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I am a 38 year old man. In the past few years I’ve developed a “texture” to my skin. It is not smooth anymore. I wash, exfoliate, and apply lotion daily. I am considering dermabrasion or chemical peel. Will those help me? 21. April 2009

It’s very difficult to answer this question without some additional information. Are the changes just on your face, or all over your body? Do the changes come and go, or all they always present? These types of changes could simply be from aging, but could also be from a medical condition such as thyroid disease, a skin condition such as seborrheic dermatitis, or possibly an intolerance to your exfoliating lotion. To provide you with an answer and the best treatment plan we would likely need to examine your skin in person. If the changes appear to be age-related, a chemical peel may be of benefit (you can read more about them on my website under the “cosmetic services” page) or another skin product may help. I generally don’t find dermabrasion to be too effective. Laser resurfacing may be indicated if the changes are deep. I would recommend you see a dermatologist. We would be happy to take a look and advise you on the best treatment options!

Elizabeth Anderson, MD
Staff Dermatologist
Knoxville Institute of Dermatology
Knoxville, Tennessee
www.andersonrahmandermatology.com


The spots started on my chest, and now have spread to my back, neck, shoulders, arms and now are getting into my scalp. They turn red after I have been in the shower, They itch all the time, The spots never get any color except red and white. They have made me not like my skin…what can I do to help them now as summer comes along? 18. April 2009

While it’s not possible to make a definitive diagnosis without actually seeing the rash, I suspect this is a fungal skin infection such as tinea versicolor. You may want to try an over the counter selenium sulfide shampoo (like Selsen Blue or Head and Shoulders Extra Strength). Apply it once a day like a lotion to the affected area and leave it on for 10 minutes, and then wash it off in the shower. Try this for ten days. The spots should show some improvement, although the depigmentation typically takes longer. If the rash does not improve I would recommend scheduling an office visit.

Elizabeth Anderson, MD
Staff Dermatologist
Knoxville Institute of Dermatology
Knoxville, Tennessee
www.andersonrahmandermatology.com


My ten-year-old has several large, dark moles. He is really getting self-conscious about them and getting comments from other children. Do you remove moles this early? He has definitely inherited them from me. 16. February 2009

Thanks for your question. Moles are not uncommon, even in children. First, I would reassure you that moles in children are generally benign (i.e. not melanoma or cancer). All moles should periodically be evaluated for change in color, size, or shape. If there are atypical features or if they are are causing cosmetic concerns, the moles can be removed. The removal typically only takes a few minutes and can be performed in the office. Depending on their size and location, a variety of removal techniques can be used. Any time you cut anything off the skin there is a possibility of scarring. These scars, however, are typically small. I do a lot of mole removals and see lots of children. A ten-year-old should be able to tolerate the procedure just fine.

Elizabeth Anderson, MD
Staff Dermatologist
Knoxville Institute of Dermatology
Knoxville, Tennessee
www.andersonrahmandermatology.com


My daughter is in college and has severe acne. She’s been on prescription oral medicines, cleansing pads, and creams; they may work for a short time, but then nothing. She has always been active and outgoing, but now as she told me she doesn’t want to be seen. We thought if she could find a doctor there who cared and could truly help her we need to do so. 8. February 2009

Thanks for your question. Acne can be very difficult for young women (and men) to deal with both physically and emotionally. We can usually get acne under control using a consistent combination of oral and topical medications. I hope she hasn’t given up on getting help. Please call the office for an appointment or she can schedule an appointment online.
Here’s a link to ┬ámy webpage on acne:

http://andersonrahmandermatology.com/patient-education/article/?id=hw199515

Elizabeth Anderson, MD
Staff Dermatologist
Knoxville Institute of Dermatology
Knoxville, Tennessee
www.andersonrahmandermatology.com


I have moles on my face and neck. Should I see a doctor for this or is there a product I can use that will remove moles? 15. December 2008

Thank you for your question. There are no medications that will remove moles. Typically it is best to come in to the office for an examination to assure that the moles are not atypical (pre-cancerous) and we can then discuss the options for their removal.

Elizabeth Anderson, MD
Staff Dermatologist
Knoxville Institute of Dermatology
Knoxville, Tennessee
www.andersonrahmandermatology.com


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