Cosmetic Dermatology

Acne Scarring

Acne is the most common skin condition in the United States and affects over 45 million Americans annually. Believe it or not, around 80% of adolescents have some form of acne— so you are definitely not alone.

Acne can cause scarring, which often makes people feel insecure about their appearance. Luckily, our dermatologists and physician assistants are highly experienced and offer the leading treatments and technologies to help improve your acne scarring.

Types of Acne scarring

Like acne, acne scarring comes in many forms, such as Depressed, Boxcar, Icepick, and Dark spots. Each type of acne scarring calls for different treatment approaches.

Causes of Acne scarring

Acne scarring can come as a result of certain types of acne, like red pustules or papules. Acne scars form when an acne breakout penetrates the skin deep enough and permanently damages the underlying tissues.

Common Risk Factors

Common risk factors include similar risk factors for acne. This might include anxiety, genetics, the menstrual cycle, hot & humid climates, stress, using oil-based makeup, and pinching pimples.

Treatments

Everyone has unique skin, and acne scarring can show up in a lot of different forms. We recommend that you schedule an appointment with one of our board-certified dermatologists or physician assistants to discuss your options. At Advanced Dermatology, Mohs & Laser Surgery Center and our in-house medical spa, Salonika Medspa, we offer the most revolutionary technologies and services to help you regain your confidence and put your best skin forward.

Below are some of the treatments we may offer to improve your acne scarring.

• Facials
• Chemical peels
• Fillers
• Pulsed-Dye Laser Treatment
• Morpheus8
• Ultherapy
• Microneedling
• Fractional Laser Treatment

Recommended Products

We offer a range of premium cosmetic products sourced from around the world to help improve and protect your skin.  Whether it be advanced healing creams from Neocutis, or perhaps sun protection from EltaMD and Isdin, our dermatology team will recommend specific products for your unique skin.

Age Spots (sun spots)

As we get older, our skin starts to show signs of aging from exposure to the sun. This can result in the appearance of small, flat dark blotches on the skin that we commonly refer to as age spots or solar lentigines. Although these spots are usually harmless, they can make you feel insecure about your skin.  No need to worry any longer! We offer a variety of solutions to treat your age spots for a more youthful you.

Causes of Age spots

Age spots (sun spots), also known as solar lentigines or liver spots, are caused by UV exposure. They are a perfectly normal part of the aging process for many.

Treatments

Everyone has unique skin, and we might treat your age spots in a variety of different ways. We offer the leading laser treatments, revolutionary radiofrequency technology, and medical grade chemical peels that can all help with your age spots. We recommend that you schedule an appointment with one of our board-certified dermatologists, physician assistants, or estheticians to discuss your treatment options.

Below are some of the treatments we may offer to improve your age spots.

• Pulsed-Dye Laser Treatment
• Intense Pulsed Light Treatment
• Morpheus8
• GentleMax Pro
• Chemical Peels

Recommended Products

We offer a range of premium cosmetic products sourced from around the world to help improve and protect your skin.  Whether it be advanced healing creams from Neocutis, or perhaps sun protection from EltaMD and Isdin, our dermatology team will recommend specific products for your unique skin.

Angiomas

An angioma is a benign vascular growth that consists of small blood vessels that can be located anywhere on the body. We offer a range of treatments to treat your angiomas and help you put your best skin forward.

Types of Angiomas

Angiomas come in many forms. The two most common types of angiomas we see are Cherry Angiomas and Spider Angiomas.

Cherry Angiomas tend to appear as a result of aging. These are the most common form of angiomas we see.

Spider Angiomas are common in childhood and pregnancy. If spider angiomas present in large numbers, it may indicate a form of liver damage. However, this is very uncommon.

Causes of Angiomas

The cause of Angiomas is mostly unknown. Commonly accepted research in the dermatology community suggests most angiomas are hereditary.

Treatments

Everyone has unique skin, and we can treat your angiomas in a variety of different ways. Treatments for angiomas are mostly for cosmetic concern. We recommend that you schedule an appointment with one of our board-certified dermatologists or physician assistants to discuss your options.

Below are some of the treatments we may offer to treat your angiomas.

• Electrodessication
• Pulsed-Dye Laser Treatment
• Fractional Laser Treatment

Recommended Products

We offer a range of premium cosmetic products sourced from around the world to help improve and protect your skin.  Whether it be advanced healing creams from Neocutis, or perhaps sun protection from EltaMD and Isdin, our dermatology team will recommend specific products for your unique skin.

