# Northwest Dermatology ## [Northwest Dermatology Group Premier Dermatologists](https://nw-derm.com/) Northwest Dermatology Group is dedicated to the highest quality of dermatologist care. We provide excellent medical dermatology and cosmetic treatments to our patients. {"hero_badge_text":"Premier Dermatology in Detroit & SE Michigan","hero_stat_number":"2","hero_stat_label":"Convenient Locations","reviews_embed_code":"","services_title":"Experience The Art of Caring","services_sub":"Your journey to perfect skin starts here. We'll help with any conditions while working toward your aesthetic goals.","about_heading":"At Northwest Dermatology We Provide a Welcoming Environment","about_cta_label":"Learn More About Us","about_cta_url":"/about-us","about_body":"Your journey to perfect skin starts here. Northwest Dermatology Group will help you with any conditions you might have, while working toward your aesthetic goals.We provide excellent medical dermatology and cosmetic treatments to patients in Southfield and throughout all of Oakland County.","about_image_main":"https://cdn.liteframecms.com/northwest-dermatology/172.png","about_image_main_alt":"","about_image_accent":"https://cdn.liteframecms.com/northwest-dermatology/ImageASSETsmallSIZEDefaultSTATEDEFAULT-4.png","about_image_accent_alt":"","tele_heading":"Telemedicine Appointments Available","tele_cta_label":"Schedule Online","tele_cta_url":"/schedule","tele_body":"Get expert dermatological care from the comfort of your home. Our telemedicine services make it easy to consult with our board-certified dermatologists for follow-ups, acne treatment, rashes, and more—no waiting room required. Fast, secure, and convenient. New patient, or existing patient telemedicine appointments. Schedule your virtual visit today!","tele_image":"https://cdn.liteframecms.com/northwest-dermatology/telemedicine-1024x683.webp","tele_image_alt":"telemedicine at northwest dermatology group","specialties_title":"We Specialize In","covet_heading":"We help you look your best!","covet_cta_label":"Explore Covet Med Spa","covet_cta_url":"https://covetmedspa.com/","covet_body":"At Covet Med Spa we pair innovative technology with the most clinically-effective products to deliver exceptional, natural-looking outcomes for our clients. We resolve your skin concerns with integrity, efficiency, and results under our board-certified dermatologists’ guidance.","covet_image":"https://cdn.liteframecms.com/northwest-dermatology/emro-2.webp","covet_image_alt":"covet med spa","doctors_title":"Your Dermatology & Skin Care Experts","doctors_sub":"Our providers are board certified, highly skilled, and dedicated to providing the best treatment possible.","commitment_title":"Our Commitment to Our Patients","faq_title":"Frequently Asked Questions","faq_sub":"Answers to the questions we hear most often from new and existing patients.","hero_slides":[{"headline_prefix":"The journey to","headline_accent":"healthy skin","headline_suffix":"starts here","subtext":"There’s no reason to neglect your skin! Northwest Dermatology Group is here to help you put your best face forward. We use State-Of-The-Art Techniques in our effort to provide you with beautiful & healthy skin.","image":"https://cdn.liteframecms.com/northwest-dermatology/112.png","image_alt":"healthy skin starts here","primary_cta_label":"Learn About Northwest Derm","primary_cta_url":"/about-us","secondary_cta_label":"Schedule Appointment","secondary_cta_url":"/schedule"},{"headline_prefix":"Convenient","headline_accent":"Metro Detroit","headline_suffix":"Locations","subtext":"We have two locations, our main office is on Telegraph in Bingham Farms, and our second location is in Washington Twp.","image":"https://cdn.liteframecms.com/northwest-dermatology/Front-Optimized.jpg","image_alt":"northwest dermatology washington twp","primary_cta_label":"Schedule Appointment","primary_cta_url":"/schedule","secondary_cta_label":"","secondary_cta_url":""},{"headline_prefix":"Covet ","headline_accent":"Med","headline_suffix":"Spa","subtext":"We pair innovative technology with the most clinically-effective products to deliver exceptional, natural-looking outcomes for our clients. We resolve your skin concerns with integrity, efficiency, and results all under the guidance of our board-certified dermatologists.","image":"https://cdn.liteframecms.com/northwest-dermatology/GlowingCovet.jpg","image_alt":"detroit med spa","primary_cta_label":"Visit Covet","primary_cta_url":"https://covetmedspa.com","secondary_cta_label":"","secondary_cta_url":""}],"care_items":[{"care_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group12.svg","care_title":"Cosmetic Dermatology","care_description":"Cosmetic Dermatology Treatments for Wellness and Beauty\n\n","care_label":"Explore Covet Med Spa","care_url":"https://covetmedspa.com","care_open_in_new":""},{"care_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group10.svg","care_title":"Skin Cancer","care_description":"Surgical Dermatology Treatments for Skin Cancer and Mohs Surgery","care_label":"Explore Mohs Surgery","care_url":"/mohs-micrographic-surgery/","care_open_in_new":""},{"care_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group8.svg","care_title":"Skin Conditions","care_description":"Medical Dermatology Treatments for a Wide Variety of Conditions","care_label":"Explore Treatments","care_url":"/services","care_open_in_new":""},{"care_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group6.svg","care_title":"Face Treatments","care_description":"We provide expert care in diseases associated with the skin, hair and nails.","care_label":"Explore Skin Care","care_url":"/services/acne","care_open_in_new":""}],"specialties":[{"title":"Medical Dermatology Treatment","link_url":"","image":"https://cdn.liteframecms.com/northwest-dermatology/DSC_9534.jpg","image_alt":"northwest dermatology dermatologist "},{"title":"Surgical Dermatology Treatments","link_url":"","image":"https://cdn.liteframecms.com/northwest-dermatology/SDC_5314.webp","image_alt":"northwest dermatology"},{"title":"Cosmetic Dermatology Treatments","link_url":"","image":"https://cdn.liteframecms.com/northwest-dermatology/DSC_9443.jpg","image_alt":"northwest dermatology"}],"commitment_items":[{"heading":"Patient Focused","description":"At Northwest Dermatology Group, we truly care about our patients. We strive for 100% patient satisfaction."},{"heading":"Friendly & Caring","description":"We hope your visit to our office is enjoyable, and that you will feel comfortable referring friends and family."},{"heading":"Expertise","description":"We provide excellent medical dermatology and cosmetic treatments to patients in Southfield and throughout all of Oakland County."},{"heading":"Professionalism","description":"Through our experienced staff, state-of-the-art equipment, advanced services, and our integrity, we will provide you with a level of unparalleled service."}],"faqs":[{"question":"Where are Northwest Dermatology Group's offices located?","answer":"We have two Metro Detroit locations: our main office on Telegraph Road in Bingham Farms, and a second location in Washington Township. Both offices serve patients across Oakland County and Southeast Michigan. Visit our contact page for addresses, hours, and directions."},{"question":"Do you offer telemedicine appointments?","answer":"Yes. We offer virtual dermatology visits for both new and existing patients. Telemedicine is a convenient option for follow-ups, prescription management, and many skin condition consultations. Schedule your virtual visit online."}]} ## [3 Common Insect Bites & When to See a Doctor](https://nw-derm.com/blog/insect-bites-when-to-see-a-doctor) Common Bug Bites: Learn to identify mosquito, tick, and spider bites. Discover symptoms, treatment options, and warning signs that require immediate medical attention. {"_body":"Summer brings backyard hangouts, days by the pool, and unfortunately bugs that bite such as mosquitoes, ticks, spiders, and more. Most of the time, these bites are harmless, but annoying. But on some occasions, they can cause irritation, allergic reactions, or even infections.  While you’re probably not well-versed in bug bite identification, it’s important to know what bit you! In this guide, we’re going to highlight a few common insect bites and when you should see a doctor.  Mosquito Bites If you’ve ever been bitten by a mosquito––the bloodthirsty flying insect known for itchy bites and, in rare cases, the West Nile virus––you understand what a nuisance they can be! Mosquito bites are itchy, red bumps that result after a mosquito punctures your skin. In some children, and in those who have an allergy to bites, swelling may occur at the wound site.  How Can I Prevent Mosquito Bites? If you want to prevent mosquito bites, it’s important to limit exposure outside between dusk and dawn. In addition, you’ll want to cover exposed skin and use insect repellent to deter mosquitoes.  To prevent mosquito infestation in your yard, make sure to eliminate any sources of stagnant standing water.  When to See a Doctor Most reactions to mosquito bites are virtually harmless and do not generally require medical evaluation. However, constant itchy and scratching the bite site can cause a secondary skin infection to develop.  Symptoms of a mosquito bite infection include warmth, spreading redness or puffy skin, the development of an abscess, and in severe cases, a fever. Make sure to seek medical care if any of these symptoms present.  Tick Bites If you’ve recently walked through overgrown areas with long grasses or thick undergrowth, you need to carefully inspect your body for ticks. Ticks like to latch onto exposed skin and embed underneath the skin. Sometimes ticks may carry the bacteria known to transmit Lyme Disease to their human host. This is why it’s crucial that you find and remove them when you first see them.  In the event of Lyme Disease, you’re safe for at least a day before an infected tick can transmit the bacteria into your bloodstream. If you’re worried about whether you may have contracted Lyme Disease, be on the lookout for a rash that looks like a bullseye. This rash is a known indicator of Lyme Disease.  How Can I Prevent Tick Bites? As per medical guidelines, the best way to prevent tick bites is to wear bug spray that contains DEET, permethrin, or picaridin. In addition to using bug spray, it’s also advised to wear light-colored protective clothing and to tuck your pants into your socks.  Though these methods are great preventatives, they aren’t foolproof. To ensure you do not contract a tick, always avoid heavily wooded areas.  When to See a Doctor Most tick bites are harmless and don’t require medical intervention. However, if you think you may have been bitten by a tick with Lyme Disease, it’s important that you visit your nearest emergency department.  Early symptoms of Lyme Disease onset may include sensitivity to light, a rash,or flu-like illness. Insect Stings Insect stings from bees, wasps, yellow jackets, and hornets are usually no cause for concern. In most minor cases, these stings only cause slight discomfort with some redness, swelling, and itching.  In severe cases, stings from winged insects can cause an allergic reaction––which can be life-threatening.  How to Treat Insect Stings Before you treat the insect sting, make sure the stinger is removed from the injection site. You can remove the stinger by gently scraping the site with a blunt-edged object. Clean the area with mild soap and water and apply an ice pack to stop the swelling.  When to See a Doctor In the event of a bee sting to the mouth, nose, or throat––seek emergency medical care immediately. Symptoms of an allergic reaction to insect stings require immediate medical attention. Symptoms may include the following: Abdominal cramping, vomiting, or diarrhea Tightness in the chest and difficulty breathing Hives, itching, or swelling in areas other than the sting site Swelling of the tongue or throat, or difficulty swallowing Since insect stings can be life-threatening, you must seek emergency medical intervention in the case of an allergic reaction. The Key to Your Best Skin is Prevention! Just like it’s important to prevent bug bites to avoid unnecessary scarring or inflamed skin, it’s important to take the proper steps to prevent skin damage. Prevention is the key to having your best skin yet! And we’ll help you get there. Contact us for more information!"} ## [About Northwest Dermatology](https://nw-derm.com/about-us) Meet the premier dermatologists in Bingham Farms, Michigan. Northwest Dermatology Group uses state-of-the-art techniques for beautiful, healthy skin. Schedule Today! {"intro_heading":"Meet Your Expert Dermatologists","intro_body":"There's no reason to neglect your skin! Northwest Dermatology Group is here to help you put your best face forward. As the premier dermatologist in Bingham Farms, Michigan, we use state-of-the-art techniques to provide you with beautiful & healthy skin.","mission_heading":"Our promise, our mission","mission_body":"Northwest Dermatology Group, PC, is one of the most successful and trusted dermatological practices in Southeastern Michigan. For more than 50 years, Northwest Dermatology has provided expert care in diseases associated with the skin, hair and nails. Our providers are board certified, highly skilled, and dedicated. They treat a wide variety of skin conditions including acne, eczema, hair loss, vitiligo, and psoriasis, as well as more serious conditions such as skin cancer and autoimmune disease. Our treatments are based on the most up-to-date scientific evidence and they are tailored to meet each individual’s needs. Patients in our practice range in age from newborn to elderly, with various skin types and ethnicities. The mission of Northwest Dermatology Group is to provide our patients with the highest standard of care in a warm and professional atmosphere.","mission_image":"https://cdn.liteframecms.com/northwest-dermatology/1163.webp","mission_image_alt":"","providers_title":"Meet Your Expert Dermatologists","providers_sub":"","cta_heading":"Ready to Get Started?","cta_label":"Conveniently Book An Appointment Online","cta_url":"/schedule","cta_body":"Schedule your appointment today and let our expert team help you achieve healthy, beautiful skin.","faq_title":"","faq_sub":"","faqs":[]} ## [Acne](https://nw-derm.com/services/acne) Learn about acne types from mild pimples to severe cysts. Discover treatment options based on severity and get answers to common questions about acne care. {"featured_image2":"","hero_description":"Acne may be mild (a few, occasional pimples), moderate (inflammatory papules), or severe (nodules and cysts). Treatment depends on the severity of the condition. 2","secondary_image":"https://cdn.liteframecms.com/northwest-dermatology/stock_1776784198_8293.jpg","secondary_image_alt":"","service_description":"","faq_title":"FAQ Acne","faq_sub":"","cta_heading":"Clear Skin Starts with the Right Plan","cta_body":"Acne that lingers or leaves marks deserves more than drugstore guesswork. Our dermatologists can identify the type and severity of your acne and build a targeted treatment plan, whether that means prescription topicals, oral medication, or a combination approach designed to get your skin under control and keep it that way.","cta_label":"Schedule Your Acne Consultation","cta_url":"/schedule","meta_title":"","meta_description":"","faqs":[{"question":"Can acne cause permanent scarring?","answer":"Yes. Research published in the Journal of Clinical and Aesthetic Dermatology found that roughly 47% of acne patients develop some degree of scarring. The risk increases with severity: moderate acne doubles the odds compared to mild cases, and severe acne raises the risk more than fivefold. Deep, inflammatory lesions like cysts and nodules are the most likely to leave lasting marks. According to the American Academy of Dermatology, picking or squeezing breakouts significantly increases the chance of permanent scarring, which is why early professional treatment matters."},{"question":"Why am I still getting acne as an adult?","answer":"Adult acne is more common than most people realize. While teenage acne is driven by puberty-related hormone surges, adult breakouts are often linked to fluctuating hormones from menstrual cycles, pregnancy, perimenopause, or conditions like PCOS. The Cleveland Clinic notes that stress, environmental factors, oil-based products, and even certain medications can also trigger adult acne. Because adult skin heals more slowly and produces less collagen than younger skin, breakouts in your 30s and beyond may actually scar more easily than they did in your teens."},{"question":"When should I see a dermatologist for acne instead of treating it myself?","answer":"If over-the-counter products have not improved your acne after 8 to 12 weeks, or if you are developing deep, painful cysts or nodules, it is time for professional help. The AAD emphasizes that early dermatological intervention is one of the best ways to prevent permanent scarring. A dermatologist can prescribe treatments like prescription retinoids, oral antibiotics, or hormonal therapy that are not available over the counter, and can tailor a plan specific to your acne type and skin."}],"_body":"Expert Care For AcneMost people develop acne– the most common skin condition — to some degree, but it primarily affects teenagers undergoing hormonal changes. Northwest Dermatology Group is your source for acne treatment in Bingham Farms and the surrounding areas.Acne may be mild (a few, occasional pimples), moderate (inflammatory papules), or severe (nodules and cysts). Treatment depends on the severity of the condition.What Causes Acne?Acne is primarily a hormonal condition driven by male or ‘androgenic’ hormones, which typically become active during the teenage years. Sensitivity to such hormones, combined with bacteria on the skin, and fatty acids within oil glands, cause acne. Common sites for acne are the face, chest, shoulders, and back — the sites of oil glands.Acne lesions include whiteheads, blackheads, small bumps, and nodules and cysts.Though acne is essentially a normal physiologic occurrence, certain conditions may aggravate the condition, including:Fluctuating hormone levels around the time of menses (women)Manipulating (picking/prodding) acne lesionsClothing (for example, hats and sports helmets) and headgearAcne TreatmentOnly three types of drugs have proven to be effective for the treatment of acne — benzoyl peroxide, retinoids, and antibiotics. Most people require at least one or two agents, depending on the severity of their acne.Benzoyl peroxide, available as an over-the-counter product (for example, Clearasil, Stridex) and by prescription (for example, Benoxyl, PanOxyl, Persagel), targets surface bacteria, which often aggravate acne. Irritation (dryness) is a common side effect.Retinoids (vitamin A derivatives), for example, Retin-A, Differin, Tazorac, treat blackheads and whiteheads, the first lesions of acne. The most common side effect is irritation.Antibiotics, either topically applied to the skin (clindamycin, erythromycin), or taken orally (tetracycline and its derivatives) control surface bacteria and reduce inflammation in the skin. Antibiotics are more effective when combined with benzoyl peroxide or retinoids. The oral retinoid isotretinoin is reserved for people with severe (nodular or cystic) disease. Isotretinoin shrinks the size of oil glands, the anatomic origin of acne. Without active, plump oil glands, acne actively diminishes. Side effects can include dry skin, elevated cholesterol and triglycerides, and birth defects. Women of childbearing age must practice birth control before, during, and after treatment (often a year) with isotretinoin. The use of isotretinoin requires rigorous testing (cholesterol, pregnancy) and follow-up for the prescribed period (5 months). It is reserved for the most severe types of acne that do not respond to other treatments.Hormone therapy may be helpful for some women with acne, especially for those with signs and symptoms (irregular periods, thinning hair) of androgen (male hormone) excess. The hormone therapy consists of low-dose estrogen and progesterone (birth control pills).Acne PreventionTo prevent acne and reduce its damage to your skin, follow these tips.Choose a cleanser specially formulated for acne. These products often contain salicylic acid or benzoyl peroxide, which help to clear acne sores.Clean your face gently, as trauma to the acne breakouts may worsen the acne or cause scarring. When washing your face, use your hands, as any terrycloth or other scrubbing material may cause acne sores to rupture.If you need to use a moisturizer, use only light, noncomedogenic moisturizers, which do not aggravate acne. This type of product may be your best option.If you are a woman, use an oil-free foundation. Heavy makeup or other cosmetic products that block pores may cause a flare-up of acne."} ## [Anti Aging Skincare: Maintain Youthful Skin at Any Age ](https://nw-derm.com/blog/anti-aging-skincare-maintain-youthful-skin-at-any-age) Discover how to adapt your skincare routine as you age. Learn essential anti-aging tips, from cleansing to sun protection, for maintaining healthy, youthful skin. {"_body":"Your Skin Changes with Aging. Your Anti Aging Skincare Routine Should Too  When it comes to skin, by now you’ve mastered the fundamentals. You’re well aware of your skin type (normal, dry, oily, combination, sensitive) and know that different skin types require different approaches to care. You’ve developed an easy-to-follow, three-step routine of cleansing, moisturizing, and sunscreening that treats your skin kindly morning and evening, day after day. You’ve come to terms with the fact that your body and your appearance will change as the years go by. The reality is, aging happens to us all.  Below are anti aging skincare tips for all ages.It’s what you do about the inevitability of aging that matters. That starts with realizing you’ll need to take ongoing adjustments to how your handle your anti aging skin care. Because what made you appear dewy and energetic in your 20s may leave you looking dried out and exhausted by the time your 50s and 60s come around.  Decade-by Decade Strategies for Maintaining Youthful SkinFortunately, we can influence many facets of appearance as they relate to the aging process, with anti aging skincare. We do that by staying attentive to changes as we grow older and making appropriate adjustments to our skincare routines. Such as our summer skincare or winter skincare.Unlocking the Secrets of Anti-Aging: How to Maintain Youthful Skin at Any AgeThis consideration of adjusting skin care to match your age is one of the several topics related to anti-aging we’re exploring over the course of several months. In addition to today’s discussion, watch this space for articles about common sense skincare basics, over-the-counter products that contribute to youthful-looking skin, and medical and dermatological procedures that treat symptoms of aging. Maintaining healthy, fresh-looking skin is possible and important to us all!Skincare in your 20sWith taut structure, appealing smoothness, and supple glow, your twenties is the epitome of skin youthfulness and health. Teenage acne has likely cleared, and skin recovers quickly should any dullness or damage occur. This is the time for establishing a skincare routine that includes preventive practices and prepares skin for what lies ahead. Experts recommend basing skin care on three primary steps: cleansing morning and evening using warm (not hot) water, fingertip application of a gentle product that does not irritate the natural moisture barrier protecting skin; moisturizing while skin is damp with a mild cream to keep skin hydrated; applying sunscreen year-round to block harmful UVA and UVB rays from the sun. Sun exposure (also tanning beds and sunlamps) is the single, most damaging cause of premature damage and skin aging. Skin cancer risk increases too. Anti Aging Skincare in your 30sThis is a time of transition as early signs of aging begin to appear. Production of collagen (the building block of skin, bones, tendons, ligaments, and connective tissue, giving them structure and rigidity) and elastin (protein supporting elasticity of skin, lungs, blood vessels, and other tissues) falls off, leaving fine lines and wrinkles behind. Slower skin cell turnover leads to skin dullness and dryness. Volume loss in fat pads contributes to skin sagging and cheeks caving in. In addition to maintaining established skincare routines, introducing anti-aging products is a smart move. These may include vitamin C or E to mitigate the effects of sun exposure and environmental pollutants, over-the-counter retinol or a prescription retinoid to counteract fine lines and wrinkles and improve skin texture, and hydrating skin with hyaluronic acid to boost elasticity. Botox injections or tissue filler may be an option for some, even at this early age. Anti Aging Skincare in your 40sSigns of aging accelerate in this decade; hormonal changes and accumulated sun exposure may be at fault. Reduced oil production means dryness is a problem, with loss of estrogen contributing to thinner, more brittle skin. The lymphatic system slows, allowing toxins to accumulate in the body; inflammation of skin is a common result. Skin firmness disappears, leaving behind wrinkles and sag. Anti aging skincare takes hold at this stage.Given the many changes happening in the forties, dermatologists and other experts may suggest using two types of cleansers—a gentle exfoliating product and a mild, nourishing lotion to encourage both cell turnover and hydration. For moisture retention, a hyaluronic acid can be used twice daily, and a rich night cream containing glycerin, ceramides, or fatty lipids can encourage skin barrier repair. An anti-aging serum may also aid the cause. Staying physically active is an advantage since movement strengthens cardiac function and helps keep bone and muscle strong. Dermatological procedures (injectables, fillers, laser treatments) may be appealing for those seeking to turn back the clock. Skincare in your 50sPost-menopause our bodies experience hormonal shifts that very much affect the skin, which is thinner and less elastic; bone loss manifests as decreased volume concentrated in the middle of the face. Skin dryness and roughness are major concerns. Fine lines, wrinkles, sagging, inflammation, eye puffiness—all are here to stay. Maintaining your skincare routine is important, albeit perhaps with different products. Peptides may boost collagen production and smooth fine lines, while a low-suds, milky cleanser is great for removing dirt and debris without stripping away all-important natural oils. Look for products designed for older users, and read labels carefully to make sure what you’re getting is age-appropriate for your needs. Talk to your skincare specialist about procedures appropriate to how you want to look and feel. Skincare in your 60s, 70s, and beyond It’s never too late to start anti-aging treatments; you also want to keep doing what’s been working for you all along. If products become less effective, seek alternatives appropriate to your age and changing skin. A vitamin C serum may be especially important, along with a thickening agent to counteract increasingly thin, damage-susceptible skin. A healthy lifestyle, wholesome diet, and regular activity are more important than ever to keep you feeling and looking good. Be sure to stay in touch with your dermatologist throughout this era in your life. Anti-aging procedures may be an option you want to consider; your doctor can help you decide what’s appropriate and when. And be sure to ask for an annual skin check. Skin cancer increases as we grow older, and your skincare expert can identify and treat telltale signs and suspicious growths that signal trouble ahead. Be True to Who You Are Whatever your age now, remember that the past is behind you, and the priciest drugs and most sophisticated surgical procedures can never recapture your long-gone youth. Being comfortable with who you are and how you look now are fundamental to accepting yourself at whatever stage of life. None of us can stop the aging process and the fact that our bodies, our appearances, and yes, our faces, will change. But we can do plenty to understand why it’s happening and manage ourselves wisely. Adjusting skincare approaches to age and situation gives a sense of control over what’s happening to us and why. "} ## [Bingham Farms](https://nw-derm.com/locations/bingham-farms) Northwest Dermatology Group in Bingham Farms, MI. Expert skin care at 32270 Telegraph Rd. Call (248) 353-0880 or book online for dermatology appointments. {"location_address":"32270 Telegraph Rd #200, Bingham Farms, MI 48025","phone_tel":"2483530880","phone_text":"(248) 353-0880","appt_cta":"Book Bingham Farms Appointment","appt_url":"https://l.klara.com/wLdRTLCV8WLJMzXs","location_image":"https://cdn.liteframecms.com/northwest-dermatology/DSC_9472.jpg","google_name":"Northwest Dermatology Group","map_shortcode":"[map location=\"Northwest Dermatology Group\" zoom=\"15\" height=\"500\"]"} ## [Book an Appointment with Dr. Ryan Brothers](https://nw-derm.com/ga-lp-dr-ryan-brothers) Book online with Dr. Ryan Brothers, rated 4.7 by 950+ patients. New lunchtime & evening appointments available at two locations. Call (248) 353-0880. {"hero_rating_text":"4.7 Rating from 950+ patients","hero_heading":"New Lunchtime & Evening Appointments","hero_subheading":"Book an appointment online with Dr. Ryan Brothers at either of our two locations. It’s easy – click the button below and get scheduled!","hero_cta_label":"Book Appointment in Bingham Farms, MI","hero_cta_url":"https://l.klara.com/CNYfPAfxaSHBcdBP","hero_phone":"(248) 353-0880","hero_phone_tel":"2483530880","hero_body":"Trust Dr. Ryan Brothers’s expertise to provide the best care for your skin. At Northwest Dermatology Group, we combine medical, surgical, and cosmetic dermatology for natural and beautiful results. Your journey to perfect skin starts here! Requesting an appointment online is easy. Fill out the form to book a lunchtime or evening appointment with Dr. Ryan Brothers now!Dr. Ryan Brothers was born and raised in Metro Detroit. He attended Oakland University where he graduated with a bachelor’s degree in biology. Prior to medical school, he worked in multiple level-1 trauma emergency rooms in Detroit conducting research on new technologies that would become the new standards of care for patients. Dr. Ryan earned his medical degree at Michigan State University and went on to his internship at Ascension Providence Rochester Hospital in Rochester, Michigan. He completed his dermatology residency at Aspen /OPTI-West Hospital Program in Utah, where he served as chief resident and trained extensively in general dermatologic surgery and Mohs micrographic surgery.","hero_image":"https://cdn.liteframecms.com/northwest-dermatology/SDC_5465.webp","hero_image_alt":"northwest dermatology group dr ryan brothers","hero_badge_number":"10,000+","hero_badge_label":"Over 10,000 Patients Served","services_heading":"We Foster a Welcoming Environment","services_sub":"Your path to radiant, healthy skin begins with us. Northwest Dermatology Group specializes in addressing diverse skin conditions while simultaneously advancing your aesthetic aspirations. We deliver exceptional medical dermatology care and innovative cosmetic solutions to patients across Oakland and Macomb Counties. Dr. Brothers is scheduling appointments at our Bingham Farms or Washington Twp Offices.","feature_heading":"Your Skin Is Talking. We Are Listening.","feature_cta_label":"Schedule Your Appointment","feature_cta_url":"https://l.klara.com/CNYfPAfxaSHBcdBP","feature_body":"Skin changes deserve professional attention, not guesswork. Whether you are managing a chronic condition, monitoring a mole, or simply overdue for a screening, our board-certified dermatologists are here to provide the clarity and care your skin needs. Early evaluation leads to better outcomes.","feature_image":"https://cdn.liteframecms.com/northwest-dermatology/DSC_1347.webp","feature_image_alt":"","reviews_heading":"See What Our Patients Have to Say","reviews_sub":"","faq_heading":"Frequent Questions","faq_sub":"","location_heading":"Bingham Farms","show_locations":[{"id":386,"slug":"bingham-farms","collection":"locations","title":"Bingham Farms"},{"id":387,"slug":"washington-twp","collection":"locations","title":"Washington Twp"}],"final_cta_heading":"Our Commitment to Our Patients Is Unwaivering ","final_cta_label":"Book Now","final_cta_url":"https://l.klara.com/CNYfPAfxaSHBcdBP","final_cta_body":"At Northwest Dermatology Group, we truly care about our patients. We strive for 100% patient satisfaction. We hope your visit to our office is enjoyable, and that you will feel comfortable referring friends and family. We provide excellent medical dermatology and cosmetic treatments to patients in Southfield and throughout all of Oakland County. Through our experienced staff, state-of-the-art equipment, advanced services, and our integrity, we will provide you with a level of unparalleled service.","final_cta_image":"https://cdn.liteframecms.com/northwest-dermatology/SDC_5354-1.jpg","final_cta_image_alt":"","onclick_conversion_id_phone":"AW-781861073/ut-nCNKqtKYcENGB6fQC","onclick_conversion_id":"AW-781861073/9Qa_CNitlaYcENGB6fQC","hero_trust_items":[{"trust_text":"Hour Detroit Top Docs"},{"trust_text":"Board Certified Dermatologists"},{"trust_text":"Telemedicine Available"},{"trust_text":"Accepting New Patients"}],"trust_bar_items":[{"trust_number":"50","trust_label":"years in practice"},{"trust_number":"2 ","trust_label":"convenient locations"}],"services_items":[{"service_title":"Cosmetic Dermatology","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group8.svg","service_body":"Cosmetic Dermatology Treatments for Wellness and Beauty"},{"service_title":"Skin Conditions","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group10.svg","service_body":"Medical Dermatology Treatments for a Wide Variety of Conditions"},{"service_title":"Face Treatments","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group12.svg","service_body":"We provide expert care in diseases associated with the skin, hair and nails."},{"service_title":"Same Day Appointments","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/appointment1.webp","service_body":"We reserve openings for urgent scheduling. Please call the office at (248) 353-0880."},{"service_title":"Appointments in Washington Township","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/appointment2.png","service_body":"Please call our office direct to schedule an appointment with Ryan Brothers in Washington Township (586) 786-8586"},{"service_title":"Appointments in Bingham Farms","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/appointment2.webp","service_body":"Please call our office direct to schedule an appointment with Ryan Brothers in Bingham Farms (248) 353-0880"}],"feature_benefits":[],"faqs":[{"question":"What conditions does Northwest Dermatology treat?","answer":"Our board-certified dermatologists and providers treat conditions including acne, eczema, psoriasis, rosacea, moles, warts, rashes, vitiligo, fungal infections, and molluscum contagiosum, as well as skin cancer screenings and Mohs micrographic surgery. We see patients of all ages, from newborns to seniors, across all skin types and ethnicities."},{"question":"Do I need a referral to see a dermatologist at your Washington Township location?","answer":"In most cases, no. Most insurance plans allow you to book directly with a dermatologist without a referral from your primary care provider. However, some HMO and managed care plans do require one, so we recommend checking with your insurance carrier before your visit. Our front desk team can also help answer coverage questions when you call to schedule. Northwest Dermatology Group has served Southeast Michigan for more than 50 years, and our office makes it easier for patients in Oakland County and the surrounding communities to access the same expert, board-certified care."},{"question":"Is cosmetic consultation available at the Washington office?","answer":"Yes—our providers offer thoughtful, conservative cosmetic care that enhances your natural features."},{"question":"Do you accept new patients?","answer":"Yes—many of our patients live in the area, and find the drive quick and the care exceptional. We're currently accepting new patients, schedule online, or call our office at (248) 353-0880"},{"question":"Do you offer Telemedicine appointments?","answer":"Please call our office direct to schedule a telemedicine appointment at (248) 353-0880"}]} ## [Choosing the Best Retinol Products](https://nw-derm.com/blog/choosing-the-best-retinol-products) Discover how retinol transforms skin for luminous, youthful results. Learn to choose the right retinol products that actually work for your skincare needs. {"_body":"Beyond the Hype … Making Retinol Work for You\n\nLuminous. Glowing. Fresh. Shining. Bright. Smooth. Youthful. Iridescent. Toned. Radiant. These avidly pursued skincare characteristics are all attributable to retinol. That’s because retinol truly is the gold standard when it comes to improving the appearance of your skin.\n\nThat accounts for the dizzying array of retinol-based creams, gels, lotions, serums, emollients, foams, wipes, and other formulations lining the shelves of beauty supply centers, department stores, drugstores, big box emporiums, and other retailers, and presented in endlessly enticing color online. Marketing claims are often extravagant, promoting results that turn back the clock on aging and promise the fountain of youth. Price points vary from reasonable to yikes.\n\nWhat we need is a way to cut through the hyperbole and make wise choices about retinol products. Fortunately, we’re offering suggestions so please read on.\n\nUnderstanding Retinol\n\nRetinol belongs to a broader class of chemical compounds called retinoids; all retinoids are derivatives of one of the body’s key nutrients, vitamin A, which is important for normal vision, reproduction, organ and immune system function, and growth and development. The chemical makeup of vitamin A was isolated in 1931, followed by the identification of various retinoid derivatives and subsequent experimentation with skincare applications. In 1971 the FDA approved Retin-A as a treatment for acne; this first retinoid-based pharmaceutical remains available to this day, along with a number of other by-prescription-only retinoid variations targeting acne and other skin conditions.\n\nBut as dermatologists, healthcare professionals, and researchers soon realized, prescription Retin-A also reduced fine lines, dark spots, wrinkles, and other signs of aging. After considerable experimentation (we’ll skip the complicated chemistry involved), that led to the emergence of retinol in the 1980s, a weaker type of retinoid adapted for over-the-counter use. Used aggressively as an anti-aging agent, early products were so potent that rather than improving appearance, they made skin angry, irritated, red, and rough. Understandably, retinol fell into disuse. Still, given retinol’s great promise, work to improve it continued, leading to the emergence in the 2010s of much gentler forms and the subsequent burgeoning of products we see today.\n\nAnd despite frequent exaggeration of claims, retinol offers real benefits in terms of improved skin texture, fewer wrinkles, minimized pores, and reduced inflammation. By increasing collagen production, retinol yields a fresher, plumper appearance. As an anti-aging agent, it increases the thickness and elasticity of the skin.\n\nChoosing Your Best Retinol Products\n\nUsing retinol should be a personal choice, made because a product is best for you and not because everybody else is doing it. For best results, considerations include:\n\n\nThink through what you want to achieve regarding your appearance and decide what you can afford to spend. Defining what you want to change and why helps narrow product selection to what is relevant to you.\n\nFactoring in your skin type so you can match formulations to your oily, dry, combination, or normal skin. If you’re not sure of your type, remember that if your skin appears shiny throughout, you likely have oily skin. If it feels tight and is flaky or scaly, it’s dry skin. If the shine is only in your T-zone (forehead/nose/chin), think of a combination. If your skin feels hydrated and comfortable, you’re normal.\n\nUnderstanding how to match retinol products with skin type and skincare goals. You’ll want a different retinol product, for example, to address mild to moderate acne or acne scarring than what’s targeted at anti-aging and the appearance of your skin. Creams and serums are the most common formulations, although other product types exist as well. Cream, gel, and lotion formulas are good for dry skin and acne because they are thicker and leave a residue for continued absorption. Since serums are thin, light, and watery, they absorb deeply into the skin and dry quickly, making them compatible with oily skin. Generally, serums have higher levels of active ingredients than creams and are preferable for targeting specific areas, while creams spread more widely and incorporate moisturizers into the mix.\n\nConsidering your age. Many experts recommend beginning retinol use during your 30s as collagen production starts to slow. Others say your 20s are better at maintaining healthy skin. Later is OK too—50s, 60s, 70s, and beyond, everyone can benefit, especially if you use products aligned with age group since skincare needs change over time.\n\nDoing online research or talking with your healthcare provider to identify which products might work best for you. Feedback helps you cut through the clutter of choices.\n\nReading package instructions carefully before using and following instructions for application leads to desired outcomes.\n\n\nHow to Achieve Maximum Results\n\nRetinols are topical substances, which means they are applied to the surface of your skin, and your skin may need time to adjust. That’s why experts recommend starting slow and small, initially using the product no more than every third day and in tiny amounts. Before using retinol for the first time, conducting a patch test is a good idea. To do that, apply your intended product to a small area on your upper arm; if the skin isn’t red or itchy after a couple of days, it’s okay to add retinol to your evening skincare routine. Follow these four steps.\n\n\nClean your face with a gentle cleanser and pat dry. Don’t scrub, use harsh soaps, or rub.\n\nApply retinol in a thin layer, avoiding your mouth, nose, and eyes. Use a dose the size of a pea and spread with upward strokes.\n\nAllow retinol to totally absorb.\n\nFinish with a non-comedogenic facial moisturizer that won’t clog pores.\n\n\nThen, be patient. Seeing results takes a while, from three weeks to as long as six months. Consistency is important, so keep going over the long haul.\n\nRetinol Downsides & Advice\n\nThere can be side effects from using retinol, including skin dryness or irritation, itching or burning, redness, peeling, or flakiness; stop using the product if symptoms persist. In most cases, reactions are temporary and clear up as your skin adjusts. You can gradually increase the application to daily or every other day. Some people even apply retinol morning and evening, using both a serum and a cream, but generally, that’s more than you need to do.\n\nShould you have a severe reaction to a retinol product, see your healthcare provider. If results are not evident after several months, you may want to ask him or her to step you up from over-the-counter retinol to a prescription retinoid. That’s especially true with acne that’s severe or persistent.\n\nWomen should consult their obstetricians for approval to use retinol while pregnant or breastfeeding. Historically, birth defects were a concern, and while that’s less true given today’s lighter formulations, caution is the way to go. Sun sensitivity can also increase with retinol; using sunscreen and wearing protective clothing is always recommended to guard against harmful UV rays.