Great News for Accutane Patients!

During this period of social distancing due to COVID-19, the American Academy of Dermatology has made access to your medication easier. They are allowing for the use of telemedicine virtual appointments and for at home pregnancy testing for female patients. The pandemic has brought many changes in our lives. During this time, it can be comforting to know that one thing remains the same. You can continue to rely on a dermatologist’s expertise to help with you safely take isotretinoin. Please click here to read about the recent changes.


Virtual Dermatology

During this Covid crisis we are pleased to offer you the
opportunity of addressing your dermatological needs via TELEMEDICINE.

Your virtual visit with one of our providers will allow
us to evaluate your issue through the help of photos you can upload and through
a live video chat platform. Your visit will be billed to your insurance
company.

You may schedule an appointment with us by calling Charlottesville Dermatology, 434-984-2400. You can email pictures of worrisome lesions or skin problems to telemed@lanab4.sg-host.com prior to your appointment. If you would like more detailed information about this please click here.

We are very pleased to be able to offer you a way to
address your skin concerns from the safety of your home during these trying
times.

Please stay safe and healthy,

From all of us at Charlottesville Dermatology.


Best of Cville 2019

From Best of Cville 2019:
Best Dermatologist: Dr. Anna Magee
Runner-up best medical spa: Nua Medical Spa

"Anna Magee returns to the winner’s circle this year, the spot she and her practice, Charlottesville Dermatology, held in 2014, 2015, and 2016. She’s closing in on 25 years in business, and recently expanded her services with the addition of Nua The Medical Spa at Charlottesville Dermatology." - Best of Cville 2019


Preventing Nonmelanoma skin cancers

90% of nonmelanoma skin cancers (like basal cell carcinoma and squamous cell carcinoma) are associated with the sun’s UV rays. This means that, with the right behaviors, they’re also generally preventable.
 
Sunscreen alone is not enough.
 
  1. Seek the shade, especially between 10 AM and 4 PM.
  2. Do not burn.
  3. Avoid tanning and UV tanning booths.
  4. Cover up with clothing, including a broad-brimmed hat and UV-blocking sunglasses.
  5. Use a broad spectrum (UVA/UVB) sunscreen with an SPF of 15 or higher every day. For extended outdoor activity, use a water-resistant, broad spectrum (UVA/UVB) sunscreen with an SPF of 30 or higher.
  6. Apply 1 ounce (2 tablespoons) of sunscreen to your entire body 30 minutes before going outside. Reapply every two hours or immediately after swimming or excessive sweating.
  7. Keep newborns out of the sun. Sunscreens should be used on babies over the age of six months.
  8. Examine your skin head-to-toe every month.
  9. See your physician every year for a professional skin exam.

 


INFINI will rejuvenate and tighten your skin!

 

How INFINI works

INFINI combines fractional radiofrequency with microneedling technologies. There are many radiofrequency devices that treat the skin from the outside in; however, INFINI uses flow needle technology to deliver the radiofrequency current instead only to the deeper level of the skin where it is needed - the dermis – and not to the superficial level of the skin – the epidermis – which could be injured by the radiofrequency strength. The dermis, the second layer of skin, contains collagen - the supporting structure of our skin. INFINI delivers heat energy via RF to the dermis, thus creating multiple mini-coagulation zones at the dermal layer – precise and specific injuries - which then encourages collagen re-growth and tissue tightening exactly at the depth needed in the skin.

Radiofrequency (RF) technology

Radiofrequency (RF) energy is compared to radio waves because they both occur at the same frequency. However, RF is in fact electrical energy. RF devices used in the skin deliver electrical energy into the skin/collagen (collagen makes up 80% of skin), heating the targeted area.

Collagen in the skin is affected by age in various ways. Skin becomes thinner and drier, and develops sags and wrinkles due to the collagen and elastin (one of the other components of skin) becoming increasingly disconnected. Growth of new skin cells slows down dramatically. All skin rejuvenation devices create a specific type of injury in the skin, which then signals the otherwise sluggish, slow-reproducing collagen to suddenly ramp up its new collagen production. Collagen typically needs to face a heat source – light (like IPL), laser (like Fraxel), or electrical energy (like RF), to be stimulated to produce new collagen.

RF technologies used in the skin are divided into subcategories. The "polarity" of the device is described as being either monopolar, bipolar, or multipolar. INFINI is multipolar, which means it's a polar device with multiple paired needle electrodes.

RF devices can also be classified by how they affect the skin. Traditional categories have been non-ablative, sublative, and ablative, depending on whether the RF technology injures the top layers of the skin. INIFINI is in a category of its own as it delivers multi-dimensional energy in many layers of the dermis.

Finally, some RF devices are fractional, including INFINI. Fractionated devices deliver many discrete zones of energy delivery, rather than a single large treatment stamp. Fractionated devices, RF or carbon dioxide lasers allow skin following treatment to heal faster.

Microneedling

Microneedling uses extremely small sterilized needles on the skin, and traditional microneedling is not associated with a light or energy device. The INFINI hand piece contains 49 microscopic needles that are deployed through the skin's surface. Once deployed, the INFINI micro needle tips conduct radiofrequency energy into predetermined depths of the dermis, a huge advantage over traditional micro needling devices.

