Plaque Psoriasis Treatment Options: From Topicals to Biologics

By Dr. Patel, Board-Certified Dermatologist – Aesthetic Dermatology Associates, serving Paoli & Media, PA.

Here’s the truth: currently there is no complete cure for psoriasis. However, there are numerous treatment options available, and they are often quite effective.

At Aesthetic Dermatology Associates, treatment is tailored to each patient’s specific situation. Here are the options that may be recommended:

1. Topical Therapies

These include agents that decrease inflammation and reduce flaking of the skin. Topical treatments are often the first line of defense, especially for mild to moderate psoriasis.

Common topical medications include:

• Corticosteroids (various strengths depending on location and severity)
• Vitamin D analogues (calcipotriene)
• Retinoids (tazarotene)
• Calcineurin inhibitors (tacrolimus, pimecrolimus)—especially useful for sensitive areas like the face
• Topical Small Molecule inhibitors
• Coal tar preparations
• Salicylic acid—helps remove scales

2. Injection of Steroid Medication

Dr. Patel explains:

“For stubborn plaques that aren’t responding to topical treatments, we can inject steroid medication right into the affected areas of skin. This delivers the anti-inflammatory effect of the steroid directly where it’s needed most.  These injections cause minimal and temporary discomfort and are very quick.”

These intralesional injections are quick, performed in the office, and can be particularly effective for thick plaques on elbows, knees, or scalp.

3. Ultraviolet Light Therapy

Ultraviolet light has anti-inflammatory effects on the skin and can be highly effective for widespread or localized psoriasis.

Dr. Patel states:

“Photherapy is a really safe and effective way to treat psoriasis.  It has a long history of effective use in dermatology for a variety of skin conditions.  However, it requires consistency over a long period of time. At ADA we have full body treatment units along with localized phototherapy lasers for stubborn areas.”

Light therapy typically requires coming to the office 2-3 times per week initially, then tapering to maintenance sessions.

4. Oral Medications

For moderate to severe psoriasis, systemic medications, including oral medications, may be appropriate.

These may include:

• Traditional agents like methotrexate, which has been used for decades and works by suppressing the overactive immune response
• Newer agents like Otezla (apremilast), which works by inhibiting an enzyme involved in inflammation

These medications work through a variety of mechanisms to calm the immune system’s overactivity.

5. Biologic Medications

Dr. Patel notes:

“You’ve probably seen several ads online and on TV for many of these medications!”

These injectable medications represent some of the most significant advances in psoriasis treatment. Biologics work by blocking specific inflammatory chemicals in the body—targeting the exact immune pathways involved in psoriasis. They include drugs like:

• TNF-alpha inhibitors (Humira, Enbrel, Remicade)
• IL-17 inhibitors (Cosentyx, Taltz, Siliq, Bimzelx)
• IL-23 inhibitors (Skyrizi, Tremfya, Ilumya)
• IL-12/23 inhibitor (Stelara)

*all brands above copyrighted

These medications have transformed treatment for many patients with moderate to severe psoriasis, often achieving near-complete skin clearance.  

Dr. Patel emphasizes:

“All medications have potential benefits, side effects, treatment schedules and risks. These will be reviewed with you by your provider so you can make an informed decision.”

I Feel Overwhelmed With All These Options—How Can I Make a Decision?

This is a common and completely understandable reaction. The good news is: you’re not making this decision alone.

Dr. Patel reassures patients:

“Our job at ADA is to work with you to come up with a plan that maximizes effectiveness while attempting to minimize risk.  We’ll find the right approach for you!”

Some factors that may go into the decision of which therapy to try include:

• Your desire or willingness to apply topical medications on a regular basis
• Your schedule availability for light therapy (which requires multiple office visits per week)
• Your risk tolerance for side effects
• Your willingness to have small injections
• The severity and location of your psoriasis
• Other medical conditions you may have
• Medications you’re currently taking
• Your lifestyle and treatment preferences
• Cost and insurance coverage

Dr. Patel adds:

“Often topical therapies will be tried before anything else. However, for severe disease, a systemic medication or light therapy may be recommended right away.”

The approach taken depends entirely on your individual situation. There’s no one-size-fits-all answer—and that’s actually a good thing. It means treatment can be customized to fit your life, not force your life to fit around treatment.

What Your Dermatologist Wants You to Know About Living With Psoriasis

After treating hundreds of patients with psoriasis throughout his career—from his training at the University of Texas Southwestern to his work in the Philadelphia area—Dr. Patel has learned that successful psoriasis management is about partnership.

Here’s what every patient should understand:

Long-term management is absolutely possible. While there’s no cure, most patients will see significant improvement in their psoriasis by following a customized treatment protocol tailored for their specific needs. Many patients achieve months or even years of clear or nearly clear skin.

You’re not failing if you flare. Psoriasis is unpredictable. Even with perfect adherence to treatment, flares can happen. That doesn’t mean the treatment isn’t working or that you’ve done something wrong—it means the treatment plan may need adjustment.

Your mental health matters just as much as your skin. The psychological burden of psoriasis is real. The itching, the visible plaques, the impact on your social life and self-esteem—all of this affects your quality of life. If you’re struggling emotionally, tell your dermatologist. There are resources available, and addressing the emotional aspect is part of treating the whole person, not just the skin condition.

Consistency is key. One of the biggest challenges is when patients stop their treatment as soon as their skin clears. Psoriasis is a chronic condition. Maintaining your treatment—even when you’re doing well—helps prevent the next flare.

Dr. Patel emphasizes:

“Fortunately, as a patient of Aesthetic Dermatology Associates, we will be with you while making the decision of which therapies to try, and as you proceed with treatment. We will see you on a regular basis and we are always a phone call or a text away. If you change your mind about a particular therapy, we’ll work with you to find an acceptable alternative.”

You Don’t Have to Navigate This Alone

If you’re experiencing a psoriasis flare-up right now, the urgency you feel is completely understandable. You want relief, you want answers, and you want to know that someone understands what you’re going through.

That’s exactly what dermatologists are here for.

Psoriasis treatment has come incredibly far in recent years. The options available today—from advanced biologics to targeted light therapy—offer hope that wasn’t available even a decade ago. But the key is finding the right treatment combination for you, and then adjusting it as needed over time.

Dr. Patel concludes:

“Most patients will see significant improvement in their psoriasis by following a customized treatment protocol tailored for their specific needs.”

From first-time flare-ups to long-term management, expert dermatological care makes all the difference. Collaborating with the right team allows you to build a personalized treatment strategy that aligns with your daily routine, tackles your specific challenges, and delivers the clear, comfortable skin you’ve been seeking. Managing this condition shouldn’t mean sacrificing the life you want to live.

Arrange a Psoriasis Treatment Consultation in Paoli or Media, PA

Living with psoriasis means having a dermatology partner who understands your unique challenges and stays with you through every treatment decision. At Aesthetic Dermatology Associates, Dr. Altman and our experienced team offer:

• Comprehensive treatment options: From prescription topicals to cutting-edge biologics
• Same-week appointments: Priority scheduling available for severe flare-ups
• Personalized care plans: Tailored to your lifestyle, preferences, and treatment goals
• Ongoing support: Direct access to your care team when you need guidance

Conveniently serving patients in Paoli, PA and Media, PA

Don’t wait for your next flare-up to take action. Whether you’re newly diagnosed or seeking better management of long-standing psoriasis, we’re here to help.

