Dr. Pimple Popper: Your Guilty Pleasure

posted on: May 21, 2015

Untitled design (1)A few weeks ago, Dr. Lee and I were discussing one of the segments she had taped on The Doctors Show. Her most popular clips seemed to be the ones in which she was removing cysts or blackheads.

“Why don’t we create an Instagram account that only shows us removing things that pop? Blackheads, etc..?!” I asked her.

Thats when @drpimplepopper was born.

There is something deeply satisfying about watching the removal of these skin imperfections. What I didn’t realize was how many other people felt the same way! Almost overnight, @drpimplepopper gained thousands of followers (at time of publishing 154,000 are following these 15 sec. videos of guilty pleasure)

Our Instagram has touched all corners of the world thanks to coverage by Buzzfeed USA, The Guardian, Allure Magazine Blog, Cosmopolitan.com, Daily Mail UK, Irish Mirror, Huffington Post UK, Terra Brasil. Thanks to such exposure, we have been able to give back to one of Dr. Lee’s special patients, Mr. Wilson.

Mr. Wilson lost his wife recently, and for each visit while Dr. Lee squeezed him, he would share more of his story, which touched many viewers. Thanks to a Gofundme.com collection started by Dr. Lee, Mr. Wilson was gifted $6,800 to help his current financial situation, and brighten his day since his wife passed away.

 

If you haven’t already, make sure to follow @drpimplepopper, my personal account @whitecoattreatment as well as @drsandralee

 

White Coat Wednesday: What I am Wearing

posted on: May 20, 2015

Medelita White Lab Coat Physician Assistant

The medical white coat has a lot of history behind it. Physicians adopted the white coat from scientists to emphasize the transition to the more scientific, modern medicine approach from the quackery of 19th century medicine. The modern white coat was also introduced as a symbol of cleanliness. Depending on the facility/speciality you encounter you may find your provider wearing scrubs, a white coat, business attire or flip-flops and shorts like one OB/GYN I rotated with (delivering babies=messy. so… no thanks). I choose to wear business attire and my white coat about 80% of the time. The other 20% you’ll find me in scrubs depending on what procedures I’m preforming that day.

This is the latest M3 Etsie lab coat from Medelita. I seriously cannot get enough of their lab coats, I have more than I can count. And the material is so soft and the fit is impeccable. As a medical professionally you work YEARS/DECADES to get to the point of privileged of wearing a white coat so why not splurge and get a nice one?

Dress: Maggy London (0ld) Similar: HERE

I was interviewed by Stena Chang from Medelita, learn more about me by clicking here!

 

Why Powdered Sunscreen is the Shiznet

posted on: May 19, 2015

Approx 5,328 times a day I educate patients on sun protection. This includes everyone from patients on sun sensitive acne medications to those concerned with brown spots and wrinkles. When I tell my patients that the most important aspects on using sunscreen is reapplication every few hours I commonly get the side-eye mixed with “haha you’re crazy if you think I’m reapplying this thick white crap over my make-up” look.

That is when I pull out my semi-secret weapon. Powdered Sunscreen. Now this is not a new technology, but I find most people are not aware it exists. I am not talking about powdered foundation make-up with and SPF in it. I am talking about straight up (typically zinc based) sunscreen powder. Simply tap, brush on and reapply. I still recommend a base of liquid sunscreen (I like ones with Zinc Oxide and Titanium Dioxide) in the morning before putting on all of your moisturizers and make-up but, reapplying with sunscreen powder doesn’t get much easier. It’s seriously the best for fussy kids (and husbands) on their faces too.

This is not just for your face, I wear this on my hands as well, especially when driving. There is only so much a Dermatology PA can do once skin has been damaged by the sun. Establish your regimen now!  Hands show the tell-tale signs of aging and most people are more concerned with the wrinkles and brown spots on their face and chest, neglecting their hands.

I am not sponsored by any of these products, I just feel a personal responsibility to spread the word about them!

Colorscience Sunforgettable– this is the one I use.

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Check out this other brand too:

Peter Thomas Roth Anti-Aging Instant Mineral SPF 45

Not a whitehead, but rather a Milia

posted on: May 15, 2015

Milia are small, pearly-white or yellowish bumps right under the skin which is actually a tiny cyst filled with a protein called Keratin. They are most commonly seen on the skin around the cheeks, nose, eyelids, forehead and chest but they can occur anywhere on the body.

Although harmless, they can be so annoying and darn near impossible for you to remove yourself. Often they will disappear on their own but that may take weeks or months to occur, and most people prefer not to walk around with this white bump on their face. While thick creams and ointments applied to the skin may cause milia, often we do not fully understand what causes them.

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How do we treat milia?

