients experiencing mild redness and peeling for 1 to 3 days.
TCA Peel (trichloracetic acid)TCA can be applied in concentrations up to 35% over the entire face resulting in a medium-depth peel. this deeper peel can show significant improvement of discoloration, textural irregularities, and precancerous lesions of the face after a single peel. this peel typically results in significant redness and peeling of the skin which lasts one to two weeks. for individuals with deep acne scarring, TCA 85 % can be applied to the individual lesions with minimal interruption in normal activities.
Varicose & Spider Veins
Lumenis One: Intense Pulsed Light (IPL) PhotoFacialPhotorejuvenation has become one of the most popular cosmetic treatments due to its ability to gently remove unwanted facial redness, brown spots, and signs of skin aging such as fine lines. The Aesthetic Center at Lone star dermatology utilizes the state-of-the-art lumenis one IPL platform to effectively address your skin's needs. through a series of treatments your skin is gradually rejuvenated with no "downtime." due to the gentle nature of this treatment it can be utilized on areas in addition to the face such as the neck, chest, arms and hands.
Laser Hair Removal
Botox CosmeticIs a nonsurgical, physician administered aesthetic treatment that reduces the appearance and formation of unwanted facial lines. Botox® is a purified protein that simply relaxes the muscles responsible for the formation of the unwanted lines resulting in a gradual decrease in their appearance. Individuals maintain the ability to show facial emotion with a lessening of the unwanted, exaggerated lines. to maintain desired results, it is recommended that treatments be repeated approximately every 4 months.
JuvédermJuvéderm is composed of hyaluronic acid, a naturally occurring substance in your skin that binds water to create fullness. when injected into the skin it immediately restores volume thus lessening unwanted facial lines and depressions. juvederm® is the only hyaluronic acid filler FDA approved to last up to one year.
RestylaneRestylane is composed of hyaluronic acid, a naturally occurring substance in your skin that binds water to create fullness. when injected into the skin it immediately restores volume thus lessening unwanted facial lines and depressions. the effects of restylane typically last six to nine months.
RadiesseRadiesse is made of calcium-based microspheres suspended in a water-based gel. In addition to immediately restoring volume in the injected areas it also stimulates the formation of new collagen. radiesse is commonly used in total facial contouring where volume is restored areas such as the cheek bone resulting in a more youthful facial shape and appearance. the effects of radiesse typically last 12 to 14 months.
Skin Care Products & Systems
ClarisonicThe clarisonic skin care brush uses patented sonic technology to clean your skin more effectively thus improving the appearance and health of your skin.
Elta MDThe elta MD™ line of sun care and skin care products is specially formulated to protect your skin from the sun and repair dry skin.
Glo MineralsGlominerals cosmetics are mineral based products that contain antioxidants and broad-spectrum sun protection to improve the health and appearance of your skin.
KinesysKinesys sunscreens are oil-free, spray-on products that provide effective and convenient sun protection.
iS ClinicaliS CLINICAL - Innovative skincare is comprised of exceptional long term, “result oriented” skin care formulations. Unique serums and powder sunscreens are available.
Obagi MedicalObagi medical is a line of products utilizing prescription-strength ingredients to give skin a more even color and smoother texture.
Prevage MDPrevage® MD contains idebenone, the most powerful medical antioxidant, to protect your skin from environmental stressors and improve the appearance of fine lines and wrinkles.
RevaléskinRevaléskin is a line of products that contain the powerful, natural antioxidant coffee berry to protect the skin and improve the appearance of brown spots and lessen facial redness.
VivitéVivité skin care formulations are based on exclusive GLX Technology™ that combines glycolic acid with natural antioxidants to improve the health and appearance of the skin.
NeocutisNeocutis products are formulated with PSP (processed skin cell proteins). this ingredient is effective for skin rejuvenation, post procedure skin, and stressed and irritated skin.
Skin MedicaA complete line of skin care products for all skin types. nouricel-MD is a combination of growth factors for skin regeneration.