Birthmarks

Birthmarks come in all shapes, sizes, and colorations. Generally, birthmarks are present at birth or present themselves shortly after birth. Though birthmarks can be of cosmetic concern, they are generally harmless. We offer a variety of treatments to help improve your birthmarks and help you feel more confident with your skin.

Types of Birthmarks

Birthmarks can be sorted into two groups: Pigmented birthmarks and Vascular birthmarks (red birthmarks).

Pigmented Birthmarks:  Usually black, brown, or skin-colored, these birthmarks can appear by themselves or in a group. Many times these birthmarks are moles, Mongolian spots (bluish; frequently on darker skinned people), or café-au-lait spots (flat, light brown, oval).​

Vascular Birthmarks: Usually red in color, vascular birthmarks are related to blood vessels.

Angel kisses usually appear on the forehead and eyelids.

Stork bites which appear on the back of the neck, between the eyebrows on the forehead, or on eyelids of newborns. They may fade away as the child grows, but often persist into adulthood.

Port-wine stains which are flat deep-red or purple birthmarks made up of dilated blood capillaries (small blood vessels). They often appear on the face and are oftentimes permanent.

Strawberry hemangiomas, composed of small, closely packed blood vessels that grow rapidly  and can appear anywhere on the body. They usually disappear by age nine.

Cavernous hemangiomas are similar to strawberry hemangiomas but go more deeply into the  layers of the skin. These can often be characterized by a bluish-purple color. They also tend to  disappear naturally around school age.

• Hemangiomas
• Port-wine stains

Treatments

Everyone has unique skin, and we might treat your birthmarks with different methods. We often treat many types of birthmarks and unwanted skin pigmentation with our state-of-the-art laser treatments that we offer in house. We recommend that you schedule an appointment with one of our board-certified dermatologists or physician assistants to discuss your treatment options.

Below are some of the laser treatments we may offer to improve your birthmarks.

• Pulsed-Dye Laser Treatment
• Intense Pulsed Light Treatment
• GentleMax Pro

Recommended Products

We offer a range of premium cosmetic products sourced from around the world to help improve and protect your skin.  Whether it be advanced healing creams from Neocutis, or perhaps sun protection from EltaMD and Isdin, our dermatology team will recommend specific products for your unique skin.

Broken Blood Vessels

A lot of people refer to certain types of veins or vessels as “broken blood vessels.” Usually, most patients are actually referring to dilated capillaries or veins. “Broken blood vessels” are prominent blood vessels that usually appear right below the surface of the skin. Though “broken blood vessels” come in a variety of different shapes and sizes, one of the most common forms we treat are called spider veins.

Spider veins appear to resemble spider webs and are usually a cosmetic concern. If you have spider veins, there’s no need to worry any longer. We offer leading laser technologies to help improve your spider veins so you can put your best skin forward.

Causes of Broken Blood Vessels

“Broken blood vessels” can come in many forms and are known to have a list of potential causes. These causes include, but are not limited to:

• Heredity
• Pregnancy
• Sun exposure (UV)
• Changes in pressure
• Alcohol Consumption
• Rosacea

Treatments

Everyone has unique skin, and we might treat your broken blood vessels with different methods. We often treat many types of capillaries and veins with our state-of-the-art laser treatments that we offer in house. We recommend that you schedule an appointment with one of our board-certified dermatologists or physician assistants to discuss your treatment options.

Below are some of the laser treatments we may offer to improve your broken blood vessels.

• Intense Pulsed Light treatment
• Pulsed-Dye Laser Treatment
• GentleMax Pro

Recommended Products

We offer a range of premium cosmetic products sourced from around the world to help improve and protect your skin.  Whether it be advanced healing creams from Neocutis, or perhaps sun protection from EltaMD and Isdin, our dermatology team will recommend specific products for your unique skin.

Diffuse Redness

Diffuse redness, or facial redness, is a highly common skin condition that is caused by dilated capillaries. Diffuse redness mostcommonly affects the forehead, nose, and cheeks (“rosy cheeks”). If you are frustrated with your diffuse redness, our dermatologists and physician assistants can help tailor custom treatments to improve your skin’s appearance. Diffuse redness is often associated with Rosacea.

Rosacea ​is a chronic skin condition that affects over 14 million Americans. Rosacea causes facial redness, acne-like pimples, visible small blood vessels on the face, swelling and/or watery, irritated eyes. This inflammation of the face can affect the cheeks, nose, chin, forehead or eyelids.