About the Author

Dr. Patel is a board-certified dermatologist with advanced training in medical, surgical, and cosmetic dermatology. An Adjunct Associate Professor at the University of Pennsylvania Perelman School of Medicine in Philadelphia, he has authored peer-reviewed research and mentored future dermatologists.

At Aesthetic Dermatology Associates, Dr. Patel specializes in skin cancer diagnosis and treatment, medical dermatology, and patient education. He proudly serves the communities of Paoli, Media, and the greater Philadelphia Main Line area, providing compassionate, evidence-based dermatologic care.

Related links

See Dr. Patel’s personal page on our website
Follow Dr. Patel on LinkedIn professional social network
Review Dr. Patel’s rating on US News Health website

 

Psoriasis Flare-Up: What’s Happening to Your Skin and How to Regain Control

 

By Jamie Altman, MD, Board-Certified Dermatologist – Aesthetic Dermatology Associates, serving Paoli & Media, PA

Waking up to see new patches spreading across your skin can be frightening. The itching keeps you up at night. Plans get canceled because of worry about people staring. And the question that haunts most:

Is this ever going to stop?

If you’re reading this during a psoriasis flare-up, you’re probably feeling a mix of panic, frustration, and exhaustion. Maybe you’ve been managing psoriasis for years, or maybe this is your first severe episode. Either way, what you’re experiencing is your immune system overreacting—not your body “getting worse forever.” And more importantly, there are clear steps that can be taken to help you regain control.

You’re Not Imagining It—Here’s What’s Happening Right Now

During a psoriasis flare-up, the immune system has shifted into overdrive. Normally, skin cells take about 28-30 days to grow and shed. But in psoriasis, this process speeds up to just 3-4 days. Your body is producing skin cells faster than it can shed them, causing those thick, scaly patches—what dermatologists call plaques.

Dr. Altman explains:

“This isn’t about poor hygiene or something you did wrong. Psoriasis is an immune-mediated condition. Your immune system is mistakenly stimulating healthy skin cells, causing rapid cell turnover.”

Does Psoriasis Spread?

 

This is one of the most common questions during flare-ups, and it’s important to address directly: psoriasis is not contagious. You cannot spread it to others, and others cannot catch it from you.

However, existing patches can expand, and new patches can appear in different areas of your body—especially during a flare-up. This isn’t the condition “spreading” like an infection; it’s your immune system triggering inflammation in multiple areas. Psoriasis can also appear at sites of skin injury—a phenomenon called the Koebner response. A cut, scrape, sunburn, or even a tattoo can trigger new patches to form.

Dr. Altman notes:

“When patients see new patches appearing, they understandably panic. But this is your immune system’s response pattern, not a sign that something catastrophic is happening. With proper treatment, we can calm this immune response and help your skin heal.”

What Triggered This? Common Culprits Behind Psoriasis Flare-Ups

Understanding what causes psoriasis flare-ups can help you identify patterns—though it’s important to note: sometimes there’s no obvious trigger, and that’s not your fault.

Common triggers include:

• Stress: Emotional or physical stress is one of the most significant triggers. Your body releases inflammatory chemicals when you’re stressed, which can activate psoriasis.
• Infections: Strep throat, respiratory infections, or even a simple cold can trigger flares, especially in people with guttate psoriasis.’
• Medications: Some drugs, including lithium, beta-blockers, antimalarial drugs, and NSAIDs, can worsen psoriasis.
• Weather changes: Cold, dry weather often triggers flares because low humidity dries out the skin.
• Skin injury: Cuts, scrapes, bug bites, severe sunburn—any trauma to the skin can trigger new patches.
• Alcohol and smoking: Both can worsen psoriasis and reduce the effectiveness of treatments.

Sometimes, despite your best efforts to avoid triggers, flares still happen. This doesn’t mean you’re doing something wrong. Psoriasis has its own rhythm, and sometimes the immune system responds to factors we can’t fully identify or control.

Extreme Psoriasis vs. Regular Flare: When to Call Your Dermatologist Immediately

Not all flares are the same. While most can be managed with adjustments to your treatment plan, some situations require immediate medical attention.

Call your dermatologist right away if you experience:

• Sudden, widespread coverage: If psoriasis is rapidly covering large areas of your body (more than 10% of your skin surface).
• Pustular psoriasis: If you develop pus-filled blisters along with fever, chills, or feeling generally unwell. This is a medical emergency.
• Erythrodermic psoriasis: If most of your body becomes red, inflamed, and you’re experiencing severe pain or temperature regulation problems. This is also a medical emergency.
• Severe joint pain or swelling: This could indicate psoriatic arthritis, which requires prompt treatment to prevent joint damage.
• Signs of infection: Increased warmth, swelling, oozing, or fever alongside your psoriasis patches.

Dr. Altman emphasizes:

“I never want patients to worry about ‘bothering’ me during a severe flare. Extreme psoriasis requires immediate intervention. That’s what we’re here for. If you’re unsure whether your flare warrants a call, err on the side of caution and reach out.”

Your Action Plan: What You Can Do in the Next 24 Hours

When you’re in the middle of a flare, you need relief now. Here’s what you can start doing today while you connect with your dermatologist:

Immediate relief strategies:

1. Moisturize aggressively: Apply thick, fragrance-free moisturizers or ointments (like petroleum jelly or Aquaphor) multiple times per day, especially right after bathing when your skin is still damp. This helps seal in moisture and reduce scaling.
2. Take lukewarm baths: Add colloidal oatmeal, Dead Sea salts, or bath oil. Soak for 10-15 minutes to soften scales. Avoid hot water—it strips your skin’s natural oils and worsens inflammation.
3. Use over-the-counter hydrocortisone: For light psoriasis or small areas, OTC 1% hydrocortisone cream can provide temporary relief. Apply as directed on the package.
4. Apply cool compresses: If itching or burning is severe, cool (not ice-cold) compresses can help calm the inflammation.
5. Avoid your known triggers: If you know certain foods, alcohol, or stress worsen your flares, now is the time to be especially vigilant.
6. Protect your skin: Avoid scratching (which can create new patches through the Koebner response), wear soft cotton clothing, and be gentle when drying off after bathing—pat, don’t rub.

These measures can help you feel more comfortable while you work with your dermatologist on a comprehensive treatment plan. But they’re not substitutes for medical treatment, especially during severe flares.

How to Prevent the Next Flare-Up (Or Make It Less Severe)

While we can’t prevent every flare-up, there are strategies that can reduce their frequency and severity:

Daily skin care routine: Consistent moisturizing is your foundation. Even when your skin looks clear, maintaining your skin barrier helps prevent future flares.

Stress management: Since stress is a major trigger, finding effective stress-reduction techniques—whether that’s exercise, meditation, therapy, or simply better sleep—can make a significant difference.

Stick with your treatment plan: One of the most common reasons for flares is stopping treatment too soon when skin clears. Psoriasis is chronic; maintaining treatment helps keep it in remission.

Track your triggers: Keep a journal of flares and potential triggers. Over time, you may identify patterns that help you avoid certain situations or products.

Maintain a healthy weight: There’s a connection between obesity and psoriasis severity. Weight loss can improve treatment response.

Limit alcohol: Alcohol can trigger flares and interfere with medication effectiveness.

