Tag Archive for: health

Excessive sweating- a stressful issue in teens and young adults

Categories: BLOG, Dermatological Conditions, Health, Tips and Tricks - Tags: , , , , , ,

According to a recent survey by the American Academy of Dermatology, approximately 20% of teens and young adults suffer from excessive, uncontrollable sweating. This condition, known as hyperhidrosis, can interfere with daily life and cause anxiety.

According to the study, the average onset of hyperhidrosis was 11 years of age, although younger children can also be affected. Many different areas can be affected- although axillary areas and palms and soles are most common.

excessive-sweating-treatment-minneapolis-dermatologist

The good news is that there are effective treatment options for hyperhidrosis:
1- First line therapy can range from topical over the counter “clinical strength” antiperspirants to prescription strength topicals such as Drysol. A great tip is to apply these topicals at night, in order to form a plug over the sweat glands while one sleeps. In addition, if the palms or soles are involved, one may soak the areas with the antiperspirant for 5-20 minutes.
Photo credit: secret.com

Photo credit: secret.com

2- Second line therapy includes oral anticholinergic medications. Because side effects may occur, these agents must be prescribed and monitored by your doctor. The good news is that numerous studies conducted in children as young as 7 years old have shown these medications to be safe with no long lasting adverse effects.
3- Other therapies include Botulinum toxin, microwave therapy of affected areas and even neurosurgery to block nerve stimuli. Luckily, most kids are controlled with safer options.
At Tareen Dermatology, we are alert to the needs of our patients- from kids to adults- suffering from hyperhidrosis. If this debilitating condition affects you, Board certified Minnesota dermatologist Dr. Mohiba Tareen and her colleagues are able to help!

Tanning-do I need a base tan?

Categories: BLOG, Dermatological Conditions, Health, Skin Cancer, Tips and Tricks - Tags: , , , , , , ,
Photo courtesy of npr.org

Photo courtesy of npr.org

Spring is one of the best aspects of Minnesota. We all emerge from our winter hibernation to enjoy the warmer temperatures and especially the rejuvenating sunshine. Unfortunately, sun and UV exposure come with risks. Many of my patients comment on their pale legs and skin unaccustomed to sunshine and cannot wait to get that first bit of tan.  Society has conditioned us to think that a tan is healthy, but, in fact, a tan is your skin’s way of trying to protect itself from the harmful effects of UV exposure.

Ultraviolet light is part of the energy emitted from the sun. It is imperative for life on Earth, but can also cause harmful damage when the energy disrupts the normal cells of the body. There are two types of ultraviolet light present in sunlight: UVA and UVB. These cause different effects in the skin because they penetrate to different depths of the skin. UVA rays penetrate to the deeper layers of the skin and play a major role in tanning, photoaging (wrinkles, sun spots, broken blood vessels, laxity), and skin cancers. UVB rays can only go into the more superficial layers of the skin. These rays are the main contributor to sun burns and skin cancers, and they also play a role in suntans and photoaging.

UVA rays are the principal player in the tanning process. The skin tans as a way to try to protect us from further sun damage. Think of a tan as your skin putting up little umbrellas to try to keep out more sun rays. This is a highly imperfect system as we can still get lots of sun damage through this tan.

Tanning beds use a concentrated form of UVA that gives you up to 12 times the amount you would get from outdoor sun exposure. This is an efficient way to give you a tan, but also drastically increases damage to the skin and skin cancers. Remember, a tan is your body’s signal that it is being damaged so by the time you tan, a significant amount of harm has already occurred.

Photo courtesy of skincancer.rog

Photo courtesy of skincancer.rog

Because of this concentrated exposure, people who use indoor tanning devices are at an especially increased risk of skin cancers. According to the National Skin Cancer Foundation, people who use tanning beds are 2.5 times more likely to develop squamous cell carcinoma and 1.5 times more likely to develop basal cell carcinoma. The younger you are at first use, the higher the risk. Young people who use a tanning bed are at a whopping 75% increased risk of getting melanoma.

