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Acne Scarring

Acne Scarring

Acne scarring has many forms and each form requires a different treatment.  For example, ice pick scars respond well to application of 80-90% TCA while rolling scars respond to subcision.  Microneedling can help if the needles penetrate at least 2mm.  While it is...

Can anyone inject Botox or Filler?

Yes and no.  Anyone can inject it but it is best done by someone who has the appropriate training.  I have seen serious side effects including occlusion of major blood vessels when cosmetic products are injected by individuals who never had the appropriate training. ...
Can my keloid just be cut out?

Can my keloid just be cut out?

No.  Cutting out keloid carries a risk of it growing back even larger.  However, Dr. Miller is able to significantly reduce this risk by excising the keloid and then injecting it immediately with a combination of two medications that he learned from one of...

Are all sunscreens created equal?

No!  Make sure your sunscreen is at least an SPF 30 and broad spectrum (blocks UVA and UVB).  In addition, you want an elegant formulation that will not make your face look greasy or pale.  Dr. Miller carries several effective formulations in his office  and also...

How can I treat my acne without antibiotics?

A short course of antibiotics in addition to prescription creams and washes can be very helpful for acne.  If you prefer to avoid antibiotics or cannot tolerate the side effects, salicylic acid peels are a very mild peel which decreases the inflammation of acne by...

Does Isotretinoin (Accutane) cause depression?

First, Accutane is an excellent medication for severe acne leading to permanent clearance of acne in 90% of patients.  There is controversy about the potential for Accutane to cause depression.  Thus far, studies have debunked the claim that Accutane causes...
How can I treat the wrinkles (Crow’s feet) around my eyes?

How can I treat the wrinkles (Crow’s feet) around my eyes?

Contraction of muscles that create a nice smile eventually start to create wrinkles around the eyes.  A neuromodulator such as Botox or Xeomin soften these lines and create a smoother, more youthful appearance.  Below is one of Dr. Miller’s patients who was treated...
What are these brown patches on my face?

What are these brown patches on my face?

Melasma is a condition most often in women that presents with darker patches of skin on the face.  Hormones, pregnancy, sun, and heat are all contributory.  Prescription strength hydroquinone and a sunscreen with Zinc or Titanium are the foundation of treatment.  In...
Dermatologist’s Guide to Daily Skin Care

Dermatologist’s Guide to Daily Skin Care

1) Wear a sunscreen every morning of at least SPF 30. 2) Wash your face with a gentle cleanser every morning and evening 3) Do NOT use a washcloth or brush to wash your face. Just use your hands. Abrasive cleaning with a washcloth causes inflammation and poor skin...

Why are my cheeks and nose always red?

If  you have persistent redness of your cheeks and nose, it is possible you may have rosacea. Types of Rosacea: Papulopustular rosacea can look similar to acne and responds to prescription creams and salicylic acid peels.  Salicylic acid peels create a very...