Tag Archive for: skin care

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!

Creams for Wrinkles

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

how-to-use-retinoidsAs a certified dermatologist, I am often asked by patients if there are any creams to prevent and treat wrinkles. Luckily, there is! Retinols are vitamin A based derivative that increase cell turnover and help build collagen. Retinols are also great for treating blackheads/whiteheads and help reduce the appearance of some sun spots by exfoliating them away. Until three months ago, prescription strength retinols could only be prescribed by an MD, however Differin recently became a great OTC alternative. Differin, also known as Adaplene .1% gel, is available over the counter at retailers like Target, Walmart, Walgreens, etc and costs approximately $15 for a 15 gram tube.

Retinols are available in varying strength from low to strong potency. Adaplene is considered a low potency option and is great for people with sensitive skin. However, some individuals may need a stronger retinol such as Retin-A (also known as Tretinoin which is a mid potency medication) or Tazorac (the strongest available retinol). It is best to consult your dermatologist before using any of these medications to determine they are safe for you to use.

 

Even though adaplene is considered a low potency retinol, it is important to be educated before using it.

 

All topical medications should first be patch tested on a small area of skin to see how you react to them. For many people, adaplene is a strong retinol and they experience peeling, redness and irritation with overuse. It is best to start using a retinol only a few times a week. When applying a retinol, you should always follow it with a moisturizer to prevent excessive peeling or irritation or even apply moisturizer before and after the retinol, sandwiching it in between to layers of moisturizer. It is best to use a moisturizer that is noncomedogonic product, like Cetaphil or CeraVe, that won’t clog your pores. For people who don’t want the added step of applying moisturizer, the  Tareen Dermatology Retinol Repair 50 is a great option which has moisturizer added to its formulation.

Retinol-Repair-50

It usually takes two weeks for your skin to get used to a retinol and over several weeks you may be able to increase your usage to every other night or nightly. Retinols are safe to apply long term by all ages but should be discontinued when planning pregnancy.
For other information or to discuss further treatment options, call Tareen Dermatology at 651-633-6883  to schedule your appointment today.

Summer Sun Protection

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

fox9-new-melanoma-increase-dr-tareen-skin-cancerMemorial Day is right around the corner – that means BBQs, swimming and days on the lake will be here before we know it!  There’s no need to compromise your fun or limit outdoor activities, as long as you know how to safely protect your skin while enjoying the Minnesota summer!

The way we look at it, there are two strategies for sun protection (we recommend combining both!)  The first is true sun avoidance; this is wearing a wide-brimmed hat to shade your face and neck, wearing sun protective clothing (more on this below!) and pulling the big umbrella over to cover your picnic table. The second strategy for sun protection is sunscreen.  There are endless options available, so it’s important to know what you should be looking for when buying a sunscreen!

The American Academy of Dermatology recommends using a sunscreen that is labeled ‘Broad-spectrum’

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.

(meaning that it protects against both UVA and UVB rays – both of which can lead to skin cancer AND the features of aging skin.)  You should choose a broad-spectrum sunscreen that is SPF 30 or higher and labeled as ‘Water Resistant.’  One interesting sunscreen tidbit is that you’ll no longer see ‘waterproof’ on sunscreens – no sunscreen is 100% waterproof and finally the labeling has caught up with this fact!  We recommend applying sunscreen 15 minutes before heading outside and reapplying every 2 hours (more frequently if swimming or sweating!)  

How much sunscreen do you need?  The truth is that less than 50% of people apply enough sunscreen to get the advertised SPF benefit.  For most people, 1 ounce (enough to fill a shot glass) is the amount of sunscreen needed to cover the sun-exposed areas of the body.  Don’t forget – you even need sunscreen when it’s cloudy (the UV rays still can get to your skin!)

Baby Kamran is wearing his hat to protect him from the sun

Kamran sporting his new hat and ready for the summer sun!