There are a few ways you can treat milia. What is not recommended is that you treat them yourself at home. If you try to squeeze or pick your milia this can lead to skin damage, scarring or infection. I will not even treat my own milia, as I find it difficult to do on myself. The problem with milia is there is no opening, like an easily extracted blackhead, so you have to create an opening to get it out. My go-to way to treat milia is by using a fine needle or light cautery to create an opening in the milia and then expressing the milia out with a comedone extractor. If milia become very widespread and persistent you can consider these options:

Chemical Peels: A light acid peel is applied to the skin for a few minutes and washed off. Over the next few days this will peel off the top layer of the skin and peel some of the milia off as well.

Microdermabrasion: This procedure utilizes the application of tiny rough grains to buff away the surface layer of skin where the milia are held.

How To Prevent Milia

If you are prone to getting milia follow these steps to prevent new ones from forming:

  • Avoid heavy cosmetics and creams- These products can block your pores causing more milia to form.
  • Apply a retinol/retinoid (rx) daily- They have exfoliating properties that turn over dead skin cells and keep your skin soft and clear.
  • Gently exfoliate your skin- My preferred method for gentle exfoliation is a Clarisonic brush. This product gently exfoliates your skin without causing further irritation.

Do you follow DrPimplePopper on instagram? You can see myself and Dr. Sandra Lee extract lots and lots of milia there!

Baby #3 is a…

posted on: May 13, 2015

Gender Reveal Piñata

I must say, I was ready to see 2014 go. Last year was a rough one- to say the least.

I found out I was pregnant for the 3rd time earlier in the year. The love and joy that my first 2 children had brought into my life made me feel so excited to welcome our new addition. 10 weeks into pregnancy I suffered a miscarriage, something I was not prepared for, but who really is?

I never considered the possibility of having a miscarriage, although approximately 20% of pregnancies end this way. Time has healed the pain, but I still keep the memory of my angel baby close to my heart.

Later in 2014, our Medical Assistant Alicia, only 25 years old and a mother of 2 young girls, passed away in a tragic motorcycle accident. Alicia was beyond sweet-the most personable woman with a beautiful smile, she was the most bubbly person I’ve ever met. More importantly, she was a wonderful mother. She adored her daughters and loved them more than anyone could. Everyday we talked about her daughters, her life revolved around those 2 little girls, her love for them was immeasurable.

I worked with Alicia for 5 years, we were pregnant at the same time and our daughters are now the same age. I mourned the loss of a dear friend, and also grieve for her 2 daughters and how they will never see their mother again. Fortunately the girls have a wonderful father who is taking care of them and doing a wonderful job.

Alicia’s death coincided with what would be the due date of the 3rd child that I miscarried, and the emotional pain weighed heavy on my heart. The outcome of the experiences of 2014 have made me a different person; it has deepened my appreciation for my husband and children. More than ever I am grateful for the people I have in my life. Knowing that life can change so drastically in an instant makes me put even more priorities into my family and personal life.

In early 2015, I was excited to find out I was pregnant again! Feelings mixed with caution knowing how fragile a pregnancy can be. I held off on telling people I was pregnant until we reached that magic 12 week mark so when my first trimester came and went, I breathed a sigh of relief. While I know a pregnancy is never “safe” the risk of miscarriages significantly decreases after 12 weeks.

My type-A personality could never fathom waiting until the birth of the baby to find out the sex, so we set up a gender ultrasound at 15 weeks. My husband is worse at waiting than I am, but for this time around I wanted to do a fun surprise. My husband said if he could find out the gender at the ultrasound then he would plan a surprise for me on mother’s day for the reveal. With out further adieu, take a look at what our tie breaker baby is going to be…

 

Someone wasn’t too happy about the results of the reveal but she has since become more excited about another baby in the house and another kiddo to boss around.

 

Dermaplaning: Painless & No downtime

posted on: April 23, 2015

DERMAPLAINING AND SKIN BLADING
Dermaplaning or Skin Blading is one of the most painless and effective ways to achieve smoother more vibrant looking skin. The procedure is simple involving a small and sterile surgical blade held against the skin at an angle and stroked along the surface of the face. The treatment is extremely safe and there is not much more risk than actually shaving your face. Skin blading removes the villous hairs as well as terminal hairs (for men). A question that may be of concern for this procedure is, “Will my hair grow back thicker if I have dermaplaining”? The answer is no, your villous hairs (thinner, soft hairs) will in time grow back, but it will not cause them to be thicker or darker. Skin blading is only performed on the face, not including the nose, eye lids, neck or chest. Blading can be performed as much as every 3-4 weeks but that is not always needed. After dermaplaning the skin can sometimes peel, but this is normal.

A very simple procedure which you can add to your skin care repertoire!