• Rosacea

Causes of Diffuse Redness

Diffuse redness can appear as the result of skin conditions or environmental causes. These causes include, but are not limited to:

• Heredity
• Rosacea
• Sun exposure (UV)
• Medications
• Pregnancy

Treatments

At Advanced Dermatology, Mohs & Laser Surgery Center, your dermatologist or physician assistant will determine the best treatment for your unique skin. We might offer topical creams, ointments, or prescription medications.

We often treat diffuse redness with our state-of-the-art laser treatments that we offer in house. We recommend that you schedule an appointment to discuss your treatment options.

• Pulsed-Dye Laser Treatment
• Intense Pulsed Light Treatment
• GentleMax Pro

Recommended Products

We offer a range of premium cosmetic products sourced from around the world to help improve and protect your skin.  Whether it be advanced healing creams from Neocutis, or perhaps sun protection from EltaMD and Isdin, our dermatology team will recommend specific products for your unique skin.

Eczema

Eczema is a highly common inflammation of the skin that affects millions of Americans of all ages every year. Eczema can take the form of itchy rashes, dry and scaly patches of skin, skin redness, and inflammation. Usually, itchiness is the key symptom of Eczema. Though Eczema can appear almost anywhere on the body, it generally appears in the creases on the face, arms and legs.

Causes of Eczema​

Eczema can affect almost anyone and is not contagious. Research suggests some cases of Eczema might be hereditary. Generally, Eczema is caused by physical, environmental or lifestyle triggers.

Coming into contact with a trigger, such as wind or an allergy-producing fabric, launches the rash and inflammation. Although it is possible to get eczema only once, the majority of cases are chronic and are characterized by intermittent flare-ups throughout a person’s life.

Preventing Eczema

From our experience, identifying and removing the trigger helps with most cases of Eczema. It could be something as simple as a detergent your skin doesn’t like. We also recommend mild cleansers and to keep your skin well moisturized at all times.

Types of Eczema

Eczema takes on different forms depending on the nature of the trigger and the location of the rash. While they all share some common symptoms, like itchiness, there are differences. When you come in for a checkup, your dermatologist or physician assistant will diagnose and treat you based on the skin condition you have, if any. Following are some of the most common types of eczema.

Atopic Dermatitis

The most frequent form of eczema, atopic dermatitis is thought to be caused by abnormal functioning of the body’s immune system. It is characterized by itchy, inflamed skin. Atopic dermatitis tends to run in families. About two-thirds of the people who develop this form of eczema do so before the age of one. Atopic dermatitis generally flares up and recedes intermittently throughout the patient’s life.

Contact Dermatitis

Contact dermatitis is caused when the skin comes into contact with an allergy-producing agent or an irritant, such as chemicals. Finding the triggering allergen is important to treatment and prevention. Allergens can be things like laundry detergent, cosmetics, jewelry, fabrics, perfume, diapers and poison ivy or poison sumac.

Dyshidrotic Dermatitis

This type of eczema strikes the palms of the hands and soles of the feet. It produces clear, deep blisters that itch and burn. Dyshidrotic dermatitis occurs most frequently during the summer months and in warm climates.

Neurodermatitis

Also known as Lichen Simplex Chronicus, this is a chronic skin inflammation caused by a continuous cycle of scratching and itching in response to a localized itch, like a mosquito bite. It creates scaly patches of skin, most commonly on the head, lower legs, wrists or forearms. Over time, the skin may become thickened and leathery.

Nummular Dermatitis

This form of eczema appears as round patches of irritated skin that may be crusted, scaly and extremely itchy. Nummular dermatitis most frequently appears on the arms, back, buttocks and lower legs, and is usually a chronic condition.

Seborrheic Dermatitis

Seborrheic dermatitis is a common condition that causes yellowish, oily and scaly patches on the scalp, face or other body parts. Dandruff, in adults, and cradle cap, in infants, are both forms of seborrheic dermatitis. Unlike other types of eczema, seborrheic dermatitis does not necessarily itch. It tends to run in families. Known triggers include weather, oily skin, emotional stress and infrequent shampooing.

Stasis Dermatitis

Also known as varicose eczema, this form of eczema is a skin irritation that appears on the lower legs of middle-aged and elderly people. It is related to circulation and vein problems. Symptoms include itching and reddish-brown discoloration of the skin on one or both legs. As the condition progresses, it can lead to blistering, oozing and skin lesions.​

Treatments

Eczema is highly common and our dermatologists and physicians see cases of it almost every day. If you think you have Eczema, keep your skin clean and avoid scratching the rash (which can lead to infection). You should also avoid situations that make you sweat, like strenuous exercise. Removing the environmental trigger (if one) can help solve your Eczema as well.