Tanning does not protect you the way many people think. Getting a base tan from tanning beds before going on spring break does not help to reduce your risk of sun damage, burns or skin cancers from the sun. In fact, even going tanning a few times a year before spring break, prom or homecoming significantly increases your risk. Going just four times per year during high school/college results in a 15% increased risk of BCC, 15% increased risk of SCC, and an 11% increased risk of melanoma.

photo courtesy of spraytanningtips.com

photo courtesy of spraytanningtips.com

Skin cancer is easily treated when caught early, but can result in significant scarring and disfigurement. Protection and prevention should be a part of your daily routine. Sunscreens with a broad spectrum protection and an SPF of 30 or higher as well as special sun protective clothing are important to limit the amount of UV exposure our skin gets. Especially avoid tanning beds. If you simply must do something with those pale winter legs, opt for a spray tan or self-tanner lotions.

Genetic Testing for Melanoma

Categories: BLOG, Dermatological Conditions, Health, Skin Cancer - Tags: , , , , , , ,
Melanoma Incidence Map Tareen Dermatology Roseville Minnesota Minneapolis St. Paul Twin Cities

Melanoma has a higher incidence rate in Minnesota than you would think (Photo courtesy of EPA.gov)

With the increase in melanoma seen across the world, dermatologists are looking for genetic tests to better identify those at risk for melanomas and other aggressive internal cancers.

According to Dr. Sandy Leachman, M.D., Ph.D., chair of Dermatology at Oregon Health and Sciences University in Portland “Identifying the individuals who carry a causal melanoma mutation allows these patients to be screened for other cancers, like ocular melanoma or pancreatic cancer, before those cancers develop.  It is important to catch these cancers at their earliest stages, before they become life-threatening.”

Malignant melanoma evolving from a preexisting mole

Malignant melanoma evolving from a preexisting mole

Genetic testing is advantageous for melanoma patients as it allows targeted screening and early detection activities. For example:
-Mutation for p16 (cyclin-dependent kinase inhibitor 2A) — patients with this mutation carry a 70% lifetime risk of developing melanoma and a 20% lifetime of developing pancreatic cancer.
-Mutation of the BAB1 gene increases the risk for ocular melanoma and mesothelioma (not pancreatic cancer).

 

Patients who are recommended to have genetic testing for melanoma are those that meet the “Rules of Three”
  1.  At least 3 invasive melanomas in blood relatives OR
  2.  At least 3 melanomas in a single individual OR
  3. 3 melanomas in a patient/ family member as well as pancreatic cancer/other high risk cancers within a family(defined as astrocytoma, breast, prostate, ovarian, colon)
The Rule of 3 is just a guideline- if there is melanoma in an individual + a strong family history, please let Dr. Tareen and her colleagues know as we will help navigate the complexities of genetic testing.
The gene panel that is recommended to be checked in these individuals is the melanoma panel of CDKN2A, BAP1, CDK4, MITF, and POT. If the patient meets the “Rules of Three” for melanoma, as well as other cancers then an organ specific panel for breast, colon, ovarian, pancreatic or prostate cancer should also be obtained.
Genetic counselors can order these test. They are incredibly specific and may help save lives. If you or your family members meet any of these melanoma criterion, please let us know and we would be happy to discuss with you at one of our Tareen Dermatology locations in Roseville and Faribault,  Minnesota. We will help facilitate the advanced genetic testing necessary for early detection that may impact not only you, but also your family members.

All About Sunscreen

Categories: BLOG, Dermatological Conditions, Health, Skin Cancer, Tips and Tricks - Tags: , , , , , , , ,
There are so many options when it comes to picking a sunscreen. You should always be looking for a broad spectrum 30+ SPF.

There are so many options when it comes to picking a sunscreen. You should always be looking for a broad spectrum 30+ SPF.