\n\nAbove all, realizing that there is no one-size-fits-all approach to retinol can help mitigate the frustration of sifting through myriad options and choices. Retinols are truly amazing substances that make us look and feel younger by improving the health and vibrancy of our skin. The key to success is figuring out which products best match specific needs and goals."} ## [Common Skincare Myths vs. Reality  ](https://nw-derm.com/blog/common-skincare-myths-vs-reality) Discover the truth about popular skincare beliefs. Learn what dermatologists really say about common myths and get evidence-based tips for healthy, glowing skin. {"_body":"Common Sense Practices Dispel Common Skincare Myths  \n\nWoman looking at skin in the mirror\n\nWhen it comes to skincare, everybody from board-certified dermatologists to spas and clinics, to brand representatives, to retailers, to your best friend has something to say. Certainly, we all want to look fresh and glowing, and healthy, especially since skin appearance is one of our most noticeable features. But figuring out how to do that can be a challenge. Especially since recommendations are often contradictory and some advice is just plain damaging to your skin. To help sort out what’s right for you, let’s look at several common skincare myths, along with reasonable recommendations for what you should be doing instead.  \n\nMyth: The right skincare routine prevents aging.  \n\nReality: The first step in planning skincare is realizing there is no “right” routine that applies to everybody. Second, aging happens no matter what, although it is possible to maintain a vibrant appearance when a proper diet, healthy lifestyle, and favorable genetics accompany careful skincare.  \n\nFinding the right skincare is actually a very individualized project since everyone’s circumstances are different. Knowing your skin type (dry, oily, normal, or combination) matters. This will factor things like age, race, family heritage, occupation, climate, and season influence the types of products you’ll want to use. Finding your routine is largely a matter of trial and error. Some products are too potent for your skin, some don’t deliver desired results, and others you just don’t like. Experimenting with brands, amounts, frequency, strength, and tolerance is also a good idea; your skin often needs time to adjust to change.  \n\nAs for aging, it’s not something any of us can stop, but we do want to approach it gracefully. That’s where personal care comes in. A balanced diet with lots of water, fruits, and vegetables and limited processed food, sugar, and refined carbs contributes to healthy-looking skin. So does smoking cessation; nothing wrinkles facial skin faster than sucking on a butt. Fresh air and exercise matter to skin health, as does attitude. Recognizing that aging eventually leads to changes for all of us is basic to accepting—and enjoying—where we are in life.  \n\nMyth: The best way to thoroughly clean skin is with hot water, strong soap, vigorous scrubbing, and frequent exfoliation.  \n\nReality: Rough application of harsh cleansing products, especially when used with really hot water, is bad for your skin. The goal of washing is to remove makeup, take away dirt and grime, and cleanse off the excess oils skin naturally produces. But washing should never result in redness, roughness, dryness, irritation, stinging, or broken skin. These make you look dull and can lead to infection and breakouts.   \n\nWhen washing, using the hottest possible water seems to make sense. But overwashing and overexposure to steamy water strip away the moisture and natural oils your skin needs. Long, bubble-filled soaks do the same thing. Limiting showers to 10 minutes and using lukewarm water is the best advice of skincare experts, who also recommend patting skin dry rather than rubbing briskly. And unless you’re exercising heavily or involved in a profession that calls for frequent cleansing, showering every other day is enough.  \n\nBe gentle with scrubbing and choose soaps and cleansers carefully. This is actually a surprisingly complicated topic. With hundreds of choices available, most containing an array of chemicals, synthetics, fragrances, and multiple other substances with names too complicated to pronounce. Understanding which elements, in what quantities, is in a particular product is key to knowing how it affects you. Avoiding alcohol, fragrances, lathering agents, and antibacterial/antifungal preservatives also matters. Irritants are often hidden in cleaners and soaps.  \n\nExfoliation is a particularly intense form of deep cleansing. It uses physical, chemical, or mechanical means to promote skin regeneration by removing dead skin cells and opening pores. Granular cleansers, acid and enzyme formulas, and microdermabrasion devices are all forms of exfoliation. Results vary widely, with some of us finding skin is brighter, firmer, and livelier after exfoliating. While others may end up with damage ranging from mild irritation to open sores. Most skincare experts recommend caution, limiting use to occasional, or avoiding exfoliation altogether. This is especially true for people with sensitive, aging, or easily damaged skin.   \n\nMan using a facial scrub \n\nAnother Common Skincare Myths: To be effective, skincare needs to be complicated and involve numerous products.  \n\nReality: Most experts recommend just the opposite: Keep it simple. There are only three products everyone must be using—cleanser, moisturizer, and sunscreen. Cleanser is the foundation of every routine, removing dirt, makeup, dead skin, and excess oil. Type of cleanser—balm, foam, gel, lotion, soap—is up to you. Just make sure surface impurities are swept away, pores are cleaned out, and skin is hydrated upon use.  \n\nMoisturizer comes next and is best applied immediately after washing or showering while skin is still damp. Product consistency depends on skin type, with oilier skin often preferring a gel while dry skin likes a thicker cream. And yes, even people with oily skin should use moisturizer; it helps nourish while regulating sebum output. Once moisturizer is in place, you can safely layer on whatever astringents, essences, masks, serums, toners, and other substances you’ve added to your routine.  \n\nBe sure to apply sunscreen every morning, year-round, to screen out harmful UV rays. Even on cloudy days in the dead of winter, the sun’s UV rays are present. Causing everything from light sunburn to potentially deadly cancers to visible skin ageing. Choose a broad spectrum SPF30+ product and check for ingredients that might irritate your skin. Reapply sunscreen throughout the day when at the beach, on the ski slope or hiking trail, and whenever you’re outside for extended periods of time.  \n\nMyth: Expensive skincare products work better than moderately priced items.  \n\nReality: Not necessarily. Effectiveness is governed by formulation rather than cost. There are many moderately priced items performing just as well as big-ticket counterparts. Substantial price tags often mean you’re paying for a premium brand name, fancy packaging, and splashy marketing campaign. Since most of us have budget limitations, learning product features and knowing how they interact with your skin type lets you select items that both benefit your skin and respect your wallet.  \n\nMyth: Eating chocolate and/or greasy foods causes acne.  \n\nVariation: Wearing makeup every day and not washing the face causes acne.  \n\nReality: Multiple factors are involved in producing acne and other facial blemishes, but foods and makeup are not among them. Acne occurs when the subdermal sebaceous glands (we all have them) that produce sebum go hyperactive. Sebum is essential because it’s the oily substance that keeps skin from drying out. But too much sebum, often triggered by hormone fluctuations, traps impurities and clogs pores with dead skin cells and bacteria. That what leads to inflammation and acne breakouts. Lack of face washing doesn’t cause acne either, although it doesn’t help the situation and undermines overall cleanliness and health.  \n\nskincare products lined in a row\n\nMyth: For best results, always follow the same skincare regime.  \n\nReality: Change is a life constant that also applies to our skincare. While finding a routine that produces favorable results is a pleasure, making adjustments from time to time is to be expected as well. Activities, age, location, health and wellness, seasons, work and family all affect our lives, including the condition of our skin. If a routine or a product is no longer producing the results you want, start testing alternatives until you find something else that works.  \n\nAfter taking a look at these common skincare myths; above all, you want to realize that skincare is never a once-and-done endeavor. Taking a realistic, flexible, common-sense approach to nurturing our most prominent feature is central to how we look and feel as we go about our lives.  "} ## [Considering Botox? Here’s All You Need to Know about Why, What, and When](https://nw-derm.com/blog/considering-botox) Discover everything about Botox: how it works, what to expect, costs, risks, and benefits. Expert insights help you make an informed decision about treatment. {"_body":"The formal name is onabotulinumtoxinA. Since that’s a big, complicated medical word/term, we’ll use the brand name BOTOX® Cosmetic, usually shortened to the generic term Botox. As anyone seeking youthful, rejuvenated-looking skin knows, Botox is the injectable drug used by doctors to treat wrinkles and facial creases, yielding improvements to appearance that seem to overcome the aging process, at least for a time.That’s a big promise, and for many of us, an appealing one. Still, the decision to seek Botox treatment is an option that ideally is informed by careful consideration and thoughtful choice.Why Botox Is a Very Personal DecisionBotox is all about appearance, specifically, how you appear to yourself and your perception of how you look to the world. Having an unblemished, unwrinkled face helps you appear vibrant and healthy. It’s the reason we spend a lot of time, effort, and money on daily skincare routines that keep folds, lines, and wrinkles away. But eventually, wrinkles catch up with all of us. That’s when we start thinking about Botox and wondering whether injections of the drug can bring back the fresh face of youth.The answer is yes, but only when you’re ready. That includes defining your facial appearance goals and understanding the pluses and minuses of your decision to proceed. Among the considerations:Botox is a prescription medication. The drug is only available through a board-certified dermatologist or plastic surgeon and should be administered only in a clean, sanitary medical or medical spa facility by highly trained, experienced personnel with in-depth knowledge of facial nerves and muscles, working under the supervision of a physician.It’s an injectable, which means a needle is required to administer the substance. While the needles are very tiny, you need to understand that if you have an aversion to needles, that’s the only way this drug can be dispensed.Injections are non-surgical; no incisions or anesthesia are required, so there’s no visible scarring or extended recovery time. Treatments are quick and convenient, which is why Botox is the number one product of its kind on the market. More than 4 million Americans receive injections every year.Results take 7 to 14 days to fully appear and are temporary, lasting 3 to 6 months. That’s both an advantage and a disadvantage. It’s advantageous in letting you try out treatment without committing to permanent change. If you don’t like outcomes, just wait a few months and they’ll fade away. The disadvantage comes when Botox produces results that make you look good and feel positive about yourself—additional treatments are required to maintain what you’ve achieved.Good overall physical and psychological health is recommended for treatment, and women who are pregnant or breastfeeding should hold off. Those with neuromuscular or bleeding disorders, extremely sensitive skin, or other conditions should consult their doctors before going ahead.What You Need to Know About How Botox WorksBotox is actually a toxin produced by the bacterium Clostridium botulinum. First isolated by a Belgian microbiologist in 1895, in its natural form this potent substance can, among other things, invade a wound, trigger intestinal infection, or cause botulism, a potentially deadly form of food poisoning. Over decades of research, the mechanism of botulinum toxin action was identified as blocking the release of the neurotransmitter acetylcholine from nerve endings. Acetylcholine plays a role in brain functions, including controlling contractions that move and relax the muscles, which is key to how Botox works as a cosmetic enhancement. The first injectable botulinum toxin was licensed and trademarked as Botox by the drug company Allergen in 1983 and used for therapeutic medical purposes to treat crossed eyes. Application as a treatment for facial wrinkles was first documented in the journal Plastic and Reconstructive Surgery in 1989. Following clinical trials, in 2002 the FDA approved BOTOX® Cosmetic as a temporary treatment for moderate to severe frown lines in adults. Crow’s feet and forehead lines were subsequently added to FDA-approved treatment areas, although current practice extends to other areas of the face as well.As a neurotransmitter, Botox works by blocking signals from nerves to muscles, preventing muscle movement. When injected, the drug inhibits or freezes the muscles causing wrinkles to form; those muscles can’t contract. This limiting of muscle movement makes wrinkles and fine lines relax and soften, diminishing their appearance and leading to a smoother, more youthful-looking complexion. The drug targets specific muscles and is most effective in treating the dynamic wrinkles caused by ongoing muscle contractions controlling frown and forehead lines and crow’s feet around the eyes. Static wrinkles, which are caused by factors like sun or smoking damage or loss of collagen due to aging, are deeper, long-standing, and largely unresponsive to Botox; a different treatment approach is required.In addition to its cosmetic uses, Botox is an effective treatment for health conditions such as uncontrolled neck and other muscle spasms, lazy eyes, excess sweating, migraines, and overactive bladder. And the drug is definitely big business. The global botulinum toxin market in 2022 totaled $6.4 billion; that’s anticipated to grow to $15.2 billion by the end of the decade.When to Start Botox & What to ExpectAt what age to start Botox is a big question with no one-size-fits-all answer. Traditionally, people turned to the drug in their mid-30s to mid-40s when signs of aging became hard to ignore. Nowadays, usage as young as mid-to late-20s is increasingly common as a preventive treatment before wrinkles even appear. As we age, there’s no upper limit on treatment, with patients in their 70s and beyond reporting pleasing results.Checking your budget is important. Insurance does not cover Botox used for cosmetic purposes, and ongoing treatment gets expensive. Medication is dispensed by unit; the cost per unit is typically $10 to $30, with 10 to 30 units required depending on the facial area injected. Since you can elect to do more than one area at a time, the per-appointment tab can quickly top $1,000, which you’ll be repeating three to four times annually—so be sure to do the math.To prepare for treatment, stop using blood thinners, multivitamins, and NSAIDs for 10 days prior to the procedure and avoid alcohol for a week. This minimizes bruising or bleeding. Once you’re at the treatment site, your dermatologist may take before-and-after photos to document injection areas and track outcomes, then apply a topical numbing cream before administering the drug. Actual injections are usually painless or nearly so, with the entire appointment process taking an hour or less. Afterwards, you can return to normal activity but don’t lie down for at least 4 hours or massage your face for 24. Don’t exercise, expose yourself to high heat, or drink alcohol. This helps avoid diffusion of the product beyond where you want it to go. Then, be patient, since it takes as long as 2 weeks for lines and wrinkles to fully smooth away.Possible side effects, such as headache, bruising, muscle weakness, upset stomach, neck pain, nausea, or drooping eyelid or brow, are usually temporary and resolved on their own. Should symptoms linger, see your doctor right away. Overuse or improper injection can cause a permanently frowned or surprised look, squinting, crooked smile, or loss of expression, which is why you want to trust your face only to knowledgeable, licensed professionals who know how to produce positive results.Which is the whole point of BOTOX® Cosmetic. This popular, minimally invasive cosmetic treatment is safe, quick, and effective at making you appear and feel younger by minimizing and smoothing the lines and wrinkles in your face."} ## [Contact Page](https://nw-derm.com/get-in-touch) Contact Northwest Dermatology Group at (248) 353-0880. Two Metro Detroit locations in Bingham Farms and Washington Twp. Schedule your dermatology appointment today. {"hero_heading":"Get in touch","hero_body":"General Line: (248) 353-0880Fax: 888-368-7898Have a Question?office@northwestdermgroup.comMedication Authorization Issues:nurse@northwestdermgroup.com","hero_image":"https://cdn.liteframecms.com/northwest-dermatology/112.webp","hero_image_alt":"","locations_title":"Our Offices","locations_sub":"We have two locations around Metro Detroit. We're located in Bingham Farms, and Washington Twp.","first_visit_heading":"Your First Visit","first_visit_body":"On the day you arrive at our office, we will ask you for a copy of your driver’s license and insurance card, as well as a referral from your primary care doctor, if needed. In addition, we will ask you to fill out patient information forms. For your convenience, you may download these forms through the website and complete these prior to your visit.","content_heading":"We are currently welcoming new patients.","content_body":"Simply call us at (248) 353-0880 or use our online appointment scheduler, and have your insurance card ready, along with the name of your primary care physician. We participate with most major health plans. Please contact us to verify that we are a participating provider. Please remember that many cosmetic treatments (such as chemical peels, microdermabrasion and laser) are not covered by insurance. You will find new patient forms below for your convenience.Please download our Patient Information Sheet. It s provided in both Word and PDF forms.The PDF form can be filled out electronically. You can use the usual Adobe Acrobat Reader DC, available as a free download at get.adobe.com/reader. You can then save it on your computer and email the completed form using the contact information below.You can also download the Word version of the form, make your changes, then scan and email back to the address shown below.Faxed forms are also acceptable, or you can print and bring a copy to the office. Don’t worry, we have extras if you forget them.Email forms to: appointments@northwestdermgroup.comFax forms to: 888-368-7898","faq_title":"Frequently Asked Questions","faq_sub":"","meta_title":"","meta_description":"","og_image":"","locations":[{"location_name":"Metro Detroit","location_phone":"(248) 353-0880","location_phone_tel":"2483530880","location_fax":"888-368-7898","location_schedule_label":"Book Appointment Online","location_schedule_url":"https://l.klara.com/wLdRTLCV8WLJMzXs","location_image":"https://cdn.liteframecms.com/northwest-dermatology/DSC_9513-Enhanced-NR.jpg","location_address":"32270 Telegraph Road, Suite 200\nBingham Farms, MI 48025","location_hours":"See Google Profile","maps_location_name_must_match_gbp":"Northwest Dermatology Group"},{"location_name":"Northern Oakland & Macomb","location_phone":"(586) 786-8586","location_phone_tel":"5867868586","location_fax":"888-368-7898","location_schedule_label":"Book Appointment Online","location_schedule_url":"https://l.klara.com/DCJSNGb5gJRfFEH8","location_image":"https://cdn.liteframecms.com/northwest-dermatology/Front-Optimized.jpg","location_address":"57850 Van Dyke Ave, Suite 200\nWashington, MI 48094","location_hours":"See Google Profile","maps_location_name_must_match_gbp":"Northwest Dermatology Group Washington"}],"first_visit_docs":[{"doc_title":"Patient Information Sheet (docx)","doc_file":"https://cdn.liteframecms.com/northwest-dermatology/Patient-Info-Sheet.pdf","doc_description":""},{"doc_title":"HIPAA Privacy Notice","doc_file":"https://cdn.liteframecms.com/northwest-dermatology/hipaa-notice-of-privacy-practices.pdf","doc_description":""},{"doc_title":"Non-Discrimination Notice","doc_file":"https://cdn.liteframecms.com/northwest-dermatology/non-discrimination-notice-1-2017-NWD_2017.pdf","doc_description":""}],"faqs":[{"question":"Insurance plans we accept","answer":"APCNAscension Smart HealthBCBSM (Blue Cross Blue Shield of Michigan)Blue Care Network (Commercial & Medicare)CignaCigna (HAP Preferred)HAP CommercialHRGIHumana (Medicare)Oscar HealthPriority Health (Commercial & Medicare)Total HealthcareTRPN (Three Rivers Provider Network)United Healthcare (Commercial & Medicare)"}]} ## [CoolSculpting© part 2  ](https://nw-derm.com/blog/coolsculpting-part-2) Learn how CoolSculpting® cryolipolysis technology freezes and eliminates stubborn fat cells to reshape problem areas like love handles and muffin tops safely. {"_body":"What You Need to Know about Cryolipolysis – aka CoolSculpting® – to Decide If It’s Right for You  \n\nYou’ve reviewed the facts about CoolSculpting®. You understand that it’s a body contouring procedure that applies cold temperatures to specific areas of the body to freeze fat cells. You’re aware the targeted cooling process crystalizes and kills subcutaneous fat cells under the skin. You know it can subtly reshape and gradually reduce the size of stubborn love handles, muffin tops, banana rolls, belly blips, and other persistent bulges that are resistant to diet and exercise. The non-invasive, no needles, no anesthesia nature of CoolSculpting appeals to you.  \n\nWith thorough knowledge of how CoolSculpting – cryolipolysis is the medical name – can help you achieve the body shape you’ve always dreamed of, you’ve determined the procedure is right for you. Now what? Following is an overview of what happens before, during, and after your CoolSculpting treatment. Relax – discomfort is generally minimal and you should be able to return quickly to everyday activities. Which is part of the reason for the popularity of this fat reduction technique.  Keep reading to discover more facts about CoolSculpting©.\n\nDesigning Your Personalized CoolSculpting©Treatment Plan  \n\nA thorough pre-treatment consultation with your CoolSculpting partner is essential. Make sure you’re working with a qualified provider – dermatologist, plastic surgeon, or aesthetician – that’s experienced and certified to administer treatments. A number of discussions and decisions need to take place.  \n\n\nDefine what you want to accomplish and why. Your provider should emphasize that CoolSculpting is not a weight loss technique and does not yield dramatic reshaping of your physical profile. Results are often subtle and take a while to appear.  \n\nComplete a medical evaluation of your suitability for CoolSculpting. You need to be at or near your ideal body weight; free of skin lesions, varicose veins, eczema, psoriasis, and other skin conditions; and not pregnant or breast feeding. Those with abnormal cold sensitivity or intolerance should stay away.  \n\nYou will designate the areas of your body for treatment. The FDA has approved 9 areas. You will also give your fat reduction goals. To achieve desired results you may need multiple treatments of the same area. If your plan involves two or more parts of the body, see if your provider offers CoolSculpting® Elite. This recent innovation allows simultaneous treatment of two areas, is more comfortable, and produces faster outcomes.   \n\nDetermine your budget and talk about possible financing plans. CoolSculpting is an elective cosmetic procedure not covered by insurance, so paying for it is up to you.  \n\n\nComing up with a treatment plan personalized to your wants and needs is the key to maximizing your investment in improving your look.    \n\nSmiling male doctor in consultation with a senior woman patient in a modern office\n\nA Day in Your Life with CoolSculpting  \n\nOn the day of your appointment, wearing casual, loose-fitting clothing is best for post-treatment comfort. Eating a light meal or snack is a good idea, as is limiting beverages and caffeine. The technician will provide disposable garments so the thick gel used to protect your skin doesn’t damage your clothes. The area to be treated is photographed for before-and-after pictures, and your skin is marked to confirm the treatment zone. A gel pad is placed over the targeted area and the cryo applicator is applied.  \n\nThe applicator, which comes in several sizes, is attached to a hose, which is connected to a vacuum-sized box that contains the freezing mechanism. As the applicator clamps down on pinchable fat in the designated area, the technician activates the machine. Software controls the cooling of fat cells to a temperature that destroys them while leaving skin and other tissues unharmed. During the first few minutes of the procedure, you may experience discomfort as tissue is drawn into the applicator and the target area goes numb. Throughout the treatment, which typically takes 35 to 60 minutes, you’ll hear a low hum as you read, nap, or watch movies on your phone. Once treatment is concluded, the technician turns off the machine, detaches the applicator, and massages the frozen area to destroy more fat cells. A compression binder may be used to decrease discomfort but can be removed at your discretion. \n\nThat’s it for treatment, although the CoolSculpting process actually continues for some time.  Research more facts about CoolSculpting© to decide if it’s right for you.\n\nFollow-Up and Lasting Results  \n\nGetting rid of those now-destroyed fat cells takes place gradually. Your body's lymphatic system naturally eliminates debris for up to four months. Some patients experience occasional cramping, bloating, nausea, or diarrhea during that time. Aching, bruising, itching, numbness, redness, soreness, swelling, tenderness, or tingling in the treated area can also happen, but should go away in a week or so. A very rare side effect is paradoxical adipose hyperplasia, which for unknown reasons, causes fat cells to multiply, stay in the body, and expand in size.\n\nThe benefits of CoolSculpting are revealed in a gradual reduction in the thickness of a treated fat layer. Changes may start to appear as soon as three weeks, with the most dramatic results showing up after three months. At that point, you’ll want to schedule a follow-up appointment with your provider to have after-photos taken and discuss the possibility of additional treatments to get rid of more fat, either in the previously treated area or elsewhere on your body. While the fat cells eliminated by CoolSculpting are gone permanently and do not return, sticking to a healthy diet and getting regular exercise is essential to maintaining improvements long-term. On average, treated areas show approximately a 25% reduction in fat, leaving a smoother, firmer body contour behind.  \n\nIf upgrading how you look and feel appeals to you, get the facts and talk to the experts. As the world’s #1 non-invasive fat reduction technique, CoolSculpting may be something you want to pursue.  "} ## [CoolSculpting© Treatment Part 1 ](https://nw-derm.com/blog/coolsculpting-treatment) Discover everything about CoolSculpting (cryolipolysis) treatment. Learn how this fat-freezing procedure works and if it's the right choice for your body goals. {"_body":"What You Need to Know about Cryolipolysis – aka CoolSculpting® – to Decide If It’s Right for You  \n\nLikely you’ve heard about CoolSculpting treatment. Information is everywhere – promoted with TV ads and infomercials; discussed in magazines, newspapers, and brochures; described online through websites, YouTube demos, influencer postings, and self-evaluation quizzes. CoolSculpting© is actually a brand name for the medical procedure called cryolipolysis. Broken down, the word says it all: cryo means cold, lipo means fat, and lysis is destruction, which is exactly what CoolSculpting treatment is all about. Here's what you need to know about CoolSculpting treatment.\n\nThe What and Why of CoolSculpting© Treatment\n\nCoolSculpting is a fat reduction procedure that applies cold temperatures to specific areas of the body to kill fat cells. Treatments can be effective for shrinking localized fat deposits that have not responded to diet and exercise. The process works by applying cold temperatures to targeted parts of the body, which injures fat cells under the skin. The injury sets off an inflammatory response which results in the death of the fat cells. Dead fat cells and debris are then expelled from the body via the alimentary system. Destruction of fat cells is permanent; once eliminated from the body, they do not return.  \n\nAdvantages of CoolSculpting are that it is non-invasive, low risk, outpatient, and does not require anesthesia. Following a procedure, patients generally experience minimal disruption to their lives. Some with little to no recovery time required.  \n\nKnowing that this is not a weight reduction technique is essential to understanding what CoolSculpting can and cannot do. It is not intended for people who are obese, wanting to lose large amounts of weight, or those seeking dramatic, instant changes to their physical profiles. Nor can it remove excess skin. Rather, CoolSculpting is a body contouring process that works for people who follow healthy diets, exercise regularly, and are at or near their ideal body weights. By targeting and destroying designated pockets of fat, CoolSculpting reshapes the body in areas that are treated. Resulting in what the patient defines as slimmer, more desirable body lines.  \n\nDeveloped by Scientists, FDA-Approved  \n\nThe idea behind CoolSculpting treatment originated in 2008. Two physician-scientists noticed that young children who frequently sucked on popsicles developed permanent divots or dimples in their cheeks. Further investigation revealed that the dimples formed due to inflammation of the fat cells in the children’s mouths. The fat cells were frozen, destroyed, and eventually flushed from the body – all due to the frozen popsicles. \n\nWondering whether such fat loss would apply elsewhere, the doctors experimented with applying cold to fat tissues. Lowering the temperature to 40 degrees caused fat cells to disintegrate and die, without harming the skin or other organs. Cryolipolysis or fat freezing was born. Following clinical success in using their new cryolipolysis device to get rid of excess fat at the waistline, the inventors applied for approval from the U.S. Food and Drug Administration, which was granted in 2010. The first fat freezing machines, commercially marketed as CoolSculpting, were sold to private clinics that same year.  \n\nThe popularity of CoolSculpting has expanded rapidly ever since. Today there are nearly 4,000 licensed clinics and spas in the U.S. By 2019, more than eight million treatments had been performed in the nine body areas sanctioned by the FDA. Treatments included beneath the chin, upper arms, inner thighs, outer thighs, abdomen, hip/flank (love handles), upper back, lower back, and under the buttocks. Nearly 50 countries around the world have approved the procedure.  \n\nCoolSculpting fat removal treatment on a man's abdomen.\n\nWhat To Think about When Thinking about Contouring Your Body  \n\nShaping parts of your body with CoolSculpting can give your personal image and self-esteem a real boost. The before-and-after of seeing those pesky, persistent bulges melt away might be a big factor in helping you achieve the appearance of your dreams.   \n\nWhen it comes to making informed choices about your health, there are several things about CoolSculpting treatment you want to keep in mind. Most important is working with your dermatologist, plastic surgeon, or certified skincare professional to define exactly what you want to achieve and in which areas of your body. Keep in mind that changes are often subtle, with fat loss in a treated area of 15% to 28% per session. Since the elimination of dead fat cells happens gradually, final results may take from four to six months to appear, although changes begin to be evident within a few weeks.  \n\nOn the plus side:  \n\nThis is not surgery, so there is no incision or intrusion into the body. Risks are minimal and infection is not a factor.  CoolSculpting is done on an outpatient basis, with no hospitalization required. Sedation or anesthesia is unnecessary.  Normal daily activities can be resumed almost immediately.   Side effects are generally few or very mild.  The procedure can be done on people of all ages, although results may be better in those over 18 after the body is fully developed. Approximately 15% of patients are men. Nerve fibers, blood vessels, muscles, adjacent cells, and skin are not damaged by treatment. More than one area of the body can be treated in the same session.  \n\nPossible disadvantages include:  \n\nThe process is only for people looking for targeted fat reduction in specific areas of the body, in good general health, without neurologic or orthopedic problems. It is not a weight-loss technique and does not yield desired results for people who are significantly overweight.   More than one session may be needed to get the best outcomes in a given area, and sessions treating the same area must be 6 to 8 weeks apart.  CoolSculpting during pregnancy or while breastfeeding is not recommended. Also, those with varicose veins, dermatitis, cuts, injuries, skin lesions or conditions like eczema or psoriasis should not be treated.  People with abnormal cold sensitivity or cold intolerance caused by any of several medical conditions are not suitable candidates. The side effect of paradoxical adipose hyperplasia, while rare, has occurred. For unknown reasons, fat cells increase after cryolipolysis, creating a protrusion in the treated area that may require surgery.  \n\nBe aware that CoolSculpting is an out-of-your-wallet expense. The process is an elective cosmetic procedure and is not covered by insurance. Costs vary depending on the goals of each patient, the type and number of areas targeted, and how many treatment sessions are done. To complete a treatment plan, the cost most often cited online is $2,000 to $4,000, but be sure to get firm estimates before deciding to proceed.  \n\nComing soon to this website! Part 2, as we go inside a CoolSculpting treatment session to see what actually takes place.  "} ## [Dealing with Acne-Prone Skin](https://nw-derm.com/blog/dealing-with-acne-prone-skin) Learn effective ways to manage acne-prone skin with simple, proven strategies. Discover why 85% of people experience acne and how to achieve clearer skin. {"_body":"Think KISS When Dealing with Acne-Prone Skin \n\nAcne is the most common skin condition in the country, affecting 50 million Americans each year. Although acne generally begins in puberty – at some point between the ages of 12 and 24 approximately 85% of us experience at least minor outbreaks – it can occur at any age. Not surprisingly, acne is big business. In the attempt to keep our skin clean and clear, we spend $9 billion annually for soaps, scrubs, creams, concealers, exfoliants, foams, gels, lotions, moisturizers, peels, rubs, sponges, and a whole host of miracle cures. The problem: some of these actually do more harm than good.\n\nLet’s see what works best and why. (Hint: it may be simpler and less costly than you think.)\n\nWhy Acne Happens \n\nAs an inflammatory condition of the skin, acne occurs when hair follicles become plugged with sebum, dead skin cells, bacteria, and other debris. Sebum is an oily, waxy substance secreted by your body’s sebaceous glands; this necessary component of healthy skin coats, moisturizes, and protects. Sebum production begins in the womb, declines six months after birth, then jumps a whopping 500% with the onset of puberty. Hormonal changes result in enlarged glands, excess oil output, clogged hair follicles, and acne-infected skin so common among teenagers. Since sebaceous glands are concentrated on the face and upper body, that’s where acne (much to the dismay of image-conscious young people) is most likely to occur.\n\nDividing acne into two categories, noninflammatory and inflammatory, can help in understanding it. Noninflammatory refers to blackheads and whiteheads (the medical term is comedo). The former are clogged pores that remain open, with the open surface turning dark. The latter remains closed with debris trapped under the skin, causing the pore to swell. Anything with a red, robust appearance is Inflammatory acne. This can range from papules, which are small red bumps, to pustules that contain pus, to larger, more painful nodules and cysts deeper in the skin.\n\nResearchers don’t fully understand why some people largely escape acne or display only mild, sporadic outbreaks, while others experience persistent severe symptoms. Family history likely plays a role, as does an overabundance of hormones and related production of sebum. Diet, hygiene, and stress may also be involved.\n\nFortunately, most acne can be controlled with careful skincare using over-the-counter products. That’s where KISS comes in.\n\n\n\nThe KEEP IT SIMPLE SOLUTION Works Best  \n\nDermatologists agree that taking prompt action helps keep mild acne from becoming serious, leading to faster improvement and minimal scarring. Heading off emotional distress is also important, especially during the sensitive teenage years.\n\nAdopting a consistent, KISS-focused skin care routine is key.\n\nWash The Face\n\nWash the face and other affected areas twice a day, in the morning and before going to bed. Using your fingers in a circular motion, apply a mild soap or acne-specific cleanser, rinse with lukewarm water, and pat dry with a clean towel. To avoid irritating or drying out already damaged skin, do not use a washcloth or sponge, do not rub or scrub, and stick to morning-and-evening only cleansing. The one exception is after sweating from work or exercise; follow the same regime to remove debris.\n\nProducts\n\nOnly use products designed to target the causes of acne. These include salicylic acid to open pores and ease inflammation, benzoyl peroxide to decrease bacteria, and retinoids to reduce oiliness. Plenty of choices and brands are available at stores and online. Be sure to carefully read labels so you know what merchandise contains. Select items that say non-comedogenic, non-acnegenic, or oil-free. Stay away from creams, cocoa and shea butter, oils, fragrances, astringents, exfoliants, and anything with alcohol; such substances lock in bad stuff and damage tender skin. To keep breakouts from spreading, be sure to use a product on all acne-prone areas, not just on active blemishes. If something causes redness, dryness, or flaking, switch to something else.\n\nStick With a Treatment\n\nStick with a treatment protocol for at least four weeks, and six is better. Acne control is not a quick fix, despite claims to the contrary; frequent switching of products can cause new breakouts by stressing the skin. If acne doesn’t improve after a month, adding a second product or trying a different one might help. Expect complete healing to take three to four months or more. Consistent treatment is also important; skipping cleansing for even a day or two can make things worse.\n\nResist\n\nResist touching, picking, popping, rubbing, squeezing, and otherwise attempting to remove blemishes; that spreads dirt, bacteria, and oil, and can lead to scarring. Keep hair off the face and wash it frequently to limit the spread of irritants.\n\nHydrate\n\nKeep skin hydrated by drinking plenty of water, using sunscreen and following smart sun procedures, and staying out of tanning beds. A mild moisturizer can help, but be sure to read the labels so you know what it contains. Wearing makeup is okay as long as it’s water-based and oil-free. Don’t share products, applicators, or brushes – that spreads contaminants. Remove makeup at bedtime so the skin can breathe.\n\nYou don’t have to spend big bucks, although quality products do matter. Choose carefully to find what works for you.\n\nWhat To Do When More Is Needed \n\nFor acne with extensive involvement, deep, painful pustules, or outbreaks that persist or recur, seeking professional help is a smart move. A dermatologist or other medical professional can diagnose exact causes, design a treatment regime, and prescribe stronger medications than over-the-counter varieties. Trust only a doctor to safely use invasive treatments like chemical peels, microdermabrasion, or laser therapy. Since other skin conditions can mimic acne, a dermatologist can determine what’s really going on and treat it appropriately. Emotional distress is a very real concern for many acne sufferers; the doctor can help with that, too.\n\nFor people with skin of color, acne may be accompanied by dark spots called hyperpigmentation. These can last longer than acne and require additions to the KISS approach. Using benzoyl peroxide and the retinoid in combination may be needed to remove bacteria, open pores, and reduce inflammation. Remove blemish-causing agents by switching hair care from oil to water- or glycerin-based products and using mineral rather than oily, heavy makeup. Cocoa butter can be another culprit. Despite advertising claims, there’s no scientific evidence that it evens out skin tone, but it can cause acne by closing up pores.\n\nFor everyone, remembering that successful treatment of acne takes time is essential. Be kind to your skin and stick to KISS – you will see results."} ## [Dealing with Dark Circles](https://nw-derm.com/blog/dealing-with-dark-circles) Discover what causes dark circles under your eyes and learn effective treatments to reduce their appearance. Look refreshed and youthful with proven solutions. {"_body":"Coping with Those Pesky Dark Circles under Your Eyes  \n\nWe’ve all heard it and it’s a statement that quickly brings us down. Wow, you look really tired! Is everything OK? \n\nWhy is it that even on days when we’re well-rested and fresh, those annoying dark circles under our eyes somehow show up, making us look weary, old, and dull.  \n\nThe next logical question: What’s causing this frustrating condition, and what can I do to make it go away?  \n\nThe What and Why of Dark Circles  \n\nDark circles and bags under the eyes are just that: the skin directly below the eyes is darkened. Depending on your natural skin color, the area in question appears as some shade of blue, purple, brown, or black. Puffy eyelids are a related occurrence and may appear in tandem with dark circles. The puffiness casts shadows that make circles look deeper and darker.  \n\nThe most common causes are:    \n\n\nAging. As we age, skin below the eyes loses collagen and elasticity, loosens, and thins out, making blood vessels underneath more visible as they darken the skin. Deep creases between the lower eyelid and upper cheek called tear troughs can also form, casting shadows below the eyes.   \n\nGenetics. For many of us, dark circles are a hereditary trait built into the familial code, as are deep-set eyes that shadow underneath.  \n\nFatigue. Lack of sleep due to work pressures, family issues, health conditions, stress, or any other reason, as well as poor sleeping habits, make under-eye skin appear dark and unhealthy. Blood vessels showing through the skin become more prominent and contribute to looking tired. Sleep deprivation also leads to fluid buildup under the eyes, causing puffiness and shadows, and turning skin dreary and pale.  \n\n\nAlso watch out for the dehydration and excessive salt consumption that make eyes look dull and dilate blood vessels so they show through the skin; hyperpigmentation from too much sun exposure and subsequent increase in the melanin that gives skin its color; and lifestyle factors like smoking and excessive alcohol use. Too much time staring at computer, television, tablet, and cell phone screens is another source of eye aggravation. And don’t rub your eyes when they’re inflamed or itchy; that causes them to swell and blood vessels to break.   \n\nFor some of us, medical conditions like allergies, anemia, eczema, and dermatitis also come into play. If severe, a visit to your healthcare professional can control the situation. Steadily worsening or severe darkening, puffing, swelling under just one eye, or distinctly uneven appearance from one eye to the other also warrant a professional appointment to make sure nothing more worrisome is going on.  \n\n\n\nLifestyle Changes Can Alter Eye Appearance   \n\nFortunately, dark circles are rarely symptomatic of a serious medical problem, despite the fact that they affect people of all ages, races, sexes, and skin types at some point in their lives. But they do make us appear tired or old or ill, and that affects mood, wellbeing, and positivity—mostly, we want them gone. \n\nThere are a number of ways to do that, but be aware that no single technique works for everyone. Plus, your solutions can change over time due to fluctuations in cause, environment, season, medical condition, and lots more. And since you can’t change your genetic code or escape the aging process, some factors are simply facts of life.  \n\nThe best way to manage shadows around your eyes is to start with the basics.  \n\n\nGet more sleep, at least seven hours each night, with screens turned off. Elevating your head with a wedge or extra pillows prevents fluid from collecting under the eyes while sleeping and helps with puffiness too.  \n\n\n\nCut down on drinking; too much alcohol causes reduced circulation. Stop smoking and using tobacco products since that speeds up the aging process.  \n\nReduce stress (good luck with that) and get regular exercise. Stress affects every aspect of our lives in ways we don’t even realize so manage it as best you can. Exercise helps and contributes to better sleep as well.  \n\nFollow a healthy diet filled with fruits and vegetables and drink plenty of water. Watch sodium intake and limit sugar; salt makes your body retain water, which causes darkened skin, bags, and puffiness, while sugar leads to obesity, headaches, jitters, bloating, and possibly, diabetes.  \n\nUse sun protection when outside, even on cloudy days. Skin around the eyes is very sensitive and reacts quickly to UV exposure by producing more of the melanin that darkens skin. Choose a sunscreen with zinc and a sun-protection factor (SPF) of 30, and wear sunglasses and a hat.  \n\n\nRetail Products May Help  \n\nOver-the-counter products are a very effective way of dealing with dark circles—you simply cover them up with makeup and concealers during the day and add eye creams and moisturizers to your skin care routine at night. For day wear, a concealer one shade lighter than your skin tone can help disguise undereye circles. Go a shade lighter with makeup as well.  \n\nTo hydrate and smooth skin before and after makeup, look for skin care agents that contain vitamin A, vitamin C, or vitamin K. Retinol, a derivative of Vitamin A, targets skin discoloration by boosting cell turnover and is widely touted as an anti-aging substance. Vitamin C works on hyperpigmentation by promoting collagen production and hiding blood buildup. Vitamin K promotes healthy skin. Such products are a tiny sample of the thousands of items available on every store shelf and website.  \n\nBut beware the miracle cures that promise to immediately remove dark circles forever—there’s no such thing. No one technique works for everyone, making dealing with undereye circles a trial-and-error proposition. You’ll want to keep experimenting with products until you find what works for you.  \n\nHome Treatments Are an Option  \n\nLooking around the house is a great way to deal with dark circles, especially since many of the remedies use things you have on hand. For example:  \n\n\nApply a cold compress to shrink dilated blood vessels, reduce swelling, and lessen the appearance of dark circles. Simply wrap ice cubes or soak a washcloth in cold water and relax for 20 minutes as you apply to the skin under your eyes.  \n\nSoak green or black tea bags in hot water to release the caffeine and antioxidants, then chill in the refrigerator until cold. Place the tea bags over closed eyes for at least 15 minutes to stimulate blood circulation, shrink vessels, and reduce liquid buildup under the skin.  \n\nSlice cucumbers, chill, then apply to eyes for 15 minutes. The water content reduces under-eye swelling and dark circles.  \n\nMix almond oil and vitamin E for a natural remedy that’s applied gently under the eyes before going to bed. Be sure to rinse with cold water when you wake up. Coconut oil massaged under each eye at room temperature for 30 seconds can tackle dark circles. Cotton balls soaked in cold milk and held under the eyes applies lactic acid to soothe darkened skin.  \n\n\n\nEat plenty of potassium-rich foods like bananas, beans, and leafy greens to diminish puffiness and lighten up skin.  \n\nDo an eye massage by gently tapping around the eyes for 30 seconds to bring skin-lightening blood flow to the surface.   \n\n\n\n\nMedical Procedures Involve Healthcare Professionals   \n\nRemoving dark circles permanently is a job for medical and skincare professionals. They’ll evaluate your situation and let you know about treatment options, including:  \n\n\nChemical peels using alpha-hydroxy acids to reduce pigmentation under the eyes.  \n\n\n\nLaser therapy to resurface and tighten the skin.  \n\nInjectable tissue fillers such as hyaluronic acid gel to increase volume and smooth out skin. \n\nTopical creams and bleaching agents like hydroquinone and Rx versions of retinols, vitamins, serums, and gels to lighten the appearance of dark circles. \n\nPlatelet-rich plasma injections that repair skin around the eyes, speed blood vessel growth, and strengthen collagen production.  \n\nBlepharoplasty surgery that removes excess fat and skin from the eye area.  \n\n\nIf you decide to go this way, make sure to minimize risk by dealing with a licensed, experienced dermatologist or healthcare provider.  \n\nAbove all, remember that dark circles affect almost everyone at one time or another. So, when you get one of those Gee, you look tired comments, simply smile and say, Thanks, I feel just fine!  "} ## [Dermatologist in Auburn Hills, MI – Personalized Skin Care in Washington Township](https://nw-derm.com/service-area/dermatologist-in-auburn-hills-mi-personalized-skin-care-in-washington-township) Expert dermatology care near Auburn Hills, MI. Northwest Dermatology in Washington Township offers personalized treatment that addresses your skin concerns. {"_body":"","sa_city":"Auburn Hills","sa_description":"At Northwest Dermatology, we know skin issues rarely exist in isolation. They affect how you feel when you wake up, how you walk into a room, how you move through your day. If you're in Auburn Hills and looking for dermatology care that takes your concerns seriously—and treats more than just the symptoms—you’ll find what you need just a short drive away at our Washington Township office.\nWe’re not here to rush you through. We don’t believe in one-size-fits-all solutions or chasing trends. What we offer instead is time, insight, and a plan that’s shaped around your skin—not a template. Whether you're dealing with a chronic condition, need a second opinion, or simply want to keep your skin healthy as you age, we’re here for all of it—and for you.\nOur team of board-certified dermatologists provides care that’s grounded in medical expertise but delivered with calm, clear communication. We explain everything. We make sure you’re comfortable. And we don’t move forward until it makes sense to you.","sa_service_provided":"skincare","service_area_closest_location":"Washington","service_area_content_row":[{"service_area_content_copy":"Our office in Washington Township serves a wide range of skin care in Auburn Hills needs, from preventative care to long-term medical management and refined cosmetic services.\n\nMedical Dermatology & Skincare in Auburn Hills\n\n \tAcne, eczema, and psoriasis care\n \tSkin cancer screenings and mole checks\n \tRashes, itching, and allergic reactions\n \tChronic flare-up prevention\n \tHair thinning and scalp concerns\n\nCosmetic Dermatology\n\n \tBotox and wrinkle softening\n \tDermal fillers for volume restoration\n \tLaser treatments for discoloration and redness\n \tSun damage repair\n \tPreventive skin aging strategies\n\nDermatology for All Ages\n\n \tGentle pediatric care\n \tTeen acne treatment programs\n \tAdult skin maintenance and planning\n \tSenior skin care and sun protection\n","service_area_content_heading":"Dermatology Services for Auburn Hills Patients","service_area_content_image":"8304"},{"service_area_content_copy":"Whether you’re dealing with something chronic or just want a place that actually listens, we’re ready when you are. Our team is here to support you with answers, clarity, and care that lasts.\n\n \t\nOnly 20 minutes north via M-59 or Mound Road\n\n \t\nBoard-certified dermatologists with decades of experience\n\n \t\nClear, respectful communication—no pressure, no upsells\n\n \t\nModern medical care in a calm, accessible setting\n\n \t\nA reputation built on long-term results and lasting relationships\n\n\nThis isn’t a high-volume clinic. It’s a space where we take time, get it right, and make sure you leave with a plan that makes sense.","service_area_content_heading":"Why Auburn Hills Patients Choose Northwest Dermatology for their Skincare"}],"service_area_faq":[{"service_area_faq_answer":"Not necessarily. Many of our Auburn Hills patients book directly. We can help you determine if your insurance requires a referral","service_area_faq_question":"Do I need a referral to schedule an appointment?"},{"service_area_faq_answer":"Yes. We offer full-service dermatology care—everything from rashes and chronic skin conditions to cosmetic treatments like Botox and skin resurfacing.","service_area_faq_question":"Do you treat both cosmetic and medical conditions?"},{"service_area_faq_answer":"Just over 20 minutes by car, with convenient access via M-59, Van Dyke, or Mound Road.","service_area_faq_question":"How far is the Washington Township office from Auburn Hills?"},{"service_area_faq_answer":"Absolutely. We start with a conversation, assess your goals, and guide you through what’s appropriate, subtle, and effective—if anything is needed at all.\n","service_area_faq_question":"Are cosmetic consults available even if I’m not sure what I need?"},{"service_area_faq_answer":"Yes, we regularly treat pediatric and adolescent patients for common skin concerns like eczema, acne, and warts, as well as more complex conditions.","service_area_faq_question":"Do you see children and teens?"}]} ## [Dermatologist in Bloomfield Hills, MI – Elevated Skin Care, Minutes Away in Bingham Farms](https://nw-derm.com/service-area/dermatologist-in-bloomfield-hills-mi) Expert dermatology care for Bloomfield Hills residents. Medical & cosmetic treatments with precision and empathy. Conveniently located in nearby Bingham Farms. {"_body":"In Bloomfield Hills, quality is never an afterthought—and at Northwest Dermatology, we believe your skin care should reflect that same standard. Located just south in Bingham Farms, our practice is built around a simple idea: deliver refined, results-driven dermatology with empathy, discretion, and clinical precision.\n\n\n\nFrom medical dermatology to cosmetic care, we take pride in offering Bloomfield Hills patients a level of expertise and attention rarely found in larger systems. Here, you're not rushed through. You're welcomed in. You're heard.\n\nWhether you’re looking to address persistent skin concerns or seeking subtle enhancements that respect your natural appearance, our team of board-certified dermatologists works with quiet confidence and a personalized approach.\n\nWhy Bloomfield Hills Patients Choose Us:\n\n\nAn Elevated Experience – Calm, private, and intentionally unhurried.\n\nMedical Expertise – From skin cancer screenings to chronic skin condition care.\n\nNatural-Looking Aesthetic Treatments – For refreshed, not \"done,\" results.\n\nA Thoughtful Partnership – You bring the goals; we bring the insight.\n\n\nEvery skin story is different. Ours begins by listening to yours.\n\n\n\nFrequently Asked Questions – Bloomfield Hills Patients\n\nQ: Do you offer private consultation rooms?A: Yes. Our Bingham Farms office is designed with privacy and comfort in mind—ideal for Bloomfield Hills patients who appreciate discretion and a quieter care environment.\n\nQ: What conditions do you most often treat?A: We treat everything from skin cancer to melasma, acne, rosacea, hair loss, and age-related skin changes. Our approach blends clinical strength with skin sensitivity.\n\nQ: Is cosmetic dermatology available at this location?A: Absolutely. We offer Botox, dermal fillers, laser services, and custom skin plans—all guided by a “less is more” philosophy that prioritizes natural beauty. These services are available at Covet Med Spa, our onsite luxury medical spa. \n\nQ: Do you accept high-deductible or concierge-style insurance plans?A: We work with a variety of plans, and our team is always happy to help you understand your options before your first visit.\n\nQ: Why travel from Bloomfield Hills to Bingham Farms?A: It’s less of a commute, more of a step up. Our patients value quality over convenience—but here, you don’t have to choose between the two.\n\n\n\nDirections to Northwest Dermatology – Bingham Farms from Bloomfield Hills, MI\n\nOnly a few miles south, our Bingham Farms location offers quick access and serene surroundings.\n\nFrom Central Bloomfield Hills:\n\n\nTake Telegraph Road (US-24 S) heading south.\n\nContinue for approximately 5 miles.\n\nTurn right onto 13 Mile Road.\n\nWe’re located in Bingham Farms near Telegraph and 13 Mile—just look for our sign.\n\n\nEstimated Drive Time: ~10–15 minutes, depending on traffic.\n\nOur parking is easy, our office is peaceful, and your care starts the moment you walk through the door.","sa_city":"Bloomfield Hills, Michigan","sa_description":"","sa_service_provided":"Dermatologist","service_area_closest_location":"Bingham","service_area_content_row":"","service_area_faq":""} ## [Dermatologist in Madison Heights, Compassionate, Proven Skin Care](https://nw-derm.com/service-area/dermatologist-in-madison-heights-compassionate-proven-skin-care) Madison Heights residents trust Northwest Dermatology for compassionate skin care beyond appearance. Expert dermatologists who deliver personalized treatment. {"_body":"","sa_city":"Madison Heights","sa_description":"Skin care isn’t just about appearance—it’s about how you feel in your own skin. At Northwest Dermatology, we take that seriously. If you're from Madison Heights and looking for a dermatologist who sees the full picture—someone who listens carefully, speaks clearly, and offers care that actually fits—you’ll find what you’re looking for just a short drive away at our Bingham Farms location.","sa_service_provided":"Dermatology","service_area_closest_location":"Bingham","service_area_content_row":[{"service_area_content_copy":"We know that most people don’t visit a dermatologist on a whim. They come with questions. Frustrations. Sometimes worry. And often, they’ve already tried too many products, too many plans, and too many rushed appointments that didn’t solve the problem.\nThat’s not how we operate.\nWhen you walk through our doors, you’re not treated like a chart number or a case file. You’re met by a team that slows down, pays attention, and treats your skin the way it deserves to be treated—with precision, respect, and a plan that makes sense for your life, not just your diagnosis.\nWe offer a full range of services for both medical and cosmetic dermatology—everything from eczema, acne, and skin cancer screenings to natural-looking treatments for aging skin. But no matter why you come in, we begin the same way: with a conversation.\nBecause your skin tells a story. And we’re here to help you understand it, care for it, and feel better in it—every day.","service_area_content_heading":"A Higher Standard of Skin Care","service_area_content_image":"https://cdn.liteframecms.com/northwest-dermatology/1-163.jpg"}],"service_area_faq":[{"service_area_faq_answer":"Yes. In fact, many of our regular patients make the short drive from Madison Heights for the level of care we provide.","service_area_faq_question":"Do you accept new patients from Madison Heights?"},{"service_area_faq_answer":"Acne, rashes, eczema, rosacea, psoriasis, moles, and sun damage are some of the most common. We also see many patients for preventative screenings and cosmetic care.","service_area_faq_question":"What types of concerns do you treat most often?"},{"service_area_faq_answer":"Absolutely. Whether it’s your first time seeing a dermatologist or you’ve been disappointed elsewhere, we’ll make the process easy to understand and tailored to you.","service_area_faq_question":"Is this a good place for first-time dermatology patients?"},{"service_area_faq_answer":"Often, yes. We’ll guide you based on your skin’s priorities and your goals. Many patients appreciate being able to address multiple concerns in one visit.","service_area_faq_question":"Can you treat both medical and cosmetic concerns at the same visit?"},{"service_area_faq_answer":"Yes. We value consistency in care and relationships. You’ll see a familiar face who understands your history.","service_area_faq_question":"Will I see the same provider each time?"}]} ## [Dermatologist in Rochester Hills, MI – Specialized Skin Care Just Up the Road](https://nw-derm.com/service-area/dermatologist-in-rochester-hills-mi-specialized-skin-care-just-up-the-road) Expert dermatology care for Rochester Hills residents at our nearby Washington Township location. Personalized skin health solutions with attentive, unhurried care. {"sa_service_provided":"Dermatologist","sa_city":"Rochester Hills","service_area_closest_location":"Washington","sa_description":"At Northwest Dermatology, we believe skin health is a lifelong journey. A journey that deserves thoughtful attention, trusted guidance, and expert care. If you’re in Rochester Hills and searching for a dermatologist who listens, sees the full picture, and never rushes your concerns, our Washington Township location is ready to welcome you. From the first consultation to long-term care, our team is committed to results that feel good, look natural, and support your overall well-being. ","meta_title":"","meta_description":"","service_area_content_row":[{"service_area_content_heading":"What Rochester Hills Patients Can Expect:","service_area_content_copy":"\n \tComprehensive Skin Exams – Early detection, peace of mind, and practical next steps.\n \n \tChronic Skin Condition Management – For psoriasis, eczema, acne, and beyond.\n \n \tThoughtful Cosmetic Options – From Botox to laser treatments, always tailored to you.\n \n \tResponsive Follow-Ups – We stay with you, not just check a box.\n","service_area_content_image":"https://cdn.liteframecms.com/northwest-dermatology/DSC_9506-1.jpg"},{"service_area_content_heading":"Skin Care Services for Rochester Hills Residents","service_area_content_copy":"Cosmetic Dermatology\n\n \tBotox and wrinkle treatments\n \tVolume restoration with dermal fillers\n \tLaser resurfacing and sun damage repair\n \tRedness and hyperpigmentation correction\n \tPreventive aging and skin health planning\n\nFor All Ages and Skin Types\n\n \tPediatric dermatology for common childhood skin conditions\n \tTeen acne treatment plans\n \tMidlife and senior care focused on long-term skin wellness\n","service_area_content_image":"https://cdn.liteframecms.com/northwest-dermatology/dr-levin-dr-brothers.webp"},{"service_area_content_heading":"Directions to Northwest Dermatology – Washington Township from Rochester Hills, MI","service_area_content_copy":"Just a short, scenic drive north brings you from Rochester Hills to expert skin care you can count on.\n\n \n\nFrom Central Rochester Hills:\n\n \n\n \tHead north on Rochester Road.\n \n \tContinue through Rochester and into Washington Township.\n \n \tTurn right onto 26 Mile Road.\n \n \tOur office is conveniently located near Van Dyke Road.\n\n \n\nEstimated Drive Time: ~20–25 minutes, depending on traffic.\n\n \n\nWe offer ample parking and a calm, welcoming office environment. You’re not just another appointment here—you’re part of our community.","service_area_content_image":"https://cdn.liteframecms.com/northwest-dermatology/Front-Optimized.jpg"}],"service_area_faq":[{"service_area_faq_question":"Is the Washington Township office accepting new patients from Rochester Hills?","service_area_faq_answer":"Yes, absolutely. Many of our patients live in Rochester Hills and find the short drive worth the personal care they receive here."},{"service_area_faq_question":"How do I know if I need to see a dermatologist?","service_area_faq_answer":"If you’ve been dealing with a skin issue for more than a few weeks, it’s time to get answers. Even minor issues can benefit from professional insight and care."},{"service_area_faq_question":"What cosmetic services are offered at the Washington Township location?","service_area_faq_answer":"We offer a range of services including Botox, fillers, laser skin rejuvenation, and personalized skincare consultations. See Covet Med Spa, in Bingham Farms for these services."},{"service_area_faq_question":"Do you treat children and teens?","service_area_faq_answer":"Yes, we see patients of all ages—from toddlers with rashes to teens struggling with acne, and adults managing aging skin."},{"service_area_faq_question":"What makes Northwest Dermatology different?","service_area_faq_answer":"Patients say it’s the way we make them feel heard. Our focus is on long-term relationships, not quick fixes. We take the time to explain, to treat gently, and to offer solutions that fit your life."}],"_body":"Something Personal, You're Not Just a Number. Rochester Hills patients often tell us they chose us because they were looking for something more personal—less transactional. We take that to heart. Whether you’re managing a chronic skin condition or exploring subtle cosmetic enhancements, you’ll find a gentle, knowledgeable hand here. No judgment. No upselling. Just real dermatology, rooted in science and delivered with care.Finding the right Dermatologist in Rochester Hills is about more than location. It is about trust, consistency, and clear communication. Patients want care that feels personal and responsive, not rushed or generic. Northwest Dermatology provides that care at our Rochester location near Washington. Our board-certified dermatologists take time to understand your skin, your concerns, and your goals. This approach allows us to deliver treatment plans that make sense now and over time. We treat a full range of medical and cosmetic skin concerns. Services include acne care, eczema and psoriasis treatment, skin cancer screenings, and preventative dermatology. We also offer cosmetic options designed to support natural aging without pressure or overcorrection. Patients notice the difference quickly. Appointments stay focused. Communication stays clear. Care remains consistent from visit to visit.If you are looking for a Dermatologist in Rochester Hills who values experience, clarity, and long-term skin health, Northwest Dermatology offers a thoughtful, patient-centered approach."} ## [Dermatologist in Shelby Township, MI – Personalized Skin Care Just Up the Road in Washington Township](https://nw-derm.com/service-area/dermatologist-in-shelby-township-mi) Expert dermatology care minutes from Shelby Township. Northwest Dermatology in Washington offers personalized skin treatments with a caring, community approach. {"sa_service_provided":"dermatologist","sa_city":"shelby township","service_area_closest_location":"Washington","sa_description":"","meta_title":"","meta_description":"","service_area_content_row":[],"service_area_faq":[],"_body":"Shelby Township is a place where community and comfort meet—and when it comes to your skin, you deserve care that feels just as intentional. At Northwest Dermatology, located only minutes north in Washington Township, we provide comprehensive dermatology that blends cutting-edge medicine with a personal, neighborhood touch.We know your skin tells a story—about your health, your lifestyle, your confidence. Whether you're managing a chronic skin condition, concerned about a changing mole, or simply want to feel better in your own skin, our board-certified dermatologists are here with answers, not assumptions.Our Washington location is a trusted destination for many Shelby Township residents looking for expertise without the overwhelm. Here, you won’t wait months to be seen. You won’t feel rushed. And you won’t walk out confused. You’ll get real insight, thoughtful treatment, and care that’s tailored to your skin—not the system.What We Offer Shelby Township Patients:Medical Dermatology That Listens FirstFrom acne and eczema to psoriasis and skin cancer checks, we approach every diagnosis with care and clarity—because skin health is real health.Cosmetic Dermatology, Refined and ResponsibleSubtle Botox, filler, skin-smoothing treatments, and pigment correction are offered with a conservative touch that aligns with your natural beauty—not against it. We have a top-of-the-line Medical Spa at our Bingham Farms location.Pediatric to Geriatric CareWe see every age and every stage—because skin concerns evolve, and so should your care.Preventive Screenings and Long-Term PlansWhether you're keeping an eye on sun exposure or managing chronic conditions, we're proactive—not reactive.Why Shelby Township Trusts Us:Just 10–15 minutes from townAppointments that respect your scheduleTreatments grounded in both science and empathyA team that knows you by name, not by chart numberWe’re not a chain. We’re not corporate. We’re a focused team of professionals who genuinely care about what your skin is trying to tell us—and how we can help you feel better in it.Frequently Asked Questions – Shelby Township PatientsQ: Is your Washington location accepting new patients from Shelby Township?A: Yes, and we welcome you. Many of our current patients come from Shelby Township and nearby neighborhoods for both medical and cosmetic care. Schedule Here.Q: What skin conditions do you specialize in?A: We routinely treat acne, eczema, rosacea, psoriasis, moles, rashes, warts, and offer full skin cancer screenings. We also handle more complex or persistent issues that haven't responded to over-the-counter treatments.Q: Do you offer treatment for hair loss and aging skin?A: Absolutely. We provide diagnostic assessments for hair thinning, hormonal patterns, and offer topical and procedural options for facial aging, fine lines, and skin laxity.Q: Can I bring my child or teen?A: Yes—we regularly see families, including children with skin sensitivities, adolescents with acne, and teens interested in safe, age-appropriate skincare options.Q: Do you use lasers or light therapies?A: We do. Laser therapy is available for pigmentation, broken blood vessels, and texture-related concerns. We’ll walk you through what’s right for your skin, not someone else’s.Directions to Northwest Dermatology – Washington Township from Shelby Township, MIOur Washington office is just north of Shelby, easily accessed via Van Dyke or M-53.From Shelby Township Center:Head north on Van Dyke Ave.Continue past 25 Mile and 26 Mile roads.Look for our clinic just past 27 Mile—our signage is clear, and parking is simple.Estimated Drive Time: ~12–15 minutes, depending on traffic.The space is clean, calm, and easy to access—designed to feel more like a wellness studio than a sterile medical building.We’re close enough to be convenient. Quiet enough to feel like a retreat. And skilled enough to be your long-term dermatology home.Ready to schedule your visit? Let’s start with a conversation."} ## [Dermatologist in Sterling Heights, MI – Personalized Skin Care in Bingham Farms](https://nw-derm.com/service-area/dermatologist-in-sterling-heights-mi-personalized-skin-care-in-bingham-farms) Experience personalized dermatology care at Northwest Dermatology in Bingham Farms. Trusted by Sterling Heights patients for thoughtful, adaptive skin solutions. {"_body":"\n\n\n\nFinding the right Dermatologist in Sterling Heights is not just about convenience. It is about trust, consistency, and knowing your concerns will be taken seriously. Many patients want more than quick visits or one-size-fits-all solutions. They want thoughtful care that adapts as their skin changes over time. At Northwest Dermatology, patients from Sterling Heights choose to visit our Bingham Farms location because of how we approach care. We take time to understand your history, your goals, and your daily realities. That attention helps us create treatment plans that make sense for your skin today and long term. Our board-certified dermatologists treat a wide range of medical and cosmetic concerns. These include acne, eczema, psoriasis, skin cancer screenings, and preventative skin care. \n\nWe also offer cosmetic treatments designed to support natural aging without pressure or overcorrection. Every recommendation comes from clinical experience, not trends. Patients often tell us the difference is clear from the first visit. Appointments stay focused and unhurried. Communication stays honest and direct. You see familiar providers who understand your progress instead of starting over each time. While our office is located in Bingham Farms, we regularly care for individuals and families from Sterling Heights and surrounding communities. Many find the short drive worthwhile for consistent care and peace of mind. When your skin feels balanced and supported, daily life feels easier. \n\nIf you are searching for a Dermatologist in Sterling Heights who values clarity, experience, and long-term results, Northwest Dermatology offers an approach centered on your skin and your confidence.\n\n","sa_city":"Sterling Heights","sa_description":"If you are looking for a Dermatologist in Sterling Heights, you may feel tired of rushed appointments and generic prescriptions. Many practices deliver corporate care instead of personal attention. A better option sits just a short drive away.\n\nAt Northwest Dermatology in Bingham Farms, we ground our care in experience and build it on trust. We focus every visit on your skin and what it needs to stay healthy.\n\nGreat Dermatology does not start with assumptions. We start conversations. Our board-certified dermatologists take the time to get it right. We treat chronic conditions, evaluate new concerns, and deliver subtle cosmetic care.\n\nOur Bingham Farms location stays quiet, clean, and efficient. You avoid endless paperwork and long waits in crowded lobbies. From the moment you arrive, you notice the difference. Less noise. More clarity. Better outcomes.","sa_service_provided":"skincare","service_area_closest_location":"Bingham","service_area_content_row":[{"service_area_content_copy":"\n \tJust ~25 minutes away via I-696 or 12 Mile\n \tCalm, private environment with easy parking\n \tConsistent care from the same dermatology providers\n \tAppointments that start on time—and don’t feel rushed\n \tReal communication. No pressure.\n\nWe’ve cared for generations of families. Many of our patients from Sterling Heights tell us the drive is well worth it—for peace of mind, and for skin that finally feels under control.","service_area_content_heading":"Why Sterling Heights Patients Come to Bingham Farms","service_area_content_image":"https://cdn.liteframecms.com/northwest-dermatology/DSC_9511-1.jpg"},{"service_area_content_copy":"We are full-spectrum Dermatologists in Sterling Heights, balancing medical expertise with cosmetic options—always customized, never pushed.\n\nMedical Dermatology\n\n \tAcne, rosacea, and eczema treatment\n \tPsoriasis care and chronic condition management\n \tSkin cancer screenings, biopsies, and mole monitoring\n \tRashes, allergic reactions, and skin infections\n \tHair loss, scalp conditions, and pigmentation disorders\n\nCosmetic Dermatology\n\n \tBotox and wrinkle treatments\n \tVolume restoration with dermal fillers\n \tLaser resurfacing and sun damage repair\n \tRedness and hyperpigmentation correction\n \tPreventive aging and skin health planning\n\nFor All Ages and Skin Types\n\n \tPediatric dermatology for common childhood skin conditions\n \tTeen acne treatment plans\n \tMidlife and senior care focused on long-term skin wellness\n","service_area_content_heading":"Skin Care Services for Sterling Heights Residents","service_area_content_image":"https://cdn.liteframecms.com/northwest-dermatology/dr-levin-dr-brothers.webp"}],"service_area_faq":[{"service_area_faq_answer":"In most cases, no referral is needed. Our front desk can help verify your insurance details before scheduling.","service_area_faq_question":"Do I need a referral to book an appointment?"},{"service_area_faq_answer":"Yes—we’re equipped for full-service dermatology, from diagnostics and condition management to subtle cosmetic treatments and maintenance.","service_area_faq_question":"Do you offer both medical and cosmetic care in one place?"},{"service_area_faq_answer":"Not at all. Take I-696 west or 12 Mile Road and you’ll be at our office in under half an hour, depending on traffic.","service_area_faq_question":"Is Bingham Farms hard to reach from Sterling Heights?"},{"service_area_faq_answer":"Natural, understated, and customized. We believe in refining—not altering—your features. Most of our patients simply want to look rested, healthy, and themselves.","service_area_faq_question":"What’s your approach to cosmetic treatments?"},{"service_area_faq_answer":"Absolutely. We care for patients of all ages and often see entire families for everything from eczema to acne to annual skin checks.","service_area_faq_question":"Do you see children and teens?"}]} ## [Dermatologist in Troy – Expert Skin Care Close to Home](https://nw-derm.com/service-area/dermatologist-in-troy-expert-skin-care-close-to-home) Expert dermatologists near Troy, MI offering personalized skin care with real results. Partner with us for treatments that work. Convenient Bingham Farms location. {"_body":"","sa_city":"Troy, MI","sa_description":"At Northwest Dermatology, we understand that when it comes to your skin, you want answers—not assumptions—and real results that feel true to you. If you’re in Troy, MI and looking for a dermatologist who treats you like a partner in your care, not just another appointment, our Bingham Farms location is just a short drive away.","sa_service_provided":"Dermatologist","service_area_closest_location":"Bingham","service_area_content_row":[{"service_area_content_copy":"Your skin isn’t just another box to check. It’s personal. It’s part of who you are—and it deserves care that reflects that. At Northwest Dermatology, we believe good dermatology starts with good listening. Before we offer answers, we make sure we understand your story: where your skin has been, what you’ve tried, and what you want to feel when you look in the mirror.\nIf you’re in Troy, MI, and searching for a dermatologist who treats you like a true partner in your care—not just another appointment on a crowded calendar—you’ll find that difference just a short drive away at our Bingham Farms location.\nHere, you won’t get a hurried diagnosis or a one-size-fits-all solution. You’ll get a conversation. You’ll get a plan built for your skin, your life, and your long-term confidence.\nOur team specializes in both medical and cosmetic dermatology, offering advanced treatments for everything from chronic conditions to subtle, natural-looking enhancements. But no matter why you walk through our doors, the first step is always the same: we listen. We explain. We work with you to create a path forward that makes sense—not just medically, but personally.\nBecause no two skin journeys are alike. And at Northwest Dermatology, your care is never treated like it is.","service_area_content_heading":"A Higher Standard of Skin Care for Troy Residents","service_area_content_image":"https://cdn.liteframecms.com/northwest-dermatology/SDC_5354-1.jpg"},{"service_area_content_copy":"\n\nWe don’t believe in aggressive selling or rushed diagnoses. We believe in treating your skin—and your time—with respect.\n\n \tClose, convenient access via Telegraph Road\n \n \tBoard-certified dermatologists with decades of experience\n \n \tCalm, discreet office setting\n \n \tPersonalized, unrushed visits\n \n \tClear, straightforward treatment plans you can feel good about\n \tConvenient telemedicine appointments\n\n","service_area_content_heading":"Why Troy Patients Trust Northwest Dermatology","service_area_content_image":"7905"}],"service_area_faq":[{"service_area_faq_answer":"Yes. We proudly serve many patients from Troy and would be happy to welcome you. Schedule an appointment here, or call us at (248) 353-0880 to schedule a telemedicine appointment.","service_area_faq_question":"Are you accepting new patients from Troy?"},{"service_area_faq_answer":"Absolutely. We offer specialized acne treatments and skincare advice for teens and young adults navigating changing skin.","service_area_faq_question":"Do you work with teenagers or young adults?"},{"service_area_faq_answer":"We prioritize prompt scheduling, especially for urgent skin issues or concerning changes. Call us and we'll find a time that fits.","service_area_faq_question":"How soon can I get an appointment?"},{"service_area_faq_answer":"Experience, integrity, and care. We focus on results that last and treatments that fit your life—not just quick fixes.","service_area_faq_question":"What makes Northwest Dermatology different?"},{"service_area_faq_answer":"We do. Many of our patients come to us for a medical issue and stay for ongoing skin maintenance or cosmetic services.","service_area_faq_question":"Do you treat both cosmetic and medical concerns?"}]} ## [Dry vs. Oily Skin](https://nw-derm.com/blog/dry-vs-oily-skin) Learn how to identify your skin type and discover expert care tips for dry or oily skin. Get the luminous, healthy complexion you want with the right approach. {"_body":"When it comes to our skin, we all want the luminous visage that makes us look good, indicates we’re healthy, and boosts our self-image. But achieving that ideal appearance can be a challenge, in part because skin is complicated and varies considerably from one person to the next. Most of us fall into either a dry or oily category, with different care approaches needed for best results. Here are some tips for Dry vs. Oily Skin  \n\nFiguring Out Your Skin Type  \n\nLearning out how best to care for your skin starts with understanding what kind of skin you have. Here’s a simple, at-home test.  \n\nStart by washing your face with a gentle soap or cleanser. Without adding any type of product, wait 30 minutes or so. Then, dab your forehead and nose with a tissue. If any oil or greasy residue rubs off onto the tissue, it’s a sign your skin is oily. If the tissue stays dry but your face feels rough or tight, likely you’ve got skin that’s dry.  \n\nNow that you know what’s you’re dealing with, you can proceed with finding the strategies that work for you.\n\nCaring for Dry Skin  \n\nDryness is due to water loss from the outer skin layer, leaving skin itchy, flaky, reddish, or scaly. Skin may be dull and ashy; fine lines, peeling, and cracking are common symptoms as well. Causes for xerosis or xeroderma (the scientific terms for dry skin) are often environmental, like cold or dry weather, artificial heating from furnaces and fireplaces, sun exposure, living conditions, excessive washing, and exposure to irritants. Aging, genetics, and skin tone also factor in, as do health status and certain medical conditions. Vitamin B deficiency is a possibility, although consultation with a healthcare professional is needed to figure that one out. Also see your doctor if cracking and roughness become serious enough to bleed. Broken skin allows germs and bacteria to enter the body, potentially leading to a skin infection. Persistent or extreme dryness can also be caused by conditions like eczema or psoriasis, which require medical diagnosis and treatment.  \n\nFor most of us, dry skin is just unattractive and uncomfortable. It’s something that can be improved with lifestyle changes, readily available products, and a consistent care routine. To help skin retain moisture:  \n\n\nLimit water exposure during showers or baths to 10 minutes or less, only once a day. Use warm, not hot water, and pat dry without rubbing.  \n\nCleanse gently with a non-soap, fragrance-free, no-alcohol cream or gel. Wash you face twice a day only, in the morning to get rid of dust, bacteria, and sleep residue, and at evening to remove makeup and impurities accumulated during the day. Look for products with hydrating ingredients like aloe vera, avocado, glycerin, hyaluronic acid, jojoba oil, lanolin, and olive oil.  \n\n\n\nMoisturize while skin is damp, at least twice daily, to seal moisture into the skin’s protective barrier. Use products that contain ceramides, glycerin, hyaluronic acid, jojoba oil, or shea butter. Ointments or creams may be better than a lotion because they contain more oil. Some skin specialists also recommend a toner to remove traces of dirt and bacteria while refreshing gently, although many people get along fine without it. Exfoliation should be sparing at best because the harsh ingredients often irritate already dry skin.  \n\nUse sunscreen, even on cloudy, grey days. UV rays are always present, and exposure further damages dry skin. After swimming, be sure to rinse and moisturize, especially if you’re working out in heavily chlorinated pools.  \n\nCover as much skin as possible in cold, windy weather and wear gloves when gardening, putting hands in water, using harsh chemicals, or doing other skin-drying activities.   \n\nStay hydrated by drinking plenty of water and noncaffeinated beverages to keep the body’s tissues, including your skin, moisturized from the inside.   \n\n\nDry skin people want to avoid products containing ingredients that make your condition worse. To do that, look out for alcohol, benzoyl peroxide, chemical peels, fragrances, glycolic acid, retinoids, and salicylic acid in anything you put on your skin.  \n\nA beautiful woman in a white bathrobe and with a bath towel on her head is using a pipette to apply an oily serum for skin care at home in the bathroom. Home care, beauty care. Close-up of body cosmetics, a natural preparation for maintaining beauty and moisturizing the face and body. Spa and relaxation.\n\nCaring for Oily Skin  \n\nOily skin appears glossy, greasy, and slippery, with visible pores and a shiny complexion. Everybody’s skin produces oil in the form of sebum, which comes from the sebaceous glands and is part of the hydrolipidic film that covers and protects against bacteria, dirt, grime, and other external substances. But too much sebum from genetics, hormones, stress and other causes (seborrhea is the medical term) can lead to clogged pores and breakouts of blackheads, whiteheads, and acne; red, swollen, painful, unhealthy skin can result.  \n\nCaring for this type of skin means clearing it of excess oil. Surprisingly, many treatments are similar to those for dry skin, although differing products may be involved.  \n\n\nWash your face morning and evening, adding after exercise to your routine. Use a gentle, foaming cleanser that’s oil-free, non-comedogenic, non-allergenic, and rinses off easily. The instinct with oily skin is to wash multiple times daily, scrubbing vigorously with an abrasive agent. That only causes irritation, which skin reacts to by producing more oil for protection—exactly what you’re trying to avoid. Rough washcloths or loofahs add friction and have the same oil-increasing affect.  \n\nApply moisturizer at least once a day. A lightweight, non-comedogenic, oil-free product won’t make skin oilier or trap breakout-causing debris in pores, but it will keep skin hydrated, which is what all skin needs. Use sunscreen, too, perhaps in place of your morning moisturizer application or in a moisturizer-sunscreen combination. Use of a mild toner or natural astringent can further soothe skin and remove bits of pore-blocking makeup or debris.  \n\nBlot your face as needed throughout the day to get rid of excess oil build-up and shine. Just hold a blotting paper gently against your face but stop rubbing; that just spreads the oil.  \n\nUse water-based makeup and apply lightly. Trying to hide shiny skin or breakouts with heavy makeup only makes symptoms worse by clogging pores and stimulating oil production.  \n\nTry retinoids and gentle exfoliation. Oily complexions may benefit from the use of retinoids because they boost skin cell turnover and clear out dead cells. A gentle, exfoliating wash can also help by removing the dead cells that trap sebum and cause acne to form.   \n\n\n\nAvoid touching your face throughout the day. Doing so can spread bacteria, dirt, and oil from one area to another, increasing greasiness and backing up pores.  \n\n\nIngredients like cocoa butter, coconut oil, petroleum jelly, and silicone are oily by nature, adding grease to skin rather than removing it. Alcohol and fragrances should also be avoided because they’re irritants, and irritation equals more oil.   \n\nFinding a Routine That Works for You  \n\nWhether your skin is dry, oily, or somewhere in between (normal, well-balanced skin is called eudermic), skin care is very individualized. You may have to try several items to find what’s best for you.  \n\nBeing aware of your skin type is a good place to start because that way you have some idea of the results you want to achieve. As you survey the huge array of products vying for your money and attention in stores and online, beware of unrealistic promises and miracle cures. And remember that high cost and good quality are not necessarily the same thing. Above all, you want to be comfortable with your skin’s condition and confident you’re achieving the best possible look for you. Understanding dry vs. oily skin types can help you with which products to use."} ## [Eczema](https://nw-derm.com/services/eczema) Get expert eczema treatment in Michigan at Northwest Dermatology. Find relief from itchy skin on face, hands, knees & more. Comprehensive care for all ages. {"featured_image2":"","hero_description":"Northwest Dermatology is your source for Eczema treatment in Michigan: No matter which part of the skin is affected, eczema is almost always itchy. Sometimes the itching will start before the rash appears, but when it does, the rash most commonly appears on the face, back of the knees, wrists, hands, or feet. It may also affect other areas as well.","secondary_image":"","secondary_image_alt":"","service_description":"","faq_title":"FAQ Eczema","faq_sub":"","cta_heading":"Relief from the Itch Is Closer Than You Think","cta_body":"Eczema is more than dry skin. When flare-ups disrupt your sleep, your comfort, or your confidence, our dermatology team can help you identify your triggers and build a treatment plan that goes beyond over-the-counter lotions, with options ranging from targeted topicals to advanced immunotherapies.","cta_label":"Schedule Your Eczema Consultation","cta_url":"\/schedule","meta_title":"","meta_description":"","faqs":[{"question":"What is the difference between eczema and psoriasis?","answer":"Both cause inflamed, itchy skin, but there are important differences. According to Rush University Medical Center, eczema tends to appear on flexural areas like the inner elbows and behind the knees, while psoriasis favors extensor surfaces like the outer elbows and front of the knees. Eczema itching is typically more intense, and eczema is closely linked to allergies and asthma. Psoriasis produces thicker, more sharply defined plaques and can also affect the joints. A dermatologist can distinguish between the two through a clinical exam and, if needed, a skin biopsy."},{"question":"Can adults develop eczema for the first time?","answer":"Yes. While eczema most commonly begins in infancy or early childhood, adult-onset eczema is a recognized condition. The University of Maryland Medical Center notes that there is a late-onset form that can affect adults, and that eczema is more common in urban areas than rural ones. Adult-onset eczema may be triggered by thyroid disease, hormonal changes, or chronic stress. Because eczema in adults can look different than it does in children, with thicker, darker patches, professional diagnosis is important to rule out other conditions."},{"question":"Are there newer treatments for eczema beyond steroid creams?","answer":"Yes. While topical corticosteroids remain a first-line treatment, the field has expanded considerably. WebMD reports that biologic drugs like dupilumab (for patients aged 6 and up) and tralokinumab (for adults) are now available for moderate to severe cases that do not respond to topical therapy. Calcineurin inhibitors like tacrolimus and pimecrolimus offer steroid-free alternatives for sensitive areas like the face and eyelids. Your dermatologist can evaluate whether these newer options make sense for your specific situation."}],"_body":"Affected areas usually appear very dry, thickened, or scaly. In fair-skinned people, these areas may initially appear reddish and then turn brown. Among darker-skinned people, eczema can affect pigmentation, making the affected area lighter or darker.In infants, the itchy rash can produce an oozing, crusting condition that happens mainly on the face and scalp, but patches may appear anywhere.Causes of EczemaThe exact cause of eczema is unknown, but it’s thought to be linked to an overactive response by the body’s immune system to an irritant. It is this response that causes the symptoms of eczema.In addition, eczema is commonly found in families with a history of other allergies or asthma. Also, defects in the skin barrier could allow moisture out and germs in.Some people may have “flare-ups” of the itchy rash in response to certain substances or conditions. For some, coming into contact with rough or coarse materials may cause the skin to become itchy. For others, feeling too hot or too cold, exposure to certain household products like soap or detergent, or coming into contact with animal dander may cause an outbreak. Upper respiratory infections or colds may also be triggers. Stress may cause the condition to worsen.Although there is no cure, most people can effectively manage their disease with medical treatment and by avoiding irritants. The condition is not contagious and can’t be spread from person to person.Eczema DiagnosisA pediatrician, dermatologist, or your primary care provider can make a diagnosis of eczema. While there are no tests to determine eczema, most often your doctor can tell if it’s eczema by looking at your skin and by asking a few questions.Since many people with eczema also have allergies, your doctor may perform allergy tests to determine possible irritants or triggers. Children with eczema are especially likely to be tested for allergies.Eczema TreatmentThe goal of treatment for eczema is to relieve and prevent itching, which can lead to infection. Since the disease makes skin dry and itchy, lotions and creams are recommended to keep the skin moist. These products are usually applied when the skin is damp, such as after bathing, to help the skin retain moisture. Cold compresses may also be used to relieve itching.Over-the-counter products, such as hydrocortisone 1% cream, or prescription creams and ointments containing corticosteroids, are often prescribed to lessen inflammation. In addition, if the affected area becomes infected, your doctor may prescribe antibiotics to kill the infection-causing bacteria.Other treatments include antihistamines to lessen severe itching, tar treatments (chemicals designed to reduce itching), phototherapy (therapy using ultraviolet light applied to the skin), and the drug cyclosporine for people whose condition doesn’t respond to other treatments.The FDA has approved two drugs known as topical immunomodulators (TIMs) for the treatment of mild-to-moderate eczema. The drugs, Elidel and Protopic, are skin creams that work by altering the immune system response to prevent flare-ups.The FDA has warned doctors to prescribe Elidel and Protopic with caution due to concerns over a possible cancer risk associated with their use. The two creams also carry the FDA’s “black box” warning on their packaging to alert doctors and patients to these potential risks. The warning advises doctors to prescribe short-term use of Elidel and Protopic only after other available eczema treatments have failed in adults and children over the age of 2. It should not be used in kids under age 2.How To Prevent EczemaEczema outbreaks can sometimes be avoided or the severity lessened by following these simple tips.Moisturize frequently.Avoid sudden changes in temperature or humidity.Avoid sweating or overheating.Reduce stress.Avoid scratchy materials, such as wool.Avoid harsh soaps, detergents, and solvents.Be aware of any foods that may cause an outbreak and avoid those foods."} ## [Emily Levin, MD](https://nw-derm.com/provider/emily-levin) Dr. Emily Levin is a board-certified dermatologist at Northwest Dermatology Group since 2004. University of Michigan and Wayne State Medical School graduate. {"provider_photo":"https://cdn.liteframecms.com/northwest-dermatology/asset-1.webp","provider_title":"Dermatologist","provider_name":"Dr. Emily Levin","provider_bio":"Dr. Levin is a board certified Dermatologist who joined Northwest Dermatology Group in 2004. After growing up in the Detroit metro area, she earned a bachelor’s degree in psychology from the University of Michigan in 1996 before graduating from Wayne State University Medical School in 2000. She completed her internship at William Beaumont Hospital and went on to receive her Dermatology training at Henry Ford Hospital.Dr. Levin is on staff at William Beaumont Hospital, Providence Hospital, and the Detroit Medical Center, where she participates in clinics instructing resident physicians. In addition to her clinical dermatology practice, Dr. Levin has a particular interest in Dermatologic Surgery and Cosmetic Dermatology. She has been married since 2004 and she and her husband have three children.About Northwest Dermatology Group, Dr. Levin says, “I am extremely proud to be a part of this ethical, caring group of healthcare providers, and I am honored to be trusted with my patients’ care.”","provider_schedule_link":"tel:2483530880","provider_schedule_cta":"Call to Schedule Dr. Levin","_body":""} ## [Everything You Need to Know About Warts](https://nw-derm.com/blog/all-about-warts) Discover what causes skin warts, how to identify different types, and effective treatment options. Learn prevention tips and when to see a doctor for removal. {"_body":"Yick. Bleh. Gross. Ugh. That’s the reaction most of us have to skin warts, especially when they appear on our bodies. Generally, we find such abnormal skin growths unsightly, annoying, embarrassing. If you have them, you likely want them gone.\n\nWhat and Why Skin Warts Happen\n\nWarts are small, fleshy bumps that can appear anywhere on the human body; they’re most common on hands, feet, and areas of broken skin. The cause is human papillomavirus or HPV. Warts occur when certain skin cells on the epidermis (top layer of skin) grow faster than normal because they are infected with HPV.  \n\nHPV is everywhere and exposing us constantly: shaking hands, hugging, touching a doorknob, using a phone, walking shoeless in a locker room, sharing a towel – all are potential points of contact. More than 100 HPV strains have been identified; of those, ten are linked to skin warts. Which doesn’t mean your developing warts is inevitable, even though HPV is transmissible by touch and warts are caused by direct contact with HPV.  \n\nFor reasons experts don’t understand, warts are unpredictable. The virus may reside in your epidermis for years, then suddenly erupt into a growth. Or you can be directly exposed and never develop warts. Or the virus lingers in your skin after a wart goes away, but nothing further happens. The difference may have to do with the amount of HPV immunity built up by each person’s system. Warts can affect people of any age but often appear in children 12 to 16 years old, perhaps because their immune systems are not well-developed. Overall, 20% of schoolchildren and 10% of the general population are estimated to have warts. People of any age with immune systems weakened by illness, medical procedures, or transplants are at higher risk.  \n\nThree types of cutaneous or skin warts account for most growths.\n\nTypes of Skin Warts\n\nTypeAppearanceDescriptionCommonProtruding growth with raised, rough, thick surface, 1 to 10 millimeters in size. Skin-colored to gray-brown, often with capillaries showing as dark specs.  Found mostly on hands and fingers, but may appear anywhere on the body.  PlantarHard, grainy, or fleshy growth on heels, balls, other weight-bearing areas of feet. Often forced flat or inward beneath a thick layer of skin. Gray or brown with dark specks.Found only on soles of the feet. Clustered plantar warts are called mosaic warts. May cause pain when walking, running, or exercising.FlatFlat or slightly raised, small in size. Smooth and pink, nearly flush with surface of skin.  Found mostly on face, hands, shins. Less common than other types but may appear in large, clustered groupings.\n\nFiliform or facial warts are relatively rare; these are long, narrow projections around the eyelids and lips that extend 1 to 2 millimeters from the skin. In intimate areas of the body, genital warts may appear.\n\nConsidering Treatment Options  \n\nThe good news is that skin warts are usually harmless. In fact, the majority disappear on their own, so watching and waiting may be your best way to go. Since that process can take as long as two years, you may want to take action sooner, either on your own or by seeing your doctor or dermatologist.  \n\nSelf-remedy choices are plentiful.  \n\nOver-the-counter preparations containing salicylic acid (which also happens to be the main ingredient in aspirin) are your first and most effective choice. These come in a variety of topical applications, including gels, liquids, patches, and sprays, with familiar brand names like Compound W, Dr. Scholl’s, Equate, WartStick, Walgreens, CVS, and more. Treatment involves soaking a wart in the shower or bath, filing away dead skin with an emery board or pumice stone, applying the salicylic acid, covering the growth with a patch, and repeating daily.  \n\nSome anecdotal evidence suggests covering a wart with silver duct tape for six days at a time prompts removal, perhaps by depriving the growth of oxygen or removing viral particles along with the tape.  \n\nWhatever the approach, be patient – clearing the wart may take a while.  \n\nProfessional intervention may be indicated.  \n\nIn some cases, medical attention is advisable, especially for a wart that bleeds, grows quickly, or multiplies, potentially indicating cancer or another serious skin condition. Plantar warts that are painful or impede normal movement may warrant a visit to the doctor. Genital warts also should be evaluated professionally. In some instances, cosmetic concerns are primary, which is a perfectly valid reason for seeking help.  \n\nClinicians have several options for dealing with warts, including cryotherapy (freezing), electrodesiccation (burning with an electric implement), excision (surgical removal), or laser treatment. Prescription agents may sometimes be indicated. The choice depends on circumstance, type and location of wart, and professional preference.\n\nReducing Risk\n\nRemember that warts are caused by direct exposure to an HPV virus via contact with an existing growth, another person, or infected item. Since HPV viruses are everywhere, avoiding them completely is impossible, although good health practices may cut down on spread of warts. Some suggestions:  \n\n\nWash and sanitize hands frequently \n\nClean and cover cuts or breaks in the skin  \n\nCover a wart to limit contact with HPV  \n\nAvoid touching or scratching warts, whether yours or someone else’s   \n\nDo not share towels, washcloths, shoes, socks, combs, nail clippers, razors, and other personal items, even in your own home \n\nDo not brush, comb, shave, or clip hair in areas with warts \n\nStop nail biting and cuticle chewing  \n\nWear sandals or flipflops in communal spaces like pools and locker rooms to protect feet against HPV on floors or other surfaces  \n\n\nWhile seldom dangerous, warts can be unpleasant and aggravating. Fortunately, you can treat a wart successfully, so stay positive and be assured that eventually that pesky growth will go away.   "} ## [Fungal Infections & Ringworm](https://nw-derm.com/services/fungal-infections-ringworm) Expert dermatology care for fungal infections and ringworm. Get fast diagnosis and effective treatment to stop the itch and prevent spreading. Book today. {"featured_image2":"https://cdn.liteframecms.com/northwest-dermatology/stock_1777660424_9293.jpg","hero_description":"","secondary_image":"","secondary_image_alt":"","service_description":"","faq_title":"FAQ Fungal Infections & Ringworm","faq_sub":"","cta_heading":"Stop the Itch. Start the Treatment.","cta_body":"Ringworm will not go away on its own, and waiting only gives the fungus time to spread. Our dermatology team can diagnose your rash quickly and get you on the right treatment plan, often in a single visit.","cta_label":"Schedule Your Dermatology Appointment","cta_url":"/schedule","meta_title":"","meta_description":"","faqs":[{"question":"How long does ringworm take to clear up, and what happens if I stop treatment early?","answer":"Most mild skin ringworm resolves within two to four weeks with consistent use of topical antifungals. However, more serious infections may require treatment for six to twelve weeks, according to the Cleveland Clinic, particularly when the scalp or nails are involved. The most common mistake is stopping treatment once the rash looks better. The fungus can still be alive beneath skin that appears healthy, and cutting treatment short is one of the primary reasons ringworm recurs. The CDC warns that even after successful treatment, nail infections can return, and people with diabetes face an increased risk of recurrence."},{"question":"Can ringworm spread to other parts of my body?","answer":"Yes, and this is more common than many patients realize. The same dermatophyte fungi can migrate from one body region to another through self-contact. For example, the Cleveland Clinic notes that athlete's foot frequently serves as the origin point for groin and body infections, because the fungus transfers when you touch your feet and then other skin. Ringworm remains contagious to yourself and others as long as fungal spores are present on the skin, so treating every affected area simultaneously is essential."},{"question":"Should I see a doctor, or can I just use over-the-counter cream?","answer":"While most skin ringworm responds to OTC antifungal creams, there are important exceptions. Johns Hopkins Medicine recommends prescription oral antifungals for any infection on the scalp or nails, as topical treatments cannot penetrate deeply enough. You should also see a provider if your rash is widespread, has not responded to two weeks of OTC treatment, or appears unusually inflamed. The CDC has flagged that a more resistant strain of ringworm has been spreading internationally with some cases now appearing in the U.S., and these infections do not always respond to standard antifungals."}],"_body":"Expert Care for Fungal Infections / RingwormThere's a fungus among us! Worms don't cause ringworm. Rather, this superficial skin infection, also known as tinea, is caused by fungi called dermatophytes. These are microscopic organisms that have adapted to live on keratin, the hard fibrous protein found in skin and hair WHO. Much like a mushroom growing on the bark of a tree, dermatophytes feed off the dead tissues of your skin, hair, and nails. Ringworm is characterized by a red ring of small blisters or scaly skin that grows outward as the infection spreads. Though children are especially susceptible to catching ringworm, it can affect adults as well. In fact, the World Health Organization estimates that ringworm accounts for roughly half of the estimated 650 million fungal skin infections globally WHO.Causes of RingwormRingworm is not caused by a worm. It is caused by a fungus. The dermatophytes responsible for ringworm live and spread on the top layer of the skin and on the hair. They grow best in warm, moist areas, such as locker rooms and swimming pools, and in skin folds. According to the WHO, fungi thrive in warm, moist environments such as showers, locker rooms, and swimming pools WHO.Ringworm is contagious. The Mayo Clinic identifies three primary transmission routes: person to person through direct skin-to-skin contact, animal to human through touching an infected pet or livestock, and object to human through contaminated items like towels, clothing, or sports gear. The fungus is contagious even before symptoms appear Mayo Clinic, which is why early prevention habits matter so much. You can also get ringworm by touching an infected dog or cat, and the CDC recommends taking any pet with suspected ringworm to the veterinarian immediately.Symptoms of RingwormRingworm of the skin usually causes a very itchy rash. It often makes a pattern in the shape of a ring, but not always. Sometimes it is just a red, itchy rash. On lighter skin, the rash typically appears red; on darker skin, it may appear gray or brown CDC, according to the CDC.Jock itch (tinea cruris) is a rash in the skin folds of the groin. It may also spread to the inner thighs or buttocks. Johns Hopkins Medicine notes that jock itch may be particularly hard to cure Johns Hopkins Medicine.Ringworm of the hand looks like athlete's foot. The skin on the palm gets thick, dry, and scaly, and the skin between the fingers may be moist and have open sores. The Cleveland Clinic adds that ringworm on the scalp can cause scaly, itchy bald spots that may become permanent if left untreated, and nail infections can cause nails to thicken, discolor, and become brittle.Clean, clear skin can be yours. We're a phone call away. Don't let fungal infections like ringworm prevent you from baring your skin.Diagnosis of RingwormIf you have a ring-shaped rash, you very likely have ringworm. Your doctor will be able to tell for sure. He or she will probably look at a scraping from the rash under a microscope to check for the ringworm fungus. The WHO confirms that a skin scraping or nail clipping can be examined under a microscope or sent to a laboratory for fungal culture or molecular diagnosis WHO. Further testing is usually only needed if symptoms are severe or don't respond to initial antifungal treatment.Treatment of RingwormMost ringworm of the skin can be treated at home with creams you can buy without a prescription. Your rash may clear up soon after you start treatment, but it's important to keep using the cream for as long as the label or your doctor says. This will help keep the infection from coming back. Mild cases generally clear up within a few weeks, but more serious infections may require treatment for six to twelve weeks Cleveland Clinic, according to the Cleveland Clinic. If the cream doesn't work, your doctor can prescribe oral antifungal pills. Johns Hopkins Medicine notes that nail infections in particular may require weeks or months of oral antifungal medication.A few important things to keep in mind:If ringworm is not treated, your skin could blister, and the cracks could become infected with bacteria. If this happens, you will need antibiotics. The CDC also warns that applying corticosteroids to a ringworm infection can actually make it worse CDC by weakening the skin's ability to fight the fungus, so avoid hydrocortisone unless specifically directed by your doctor.If your child is being treated for ringworm, you don't have to keep him or her out of school or day care. However, the CDC recommends informing the school or teacher so they can help prevent an outbreak.It's also worth noting that the CDC has flagged a more resistant strain of ringworm spreading internationally, with some cases now reported in the U.S. CDC These infections may not respond to standard antifungal treatments, making professional diagnosis even more important.How to Prevent RingwormDon't share clothing, sports gear, towels, or sheets. If you think you have been exposed to ringworm, wash your clothes in hot water with special anti-fungus soap. Wear slippers or sandals in locker rooms and public bathing areas. Shower and shampoo well after any sport that includes skin-to-skin contact. The CDC specifically advises athletes to shower right after practice, matches, or games and keep all sports gear clean CDC.Wear loose-fitting cotton clothing. Change your socks and underwear at least once a day. Keep your skin clean and dry. Always dry yourself completely after showers or baths, drying your feet last. If you have athlete's foot, put your socks on before your underwear so that fungi do not spread from your feet to your groin.Take your pet to the vet if it has patches of missing hair, which could be a sign of a fungal infection. The CDC recommends wearing gloves and long sleeves when handling a pet with ringworm, and having all other household pets checked as well.If you or someone in your family has symptoms, it is important to treat ringworm right away to keep other family members from getting it. The infection remains contagious as long as fungal spores are present on the skin Healthline, so prompt, thorough treatment is the single best thing you can do to protect your household."} ## [Here's How to Change The Appearence of Your Pores.](https://nw-derm.com/blog/change-the-appearence-of-your-pores) Discover why pores are essential and learn effective methods to minimize their appearance. Expert tips for smoother, refined skin without compromising skin health. {"_body":"Pores get a bad rap. Staring at our reflections in the mirror, we worry that our pores are too big, too prominent, and too distracting. We think about how we can make them smaller and less obvious. We wonder why we have them at all.  Here's how to change the appearence of your pores.\n\nThe fact is our pores matter a lot. They’re part of the skin, and they play an essential role in what is the body’s largest organ. Much as we’d like to get rid of them altogether or at least make them smaller, the basic size of one’s pores is determined by genetics. Fortunately, there are several ways to minimize their appearance. To do that effectively, it helps to understand what pores are and how they work.  \n\nclose up wide pores on oily face skin. Here's How to Change The Appearence of Your Pores.\n\nWhat You Need to Know about Skin   \n\nThe anatomy of your skin is complex. This amazing substance covers your entire body, forming a protective shield against heat, light, injury, and infection, simultaneously regulating body temperature, storing heat and water, functioning as a sensory organ, and acting as a barrier between the organism inside and the exterior environment. Skin comes in an endless array of colors, thicknesses, and textures which vary by individual, but the three-layer structure is consistent for everyone.   \n\n\nThe epidermis is the thin outer layer made up of three types of cells: the outermost squamous layer, a second basal layer, and the melanocytes that give skin its color.  \n\nThe dermis is the middle layer, containing blood vessels, lymph nodes, hair follicles, sweat glands, collagen bundles, fibroblasts, nerves, sebaceous glands, and pain and touch receptors. Pores carry the products of these structures to the surface of the skin.  \n\nSubcutaneous fat is the deepest layer of the skin. Made up of a network of collagen and fat cells, it conserves heat and acts as a shock absorber against injury.    \n\n\nPores are tiny openings in your skin; each is between 250 and 500 mm in size (definitely small). A pore surrounds a hair follicle; each follicle can grow one shaft of hair, whether that hair is visible or not. Pores also connect with sweat glands. As an adult, you have some 5 million pores in your body, everywhere except the palms of your hands and soles of your feet; approximately 20,000 are on the face. The function of pores is to move oil, sweat, and other substances to the surface of your skin.   \n\nThe most important of these substances is sebum, an oily, waxy mixture made up of fatty acids, sugars, lipids (fat molecules), and other elements; the function of sebum is to moisturize, lubricate, and protect your skin. While sebum is produced all over the body, it’s concentrated in the face, where it can contribute to acne and other breakouts. That, in turn, contributes to those frustratingly large pores.    \n\nClose up woman smile and washing face by make bubble facial foam and cleansing her face skin Change The Appearence of Your Pores.\n\nWays to Minimize Prominent Facial Pores    \n\nSeveral factors contribute to the size and appearance of your pores, including genetics, age—skin becomes less elastic with age, making pores seem larger—sun exposure, and skin type—oilier skin may lead to more noticeable pores. Since you can’t shrink pores by changing the genetics that dictate their size, you want to concentrate your efforts on things you can affect.   \n\n\nBe gentle. Aggressively attacking your skin with strong cleansers or harsh implements only dries and irritates it, making your pores look bigger and redder. Wash your face twice a day only using gentle products and lukewarm, not hot, water, gently massaging as you cleanse. A routine that includes morning and evening cleansing is important, morning to wash away impurities generated during the night and evening to remove the day’s gunk and makeup before going to bed.   \n\nKeep pores clean. Pores enlarge when clogged with oil, sweat, dirt, and dead cells. Blackheads form when trapped dirt turns dark; acne happens when debris accumulates. Clean, clear pores are less visible, more attractive, and as small as genetically they can be.   \n\n\n\nFind the right makeup and products. Knowing your skin type (normal, dry, oily, or combination) lets you use compatible formulas. Gels and light foams work well with oily and combination skin; creams and balms are more suited to drier types. A gentle moisturizer is a good idea for everybody. Makeup can mask pores, so experiment until you find items that match your skin type and enhance your appearance. Products labeled noncomedogenic are best because they eliminate sebum backup. Stay away from alcohol and fragrances; they can dry and irritate. Matte formulas are best because they blur the look of your pores.  \n\nExfoliate, carefully. Exfoliation can get rid of the dirt and debris that fill and enlarge pores. But be careful, harmful chemicals and abrasive implements make things worse by damaging the skin. Once a week is plenty. Appropriate products are alpha hydroxy acids (AHAs) for dry or sensitive skin; beta hydroxy acids (BHAs) work well with oilier skin.   \n\nUse sunscreen daily. No matter the weather, always protect your skin with a minimum SPF of 30. Sun damage leaves skin less firm, which makes pores more visible.   \n\nTry retinoids. Retinoids boost skin cell turnover, helping minimize the prominence of pores. Substances like vitamin A derivatives (tretinoin and isotretinoin) clear out dead skin cells, free pores, shrink oil glands and increase the production of collagen, which keeps skin supple. But beware of skin irritation and stop using retinol if redness appears.    \n\nConsult a dermatologist. If over-the-counter products aren’t working, a dermatologist or other skin specialist can prescribe stronger retinoids and other medications. Professional treatments such as microneedling to plump up skin and lasers to resurface the skin are available as well.   \n\n\nYour pores are fundamental to proper skin function. They are not flaws to be corrected; instead, think of them as an integral and necessary part of who you are. Following the practices described here can help keep your pores at optimal functionality, contributing to the healthy, glowing skin we all want.  Here's how to change the appearence of your pores. "} ## [How to Treat & Heal Sunburn](https://nw-derm.com/blog/how-to-treat-heal-sunburn) Learn proven methods to treat and heal sunburn fast. Discover effective remedies for pain relief, reduce redness and swelling, and speed up skin recovery. {"_body":"Treating and Healing Sunburn – Here’s How  Let’s start with the obvious. The very best way to deal with sunburn is NOT to get it in the first place. Sure, the glow of the sun is warming and comfortable whether basking on a tropical beach, taking a bike ride through the country, or relaxing in the backyard.  But as we’ve all learned, our friend Sol has a downside, especially when overexposure to ultraviolet (UV) radiation leads to reddened skin, swelling, heat, discomfort, and pain. Inflammation to the point of blistering indicates greater damage to the skin. The reality is that sunburn HURTS! Even ONE bad sunburn can increase the risk of developing various forms of skin cancer. Premature aging, like wrinkles, spots, lines, and discoloration, can also result.   Still, sunburn happens. Maybe you’re unexpectedly outdoors for an extended period of time or run out of sunscreen or swim off your protection or forget about the ski slope glare. Often you don’t realize you’re burned until later because symptoms generally appear from two to six hours after exposure and can continue to develop for up to three days.  Certainly, you’re not alone when it comes to sunburn – one in three Americans gets sunburned every year.  You’re Sunburned. Now What?  Thanks to the remarkable restorative powers of skin, most sunburn eventually heals itself. But that takes several days to a week or more. Fortunately, you can make yourself comfortable in a number of ways while waiting for nature to come to the rescue. Keep skin cool and moist. A cool bath or shower soothes pain and redness; so does placing wet, cool towels on the burn. Reusable cold compresses and moist burn pads also work. Applying ointments containing aloe vera and other moisturizers relieves discomfort; creams with vitamins C and E may help limit damage to skin cells. While many such items are available over-the-counter, be sure to read labels and avoid petroleum jelly or anything oil-based; these substances block pores and trap heat and sweat. Products containing numbing agents like benzocaine or lidocaine are also bad because they can cause allergies and aggravate the burn. Avoid using soaps; many contain irritants and harsh chemicals. Putting ice on sunburn is also problematic; it can cause frostbite and damage the skin.  Ease inflammation and pain. OTC medications such as acetaminophen and ibuprofen relieve pain and reduce swelling. Aspirin is OK for adults, but do not give to children or teenagers because of the risk of dangerous side effects. (Better yet, prevent childhood sunburn by limiting sun time, using protective clothing, and applying lots of sunscreen.) Cortisone creams can lessen inflammation for kids and adults. Staying hydrated is important to replacing fluids lost during extended sun exposure. Getting plenty of sleep helps the body heal.  Be careful with blisters and peeling. Blistering means the body is trying to protect itself from further sun damage by forming an extra bubble or barrier on the surface of the skin. Blistered areas can be lightly bandaged to prevent irritation, but blisters should never be popped or scratched – that slows the healing process and raises the risk of infection. After several days blisters break on their own as skin flakes and peels. Peeling gets rid of sun-damaged cells so the new skin growing underneath can emerge.  Be patient and sensible. Recovery from sunburn takes time, and there’s not much you can do to speed the process beyond staying relaxed, hydrated, and letting your skin breathe. To avoid further damage, stay out of the sun, don’t wear tight clothing, avoid heavy makeup, and stop smoking. Always stay away from tanning salons, beds, and lamps; such devices burn, just like the sun, and often even worse! Even mild cases of sunburn take up to a week to heal, with factors such as age, overall health, chronic illness, and other conditions extending the healing process.  Know when to seek professional help. Circumstances such as severe sunburn covering more than 15% of the body, very large blisters, purplish discoloration of skin, fever of more than 101F, chills, dehydration and extreme thirst, disorientation, dizziness, headache, heatstroke, nausea, rash, and severe pain require immediate medical attention. Nerves may be damaged, the patient could go into shock, infection is a risk. While such cases are unusual, sunburn this severe should be treated by medical professionals. You should always follow up with a board-certified dermatologist after having a sunburn as these areas are at a higher risk for skin cancer.Why Protecting Yourself from Sunburn Is So Important  Sunburn is red and painful for reasons having to do with how your skin works. When exposed to UV radiation from the sun, the skin protects itself by making more of the pigment melanin, which determines skin tone. When there is more radiation than the skin’s melanin can cope with, the redness, warmth, and tenderness of sunburn occurs.  That inflammation is nature’s way of telling you your skin is damaged. First-degree sunburns are most typical, affecting only the top layer of skin. Blistering and pain indicate second-degree sunburn, penetrating to the next layer of skin. Three-degree sunburn is rare and serious, with UV radiation reaching the fat layer and deadening nerves deeper below. Since melanin varies widely – fair-skinned people have less of it and can begin burning within minutes; darker skin may tolerate longer times of exposure before damage sets in – sunburn is a very individual thing.  The best approach to sunburn is to avoid it. Doing that is simple when you keep the S formula in mind, even during cloudy days and throughout every season of the year.  Slip on sun-protective clothing with long legs and sleeves. Slide on sunglasses with UV protection.  Slap on a broad-brimmed hat that protects face, head, neck, and ears. Slop on broad-spectrum sunscreen of SPF 30 or higher and reapply every 45 minutes to an hour. Seek shade. Stay out of the sun between 10 a.m. and 4 p.m. when rays are strongest.  Following these guidelines, we can love the sun and practice sun safety at the same time!"} ## [Mohs Micrographic Surgery](https://nw-derm.com/services/mohs-micrographic-surgery) Learn about Mohs micrographic surgery at Northwest Dermatology Group in Michigan. Highest cure rates for skin cancer with maximum healthy tissue preservation. {"featured_image2":"https://cdn.liteframecms.com/northwest-dermatology/ImageASSETsmallSIZEDefaultSTATEDEFAULT-4.png","hero_description":"Northwest Dermatology Group is your resource for Mohs surgery in Michigan. Mohs micrographic surgery is a specialized technique to remove skin cancer. This procedure provides the highest possible cure rate while ensuring the maximum preservation of healthy, cancer free skin.","secondary_image":"","secondary_image_alt":"","service_description":"","faq_title":"Frequently Asked Question for Mohs Micrographic Surgery","faq_sub":"We understand that a skin cancer diagnosis can feel overwhelming, and that the idea of surgery brings questions. Here are answers to some of the most common things our patients ask before their Mohs procedure.","cta_heading":"Mohs Micrographic Surgery","cta_body":"As experts in Mohs Micrographic Surgery treatment, our dermatologists are able to prescribe the best possible treatment for your type of Mohs Micrographic Surgery. Schedule an appointment, and let us help you get started on your journey to clear and healthy skin.","cta_label":"Schedule A Consult Now","cta_url":"/schedule","meta_title":"","meta_description":"","faqs":[{"question":"Will Mohs surgery leave a scar?","answer":"Yes. Like any surgical procedure, Mohs surgery will leave some degree of scarring. However, because the technique removes tissue in thin, precise layers, it preserves significantly more healthy skin than traditional excision, which typically results in a smaller and less noticeable scar. According to Mount Sinai, post-surgical scars continue to improve over time and can take up to a year or more to fully mature. During the healing process, some redness and skin tightening around the site is normal, typically peaking around four to six weeks after surgery. Our surgeons prioritize both complete cancer removal and the best possible cosmetic outcome when planning reconstruction."},{"question":"How long is the recovery after Mohs surgery?","answer":"Most patients return to light daily activities the day after surgery, and many are back at work within a few days. The Cleveland Clinic recommends avoiding strenuous physical activity for at least a week to prevent bleeding or stress on the wound. Sutures are typically removed within five to ten days. The wound itself generally closes within four to six weeks, though complete scar maturation continues for several months. Protecting the surgical site from sun exposure during the healing period is important, as UV exposure can worsen scarring and slow recovery."},{"question":"What makes Mohs surgery different from standard skin cancer removal?","answer":"The key difference is real-time microscopic verification. During traditional excision, a surgeon removes the visible cancer along with a margin of surrounding tissue and sends it to a lab, with results returning days later. With Mohs, each layer of tissue is mapped, removed, and examined under a microscope while you wait, so the surgeon knows with certainty whether cancer remains before removing any additional skin. According to the Mount Sinai Mohs Surgery program, this precision is why Mohs achieves cure rates as high as 99% for new skin cancers, while preserving the maximum amount of healthy tissue. It is particularly valuable for cancers on the face, ears, nose, and other areas where preserving tissue matters most."}],"_body":"Get the best care from Michigan's top Mohs Micrographic Surgery DermatologistsNorthwest Dermatology Group is your resource for Mohs surgery in Michigan. Mohs micrographic surgery (originally named for Dr. Frederick Mohs) is a specialized technique to remove skin cancer. It is typically performed on cosmetically sensitive areas. This procedure provides the highest possible cure rate while ensuring the maximum preservation of healthy, cancer free skin. Mohs surgery is often indicated for non-melanoma skin cancer (e.g. basal cell and squamous cell skin cancer of the head and neck region).Also, The main surgical advantage of Mohs micrographic surgery is the microscopically controlled excision of the cancerous tissue. The Mohs surgeon precisely “maps out” the skin cancer and microscopically verifies that all cancer roots have been excised. The skin cancer is removed layer by layer, with only the minimal amount of tissue being removed. Confirmation of clear margins is obtained while the patient is in the office.Mohs micrographic surgery is typically performed by a dermatologist with advanced fellowship training in this specialized technique. Most Mohs surgeons are certified by the American College of Mohs Surgery (ACMS- www.mohscollege.org).What to Expect During Mohs SurgeryMohs is performed on an outpatient basis using local anesthetic. In most cases, the procedure lasts several hours but could take all day depending on the depth of the skin cancer. During the procedure, the surgeon removes the visible skin cancer. The area is bandaged and the patient rests while the tissue is examined under a microscope. This process is repeated until all margins are cancer-free. Once the skin cancer has been completely removed, the wound is closed. In some cases, skin flaps or grafts are needed to close the wound. Most patients are able to resume light activities the day after the surgery. Patients should avoid strenuous activities for at least a week after surgery.Preparation for Mohs SurgeryPreparation for Mohs Surgery Be sure to inform your surgeon of any medications or supplements you are taking. In most cases, Mohs is performed using local anesthetic so typically there are no diet restrictions leading up to surgery. Wear comfortable clothing on the day of your surgery. You may also want to bring a book to help pass the time."