Medical Dermatology

Experts in the management of cosmetic disorders of the skin including hair loss and scars, the team of MDLI expert board certified dermatologists also have extensive training and experience in the diagnosis and treatment of skin cancers, melanomas, moles, and other tumors of the skin, contact dermatitis and other allergic and non-allergic disorders.

Dermatologists are uniquely trained to analyze the skin, hair, and nails. They can spot potential problems and diagnose a multitude of conditions that range from minor to life-threatening. These skills and knowledge can improve the lives of patients of all ages — the infant with a red birthmark, the child with eczema, the baby boomer with sun-damaged skin, the senior citizen with a basal cell carcinoma — effectively treating their skin conditions and making them look and feel their best.

Our team of board certified dermatologists are highly trained in all aspects of dermatologic surgery including electrosurgery, cryosurgery with the use of freezing surgical units, laser surgery, nail surgery, biopsy techniques and excisional surgery with appropriate closures, including flaps and grafts.

At MIAMI DERMATOLOGY AND LASER INSTITUTE in Miami, our medical team provides general medical care for the skin and also focuses on the specialized areas of surgical, laser and cosmetic dermatology. MDLI is your trusted partner in maintaining the health of your skin, hair, and nails in south Florida.

Acne

At MIAMI DERMATOLOGIST AND LASER INSTITUTE (MDLI) our board certified dermatologists are acne treatment specialists. We treat teenage acne in girls and boys, as well as adult acne and hormonal acne with a wide range of medications, light and laser treatments, chemical peels and acne extractions.

Acne commonly affects people once they enter puberty as production of the hormone androgen increases, resulting in more oil production in the skin. Acne develops when oil (sebaceous) glands around the hair follicles become plugged. Bacteria grow in the trapped oil and irritate the glands, causing redness, pain, and swelling. While acne commonly appears on the face, it can also develop on the neck, chest, shoulders, and back. Acne symptoms can range from mild (occasional outbreaks of individual pimples) to severe (frequent eruptions of swollen and deep cysts).

How acne is treated depends on the type of acne you have and how severe it is. Topical and oral medications such as antibiotics, retinoids and other preparations are typically used as the first course of treatment. Chemical peels improve skin tone, texture, and radiance as well as treat acne. When acne is more severe, oral Isotretinoin may be prescribed. Medications vary in their effectiveness and have to be taken for a period of time for improvement to become noticeable.

Adult female acne often has a hormonal component. It may worsen just prior to or during the start of the menstrual cycle. Both spironolactone and oral contraceptive therapy can be used in conjunction with traditional acne treatment. Acne in pregnancy can be safely treated with a combination of topical antibiotic called erythromycin, azelaic acid, and blue light treatment.

Our medical team at MDLI will design a customized acne treatment program for each individual patient based on his or her condition, lifestyle, and goals.

Rosacea

Rosacea is a facial skin condition characterized by persistent redness, flushing, mild swelling, and in more severe cases red, pimple-like bumps on the cheeks and nose. It is most common in people with fair skin, and affects women more often than men. The persistent red color of the face is caused by a network of small blood vessels (telangiectasia) that have enlarged and become more visible in the skin. Cumulative sun exposure and certain types of food and drugs, alcohol, heat, stress, and exercise can trigger rosacea. Because it is so visible, this disease can affect quality of life by making affected individuals self-conscious about their appearance.

Rosacea is a common skin condition, usually occurring on the central face. It is typically characterized by facial flushing worsened by exercise, extreme temperatures, stress, and spicy foods or beverages. There are four subtypes: erythematotelangiectatic (redness and broken blood vessels), papulopustular (acne-like bumps), phymatous (thickening of the skin and excessive growth of oil glands), and ocular rosacea (redness and irritation of the eyes).

The cause of rosacea is unknown but blood vessel changes, underlying skin inflammation, skin mites (Demodex), and even iron metabolism may contribute to the condition. Genetics also play a role. People of Northern European ancestry are more likely to develop the condition.