For mild cases of Eczema, we might prescribe over-the-counter topical creams and antihistamines to relieve your itching. In some cases, we might prescribe stronger medicine, like steroid creams, oral steroids (corticosteroids), antibiotics, or antifungal creams to treat any potential infection.

At our in-house medical spa, Salonika Medspa, we offer premium facial rejuvenation treatments that might help you with your Eczema.

• Facials
• Chemical Peels

At Advanced Dermatology, Mohs and Laser Surgery Center, P.A., our dermatologists and physician assistants are committed to helping you achieve your best skin. We are looking forward to treating you.

Recommended Products

We offer a range of premium cosmetic products sourced from around the world to help improve and protect your skin.  Whether it be advanced healing creams from Neocutis, or perhaps sun protection from EltaMD and Isdin, our dermatology team will recommend specific products for your unique skin.

Lines and Wrinkles

Lines and wrinkles are a natural part of the aging process and are nothing to be ashamed of. As we get older, our skin progressively loses its store of collagen, elastin, and hyaluronic acid. The loss of these fundamental elements often results in a loss of fullness and elasticity which makes you more prone to developing fine lines and wrinkles. If you’re looking to achieve a more youthful appearance and to feel more confident in your skin, our dermatology team offers a variety of solutions at our practice and medspa, Salonika Medspa, to help encourage a more youthful you.

Types of Lines and Wrinkles

Many lines and wrinkles are caused by the repeated action of strong facial muscles and can affect different parts of the face. Here are a few of the most common types of fine lines and wrinkles.

Crows feet: Crows feet are fine lines or wrinkles that appear at the corners of the eyes. Crows feet usually form as the result of years of smiling and squinting.

Frown lines: Frown lines are caused by the repeated action of strong facial muscles and appear in the forehead.

Glabellar lines: Vertical lines between the eyebrows that usually develop as a result of frowning or squinting.

Preventing Lines and Wrinkles

As we age, some lines and wrinkles are inevitable. However, preventing premature lines and wrinkles starts with skincare. Be sure to apply broad-spectrum sunscreen daily to protect yourself from UV exposure from the sun. Additionally, be sure to moisturize daily and eat a balanced and healthy diet. At our in-house medspa, Salonika Medspa, we offer a comprehensive suite of the leading moisturizers and sunscreen brands for your convenience.

Causes of Lines and Wrinkles

Lines and wrinkles are often caused by contraction of strong muscles in the face and commonly appear in greater quantity as we get older. Years of squinting and frowning tend to leave lines and wrinkles between the eyebrows, on the bridge of the nose, on the forehead, and at the corners of the eyes.

After years of sun exposure, ultraviolet (UV) light from the sun breaks down collagen and elastin stores in your skin. Collagen and elastin are the proteins known for keeping your skin elastic, plump, and wrinkle free. Additionally, the loss of hyaluronic acid stores in your skin result in a loss of volume.When these protein stores decrease, your skin can loosen, thin, and wrinkle. Other causes of lines and wrinkles include, but are not limited to:

• Sun damage (UV)
• Cigarette smoking
• Excessive weight loss
• Lack of moisture
• Alcohol consumption

Treatments

When it comes to your skin, our board-certified dermatologists and physician assistants are here to guide you with compassion and expertise to help you achieve your best skin. We offer a variety of treatments to help improve fine lines and wrinkles and encourage a more youthful you. Many of our patients opt for neuromodulator injections, like Dysport, or dermal fillers, like Restylane. Based on your unique skin, we will tailor a unique treatment plan just for you. Schedule an appointment with one of our board-certified dermatologists or physician assistants to discuss your treatment options.

• Injectables
• Fillers
• Fractional laser treatment
• Morpheus8
• Chemical Peels
• Ultherapy
• Pulsed-Dye Laser Treatment

Recommended Products

We offer a range of premium cosmetic products sourced from around the world to help improve and protect your skin.  Whether it be advanced healing creams from Neocutis, or perhaps sun protection from EltaMD and Isdin, our dermatology team will recommend specific products for your unique skin.

Freckles

Freckles are generally characterized as flat, brown (or beige) circular spots that are usually the size of the head of a metal nail. Freckles can form on anyone regardless of ethnicity or race, but generally form in greater quantities on fairer skinned individuals, especially those with red hair.

In general, freckles are quite harmless and rarely become skin cancer. However, it’s very important that you understand the difference between a freckle and other spots that might form on your body, like moles. 

Causes of Freckles

Freckles form as a result of increased melanin (skin pigment) within pigment producing cells (melanocytes). Generally, freckles are caused by heredity and an excess of sun exposure (UV).