With our recent beautiful Minnesota weather and summer quickly approaching, we would like to take time to review with our patients the benefits of regular sunscreen use. It is important for everyone to use a daily sunscreen, regardless of your skin color or race. Regular sunscreen use can help prevent skin cancer by protecting you from the sun’s harmful ultraviolet rays. According to the American Academy of Dermatology, it is estimated that one in five Americans will develop skin cancer in their lifetime

So what type of sunscreen should I use?

Tareen Dermatology SilkShade Tinted Sunscreen Dermatology Roseville Twin Cities Minnesota Zinc

SilkShade Broad Spectrum Tinted Sunscreen with SPF 30 is a great natural source of topical Zinc.

  • We recommend a “broad spectrum” sunscreen, which means that it will protect your skin from both UVA and UVB rays. UVA rays penetrate deep into the skin’s thickest layer, and unprotected exposure can lead to premature skin aging, wrinkling, and suppression of the immune system. UVB rays burn the superficial layers of your skin and it plays a key role in the development of skin cancer.
  • Choose a Sun Protective Factor (SPF) of 30 or higher. While no sunscreen blocks 100 percent of the harmful UV rays, SPF 30 blocks 97%, SPF 50 blocks 98%, and SPF 100 blocks 99%. It is also important to remember that high-number SPFs last the same amount of time as low-number SPFs.
  • Look for water resistant products. There is no sunscreen that is completely water proof. Sunscreen manufacturers can use the term “water resistant” if the sunscreen has been proven to remain effective in water for a period of time, usually 40 or 80 minutes. It is important to reapply sunscreen after swimming.
  • We recommend mineral based products that create a physical barrier on the skin. Look for sunscreens containing the ingredients zinc oxide or titanium dioxide. The physical blocking sunscreen offers immediate protection from the sun, as opposed to the chemical based sunscreens that must be absorbed into the skin for 30 minutes prior to going outdoors.
  • A few brands that we like include Elta MD, Tareen Dermatology SilkShade, Vanicream, CeraVe, and Blue Lizard.

When does my sunscreen expire?

We recommend using sunscreen every day when you are outside, even during the winter and on cloudy days, as the sun emits harmful UV rays year-round. If you are using the correct amount of sunscreen every day, a bottle should not last long. That being said, the FDA requires that all sunscreens retain their original strength for at least 3 years. Some sunscreens will have an expiration date, throw it out once the date has passed. Look for visible signs that the sunscreen is no longer good, including obvious changes to color or consistency.

How much do I need to use?

Most adults need one ounce of sunscreen to fully cover the sun exposed skin. This equates to the amount you could hold in the palm of your hand. Most sunscreen bottles are 3 oz in size, so if using the correct amount, a bottle should only last for about 3 applications. Remember your neck, face, ears, tops of feet, and scalp if you have thinning hair. Don’t forget about your lips- apply a lip balm with SPF at least 15. Left sided skin cancer is more prevalent due to the sun exposure related to driving. Be sure to take extra precautions to protect your skin while driving.

What should I do if I get a sunburn?

photo courtesy on skinenergizer.com

Photo courtesy skinenergizer.com

We hope that you can avoid getting a sunburn in the first place by wearing proper protection, but in the event of a sunburn, the first thing you should do is get out of the sun and get indoors. Treating the sunburn as soon as you notice it will help to heal damaged skin more quickly. Here are some tips and tricks to soothe and heal the irritated skin:

  • Take frequent cool baths or showers to help relieve the pain. Apply a thick moisturizer to damp skin after showering to seal water into your skin. Using a moisturizer containing aloe vera or soy can help soothe inflamed skin.
  • You can apply a small amount of over-the-counter 1% hydrocortisone cream to areas that are particularly uncomfortable. Avoid applying “caine” products (like benzocaine), as these can further irritate the skin and cause an allergic reaction
  • Nonsteroidal anti-inflammatories (NSAIDs) like ibuprofen can help reducing swelling and discomfort associated with the burn.
  • Drinking extra water when you are sunburned helps prevent dehydration.
  • If your skin blisters, allow the blisters to heal while taking extra care to protect the sun burned skin. Avoid popping the blister, because the reason it forms is to help heal your skin and protect you from infection. If you develop blistering of the skin, it means that you have a second-degree sunburn.