Sunblock, topical prescription medications, oral doxycycline, laser treatment, IPL treatment all may help control rosacea. Avoidance of aggravating factors is also important to avoid flares.

Our medical team at MDLI will design a customized rosacea treatment program for each individual patient based on his or her condition, lifestyle, and goals.

Psoriasis

Psoriasis is a very common and chronic, autoimmune condition affecting the skin. Approximately 1% of the population is affected by psoriasis, and there is a genetic component. Approximately 30% of patients with psoriasis may have joint disease called psoriatic arthritis, which necessitates effective treatment to avoid permanent joint damage.

There are several forms of psoriasis. The most common, psoriasis vulgaris, appears as red patches with overlying silver-white flakes that are found on the elbows, knees, body, and scalp. Other variants can occur in body folds or on the hands and feet, or even following a streptococcal bacterial infection. The fingernails or toenails may also be affected by psoriasis.

Treatment for psoriasis depends on the location and severity of the condition. Various topical prescriptions including steroids, calcineurin inhibitors, or tar therapy have been the mainstay of psoriasis treatment. The expert board certified dermatologists at MIAMI DERMATOLOGY AND LASER INSTITUTE (MDLI) are on the forefront of new developments for treating psoriasis, eczema and other inflammatory skin diseases with the most effective solutions, ranging from light therapy, oral medications, and injectable biologic therapy for more severe cases of psoriasis.

Our medical team at MDLI will design a customized psoriasis treatment program for each individual patient based on his or her condition, lifestyle, and goals.

Hair Disorders

Abnormalities of hair growth carry a great psychosocial impact, and can be related to self-image for both men and women.

Hair growth abnormalities include disorders of hair loss is called alopecia. Excess hair growth is referred to as hypertrichosis.

Alopecia may be categorized into diffuse alopecia, in which hair loss occurs throughout the scalp, and focal alopecia, with distinct areas of localized hair loss or bald spots.

Another important distinction to be made is whether a scarring or non-scarring process has occurred. In scarring alopecias, inflammation within the scalp has lead to destruction of hair follicles. In this situation, therapy is indicated for preventing further hair loss because it is unlikely to be significant regrowth. In patients with non-scarring alopecia, hair follicles are still present, so treatment is more focused on encouraged hair regrowth.

Hypertrichosis may also be localized or diffuse, and may be congenital where you are born with this condition, and can also develop at any time. Hirsutism occurs in women and refers to excess hair growth on the face or body, such a facial hair. In some cases this may be due to an underlying endocrine or hormonal condition.

At MDLI, we offer a comprehensive evaluation of patients suffering from hair growth abnormalities. Our goal is to determine whether the disturbance in hair growth is reversible, and to individualize therapy to meet our patient’s needs.

General Types of Hair Disorders

  • Alopecia
  • Hypertrichosis

Warts

Warts are harmless skin growths caused by a virus. Warts can grow on any part of the body. Their appearance depends on their location. On the face and tops of the hands warts protrude, while on such pressure areas as the palms of the hands and soles of the feet they are pushed inward. Warts on the bottoms of the feet (called plantar warts) grow inward from the pressure of standing and walking and are often painful. Warts have a rough surface on which tiny dark specks (blood vessels) can often be seen.

Warts are very common and may bleed if injured. Since warts are caused by a virus, they are contagious. Warts may spread to other areas of the body since a wart is the source of a virus that can seed other areas. Unfortunately, there is no way to prevent warts. They will often disappear by themselves, especially in young children but this spontaneous disappearance is less common in older children and adults.

Since we are unable to kill the virus, treatment consists of destroying the wart. Warts can be destroyed with surgery, lasers, by freezing with liquid nitrogen, electrodessication and curretage, bleomycin injections, or with chemicals. The treatment to be used on your warts depends on their location, size, your type of skin, and the duration the wart has been present. In some cases, new warts may form while existing ones are being destroyed. Warts may return weeks or months after an apparent cure. The treatment can be repeated or modified to destroy the wart.

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