Treatment

At Advanced Dermatology, Mohs & Laser Surgery Center and our in-house medical spa, Salonika Medspa, we offer a variety of treatments to improve the appearance of your freckles. After you meet with one of our dermatologists, physician assistants, or estheticians, we might recommend cosmetic products, facials, peels, or laser treatment.

Everyone has unique skin, and we will help tailor a plan for your freckles that is right for you.

• Facials
• Chemical Peels
• IPL Photofacial
• Pulsed-Dye Laser Treatment
• GentleMax Pro

Recommended Products

We offer a range of premium cosmetic products sourced from around the world to help improve and protect your skin.  Whether it be advanced healing creams from Neocutis, or perhaps sun protection from EltaMD and Isdin, our dermatology team will recommend specific products for your unique skin.

Hemangioma

Hemangioma, which are usually bright and burgundy colored, are raised vascular birthmarks that tend to appear within the first few weeks of life. Hemangioma are made up of extra blood vessels and can present themselves all over the body and on the internal organs. Hemangioma usually form on the epidermis or subcutaneous (fatty) layer of skin, and generally appear on the face, scalp, chest, and back. If you are frustrated with the appearance of a hemangioma or other vascular birthmarks, our dermatologists and physician assistants might custom a laser treatment solution for you.

• Birthmarks

Types of Hemangioma

Hemangioma can appear all over the body and on internal organs which make some hemangioma worse than others.  The hemangioma that appear on the skin are usually referred to as strawberry hemangioma because of their bright red hue.

Causes of Hemangioma

A lot of our understanding of how and why hemangioma form is quite limited. A lot of the leading research suggests that these vascular birthmarks form as a result of certain proteins produced by the placenta.

Treatments

A lot of patients report that their Hemangiomas go away with time. However, if you seek to improve your Hemangiomas cosmetically, our dermatologists and physician assistants might recommend laser treatment. When you come in for your appointment, our dedicated dermatology team will be sure to help customize a laser treatment plan for you.

Below are some of the laser treatments we may offer to improve your Hemangioma.

• Pulsed-Dye Laser Treatment
• GentleMax Pro

Recommended Products

We offer a range of premium cosmetic products sourced from around the world to help improve and protect your skin.  Whether it be advanced healing creams from Neocutis, or perhaps sun protection from EltaMD and Isdin, our dermatology team will recommend specific products for your unique skin.

Loose Skin

As we age, our skin starts to become looser, thinner, and lose its elasticity. Because of the natural aging process, you might notice that your skin feels more fragile than you remember. If you’re looking to achieve a more youthful appearance and to feel more confident, we offer a variety of solutions at our practice and medspa, Salonika Medspa, to plump and tighten crepey or loose skin on the face, neck, and body.

Causes of Loose skin

Loose skin is a perfectly normal part of the aging process. After years of sun exposure, ultraviolet (UV) light from the sun breaks down collagen and elastic stores in your skin. Collagen and elastin are the proteins known for keeping your skin elastic, plump, and wrinkle free. When these protein stores decrease, your skin can loosen, thin, and wrinkle. Other causes of loose skin include, but are not limited to:

• Excessive weight loss
• Lack of moisture
• Alcohol consumption
• Sun exposure (UV)

Prevent Loose skin

Dr. Ciatti recommends moisturizing your skin frequently, eating a balanced diet, and applying sunscreen daily. Broad-spectrum sunscreen can help protect you from skin cancer, and can help you age more gracefully by shielding you from excessive sun exposure. If you have loose skin, no need to worry. Our dermatologists and physician assistants are highly experienced and can help you achieve your unique aesthetic goals at our brand new in-house medical spa, Salonika Medspa.

Treatments

Everyone has unique skin at different points in the aging cycle. We can effectively treat loose skin with a variety of different treatments. For loose skin, we often use Ultherapy, Morpheus8, and premium dermal fillers, like Restylane, to encourage a more youthful you. Based on your unique skin, we will tailor a unique treatment plan just for you. Schedule an appointment with one of our board-certified dermatologists or physician assistants to discuss your treatment options.

• Morpheus8
• Fillers
• Ultherapy
• Microneedling
• Microdermabrasion
• Evolve
• Evoke
• Fractional Laser Treatment
• GentleMax Pro

Recommended Products

We offer a range of premium cosmetic products sourced from around the world to help improve and protect your skin.  Whether it be advanced healing creams from Neocutis, or perhaps sun protection from EltaMD and Isdin, our dermatology team will recommend specific products for your unique skin.

