Seborrheic dermatitis is a very common type of skin rash that is most often seen in infants and adults between the ages of 30 and 60. The rash, which is harmless, may appear reddish in color, have a yellow or white scaly crust, and give the skin a greasy, swollen appearance.
Seborrheic dermatitis is not an allergic reaction and is not the result of poor hygiene. It is believed that the condition may be caused by a combination of factors including genetics, stress, climate, overall health, and the naturally occurring flora on the skin.
Seborrheic dermatitis typically appears as a cradle cap in babies in which thick, crusty, greasy patches develop on the scalp. The condition normally resolves spontaneously within a couple of months. The rash can also develop in the diaper area and is often confused with a common diaper rash.
Adults with seborrheic dermatitis often experience episodic flares for the rest of their life. Flares may be triggered by weather changes or stress. The severity and frequency of flares can be managed with the proper treatment.
Seborrheic dermatitis can affect individuals of all ages and skin colors. Certain medical conditions such as acne, psoriasis, rosacea, HIV, Parkinson’s disease, eating disorders, and epilepsy can increase a person’s chances of developing seborrheic dermatitis.
Board-certified dermatologist in Orange County Dr. Tony Nakhla and his team can easily identify and determine if a skin rash is seborrheic dermatitis or recommend the appropriate treatment. Contact OC Skin Institute to schedule your consultation to find out the proper diagnosis and treatment for the medical skin condition you face.
An actinic keratosis is a patch of crusty, scaly skin caused by UV damage to the skin. Actinic keratoses are a precursor to various types of skin cancer. They are most often seen in adults over 40 and individuals who live in sunny climates, work outdoors, or who use sun lamps and tanning beds.
A pre-cancerous skin lesion, such as acitinic keratosis, develops when the skin is repeatedly exposed to UV rays. Over time, the skin becomes unable to repair the damage caused by the rays, and the skin becomes thick, crusty, and scaly.
Individuals who have fair skin, hair, and eyes have less natural melanin to protect their skin from UV rays and are more likely to develop pre-cancerous skin lesions. Individuals who have a weakened immune system, medical conditions that increase sensitivity to UV rays, or who work with coal, tar, or other substances that contain polycyclic aromatic hydrocarbons are also prone to developing pre-cancerous skin lesions.
An OC dermatologist and skin cancer specialist and surgeon like Dr. Tony Nakhla can diagnose such a lesion susceptible to skin cancer, by performing a visual examination of the skin. If a suspicious lesion is identified, a biopsy may be used to determine if the growth is cancerous.
Actinic keratoses are normally treated using outpatient procedures or home therapies.
Lipomas are benign fatty lumps that typically develop between the skin and muscle. Lipomas are normally harmless and do not require treatment unless they become bothersome.
Lipomas typically develop on the arms, thighs, shoulders, neck, abdomen, and back; however, they can develop anywhere on the body. Most lipomas measure less than two inches in diameter and are slow growing. Unlike tumors that tend to be rigid and fixed in place, lipomas move easily under the skin and feel soft and slightly doughy. Lipomas are normally painless, but they can become painful if they contain numerous blood vessels or grow to the point that they press on the surrounding nerves.
It is unclear why certain people develop lipomas; however, certain risk factors are associated with a higher incidence of lipomas, including:
OC dermatologist Dr. Tony Nakhla may recommend treatment for lipomas that become painful or that start to grow. The most common treatment is surgical excision. Lipomas do not normally recur once they are removed. Minimal excision extraction techniques are available that result in less residual scarring and bruising. Steroid injections into the lump may help reduce the size of the lipoma. A form of liposuction using a syringe and needle can also be effective in removing the lump.
Orange County patients who notice unusual lumps or swelling anywhere on their body should consult an experienced dermatologist as soon as possible for an accurate diagnosis.
