Macular Amyloidosis

Upper Back - Macular Amylodosis

Macular Amyloidosis. Here's an obscure one. See the brown discoloration between the purple pen marks? A condition brought about by vigrous scratching or rubbing, leaves behind this obscure protein called amyloid. Typically found on the upper back. Totally benign, but cosmetically undesireable. A real challenge to treat, but should subside with decreased scratching.


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SPIDER ANGIOMA

Spider angioma. These vascular lesions are dilations of small blood vessels (capillaries) near the skin's surface. They are never dangerous and tend to be more prominent in sun-exposed areas. One or 2 zaps with the  pulsed-dye laser does a nice job of getting rid of these without a scar.

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Acne Scarring

Acne Scarring - What the inflammation of acne leaves behind in its path (even acne that hasn't been picked!) can be just as emotionally impactful as acne itself. Deep or rolling scars such as these are commonly treated with a mix of technologies ranging from subcision (wherein a needle is introduced underneath the skin to break up fibrous bands), to pulsed-dye laser therapy, to deep dermal chemical peels like trichloracetic acid.

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Freckles

Ephelids or Freckles. We sometimes use glycolic acid or hydroquinone for these benign lesions, but nothing works quite like the Pulsed Dye Laser. 1 or 2 sessions usually does the trick and takes years off!

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Common Warts

Back to basics with warts. Hands and feet are usually the most recalcitrant to therapy. Usual therapies begin with liquid nitrogen or excision. 2nd line therapies include candida antigen and the pulsed dye laser. Always benign, always annoying with potential for self-esteem impact.

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