Wednesday, November 27, 2013

Are you interested in Laser Hair Removal for ingrown hairs?

Look at this video and see how simple and painless it can be!
Call today for an appointment: 301-593-7546
 

 

Sunday, November 10, 2013

Welcome Our Newest Laser Treatment!!


Welcome Our Newest Laser Treatment!!
It's here ! Finally we have the new state of the art 1064 NDYag laser that is suitable for all skin types. Please call the office to schedule your appointment for a consultation. We can do some new things , that we weren't able to do before.
Now we are able to offer laser treatment for fungal infections involving the finger and toenails.  We can offer some older treatments in a gentler fashion such as permanent reduction of unwanted hair. Even if you have had this treatment before, come in and see how this new technology can give you better results.
I have seen some amazing results when the laser skin rejuvenation is combined with fillers ( sculptra, radiesse, belotero, or restylane)  and neurotoxins ( botox or xeomin)
The LightPod Neo is frequently used in combination with injectables. Unlike other lasers which are harsh on the skin, the Neo is so gentle that we  can combine laser treatment and toxin or filler injections in a single office visit. This saves a significant amount of time and avoids scheduling hassles for you. Furthermore, clinical research has shown that, by preheating the skin prior to making the injections with the Neo, there is a noticeable reduction in the pain, bruising and swelling typically caused by the injections. To learn more about combining the LightPod Neo laser with toxin and filler injections, call us and schedule your consultation appointment!



Wednesday, November 6, 2013

Are you tired of waiting for an appointment?

In order to make life somewhat easier for my patients trying to make an appointment with an "uncertain" work schedule, we have decided to make a change. We will call it TIMELESS TUESDAY. If you come in on Tuesday and you did not make an appointment we will see you on a first come first served basis. Yes, you can drop in and sign it. Please bring the new patient forms with you that you downloaded from the website, SKINHAIRNAILS.COM. This simple step before you arrive means that you don't spend as much time in the waiting room filling out forms. Why are we doing this? For several reasons we believe that this will make life easier for everyone. We have patients who waited so long to finally get an available appointment that their skin problem may have already cleared up when the time arrives to come to see us. So, on the day of the appointment they will cancel ( or worse, not show up and not call). This means that we have spot for a patient AT THE LAST MINUTE. Our idea was to just set aside one day and let people come in as soon as they can without holding a spot for someone who isn't going to show up. I really hope that this experiment in scheduling will help more patients get in to see us when they need our help or advice. Of course, we appreciate your feedback when we see you here on a Timeless Tuesday. We start at 8:00 am and let the last patient in the door at 3:15 on this day. Call 301-593-7546 if you need any information.

Wednesday, October 23, 2013

Things We Wish You Would Tell Us

In my busy dermatology practice, I am reminded of the things that make a doctor-patient interaction successful. It always helps when the patient is "easy to read", meaning there are no secrets about what is needed.  Maybe the person sitting across from me is pretty sure that they know what is wrong, but they need confirmation of their ideas.  I think  we doctors would do well to listen more.

If only patients told us the things we really need to know, early in the conversation.  What do you REALLY want to know? Are you happy with the skin care advice you get from the Macy's counter and you would rather focus on why your hair is coming out?    Do you feel like the diagnosis that you got from your last doctor HAD to be wrong because the problem came back? If I give you a "good answer" but its not the question you are asking, then I haven't done a good job.  Dear Patient, try to tell us what you need  so we can give you the information you really want!

Friday, February 3, 2012

My Own Sculptra Story

Most if not all of the services that we make available to the patients in my office I have used, samples or subjected my friends and family to. If I can’t understand the use or the benefit, how can I explain it to a patient who wants to know what they will get out of it. The world of fillers and antiaging services just got a lot easier for me to share with my patients.

Although I have had a lot of experience injecting patients I was always struck with how enthusiastic they were AFTER they saw the results. In almost every case, they got MORE than they expected from Sculptra. I had had personal experience with other products and so had my patients. I found it always surprising just how thrilled they were when they used the sculptra, even if they had had other products.

I will share my photos with you. I have to tell you that it is kind of hard to photograph the subtle differences in the before and after. My friends and family (and some patients that I don’t see very often) comment on how well I look. Have you lost weight? You are getting younger? Why don’t you stop lying about your age? I have gotten all of these questions since having two sessions of sculptra. These photos were taken before and then six weeks after the second session. Sculptra is like the gift that keeps on giving since it makes your body produce more volume over time.


How painful was it? Not very because my skin was numbed by some very excellent topical cream applied 30 minutes before the product is delivered deep to the surface layer of skin. Sometimes patients bruise but I didn’t really do this (even though I consider myself someone who bruises easily). If bruising does happen, it goes away in a few days and can be covered up with foundation. So far, the men I have treated have not had to do this.

After the first treatment, I waited 6 weeks for the second session. I was planning on getting the third treatment 6 weeks after that but decided that it wasn’t necessary. Any filler can be overdone but I don’t think anyone wants to look like they have never looked before! The idea of sculptra is to replace the volume that is lost from intrinsic aging. This is generally in the temples, the cheekbone region, the crease between the mouth and cheeks (called the nasolabial fold). There are areas that sculptra is NOT to be applied and these include the lips, under the eyes and anywhere superficially. It is a DEEP filler and if placed incorrectly, bumps will form that take a long time to go away.

I am pleased at how subtle it is. As the volume is put back, the skin smoothes out and therefore you look fresher. When the skin becomes more three dimensional, light reflects better so patient tell me they feel as if they are glowing. Now I know what they mean!

Tuesday, December 27, 2011

A Complete Examination?

I was surprised last week when a patient whom I had not seen in about ten years came back to the office after having moved out of "driving range" from my office. She told me about seeing a doctor without seeing a doctor. I asked her what she meant.
If you make an appointment to see the doctor and the person who comes in and introduces themself to you is NOT a doctor then I say "buyer beware". To say what happened after this was a disaster is putting it mildly. My message to you is ask if you can see the doctor at some point in the visit. If that is not possible maybe you can ask to come back later or reschedule. This is really important if surgery is planned. Maybe the Doctor would not need to do surgery to find out what the assistant could not diagnose. I would bet on it. You are entitled to get what you paid for.....a doctor visit!

Thursday, December 8, 2011

Demand Quality Care !!

The sad truth is that quality care costs more. If you are spending your health care dollar to see a doctor, then I think you deserve to see a doctor! This sounds simple but what has been happening lately to many people who are UNAWARE of who is sitting across from them in the "Doctors " office is really a shame. You pay your monthly insurance premium to company X. You make an appt to see the doctor for your cold, or gyn checkup or skin exam. When you get to the office the "health care provider" turns out to be a nurse practioner, a physician's assistant or someone who did not go to medical school but perhaps is masquerading as a doctor. Your insurance company gets the bill and it says that you saw a doctor. You didn't! You spent the same dollar, but you did not get the expert. If I went to see a doctor, but the doctor wasn't a doctor or did not come in to see me, I would leave! I think you should too! You are paying for the expert so thats what you should get. Buyer beware, because here you generally DONT get what you paid for if you did not receive treatment from the expert. No, the nurse practioner does not know as much as the doctor. They may call themselves doctors of nursing but, trust me, the training is not equivalent. You all be careful out there!