Port-Wine Stains

Port-wine stains are deep-red (or purple) vascular birthmarks composed of dilated capillaries that appear as if wine was spilled on the skin. They usually appear at birth, come in a variety of shapes and sizes, and continue to grow as the child matures into adulthood. Oftentimes, these birthmarks spark cosmetic concern. If you’re looking to improve your port-wine stains, our dermatologists and physician assistants might recommend Pulsed-dye laser treatment.

• Birthmarks

Causes of Port-wine stains

Though there is competing research about Port-wine stains, the leading research suggests they might arise from a single mutation of a gene associated with G-protein-coupled receptors.

Treatments

Port-wine stains come in a variety of shapes and sizes and no treatment is ‘one size fits all’. Your dermatologist or physician assistant might recommend Pulsed-dye laser treatment which can help fade and improve some Port-wine stains. When you come in for your appointment, our dedicated dermatology team will be sure to assess your unique skin and give you your treatment options.

• Pulsed-Dye Laser Treatment

Recommended Products

We offer a range of premium cosmetic products sourced from around the world to help improve and protect your skin.  Whether it be advanced healing creams from Neocutis, or perhaps sun protection from EltaMD and Isdin, our dermatology team will recommend specific products for your unique skin.

Psoriasis

Psoriasis is a common chronic skin condition where skin multiples faster than normal and creates bumpy red patches of skin with flaky white scales. Though Psoriasis can appear anywhere on the body, it usually appears on the elbows, knees, and trunk. Psoriasis usually first appears after the age of 15, and cycles through flare-ups and remissions throughout the rest of the patient’s life. At Advanced Dermatology, Mohs & Laser Surgery Center, our dermatologists and physician assistants are committed to properly diagnosing and treating your Psoriasis.

Causes and Triggers of Psoriasis

Since there are many different types of Psoriasis, there are a variety of factors that cause this chronic skin condition. The causes and triggers of Psoriasis include, but are not limited to:

• Heredity
• Immune system deficiency
• Environmental triggers
• Stress or trauma to the skin
• Sun exposure (UV)
• Infections
• Withdrawal from medications

Types of Psoriasis

There are five distinct types of psoriasis:

• Plaque Psoriasis (Psoriasis Vulgaris): About 80% of people suffering from psoriasis get this form of the disease. Plaque Psoriasis usually appears as inflamed, red and scaly lesions on the elbows, knees, scalp and lower back.
• Guttate Psoriasis: This form of psoriasis appears as small red dot-like spots, usually on the trunk or limbs. It occurs most frequently among children and young adults. Guttate psoriasis can present itself suddenly, in response to some other health problem, from stress to the skin, or from an environmental trigger.
• Pustular Psoriasis:  Pustular psoriasis appears as white, pus-filled blisters surrounded by red skin. Pustular psoriasis can be present anywhere on the body. Pustular psoriasis can be caused by overexposure to the sun (UV), stress, infections, and withdrawal from medications.
• Inverse Psoriasis: This form of psoriasis appears as bright red lesions that are smooth and shiny. It is usually found in the armpits, groin, under the breasts, and in between skin folds near the genitals and buttocks
• Erythrodermic Psoriasis: Erythrodermic Psoriasis looks like fiery, red skin covering large areas of the body that shed in sheets of tissue rather than flakes. Unfortunately, this form of psoriasis is usually very itchy and painful. This form of psoriasis can be brought on by severe sunburn, infection, and withdrawal from medications (like Psoriasis medication).

People who have psoriasis are at greater risk for contracting other health problems, such as heart disease, inflammatory bowel disease and diabetes. Psoriasis has also been linked to a higher incidence of cardiovascular disease, hypertension, cancer, depression, obesity and other immune-related conditions.

Treatment

Depending on the severity of your Psoriasis, your treatment will vary. When you come in for your appointment, your dermatologist or physician assistant will assess your Psoriasis and treat you accordingly.

This page is meant to point out some of the potential treatments for your Psoriasis after you have been seen by one of our dermatologists or physician assistants. We classify Psoriasis as “Mild to Moderate” when it covers 3% to 10% of the body and “Moderate to Severe” when it covers more than 10% of the body. The severity of the disease impacts the choice of treatments.

Mild to Moderate Psoriasis

Mild to moderate psoriasis can generally be using a combination of three key strategies: over-the-counter medications (acitretin, cyclosporine and methotrexate), prescription topical treatments (topical steroids, Anthralin, Calcipotriene, Tazarotene, Betamethasone Dipropionate, etc), and light therapy (or phototherapy).

Moderate to Severe Psoriasis

Moderate to severe psoriasis can be treated with prescription medications (acitretin, cyclosporine and methotrexate, etc.), immunosuppressants, and light therapy (or phototherapy).