Dr. Altman advises: “I tell my patients: you can’t control everything about psoriasis, but you can control your response to it. Building a consistent skin care routine and working with your dermatology team to adjust treatments as needed puts you back in the driver’s seat.”

Whether you’re dealing with your first flare or you’ve been managing psoriasis for years, expert help is available to help you regain control. Working together with a dermatology team, you can create a treatment plan that fits your life, addresses your concerns, and gives you the clear, comfortable skin you deserve.

Because living with psoriasis shouldn’t mean putting your life on hold.

About Dr. Jamie Altman

Dr. Altman is a board-certified dermatologist and Chief of the Subdivision of Dermatology at Riddle Memorial Hospital. He completed his dermatology residency at the University of Michigan and advanced fellowship training in skin cancer treatment at Memorial Sloan-Kettering Cancer Center in New York City. A former Clinical Instructor in Dermatology at the University of Pennsylvania, Dr. Altman has been recognized as a Top Dermatologist by U.S. News & World Report and a Top Doctor by Philadelphia Magazine (2013–2020). He served as President of the Philadelphia Dermatological Society (2020–2021) and is committed to providing compassionate, expert care to every patient.

Related links

See Dr. Altman’s provider’s page on our website
Follow Dr. Patel on LinkedIn professional social network
Review Dr. Patel’s rating on US News Health website

Arrange a Psoriasis Treatment Consultation in Paoli or Media, PA

Living with psoriasis means having a dermatology partner who understands your unique challenges and stays with you through every treatment decision. At Aesthetic Dermatology Associates, Dr. Altman and our experienced team offer:

• Comprehensive treatment options: From prescription topicals to cutting-edge biologics
• Same-week appointments: Priority scheduling available for severe flare-ups
• Personalized care plans: Tailored to your lifestyle, preferences, and treatment goals
• Ongoing support: Direct access to your care team when you need guidance

Conveniently serving patients in Paoli, PA and Media, PA

Don’t wait for your next flare-up to take action. Whether you’re newly diagnosed or seeking better management of long-standing psoriasis, we’re here to help.

 

What to Do Right After a Skin Cancer Biopsy: First 48 Hours

Explained By Dr. Patel, Board-Certified Dermatologist, serving Paoli & Media, PA

When patients visit us for a skin cancer screening, it’s common for a dermatologist to notice a suspicious mole, lesion, or spot that needs further evaluation. In these cases, a biopsy for skin cancer is often recommended to confirm whether the area is benign, precancerous, or malignant.

From the patient’s perspective, this can be an anxiety-filled moment. The idea of a biopsy—and the waiting that follows—can cause understandable stress. Knowing what a skin cancer biopsy involves, how to care for the area afterward, and what to expect in the first 48 hours can make the process much less intimidating.

What Is a Skin Cancer Biopsy?

A biopsy is a quick, in-office diagnostic procedure in which a dermatologist removes a small tissue sample from a suspicious mole, spot, or lesion for microscopic evaluation by a dermatopathologist. It is the only definitive method to confirm or rule out skin cancer and plays a crucial role in early detection and treatment.

The entire process is performed under local anesthesia and typically takes less than ten minutes. Most patients experience only minor pressure or a brief stinging sensation from the anesthetic and can return to normal activities immediately afterward.

A biopsy may be recommended if you have:

• A new mole or growth that looks different from your others
• A changing lesion that’s growing, itching, or bleeding
• A non-healing sore that persists for weeks
• A rough, scaly patch or pink bump that bleeds easily
• Any area your dermatologist suspects could represent basal cell carcinoma, squamous cell carcinoma, or melanoma

How a Skin Cancer Biopsy Is Performed

A skin biopsy begins with careful cleaning and sterilization of the area. Next, a small injection of lidocaine is given to numb the skin completely.

Depending on the lesion and its depth, your dermatologist will most likely perform one of two common techniques:

Shave biopsy – removes a thin layer of skin and usually requires no stitches.

Punch biopsy – removes a small, deeper cylinder of skin that may need a suture.

After the sample is taken, a protective dressing is applied, and our medical assistant provides written biopsy wound care instructions. At our Paoli and Media, PA dermatology offices, this entire process usually takes just a few minutes and is well-tolerated by patients of all ages.

However, there are two more types of biopsy applied rarely: 

Excisional biopsy – removes the entire lesion along with a small margin of normal skin. Typically performed when melanoma is suspected.

Incisional biopsy – removes a portion of a large lesion when full removal isn’t practical at first. Used for diagnostic sampling.

The First 48 Hours After a Biopsy

During the first two days after your skin cancer biopsy, the goal is to protect the area and allow natural healing to begin. Keep the bandage clean, dry, and undisturbed for at least 48 hours.

Dr. Patel explains:

“We usually advise patients to keep the area dry and avoid removing the dressing too early. A little tenderness or redness is completely normal during the first couple of days.”

Because biopsy sites are small, most patients can continue regular activities, including work and light exercise, unless specifically advised otherwise.

You may experience mild soreness, minimal bleeding, or a small scab formation—these are all part of the normal skin biopsy healing process.

If you exercise regularly, this article explains what to expect when resuming physical activity after a biopsy.

Caring for the Biopsy Site After Two Days

After 48 hours, you can begin daily skin biopsy aftercare:

• Gently remove the old bandage—doing so in the shower often helps loosen it painlessly.
• Cleanse the site with mild soap and water, and pat it dry with a clean towel.
• Apply a thin layer of petroleum jelly to keep the wound moist.
• Cover it with a fresh bandage, repeating this once or twice daily for about one week.

Dr. Patel emphasizes:

“Moist wound care leads to faster healing and less scarring. Dry wounds tend to heal more slowly and may leave a noticeable mark.”

Unless otherwise instructed, there’s no need for antibiotic ointment—plain petroleum jelly works best for most skin biopsy wounds.

Waiting for Biopsy Results

For many patients, the most difficult part of the skin cancer biopsy process isn’t the procedure itself — it’s the waiting. Once your dermatologist sends the tissue sample to the pathology lab, there’s an unavoidable period of anticipation while the cells are examined under a microscope by a board-certified dermatopathologist.

Typically, skin biopsy results are ready within 7 to 10 business days, though the exact timing can vary depending on several factors:

• The laboratory’s workload and processing times
• The type of biopsy performed (shave, punch, or excisional)
• The complexity of the findings — certain cases require deeper staining or secondary review
• Weekends or holidays that may slightly delay turnaround

At Aesthetic Dermatology Associates in Paoli and Media, PA, our team closely monitors every biopsy we submit. We ensure that results are communicated as soon as they’re finalized, following the method you chose during your visit — whether that’s a phone call, secure patient message, or in-person follow-up appointment. If you haven’t received your results after 10 days, you’re always welcome to contact our office. Our staff will immediately check the lab status and provide an update.

What the Biopsy Results Can Tell You

Your biopsy report provides detailed, microscopic information that helps your dermatologist determine the next steps. It typically includes:

• The diagnosis — whether the lesion is benign, precancerous, or malignant
• The type of cells involved (for example, basal cell carcinoma, squamous cell carcinoma, or melanoma)
• The depth and margins of any abnormal cells
• Recommendations for follow-up or treatment

This information guides whether additional treatment is needed, such as complete excision, cryotherapy, topical medication, or Mohs micrographic surgery.