} ## [Moles](https://nw-derm.com/services/moles) Learn about moles and other common benign skin lesions. Understand when moles are harmless and when to seek professional evaluation for your skin health. {"featured_image":"","hero_description":"There are several skin lesions that are very common and benign (non-cancerous). These conditions include moles, freckles, skin tags, benign lentigines, and seborrheic keratoses.","secondary_image":"","secondary_image_alt":"","service_description":"","faq_title":"FAQ Moles","faq_sub":"","cta_heading":"Know Your Skin. Protect Your Health.","cta_body":"Most moles are harmless, but the ones that are not can be serious. A professional skin check gives you clarity and peace of mind. Our dermatologists use clinical examination and dermoscopy to evaluate your moles thoroughly, so nothing gets overlooked.","cta_label":"Book a Mole Check","cta_url":"\/schedule","meta_title":"","meta_description":"","faqs":[{"question":"What are the ABCDE warning signs of a dangerous mole?","answer":"The American Academy of Dermatology developed the ABCDE rule to help identify potentially cancerous moles. A is for Asymmetry (one half does not match the other). B is for Border (irregular, blurred, or jagged edges). C is for Color (multiple shades of brown, tan, black, red, white, or blue). D is for Diameter (larger than a pencil eraser, about 6mm). E is for Evolving (any change in size, shape, color, or new symptoms like itching or bleeding). The Skin Cancer Foundation also recommends watching for the ugly duckling sign, where one mole looks noticeably different from all your others."},{"question":"Should I worry about a new mole appearing in adulthood?","answer":"It depends on your age and the mole's characteristics. According to MD Anderson Cancer Center, adults over 40 generally should not be developing new moles, and any new growths at that age warrant a dermatologist evaluation. In younger adults, new moles are more common and usually benign, but any mole that grows rapidly, changes shape, or bleeds should be examined promptly. The American Cancer Society recommends monthly self-skin exams to track changes over time."},{"question":"How often should I have my moles checked by a dermatologist?","answer":"The Skin Cancer Foundation recommends annual professional skin exams for all adults, with more frequent checks for people at higher risk. Risk factors include a family history of melanoma, a large number of moles (more than 50), a history of severe sunburns, fair skin, and a personal history of skin cancer. Between annual visits, monthly self-exams are an important complement to professional screening, as patients and their family members are often the first to notice changes."}],"_body":"The Importance of Getting Moles CheckedThere are several skin lesions that are very common and benign (non-cancerous). These conditions include moles, freckles, skin tags, benign lentigines, and seborrheic keratoses.Moles are growths on the skin that are usually brown or black. Moles can appear anywhere on the skin, alone or in groups.Moles on the Body & FaceMost moles appear in early childhood and during the first 30 years of a person’s life. It is normal to have between 10-40 moles by adulthood.As the years pass, moles usually change slowly, becoming raised and\/or changing color. Often, hairs develop on the mole. Some moles may not change at all, while others may slowly disappear over time.The vast majority of moles are not dangerous. The only moles that are of medical concern are those that look different than other existing moles or those that first appear after age 30. If you notice changes in a mole’s color, height, size, or shape, you should have a dermatologist (skin doctor) evaluate it. You also should have moles checked if they bleed, ooze, itch, or become tender or painful.Examine your skin with a mirror or ask someone to help you. Pay special attention to areas of the skin that are often exposed to the sun, such as the hands, arms, chest, neck, face, and ears.If a mole does not change over time, there is little reason for concern. If you see any signs of change in an existing mole, if you have a new mole, or if you want a mole to be removed for cosmetic reasons, talk to your dermatologist.Causes of MolesMoles occur when cells in the skin grow in a cluster instead of being spread throughout the skin. These cells are called melanocytes, and they make the pigment that gives skin its natural color. Moles may darken after exposure to the sun, during the teen years, and during pregnancy.Don't wait. Schedule a mole check today, and be proactive aboutthe health of your skin.Get in TouchTypes of MolesCongenital nevi are moles that appear at birth. Congenital nevi occur in about one in 100 people. These moles may be more likely to develop into melanoma (cancer) than are moles that appear after birth. A mole or freckle should be checked if it has a diameter of more than a pencil eraser or any characteristics of the ABCDEs of melanoma: (https:\/\/www.aad.org\/public\/spot-skin-cancer\/learn-about-skin-cancer\/detect\/what-to-look-for).Dysplastic nevi are moles that are larger than average (larger than a pencil eraser) and irregular in shape. They tend to have uneven color with dark brown centers and lighter, uneven edges. People with dysplastic nevi may have more than 100 moles and have a greater chance of developing melanoma, a serious form of skin cancer. Any changes in a mole should be checked by a dermatologist to evaluate for skin cancer.Treatment for MolesIf a dermatologist believes a mole needs to be evaluated further or removed entirely, he or she will either remove the entire mole, or first take just a small tissue sample of the mole to examine thin sections of the tissue under a microscope (a biopsy). This is a simple procedure. (If the dermatologist thinks the mole might be cancerous, cutting through the mole will not cause the cancer to spread.)If the mole is found to be cancerous, and only a small section of tissue was taken, the dermatologist will remove the entire mole by cutting out the entire mole and a rim of normal skin around it, and stitching the wound closed."} ## [Molluscum Contagiosum](https://nw-derm.com/services/molluscum-contagiosum) Learn about molluscum contagiosum, a harmless viral skin infection causing small, pearly bumps with dimpled centers. Discover causes, symptoms, and treatments. {"_body":"Is it Molluscum Contagiosum?\n\nIt might sound like a spell from Harry Potter, but it’s not.Molluscum contagiosum is a skin infection that causes small pearly or flesh-colored bumps. The bumps may be clear, and the center often is indented. The infection is caused by a virus. The virus is easily spread but is not harmful.\n\nCauses of Molluscum Contagiosum\n\nThe bumps are round with a dimple in the center. They are a little smaller in size than the eraser on the end of a pencil. The bumps don’t cause pain. They may appear alone or in groups. They most often appear on the trunk, face, eyelids, or genital area. The bumps may become inflamed and turn red as your body fights the virus.People who have a weakened immune system may have dozens of larger bumps. These may need special treatment.\n\n\n\nMolluscum Contagiosum Transmission\n\nThe virus commonly spreads through skin-to-skin contact. This includes sexual contact or touching the bumps and then touching the skin. Touching an object that has the virus on it, such as a towel, also can spread the infection. The virus can spread from one part of the body to another. Or it can spread to other people, such as among children at day care or school. The infection is contagious until the bumps are gone.\n\nThe time from exposure to the virus until the bumps appear usually is 2 to 7 weeks, but it can take up to 6 months.1\n\nTo prevent molluscum contagiosum from spreading:\n\n\nTry not to scratch.\n\nPut a piece of tape or a bandage over the bumps.\n\nDo not share towels or washcloths.\n\nIf the bumps are on your face, don’t shave.\n\nIf the bumps are in your genital area, avoid sexual contact.\n\n\nDiagnoses & Treatment of Molluscum Contagiosum\n\nYour doctor will do a physical exam and may take a sample of the bumps for testing. If you have bumps in your genital area, your doctor may check for other sexually transmitted diseases, such as genital herpes.Healthy people may not need treatment for molluscum contagiosum, because the bumps usually go away on their own in 2 to 4 months. Some people choose to remove the bumps because they don’t like how the bumps look or they don’t want to spread the virus to other people. Doctors usually recommend treatment for bumps in the genital area to prevent them from spreading.If you need treatment, your choices may include:\n\n\nFreezing the bumps, called cryotherapy or cryosurgery.\n\nScraping off the bumps, called curettage.\n\nPutting a chemical on the bumps, like cantharidin or potassium hydrochloride.\n\nUsing liquids or creams, such as those used to treat warts. \n\n\nChildren may not need treatment because molluscum contagiosum usually goes away on its own. But if your child needs treatment, talk to your child’s doctor about how to prevent pain and scarring.\n\nWho gets molluscum contagiosum?\n\nMolluscum contagiosum is most common in children, especially those younger than age 12. In teens and young adults, it usually is a sexually transmitted disease. But wrestlers, swimmers, gymnasts, massage therapists, and people who use steam rooms and saunas also can get it.Molluscum contagiosum is more common in warm, humid climates with crowded living conditions.","faq_title":"FAQ Molluscum Contagiosum","faq_sub":"","faqs":[{"question":"How long does molluscum contagiosum last if left untreated?","answer":"Molluscum contagiosum is self-limiting, meaning it will eventually resolve on its own. According to the CDC, lesions typically disappear within 6 to 12 months, though they can take as long as 4 years to fully resolve. The Mayo Clinic notes that the bumps may also recur after healing, since reinfection is possible. During the active infection, the virus remains contagious, which is a primary reason many patients and parents opt for treatment rather than waiting."},{"question":"Can adults get molluscum contagiosum?","answer":"Yes. While molluscum contagiosum is most common in children, the CDC notes that adult infections frequently result from sexual contact, and anyone with a weakened immune system is at higher risk for more extensive outbreaks. Adults who participate in contact sports, use steam rooms, or work in close physical proximity to others are also susceptible. In immunocompromised individuals, the bumps may be larger, more numerous, and more resistant to treatment."},{"question":"Does treating molluscum contagiosum cause scarring?","answer":"Scarring is possible with some treatment methods, but it is generally minimal when procedures are performed by a dermatologist. The Mayo Clinic notes that some procedures can cause scarring and that a provider may numb the area first to reduce discomfort. Conversely, the CDC reports that lesions left alone usually resolve without scarring. Your dermatologist will help you weigh the tradeoffs between treatment and watchful waiting based on the number, location, and spread risk of the bumps."}],"cta_heading":"Don't Wait for It to Spread","cta_body":"Molluscum contagiosum may resolve on its own, but it can also spread to new areas and to the people around you while you wait. Our dermatologists can remove the bumps quickly and safely, often in a single visit, so you or your child can get back to school, sports, and daily life without worry.","cta_label":"Schedule Your Appointment","cta_url":"\/schedule","meta_title":"","meta_description":""} ## [Overseeing Moles](https://nw-derm.com/blog/overseeing-skin-moles) Learn how to monitor skin moles for warning signs like asymmetry, bleeding, or growth. Expert tips on when to see a doctor and protect your skin health. {"_body":"Managing Skin Moles Is Good for Your HealthWe’ll start with rule #1. If any mole (blemish, birthmark, lesion, lump, sore, wart, or other skin phenomenon) appears even remotely suspicious – asymmetric, bleeding, growing, itchy, painful, scaly – see the doctor right away. These are possible warning signs of problems ranging from atypical moles to melanoma. Fortunately, most mole-related anomalies are harmless, but they do warrant vigilance. Especially if you have dozens of moles on your body, show a family history of skin cancer, or experience excessive exposure to the sun.You can think of moles as something of a continuum, ranging from common to cancerous. When indicated, medical professionals are prepared to look over your body and determine if any of the moles they’re seeing warrant concern or treatment. Getting familiar with the possibilities will help you better understand what’s going on with your skin.Common Moles Are Just ThatA common mole is a growth that results from pigment cells (melanocytes) appearing in clusters. Although common moles can be present at birth, most appear later in childhood but can appear your entire life. Nevus is the medical name for a mole; nevi is plural.  Typically no more than the width of a pencil eraser (less than ¼ inch) these so-called normal moles are round or oval, with a smooth surface, defined boundary, and can be flat or have a dome-like shape. Color is pink, tan, or brown, consistent with natural skin tone. These growths are usually not cancerous. Although changes in appearance should be evaluated professionally. New moles emerging after the age of 40 should also be looked at. People with more than 50 common moles are at increased risk of melanoma. Although this most serious form of skin cancer can develop separately from moles.   Generally, your best approach to common moles is not to worry beyond keeping an eye on them for any changes.  Dysplastic Nevi Are Atypical Skin MolesThe dysplastic nevus, also called an atypical mole, is a different type of growth. It’s larger than a common mole. The color is a mixture from pink to dark brown, with a scaly or pebbly surface, and irregular edge or atypical pigment network within the mole. People with a substantial number of common moles often have atypical moles mixed in. With more atypical moles moderately increasing the chances of developing melanoma down the line.  Fortunately, most dysplastic nevi remain stable over time. Regular examinations help make sure they stay that way. Some doctors even photograph dysplastic nevi so they can monitor them long term. In some instances, patient and doctor decide, for cosmetic or medical reasons, that removal is indicated. This usually happens via surgical excision in the doctor’s office.  As always, changes to the color, size, shape, texture, or condition of a dysplastic nevus need to be evaluated professionally as soon as they appear.Immediate Medical Attention Is Needed for Precancerous and Cancerous MolesPrecancerous moles, also called precancerous skin lesions, are growths with increased risk of turning into skin cancer. Precancer means cancer isn’t yet present, but when growths are left unmonitored or untreated, things could go that way.  If there is concern a skin lesion is precancerous, it should be biopsied by a doctor and examined microscopically for exact diagnosis. Precancerous conditions usually require treatment; surgical removal is most common, but drug and radiation therapies could also be involved.An actual cancerous mole can be very dangerous. Several signs, often called the ABCDE rule, distinguish skin cancers and precancerous lesions from a common mole or dysplastic nevus.  Asymmetry means the shape of the growth is random, and sides don’t match. Borders are ragged, notched, or blurred, and pigment spreads into surrounding skin.  Color is uneven, with mixed shades of black, brown, tan, white, gray, red, pink, and blue.   Diameter is increasing, from more than a quarter inch to the size of a postage stamp or even larger.   Enlargement and evolution continue as appearance, texture, and other features are altered. Skin cancer, whether mole-like or with other features, takes several forms. Basal cell carcinoma in the top layer of skin is most common, with four million cases diagnosed in the U.S. every year. Squamous cell carcinomas occur on the surface of the skin in sun-exposed areas, although they can develop on other parts of the body. Melanoma, which begins in the pigment-producing melanocytes, is a very serious type of cancer, in part because it can be aggressive and can spread to other organs. With early detection and treatment, melanoma, cancerous moles, and other skin cancers exhibit good survival rates, but medical diagnosis and treatment must be prompt.  Protection Equals PreventionMoles are a common skin condition for most of us; development of skin cancer is not. While having fair skin, blue or green eyes, blond or red hair, and genetic predisposition can make us more susceptible to problems, good sun practices are even more important to keeping our moles – and us – safe. Following the American Cancer Society policy of Slip, Slop, Slap, and Wrap – slip on a shirt when going outside, slop on sunscreen, slap on a hat, and wrap eyes in sunglasses – is sound advice. So is avoiding tanning beds and lamps and the damaging UV rays they emit. Checking your body monthly for skin changes is good preventive practice. Your doctor should perform a complete skin inspection at least once a year – possibly more often if you know dysplastic nevi are present.  Above all, always pay attention to your moles and other skin conditions. If anything is in the least questionable or suspicious, see your doctor – now!  "} ## [Preventing & Treating Bug Bites](https://nw-derm.com/blog/preventing-treating-bug-bites) Learn effective ways to prevent and treat insect bites from mosquitos, bees, ants, and more. Expert tips for protection and relief from bug bite symptoms. {"_body":"Bugs Off! Ways to Prevent and Treat Those Pesky Insect Bites\n\nConsider the Odds\n\n\nAt least 80% of all animals on earth are insects—more than 900,000 species identified so far. By taxonomic classification, insects have six wings, three body sections (no spine), wings, antennae, and multi-faceted eyes. Included are ants, bees, beetles, butterflies, cicadas, cockroaches, crickets, dragonflies, fleas, flies, grasshoppers, lightning bugs, mosquitos, moths, termites, and wasps.\n\nThen, there are arachnids—eight legs, two spineless body sections, multi-faceted eyes, no wings or antennae, and 100,000 species of harvestmen, mites, scorpions, spiders, and ticks.\n\n\nTo us humans, they’re all just bugs. And some of those bugs are intent on turning us into a meal.\n\nIn most cases, the bites, blotches, jabs, pokes, punches, slashes, and stings inflicted by a vast array of pests are annoying but not harmful. (Only 1% to 3% of insect species are hurtful to humans, animals, or plants.) Plus, as intelligent beings, we can fight back.\n\nHow to Stop Bites Before They Happen\n\nA bug bites by making a hole in your skin to feed on your blood; in the process, it releases saliva. A sting involves penetrating your skin with a stinger, usually as a defense. Antibodies in your immune system detect the saliva or venom and release a histamine compound to counteract the injury; wound-repairing white blood cells then flood the area, causing inflammation, swelling, and itch. The severity of your reaction depends on your sensitivity and the type of bug involved. For most of us, encounters with mosquitoes (3,500 different types worldwide, but only 6% bite humans and only females bite), bees, ticks, and spiders are of primary concern.\n\nTwo primary precautions help avoid the majority of bites and stings.\n\nUse insect repellent.\n\nFor maximum protection, choose a product that contains 20 to 30% of either DEET or picaridin—they’re equally effective. Many brands are available commercially, but read labels carefully and follow instructions. Apply sprays to exposed skin and outer clothing; for the face, spray your hand and transfer lotion manually, avoiding your mouth and eyes. Remember the back of your neck and ears. If you’re wearing sunscreen (always wear minimum SPF 30 when outside), put sunscreen on first, let it dry, and then apply repellent on top. Reapply repellent after swimming, sweaty exercise, and on really hot days.\n\nYou may be hesitant about using DEET and picaridin; both are synthetic chemical compounds developed specifically as insect repellents. Be assured that these ingredients have been extensively tested scientifically and for most people show no adverse effects. Most importantly, they work.\n\nWhat about natural substances? Researchers know that different bugs dislike certain fragrances—mosquitoes hate citronella, lemon eucalyptus, basil, and garlic; ants and flies dislike mint, basil, and bay; gnats avoid citronella, lemongrass, and rose geranium; ticks and lice stay away from lemon eucalyptus and geranium. Using essential oils and companion ingredients, you can mix a variety of repellents at home. Formulas are available online. But caution is advised because allergic reactions to essential oils are possible and the efficacy of homemade repellents is unverified by the Food and Drug Administration. Doctors and outdoor experts advise that if you are going into an area known to be infested with mosquitoes, ticks, or other bugs, using a commercial chemical repellent is preferable.\n\nWear appropriate clothing.\n\nWhat you wear when hiking in a densely wooded area, working in the garden, or going out at night is important to your protection. Cover exposed skin by wearing long-sleeved shirts, long pants, socks, closed shoes (no sandals), and a hat. Pulling your socks up over your pants and tucking in your shirt helps keep bugs out. Pre-treating outer clothing (nothing that goes next to the skin), boots, and tents with permethrin repels or kills mosquitoes and lasts through multiple washings. Follow package directions and allow items two hours to dry before wearing. Or buy goods pre-treated with permethrin at your camping outfitter. When sleeping outside, hang netting that reaches the floor over your bed. Don’t use perfumes or scented soaps, shampoos, and deodorants—they attract bugs. Avoid standing water and clear foodstuffs away.\n\nSome people get a bit more often than others, for reasons that are not entirely understood. Each of us has a distinctive odor made up of a mix of chemical compounds; sometimes that draws bugs in. Mosquitoes seem to gravitate toward people with Type O blood, while carbon dioxide in our personal breathing signatures attracts multiple types of pests. Masking the smell of skin with repellents is one way of discouraging insects, and a fan is effective at blowing them away.\n\nHow to Treat Bites When They Occur\n\nDespite our best efforts, sooner or later we’ll get bit, especially in summer when bugs are most active. Despite the annoying bumps, lumps, itching, redness, and swelling, most bites and stings are mild, can be treated at home, and clear up within a few days.\n\nFor mild reactions.\n\nFirst, move to a safe place to avoid further contact. Next, gently wash the affected area with soap and cool water, then apply an ice-filled cloth for 20 minutes to reduce swelling and pain. Baking soda mixed with enough water to create a paste helps reduce bite response, as does daubing with apple cider vinegar, rubbing alcohol, or hydrogen peroxide; these counteract the saliva and venom injected into your skin and act as a cleansing disinfectant. Store-bought calamine lotion, hydrocortisone cream, or oral antihistamine help too. Whatever your remedy, apply it several times a day until symptoms go away. Also handy—an over-the-counter pain reliever like acetaminophen or ibuprofen to alleviate discomfort.\n\nAnd despite the temptation, please don’t scratch. Infection and scarring can result.\n\nDifferent symptoms for different bites.\n\nNot all bites are created equal, so figuring out exactly what jabbed you can be helpful in understanding how you react. (Go online for full-color, close-up depictions of more bugs and bites than you’ll ever want to see.) For example, mosquitoes, midges, and gnats raise itchy lumps, while fleas leave behind red lines or clusters, chiggers produce an intense rash, and horseflies actually cut the skin. Wasp and hornets cause sharp pain on contact, and bees deposit a stinger and venomous sac. These need to be promptly removed by scraping with a hard edge like a bank card. But don’t use tweezers or squeeze; that only spreads the gunk.\n\nThat’s just the insects. On the arachnid side, spiders create painful, red puncture marks, and mites generate blisters. Ticks are a special case because they can stay on the skin and continue feeding for a week or more (yuck!). Coming in from the woods, tall grass, or yard, shower promptly, then check yourself. If a tick is attached, remove it immediately with tweezers by grasping and pulling upward with steady, even pressure. Once removed, clean the bite area and your hands with rubbing alcohol or soap and water and dispatch the tick in alcohol or bleach. Because ticks can be infected with bacteria, viruses, or parasites and spread potentially deadly illnesses like Lyme disease, Rocky Mountain spotted fever, tularemia, and more, they should always be taken seriously.\n\nLikewise with mosquitoes. Infected mosquitoes carry Zika virus, West Nile virus, Chikungunya virus, dengue, yellow fever, and malaria. While these diseases are not common in the U.S., they can be contracted while traveling abroad, brought home, and spread. Particularly worrisome is local-origin malaria, which appeared in several southern states during the summer of 2023.\n\nWhen to Seek Emergency Care\n\nAlthough rare, serious reactions to bites and stings do happen. Get medical assistance immediately if any of these signs appear:\n\n\nTrouble breathing\n\nExtensive bite marks, blistering, or the appearance of pus\n\nSwelling of lips, mouth, face, eyelids, or throat\n\nDifficulty swallowing\n\nDizziness, fainting, unconsciousness\n\nRapid heart rate or weak pulse\n\nHives\n\nNausea, vomiting, diarrhea\n\nConfusion, anxiety, or agitation\n\n\nWhile waiting for EMS or during transport to an emergency facility, cover the victim with a blanket, loosen tight clothing, don’t give liquids, and position to prevent choking on vomit.\n\nAnaphylaxis is a potentially life-threatening allergic reaction, often to bee, wasp, or hornet stings. People aware of their extreme susceptibility should carry an epinephrine autoinjector (EpiPen, Auvi-Q, Adrenaclick) for immediate injection of medication. Time is of the essence with anaphylaxis—get the victim medical help, fast!\n\nAlso see your doctor if flu-like symptoms, fever, headache, joint pain, or swollen lymph nodes appear and persist. These may indicate the presence of infection, Lyme disease, Zika virus, or other serious, bug-borne illness. Treatment with antibiotics may be required.\n\nTo be sure, there are all kinds of buzzing biters and scary creepy crawlies lurking out there. But with upfront precautions and knowing what to do when bugs attack, the outdoors and summertime are yours to enjoy. Have fun!"} ## [Privacy Policy](https://nw-derm.com/privacy-policy) Learn how Northwest Dermatology Group & Covet Med Spa collect, use, and protect your personal information. Our commitment to your privacy explained clearly. {"content_body_page":"PRIVACY POLICYLast updated August 12, 2024This privacy notice for Northwest Dermatology Group, Covet Med Spa (“we,” “us,” or “our“), describes how and why we might collect, store, use, and/or share (“process“) your information when you use our services (“Services“), such as when you:Visit our website at https://nw-derm.com & https://covetmedspa.com, or any website of ours that links to this privacy noticeEngage with us in other related ways, including any sales, marketing, or eventsQuestions or concerns? Reading this privacy notice will help you understand your privacy rights and choices. If you do not agree with our policies and practices, please do not use our Services. If you still have any questions or concerns, please contact us at info@northwestdermgroup.com.SUMMARY OF KEY POINTSThis summary provides key points from our privacy notice, but you can find out more details about any of these topics by clicking the link following each key point or by using our table of contents below to find the section you are looking for.What personal information do we process? When you visit, use, or navigate our Services, we may process personal information depending on how you interact with us and the Services, the choices you make, and the products and features you use. Learn more about personal information you disclose to us.Do we process any sensitive personal information? We may process sensitive personal information when necessary with your consent or as otherwise permitted by applicable law. Learn more about sensitive information we process.Do we collect any information from third parties? We do not collect any information from third parties.How do we process your information? We process your information to provide, improve, and administer our Services, communicate with you, for security and fraud prevention, and to comply with law. We may also process your information for other purposes with your consent. We process your information only when we have a valid legal reason to do so. Learn more about how we process your information.In what situations and with which parties do we share personal information? We may share information in specific situations and with specific third parties. Learn more about when and with whom we share your personal information.How do we keep your information safe? We have organizational and technical processes and procedures in place to protect your personal information. However, no electronic transmission over the internet or information storage technology can be guaranteed to be 100% secure, so we cannot promise or guarantee that hackers, cybercriminals, or other unauthorized third parties will not be able to defeat our security and improperly collect, access, steal, or modify your information. Learn more about how we keep your information safe.What are your rights? Depending on where you are located geographically, the applicable privacy law may mean you have certain rights regarding your personal information. Learn more about your privacy rights.How do you exercise your rights? The easiest way to exercise your rights is by submitting a data subject access request, or by contacting us. We will consider and act upon any request in accordance with applicable data protection laws.Want to learn more about what we do with any information we collect? Review the privacy notice in full.TABLE OF CONTENTS1. WHAT INFORMATION DO WE COLLECT?2. HOW DO WE PROCESS YOUR INFORMATION?3. WHEN AND WITH WHOM DO WE SHARE YOUR PERSONAL INFORMATION?4. DO WE USE COOKIES AND OTHER TRACKING TECHNOLOGIES?5. HOW LONG DO WE KEEP YOUR INFORMATION?6. HOW DO WE KEEP YOUR INFORMATION SAFE?7. DO WE COLLECT INFORMATION FROM MINORS?8. WHAT ARE YOUR PRIVACY RIGHTS?9. CONTROLS FOR DO-NOT-TRACK FEATURES10. DO UNITED STATES RESIDENTS HAVE SPECIFIC PRIVACY RIGHTS?11. DO WE MAKE UPDATES TO THIS NOTICE?12. HOW CAN YOU CONTACT US ABOUT THIS NOTICE?13. HOW CAN YOU REVIEW, UPDATE, OR DELETE THE DATA WE COLLECT FROM YOU?1. WHAT INFORMATION DO WE COLLECT?Personal information you disclose to usIn Short: We collect personal information that you provide to us.We collect personal information that you voluntarily provide to us when you express an interest in obtaining information about us or our products and Services, when you participate in activities on the Services, or otherwise when you contact us.Personal Information Provided by You. The personal information that we collect depends on the context of your interactions with us and the Services, the choices you make, and the products and features you use. The personal information we collect may include the following:namesphone numbersemail addressescontact or authentication datacontact preferencesmailing addressesbilling addressesSensitive Information. When necessary, with your consent or as otherwise permitted by applicable law, we process the following categories of sensitive information:health dataAll personal information that you provide to us must be true, complete, and accurate, and you must notify us of any changes to such personal information.Information automatically collectedIn Short: Some information — such as your Internet Protocol (IP) address and/or browser and device characteristics — is collected automatically when you visit our Services.We automatically collect certain information when you visit, use, or navigate the Services. This information does not reveal your specific identity (like your name or contact information) but may include device and usage information, such as your IP address, browser and device characteristics, operating system, language preferences, referring URLs, device name, country, location, information about how and when you use our Services, and other technical information. This information is primarily needed to maintain the security and operation of our Services, and for our internal analytics and reporting purposes.Like many businesses, we also collect information through cookies and similar technologies.The information we collect includes:Log and Usage Data. Log and usage data is service-related, diagnostic, usage, and performance information our servers automatically collect when you access or use our Services and which we record in log files. Depending on how you interact with us, this log data may include your IP address, device information, browser type, and settings and information about your activity in the Services (such as the date/time stamps associated with your usage, pages and files viewed, searches, and other actions you take such as which features you use), device event information (such as system activity, error reports (sometimes called “crash dumps”), and hardware settings).Device Data. We collect device data such as information about your computer, phone, tablet, or other device you use to access the Services. Depending on the device used, this device data may include information such as your IP address (or proxy server), device and application identification numbers, location, browser type, hardware model, Internet service provider and/or mobile carrier, operating system, and system configuration information.Location Data. We collect location data such as information about your device’s location, which can be either precise or imprecise. How much information we collect depends on the type and settings of the device you use to access the Services. For example, we may use GPS and other technologies to collect geolocation data that tells us your current location (based on your IP address). You can opt out of allowing us to collect this information either by refusing access to the information or by disabling your Location setting on your device. However, if you choose to opt out, you may not be able to use certain aspects of the Services.Google APIOur use of information received from Google APIs will adhere to Google API Services User Data Policy, including the Limited Use requirements.2. HOW DO WE PROCESS YOUR INFORMATION?In Short: We process your information to provide, improve, and administer our Services, communicate with you, for security and fraud prevention, and to comply with law. We may also process your information for other purposes with your consent.We process your personal information for a variety of reasons, depending on how you interact with our Services, including:To deliver and facilitate delivery of services to the user. We may process your information to provide you with the requested service.3. WHEN AND WITH WHOM DO WE SHARE YOUR PERSONAL INFORMATION?In Short: We may share information in specific situations described in this section and/or with the following third parties.We may need to share your personal information in the following situations:Business Transfers. We may share or transfer your information in connection with, or during negotiations of, any merger, sale of company assets, financing, or acquisition of all or a portion of our business to another company.When we use Google Maps Platform APIs. We may share your information with certain Google Maps Platform APIs (e.g., Google Maps API, Places API).4. DO WE USE COOKIES AND OTHER TRACKING TECHNOLOGIES?In Short: We may use cookies and other tracking technologies to collect and store your information.We may use cookies and similar tracking technologies (like web beacons and pixels) to gather information when you interact with our Services. Some online tracking technologies help us maintain the security of our Services, prevent crashes, fix bugs, save your preferences, and assist with basic site functions.We also permit third parties and service providers to use online tracking technologies on our Services for analytics and advertising, including to help manage and display advertisements, to tailor advertisements to your interests, or to send abandoned shopping cart reminders (depending on your communication preferences). The third parties and service providers use their technology to provide advertising about products and services tailored to your interests which may appear either on our Services or on other websites.To the extent these online tracking technologies are deemed to be a “sale”/”sharing” (which includes targeted advertising, as defined under the applicable laws) under applicable US state laws, you can opt out of these online tracking technologies by submitting a request as described below under section “DO UNITED STATES RESIDENTS HAVE SPECIFIC PRIVACY RIGHTS?“Specific information about how we use such technologies and how you can refuse certain cookies is set out in our Cookie Notice.Google AnalyticsWe may share your information with Google Analytics to track and analyze the use of the Services. The Google Analytics Advertising Features that we may use include: Remarketing with Google Analytics, Google Display Network Impressions Reporting and Google Analytics Demographics and Interests Reporting. To opt out of being tracked by Google Analytics across the Services, visit https://tools.google.com/dlpage/gaoptout. You can opt out of Google Analytics Advertising Features through Ads Settings and Ad Settings for mobile apps. Other opt out means include http://optout.networkadvertising.org/ and http://www.networkadvertising.org/mobile-choice. For more information on the privacy practices of Google, please visit the Google Privacy & Terms page.5. HOW LONG DO WE KEEP YOUR INFORMATION?In Short: We keep your information for as long as necessary to fulfill the purposes outlined in this privacy notice unless otherwise required by law.We will only keep your personal information for as long as it is necessary for the purposes set out in this privacy notice, unless a longer retention period is required or permitted by law (such as tax, accounting, or other legal requirements).When we have no ongoing legitimate business need to process your personal information, we will either delete or anonymize such information, or, if this is not possible (for example, because your personal information has been stored in backup archives), then we will securely store your personal information and isolate it from any further processing until deletion is possible.6. HOW DO WE KEEP YOUR INFORMATION SAFE?In Short: We aim to protect your personal information through a system of organizational and technical security measures.We have implemented appropriate and reasonable technical and organizational security measures designed to protect the security of any personal information we process. However, despite our safeguards and efforts to secure your information, no electronic transmission over the Internet or information storage technology can be guaranteed to be 100% secure, so we cannot promise or guarantee that hackers, cybercriminals, or other unauthorized third parties will not be able to defeat our security and improperly collect, access, steal, or modify your information. Although we will do our best to protect your personal information, transmission of personal information to and from our Services is at your own risk. You should only access the Services within a secure environment.7. DO WE COLLECT INFORMATION FROM MINORS?In Short: We do not knowingly collect data from or market to children under 18 years of age.We do not knowingly collect, solicit data from, or market to children under 18 years of age, nor do we knowingly sell such personal information. By using the Services, you represent that you are at least 18 or that you are the parent or guardian of such a minor and consent to such minor dependent’s use of the Services. If we learn that personal information from users less than 18 years of age has been collected, we will deactivate the account and take reasonable measures to promptly delete such data from our records. If you become aware of any data we may have collected from children under age 18, please contact us at info@northwestdermgroup.com.8. WHAT ARE YOUR PRIVACY RIGHTS?In Short:  You may review, change, or terminate your account at any time, depending on your country, province, or state of residence.Withdrawing your consent: If we are relying on your consent to process your personal information, which may be express and/or implied consent depending on the applicable law, you have the right to withdraw your consent at any time. You can withdraw your consent at any time by contacting us by using the contact details provided in the section “HOW CAN YOU CONTACT US ABOUT THIS NOTICE?