What about the kids?  It is imperative that children use sunscreen regularly.  Children over 6 months of age should have a physical sunscreen of SPF 30 or higher applied every 2 hours.  Physical sunscreens use zinc oxide or titanium dioxide to actually physically block the UV rays.  These can be purchased in creams, sprays, sticks, even brightly colored formulations that your kids will love.

The sun protective clothing mentioned above is PERFECT for the little kiddos.  Instead of fighting to reapply sunscreen every 2 hours, throw on a sun protective rash guard while swimming and they won’t have to worry about creams or sprays to that area while they’re having fun.  Previously difficult to find, these sun protective clothing items can easily be found in most children’s stores – adults can find fashionable sun protective clothing for themselves at many clothing stores, as well as outdoor and sporting stores.  

Tareen Dermatology wishes you a safe, fun, and sun-protected start to your summer!  Happy Memorial Day!

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.

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.

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.

 

Bed bugs at your hotel? A guide to prevention.

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

As we enter the holiday travel season, I would like to educate my Tareen Dermatology patients about bed bugs, and more importantly, how to avoid picking them up at hotels.

Bed Bug bites often occur in a line or pattern.

Bed Bug bites often occur in a line or pattern.

Bed bugs are parasitic insects of the cimicid family that feed exclusively on blood. Cimex lectularius is the most common type of bed bug and the type that causes most human infestations.

Unfortunately, bed bugs can live months (and even YEARS) between blood meals. Bed bugs also lay a great deal of eggs and have many offspring. In addition, bed bugs have evolved to become resistant to many insecticides and can survive weeks at extreme temperatures. Thus, PREVENTING bed bugs infestation is the best strategy.

At hotels:

  1. Look around: Bed bugs like right angles, so they can be found on headboards, bed frames, mattress piping, drawers, and windows. They can also be present on the under surfaces of furniture or in peeling paint.
  2. Check for droppings: Bed bug droppings typically are round brown splotches. Check mattresses and sheets as well as other furniture. If droppings are seen, bed bugs have been there and are probably still there.
  3. Follow the 3 foot rule: Check areas within 3 feet or so of hotel beds for evidence of bed bugs as this is the typical distance that they travel.

If you picked them up at your hotel and are now home:

  1. Utilize high heat: Heavy vacuuming and steaming may kill bed bugs if the temperatures are high enough.
  2. Lose the insecticide and forget cold: Insecticides are rarely effective. Bed bugs can also withstand freezing temperatures. Heat and mattress encasements tend to be most effective.
  3. Call Dr. Tareen: For resistant infestations, there are pills and topicals that can be prescribed.

If infestation with bed bugs does occur, do not worry. Bed bug bites are not dangerous. They are however very itchy and do look bad. So, follow the above tips to prevent these little nuisances from ruining your winter vacation.

 

 

Antibacterial soaps: More harm than good?

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

handwashing-banner1As we head into flu season, the benefits of washing hands with soap and water cannot be over emphasized. But what soap exactly should you be washing with?

The Food and Drug Administration (FDA) recently issued a final ruling to pull triclosan and triclocarban from the market. The reason for the ban on the ingredients was multifactorial:
  • Manufacturers failed to show the ingredients to be safe for daily long term use
  • Manufacturers failed to show the ingredients are better than plain soap and water in preventing illness and the spread of infections
The FDA’s rule does not apply to hand sanitizers, wipes, or anti-bacterial products used in health care settings.


According to Janet Woodcock, director of the FDA’s Center for Drug Evaluation and Research “In fact some data suggest that antibacterial ingredients may do more harm than good over the long term.”

 

From my perspective — as a board certified dermatologist practicing in the cold and dry Minnesota climate — I suggest everything in moderation: wash your hands with plain old soap and water, leave the antibacterial soaps for the hospital setting, and moisturize frequently to prevent dry skin and cracks that then subsequently spread infection.


© Copyright 2012 | Minneapolis Dermatologist: Psoriasis & Eczema Care | Tareen Dermatology | Site by Complete Web Resources