 

Skin conditions treatable with INFINI

Loose skin (laxity) and wrinkles are commonly treated with INFINI to achieve tissue tightening, collagen formation, re-volumization of tissues, and improvement of skin texture. Not only is INFINI beneficial for skin wrinkles and skin tightening, but also for scar remodeling. Traumatic scars and most types of acne scars respond well to a series of INFINI treatments.

Areas of the face / body treatable with INFINI

The face is the most common area of treatment, in order to correct wrinkles, scars or skin texture. However, neck aging and crepey skin respond well to INFINI treatment. Vertical wrinkles of the decolletage area can be treated with INFINI for chest rejuvenation.

Skin types able to use INFINI

INFINI is safe for all skin types. With INFINI, RF energy from the device bypasses the skin's surface layer (epidermis) and is delivered directly to the lower, collagen-producing dermis. Since the top layer of the skin is not treated, the risk of post-treatment pigmentation is greatly reduced. INFINI is approved for treatment of ALL skin types, and is an ideal option for Hispanic, Asian and African American patients who are not good candidates for laser procedures due to the risk of pigmentary problems.

Number of treatments necessary

Typically two to four treatments are recommended. INFINI treatments are typically spaced approximately 4 weeks apart.

Pain factor

INFINI can be uncomfortable.  A topical numbing ointment (a mixture of lidocaine and tetracaine) is applied 1-1/2-2 hours prior to the procedure. According to a large study of almost 500 patients on three continents, INFINI patients reported discomfort as mild in nature and similar to a mild sting or snap.

Side effects

Side effects are quite mild in nature, making this a minimal downtime treatment. For patients with very vascular skin, there may be mild pinpoint bleeding and a very small chance of bruise. Because there is a chance of bruising with any mildly invasive skin treatment, we advise patients to refrain from taking aspirin, ibuprofen, acetaminophen, naproxen, Vitamin E and Fish Oil for at least 1 week prior to treatment. The most common side effect is that the skin is mildly red (a “windburn” look) for approximately 24 hours. The skin may feel slightly rough like sandpaper for 2-3 days. Many patients can resume their normal routine within a day.

 


What to expect with microdermabrasion

What is it?

Microdermabrasion treatments use a minimally abrasive instrument to gently sand your skin, removing the thicker, uneven outer layer. This treatment works in a series to achieve the best results. At Charlottesville Dermatology, we use a diamond-tipped wand to abrade the surface of the skin.

This type of skin rejuvenation is used to treat light scarring, discoloration, sun damage and stretch marks.

 

What to expect during a treatment

First, we clean your skin with a cleanser appropriate to your skin. We then follow with the microdermabrasion wand over your skin, then tone your skin with soothing green tea mist. followed by a treatment of our ultra-hydrating hyaluronic acid serum, then Journee Bio-Restorative Day Cream. The entire procedure should take 30 minutes.

What microdermabrasion can do:

  • Fade age spots and clear blackheads
  • Lessen hyperpigmentation (patches of darkened skin)
  • Exfoliate your skin, resulting in a refreshed appearance
  • Lessen the appearance of stretch marks.
  • Reduce fine lines and wrinkles
  • Unclog pores, thereby reducing the appearance of them
  • Treat acne and the scars left by acne

Microdermabrasion is fairly a mild procedure, but it is still a collagen-stimulating treatment.  Collagen is the building block of healthy glowing skin, and its deterioration over time is what causes dullness and aged-looking skin.  Collagen is a protein in your skin that's abundant when you're a child and makes skin appear taut and smooth. Collagen production declines as we age, resulting in looser, uneven skin.

 


Winter Skin Treatments

With shorter days, colder weather and overcast skies, late fall and winter are the perfect times of the year for several skin and hair treatments that are less safe or effective if performed in the sunny summer months when we are spending a lot of time outdoors.

 

Laser Hair Removal
Laser hair removal technology targets pigment (ideally only in the hair) to disrupt the hair's growth.  The darker your skin, the more pigment there is to attract the laser, and therefore the less effective the hair removal technology will be. Furthermore more pigment in the skin increases the likelihood of receiving a burn from the laser.  Therefore it's best to do hair laser treatments in the fall/winter because skin has less melanin than at other times of the year.  Additionally, you will need to avoid sun exposure for two weeks after a treatment, which is easier to do in the colder months when skin is covered anyway.  Finally, laser hair removal takes 6 treatments every 6-8 weeks apart for all hair to be removed. If you start in the fall, by summer all unwanted hair will be gone!

Chemical Peels / Microdermabrasion / Micro-Needling
All these treatments encourage cell turnover.  This can temporarily increase vulnerability to the sun more than even normally as superficial skin layers are removed; therefore, late fall and winter are perfect times to try these.  Winter’s dry indoor heating and cold air can also dull your skin, no matter how moisturized you try to keep it. Micro-needling can allow nutrients like vitamins C and E and all your moisturizers to penetrate and rejuvenate skin, giving you a radiant glow without the sun.

Laser and Light Treatments
The best winter treatments for skin are those that target pigmentation.  Light and laser treatments like IPL (intense pulsed light) and Fraxel target pigmentation problems. IPL addresses blemishes, redness, and brown spots, while Fraxel evens out color and helps with fine lines and texture. In either case, fall, winter and early spring are the time to do these procedures. Post-treatment your skin is slightly more sensitive to light, which can result in new, unwanted spots if you get too much sun too soon after the treatments.