Dermal facial fillers are a safe and effective way to reduce the appearance of wrinkles and creases. The filler is injected under the skin in a cosmetic non-surgical procedure in order to restore lost volume and to smooth out the surface of the skin. It is important to note, however, that not all dermal fillers are appropriate for all patients and all situations.
The successful use and application of dermal fillers depends on the quality of the skin, the type of filler used as well as other factors. In addition, more than one application may be needed for desirable results.
Dermal fillers are not approved for use in large-scale body enhancement and contouring or breast or buttock augmentation. Fillers are not intended to increase the volume of the feet or for implantation into muscles, ligaments, tendons, or bones. Inappropriate use of dermal fillers may cause serious complications, including chronic pain, infection, permanent scarring and disfigurement, embolism, stroke, or death.
Patients considering dermal fillers should consult an experienced Orange County dermatologist like Dr. Tony Nakhla who is not only board-certified but is also a skin cancer surgeon. Although non-surgical in nature, dermal filler injections are still a procedure that require a certain level of skill and experience to be performed properly. Patients should never try to inject fillers themselves or purchase fillers online since they may not be safe or approved by the FDA for use in the United States.
It should be noted that FDA approval means that the product has been reviewed in clinical studies for certain uses in specific parts of the body. The safety and effectiveness of dermal fillers for use over a prolonged period, by certain patient populations, or in other areas of the body may not have been studied.
Contact OC Skin Institute today for more information about dermal fillers and our facial rejuvenation services and to schedule your consultation.
Precancerous lesions can be precursors to certain types of skin cancer and are commonly found on the mouth or other parts of the face. There are four prominent types of precancerous lesions which include:
These types of skin abnormalities are known to develop into skin cancer over time due to genetic mutations. Precancerous lesions don’t always turn into cancer, but it is still important to have them monitored by one of our Orange County dermatologists. Dr. Tony Nakhla is a board-certified dermatologist and dermatological surgeon with over a decade of experience treating patients with skin cancer and precancerous lesions before they evolve into skin cancer.
There are certain factors that are known to contribute to the development of precancerous lesions. Some of the main causes include:
Skin cancer prevention can be achieved by making some positive life changes and eliminating or minimizing the effects of these factors and elements as much as possible. These are known risks and the key to detection is also prevention of such risks.
Orange County dermatologist Dr. Nakhla is able to diagnose and monitor and treat precancerous lesions to see if they change over time. If these lesions end up becoming cancerous, treatments can be implemented to eliminate these cancers in their early stages before they grow into more serious medical concerns. Treatments include surgical removal as well as Mohs micrographic surgery. This is a popular procedure especially when the lesion or cancerous cells are present on delicate skin such as the face. Having cancerous lesions treated early can also result in less scarring and improve survival rates.
Precancerous lesions can often be diagnosed based on observations and behaviors of the lesions. To confirm a diagnosis, a skin cancer specialist may have any suspicious lesions biopsied so that the cells can be examined in a lab under a microscope. If cancer is discovered or is expected to soon develop, there are several minimally invasive treatment options that can eliminate the problem.
If you think you might have any precancerous lesions, please schedule an appointment to see a board-certified dermatologist and skin cancer surgeon in our Orange County offices.
Frequently referred to as spider veins, telangiectasia is a common medical condition marked by a widening of small blood vessels near the skin’s surface. Affected veins, which can measure from 1 to 3 millimeters in width, are known as telangiectases. Telangiectases typically appear as clusters of thin red or pink streaks that resemble a spider’s web.
Telangiectases can appear anywhere on the body, but they often develop in uncovered areas that are visible to others, including the hands, lips, chin, and other parts of the face. In some cases, the condition causes mild to moderate itching or pain. Many individuals are bothered less by the physical discomfort and more by the aesthetic ramifications of the condition.
Possible risk factors and/or situations for patients struggling with telangiectasia include the following:
The elderly, people who sit or stand excessively during the day, and people with certain conditions that affect their skin’s resilience, are also at greater risk of developing telangiectasia.