Coping with Anxiety While Waiting

It’s completely normal to feel anxious during the waiting period. Many patients describe checking their phone or email multiple times a day, worried about what the results might say. Dr. Patel encourages patients to remember the following:

Most skin cancer biopsies come back benign. A large percentage of biopsied spots turn out to be harmless moles, keratoses, or other noncancerous growths.

Early detection saves lives. Even if the biopsy confirms skin cancer, it usually means it was found early — when treatment success rates are highest.

You are not alone. Our team is available to answer questions or provide reassurance while you wait. Sometimes, a quick conversation can relieve much of the uncertainty.

Avoid searching for symptoms online. Each biopsy is unique; general internet results can increase worry rather than offer clarity.

When to Contact Your Dermatologist

Complications after a skin biopsy are uncommon, but it’s important to call your dermatologist if you experience:

• Persistent bleeding that doesn’t stop with firm pressure
• Increasing redness, swelling, or pain
• Pus or drainage from the wound
• Fever or expanding redness

Dr. Patel notes:

“If something doesn’t seem right, don’t hesitate to call our office in Paoli or Media. Most post-biopsy concerns are minor and easy to treat, but it’s always better to check in early.”

The Skin Cancer Biopsy Healing Timeline

Healing from a biopsy generally takes one to two weeks. Shave biopsies heal faster, while punch biopsies may require slightly more time. During the healing process, the site may appear pink or red before gradually fading to your natural skin tone.

To promote smoother healing:

• Avoid picking or scratching the area.
• Protect the biopsy site from direct sunlight.
• Once healed, apply broad-spectrum sunscreen daily to help minimize scarring.
• If a small scar remains, cosmetic treatments such as laser resurfacing or microneedling can improve its appearance later on.

To Summarize: Common Questions After a Biopsy for Skin Cancer

1. How long does it take for a skin cancer biopsy to heal?

Most skin biopsy sites heal within 7–14 days. Shave biopsies may close quickly, while punch biopsies with stitches may take slightly longer. Proper wound care and sun protection help minimize scarring.

2. Can I shower after a skin biopsy?

You can shower gently after 48 hours once your dermatologist instructs you to remove the dressing. Use mild soap, avoid scrubbing, and reapply petroleum jelly with a new bandage afterward.

3. What should I do if my biopsy site bleeds?

Apply firm pressure with a clean tissue or gauze for 10–15 minutes. If bleeding doesn’t stop or soaks through the bandage, call your dermatologist right away.

4. When will I get my biopsy results?

Pathology results are usually ready within 7–10 business days. Aesthetic Dermatology Associates contacts you promptly according to your chosen communication method.

5. Is it normal to feel anxious after a biopsy for skin cancer?

Yes—many patients feel nervous while waiting for results. Remember, most biopsies reveal non-cancerous findings, and early detection leads to excellent outcomes if treatment is needed.

Final Thoughts from Dr. Patel

“A biopsy for skin cancer is one of the most important tools we have to protect your health. It’s quick, safe, and gives us the answers we need to create an effective treatment plan. With proper care and a little patience, the biopsy site will heal, and you can move forward with confidence.”

Schedule a Follow-Up or Skin Cancer Screening in Paoli or Media, PA

If you’ve recently had a biopsy or noticed a new or changing mole, schedule a follow-up with Dr. Patel at Aesthetic Dermatology Associates. Our dermatology clinics in Paoli and Media, Pennsylvania provide expert diagnosis, personalized treatment, and compassionate follow-up care.

About the Author

Dr. Patel is a board-certified dermatologist with advanced training in medical, surgical, and cosmetic dermatology. An Adjunct Associate Professor at the University of Pennsylvania Perelman School of Medicine in Philadelphia, he has authored peer-reviewed research and mentored future dermatologists.

At Aesthetic Dermatology Associates, Dr. Patel specializes in skin cancer diagnosis and treatment, medical dermatology, and patient education. He proudly serves the communities of Paoli, Media, and the greater Philadelphia Main Line area, providing compassionate, evidence-based dermatologic care.

Related links

See Dr. Patel’s personal page on our website
Follow Dr. Patel on LinkedIn professional social network
Review Dr. Patel’s rating on US News Health website

 

Dermaplaning: The Secret to Smooth, Radiant Skin

This article is written by experienced Physician Assistants Bridget Lolli, PA-C and Nancy Conley, PA-C of Aesthetic Dermatology, who are passionate about helping patients achieve their healthiest, most radiant skin through safe, customized care.

Bridget Lolli

 

Nancy Conley

If you’ve ever wondered how celebrities manage to have that flawless, glowing, camera-ready skin—let us let you in on a little secret: dermaplaning. This simple yet powerful treatment has become one of our go-to options for patients who want instantly smoother skin without any downtime.

So, What Exactly Is Dermaplaning?

In the simplest terms, it’s a physical exfoliation treatment that uses a sterile surgical blade to gently remove dead skin cells and that fine vellus hair we often call “peach fuzz.” It’s completely painless, surprisingly relaxing, and incredibly effective.

Throughout the day, dead skin cells build up on your skin’s surface, dulling your natural glow and making it harder for your skincare products to absorb. Peach fuzz can also affect how smoothly makeup applies and wears. Dermaplaning gives your face a clean slate: products sink in better, foundation glides on more evenly, and your complexion looks instantly refreshed.

Our Signature Touch

At our clinic, we take it a step further. Each dermaplaning session includes an enzyme exfoliation to sweep away any lingering debris and a custom mask tailored to your skin’s needs—whether that’s hydration, calming, or brightening. You leave with skin that feels baby-soft and looks lit-from-within.

And no—this treatment will not make your hair grow back darker or thicker. That’s a common myth. The hair grows back just the same—only softer at the tip.

Interesting Facts About Dermaplaning

• It’s not just for women – Plenty of men love dermaplaning too (yes, even those with beards benefit from cheek and forehead treatments).

• It boosts product performance – Without that layer of dead skin, serums and moisturizers absorb more effectively.

• Makeup artists swear by it – Many do it before photoshoots or red carpet events to get that perfect canvas.

• It’s safe during pregnancy – Dermaplaning is a gentle, non-invasive option that’s often recommended during pregnancy.

• You can combine it with other treatments – It pairs beautifully with facials, LED therapy, and more.

What You Should Know Before Getting Dermaplaning

• It’s quick and relaxing – A session typically lasts around 30–45 minutes, and there’s no downtime.

• It’s great for most skin types – Including sensitive skin, rosacea, or those with pigmentation concerns.

• It’s not painful at all – Most people say it feels like a gentle brushing sensation.

• It’s best done every 3–4 weeks – That’s about how long your skin needs to regenerate.

What to Avoid Before Dermaplaning

To get the best results from your treatment, here are a few things to avoid:

• Avoid retinoids or exfoliants for 2–3 days beforehand.

• Skip any waxing or threading in the dermaplaning area one week before.

• Avoid sunburns or active breakouts, as irritated skin isn’t a good match for dermaplaning.

• Hold off on recent chemical peels – Your skin should be calm and not recently exfoliated.

Who Shouldn’t Do Dermaplaning

While dermaplaning is safe for most, it’s not for everyone:

• Active acne – The blade can aggravate inflammation and spread bacteria.

• Cystic acne or open wounds – It’s best to wait until your skin is healed.

• Severe rosacea or eczema – Dermaplaning may trigger a flare-up.