Everyone has unique skin, and Psoriasis treatment is not ‘one size fits all’. Your dermatologist or physician assistant might recommend Pulsed-dye laser treatment which can help fade and improve some signs of Psoriasis. When you come in for your appointment, our dedicated dermatology team will be sure to assess your unique skin and give you your treatment options.

• Pulsed-Dye Laser Treatment

Recommended Products

We offer a range of premium cosmetic products sourced from around the world to help improve and protect your skin.  Whether it be advanced healing creams from Neocutis, or perhaps sun protection from EltaMD and Isdin, our dermatology team will recommend specific products for your unique skin.

Rosacea

Rosacea is a common chronic skin condition that affects millions of Americans. Rosacea can cause facial redness, acne-like pimples, visible small blood vessels on the face, and swelling and/or watery, irritated eyes. In most cases, Rosacea affects the cheeks, nose, chin, forehead or eyelids.

Rosacea is not contagious and generally begins after age 30. Most people affected by Rosacea experience cycles of flare-ups and remissions. With age, Rosacea can grow more prominent in color and can present new spider veins in the area affected.  If left untreated, Rosacea may cause the formation of bumps and pimples, the end of the nose may become red and swollen,  and eyes may water or become irritated. 

Causes

Rosacea occurs most often among people with fair skin who blush or flush easily. It occurs more often among women than men, but men tend to suffer from more severe symptoms. Most patients experience multiple symptoms at varying levels of severity. Rosacea is not contagious, but there is some evidence to suggest that it is genetically inherited. There is no known cause or cure for rosacea. There is also no link between rosacea and cancer.

Common Symptoms

Rosacea has a variety of symptoms that may or may not present themselves on the face, neck, chest, scalp, and ears. These symptoms include, but are not limited to:

• persistently red skin on the face
• bumps or acne-like pimples
• visible blood vessels on the face
• watery or irritated eyes
• burning, itching or stinging on the face
• skin roughness and dryness
• raised red patches
• flushing or swelling

Leading Triggers (National Rosacea Foundation)

• Sun exposure (UV)
• Alcohol consumption
• Environmental changes
• Heavy exercise
• Stress
• Humidity
• Hot baths
• Some skincare products
• Heated beverages

Treatment

Rosacea affects millions of Americans, so you are not alone. At Advanced Dermatology, Mohs & Laser Surgery Center, your dermatologist or physician assistant will assess your case uniquely and treat your skin condition accordingly.

To help reduce the incidence of flare-ups, we recommend a daily skin care routine. This involves the use of mild, non-abrasive cleansers, soft cloths, rinsing in lukewarm water (not hot or cold), and blotting the face dry (not rubbing). Dr. Ciatti also recommends wearing a broad-spectrum sunscreen. At our in-house medical spa, Salonika Medspa, we offer a range of premium products to help improve and protect your skin.

Although there is no universal cure for rosacea, oral antibiotics and topical medications have been studied to reduce the severity of some symptoms. When the condition goes into remission, only topical treatments may be needed. In more severe cases, we might recommend laser treatment. We offer a comprehensive suite of advanced lasers, and your practitioner will help tailor a laser treatment plan for you.

• Intense Pulsed Light Treatment
• Pulsed-Dye Laser Treatment

Skin Rashes

“Rash” is a commonly used umbrella term for a wide variety of skin conditions. Rashes generally appear as red patches or small bumps (or blisters) on the skin and are usually harmless. At Advanced Dermatology, Mohs & Laser Surgery Center, our board-certified dermatologists and physician assistants will help diagnose your rash and will treat you accordingly. We are looking forward to treating you.

Causes of Rashes

Skin rashes can form as a result of a variety of different causes. The causes and triggers of skin rashes include, but are not limited to:

• Bacterial, fungal, or viral infections
• Chronic skin conditions
• Eczema
• Environmental triggers (like weather)
• Stress or trauma to the skin
• Sun exposure (UV)

Types of Rashes

Skin rashes can appear in all shapes and sizes from a variety of different skin conditions and infections. Here are some of the most common types of rashes. (I put some buttons here, totally up to you)

• Atopic dermatitis: The most common form of Eczema.
• Contact dermatitis: A type of Eczema caused by coming into contact with an allergen or irritant.

• Eczema

• Chronic skin conditions: Acne, psoriasis, and seborrheic dermatitis are all known to cause rashes.

• Eczema
• Psoriasis
• Seborrheic dermatitis

• Bacterial infections: Impetigo is a common bacterial infection that causes skin rashes.