Individuals who wish to treat their telangiectasia have several options, including laser treatment, conventional surgery, and sclerotherapy, a process that involves injection of salt water or a chemical solution into the affected area. Any cosmetic procedure used for the treatment of telangiectasia should be carried out by a board-certified dermatologist like Dr. Tony Nakhla of OC Skin Institute.
Although telangiectasia is generally not harmful, hereditary hemorrhagic telangiectasia, or HTT, is a serious and potentially life-threatening variation of the condition. Also known as Osler–Weber–Rendu disease, HTT is a rare genetic disorder in which vein clusters develop on a person’s internal organs. Affected organs can include the liver, lungs, and brain. Vein clusters that are the result of HTT can burst and lead to major internal bleeding.
Contact Orange County Skin Institute today if you are struggling with broken blood vessels, spider veins also known as telangiectasia and would like to undergo effective and safe treatment.
Patients in Orange County suffering from weight gain or aging don’t have to dread these issues any longer. Due to a new treatment called Kybella, our patients can safely eliminate unsightly fat cells. With Kybella, patients can enjoy permanent fat loss around the chin area. Also, the jawline will be contoured and redefined offering an attractive appeal.
With our highly trained and experienced Orange County dermatologist Dr. Tony Nakhla being a proven leader superseding others in the industry, patients are in great hands. In addition to being a board-certified dermatologist, Dr. Nakhla is a dermatologic surgeon.
Approved by the FDA, Kybella is a revolutionary procedure with the following benefits:
Up to 50 injections will be applied to the area below the chin where the fat is located. Two to four sessions are required for most patients. Also, the treatment plan is scheduled for every four to eight weeks; however, a more extended time period can be scheduled for the second session.
Induration, bruising, numbness, and redness that last for up to four weeks along with having trouble swallowing are the side effects. Otherwise, an asymmetric smile that comes from the temporary damage of the marginal mandibular nerve is an uncommon side effect that can happen and lasts from days to weeks.
Eyelid blepharoplasty is a surgical procedure designed to remove excess skin or fat deposits from around the upper or lower eyelids. The procedure is often used in combination with laser resurfacing and other cosmetic procedures to improve the contour of the eye and to create a more rested, youthful appearance. Blepharoplasty may also be used to remove excess skin around the eyes that is interfering with vision.
Patients undergoing blepharoplasty typically have significant sagging of the upper eyelids, pouches of fat in the upper or lower eyelids that contribute to an aged or tired appearance, or peripheral vision problems caused by excessive eyelid skin. The skill of the surgeon is essential since removing too much skin or fat tissue can lead to an overly tight, unnatural look or even make it difficult to close the eyes fully. To ensure the most natural looking results, it is important to consult an experienced Orange County surgeon and board-certified dermatologist like Dr. Tony Nakhla.
An upper eyelid blepharoplasty involves making an incision along the crease of the upper eyelid in order to excise the excess skin. The surgeon must be careful not to remove too much fat from the area in order to preserve a natural, youthful appearance.
With a lower eyelid blepharoplasty, an incision is made inside the lower eyelid or just under the lash line to allow the surgeon to remove excess skin and fatty tissue leading to unsightly bags under the eyes. A lower eyelid blepharoplasty may also be combined with a canthopexy if the eyelid needs to be tightened further.
Upper and lower eyelid blepharoplasties are performed as outpatient procedures using local anesthesia with oral or intravenous sedation. It is normal to experience some minor bruising or swelling immediately following the surgery; however, this should resolve within approximately 10 days. A follow-up visit is normally scheduled a week following the procedure to remove the stitches. Because of the location of the incisions, there should be no visible scarring. Most patients resume their normal activities a week after the surgery.
Once diagnosed with skin cancer, individuals living in Orange County should contact a skin cancer specialist as soon as possible to discuss options for treating and removing the lesion. The specific removal and reconstruction techniques vary based on the location, size, and type of lesion; however, there are certain steps involved in almost every skin cancer removal surgery.