• Overly sensitive skin post-treatment – If you’ve recently had a strong peel or laser treatment, give your skin time to recover.

Feeling nervous or unsure about trying a cosmetic treatment for the first time? That’s completely normal—and we’re here to help. If you’re wondering whether dermaplaning is right for your skin, our team is always happy to answer your questions, evaluate your skin, and recommend the best treatment plan for your goals.

Bottom Line: Glowing Skin Is One Blade Away

Dermaplaning is ideal before big events, photo shoots, or simply when you want your skin to look its absolute best. It’s safe, effective, and a client favorite for a reason.

Never tried it? Now’s the perfect time.

👉 Book your dermaplaning appointment at one of our convenient locations in Paoli or Media—and let’s get your glow on.

Expert Acne Treatments You Can Only Get From a Dermatologist

Why Acne Happens — and to Whom

Acne is a complex skin condition that can affect people of all ages—not just teenagers. While it’s most common during puberty, due to hormonal fluctuations, adult acne is on the rise and often tied to factors like stress, hormonal imbalances, or skincare habits.

Several underlying causes can contribute to breakouts: hormonal changes, especially during adolescence, pregnancy, or menstrual cycles; genetics (if your parents had acne, you’re more likely to experience it too); diet, particularly high-glycemic foods like sugary snacks, white bread, and dairy; and lifestyle factors such as stress, poor sleep, or heavy use of oily cosmetics. Environmental influences like humidity, sweat, and pollution can also aggravate acne-prone skin.

No two cases are exactly alike, which is why personalized care from a certified dermatologist can make such a difference.

Prescription-Strength Topical Treatments

These formulations contain higher concentrations of active ingredients compared to drugstore options and are tailored to your skin’s unique needs.

• Retinoids (like tretinoin, adapalene, and tazarotene) help unclog pores, reduce inflammation, and promote skin cell turnover.
   
• Topical antibiotics, such as clindamycin and erythromycin, combat acne-causing bacteria and calm redness.
•  Azelaic acid offers anti-inflammatory and antimicrobial benefits while also helping to lighten dark spots left by acne.

Prescription Oral Medications

For more severe acne, especially when inflammation or hormonal imbalances are involved, oral treatments can be highly effective.

• Oral antibiotics (e.g., doxycycline or minocycline) reduce inflammation and bacteria from within.
•  Hormonal therapy like spironolactone can be especially helpful for women with hormonally driven breakouts.
• Isotretinoin (commonly known as Accutane) is a powerful, transformative treatment for severe cystic acne—but it requires careful monitoring by a dermatologist due to potential side effects. I often guide patients through this journey safely and with long-term results in mind.

Acne treatment – before and after.

In-Office Procedures for Quicker Results

Dermatologists offer a range of advanced procedures that accelerate acne clearance and improve skin texture:

• Chemical Peels: Medical-grade peels using salicylic acid, glycolic acid, or trichloroacetic acid (TCA) help exfoliate the skin, unclog pores, and fade acne scars.
• Laser and Light Therapy: Blue light and intense pulsed light (IPL) therapy kill bacteria and reduce inflammation, while laser treatments target deeper layers of the skin to improve acne scars.
• Steroid Injections: For painful, deep cystic acne, dermatologists can inject corticosteroids directly into lesions to rapidly shrink them within 24-48 hours.
• HydraFacial and Microdermabrasion: These treatments deeply cleanse pores and remove dead skin cells, reducing breakouts and blackheads.

Personalized Acne Scar Treatments

 

Even after acne clears, scars and hyperpigmentation can linger. Dermatologists offer cutting-edge solutions like:

• Microneedling with PRP (Platelet-Rich Plasma): Uses tiny needles to stimulate collagen and heal scars.
• CO2 and Fractional Laser Resurfacing: Smooths out deep acne scars by promoting new skin cell growth.
• Dermal Fillers: Used to lift depressed acne scars for a more even skin texture.

What Not to Do After Acne Treatment

Treating acne is just the first step—maintaining results requires ongoing care and avoiding certain common mistakes.

• Don’t stop treatment prematurely. Many patients feel better after a few weeks and stop their regimen too soon. Acne is a chronic condition for many people and requires consistency.
• Avoid picking or squeezing blemishes, which can lead to more inflammation, scarring, and pigment changes.
• Don’t overload your skin with too many products—especially harsh scrubs, alcohol-based toners, or “miracle cures” trending online. These can irritate the skin and worsen acne.
• Avoid tanning beds or unprotected sun exposure after procedures like peels or lasers. Sun damage can hinder healing and cause pigment changes.
• Stick to a dermatologist-approved skincare routine, including gentle cleansers, non-comedogenic moisturizers, and sunscreen.

A healthy lifestyle—balanced diet, regular sleep, and stress management—also goes a long way in keeping acne at bay.

Why See a Dermatologist for Acne Treatment?

 

Dermatology is more than just treating symptoms—it’s about understanding the why behind your acne and creating a plan tailored to your skin and lifestyle. Whether you’re dealing with hormonal acne, persistent cysts, or long-standing scars, I work closely with each patient to find what truly works for them.

If you’ve been cycling through countless products without success, I encourage you to schedule a consultation. There’s no one-size-fits-all answer, but with expert guidance, long-term results are absolutely possible.

 

Ready to Take the Next Step Toward Clearer Skin?

 

If you’re dealing with acne or other skin concerns, expert help is just a click away. I offer comprehensive dermatologic care through convenient telehealth appointments, allowing you to receive a personalized consultation, treatment plan, and follow-up—all from the comfort of your home.

Whether you’re managing persistent breakouts, exploring prescription options, or looking for guidance on skincare routines, my virtual practice makes high-quality dermatology accessible and efficient.

Don’t wait to get the care you need—schedule your online consultation today and take the first step toward clearer, healthier skin with a board-certified dermatologist you can trust.

Eczema Relief: Best Medical and At-Home Treatments for Fast Recovery

By Dr. James Ko, MD, Board-Certified Dermatologist

If you are living with eczema, you already know how difficult and frustrating it can be. The itching, dryness, redness — sometimes it feels like it never ends.

As an experienced eczema dermatologist, I am Dr. James Ko, and I want to share with you the real ways we can achieve faster and deeper relief, based on the latest medical research and clinical practice.

Understanding Eczema and Why Personalized Treatment Matters

Eczema, or atopic dermatitis, is not just dry skin or a simple rash.
It is a complex inflammatory disorder, involving a combination of immune system dysfunction, defective skin barrier, and environmental triggers. Genetic factors also play a strong role.

Many patients think moisturizing is enough. But in reality, skin hydration must go together with controlling the internal immune inflammation. Without treating both sides — outside and inside — eczema will keep returning.

This is why personalized eczema treatment is essential.
Every patient’s case is different, depending on severity, allergy history, environment, and lifestyle. No single “standard” treatment fits all.

Medical Treatments Recommended by Dr. James Ko

At Aesthetic Dermatology Associates’ clinics in Paoli and Media, I recommend treatments based on the eczema’s stage (acute, subacute, or chronic) and severity (mild, moderate, or severe):

• Topical corticosteroids: Still the first-line therapy for acute flares. However, I always stress correct potency selection — for example, using low-potency steroids on the face or folds, but higher-potency steroids briefly on thick plaques. I also recommend structured “step-down” tapering after flare control, not sudden stopping.
• Prescription moisturizers and barrier creams: Eczema skin lacks certain proteins like filaggrin, causing water loss and barrier weakness. Special barrier repair creams often include ceramides, cholesterol, and free fatty acids, which mimic natural skin lipids. Using regular cosmetic moisturizers is often not enough for true barrier healing.
  