Laser Tattoo Removal-What you need to know

Categories: BLOG, Cosmetic, Tips and Tricks - Tags: , , , , , , ,

Tareen Dermatology is proud to offer the first Enlighten™ laser in enlightenMinnesota for laser tattoo removal.

Enlighten features extremely short and high-power picosecond laser pulses which breaks down the ink particles that make up tattoos. A ‘picosecond’ is one-trillionth of second, and is 1,000 times shorter than the ‘nanosecond’ pulses used in existing laser treatments for tattoo removal. Picosecond laser pulses have been shown to remove tattoos more completely and require 40% fewer treatment sessions than traditional lasers. The Enlighten laser also uses two wavelengths, one long and one short, to treat a variety of ink colors, even red ink. The Enlighten laser is a safe and effective treatment option for all skin types.

Laser tattoo removal often requires multiple treatments depending on the composition, depth, color and size of the tattoo. Tattoo ink is deposited deep in the skin and in order to reach all of the ink in the skin, multiple treatment sessions are needed for clearance.

Screen-Shot-2016-01-01-at-9.36.09-AM

Patients are always worried if laser tattoo removal hurts. Most people compare the procedure to a rubber band being snapped against their skin. At Tareen Dermatology, we use topical or local anesthetics to minimize discomfort.

Baseline, after 10 QS treatments and after 1 enlighten treatment. Photo courtesy of Cutera and Dr. O. Ibrahimi,

Baseline, after 10 QS treatments and after 1 enlighten treatment. Photo courtesy of Cutera and Dr. O. Ibrahimi,

It is common for patients to experience redness and swelling immediately following the treatment. These side effects are temporary and most patients can return to regular activities immediately following the treatment.

Price varies by size and the intricacy of the tattoo. Free consultations are offered prior to treatment. Contact our office at 651-633-6883 or appointments@tareendermatology.com for more information and to schedule your appointment.

 

Check out our video of laser tattoo removal here

Everything you need to know about Laser Hair Removal

Categories: BLOG, Cosmetic, Dermatological Conditions, Health, Tips and Tricks - Tags: , , , , , ,

Spring has sprung and it’s time to think about swimsuits, shorts and shaving. In the summer months, I often see an increase in the number of patients experiencing painful ingrowns, folliculitis and general skin irritation as a result of shaving. For patients looking for a more permanent treatment option I often recommend laser hair removal.

The laser targets dark, pigmented hair in the active growth stage. Because there are three cycles of hair growth: active, transition and dormant, and since the laser is only effective on one cycle, laser hair removal requires a series of treatments usually spaced 4-6 weeks apart. After each treatment, patients will notice a patchy decrease in their hair growth.

Unlike waxing, hair does not have to be grown out to be treated, so you can shave or clip between treatments (however, no waxing or tweezing as this will disrupt the hair follicle). Six to nine treatments are usually required to produce the most noticeable results.

Beware that laser hair removal is not a permanent solution, there will always be some maintenance required as new hair follicles develop. Laser hair removal is also only effective on pigmented hair that the laser can target, no grays or blonde.

At Tareen Dermatology, our laser hair removal is a safe and effective treatment option for all skin types.

Sunscreen Recommendations

Categories: BLOG, Dermatological Conditions, Health, Skin Cancer, Tips and Tricks - Tags: , , , , , , , ,
There are so many options when it comes to picking a sunscreen. You should always be looking for a broad spectrum 30+ SPF.

There are so many options when it comes to picking a sunscreen. You should always be looking for a broad spectrum 30+ SPF.

The Spring Break season is upon us and as a board certified dermatologist I am often asked by my patients about what to look for when choosing a sunscreen.