“ below.However, please note that this will not affect the lawfulness of the processing before its withdrawal nor, when applicable law allows, will it affect the processing of your personal information conducted in reliance on lawful processing grounds other than consent.Cookies and similar technologies: Most Web browsers are set to accept cookies by default. If you prefer, you can usually choose to set your browser to remove cookies and to reject cookies. If you choose to remove cookies or reject cookies, this could affect certain features or services of our Services.If you have questions or comments about your privacy rights, you may email us at info@northwestdermgroup.com.9. CONTROLS FOR DO-NOT-TRACK FEATURESMost web browsers and some mobile operating systems and mobile applications include a Do-Not-Track (“DNT”) feature or setting you can activate to signal your privacy preference not to have data about your online browsing activities monitored and collected. At this stage, no uniform technology standard for recognizing and implementing DNT signals has been finalized. As such, we do not currently respond to DNT browser signals or any other mechanism that automatically communicates your choice not to be tracked online. If a standard for online tracking is adopted that we must follow in the future, we will inform you about that practice in a revised version of this privacy notice.California law requires us to let you know how we respond to web browser DNT signals. Because there currently is not an industry or legal standard for recognizing or honoring DNT signals, we do not respond to them at this time.10. DO UNITED STATES RESIDENTS HAVE SPECIFIC PRIVACY RIGHTS?In Short: If you are a resident of California, Colorado, Connecticut, Delaware, Florida, Indiana, Iowa, Kentucky, Montana, New Hampshire, New Jersey, Oregon, Tennessee, Texas, Utah, or Virginia, you may have the right to request access to and receive details about the personal information we maintain about you and how we have processed it, correct inaccuracies, get a copy of, or delete your personal information. You may also have the right to withdraw your consent to our processing of your personal information. These rights may be limited in some circumstances by applicable law. More information is provided below.Categories of Personal Information We CollectWe have collected the following categories of personal information in the past twelve (12) months:CategoryExamplesCollectedA. IdentifiersContact details, such as real name, alias, postal address, telephone or mobile contact number, unique personal identifier, online identifier, Internet Protocol address, email address, and account nameYESB. Personal information as defined in the California Customer Records statuteName, contact information, education, employment, employment history, and financial informationYESC. Protected classification characteristics under state or federal lawGender, age, date of birth, race and ethnicity, national origin, marital status, and other demographic dataYESD. Commercial informationTransaction information, purchase history, financial details, and payment informationNOE. Biometric informationFingerprints and voiceprintsNOF. Internet or other similar network activityBrowsing history, search history, online behavior, interest data, and interactions with our and other websites, applications, systems, and advertisementsNOG. Geolocation dataDevice locationYESH. Audio, electronic, sensory, or similar informationImages and audio, video or call recordings created in connection with our business activitiesNOI. Professional or employment-related informationBusiness contact details in order to provide you our Services at a business level or job title, work history, and professional qualifications if you apply for a job with usNOJ. Education InformationStudent records and directory informationNOK. Inferences drawn from collected personal informationInferences drawn from any of the collected personal information listed above to create a profile or summary about, for example, an individual’s preferences and characteristicsNOL. Sensitive personal InformationDrivers’ licenses and health dataYESWe only collect sensitive personal information, as defined by applicable privacy laws or the purposes allowed by law or with your consent. Sensitive personal information may be used, or disclosed to a service provider or contractor, for additional, specified purposes. You may have the right to limit the use or disclosure of your sensitive personal information. We do not collect or process sensitive personal information for the purpose of inferring characteristics about you.We may also collect other personal information outside of these categories through instances where you interact with us in person, online, or by phone or mail in the context of:Receiving help through our customer support channels;Participation in customer surveys or contests; andFacilitation in the delivery of our Services and to respond to your inquiries.We will use and retain the collected personal information as needed to provide the Services or for:Category A – As long as the user has an account with usCategory B – As long as the user has an account with usCategory C – As long as the user has an account with usCategory G – As long as the user has an account with usCategory L – As long as the user has an account with usSources of Personal InformationLearn more about the sources of personal information we collect in “WHAT INFORMATION DO WE COLLECT?“How We Use and Share Personal InformationLearn about how we use your personal information in the section, “HOW DO WE PROCESS YOUR INFORMATION?“Will your information be shared with anyone else?We may disclose your personal information with our service providers pursuant to a written contract between us and each service provider. Learn more about how we disclose personal information to in the section, “WHEN AND WITH WHOM DO WE SHARE YOUR PERSONAL INFORMATION?“We may use your personal information for our own business purposes, such as for undertaking internal research for technological development and demonstration. This is not considered to be “selling” of your personal information.We have not disclosed, sold, or shared any personal information to third parties for a business or commercial purpose in the preceding twelve (12) months. We will not sell or share personal information in the future belonging to website visitors, users, and other consumers.Your RightsYou have rights under certain US state data protection laws. However, these rights are not absolute, and in certain cases, we may decline your request as permitted by law. These rights include:Right to know whether or not we are processing your personal dataRight to access your personal dataRight to correct inaccuracies in your personal dataRight to request the deletion of your personal dataRight to obtain a copy of the personal data you previously shared with usRight to non-discrimination for exercising your rightsRight to opt out of the processing of your personal data if it is used for targeted advertising (or sharing as defined under California’s privacy law), the sale of personal data, or profiling in furtherance of decisions that produce legal or similarly significant effects (“profiling”)Depending upon the state where you live, you may also have the following rights:Right to obtain a list of the categories of third parties to which we have disclosed personal data (as permitted by applicable law, including California’s and Delaware’s privacy law)Right to obtain a list of specific third parties to which we have disclosed personal data (as permitted by applicable law, including Oregon’s privacy law)Right to limit use and disclosure of sensitive personal data (as permitted by applicable law, including California’s privacy law)Right to opt out of the collection of sensitive data and personal data collected through the operation of a voice or facial recognition feature (as permitted by applicable law, including Florida’s privacy law)How to Exercise Your RightsTo exercise these rights, you can contact us by submitting a data subject access request, by emailing us at info@northwestdermgroup.com, by calling toll-free at (248) 353-0880, or by referring to the contact details at the bottom of this document.Under certain US state data protection laws, you can designate an authorized agent to make a request on your behalf. We may deny a request from an authorized agent that does not submit proof that they have been validly authorized to act on your behalf in accordance with applicable laws.Request VerificationUpon receiving your request, we will need to verify your identity to determine you are the same person about whom we have the information in our system. We will only use personal information provided in your request to verify your identity or authority to make the request. However, if we cannot verify your identity from the information already maintained by us, we may request that you provide additional information for the purposes of verifying your identity and for security or fraud-prevention purposes.If you submit the request through an authorized agent, we may need to collect additional information to verify your identity before processing your request and the agent will need to provide a written and signed permission from you to submit such request on your behalf.AppealsUnder certain US state data protection laws, if we decline to take action regarding your request, you may appeal our decision by emailing us at info@northwestdermgroup.com. We will inform you in writing of any action taken or not taken in response to the appeal, including a written explanation of the reasons for the decisions. If your appeal is denied, you may submit a complaint to your state attorney general.California “Shine The Light” LawCalifornia Civil Code Section 1798.83, also known as the “Shine The Light” law, permits our users who are California residents to request and obtain from us, once a year and free of charge, information about categories of personal information (if any) we disclosed to third parties for direct marketing purposes and the names and addresses of all third parties with which we shared personal information in the immediately preceding calendar year. If you are a California resident and would like to make such a request, please submit your request in writing to us by using the contact details provided in the section “HOW CAN YOU CONTACT US ABOUT THIS NOTICE?“11. DO WE MAKE UPDATES TO THIS NOTICE?In Short: Yes, we will update this notice as necessary to stay compliant with relevant laws.We may update this privacy notice from time to time. The updated version will be indicated by an updated “Revised” date at the top of this privacy notice. If we make material changes to this privacy notice, we may notify you either by prominently posting a notice of such changes or by directly sending you a notification. We encourage you to review this privacy notice frequently to be informed of how we are protecting your information.12. HOW CAN YOU CONTACT US ABOUT THIS NOTICE?If you have questions or comments about this notice, you may email us at info@northwestdermgroup.com or contact us by post at:Northwest Dermatology Group, Covet Med Spa32270 Telegraph Rd#200Bingham Farms, MI 48025United States13. HOW CAN YOU REVIEW, UPDATE, OR DELETE THE DATA WE COLLECT FROM YOU?Based on the applicable laws of your country or state of residence in the US, you may have the right to request access to the personal information we collect from you, details about how we have processed it, correct inaccuracies, or delete your personal information. You may also have the right to withdraw your consent to our processing of your personal information. These rights may be limited in some circumstances by applicable law. To request to review, update, or delete your personal information, please fill out and submit a data subject access request."} ## [Psoriasis](https://nw-derm.com/services/psoriasis) Learn about psoriasis, a chronic skin condition causing thick, scaly patches. Understand symptoms, why skin cells grow too rapidly, and treatment options. {"_body":"Psoriasis  (“suh-RY-uh-sus”) is a long-term (chronic) skin problem that causes skin cells to grow too quickly, resulting in thick, white, silvery, or red patches of skin. Normally, skin cells grow gradually and flake off about every 4 weeks. New skin cells grow to replace the outer layers of the skin as they shed. But in psoriasis, new skin cells move rapidly to the surface of the skin in days rather than weeks. They build up and form thick patches called plaques.The patches range in size from small to large. They most often appear on the knees, elbows, scalp, hands, feet, or lower back. Psoriasis is most common in adults. But children and teens can get it too.Having psoriasis can be embarrassing, and many people, especially teens, avoid swimming and other situations where patches can show. But there are many types of treatment that can help keep psoriasis under control.\n\nCauses of Psoriasis\n\nExperts believe that psoriasis occurs when the immune system overreacts, causing inflammation and flaking of skin.In some cases, psoriasis runs in families. Researchers are studying large families affected by psoriasis to find out how it is passed from parents to their children and what might trigger the condition.People with psoriasis often notice times when their skin gets worse. Things that can cause these flare-ups include a cold and dry climate, infections, stress, and dry skin. Also, certain medicines, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and medicines used to treat high blood pressure or certain mental illnesses, may trigger an outbreak or make your psoriasis worse.Smoking, especially in women, makes you more likely to get psoriasis and can make it worse if you already have it. Psoriasis is not contagious. It cannot be spread by touch from person to person.\n\nSymptoms of Psoriasis\n\nSymptoms of psoriasis appear in different ways. Psoriasis can be mild, with small areas of rash. When psoriasis is moderate or severe, the skin gets inflamed with raised red areas topped with loose, silvery, scaling skin. If psoriasis is severe, the skin becomes itchy and tender. And sometimes large patches form and may be uncomfortable. The patches can join together and cover large areas of skin, such as the entire back.In some people, psoriasis causes joints to become swollen, tender, and painful. This is called psoriatic arthritis (say “sor-ee-AT-ik ar-THRY-tus”). This arthritis can also affect the fingernails and toenails, causing the nails to pit, change color, and separate from the nail bed. Dead skin may build up under the nails.Symptoms often disappear (go into remission), even without treatment, and then return (flare up).\n\nDiagnoses & Treatment of Psoriasis\n\nA doctor can usually diagnose psoriasis by looking at the patches on your skin, scalp, or nails. Sometimes a skin KOH test is used to rule out a fungal infection. But otherwise, special tests are usually not needed.Most cases of psoriasis are mild, and treatment begins with skin care. This includes keeping your skin moist with creams and lotions. These are often used with other treatments including shampoos, ultraviolet light, and medicines your doctor prescribes.In some cases, psoriasis can be hard to treat. You may need to try different combinations of treatments to find what works for you. Treatment for psoriasis may continue for a lifetime.\n\nHome Treatment of Psoriasis\n\nSkin care at home can help control psoriasis. Follow these tips to care for psoriasis:\n\n\nUse creams or lotions, baths, or soaks to keep your skin moist.\n\nTry short exposure to sunlight or ultraviolet (UV) light.\n\nGently soften and remove psoriasis crusts by putting cream on the crusts and then peeling the loose crusts off.\n\nRemoving crusts may help your skin to absorb creams and lotions. Remove them carefully, though, so you don’t irritate the skin.\n\nFollow instructions for skin products and prescribed medicines. It may take a period of trial and error until you know which skin products or methods work best for you. For mild symptoms of psoriasis, some over-the-counter medicines, such as aloe vera, may be soothing. \n\n\nIt is also important to avoid those things that can cause psoriasis symptoms to flare up or make the condition worse. Things to avoid include:\n\n\nSkin injury. An injury to the skin can cause psoriasis patches to form anywhere on the body, including the site of the injury. This includes injuries to your nails or nearby skin while trimming your nails.\n\nStress and anxiety. Stress can cause psoriasis to appear suddenly (flare) or can make symptoms worse.\n\nInfection. Infections such as strep throat can cause psoriasis to appear suddenly, especially in children.\n\nCertain medicines. Some medicines, such as NSAIDs, beta-blockers, and lithium, have been found to make psoriasis symptoms worse. Talk with your doctor. You may be able to take a different medicine.\n\nOverexposure to sunlight. Short periods of sun exposure reduce psoriasis in most people, but too much sun can damage the skin and cause skin cancer. And sunburns can trigger flares of psoriasis.\n\nAlcohol. Alcohol use can cause symptoms to flare up.\n\nSmoking. If you smoke, try to quit. Smoking, especially in women, makes you more likely to get psoriasis and can make it worse if you already have it. \n\n\nStudies have not found that specific diets can cure or improve the condition, even though some advertisements claim to. For some people, not eating certain foods helps their psoriasis. Most doctors recommend that you eat a balanced diet to be healthy and stay at a healthy weight.","faq_title":"FAQ Psoriasis","faq_sub":"","faqs":[{"question":"Is psoriasis contagious?","answer":"No. Psoriasis is not contagious in any way. You cannot catch it from touching someone who has it, sharing towels, or swimming in the same pool. According to the University of Maryland Medical Center, psoriasis is an immune-mediated condition driven by a complex interaction of genetics and environmental factors. The visible plaques are the result of your own immune system causing skin cells to reproduce too quickly, not an infection that can be transmitted."},{"question":"Can psoriasis affect more than just my skin?","answer":"Yes. Psoriasis is a systemic inflammatory condition, not just a skin problem. Pfizer reports that psoriasis can increase your risk of developing cardiovascular disease and arthritis. Psoriatic arthritis causes joints to become swollen, tender, and painful, and can also affect the fingernails and toenails. The condition can also affect the eyes. If you notice joint pain or stiffness alongside your skin symptoms, it is important to bring this up with your dermatologist so treatment can address both the skin and systemic components."},{"question":"What triggers psoriasis flare-ups?","answer":"Flare-ups vary from person to person, but common triggers include stress, infections (particularly strep throat), cold and dry weather, skin injuries, and certain medications. According to Rush University Medical Center, beta-blockers and drugs used to treat malaria have been linked to psoriasis flares. Smoking also worsens psoriasis. Identifying your personal triggers, often with the help of a symptom diary, is one of the most effective long-term management strategies alongside medical treatment."}],"cta_heading":"Take Control of Your Psoriasis","cta_body":"Psoriasis is a lifelong condition, but that does not mean you have to live with constant flare-ups. Our dermatologists will work with you to find the right combination of treatments, from topicals and phototherapy to systemic medications, and help you identify the triggers that keep your symptoms coming back.","cta_label":"Schedule Your Psoriasis Consultation","cta_url":"\/schedule","meta_title":"","meta_description":""} ## [Rashes](https://nw-derm.com/services/rashes) Learn about different types of skin rashes, their causes, and treatment options. Get expert dermatological care for proper diagnosis and fast relief today. {"featured_image2":"","hero_description":"","secondary_image":"","secondary_image_alt":"","service_description":"","faq_title":"FAQ Rashes","faq_sub":"","cta_heading":"Get Answers. Get Relief.","cta_body":"A rash can be anything from a minor irritation to a sign of something that needs treatment right away. Rather than guessing, let our dermatology team give you a clear diagnosis and a targeted treatment plan so you can stop worrying and start healing.","cta_label":"Schedule a Skin Evaluation","cta_url":"\/schedule","meta_title":"","meta_description":"","faqs":[{"question":"When should I see a dermatologist for a rash instead of waiting it out?","answer":"Many rashes resolve on their own, but certain warning signs mean you should see a dermatologist promptly. These include a rash that is spreading rapidly, accompanied by fever, painful or blistering, covering a large area of the body, or not improving after a week of home treatment. Rashes accompanied by joint pain, swelling, or difficulty breathing require immediate medical attention. Because many different conditions, from allergic reactions to fungal infections to autoimmune diseases, can produce similar-looking rashes, professional evaluation is the fastest path to the right treatment."},{"question":"How does a dermatologist determine what is causing my rash?","answer":"Diagnosis typically starts with a visual examination and a detailed history of your symptoms, including when the rash appeared, whether it itches or hurts, and any potential exposures to allergens, new products, or sick contacts. In some cases, your dermatologist may perform a skin scraping to check for fungal infection, a patch test to identify contact allergens, or a skin biopsy to examine the tissue under a microscope. The goal is to distinguish between infectious causes (bacterial, viral, fungal) and non-infectious causes (eczema, psoriasis, allergic reactions) so you receive the correct treatment."},{"question":"Could my rash be a sign of something more serious?","answer":"In most cases, rashes are benign and treatable. However, some rashes can signal underlying systemic conditions. Shingles, for example, is caused by the reactivation of the varicella-zoster virus and requires prompt antiviral treatment to prevent complications. Certain rashes can also be early indicators of autoimmune conditions, medication reactions, or, rarely, skin cancers like squamous cell carcinoma. If a rash persists, changes character, or is accompanied by other symptoms like fatigue, weight loss, or joint pain, a dermatological evaluation is important."}],"_body":"Non-InfectiousSome of the most common non-infectious rashes include allergic reactions, eczema, and psoriasis. Allergic reactions typically cause red itchy bumps or hives and can respond to an allergen consumed or something that came in direct contact with the skin. Often, patients are allergic to various ingredients in lotions, fragrances, laundry detergents, and metals, to name a few. While eliminating the allergen is the best way to avoid these rashes, there are topical treatments and oral allergy medications that alleviate symptoms and discomfort. Eczema and psoriasis are chronic conditions that can be managed with topical and oral medications. See our specific pages on each condition to learn more.InfectiousOne of the most common bacterial rashes is impetigo. This infection is frequently seen in children and causes red blisters that turn into sores with honey-colored crusting. Impetigo is typically easy to treat with topical antibiotics and occasionally oral antibiotics. A common viral rash seen in elderly persons and immunocompromised individuals is Shingles. This painful, red, blistering rash is caused by the Varicella Zoster Virus and is treated with oral antiviral medications. It is highly contagious and can cause significant discomfort so early detection and treatment are key. There are many types of commonly acquired fungal rashes. Tinea (ringworm and athletes foot), Seborrheic Dermatitis, Onychomycosis (nail fungus) and Intertrigo are a few. They can be flaky, red, itchy, or painful. Most are treated with topical washes and creams, however sometimes stubborn nail fungus or severe infections require oral medication.Read About Squamous Cell Carcinoma (SCC)Squamous Cell Carcinoma (SCC), the second most common form of skin cancer, is the result of abnormal cell growth arising from squamous cells in the outermost layer of skin. SCC often looks like scaly red patches, open sores, or wart-like growths that may crust or bleed. They can become disfiguring and sometimes deadly if left untreated.Causes: Long term exposure to the sun’s ultraviolet (UV) rays over the course of a lifetime are the primary cause of SCC.Risk Factors: People who have light skin, blond or red hair, and blue, green or gray eyes are all at higher risk for developing SCC. Individuals who have a history of prolonged or intense sun exposure are also at increased risk, including people whose occupations require long hours outdoors and those who spend a lot of time in the sun for recreational purposes. Anyone who has had a basal cell carcinoma is also at increased risk for SCC. Experts believe that people who use tanning beds are 2.5 times more likely to develop SCC.  Treatment Options: When detected and removed early, squamous cell carcinoma is almost always curable. The larger and deeper the tumor grows, the more disfiguring and potentially life threatening the carcinoma becomes. Treatment is almost always performed in an office setting with local anesthetic and very minimal discomfort afterwards. Surgery is the gold standard for treatment of SCC.Mohs surgery is typically performed on areas that are cosmetically and\/or functionally important (face, scalp, ears, hands, feet, genitals) and is done in stages to preserve as much healthy tissue as possible.Excisional surgery is a surgical procedure that entails removal of the entire SCC and appropriate surrounding borders. The wound is then closed with stitches.Electrodessication and Curretage (EDC) is a technique reserved for small SCCs. The provider scrapes off the SCC with a curette then burns the area to stop bleeding and destroy remaining cancer cells. This is typically repeated several times to ensure that there are no remaining cells.Radiation therapy is used when a patient is not a candidate for surgery, or when they have lesions that are in difficult areas to treat with surgery. Radiation involves low energy X-Rays to destroy the tumor without cutting or anesthesia. Treatment are usually performed over the course of several weeks or daily for a month.About Basal Cell Carcinoma (BCC)Basal Cell Carcinoma (BCC) is the most commonly occurring skin cancer, characterized by abnormally growing cells from the basal layer of the outermost layer of the skin. BCCs often look like open sores, red patches, pink growths, pearly bumps or scars, and can bleed or crust. If untreated it can be disfiguring, however it rarely spreads to other parts of the body and is not deadly.Causes: cumulative long term exposure to ultraviolet (UV) rays is the main cause of BCC, which is almost always found on sun exposed areas.Risk Factors: People with light skin, blonde or red hair, and blue, green or gray eyes are at higher risk for developing BCC. Individuals with prolonged or intense sun exposure, such as long hours of work or recreational activity outdoors, history of tanning bed use and blistering sunburns all increase the risk for BCC.Treatment Options: Treatment is almost always performed in an office setting with local anesthetic and very minimal discomfort afterwards.Mohs surgery is typically recommended for larger tumors that occur on areas that are cosmetically and\/or functionally important (face, scalp, ears, hands, feet, genitals) and is done in stages to preserve as much healthy tissue as possible.Excisional surgery is a surgical procedure that entails removal of the entire BCC and appropriate surrounding borders. The wound is then closed with stitches.Electrodessication and Curretage (EDC) is a technique reserved for small or superficial BCCs. The provider scrapes off the SCC with a curette then burns the area to stop bleeding and destroy remaining cancer cells. This is typically repeated several times to ensure that there are no remaining cells.Photodynamic Therapy (PDT) is FDA approved for the treatment of superficial BCC. A light sensitizing agent is applied to the lesion and then exposed to blue light, which activates the agent and subsequently destroys the affected tumor.Topical Agents: Imiquimod and 5-Fluorouracil are both topical medications that are approved for treating superficial BCCs.PreventionTaking precautions to protect your skin from damaging UV rays is the most important step in preventing basal cell carcinoma. Below are some safety habits that should be part of your daily health care routine:Avoid sun exposure at the hottest times of day, usually between 10am-4pmAvoid sunburnsNever use tanning bedsCover up with UV protective clothing, hat and sunglassesUse broad spectrum (UVA\/UVB) sunscreen with SPF 50, water-resistant when swimming or perspiration is expected. Apply 30 minutes prior to exposure and reapply every 2 hours for adequate protectionExamine your skin regularly for suspicious lesionsSee your dermatologist yearly for a skin cancer screening   "} ## [Reducing Skin Cancer Risk](https://nw-derm.com/blog/preventing-skin-cancer) Learn proven strategies to protect your skin and reduce cancer risk. Discover prevention tips, early detection methods, and essential facts about skin health. {"_body":"Preventing Skin Cancer\n\nUnderstanding Skin Cancer Basics \n\n\n\nSkin cancer, the uncontrolled growth of abnormal skin cells, is the most common type of cancer in the United States. One in five Americans will develop skin cancers during their lifetimes, with 3.3 million nonmelanoma cases diagnosed annually. Nearly 98% of cases are basal cell or squamous cell carcinomas. When diagnosed early, these are treatable and relatively low risk. Melanoma is more aggressive and can be deadly.\n\n\n\n\n\n\n\nMost skin cancers are caused by too much exposure to ultraviolet (UV) light. Yes, that means sunlight, in the form of UVA (ultraviolet A) and UVB (ultraviolet B) rays that reach the earth’s surface, potentially causing sunburn, eye damage, skin aging, and cancers. Forget the “healthy, sun-kissed tan.” That’s the body’s reaction to excessive UV radiation, signaling damage to your skin.\n\nCover Up to Prevent Skin Cancers\n\nFortunately, there are several easy ways to cover up and protect yourself and your family. Here’s how.\n\n\n\n\nStay in the shade or indoors between 10 am and 4 pm. That’s when UV rays are strongest, especially in areas with bright, year-round sunlight and at higher altitudes.\n\nWear clothing that covers your arms and legs when going outside. Long-sleeved and -legged garments made of dense fabrics are best. Also, consider sun-protective clothing with a UPF (ultraviolet protection factor) built-in. UPF 50 means that only one in 50 of the sun’s rays reaches your skin, helping keep you safe.\n\nCover your face, neck, and head with a broad-brimmed hat and wear it at all times when outside. A cap is not sufficient because it shields only a limited area while leaving ears, neck, and other surfaces exposed.\n\nWear wrap-around, UV-blocking sunglasses to protect your eyes and the skin around them.\n\nSlather SPF30 or greater sunscreen with both UVA and UVB protection on all exposed skin. Reapply every two hours; more often if swimming, sweating, participating in sports activities, working outdoors, or spending time in locations with intense, nonstop light. Make sure to cover easily overlooked areas, like ears, lips, neck, backs of hands, and tops of feet. Very important: sunscreen is a year-round commitment. UV radiation reflects off snow, sand, water, cement, and other surfaces, and clouds do not filter out harmful rays.\n\n\n\n\n\n\n\n\nIn addition to covering up at all times when outside, avoid tanning beds and sunlamps. These devices concentrate UV rays and can actually increase cancer risk. Remember to pursue a healthy diet, rich in fruits, vegetables, and omega 3 fatty acids, with reasonable alcohol intake, as a component of good skin maintenance. And, of course, no smoking, ever.\n\nBe Aware of Risk Factors\n\nWhile avoiding excessive UV radiation is primary in skin cancer avoidance, susceptibility can be affected by such realities as: \n\n\n\n\nAge. Occurrence increases as we get older, likely due to exposure accumulated over time. \n\nChildhood damage. Blistering sunburns as a kid can increase risk decades later in adults.   \n\nGender. Men have higher rates of skin cancer than women, two to three times higher, in fact. \n\nSkin tone. Caucasians show greater risk than nonwhites, especially for individuals with blond or red hair, blue or green eyes, or fair skin that burns or freckles easily. \n\nMoles. Most are harmless and never develop into cancer, although having a large number of such blemishes may increase risk. \n\nFamily or personal history. People with parents or siblings with skin cancer can be at higher risk. Previous skin cancer can also increase future recurrences. \n\nRadiation and other medical treatments. Such procedures may increase risk, particularly in exposed areas.   \n\n\n\n\n\n\n\n\nKeeping Your Skin Healthy & Safe\n\nWhile practicing sound prevention techniques is essential to skin cancer awareness, knowing your body is equally important. Check your skin regularly for changes, using a mirror or asking a companion to look at parts you cannot see. Warning signs of possible trouble include new skin growths and changes in existing freckles, moles, birthmarks, or other blemishes. A fast-growing spot or sore that doesn’t heal; irregular borders; persistent scaly, red skin; bleeding or oozing; and sudden pain are all cause for concern. Your doctor can inspect and diagnose any problems and suggest treatment as needed. Scheduling an annual skin inspection is good health practice in any case; danger signs are often subtle, and early treatment of skin cancers is essential to success.   \n\nAbove all, be sure to cover up your cover-up. Limiting your exposure to the most potent source of UV radiation – sunshine – with good sun habits is easy, sensible, and the best way to protect yourself and your most visible organ from harmful skin cancers, aging, and other damage. "} ## [Reducing Your Risk of Skin Cancer](https://nw-derm.com/blog/reducing-your-risk-of-skin-cancer) Protect yourself from skin cancer, the most common cancer in the US. Expert dermatologist Dr. Emily Levin shares prevention tips and early detection advice. {"_body":"With Dr. Emily Levin, Board Certified Dermatologist, & Florine Mark\n\n\n\nDid you know that skin cancer is the most common type of cancer in the United States with a one in five chance of being diagnosed with it during your lifetime? When diagnosed early, basal cell or squamous cell carcinomas tend to be low-risk and readily treatable. But the third type of skin cancer, Melanoma, is far more aggressive and harder to treat. Skin cancer is typically caused by excessive exposure to the sun and is the body's reaction to damage caused by ultraviolet rays. \n\nAs we age, skin cancer tends to be more prevalent, but in addition, certain genetic factors can increase our risk of developing skin cancer. For example, men have a higher incidence of skin cancer than women. Caucasians with fair skin are more at risk as are individuals with a family history of the disease. Finally, certain medications or medical procedures such as radiation treatments may actually increase the likelihood of developing skin cancer.   \n\nBut as much as we love being outdoors, especially during this time of year, there are steps we can take to reduce our risk of skin cancer exposure. In addition to applying creams and lotions with a Sun Protection Factor (SPF) of 30 or higher, it is recommended that we avoid direct sunlight between the hours of 10:00 am and 4:00 pm when the sun is strongest and wear sunglasses. \n\nFurthermore, cover your face with a broad-brimmed hat and shield your arms and legs with long-sleeved shirts and pants. For added protection, you can also wear specially designed clothes treated with built-in UPF 50 or Ultraviolet Protection Factor to prevent the sun's rays from touching your skin.  Also, it is a myth that tanning beds and sun lamps are safer than being outdoors. In fact, the opposite is true, due to the concentration of UV rays in these devices, they actually pose a greater risk for cancer.   \n\nFinally, it is strongly suggested that you schedule an annual skin care full body scan with your dermatologist to evaluate and monitor any signs of moles or lesions that could indicate cancer cells.  \n\nBut as much as we love being outdoors, especially during this time of year, there are steps we can take to reduce our risk of skin cancer exposure. Last year, Florine interviewed Dr. Emily Levin, board-certified Dermatologist, and cosmetic surgeon. In addition to talking about skin cancer prevention, Dr. Levin provides some very helpful information about caring for our skin throughout our life.\n\nWhat You’ll Hear on This Episode:\n\n\nWhen did Emily decide she wanted to be a dermatologist?\n\nHow does our complexion change as we age?\n\nWhy antioxidants are so important for our skin.\n\nHow can we uplevel our daily skincare routine? \n\nHow does our diet affect our skin and complexion? \n\nWhat should we be looking for in our sunscreen? \n\n\n\nDo collagen supplements and topical creams really work?\n\nWhat skincare products should everyone be using?\n\nBreaking down the different types of Retin-A. \n\nWhat should a daily/nightly skincare routine look like?\n\nWhat is Botox used for?\n\nWhat are fillers used for?\n\nWhat are the best products to use to grow eyelashes?\n\nWhat products are available for thinning hair?\n\nWhat are the three most important things we can do to care for our skin at any age?\n\n\nToday’s Takeaway:\n\nWe all want to spend more time outdoors but remember that even though sunshine feels good on our faces, we can do irreversible damage if we don’t wear sunscreen. In addition to prematurely aging our skin, we might also be putting ourselves at risk of developing skin cancer. And it’s not just the sun that can cause damage to our skin. Winter weather can also worsen certain conditions like Psoriasis. So, the next time you visit your dermatologist to address skincare issues and get your annual body scan, why not come prepared with a list of questions on how to adapt your skincare routine throughout the year? Your dermatologist will have all the answers. I know mine does (Hint: it’s Dr. Emily!) \n\nJust as our bodies age, so does our skin and we need to care for it differently than we did when we were younger. That means different skincare products and regimens. It may take time to show the results, but if we follow the proper care guidelines the differences will be worth it. Remember, every day is a gift. Make the most of every day. Eat properly, exercise, and see your doctors for all of the necessary annual exams. When we care properly for our skin, we’ll not only look better but we’ll help reduce our risk of skin cancer. Be healthy, everyone. I’m Florine Mark and that’s “Today’s Takeaway.”\n\nQuotes:\n\n“My friends in high school used to joke that I was going to be a dermatologist someday.”\n\n“I kept gravitating towards medicine and when I was in medical school dermatology was just calling my name. I continued to be fascinated by the skin. You can see it, it’s tangible, you know when things are getting better or worse and I just love it.”\n\n“The skin changes in many ways as we age, but there are certain things we should always be doing from a young age all the way through the decades of our lives.”\n\n“Sunscreen is the most critical, #1, anti-aging, skincare prevention item that is out there.”\n\n“Sunscreen is the one item that everybody should be using.”\n\n“Catching skin cancer early is critical. It’s critical.” \n\n“You have to be careful with regular soap because soap can be very harsh.” \n\n“Eating a diet filled with antioxidants is wonderful for your skin.” \n\n“The one sunscreen that you will use is the one you should pick.” \n\n“There’s no reason to use any SPF under 30.”\n\n“I love Botox!”\n\nBrought to You By:\n\nFlorine Mark\n\nMentioned in This Episode: \n\nNorthwest Dermatology Group\n\n"} ## [Retinol and Sensitive Skin](https://nw-derm.com/blog/retinol-and-sensitive-skin) How to safely use retinol on sensitive skin. Learn expert tips to minimize irritation while enjoying anti-aging benefits like reduced wrinkles and enhanced collagen. {"_body":"Applying the Power of Retinol to Your Sensitive Skin … Here’s How  \n\nRetinol is everywhere—and with good reason. Widely touted as the gold standard for anti-aging skin care, products containing retinol can decrease the appearance of wrinkles and fine lines, reduce inflammation, unclog pores, enhance collagen production, and help regulate the growth of cells. Retinol and sensitive skin can be a challenge, but not impossible. \n\nBut like most good things, retinols have a downside, especially for those with sensitive skin. Does that mean you have to forego the retinol-enhanced opportunity to look more youthful and brighten your appearance? Not necessarily, because with attentive care and judicious application, you can realize the benefits of retinol without damaging your skin.  \n\nWhat Retinol Is All About  \n\nRetinoids are a class of chemical compounds that includes retinol, retinoic acid, retinyl palmitate, retinol aldehyde and a number of other substances; all are derivatives of one of the body’s key nutrients, vitamin A. Following identification of the chemical makeup of vitamin A in 1931 and subsequent isolation of various retinoid derivatives, researchers began experimenting with skin-care applications. In 1971 the first retinoid-based pharmaceutical was approved by the FDA; Retin-A was prescribed for the treatment of acne and remains on the market to this day. But dermatologists quickly noticed that the drug did more than clear up breakouts; it also reduced fine lines, dark spots, wrinkles, and other signs of aging. From that point, the race was on to adapt retinoids for commercial use.   \n\nFace serum or dropper in skincare oil routine, healthcare grooming or wellness in retinol dermatology, collagen or vitamin c. Zoom, smile or happy beauty model with facial liquid product.\n\nToday, various retinoid products are used as an active ingredient in the prescription-strength medications used by healthcare providers to treat serious skin conditions like acne, eczema, psoriasis, rosacea, and certain types of cancer. Retinols are a weaker type of retinoid widely contained in over-the-counter cosmeceuticals, leading to the dizzying array of creams, gels, masks, ointments, serums, and sprays lining the shelves of beauty supply centers, drugstores, and big box emporiums, with every brand name and price point represented. Marketing claims are often extravagant, promising to turn back the clock on aging and promoting the fountain of youth.  \n\nWhy Skin May Be Sensitive to Retinol   \n\nEven at over-the-counter strength, retinol proved to be potent stuff. Instead of improvement, early formulations irritated, turning skin scaly, red, peeling, angry, and rough. Because of sensitivity to light, sun exposure was anathema and products could only be applied at night. Over-usage often led to a taut, unrealistic, plastic-looking appearance.  \n\nStill, the benefits of retinol as a skin-care enhancer were well-documented, so researchers kept working the problem. Recent breakthroughs based on very sophisticated chemical manipulation have reduced negative effects, made benefits more widely available, and introduced products that are easier to use.   \n\nBut that doesn’t mean you can use retinols with abandon, especially if you are prone to sensitive skin. From a medical standpoint your sensitive skin may be due to genetic differences in the normal protective skin barrier, leading your immune system to overreact when exposed to irritants or allergens. Chances are the symptoms of your sensitive skin are familiar: itchiness, redness, dryness, hardness, swelling, stinging, burning, cracking, blistering, bleeding, rashes, and hives. Irritant contact dermatitis commonly follows exposure to soaps, detergents, solvents, and beauty products that damage your skin’s protective outer layer, resulting in various symptoms or a rash.  \n\nWhich brings us back to retinol and sensitive skin. Despite improvements, retinols remain a powerful substance with real side effects. With retinol usage, dryness, itching, burning, flaking, peeling, and redness are a real possibility, especially for those who already suffer from sensitive skin.  \n\nFortunately, retinol-induced improvements and clear, healthy skin are possible, all at the same time.  \n\nFinding a Retinol Routine That Works for You  \n\nThe key to success is careful management of your skincare process.  \n\n\nOnce you decide to use retinol, online research or a conversation with your healthcare provider is a good way to identify which products might work best for you and your type of skin.  \n\nBefore using for the first time, conduct a patch test by applying a bit of product lightly to a small area of skin to see if you have any negative reactions. If after a couple days, your skin patch isn’t red or itchy, you can add retinol in the evening to your bedtime routine.  \n\nRead package instructions carefully and follow recommendations for application.  \n\nClean your skin with a gentle cleanser and pat dry. Don’t scrub or use harsh applicators. Waiting 30 minutes before applying retinol lets your skin recover from washing. \n\n\n\nApply retinol in a thin layer to the entire face, avoiding contact with mouth, nose, and eyes. Your entire dose should be the size of a pea, divided evenly on the forehead, nose, both cheeks, and chin. Take a bit more product and apply to the neck and décolletage.  \n\nFinish with a non-comedogenic facial moisturizer that won’t clog pores, applied after retinol is totally absorbed.   \n\nInitially, use retinol only once or twice a week. If your skin tolerates it well, application can increase to once a day or every other day.  \n\nDon’t use retinol on broken, irritated, or sunburned skin. If exfoliating or undergoing in-spa treatments like a chemical peel, waxing, or micro-needling, stop use a week in advance.  \n\nMany healthcare providers recommend avoiding retinol when pregnant, trying to become pregnant, or breastfeeding. At the very least, talk with your obstetrician for approval.  \n\n\n\n\nA few other things to remember:  \n\n\nMost side effects are temporary and resolve as skin adjusts to the new routine.  \n\nRetinols can increase sun sensitivity, so use with sunscreen, wear a hat and protective clothing when outside, and avoid prolonged exposure at times of peak UV intensity.  \n\nSeeing results from retinol usage takes a while, from six weeks to as long as six months. Consistency is important, so keep going even if nothing appears to be happening. If after a time you feel over-the-counter retinols are not producing sufficient benefits, talk with your dermatologist or healthcare provider about getting a prescription. Because it’s stronger, an Rx may work faster, but more side effects are possible as well.  \n\n\nRetinols are a great way to look more youthful, refine skin texture, enhance radiance, and treat aging. Use them wisely and they’ll make you look great in your skin.  "} ## [Rosacea](https://nw-derm.com/services/rosacea) Learn about rosacea causes and expert treatment options to restore your confidence. Our dermatologists help manage symptoms and prevent flare-ups. Call today. {"_body":"Expert Care for Rosacea\n\nSome people say that having rosacea keeps them from feeling confident at work or in social situations. If your rosacea bothers you or has gotten worse, call our office at (248) 353-0880. Getting treatment can help your skin look and feel better. And it may keep your rosacea from getting worse.\n\n\n\nCauses of Rosacea\n\nExperts are not sure what causes rosacea. They know that something irritates the skin, but rosacea doesn’t seem to be an infection caused by bacteria. It tends to affect people who have fair skin or blush easily, and it seems to run in families.The pattern of redness on a person’s face makes it easy for a doctor to diagnose rosacea. And most of the time medical tests are not needed or used.Rosacea is not caused by alcohol abuse, as people thought in the past. But in people who have rosacea, drinking alcohol may cause symptoms to get worse (flare).Rosacea often flares when something causes the blood vessels in the face to expand, which causes redness. Things that cause a flare-up are called triggers. Common triggers are exercise, sun and wind exposure, hot weather, stress, spicy foods, alcohol, and hot baths. Swings in temperature from hot to cold or cold to hot can also cause a flare-up of rosacea.\n\nSymptoms of Rosacea\n\nPeople with rosacea may have:\n\n\nA flushed, red face with sensitive, dry skin that may burn or sting.\n\nSmall bumps and pimples or acne-like breakouts.\n\nSkin that gets coarser and thicker, with a bumpy texture.\n\nDry, red, irritated eyes. \n\n\nIn rare cases, rosacea that is not treated may cause permanent effects, such as thickening of the skin on your face or loss of vision. It may cause knobby bumps on the nose, called rhinophyma (say “ry-no-FY-muh”). Over time, it can give the nose a swollen, waxy look. But most cases of rosacea don’t progress this far.\n\nTreatment of Rosacea\n\nDoctors can prescribe medicines and other treatments for rosacea. There is no cure, but with treatment, most people can control their symptoms and keep the disease from getting worse.\n\n\nRedness and breakouts can be treated with:\n\nPills, such as low-dose antibiotics like doxycycline.\n\nSkin creams that contain medicine, such as azelaic acid or metronizadole.\n\n\n\nRedness from tiny blood vessels can be treated with lasers and another light treatment called intense pulsed light (IPL).\n\nDry, sensitive skin can be protected with products for sensitive skin, such as moisturizers and sunscreen.\n\nDry, red, and irritated eyes can be treated with artificial tears or prescription eyedrops that contain a medicine such as cyclosporine.\n\nThickened or bumpy skin on the nose or face can be treated with cosmetic surgery.\n\n\nPrevention of Rosacea\n\nThere are some things you can do to reduce symptoms and keep rosacea from getting worse.Get any bothersome symptoms under control. A dermatologist can prescribe treatments to reduce redness and any breakouts.Find your triggers. One of the most important things is to learn what triggers your flare-ups, and then avoid them. It can help to keep a diary of what you were eating, drinking, and doing on days that the rosacea appeared. Take the diary to your next doctor visit, and discuss what you can do to help control the disease.Protect your face. Stay out of the sun between 10 am and 4 pm. When you are outdoors, protect your face by wearing a wide-brimmed hat or visor. Use a sunscreen that is rated SPF 15 or higher every day. If your skin is dry, find a moisturizer with sunscreen.Be gentle with your skin. Use skin care products for sensitive skin, and avoid any products that scratch or irritate your skin. Try not to rub or scrub your skin.Take care of your eyes. Gently wash your eyelids with a product made for the eyes. Apply a warm, wet cloth several times a day. Use artificial tears if your eyes feel dry. Or talk to your doctor about medicine you can put into your eyes.","faq_title":"FAQ Rosacea","faq_sub":"","faqs":[{"question":"Can what I eat or drink make my rosacea worse?","answer":"Yes. Research published in the Journal of Clinical and Aesthetic Dermatology found that the most common dietary triggers include alcohol (especially red wine), spicy foods, hot beverages, and foods containing cinnamaldehyde such as tomatoes, citrus fruits, and chocolate. In a 2018 survey, 73% of rosacea patients reported that dietary changes reduced their flare-up frequency. Since triggers vary from person to person, dermatologists recommend keeping a food diary to identify your specific triggers rather than eliminating foods unnecessarily."},{"question":"Can rosacea affect my eyes?","answer":"Yes. Ocular rosacea is a common and often overlooked component of the condition. It can cause dry, red, irritated eyes, a gritty or burning sensation, light sensitivity, and blurred vision. In some cases, eye involvement appears before the skin symptoms do. Prescription eyedrops containing cyclosporine and artificial tears can help manage ocular symptoms. If you have rosacea and experience any eye discomfort, mention it to your dermatologist so they can coordinate treatment or refer you to an ophthalmologist."},{"question":"Will rosacea get worse over time if I do not treat it?","answer":"It can. Without treatment, rosacea tends to progress through stages, from occasional flushing to persistent redness, visible blood vessels, and eventually bumps and skin thickening. In rare cases, untreated rosacea can lead to rhinophyma, a condition where the nose becomes swollen and bulbous. Research from Dermatology and Therapy confirms that the earlier rosacea is treated, the better the long-term outcome. Treatment will not cure rosacea, but it can significantly slow progression and reduce the frequency and severity of flare-ups."}],"cta_heading":"Redness Does Not Have to Run Your Life","cta_body":"Rosacea is chronic, but it is manageable. From topical medications and low-dose antibiotics to laser treatments for persistent redness, our dermatologists will tailor a plan to your skin, your triggers, and your goals. The earlier you start, the better the results.","cta_label":"Schedule Your Rosacea Consultation","cta_url":"\/schedule","meta_title":"","meta_description":""} ## [Schedule an Appointment with Northwest Dermatology](https://nw-derm.com/schedule) Book an appointment with board-certified dermatologists at Northwest Dermatology. Convenient online scheduling for healthy, beautiful skin care. {"hero_heading":"Schedule An Appointment","hero_body":"Our board-certified dermatologists will help you achieve healthy, beautiful skin.","hero_image":"https://cdn.liteframecms.com/northwest-dermatology/SDC_5360.jpg","hero_image_alt":"","locations_title":"","locations_sub":"","first_visit_heading":"","first_visit_body":"","content_heading":"","content_body":"","faq_title":"Schedule Appointments","faq_sub":"We offer convenient online scheduling. Select your location below and click to book an appointment with the provider of your choice.","meta_title":"","meta_description":"","og_image":"","locations":[{"location_name":"Bingham Farms","location_phone":"(248) 353-0880","location_phone_tel":"2483530880","location_fax":"888-368-7898","location_schedule_label":"Book in Bingham Farms","location_schedule_url":"https://l.klara.com/CNYfPAfxaSHBcdBP","location_image":"https://cdn.liteframecms.com/northwest-dermatology/SDC_5417.webp","location_address":"32270 Telegraph Road, Suite 200\nBingham Farms, MI 48025","location_hours":"","maps_location_name_must_match_gbp":"Northwest Dermatology Group"},{"location_name":"Washington Twp","location_phone":"(586) 786-8586","location_phone_tel":"5867868586","location_fax":"888-368-7898","location_schedule_label":"Book in Washington Twp","location_schedule_url":"https://l.klara.com/TBSW7CNZHw9Vyr9y","location_image":"https://cdn.liteframecms.com/northwest-dermatology/SDC_5460.jpg","location_address":"57850 Van Dyke Ave, Suite 200 Washington, MI 48094","location_hours":"","maps_location_name_must_match_gbp":"Northwest Dermatology Group Washington"}],"first_visit_docs":[],"faqs":[{"question":"Need a same-day appointment?","answer":"We reserve openings for urgent scheduling. Please call the office at (248) 353-0880."},{"question":"Telemedicine Appointments Available","answer":"Please call our office direct to schedule a telemedicine appointment at (248) 353-0880"},{"question":"Schedule w/ Dr. Levin","answer":"Please call our office direct to schedule an appointment at (248) 353-0880"}]} ## [Shelby Township Dermatology Care – Convenient Location in Washington](https://nw-derm.com/shelby-township-dermatology-clinic) Expert dermatology care serving Shelby Township residents at our Washington Township location. Board-certified dermatologists, 4.7 rating, book online today. {"hero_rating_text":"4.7 Rating from 950+ patients","hero_heading":"Your Journey to Healthy Skin Starts Here","hero_subheading":"Book an appointment online with one of our Board-Certified Dermatologists. Our Washington Township office is just minutes from Shelby Township. Click the button below and get scheduled.","hero_cta_label":"Book Appointment in Washington Twp","hero_cta_url":"https://l.klara.com/TBSW7CNZHw9Vyr9y","hero_phone":"(586) 786-8586","hero_phone_tel":"5867868586","hero_body":"Trust our experts to provide the best care for your skin. We combine medical, surgical, and cosmetic dermatology for natural and beautiful results. Your journey to perfect skin starts with Northwest Dermatology. Requesting an appointment online is easy. Fill out the form to book an appointment now!","hero_image":"https://cdn.liteframecms.com/northwest-dermatology/SDC_5460.jpg","hero_image_alt":"northwest dermatology group washington","hero_badge_number":"10,000+","hero_badge_label":"Over 10,000 Patients Served","services_heading":"We Foster a Welcoming Environment","services_sub":"Your journey to healthy skin starts here. Northwest Dermatology Group provides comprehensive medical dermatology and cosmetic treatments to patients in Shelby Township and throughout Macomb County. Our Washington Township office is conveniently located on Van Dyke, just a short drive north.","feature_heading":"Your Skin Is Talking. We Are Listening.","feature_cta_label":"Schedule Your Appointment","feature_cta_url":"https://l.klara.com/TBSW7CNZHw9Vyr9y","feature_body":"Skin changes deserve professional attention, not guesswork. Whether you are managing a chronic condition, monitoring a mole, or simply overdue for a screening, our board-certified dermatologists are here to provide the clarity and care your skin needs. Early evaluation leads to better outcomes.","feature_image":"https://cdn.liteframecms.com/northwest-dermatology/DSC_9552.jpg","feature_image_alt":"","reviews_heading":"See What Our Patients Have to Say","reviews_sub":"","faq_heading":"Frequent Questions","faq_sub":"","location_heading":"Washington Township","show_locations":[],"final_cta_heading":"Our Commitment to Our Patients Is Unwaivering ","final_cta_label":"Book Now","final_cta_url":"https://l.klara.com/TBSW7CNZHw9Vyr9y","final_cta_body":"At Northwest Dermatology Group, we truly care about our patients. We strive for 100% patient satisfaction and hope every visit feels comfortable and worthwhile. We provide medical dermatology and cosmetic treatments to patients in Shelby Township, Washington Township, and throughout Macomb County. Through our experienced staff, advanced services, and our integrity, we will provide you with a level of unparalleled service.","final_cta_image":"https://cdn.liteframecms.com/northwest-dermatology/1163.webp","final_cta_image_alt":"","onclick_conversion_id_phone":"","onclick_conversion_id":"","hero_trust_items":[{"trust_text":"Hour Detroit Top Docs"},{"trust_text":"Board Certified Dermatologists"},{"trust_text":"Telemedicine Available"},{"trust_text":"Accepting New Patients"}],"trust_bar_items":[{"trust_number":"50","trust_label":"years in practice"},{"trust_number":"2 ","trust_label":"convenient locations"}],"services_items":[{"service_title":"Cosmetic Dermatology","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group8.svg","service_body":"Cosmetic Dermatology Treatments for Wellness and Beauty"},{"service_title":"Skin Conditions","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group10.svg","service_body":"Medical Dermatology Treatments for a Wide Variety of Conditions"},{"service_title":"Face Treatments","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group12.svg","service_body":"We provide expert care in diseases associated with the skin, hair and nails."}],"feature_benefits":[],"faqs":[{"question":"What conditions does Northwest Dermatology treat at the Washington Township office?","answer":"Our Washington Township office is just 10 to 15 minutes from Shelby Township and offers a full scope of medical dermatology services. Our board-certified dermatologists treat conditions including acne, eczema, psoriasis, rosacea, moles, warts, rashes, vitiligo, fungal infections, and molluscum contagiosum, as well as skin cancer screenings and Mohs micrographic surgery. We see patients of all ages, from newborns to seniors, across all skin types and ethnicities."},{"question":"Do I need a referral to see a dermatologist at your Washington Township location?","answer":"In most cases, no. Most insurance plans allow you to book directly with a dermatologist without a referral from your primary care provider. However, some HMO and managed care plans do require one, so we recommend checking with your insurance carrier before your visit. Our front desk team can also help answer coverage questions when you call to schedule. Northwest Dermatology Group has served Southeast Michigan for more than 50 years, and our Washington Township office makes it easier for patients in Macomb County and the surrounding communities to access the same expert, board-certified care."},{"question":"Is cosmetic consultation available at the Washington office?","answer":"Yes—our providers offer thoughtful, conservative cosmetic care that enhances your natural features."},{"question":"Do you accept new patients?","answer":"Yes. Many of our patients live in Shelby Township and the surrounding Macomb County communities. We are currently accepting new patients. You can schedule online or call our office at (586) 786-8586."}]} ## [Shelby Township Dermatology Care – Just Minutes Away in Washington Township](https://nw-derm.com/service-area/shelby-township-dermatology) Expert dermatologists serving Shelby Township from our Washington Township location. Get compassionate skin care, lasting results, and treatments tailored to you. {"_body":"Expert Skin Care for Shelby Township Residents\n\nAt Northwest Dermatology, your skin health matters—because how you feel in your skin touches every part of your life. Our Washington Township office is a trusted destination for patients in Shelby Township who want more than a fast fix—they want clarity, compassion, and results that last.\n\nWhether you’re managing a chronic skin condition or exploring cosmetic treatments, our dermatologists meet you with experience, empathy, and personalized solutions.\n\n\n\n\n\nWhy Choose Northwest Dermatology from Shelby Township?\n\n\nJust 15 minutes north in Washington Township\n\nAppointments that fit your schedule\n\nBoard-certified dermatologists you’ll see consistently\n\nPrivate, calming office with free, easy parking\n\nA reputation built on trust, results, and long-term care\n\n\nWhat Our Shelby Township Patients Say\n\n\n“It’s worth the short drive to Washington Township. The level of attention, comfort, and professionalism makes a huge difference.”— Laura D., Shelby Township\n\n\n\n“They took the time to figure out what was really going on with my skin when no one else could.”— Jason M., Shelby Township\n\n\n\nFrequently Asked Questions In Shelby Township\n\nDo you accept new patients from Shelby Township?Yes—many of our patients live in Shelby and find the drive quick and the care exceptional.\n\nDo you offer same-day or next-day appointments?We offer flexible scheduling and do our best to accommodate urgent concerns.\n\nIs cosmetic consultation available at the Washington office?Yes—our providers offer thoughtful, conservative cosmetic care that enhances your natural features.\n\nWhat insurance do you accept?We work with many major providers. Contact our office and we’ll help verify your coverage.\n\nDirections from Shelby Township\n\nQuick and direct access via Van Dyke or M-53.\n\nFrom Central Shelby Township:\n\n\nHead north on Van Dyke Ave.\n\nPass 26 Mile Road.\n\nLook for our location near 27 Mile in Washington Township.\n\n\nDrive Time: ~12–15 minutesParking: Free and right outside our door\n\nSchedule Your Appointment Today\n\nSkin concerns don’t have to wait. Let’s start with a simple conversation—and take the next step toward healthier, more confident skin.\n\n Serving Shelby Township from our Washington Township OfficeCall Us: (586) 786-8586Request an Appointment Online Schedule Here","sa_city":"","sa_description":"","sa_service_provided":"","service_area_closest_location":"Washington","service_area_content_row":"","service_area_faq":""} ## [Skin Care in Birmingham MI](https://nw-derm.com/service-area/birmingham-skin-care) Expert medical dermatology in Birmingham MI. Comprehensive acne, eczema, psoriasis & skin cancer care. Advanced treatments & personalized plans for healthy skin. {"_body":"Medical Dermatology\n\n\n\n\nHealthy skin starts with proper diagnosis and treatment. We specialize in managing conditions such as:\n\nAcne and Rosacea – Personalized treatment plans including prescription medications, in-office procedures, and lifestyle guidance.\n\nEczema and Psoriasis – Advanced therapies like biologics, phototherapy, and targeted prescription treatments.\n\nSkin Cancer Screening – Early detection is key. Our screenings identify concerns, and we offer surgical and non-surgical treatment options.\n\nWart and Mole Removal – Safe and effective removal of unwanted or suspicious growths.\n\n\nCosmetic Dermatology\n\n\nEnhancing your skin’s appearance starts with expert care. Our skin care services include:\n\nBotox & Fillers – Reduce fine lines and restore youthful volume with FDA-approved injectables.\n\nLaser Treatments – Improve skin tone, texture, and pigmentation with advanced laser technology.\n\nChemical Peels & Microneedling – Stimulate collagen, minimize acne scars, and brighten your complexion.\n\nMedical-Grade Skincare Products – Professionally recommended treatments for maintaining healthy, glowing skin at home.\n\n\nPreventative Skin Care\n\n\nProtecting your skin is essential for long-term health. We help patients develop routines that include:\n\nCustomized Skincare Plans – Products and treatments tailored to your skin type and concerns.\n\nSun Protection Guidance – Prevent premature aging and reduce skin cancer risk with expert recommendations.\n\nRoutine Skin Exams – Regular check-ups to monitor changes and maintain the best skin health for you.\n\n\nWe deliver the best skin care, and focus on you. We want to educate, communicate and provide the most advanced and appropriate treatment options to give you the best care. If you’re looking for expert dermatological care in Birmingham, MI, schedule an appointment today and let us help you achieve healthy, radiant skin.","sa_city":"Birmingham, MI","sa_description":"At Northwest Dermatology Group, we provide expert skin care services to residents of Birmingham, MI, offering medical, cosmetic, and preventative treatments made for your individual needs. Whether addressing common skin concerns or complex skin care conditions, our board-certified dermatologists ensure the best care backed by years of experience, as leading dermatologists in Michigan.","sa_service_provided":"Skin Care","service_area_closest_location":"Bingham","service_area_content_row":"","service_area_faq":""} ## [Skin Care in Washington Twp](https://nw-derm.com/service-area/skin-care-in-washington-twp) Expert skin care in Washington Twp. Northwest Dermatology offers customized treatments for acne, sun damage, and aging. Keep your skin looking its best. {"_body":"","sa_city":"Washington Twp","sa_description":"Your skin is the first thing people notice—and at Northwest Dermatology, we believe it deserves expert care that’s as unique as you are. Whether you're dealing with acne, sun damage, or signs of aging, our team offers customized treatment plans to keep your skin looking and feeling its best.","sa_service_provided":"Skin Care","service_area_closest_location":"Washington","service_area_content_row":[{"service_area_content_copy":"Our clinic provides advanced dermatological treatments, skin cancer screenings, and aesthetic services—all delivered by experienced professionals who care about your long-term skin health.\n\nWhat We Offer\n\n \t\nComprehensive Skin Exams: Early detection of skin cancer can save lives. We recommend annual skin checks for everyone.\n\n \t\nAcne and Rosacea Treatments: Clear up breakouts and redness with customized medical treatments that work.\n\n \t\nAnti-Aging Solutions: From injectables to chemical peels, we help you age gracefully, your way.\n\n \t\nEczema, Psoriasis, and Chronic Skin Condition Management: Get relief with expert care tailored to your skin's needs.\n\n \t\nCosmetic Dermatology: Enhance your natural beauty with treatments like Botox, fillers, and laser therapy.\n\n\nOur team understands that no two patients are alike. We take the time to listen, explain, and design a plan that works for your skin—and your lifestyle.","service_area_content_heading":"We proudly serve Washington Township and the surrounding communities, including Shelby Township, Rochester, Romeo, and Macomb.","service_area_content_image":"https://cdn.liteframecms.com/northwest-dermatology/DSC_9466.jpg"}],"service_area_faq":[{"service_area_faq_answer":"Most of our patients can book directly without a referral, though some insurance plans may require one. Call us, and we’ll help guide you through the process.","service_area_faq_question":"Do I need a referral to see a dermatologist?"},{"service_area_faq_answer":"We recommend a full-body skin exam at least once a year, especially if you have a history of skin cancer or excessive sun exposure.","service_area_faq_question":"How often should I get a skin check?"},{"service_area_faq_answer":"Absolutely! We offer a full range of cosmetic services, including Botox, fillers, chemical peels, and laser treatments for skin rejuvenation.","service_area_faq_question":"Do you offer cosmetic treatments like Botox or laser therapy?"},{"service_area_faq_answer":"Protect your skin daily with broad-spectrum sunscreen, avoid tanning beds, wear protective clothing, and get annual skin checks. We’ll also teach you what to watch for at home.","service_area_faq_question":"What’s the best way to prevent skin cancer?"},{"service_area_faq_answer":"Many medical treatments are covered, but cosmetic procedures usually are not. We’re happy to help you navigate coverage and payment options.","service_area_faq_question":"Are treatments covered by insurance?"},{"service_area_faq_answer":"Yes we do! Just call our office at (248) 353-0880 to schedule a telemedicine health appointment.","service_area_faq_question":"Do you offer telemedicine?"}]} ## [Skin Care That Goes Beyond the Bottle](https://nw-derm.com/blog/skin-care-beyond-the-bottle) Discover how radiant skin starts from within. Learn why diet, exercise, and lifestyle choices matter more than expensive serums for achieving that natural glow. {"_body":"Everyone wants youthful, radiant, glowing skin until they realize nice skin transcends a bottle of expensive serum or moisturizer. When it comes to skincare, the glow starts from within. So, it doesn’t just matter what you put on your body, but what you also put in it. \n\nWhile others are filling their cabinets with serums, oils, washes, and more, we’ll let you in on a little secret: Good skin starts from within. In this blog, we’re going to talk about the role diet, exercise, and hydration play in making your skin glow. Skin care that goes beyond the bottle.\n\nFoods That Will Make Your Skin Glow\n\nAlongside the use of topical products, it’s also important to be mindful about what you put into your body. A diet packed with superfoods and lean, high-quality proteins and lipids is best for supporting healthy skin and giving you that supermodel glow. \n\nHere are a few foods to start including in your diet:\n\nSweet Potatoes\n\nBeta-carotene is a carotenoid that the body converts into Vitamin A. This vitamin, in particular, promotes cell turnover and protects the skin against UV damage and radiation from the sun. \n\nSpinach\n\nYou may not be aware of the power that leafy greens have for your skin. Greens such as spinach are another wonderful source of beta-carotene and Vitamin C.\n\nNuts\n\nIn addition to providing your body with essential fats and protein, nuts are responsible for making your skin smooth and giving you a natural glow. \n\nFish\n\nSalmon, mackerel, and herring are all filled with omega-3 acids, which help reduce inflammation and make your skin better at combating UV rays. If you’re not interested in eating fish for dietary reasons, consider taking a fish oil supplement. \n\nDoes Hydration Play a Role in Good Skin?\n\nProbably one of the most controversial skincare routine tips is the importance of hydration and the role that water plays in healthy, youthful skin. Not to burst anyone’s bubble, but water isn’t the skincare elixir so many beauty gurus claim it is. Of course, hydration is extremely important for your skin’s elasticity and your overall health. But, drinking water as your one skincare method is not going to automatically give you ageless skin. \n\nSo before you toss out all of your skincare must-haves and replace them with water bottles, consider this piece of advice. \n\nWhat About Exercise?\n\nJust like water, exercise is a long-term solution for a healthy body and healthy skin. Working up a sweat doesn’t just make your skin glowy and dewy. It also promotes circulation! Good circulation is vital for cell regeneration and the growth of collagen––the building block for skin, hair, muscles, and tendons. \n\nIs Sleep Important?\n\nThere are so many reasons why catching z’s should be at the top of your nightly to-do list. Sleep is your body’s time to repair itself, build collagen, and repair damage from UV exposure. During sleep, your skin’s blood flow increases, which helps reduce wrinkles and age spots. \n\nSo set your alarm and try to aim for at least 8 hours!\n\nBut, My Skin Isn't Getting Better!\n\nGood skin doesn’t just miraculously happen one day. It takes diligence and may require trial and error before you find your skincare sweet spot. In addition, your skin can be affected by environmental issues, as well as hormonal problems, acne, and psoriasis. \n\nIf you’re having skin issues or any skincare concerns, we’re here to help! Contact us to schedule an appointment. "} ## [Skin concerns flaring up this fall](https://nw-derm.com/blog/skin-concerns-flaring-up-this-fall) Fall brings unique skin challenges from cooler weather and face masks. Learn how to prevent seasonal flare-ups and mask-related acne with expert dermatology tips. {"_body":"Author: Dr. Emily Levin, Board-Certified Dermatologist and Co-Owner of Northwest Dermatology Group and Covet Med Spa in Bingham Farms\n\nLess sun, cool temps and face masks exacerbating common skin conditions\n\nWearing a mask to protect yourself and others from the COVID-19 virus can cause acne on your face. But you can take steps to alleviate that.\n\nEvery fall, after summer winds down, skin care concerns rev up and dermatology offices fill up faster than any other time of the year. Less sunshine, less warmth and less moisture in the air are the main culprits.\n\nDuring this coronavirus pandemic, wearing masks can trap bacteria and plug pores. It is also part of the skin health equation, as the breeding ground for breakouts intensifies.\n\nFour of the season’s top five skin care concerns have been exacerbated by wearing masks. The good news is there are easy, effective ways to prevent, treat, reduce and manage them.\n\nAcne\n\nClear complexions are more common during the summer months. This is due to one portion of the sun’s ultraviolet rays can improve acne by killing off the bacteria that cause it. Because most UV rays are harmful to the skin, the sun is not a treatment for acne.\n\nAcne is known to primarily affect adolescents and teens. But mask wearing is creating a discernible uptick in adult acne among individuals who have not had it before or who have been prone to flareups in the past. Masks create an environment filled with steam, moisture and bacteria, increasing the skin’s natural bacteria, and plugging up pores. To improve this, people experiencing an acne breakout can swab their facial skin with a medicated pad prior to putting on a mask. They can do this in addition to applying antibacterial and anti-oil creams in the morning.\n\nAt night, there are prescription face creams that will unclog pores and kill off bacteria while sleeping. A dermatologist may even recommend using specific cleansers and fragrance-free products if the skin is very sensitive. Reusable masks should also be washed regularly in fragrance-free detergent and fabric softener to prevent bacteria buildup and irritation.\n\nDandruff\n\nDandruff (seborrheic dermatitis) on the scalp occurs year-round. But this fall, as masked students are back in school and more masked workers are returning to offices, facial dandruff is flaring up. Heat and moisture trapped under masks are causing skin under beards, mustaches, and around the nose to get red and flaky. Prescription creams and cleansers can be used for facial dandruff to treat and prevent future flare ups.\n\nEczema and Rosacea\n\nEczema, a histamine-releasing disorder. The result is itchy, uncomfortable red skin patches all over the body.\n\nRosacea is a genetic disorder where blood vessels dilate and create a red, flush appearance on the face, neck and chest.\n\nBoth conditions can lead to burning, stinging and itching. People prone to either condition are ripe for flareups in the fall, when the air is cooler and drier. They may notice increased breakouts due to face masks worn too tight or made of scratchy, irritating fabrics, or that absorb natural moisture on the face.\n\nPrescription moisturizers and prescription eczema and rosacea creams will hydrate skin. Oral medications may be necessary to help reduce symptoms.\n\nDry Skin and Lips\n\nSummer humidity combined with drinking more water keeps bodies and skin hydrated. But when fall arrives, so does broken, cracked and dry skin. This is usually because of drier air — as well as not drinking enough water. It is essential to stay hydrated inside and out. Drink more water, moisturize the skin, run a humidifier in the bedroom at night and use a medicated skin cream, if needed.\n\nSun Damage\n\nThough not related to mask wearing, summer sun damage is one of the primary reasons dermatologist offices fill up in the fall. Regardless of how much sunscreen was used while enjoying the sunshine, moles, freckles and sunspots get darker during summer.\n\nPeople become understandably concerned when their tans fade, and these skin spots become more noticeable. It is important to be examined by a dermatologist to determine if anything is cancerous. Once concerning conditions are ruled out, cosmetic treatments can include prescription bleaching creams, chemical peels and lasers to rejuvenate the skin and improve sunspots. The latter two options require some down time while the skin peels.\n\nAs seen in the The Daily Tribune, The Oakland Press, Macomb Daily, and The Morning Sun."} ## [Skin Treatment in Beverly Hills, MI – Subtle, Smart Care at Northwest Dermatology in Bingham Farms](https://nw-derm.com/service-area/skin-treatment-in-beverly-hills-mi) Expert dermatology care for Beverly Hills residents at our Bingham Farms office. Board-certified specialists offering medical, cosmetic & skin cancer treatments. {"sa_service_provided":"Skincare & Skin Treatment","sa_city":"Beverly Hills","service_area_closest_location":"Bingham","sa_description":"Beverly Hills residents have access to comprehensive dermatological care just minutes away at our Bingham Farms office. Whether you are managing a skin condition, keeping up with routine screenings, or exploring cosmetic options, our board-certified dermatologists take the time to understand your concerns and develop a plan tailored to your skin. We treat patients of all ages for medical, surgical, and cosmetic dermatology needs in a comfortable, private setting on Telegraph Road.","meta_title":"","meta_description":"","service_area_content_row":[{"service_area_content_heading":"Regular Treatments from Our Beverly Hills Customers","service_area_content_copy":"Our  patients value care that is thorough without being excessive. At Northwest Dermatology in Bingham Farms, that is exactly how we practice. We take the time to understand what your skin needs, build a plan around it, and adjust as your skin changes over time. Whether you are dealing with persistent breakouts, managing a chronic condition like rosacea or eczema, or looking into cosmetic options that enhance rather than alter, our approach is the same: listen carefully, treat precisely, and keep your long-term skin health at the center of every decision.\nAmong Beverly Hills patients, our most frequently requested treatments include acne and breakout management, rosacea and redness relief, sun damage and dark spot correction, cosmetic treatments such as Botox and fillers, and preventive skin maintenance plans tailored to your goals and lifestyle.","service_area_content_image":"https://cdn.liteframecms.com/northwest-dermatology/SDC_5307-1.jpg"},{"service_area_content_heading":"Directions to Northwest Dermatology – Bingham Farms from Beverly Hills, MI","service_area_content_copy":"Our location in Bingham Farms is just a few turns away—easy to reach and even easier to return to. From Beverly Hills: Head west on Beverly Road or 13 Mile Road. Merge onto Telegraph Road (US-24 N). Continue north for a few minutes, then turn left onto 13 Mile Road. Our office is just up the road, tucked into a peaceful medical corridor. Estimated Drive Time: ~10 minutes or less. Free parking. A quiet atmosphere. A team who knows what your skin needs, and nothing more than that.","service_area_content_image":""},{"service_area_content_heading":"Telemedicine Appointments Available","service_area_content_copy":" Get expert dermatological care from the comfort of your home. Our telemedicine services make it easy to consult with our board-certified dermatologists for follow-ups, acne treatment, rashes, and more—no waiting room required. Fast, secure, and convenient. Call (248) 353-0880 To Schedule Your Telemedicine Appointment. ","service_area_content_image":""}],"service_area_faq":[{"service_area_faq_question":"What makes your skin treatment approach different?","service_area_faq_answer":"We don’t do one-size-fits-all. Every Beverly Hills patient receives a custom plan based on their skin’s history, goals, and lifestyle. Our treatments are designed to blend in—not stand out. Schedule Now."},{"service_area_faq_question":"Do you treat both medical and cosmetic concerns?","service_area_faq_answer":"Yes. Many patients come in for skin conditions like eczema or rosacea and stay with us for cosmetic enhancements like Botox or skin-smoothing treatments. We have a top-rated Medical Spa onsite, Covet Med Spa."},{"service_area_faq_question":"What kind of results can I expect?","service_area_faq_answer":"Real ones. Our results are progressive, not overdone. You’ll feel fresher, clearer, and more confident—with skin that still looks like yours."},{"service_area_faq_question":"Can I get everything done in one visit?","service_area_faq_answer":"Often, yes. We’re mindful of your time. Many Beverly Hills patients opt for same-day consultations and treatment when available."},{"service_area_faq_question":"Do you offer discreet service?","service_area_faq_answer":"Absolutely. Our Bingham Farms office is calm, private, and designed with comfort in mind. "}],"_body":""} ## [Skin Treatment in Royal Oak, MI – Just Minutes to Personalized Dermatology in Bingham Farms](https://nw-derm.com/service-area/skin-treatment-in-royal-oak) Expert dermatology care minutes from Royal Oak. Personalized treatment for acne, eczema, cosmetic procedures & more at Northwest Dermatology in Bingham Farms. {"_body":"Royal Oak is known for its creative energy and confident style—and your skin care should reflect that same attention and individuality. At Northwest Dermatology, just a short drive from Royal Oak in Bingham Farms, we specialize in skin treatment that goes deeper than surface-level results.\n\n\n\nFrom chronic conditions like acne, eczema, and hyperpigmentation to customized cosmetic treatments that rejuvenate and refine, our approach is rooted in listening first—and treating with purpose.\n\nWe serve many Royal Oak residents who are looking for skin solutions that actually work, delivered by a team that respects their time and their goals. Our treatments are clinical in expertise, but never clinical in feel.\n\nSkin Care Treatments for Real Life:\n\n\nAdvanced Acne Solutions – For teens, adults, and anyone ready for clearer skin.\n\nSun Damage & Pigmentation Correction – Reveal the skin you feel good in.\n\nAnti-Aging Without Overdoing It – Wrinkle reduction, volume restoration, and glow-boosting plans made for your features.\n\nChronic Skin Condition Care – Rosacea, psoriasis, dermatitis, and more—with thoughtful, long-term strategies.\n\nCustom Treatment Plans – Because no two skin stories are the same.\n\n\n\n\nFrequently Asked Questions – Royal Oak Patients\n\nQ: What types of skin treatments do you specialize in?A: Our most requested treatments from Royal Oak patients include acne care, laser therapy for dark spots or redness, Botox and fillers, and personalized treatment plans for skin texture and tone.\n\nQ: How long is the wait to get in?A: We do our best to schedule Royal Oak patients quickly—especially for time-sensitive concerns. Call us, and we’ll work with you to find a prompt appointment.\n\nQ: Is your cosmetic treatment approach conservative or aggressive?A: We believe in enhancing—not changing—your look. Our cosmetic philosophy is all about subtlety and balance, always tailored to your comfort level. Covet Med Spa\n\nQ: I’ve tried drugstore products for years with no luck. Can you help?A: Yes. Many of our patients come to us after years of trial and error. We offer medical-grade options and treatment plans that are guided by experience, not guesswork.\n\nQ: Do you offer ongoing skin maintenance plans?A: Absolutely. We help many Royal Oak patients build sustainable routines for long-term skin health, whether that's seasonal treatments, product guidance, or follow-up appointments.\n\n\n\nDirections to Northwest Dermatology – Bingham Farms from Royal Oak, MI\n\nOur Bingham Farms location is a quick, low-stress drive from Royal Oak, giving you expert-level care without the downtown hassle.\n\nFrom Downtown Royal Oak:\n\n\nHead west on 11 Mile Road.\n\nMerge onto Telegraph Road (US-24 N).\n\nContinue north to 13 Mile Road and turn left.\n\nOur Bingham Farms location is just ahead, tucked into a quiet office corridor.\n\n\nEstimated Drive Time: ~15 minutes.\n\nParking is free, the atmosphere is calm, and your skin care experience is designed to feel just right from start to finish.","sa_city":"","sa_description":"","sa_service_provided":"","service_area_closest_location":"Bingham","service_area_content_row":"","service_area_faq":""} ## [Skincare Benefits of Turmeric](https://nw-derm.com/blog/skincare-benefits-of-turmeric) Discover amazing turmeric benefits for your skin beyond cooking! Learn how this golden spice transforms skincare routines with natural healing properties. {"_body":"Turmeric—It’s Not Just for Cooking Anymore. Think Skincare Benefits!Check your spice rack. You may well find a container of turmeric, especially if you’re a fan of Indian-inspired curries, Middle Eastern pilafs, and other strongly flavored cuisines.  Surprisingly, turmeric has many uses beyond the kitchen, including as a skincare ingredient. The role of turmeric in skincare is the focus of this discussion, although this orange-golden-colored spice has been central to the centuries-old practice of Indian healing, traditional Chinese medicine, the Unani system of South Asia, and numerous other health approaches, touted as a cure for everything from arthritis to digestive disorders to liver and urinary ailments to wound healing. Turmeric is also used as a nutritional supplement, but consulting your doctor is highly recommended because regular ingestion may not be right for you.  