  (Note: While I mention prescription moisturizers here, in most cases I recommend high-quality over-the-counter barrier creams or emollients that contain the right mix of ceramides, cholesterol, and fatty acids – prescription versions are only needed in more complex or resistant cases.)
• Topical calcineurin inhibitors: (e.g., tacrolimus, pimecrolimus) are good alternatives when steroid side effects are a concern, especially for delicate areas like eyelids.
• Antihistamines: I prescribe sedating antihistamines mainly for nighttime use, not for daytime control. Daytime antihistamines usually do not reduce eczema itching much — this is a misunderstanding. Night use is for helping patients sleep without scratching.
• Systemic therapies (biologics and immunosuppressants): In moderate to severe cases, especially where the patient fails standard treatment, biologics like dupilumab (an IL-4/IL-13 inhibitor) are now changing how we manage eczema. I explain to patients that biologics target the immune drivers behind eczema, not only the skin symptoms.

Medical eczema treatment is not just “put some cream on and wait.” It must be dynamic, adjusted according to flare intensity and maintenance needs.

The “Soak and Smear” Method for Eczema Relief

One technique I highly recommend is the “soak and smear” approach. It can greatly accelerate recovery, especially during severe dryness or lichenified (thickened) eczema.

Here is why and how it works:

• Soaking (10–20 min in lukewarm water) rehydrates the stratum corneum (outer skin layer), making it more permeable for treatments.
• Immediate application (“smearing”) of a corticosteroid ointment or occlusive moisturizer seals water inside the skin. Research shows this increases the effectiveness of topical medications by enhancing penetration through softened skin.
• Timing is critical. Even a 1–2 minute delay between drying and moisturizing allows water loss. I advise patients to prepare everything before soaking.
  

The “soak and smear” method, when combined with barrier repair creams, can sometimes shorten active flare recovery by 30–40%.

At-Home Eczema Care Tips from Dr. James Ko

Many home care strategies are common knowledge, but I guide patients deeper into optimizing skin healing:

• Focus on lipid replenishment, not just hydration. Using moisturizers rich in ceramides, cholesterol, and linoleic acid rebuilds the skin structure itself, not just making it feel moist.
• Adjust your routine to weather and humidity. In dry winter months or with indoor heating, patients often need to double their moisturizing frequency. I sometimes suggest using a bedroom humidifier if ambient humidity drops below 40%.
• Short, lukewarm showers with acid-balanced cleansers. Normal soap (pH 9–10) disrupts the skin’s natural acid mantle (pH 4.7–5.5). Mild, acidic cleansers help preserve the barrier and prevent over-drying.
• Consider bleach baths (0.005% sodium hypochlorite) 2–3 times weekly for patients with secondary bacterial colonization, especially with recurrent Staphylococcus aureus infections. Clinical trials show bleach baths reduce infection and flares. 

(Important: I always emphasize that bleach baths must be dilute — typically 1/4 to 1/2 cup of regular household bleach added to a full bathtub (about 40 gallons of water). Stronger concentrations can irritate or damage the skin, so proper dilution is essential for safety and effectiveness.)

Home care is not about “doing less damage” — it is about actively engineering the environment where the skin can repair itself best.

Common Mistakes That Delay Eczema Healing

Instead of simply “do not scratch,” I explain why some habits damage treatment success:

• Incomplete steroid use: Many patients underuse prescribed steroids due to fear, stopping once itching improves but before inflammation fully resolves. This leads to rebound flares. I educate patients to continue a tapering regimen even after symptoms improve.
• Ignoring secondary infections: Eczema flares complicated by bacteria or viruses (like eczema herpeticum) require different management. If a flare suddenly worsens or becomes painful, seek medical evaluation immediately — not every worsening is “just eczema.”
• Reliance on alternative therapies without supervision: Natural oils, herbal creams, and dietary changes may seem safe, but some contain allergens or irritants. “Natural” does not always mean “safe for eczema skin.”
  

Proper education on these mistakes saves months of unnecessary suffering.

Conditions That Are Sometimes Mistaken for Eczema

Correct diagnosis is 50% of successful treatment. Some diseases that mimic eczema include:

• Nummular dermatitis: Circular plaques resembling fungal infections. Responds to corticosteroids, not antifungals.
• Seborrheic dermatitis: Affects scalp, eyebrows, nasolabial folds — triggered by Malassezia yeast. Requires antifungal treatments alongside barrier repair.
• Tinea (fungal infections): Often misdiagnosed as eczema. I always perform KOH scraping if infection is suspected, because wrong treatment with steroids can worsen fungal disease.
• Cutaneous T-cell lymphoma (early stages): Rare but important. When eczema-like plaques do not respond to standard therapy or show atypical distribution, biopsy is necessary.
  

Differentiating these correctly saves time and protects patient safety.

When to See an Eczema Dermatologist

If your eczema is persistent despite using proper moisturizers and over-the-counter hydrocortisone, it is time to see an eczema specialist.
I also advise early referral when:

• Flares are interfering with work, school, or sleep.
• Signs of infection appear.
• Quality of life is affected — such as anxiety, depression from visible eczema.
• Systemic therapy might be needed.
  

A dermatologist can offer options beyond creams — including immunomodulators, patch testing for allergens, light therapy (narrowband UVB), and biologics.

Conclusion

Managing eczema is a partnership between the patient and doctor. It needs good planning, clear communication, and regular adjustment based on skin response.

If you are struggling with eczema despite trying your best, do not give up.

Please contact our office and schedule a consultation — together, we can create a clear, personalized eczema treatment plan and help your skin heal properly.

 

Mole Removal & Treatments: What You Need to Know

By Dr. Elizabeth Marvin, MD, Board-Certified Dermatologist

As a dermatologist, I frequently see patients who are concerned about changes in their moles or are simply looking for ways to improve the appearance of their skin. Whether it’s a cosmetic concern or a potential health issue, understanding when and how to address moles is important for long-term skin health.

Over the years, I’ve helped many adults and children evaluate their moles and determine the most appropriate treatment approach. In this article, I’ll walk you through what you need to know about mole removal—from what to look out for to the treatment options available.

What Are Moles?

Moles, also called nevi, are clusters of pigmented skin cells that can appear anywhere on the body. They vary in color, shape, and size, and most are completely harmless. However, some moles may change over time due to sun exposure, hormonal changes, or genetic factors.

As a general rule in my practice, I advise patients to monitor any new or changing moles and to come in for evaluation if something doesn’t look or feel right.

Types of Moles:

• Congenital Moles – Present at birth and may grow over time.
• Common Moles – Typically small, round, and brown or tan in color.
• Atypical (Dysplastic) Moles – Irregular in shape, larger than normal, and can resemble melanoma.

Mole scanning procedure

When Should You Consider Mole Removal?

There are two primary reasons people choose to remove moles: medical concerns and cosmetic reasons.

Medical Reasons for Mole Removal:

✅ Asymmetry – One half of the mole doesn’t match the other.