When looking for a sunscreen I always recommend a mineral based product that will create a physical barrier on the skin, particularly sunscreens that contain zinc oxide or titanium dioxide. In contrast, the chemical based sunscreens (long names include avobenzone, octocrylene, ecamsule, etc.) must be absorbed into the skin to provide sun protection. Also good to know – the mineral sunscreens provide almost immediate protection while chemical sunscreens need to be applied approximately 30 minutes prior to going outside in order to be effective.

Zinc is the only ingredient that I use for my children’s sunscreen. In fact, the FDA recommends zinc as the main sunscreen ingredient for babies.

Zinc alone can be very chalky and white so it is important to look for the words “micronized.” This is a process whereby the mineral particles are made finer and more cosmetically elegant (but does not decrease the sunscreen efficacy).

A few brands that I like: Elta MD sunscreen, Vanicream sunscreen (made in Minnesota!), CeraVe AM, and of course the Tareen Dermatology SilkShade.

A few other good tips to keep your skin safe while enjoying the beautiful weather:

  • Look for broad spectrum sunscreen with SPF 30 or higher
  • Sun protective clothing and wide brimmed hats can be stylish and comfortable
  • Do not “lay out” to get a base tan: this only provides an SPF of 4 and falsely makes one think they are protected
  • UV blocking sunglasses and lip balm are imperative (ocular melanoma and lip cancers are on the rise!)
  • Remember, there are statistically more skin cancers on the left side of the face and body due to chronic sun exposure from driving- use extra protection on the left side and think about investing in UV tinted windows
  • Examine your skin head to toe once a month and see your dermatologist yearly for a skin exam

As a board certified dermatologist, I can assure my patients that NOT using sunscreen increases the risk of sun damage and skin cancer.

The Redness Bias: Does facial redness influence perceptions of people?  

Categories: BLOG, Cosmetic, Dermatological Conditions, Health, Tips and Tricks - Tags: , , , , , , ,
Facial redness, flushing, and bumps — also known as rosacea — is a very common problem.  It occurs in up to 10% of Caucasian individuals.  For those who experience redness it can not only impact them socially and emotionally but will often affect other people’s perceptions of them.

 

A recent study conducted by Dr Linda Papadopoulos in London demonstrated that among 6,831 individuals, photos of people who suffered from facial redness were rated to have poorer health and negative personality traits. Those same individuals, when shown with clear faces, were perceived as “well” and “healthy.”  Furthermore, participants were more likely to be friends with or hire the person shown in the image WITHOUT facial redness.

 

KTP1

 

For the individuals who suffered from redness, 77% reported an emotional impact. They reported that other individuals have told them they drink too much or to recommend skin care interventions. However, these individuals reported much more control over their redness and symptoms once they were diagnosed. Once diagnosed with rosacea, 90% felt motivated to deal with their redness.

 

Dermatologists have a responsibility to help our patients deal with both the medical and psychologic impact of rosacea. At Tareen Dermatology in Roseville, Minnesota we specialize in medical, laser, and lifestyle interventions for rosacea and facial redness.

 

Children’s Eczema: How to prevent this uncomfortable condition

Categories: BLOG, Cosmetic, Dermatological Conditions, Health, Tips and Tricks - Tags: , , , , , , , , , ,

infant-eczemaEczema –a skin disorder characterized by rough, red, scaly and itchy skin — is on the rise. It is estimated that up to 20% of children in the United States suffer from varying forms of this disorder.

Recent research has given new strategies to help prevent this uncomfortable skin disorder.
1. Daily application of emollients from birth: Applying moisturizer from birth has been shown to significantly reduce the development of eczema. The benefit is due to enhancement of the skin barrier.  Researchers propose that daily application of moisturizer to all babies constitutes an effective, safe and cheap strategy to help prevent eczema.
2. Home water softeners: A study in England determined in children genetically prone to eczema, that hard water exacerbated the condition. Further studies are underway.
3. Probiotics: Maternal consumption of probiotics, especially during the third trimester, may reduce the development of eczema. The science shows that probiotics increase the development of diverse gut microbes. These microbes have a protective strategy against eczema.
Simple and effective strategies for eczema are easy to incorporate into our daily lives and can help protect the next generation against this itchy and uncomfortable skin disorder.