• Impetigo

• Viral infections: Shingles is a common viral infection that causes skin rashes.

• Shingles

• Fungal infections: Ringworm and yeast infections are common fungal infections that cause rashes.

• Ringworm

In rare cases, a rash may be a sign of a more serious illness, such as Lyme Disease, Rocky Mountain Spotted Fever, liver disease, kidney disease or some types of cancers.

Treatment

Most rashes go away on their own and don’t require treatment. If you experience a rash that does not go away after a few weeks, make an appointment with one of our dermatologists to have it properly diagnosed and treated. Depending on the cause and severity of your skin rash, your treatment will vary. When you come in for your appointment, your dermatologist or physician assistant will assess your skin and develop a treatment just for you.

Recommended Products

We offer a range of premium cosmetic products sourced from around the world to help improve and protect your skin.  Whether it be advanced healing creams from Neocutis, or perhaps sun protection from EltaMD and Isdin, our dermatology team will recommend specific products for your unique skin.

Submental Fat (Double chin)

The submental area is the region located under the chin. Submental fat often grows in this region which might cause the development of a double chin or submental fullness. People of any age can develop submental fat, and it is often difficult to reduce with diet, weight loss, and exercise alone. We offer advanced treatments on the market to help treat your submental fat and take years and pounds off of your appearance.

We believe you should not only look your best, but feel your best too. Be sure to schedule an appointment with our world-class dermatology team to talk about your treatment options.

Treatments

InMode Evoke

Evoke is a breakthrough, non-invasive technology used to remodel tissues of the face and neck and achieve more defined facial features and jawlines. Evoke uses clinically proven radio-frequency technology to deliver heating to the skin’s subdermal layers. With a series of easy, pain-free treatments, relax in our beautiful space and cultivate more defined, youthful facial characteristics.

Quick Facts

• Groundbreaking radio-frequency technology by InMode.
• Targets the subdermal layers of the skin to remodel the face, jowls and neck.
• Non-invasive alternative to plastic surgery or submental injections.
• No downtime, completely painless and safe.

InMode Morpheus8

Morpheus8 is the newest, most advanced fractional skin treatment that stimulates collagen production in the underlying layers of the dermis. With Morpheus8, we can remodel and tighten the layers of skin under your neck to reveal a more radiant, youthful appearance. We offer a variety of packages for your specific desires. Most of our packages include three treatments.

Quick Facts    

• First full-body fractional treatment to remodel collagen on the face and body.
• Customizable, minimally-invasive, almost no downtime.
• Safe on all skin types.

Kybella

Kybella ® is the only FDA-Approved injectable treatment that permanently removes unwanted fat cells in the neck, resulting in a noticeable reduction in fullness. Once a series of Kybella treatments are completed, these cells can no longer store or accumulate fat, so further treatment is not expected once you reach your desired aesthetic goal.

Quick Facts

• The only FDA approved injectable treatment for double chin.
• Easy, non-surgical solution to unwanted neck fat.
• Kybella can help take years off of your appearance.

Palomar Icon 1540 Fractional Laser

Are you looking to improve the appearance, elasticity, and texture of your aging skin? Look no further. At Salonika Medspa our dermatologists and physician assistants harness the power of our advanced fractional laser to help you ‘turn back the hands of time’ and have your friends wanting to know more.

The Palomar Icon 1540 non-ablative fractional resurfacing laser can be used to resurface and tighten the skin on the neck with minimal downtime.

Quick Facts

• Helps improve your skin’s elasticity, texture, and tone.
• Great for acne scars, stretch marks, or other scarring.
• Quick and effective treatment with little to no downtime.

Ultherapy

As we age, the skin on our faces and necks can lose its elasticity and strength. Lots of our patients look for a non-surgical alternative to treat their sagging skin, like turkey neck. At. Salonika Medspa, we offer groundbreaking ultrasound technology by Ulthera to lift, tighten, and restore.

Ultherapy is an FDA approved, non-invasive procedure that lifts and tightens the skin on the neck, chin, and brow, and improves lines and wrinkles on the décolletage. During your 30 to 90 minute session, focused ultrasound energy penetrates deep below the skin’s surface, stimulating the production of new collagen.

Quick Facts:

• Results are noticeable after treatment and improve over time.
• Precisely targets and treats areas on the face and neck.
• Little-to-no downtime, discomfort or recovery.

Recommended Products

We offer a range of premium cosmetic products sourced from around the world to help improve and protect your skin.  Whether it be advanced healing creams from Neocutis, or perhaps sun protection from EltaMD and Isdin, our dermatology team will recommend specific products for your unique skin.