✅ Border Irregularity – Edges are uneven, jagged, or blurred.

✅ Color Changes – Multiple shades of brown, black, red, or white.

✅ Diameter Growth – Larger than a pencil eraser (6mm).

✅ Evolving – Changes in size, shape, color, or texture over time.

These signs may indicate melanoma, a type of skin cancer. Early detection is crucial. If there’s ever any uncertainty, I perform a biopsy to ensure we’re not missing something serious.

Cosmetic Reasons for Mole Removal:

Even if a mole is harmless, it may be removed for aesthetic purposes or if it causes irritation (e.g., rubbing against clothing or jewelry). Many of my patients tell me that removing a bothersome mole gives them a boost in confidence—something I always support if the removal can be done safely.

Mole Removal Treatment Options

At Aesthetic Dermatology, we offer several safe and effective mole removal procedures based on the size, location, and type of mole. I always tailor the approach based on individual needs and skin type.

Mole removal procedure

1️⃣ Surgical Excision

The mole is carefully cut out, along with a small margin of surrounding skin.

Stitches may be needed, especially for larger moles.

Ideal for deeper or suspicious-looking moles.

2️⃣ Shave Removal

The mole is shaved off at the skin level using a scalpel.

No stitches are needed, and healing is usually quick.

Best for raised moles.

Aftercare & Healing

Before and after mole removal procedure

After mole removal, it’s important to follow proper aftercare guidelines to prevent infection and minimize scarring:

✔️ Keep the area clean.

✔️ Apply vaseline and cover with a bandage if needed.

✔️ Avoid picking at scabs.

✔️ Use sunscreen on the treated area to prevent darkening or discoloration.

In most cases, healing takes one to two weeks, depending on the treatment method. I personally follow up with patients when needed to ensure healing is progressing as expected.

Schedule a Skin Check Today!

Whether you’re concerned about a mole or simply want to remove one for cosmetic reasons, I’m here to help. My team and I at Aesthetic Dermatology are committed to providing expert skin evaluations and advanced treatment options in a caring and patient-focused environment.

If you have questions or would like a professional opinion on a mole, don’t hesitate to book a consultation. Your skin deserves attention and care—and we’re here to provide it.

Psoriasis Flare-Ups: How to Prevent and Treat Them

Psoriasis is a chronic autoimmune skin condition that causes red, scaly patches on the skin. While there is no cure, managing psoriasis effectively can help reduce flare-ups and keep symptoms under control. Whether you’re dealing with mild patches or severe breakouts, understanding what triggers psoriasis and how to treat it can make a significant difference in your quality of life. Visiting your board-certified dermatologist is always best to most effectively manage your psoriasis, but here are a few tips and tricks that all psoriasis patients should know. 

What Causes Psoriasis Flare-Ups?

Psoriasis flares can be unpredictable, but certain triggers tend to worsen symptoms:

• Stress – One of the biggest culprits, stress can cause inflammation and trigger new outbreaks.
• Cold, Dry Weather – Winter months often bring drier skin, which can lead to increased scaling and irritation.
• Skin Injuries – Cuts, burns, bug bites, and even excessive scratching can lead to new psoriasis patches (a reaction known as the Koebner phenomenon).
• Infections – Illnesses like strep throat can trigger immune responses that cause flare-ups.
• Certain Medications – Some drugs, such as beta-blockers, lithium, and antimalarial medications, may worsen or even cause psoriasis.
• Alcohol & Smoking – Both have been linked to increased psoriasis severity and more frequent flares.

How to Prevent Psoriasis Flare-Ups

While psoriasis can’t be completely avoided, taking proactive steps can reduce the frequency and severity of flares:

• Moisturize Daily – Keeping your skin hydrated prevents cracking and irritation by strengthening your skin barrier. Look for thick creams, ointments, or lotions with ceramides, shea butter, or hyaluronic acid.
• Manage Stress – Meditation, yoga, and regular exercise can help keep stress levels in check.
• Avoid Harsh Soaps & Fragrances – Use gentle, fragrance-free skincare products to avoid irritation.
• Use a Humidifier – Adding moisture to the air, especially in winter, can prevent skin from drying out.
• Follow a Healthy Diet – While there is no specific diet that improves symptoms for all psoriasis patients, some find that anti-inflammatory foods like fatty fish, leafy greens, and nuts help may reduce symptoms.

Effective Treatments for Psoriasis

Treatment for psoriasis can be individualized depending on the severity, body parts affected, and previous treatments tried. Dermatologists offer a range of treatments to help control psoriasis and minimize discomfort:

1. Topical Treatments

• Corticosteroids – Reduce inflammation and itching for mild to moderate psoriasis.
• Vitamin D Analogs (Calcipotriene, Calcitriol) and other non-steroidal topicals – Slow skin cell growth to reduce scaling and decrease inflammation.
• Salicylic Acid & Coal Tar – Help soften and remove thick plaques.

2. Phototherapy (Light Therapy)

• Narrowband UVB Therapy – A safe, effective treatment that slows excessive skin cell growth.
• XTRAC Laser – an intense laser treatment specifically targeting psoraisis plaques that is appropriate for small areas of the body.

3. Systemic Treatments (For Moderate to Severe Cases)

• Biologic Medications – Injectables that target specific immune responses to prevent inflammation (e.g., Humira, Stelara, Cosentyx, Skyrizi).
• Oral Medications – Methotrexate, cyclosporine, and apremilast, among others can help control severe psoriasis.

When to See a Dermatologist

Dr Laura Schilling, a board-certified dermatologist

It can be beneficial to see a board-certified dermatologist at any stage and severity of psoriasis. This can ensure you have a proper diagnosis and optimized treatment plan.  New advancements in psoriasis treatment have made it possible to live a comfortable, flare-free life.  In addition, your dermatologist can discuss and help screen for any associated conditions such as psoriatic arthritis and cardiovascular problems, which psoriasis patients are at a higher risk for. 

By understanding your triggers, following a skincare routine, and seeking medical guidance, you can keep psoriasis under control and reduce the impact it has on your daily life. Schedule an appointment with one of our dermatologists to find the best plan for your skin!

Don’t Let the Sun Strike You Out: Why Baseball Players and Fans Need Sunscreen

By: Dr. Jamie Altman, Board-Certified Dermatologist.

As a dermatologist and a lifelong baseball fan here in Pennsylvania, I’ve seen my fair share of sunburns, and I can tell you they don’t just happen at the beach. Whether you’re playing shortstop, coaching Little League, or sitting in the stands watching the Phillies, one thing remains the same: the sun is always in the game.

Baseball is one of the few sports that keeps players and fans out in direct sunlight for hours at a time, often during the sun’s peak intensity. Unlike hockey or basketball, where the action happens indoors, baseball offers little refuge from harmful UV rays. And in the stands? If you’re lucky enough to get a seat under the overhang, great, but for most fans, watching nine innings means baking in the sun. That’s why sunscreen isn’t just a good idea, it’s essential—not just for preventing burns, but also for maintaining healthy skin aesthetics in the long run.

The Hidden Dangers of a Day at the Ballpark

Pennsylvania may not be Florida or Arizona, but don’t let that fool you. UV rays are still strong here, even on cloudy or cooler days. In fact, up to 80% of UV radiation can penetrate clouds, meaning overcast days aren’t as protective as you might think. And while it’s easy to notice a sunburn after an afternoon game, the real concern is long-term: cumulative sun exposure leads to premature aging, sunspots, and, most critically, skin cancer, including melanoma, the deadliest form.