 

 

Winter Skin Care Tips

Categories: BLOG, Cosmetic, Dermatological Conditions, Tips and Tricks - Tags: , , , , , , , , , , , ,

winter-skin-care-tips-minnesota-dermatologyWinter in Minnesota means lots of cold, dry air which reeks havoc on your skin. Dry skin can itch, flake, crack, and even bleed and without a change in your skin care, dry air can even make fine lines and wrinkles more noticeable.To help heal and prevent dry skin follow these few simple steps as provided by the American Academy of Dermatology.

1. Prevent baths and showers from making dry skin worse.

  • Close the bathroom door
  • Limit your time in the shower or bath to 5 or 10 minutes
  • Use warm rather than hot water
  • Wash with a gentle, fragrance-free cleanser
  • Apply enough cleanser to remove dirt and oil, but avoid using so much that you see a thick lather
  • Blot your skin gently dry with a towel
  • Slather on the moisturizer immediately after drying your skin

2. Apply moisturizer immediately after washing. Ointments, creams, and lotions (moisturizers) work by best-moisturizer-winter-skin-dermatology-mntrapping existing moisture in your skin. To trap this much-needed moisture, you need to apply a moisturizer within few minutes of drying your hands or body. We like to recommend Cetaphil and CeraVe as good everyday moisturizers for all of our patients.

3. Use an ointment or cream rather than a lotion. Ointments and creams are more effective and less irritating than lotions. Avoid scented products that can increase skin irritation. Shea butter and coconut oil also work well.

4. Wear lip balm. Choose a lip balm that feels good on your lips. Some healing lip balms can irritate your lips if they are scented. If you experience any tingling sensation, do not use the lip balm. We like to recommend Aquaphor to all of our patients.

5. Use only gentle, unscented skin care products. Some skin care products are too harsh for dry, sensitive skin. When your skin is dry, stop using:

  • Deodorant soaps
  • Skin care products that contain alcohol, fragrance, or alpha-hydroxy acid (AHA)

6. Wear gloves. Our hands are often the first place we notice dry skin. You can reduce dry, raw skin by wearing gloves. Be sure to put gloves on before you:

  • Go outdoors in winter
  • Perform tasks that require you to get your hands wet
  • Get chemicals, greases, and other substances on your hands
Wear cotton gloves under wool to avoid skin irritation and be sure to avoid wet gloves or cloths which can exacerbate eczema, cracking,  or cause sores.

7. Choose non-irritating clothes and laundry detergent. When our skin is dry even clothes and laundry detergent can be irritating. To avoid this:

  • Wear cotton or silk under your clothing made of wool or another material that feels rough
  • Use laundry detergent labeled “hypoallergenic”

8. Stay warm without cozying up to a fireplace or other heat source. Sitting in front of an open flame or other heat source can dry your skin. 

9. Add moisture to the air. Plug in a humidifier. If you can check your home heating system, find out if you have a humidifier on the system — and whether it’s working. Central heating actually blasts hot dry air throughout your home.

10. As always, continue to wear sunscreen on exposed areas of skin. Light actually reflects off the snow and can cause a severe sunburn. It is especially important to reapply sunscreen if you are performing physically extensive activities such as snowboarding or skiing when you can sweat off your SPF.
When to see a dermatologist
Your skin should start to feel better quickly. If these changes do not bring relief, you may want to contact the clinic. Very dry skin can require a prescription ointment or cream. Dry skin also can be a sign of a skin condition that needs treatment. A dermatologist can examine your skin and explain what can help reduce your discomfort.

 

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