Regardless of the type of surgery, patients are given some form of anesthesia or sedation before the procedure to minimize pain and help them relax. The dermatological surgeon will recommend the most appropriate type of anesthesia based on the type of procedure to be performed. The most common options include intravenous sedation, a local anesthetic, or general anesthesia.
If the lesion is small, localized, and well defined, a simple excision followed by closure may be sufficient to remove all of the cancerous tissue. In the case of larger lesions or lesions with poorly defined borders, skin cancer surgeon Dr. Tony Nakhla, will typically send sections of the tissue to a pathologist to determine if the margins of the sample are free of cancer cells until the procedure is repeated until there is a sample with clean margins.
An alternative technique, called Mohs surgery allows the doctor to remove thin sections of cancerous tissue, which are then frozen and examined during the procedure to determine if the margins are clear of cancer cells. If the margins are not clear, the surgeon continues to remove thin sections of tissue until the entire sample has a clear margin. The Mohs technique has the advantage of preserving as much healthy tissue as possible and limiting the need for repeat surgeries.
Depending on the size of the lesion, the location, and the type of procedure used, reconstruction may be necessary to limit any scarring and disfigurement. One method is to reposition a small flap of healthy skin over the wound and securing it with sutures hidden in the natural curves and creases of the face. If the wound is particularly large, the surgeon may graft a small section of skin from elsewhere on the body over the wound.
As with any surgery, skin cancer removal poses some risks, including excessive bleeding, post-surgical infection, and recurrence or spread of the cancer.
Dr. Nakhla provides skin cancer treatment services to those living in OC and surrounding areas with offices located in Santa Ana and San Clemente. Call today to arrange for a consultation.
Acne is the most common skin problem in America. As a result, there is much information regarding acne available. However, not all of this information is accurate. Those who wish to have clearer skin should visit Calabasas dermatologist Dr. Tony Nakhla for professional treatment, instead of self help methods at home. Some people think you should let acne run its course. Dermatologists know that waiting is not always the best choice. Those who fail to seek treatment may develop dark spots and permanent scars.
People often assume that acne simply means that a person has pimples on his or her face. In reality, acne can form anywhere on the body. For example, people commonly develop acne on their back, chest, upper arms and buttocks. Acne can be more than just pimples. Those who have acne can also develop blackheads, whiteheads, cysts, nodules and papules.
Some skin conditions resemble acne but are actually different. There are different four different grades of acne. Grade 4 is the most severe. Those who have acne should seek cosmetic and medical dermatology treatment.
Individuals with acne may struggle with self-confidence issues if they feel their acne is overwhelmingly present or visible. People tend to hide from what discomforts them. Fear not, there are cosmetic dermatological treatment options that significantly reduce the appearance of acne. The dermatologist may start by giving the patient a topical cream or by prescribing antibiotics to help reduce inflammation. The patient can also select a cosmetic treatment like laser therapy or a chemical peel.
Acne is the most common skin condition in the country. In fact, 40 to 50 million Americans develop it each year. Teenagers and young adults are the most likely to develop acne. With that said, people can develop acne at any age. For example, middle-aged women and newborn babies can also develop acne.
Acne forms when the pores on your skin get clogged through blockage. Clogged pores keep dead skin cells from rising to the surface. When dead skin cells remain trapped inside of a pore, acne develops. Sometimes, bacteria can even enter a clogged pore. When this occurs, the pore becomes inflamed. This is also how cysts and nodules occur.
To treat acne, an adult and pediatric dermatologist starts by examining the patient’s skin. There are several options available in terms of treatment. A patient can opt for a chemical peel if the acne is predominantly on the face. There is also microdermabrasion and laser treatments. The Fractional C02 laser treats acne effectively. It works by resurfacing the skin and increasing collagen production.
Contact OC Skin Institute to schedule a consultation if you suffer from adult acne.