I see it all the time—patients who think they’re only at risk when they lay out in the sun. But a few baseball games each summer, a season of coaching, or a childhood spent playing Little League without protection all add up over time. Protecting your skin isn’t just about health; it’s also about preserving a skin care aesthetic that keeps your skin looking youthful and damage-free for years to come.

Sunscreen: Your Best Defensive Play

So, how do you protect yourself without missing a pitch? Here’s the game plan:

1. Pick the Right Sunscreen

• Use a broad-spectrum sunscreen with SPF 30 or higher to shield against both UVA and UVB rays.
• If you’ll be sweating (which, let’s be honest, you will), opt for a water-resistant formula.
• Chemical sunscreens are generally considered safe. However, zinc and titanium-based sunscreens are great mineral-based options.

2. Apply Enough – And Then Some

• Most people under-apply sunscreen. You need about a shot glass full (one ounce) to cover exposed areas properly.
• Don’t forget easy-to-miss spots like your ears, the back of your neck, and the tops of your feet.

3. Reapply Like a Pro

• Sunscreen isn’t a one-and-done deal. Reapply every two hours, or sooner if you’re sweating a lot.

4. Don’t Just Rely on Sunscreen

• A baseball cap helps, but it doesn’t protect your ears or the sides of your face. A wide-brimmed hat is even better.
• Wear sunglasses to protect your eyes from UV damage.
• And if you’re watching a game, try to sit in a shaded area for extra coverage.

Bottom Line: Protect Yourself and Play Smart

Baseball is a game of strategy, and sun protection should be part of yours. Whether you’re stepping up to the plate or sitting back with a hot dog in the stands, don’t let the sun get the best of you. Keeping your skin safe from UV damage not only lowers your risk of skin cancer but also helps you maintain a skin aesthetic that reflects health and care.

So, before you head out to your next game, grab your sunscreen, throw on a hat, and stay protected—because no one wants to leave the ballpark with a sunburn as their souvenir. Protect your skin today so it stays healthy and radiant for seasons to come!

Stay sun-safe, and enjoy the game!

Overcoming the Fear of Cosmetic Treatments

Hi, I’m Dr. Laura Schilling, and today I want to talk about something I hear all the time: the hesitation, or even fear, of trying cosmetic treatments like Botox, Dermaplaning, or Microneedling. Many people are curious about these treatments but worry about pain, downtime, or unnatural results. This is especially true for those considering Vivace microneedling, one of the most advanced skin-rejuvenation treatments available today.

The good news? These treatments are far less intimidating than you might think. Whether you’re interested in traditional microneedling or Vivace RF microneedling, both options are safe, minimally invasive, and highly effective for boosting collagen, tightening skin, and improving texture. Let’s break it down so you can feel confident in making the right choice for your skin.

Why You Don’t Need to Worry

The most important thing to know is that these treatments are designed to be safe, gentle, and effective. They don’t require surgery, they have little to no downtime, and they’re performed in your board-certified dermatologist’s office by professionals who specialize in enhancing—not changing—your natural beauty.

Microneedling: Your Skin’s Natural Collagen Booster

Microneedling might sound intimidating—after all, the word “needle” is in the name—but in reality, it’s a gentle way to stimulate your skin’s own healing powers. It involves using tiny, fine needles to create micro-injuries on the skin’s surface. This kickstarts your body’s natural collagen and elastin production, which helps to smooth out fine lines, improve texture, and even fade acne scars over time.

What makes microneedling so great?
✔️ It’s not as scary as it sounds—the needles are incredibly fine, and a numbing cream is used so there’s little to no discomfort.
✔️ The results develop naturally—your skin repairs itself gradually, leading to a fresher, healthier look.
✔️ There’s minimal downtime—you might have some redness for a day or two, but that’s about it.

If you want long-term improvement in your skin’s texture and firmness without invasive procedures, microneedling is one of the best options available.

What Is Vivace Microneedling?

For those looking for an advanced, next-level microneedling treatment, Vivace RF Microneedling is a top choice. This treatment combines traditional microneedling with radiofrequency (RF) energy and LED light therapy to provide even greater skin-tightening and rejuvenation benefits.

Vivace Microneedling Benefits

✔️ Tightens and firms the skin – The addition of radiofrequency energy stimulates deeper layers of collagen production, making it ideal for firming sagging skin.
✔️ Minimizes fine lines and wrinkles – By boosting natural collagen and elastin, Vivace microneedling helps smooth out early signs of aging.
✔️ Reduces acne scars and uneven texture – The microneedling process helps break down scar tissue, leading to clearer, smoother skin over time.
✔️ Less downtime compared to traditional microneedling – The advanced design of the Vivace system ensures a more comfortable experience and faster recovery.
✔️ Safe for all skin types – Unlike some laser treatments, Vivace RF microneedling is safe for all skin tones. Furthermore, with appropriate aftercare, treatments can be performed throughout the entire year, including summer months.

If you’re searching for the best microneedling treatment with extra skin-tightening benefits, Vivace RF Microneedling is a high-tech solution that delivers incredible results with minimal discomfort.

Botox: A More Rested, Refreshed You

When people hear “Botox,” their first thought is often of overdone celebrity faces that look frozen or unnatural. But in reality, Botox is simply a way to soften lines and prevent new ones from forming—not to erase your expressions.

Here’s what you need to know:
✔️ Botox doesn’t freeze your face—when done correctly, it just smooths out wrinkles while letting you keep natural movement.

✔️ The results look natural—the goal is to enhance, not transform, your look.

 ✔️ Treatments are customized to your needs – Botox should not be a cookie cutter approach; injections can be tailored to your concerns and your anatomy. 

The key is working with a board-certified dermatologist who knows how to apply Botox in a way that enhances your natural beauty. The best results make you look like yourself—just a little fresher and more well-rested. It can truly be your little secret!

Still Nervous? Here’s What You Can Do

If you’re on the fence about trying a cosmetic treatment, the best thing you can do is ask questions. A consultation with your board-certified dermatologist can help ease concerns by explaining exactly what to expect and ensuring you’re comfortable before starting any procedure.

Here are some ways to ease any lingering doubts:
✔️ Start small – If you’re curious but nervous, try a minimally invasive treatment first. Many options have little to no downtime.
✔️ Ask for before-and-after photos – Seeing real results from actual patients can help set realistic expectations.
✔️ Choose a certified provider with strong credentials – Look for someone with experience, patient testimonials, and a consultation process that makes you feel at ease.

Final Thoughts: Is Vivace Microneedling Right for You?

At the end of the day, cosmetic treatments aren’t about changing who you are. They’re about feeling confident in your own skin. Whether you want smoother skin, a subtle boost in collagen production, or a refreshed look, these treatments offer simple, effective solutions that don’t require major commitments or recovery time.

If you’re especially interested in improving skin firmness, reducing wrinkles, and enhancing collagen production, Vivace RF microneedling is one of the best choices available today. This advanced microneedling technology provides noticeable, long-lasting results with minimal downtime and maximum benefits.

Still have questions? Reach out to your board-certified dermatologist’s office for a consultation – in Media and Paoli, PA. You might just find that these treatments are much easier – and more rewarding – than you ever imagined.