Why you should be thinking about bikini season now: Laser Hair Removal

posted on: February 12, 2015

LASER HAIR REMOVAL

Is anyone else ready for summer time? I sure am. When we start thinking about summer time and hair removal it’s often too late to start treatments. Most laser treatments require you to avoid the sun or be very careful about avoiding the sun after the treatment. Patients must also wait until their tan has faded from the previous summer before receiving most laser treatments. Now is a great time to get started. Another advantage of undergoing laser treatments during this time of year is that most lasers require a series of applications to yield optimal results. For example, laser hair removal typically requires 5-7 treatments, while vein reduction with sclerotherapy usually requires 2-3 treatments, etc. Therefore, it’s wise to give yourself a little extra lead time if you want to be able to show off your results on that beach vacation you’re planning this summer.

Laser hair removal is the best way to permanently reduce unwanted hair. Laser Hair Removal will not remove 100% of your hair. Typically it removes 70-85% of the hair, but the hair that is left is thinner, finer and grows in slower. Laser hair removal involves a beam of highly concentrated pulses of light penetrating through the skin being absorbed by hair follicles. The heat that is generated will ultimately destroy the hair and it’s potential for regrowth.  Learn more about laser hair removal in the above video.

Moley, Moley, Moley: What to consider when evaluating your moles

posted on: January 29, 2015

Moles can appear anywhere on our bodies from the bottom our feet to the top of our head and everywhere in-between. While most of them are harmless, some may be cancerous and cause harm if not treated in a timely manner.  To decide if you should seek evaluation about a particular mole that may be dangerous, follow the ABCDE rules for potential skin cancer at home.

  • A is to see if your mole has asymmetry, meaning one half is larger than the other.
  • B is to look at border irregularity. Borders with jagged edges that are uneven can be some of the first warning signs.
  • C is to look at the color, if the color changes or is a shade of black or bluish-grey you can be at risk.
  • D is to look at the diameter of the mole, if it is greater than six millimeters, about the size of an average pencil eraser then you may want to have it evaluated.
  • E is evolution. This is probably the most important factor. If your mole is evolving (aka: growing and changing) it is very important to have it examined.

Although skin cancer seems scary, most moles are benign and we are able to test it in a timely manner. Having a cancerous mole is not the only reason to have a mole removed. Many people choose to have multiple moles removed for their own convenience due to factors such as; they simply do not like it, to it being in a highly seen place such as the face. The mole removal process is quick, safe, easy, and low on the pain scale. If you are questioning a mole, or feel at all uncomfortable about one, make an appointment to see what your treatment options are.

Banish Dry Skin With These Skin Care Tips

posted on: December 29, 2014

Cetaphil Dry Skin Tips
 
It’s that time of year when the weather starts cooling down and our skin starts drying out. Following these skin care tips can get your dry, flakey skin fast relief. 

1. Avoid Long Hot Showers– Hot water removes natural oils from your skin. Try to limit your showers to 5-10 minutes. Spending more time in the shower leaves your skin less hydrated than before you started. Choose a short warm shower for dry skin.

2. Apply your moisturizer right after your shower– To lock in the moisture from your shower apply your moisturizer when your skin is still slightly damp. For best results apply your moisturizer within 3 minutes of getting out of the shower.

3. Soothe Chapped Lips: Choose a lip balm with 1% hydrocortisone for maximum relief.

4. Use a Humidifier– Keeping the air moist in your home with a humidifier will also keep you skin moisturized.

5. Choose Ointments and Creams– When choosing a moisturizer for dry skin it is best to choose a cream or an ointment as opposed to a lotion. Creams are oil based where lotions are water based. For even better moisturizing choose ointments like Vaseline or Aquaphor. While ointments are not practical all the time choose them when you have some down time like watching TV or sleeping. Apply a layer of the ointment and cover the area with cotton gloves or socks for event better penetration.

6. Reapply, Reapply, Reapply!– Applying moisturizers once a day is not enough for dry skin. Apply you moisturizers multiple times a day for better results.

7. Make an appointment with your Dermatologist– Is your dry skin painful, itchy or not responding to moisturizers alone? You may have eczema. Eczema often times requires a prescription strength cortisone ointment. Your Dermatologist or Derm PA will be able to evaluate your condition and recommend the best treatment.

8. Visit the Hardware Store– You might be thinking how does this fits in with skin care? Well, we had a patient tell us about a hand cream he found at Home Depot and once we tried it we’ve been sold ever since: O’Keefe’s Working Hands.

Acne Treatment With The TriBeam Laser. Video

posted on: November 5, 2014

I discussed how lasers can work to treat acne in this previous post. Below is a video of the laser in action. First, a lotion is applied to the face that contains very small carbon particles, small enough in size to settle into the pores. With the first pass of the Tri-Beam laser, heat is generated within these particles, which destroy the bacteria, called P.acnes, which resides within our pores and cause acne. The second pass removes the carbon lotion on the surface of the skin by disrupting these tiny carbon particles, thereby superficially peeling the skin and efficiently cleaning out and shrinking the pores. It’s pretty neat to watch the carbon lotion being removed. Enjoy!