Fortunately, experts do agree on the skincare benefits of turmeric in topical applications. In fact, research indicates that the skin-friendly substances contained in turmeric have been part of Ayurvedic tradition for 4,000 years.The 4,000-Year History of TurmericTurmeric is a flowering plant in the ginger family. This perennial is native to the Indian subcontinent and Southeast Asia, requiring temperatures between 68 and 86 degrees Fahrenheit and high annual rainfall to grow to a mature height of 3 feet. After being boiled and dried, the rhizomes (creeping horizontal rootstalks) are ground into the powder used as a coloring dye, flavoring agent, food additive, and skin-nourishing substance. Turmeric’s most notable compound, which is unique in all nature to this plant, is curcumin. Rich in antioxidants, fatty acids, and vitamins, curcumin is responsible for skin treatments that have been practiced for thousands of years.That the use of turmeric (pronounced TURR-murr-ick) goes back millennia is well documented by archeological finds in Indian temples and Israeli tombs dating between 2600 and 2200 BCE. Medical texts written in the 7th century BCE and found in the ruins of Nineveh (near present-day Mosul in northern Iraq) mention turmeric. Carried along trade routes throughout the known world, in medieval Europe turmeric was known as Indian saffron and used along with lavender, rosemary, and chamomile to formulate skincare masks for royalty and the highborn.So you’re certainly in good company when you add turmeric to your skincare routine.How Turmeric Benefits Your SkincareThanks to the bio-active component curcumin, turmeric is filled with anti-inflammatory, antimicrobial, and antioxidant properties that can improve skin health and appearance. Check out these benefits.Improved skin tone and natural glowSkincare products formulated with turmeric and curcumin help improve the appearance of skin irregularities like blotchiness, blemishes, dark spots, discolorations, dullness, redness, and unevenness. Because it adds brightness and luster, turmeric is often used at Indian weddings and other rituals to revitalize skin before a big event.Protection against oxidative stressFree radicals develop after exposure to an environmental stressor such as UV radiation, air pollution, radiation, or smoking build up on the skin and lead to visible changes. (Free radicals are complicated and not well understood; suffice it to say that these unstable molecules can damage cells, causing illness and aging, especially if left on the skin.) By helping neutralize free radicals, the antioxidants in turmeric limit damage.Treatment of acne breakouts, atopic dermatitis, and psoriasisWith anti-inflammatory and antimicrobial ingredients, turmeric helps kill the bacteria that cause acne and psoriasis and may counteract some irritants that trigger atopic dermatitis. Turmeric application also reduces inflammation and dryness, leading to less scarring and allowing the skin to heal.Reduction of dark circlesThis common skin concern results from lack of sleep, unhealthy eating, hyperpigmentation from excess melanin, and spending too much time on computer and phone screens, among other causes. As a lightening agent, turmeric minimizes the appearance of dark circles by boosting circulation to reduce puffiness and lighten under-eye skin.Moisturizing dry skinAnother frequent complaint has to do with dull, dried-out complexion, especially during winter. Turmeric-based products return moisture, in part by removing dead cells so new ones can regenerate, as well as adding fatty acids and vitamins to the skin.Slowing down visible signs of agingThe curcumin found in turmeric helps lessen fine lines, age spots, and wrinkles by counteracting age-related dryness, strengthening elasticity, retaining moisture, and boosting collagen production. Natural oil balance is also restored.OTC Products vs. DIY TreatmentsWhen it comes to incorporating turmeric products into skincare, you have two choices: buy over-the-counter or make your own. Both methods are effective; the difference is how much work you want to put into your turmeric routine.The advantage of OTC products is they are widely available and ready to use. Most major retailers carry a selection of turmeric-infused items, including creams, gels, masks, and oils, all designed to cleanse, firm, moisturize, soothe, tone, and otherwise improve the appearance of skin. Beauty supply specialists have even more choices. Be sure to study labels carefully so you know what you’re getting, what the product is designed to do, and how much turmeric and curcumin are contained.Going do-it-yourself means having the necessary ingredients on hand and taking the time to mix them into the items you desire. First and foremost, you must have turmeric powder. Some large retailers have turmeric powder on the shelf; health food stores or Indian/Asian shops are other possible sources. Or order online. Depending on what you’re making, you’ll be combining the turmeric powder with other ingredients such as honey, olive oil, milk, yogurt, water, sandalwood or chickpea powder, or other natural ingredients, so have those ready to go. Recipes are readily available online.Whether you choose the OTC or DIY approach, dermatologists and skincare specialists recommend using turmeric products in the morning on clean, dry skin. If you’re new to turmeric, be sure to perform a 48-hour patch test away from your face to check your skin’s tolerance. Allergic reactions can lead to swelling, redness, or irritation—just what you’re trying to avoid. And using turmeric two or three times a week is enough.Side Effects, Cautions, and the Bottom LineThe most important downside to DIY turmeric is—it stains. The yellow-colored chemical in curcumin permanently dyes fabrics if not removed immediately through thorough washing and air drying. It also leaves a yellow residue if kept on the skin for more than 15 minutes or not rinsed off completely after use. To avoid the problem, buy Kasturi turmeric for DIY purposes, but remember that Kasturi turmeric is not edible, so do not use it in food.When shopping OTC, you’ll see that prices are widely variable, with some products available at an accessible price point and other items in yikes territory. Since finding turmeric that works for you may be a trial-and-error process, take your time and consider carefully before you buy.Also, remember that seeing results takes time. Generally, you’ll need at least four weeks to see signs of improvement in whatever condition you’re trying to treat.On the other hand, turmeric clearly has important skin-enhancing properties that leave your skin brighter, tighter, lighter, and glowing. Four thousand years of testing prove that it works."} ## [Southfield Dermatologist, Your Skin Deserves Local Expertise](https://nw-derm.com/service-area/dermatologist-in-southfield) Discover expert dermatology care in Southfield, MI. Northwest Dermatology offers personalized, patient-first skin treatments to help you look and feel your best. {"_body":"Your Skin Deserves Local Expertise — Southfield’s Trusted Dermatology Care\n\n\n\nAt Northwest Dermatology, we understand that caring for your skin is both personal and powerful. If you’re in Southfield, MI, and searching for expert dermatologic care with a thoughtful, patient-first approach, you’re in the right place.\n\nWe believe healthy skin is more than a goal—it’s a reflection of how you feel in your own body. That’s why our Southfield patients trust us to provide gentle, effective care that’s tailored to their needs and grounded in real results. From everyday skin concerns to complex conditions, our board-certified dermatologists bring clarity, confidence, and calm to every visit.\n\nLocated just minutes from the heart of Southfield, our office combines advanced treatment options with a warm, unhurried atmosphere. Whether you’re managing acne, navigating aging skin, addressing pigmentation, or seeking medical care for chronic conditions like eczema or psoriasis, we’ll meet you where you are—with both compassion and clinical precision.\n\nWhat Southfield Can Expect from Us:\n\n\nMedical Dermatology – Evidence-based care for skin conditions that affect your quality of life.\n\nCosmetic Dermatology – Subtle, refined results designed to enhance—not overpower—your natural features.\n\nPreventive Skin Health – Because peace of mind starts with proactive care.\n\n\nWe don’t rush. We don’t cut corners. And we don’t treat skin like an afterthought. At Northwest Dermatology, Southfield patients are met with respect, clarity, and a commitment to excellence that doesn’t waver.\n\nYou know your skin. We know how to care for it. Let’s work together.\n\nFrequently Asked Questions\n\nQ: Do I need a referral to see a dermatologist?A: Not always. Many of our Southfield patients come to us directly. However, some insurance plans may require a referral—our team is happy to help you check. Here is a list of Insurances we accept.\n\nQ: What skin concerns do you treat most often?A: We commonly treat acne, rosacea, eczema, psoriasis, rashes, and suspicious moles. We also offer skin cancer screenings, cosmetic consultations, and anti-aging treatments.\n\nQ: I’ve never seen a dermatologist before. What should I expect?A: Expect a calm, respectful visit focused entirely on your skin health. We'll listen first, examine with care, and create a personalized plan that fits your needs and comfort level.\n\nQ: Do you offer cosmetic services in addition to medical care?A: Yes. From Botox and dermal fillers to laser treatments and chemical peels, we offer aesthetic services designed for natural-looking results. Check out Covet Med Spa, our medically focused spa. \n\nQ: How soon can I get an appointment?A: We work hard to accommodate Southfield patients quickly—especially when something feels urgent. Call us, and we’ll do everything we can to see you promptly.\n\nDirections to Northwest Dermatology from Southfield, MI\n\nWe're located just a short drive from Southfield, with convenient access via Telegraph Road or Northwestern Highway.\n\nFrom Downtown Southfield:\n\n\nHead north on Southfield Road.\n\nMerge onto Telegraph Road (US-24 N).\n\nContinue for about 5 miles.\n\nTurn right onto W 13 Mile Road.\n\nOur office is just ahead—look for our sign near the corner.\n\n\nEstimated Drive Time: ~15 minutes, depending on traffic.\n\nParking is free and just steps from our front door. If you need help finding us, don’t hesitate to call—we’re happy to guide you.","sa_city":"Southfield MI","sa_description":"At Northwest Dermatology Group, we are renowned dermatologists offering expert dermatological care to Southfield, Michigan. We're right down the street on Telegraph. We offer medical, cosmetic, and preventative treatments made for your individual needs. Whether addressing common skin concerns or complex skin care conditions, our board-certified dermatologists ensure the best care backed by years of experience, as leading dermatologists in Michigan.","sa_service_provided":"Dermatology","service_area_closest_location":"Bingham","service_area_content_row":"","service_area_faq":""} ## [Summer Skin Myths BUSTED](https://nw-derm.com/blog/summer-skin-myths-busted) Discover the truth about sun safety. We debunk 5 dangerous summer skin myths that could harm your health. Learn how to protect yourself from skin cancer. {"_body":"Skin cancer kills so many people each year and can be caused by exposure to the sun. Detected early, skin cancer can be easily removed and treated. However, if it is discovered too late, it can be fatal. Below, we debunked five common summer skin myths which could be damaging to health.\n\nSummer Skin Myth #1: Sun Cream Will Stop You From Getting a Tan\n\nAlthough sun cream creates a protective barrier, it will not always stop the tanning process completely. It’s important to note that skin coloration in tanning is a sign of damage, but sunburn is without a doubt the biggest danger to our skin when we are aiming for that tan.\n\nOne of the best ways to avoid the burn is to use a high SPF factor cream, with a minimum SPF of 30, and being sensible in the sun by making the most of cover and avoiding peak times. You’ll still be able to get bronze, but you will be better protected.\n\nMyth #2: A Base Tan Will Help Protect You\n\nFollowing on from the above, a base tan will not reduce your risk of sunburn and doesn’t act as a form of protection. Experts estimate that going out in the sun with a base tan is equivalent to wearing sunscreen with a very low SPF of 3 to 4. To better protect yourself, you should still use a high SPF sun cream of 30+.\n\nMyth #3: No Sun, No Risk?\n\nA cloudy sky doesn’t protect you from the sun’s rays. 30 to 40 percent of UV will still penetrate through cloud cover. For example, if half the sky is covered in clouds, 80% of UV will still shine through. So if you’re out in the open air for any length of time, you still need to follow the usual sun-safe precaution drill – pop on a hat, smooth on some sunscreen, slip on those shades and drape yourself in loose clothing.\n\nSkin Myth #4: Parasol Equals Protection\n\nLounging under an umbrella will provide some much-much needed shade, but did you know that sand can reflect the sunlight? The sandy beach can increase reflected radiation by up to 17 percent meaning that the sun’s rays may still be reaching you whilst you think you’re protected under the sun, so keep that sunscreen topped up regularly.\n\nMyth #5: Apply Ice Directly to Sunburned Skin to Cool It Down\n\nCooling the skin under running water or a cold compress is a good idea to relieve some of the pain and cool the hot dry skin, but never apply ice directly to the sunburned area as this can delay healing by causing the blood vessels underneath the skin to constrict and reduce blood flow."} ## [Summer Skincare Tips](https://nw-derm.com/blog/summer-skincare-tips) Discover 13 expert tips for radiant summer skin. From sun protection to hydration secrets, learn how to maintain a healthy glow all season long. {"_body":"13 Glorious Weeks of Summer, 13 Tips for Glowing Summer Skin\n\nLong shimmery days. Soft moonlit nights. Bright flowers, cheery birds, sporting events, reunions with friends. From languid days at the beach to outdoor celebrations and fun-filled vacations, to cozy evenings in the backyard—summer is everybody’s favorite playtime.\n\nOf course, you want your skin to look as radiant as you feel. So to celebrate the all-too-fleeting weeks of summer, here are 13 handy tips to help keep your skin lustrous, fresh, and clear.\n\nAdjust Your Skincare Routine\n\nYour skin responds to conditions around you, so as the weather changes, your skincare needs to change as well. If you live where heat and humidity are common, your skin’s sebaceous glands respond by producing more natural oil in summer, resulting in stickiness, grease, blocked pores, bacteria, and acne breakouts. Meanwhile, drier environments can leave your summer skin parched, flaky, red, irritated, and rashy. Updating your skincare means adjusting what you use during summer to help your skin cope. Be aware of your skin type (oily, dry, sensitive, combination) so you choose products accordingly and practice a consistent skincare regimen.\n\nUse Sunscreen Religiously\n\nSkincare experts agree that proper UV protection is especially crucial in summer when days are longer and you spend more time in the sun. But sun exposure is dangerous, causing premature aging, fine lines, dark spots, wrinkles, and skin cancers. To protect from damage, choose a broad-spectrum sunscreen that protects against both UVA and UVB rays, with SPF (sun protection factor) 30 or higher. Also, look for a product that matches your skin type; oil-free, non-comedogenic gels are better for oily or acne-prone skin, while a cream-based formula suits dry or sensitive complexions.\n\nApplying enough sunscreen is key. A strip of lotion on each index and middle finger should be enough to cover your face into the hairline—don’t forget the back of the neck, ears, and lips. A shot-glass-sized amount is appropriate for other exposed areas of the body, including the chest, back, arms, legs, and feet. Reapply every two hours or more often if swimming or sweating. A powder sunscreen can be handy if you’re on the go. And remember, any amount of tan is actually skin damage. Your skin darkens by producing the pigment melanin in an attempt to protect it from further burning, so forget about a “base tan”—it’s not good for you or your skin.\n\nKeep a Cooling Gel Handy\n\nFor those days when you spend too much time outside or run out of sunscreen during an outing, having a cooling gel ready makes sense. A product containing aloe vera and vitamin E can reduce the sting and soothe a sunburn. Reapply the gel as necessary and stay out of the sun until healed, especially if the burn is severe enough for blistering to occur.\n\nCleanse Your Face Morning & Evening\n\nMore sun can dry out the skin. Use lukewarm water and a gentle cleanser suited to skin type to remove dirt, grime, bacteria, and other debris. Dry skin responds to gel-based, alcohol-free products with added moisturizers like ceramides, hyaluronic acid, or glycerin. Oily skin prefers water-based formulas that are non-greasy and non-comedogenic; ingredients such as salicylic acid, benzoyl peroxide, sulfur, and niacinamide can help with acne and are anti-inflammatory. Creams are often too heavy for summertime, especially when used on oily skin.\n\nLighten Up on Moisturizer\n\nSkin needs to be moisturized, even in summer when it seems to be naturally damp. Switch to a light, hyaluronic acid-based moisturizer that maintains hydration without being sticky, while staying away from rich creams and products containing petroleum that leave skin overwhelmed. Apply moisturizer immediately after a bath or shower, especially after a day in beach sand and salt; your skin needs a boost to rehydrate and restore balance. Adding a toner and/or antioxidant serum can further elevate your routine. Using a face mist to refresh skin throughout the day is another good idea. A light mist reduces shine and minimizes pore size as your workday slides into an outdoor evening.\n\nApply Less Makeup\n\nHeavy makeup prevents skin from breathing, especially when heat and humidity are high. Wearing thick cosmetics weighs down skin, brings an artificial look to the face, and melts off when you sweat. Lightening up on makeup is the perfect approach to summer, and choosing products that contain SPF protection adds to the sunscreen shielding your skin.\n\nTake Cool Showers or Baths\n\nHot showers and baths dry your skin, even in summer when you’re anxious to wash off grime and sweat. Better to use lukewarm or cool water, which hydrates more effectively and is better for blood flow and skin circulation. You’ll also want to shower after exercise to remove debris from your skin. Always change out of wet, sweaty clothes as soon as possible to avoid creating a bacteria-friendly microenvironment that can cause skin rashes and lead to infected, inflamed follicles.\n\nExfoliate Sparingly\n\nOnce or twice a week is sufficient, using gentle products that remove sweat, oil, bacteria, and sunscreen without causing tightness or cracking. Never exfoliate when the skin is sunburned or showing a rash.\n\nWear Sun-Protective Clothing & Sunglasses\n\nWide-brimmed hats and UV-400 sunglasses shield the face and eyes from the sun, helping prevent deep-set squint lines and wrinkled, dried-out skin. Clothing matters as part of skincare; especially effective are items with built-in SPF protection of 50 or higher. Look for light-colored garments made of tightly woven natural fabrics like cotton, linen, chambray, silk, and Merino wool, and synthetics such as rayon and nylon.\n\nSeek Shade\n\nEspecially between the hours of 10:00 am and 4:00 pm when sunshine is most intense. If you’re spending a day on the beach, bring an umbrella and use it. And seek out the beach bar or find a tree. Intense, extended sunshine is hard on your skin, even when you use sunscreen early and often.\n\nModerate Retinol Usage\n\nRetinol is a form of vitamin A that’s used to treat acne, brighten and improve hyperpigmentation, and reduce the appearance of wrinkles and fine lines. But it’s powerful stuff, sometimes producing irritation and peeling, especially in beginning users. It also increases sensitivity to the sun. Retinols and retinoids can be applied during summer, but extra sun protection is recommended, along with reduced frequency of use. Women who are pregnant or nursing should not use these substances, and people with dry or sensitive skin want to proceed with care.\n\nStay Hydrated\n\nWater intake in summer should be as high as a gallon a day (experts differ on the appropriate amount), along with fresh juices, watermelon, buttermilk, and yogurt to hydrate adequately and flush toxins from the body. Seasonal fruits and vegetables—cucumbers, lettuce, canteloupe, citrus, and fresh tomatoes—contribute to skin health by hydrating from within.\n\nLimit Sugary Drinks & Alcohol\n\nDrinks containing lots of sugar leave you feeling sluggish, lack hydrating qualities, and contribute to weight gain, none of which improves your skin. Alcoholic beverages are particularly tempting on a sunny day, but studies show the combination increases the risk of both sunburn and skin cancer by increasing sensitivity to sunlight. Because alcohol is a diuretic, it causes the body to lose water twice as quickly as normal as you sweat to stay cool. Slowed reflexes and poor judgment while swimming, boating, or driving are other factors that advise caution when combining alcohol and the sun.\n\nFinding your summer skincare products may involve testing several items to match formulations with your skin type and climate. Be sure to read labels carefully and keep an eye on price points (expensive doesn’t always mean better). With a little judicious planning, you can achieve bright, healthy skin that’s the envy of family gatherings, weddings, graduations, baseball and soccer games, and the travel adventures you wait all year to enjoy. Here’s to your fabulous summer fun!"} ## [Taking Care of Combination Skin](https://nw-derm.com/blog/combination-skin-care) Learn how to care for combination skin with targeted treatments for oily and dry areas. Expert tips for a balanced, glowing complexion that stays healthy year-round. {"_body":"Combination Treatments Are the Key to Caring for Your Skin\n\nCombination skin is just that – skin that exhibits multiple characteristics. That can make keeping your complexion fresh, glowing, and healthy something of a challenge. The best approach is understanding how to deal differently with different areas of your face when designing your skincare routine.\n\nThe What and Why of Combination Skin\n\nMost experts characterize skin as one of four types: normal, dry, oily, or combination. Normal skin is well-balanced, with fine pores, no blemishes, fresh color, and velvety, smooth texture. Dry skin feels tight, is rough and peeling in appearance, and looks dull, blotchy, and chapped. Oily skin has enlarged, visible pores and a glossy, greasy, all-over shine; it’s prone to comedo (blackheads and whiteheads) breakouts and acne, even becoming red, swollen, and painful. In combination skin, skin type varies from dry to oily in different parts of the face.  \n\nTo determine if you have combination skin, look at your t-zone. That’s the skin across your forehead, extending in a line down your nose to the point of your chin. Having an oily, slippery t-zone, contrasting with cheeks and facial perimeter that feel flaky and scaly is typical of combination skin. Finding dry patches and acne breakouts simultaneously is another indicator. A blotting paper (available at any cosmetic store) can be helpful in knowing what you’re dealing with. Gently pat a tissue on different areas of your face, then hold the sheet up to a light to see what’s visible. If the paper stays dry when touching your cheeks but comes up greasy after blotting your forehead and nose, it’s combination skin \n\nSeveral Factors \n\nSeveral factors can cause combination skin, starting with genetics. Genetics regulate cell production, including the amount of sebum (oil) produced by your sebaceous glands. Sebum is a necessary part of the hydrolipidic film that covers your skin, protecting against bacteria, dirt, grime, and other external substances. Sebaceous glands and the skin pores that release sebum vary in size and amount of oil produced. More oil often means combination skin.  \n\nHormones also play a role by overproducing oil in some areas while drying out in others. Oil skyrockets during puberty when hormone production peaks, leading to the all-too-familiar breakouts that plague teens and young adults. Hormones taper off throughout the 30s and 40s, along with the production of skin oil. By menopause, you may be left with dry skin only, making age another factor affecting your combination skin.  \n\nEnvironmental forces like climate, heat, humidity and time of the year are constantly impacting your skin as well. Hot weather and humid conditions cause glands to produce more oil and sweat, leaving your skin moist and shiny. During winter, cold, low humidity, and furnace heat strip natural oils. That means the oily and dry portions of your combination skin can shift seasonally, making periodic adjustments to care a good idea.\n\n\n\nBalance Is the Secret \n\nKeeping your combination skin healthy and happy involves applying different treatments to oily and dry areas. As a general rule, dermatologists and skin care specialists advise keeping things as basic and gentle as possible. For most of us, treating skin twice a day is enough – in the morning as part of removing sleep residue and preparing for the day’s activities, and in the evening to get rid of the makeup and impurities accumulated throughout the day.  \n\nThe choice of products is very individualized. You may have to try several items to find what works best for you. Always take into account skin sensitivity. Some products may damage the skin because they’re too harsh, causing redness, burning, and even breaks on the surface.  \n\nCleanser\n\nIn your oily t-zone, you want to remove excess secretions with a good cleanser. Experts recommend one that contains salicylic acid to reduce the build-up and clogging that lead to grimy skin and breakouts. Follow that with moisturizer – a water-based, oil-free, non-comedogenic product is a good choice. Apply lightly in the morning to keep skin breathable during the day; at night, a thicker layer of the same substance is okay for hydrating skin while you sleep. Don’t let concern with creating more oiliness scare you away from moisturizer. Keeping skin properly hydrated is important for all skin types and may help control oil production.  \n\nUse a different cleanser and moisturizer for your dry cheeks and jawline. Natural products that contain lactic or hyaluronic acids usually work great. Stay away from anything with alcohol or fragrance; both ingredients are drying. For moisturizer, a cream-based product is ideal for hydrating and restoring luster.   \n\nMakeup\n\nMakeup matters too. You want to use silky, cream products on drier sections and perhaps a setting powder in areas vulnerable to shine. Noncomedogenic items are best everywhere because they minimize t-zone breakouts while moisturizing cheeks and jawline that are dry.  \n\nSome specialists advise the use of toner before applying makeup in the morning and after removing it at night. Toner is meant to remove traces of dirt, bacteria, and other residue while gently refreshing skin. Exfoliation is another technique included in some skincare routines. The purpose of exfoliating is removal of dead, dulling surface skin cells to improve tone, texture, and brightness, but be careful. \n\nSince the process involves the use of chemicals, granular substances, or physical tools, exfoliating can injure skin rather than help it. At best, exfoliation should be used sparingly, once or twice a week. Toners and exfoliants are just two of the dizzying array of masks, mists, mitts, powders, serums, soothers, sprays, tonics, and washes competing constantly for your attention and money. Despite the temptation of jumping from product to product, you’re better off sticking with a routine long enough (at least a month) to see what works.   \n\nShould you experience severe flaking and broken, bleeding skin in dry areas or acne that’s extensive, swollen, and sore in oily zones, see a dermatologist for professional evaluation and treatment. Fortunately, that’s unusual. With judicious experimentation and lots of tender loving care, you’re perfectly capable of keeping your combination skin radiant and supple from the comfort of your own home."} ## [Taking Care of Dry Skin ](https://nw-derm.com/blog/taking-care-of-dry-skin) Learn what causes dry skin and discover effective solutions for itchy, flaky, rough skin on your face, hands, and body. Get relief with proven care tips. {"_body":"The Why of Dry Skin and How to Deal with It  \n\nItchy. Flaky. Red. Rough. Raw. Stinging. Chapped. Cracked. Scratchy. Dry skin can be all of these and more. This very common condition is also uncomfortable, unflattering, and annoying, yet most of us experience it at various times in our lives. Dry skin can happen anywhere on the body but is most frequent and noticeable on our faces and hands. Feet are prone to dryness as well.  \n\nFortunately, dry skin is usually mild and manageable with a combination of judicious attention and TLC. Here’s how.  \n\nMultiple Factors Can Trigger Dry Skin  \n\nDryness occurs when the top layer of your skin lacks the moisture, healthy fats, and natural oils that protect it from harm. The medical term for this weakened skin barrier is xeroderma, and it often happens naturally with changing seasons, harsh products, vitamin deficiencies, sun damage, and more.  \n\nImprovement of your skin’s health starts with understanding what’s causing dryness in the first place. Among frequent culprits:  \n\n\nClimate. When the calendar says winter, skin gets dry. Weather turns cold, temperatures drop, vitamin D from natural sunlight is lacking, and inside environments are heated with forced air, all of which suck moisture from the skin. Those living in arid locations deal with skin-drying conditions like low humidity year-round.  \n\nStrong soaps and fragrances. Many soaps, shampoos, body washes, cleansers, deodorants, detergents, fabric softeners, and dryer sheets contain ingredients that are formulated to remove oil. In the process, they extract hydration. Elements that add fragrance to lotions and creams can do the same.  \n\nZealous handwashing, overbathing, and hard water. The emphasis on handwashing and sanitizing associated with Covid-19 is a plus for health overall. And long, hot showers or steaming, bubble-filled soaks just plain feel good. But these practices strip water and natural oils. That’s especially true if you live in an area with a high concentration of minerals in your tap water. The resulting hard water leaves a coating on skin that prevents absorption of moisturizing elements.  \n\nOccupational or recreational exposure to chemicals and sun. Some professions, like hairstyling, health/homecare, medicine, food service, maintenance, construction, and others require the use of chemicals, frequent handwashing, and other types of skin exposure. Water and winter sports such as swimming, surfing, sailing, skiing, and snowboarding stress skin through overexposure to chemicals and/or sun. UV rays are always a concern since sun damage can cause cancer and other problems that are far more serious than dry skin.  \n\n\n\nHealth and food habits. Certain foods, including coffee, sodas, and other items containing caffeine, can lead to skin dryness when consumed in large amounts. Smoking and excessive alcohol are also damaging to skin.  \n\nGenetics. Dry skin runs in some families, often as a result of mutations involved in forming and hydrating the skin barrier. Being aware of those realities allows use of countermeasures to compensate for what Mother Nature fails to provide.  \n\nAging. Skin naturally gets drier after the age of 40. Hormone and other changes mean you produce less of the hydrating agents your skin needs to stay refreshed.  \n\n\nKeep in mind that dryness often results from a combination of factors. Looking at your overall situation and daily habits is the basis for figuring out what’s contributing to your skin situation and determining next steps.  \n\n\n\n\n\nTry These Remedies to Freshen and Hydrate Skin   \n\nMany are simple changes, but they definitely produce results. \n\n\nLimit length and frequency of showers and baths. Hot water and overwashing dry your skin. Skin care experts recommend limiting showers to 10 minutes—5 minutes is better—and avoiding extended bathing altogether, especially in winter. Unless you’re exercising heavily or involved in a profession that calls for frequent cleansing, showering every other day is enough.  \n\nApply moisturizer immediately after showering or sanitizing hands. Closing the door while showering keeps moisture in the bathroom for your skin to absorb. Water should be warm, not hot; cleansing with a gentle, fragrance-free product is better than rough bar soap. As soon as you pat or blot your skin with a soft towel (don’t rub), trap dampness by generously using moisturizer, also fragrance-free. Since you’re spritzing hand sanitizers frequently and such products contain alcohol, keep moisturizing lotion handy and apply as soon as possible after each sanitizer use.  \n\nRead ingredient labels and opt for ointments and creams. Avoid anything with alcohol or fragrance since such elements are often irritating to skin. Creams and ointments are preferable because they cling to skin more effectively than lotions. Look for products that contain moisture-friendly hyaluronic acid and ceramides; jojoba oil, glycerin, lactic acid, lanolin, mineral oil, and shea butter can also benefit dry skin, although oils and shea butter may trigger breakouts in some people by clogging pores and trapping dirt and debris. Also be careful with exfoliation. Exfoliants are potent and strip oils and moisture, making dry skin even worse.  \n\n\n\nProtect your hands. That means wearing gloves when out in cold weather, as well as protecting hands while doing dishes, cleaning, washing the car, working with chemicals, or coming in contact with irritants of any kind.  \n\nInstall a humidifier. Placing a device in the room where you sleep or elsewhere in your home counteracts dry winter heat and low-humidity environments. Setting the machine between 30% and 50% humidity is perfect for moisturizing skin. If your furnace has a built-in humidifier, make sure it’s turned on and working. \n\nWear non-irritating fabrics. Clothes can stress skin, especially wool and rough cottons that rub and scratch. Polyester, acrylics, rayon, and nylon often irritate when in direct contact with skin. Wearing silk, soft cotton, or other natural fabrics next to skin soothes and protects. Laundry products can also irritate, so choose detergents and softeners that are hypoallergenic.  \n\nHydrate from the inside. That means consuming enough water and fluids to keep skin moisturized while eating foods that are high in antioxidants and omega-3 fatty acids. Egg yolks, oat flakes, tomatoes, spinach, salmon, dairy products, bananas, walnuts, and seeds help support supple skin. Do not smoke or drink to excess. \n\nSunscreen every day. Rain or shine, year-round, in every climate, sunscreen protects your skin and contributes to good health.  \n\n\nRemember that techniques for hydrating are not a once-and-done endeavor. You want to adjust methods and products to match the time of year, surroundings, activities, health, and age that are constantly impacting the wellbeing of your skin.   \n\n\n\nWhen to See the Dermatologist  \n\nDepending on what’s causing your dry skin and the remedies you use to treat it, you should start seeing results in a couple weeks. A possible exception is dryness linked to use of acne medications and retinol. While the salicylic acid in acne treatments is effective at unplugging blocked pores to shrink blackheads, whiteheads, and pimples, it’s a powerful substance that may irritate, especially upon initial use. The same is true of retinol, which exfoliates skin and reduces the appearance of lines and wrinkles. In most cases, cutting down on frequency of use or switching to a lower concentration counters adverse effects, letting you enjoy the benefits without drying your skin.  \n\nWarning signs that something more serious is going on should be taken seriously. If you experience ongoing bleeding, severe inflammation, intense itching, yellow crusting, or dryness that impairs your ability to work or sleep, it’s time to see your primary care physician or a dermatologist. Extreme, extended dry skin symptoms can signal an unrelated and potentially serious health condition such as bacterial or viral infection, diabetes, hypothyroidism, kidney failure, nutrition deficiency, autoimmune disorder, or other illnesses. Your healthcare provider can determine the cause and prescribe treatment that works.  \n\nHe or she will also provide helpful tips for maintaining good skin health and handling dryness. With a little care and attention, you can have moist, attractive skin that makes you look and feel your best.  "} ## [The Fictions and Facts of Skincare ](https://nw-derm.com/blog/the-fictions-and-facts-of-skincare) Discover the truth behind common skincare myths. Learn what really works for healthy, glowing skin and avoid harmful misinformation from our expert guide. {"_body":"Skincare Myths and Facts \n\nWhether staring at the mirror in the morning or spiffing up for an evening on the town, everyone wants to face the world with a fresh, healthy glow. But how do we achieve that? Sorting through the plethora of advice and opinion coming at us from every angle is a challenge, especially when figuring out what information is dermatologically valid and what’s marketing hype that can harm your skin. Here to help is the fictions and facts of skincare. \n\n\n\nWhat You Need to Know about Caring for Your Skin  \n\nWe’re here to help. After sorting through considerable conversation about skincare, we’ve come up with six categories that encapsulate much of the discussion. Besides separating skincare myths and fictions from facts, we’re adding practical advice to help you achieve the radiant complexion you want.  \n\nACNE  \n\nFiction Facts + Advice   Only teenagers get acne.   Reality is, you can get acne at any age. Acne occurs when pores get plugged with sebum, dead skin, bacteria, and other debris. Sebum is a natural, normal, waxy substance secreted by the body’s sebaceous glands; you need it to moisturize and protect. Hormonal changes occurring at puberty result in enlarged glands and excess output, which is why acne is more common among teenagers. Eating chocolate does not trigger acne or other breakouts; greasy foods aren’t culprits either. Genetics are often a factor is who gets acne at what age. For adults, diet, lifestyle, stress, and hormonal imbalances can all play a role. Should you develop breakouts or zits of any kind, avoid popping them. That can lead to bleeding, burning sensations, infection, scabbing, and scarring. Mild cases of acne may be helped with over-the-counter products, but severe outbreaks need to be treated by a dermatologist or other medical professional.  \n\nCLEANSING  \n\nFiction Facts + Advice   You should wash your face multiple times a day, with the hottest water possible.    Except you don’t want to do either of those things. Cleansing your face twice daily, morning and evening, is plenty. More often and you’re stripping away natural secretions and causing irritation. Hot water is even more damaging because it removes essential oils and moisture and leaves skin dry and itchy. Use lukewarm, even cool, water to avoid hurting your skin. A cleanser formulated for your skin type is a good idea or use a very mild soap devoid of the alcohol and fragrances that suck moisture away.  \n\nEXFOLIATION  \n\nFiction Facts + Advice   The more you exfoliate, the better your skin looks.   More often, exfoliation has the opposite effect—it severely damages the skin. If you choose to exfoliate, once a week is maximum, and according to experts, most of us don’t need to exfoliate at all. That’s because skin naturally sheds its superficial layers once a month or so, making abrasive devices, harsh chemicals, peels, or dermabrasion unnecessary—mother nature gets rid of dead skin cells on her own. Observing a normal skin care routine of cleansing and moisturizing should be enough to keep skin looking bright and fresh.  \n\nMAKEUP  \n\nFiction Facts + Advice   Wearing makeup causes wrinkles or acne or premature ageing or all of these.   Whichever you choose, it’s wrong, although the opposite may be true: Not removing makeup before going to bed can lead to breakouts and wrinkles by trapping dirt, grime, and pollution deep within the pores. Most makeup is formulated to be non-irritating, especially if you choose a product matched specifically to your skin type—normal, dry, oily, or combination, according to experts. Non-comedogenic and oil-free products are friendliest for your skin, especially products that contain moisturizers and SPF elements. Wearing makeup makes us feel more together and polished. But apply lightly—heavy, caked-on faces are distracting and can lead to breakouts; layers of chemicals, colorings, concealers, and other ingredients are just plain hard on the skin.   \n\nMOISTURIZER  \n\nFiction Facts + Advice   If you have oily skin, you don’t need to moisturize.   Overlooking moisturizer is easy, especially when we’re in a rush to get to somewhere as most of us generally are. But moisturizing after washing your face is important to keeping skin soft, supple, and hydrated. Depending on the product, moisturizer may add SPF protection and also provides a base for makeup. Having oily skin does not exempt you from using moisturizer, although making sure a brand is formulated for your particular skin type is always good advice. Everybody needs to moisturize, guys included, and remember to moisturize your entire body. Dry, flaky skin itches and peels, it’s unattractive and uncomfortable and, with moisturizer, very easy to avoid.   \n\nSUNSCREEN  \n\nFiction Facts + Advice   You only need sunscreen if you’re going to be in the sun.   Absolutely not true. Even on cloudy days and every season of the year, the sun’s UV and UVB rays get through to damage your skin. To protect yourself, apply SPF 30 or higher full-spectrum sunscreen every day, no matter what the forecast says. Every skin color needs sunscreen, including darker tones. And no, wearing sunscreen does not cause breakouts; in fact, finding a product that’s compatible with your skin type may actually add moisture. While modest, careful, protected time outdoors helps your body produce the vitamin D that’s essential for healthy skin, do not for a moment believe the base-tan myth. A base tan does not protect your skin from sunburn; instead, it’s the beginning stage of damage. Spray tan doesn’t protect you either, and tanning beds are as dangerous as actual exposure to the sun. When you’re in the sun for any length of time, be sure to wear a broad-brimmed hat to shield your head, face, and neck; for all-over protection, donning clothing with built-in SPF factors is an excellent way to go.   \n\n\n\n Good Habits Are Part of Good Skincare  \n\nAlso important to improving skin tone and texture—eating a healthy diet of fresh fruits, vegetables, and lean protein and exercising regularly, even for a leisurely walk. Your body needs fluid, so stay hydrated by drinking plenty of water daily. Absolutely do not smoke. Tobacco smoke dries out skin and can discolor it; that’s in addition to the many other dangers smoking poses to health. Do try to relax, which is not easy, especially with so many concerns upping our stress levels. But stress increases hormones that make skin oily, and excess oil can lead to breakouts, rashes, and other irritations. Being realistic also matters since skin looks and feels different depending on your age, where you live, season of the year, and other factors. For everybody, observing the facts (not fictions) of skincare is a great way to improve the way you look and feel.  "} ## [The ultimate json import Test  ](https://nw-derm.com/service-area/json-import-test) Beverly Hills residents trust Northwest Dermatology in nearby Bingham Farms for refined, effective skin care that restores, protects, and enhances naturally. {"_body":"In Beverly Hills, everything moves at a quieter pace—and your skin care should match that energy: refined, thoughtful, and effective. At Northwest Dermatology, just minutes away in Bingham Farms, we provide skin treatment with a clear purpose—restore, protect, and enhance your skin in ways that feel as natural as they do noticeable.\n\n\n\nWhether you’re dealing with frustrating flare-ups or looking to age with grace and confidence, our team works closely with Beverly Hills patients to deliver care that’s both gentle and clinically sound. No pressure. No trends. Just personalized plans built for long-term skin health, and proper skin treatment in Beverly Hills.\n\nOur Most Requested Skin Treatments in Beverly Hills:\n\n\nAcne & Breakout Management – Clearer skin without the guesswork.\n\nRosacea & Redness Relief – Calming treatments designed to soothe.\n\nSun Damage & Dark Spot Correction – Bring your skin back into balance.\n\nSubtle Cosmetic Enhancements – Botox, fillers, and rejuvenation with restraint.\n\nPreventive Skin Maintenance – Seasonal refreshers, custom plans, and expert insight.\n\n\nYou won’t be rushed. You won’t be overtreated. Just care that fits—and feels like it belongs in Beverly Hills.\n\n\n\nFrequently Asked Questions – Beverly Hills Patients\n\nQ: What makes your skin treatment approach different?A: We don’t do one-size-fits-all. Every Beverly Hills patient receives a custom plan based on their skin’s history, goals, and lifestyle. Our treatments are designed to blend in—not stand out. Schedule Now.\n\nQ: Do you treat both medical and cosmetic concerns?A: Yes. Many patients come in for skin conditions like eczema or rosacea and stay with us for cosmetic enhancements like Botox or skin-smoothing treatments. We have a top-rated Medical Spa onsite, Covet Med Spa.\n\nQ: What kind of results can I expect?A: Real ones. Our results are progressive, not overdone. You’ll feel fresher, clearer, and more confident—with skin that still looks like yours.\n\nQ: Can I get everything done in one visit?A: Often, yes. We’re mindful of your time. Many Beverly Hills patients opt for same-day consultations and treatment when available.\n\nQ: Do you offer discreet service?A: Absolutely. Our Bingham Farms office is calm, private, and designed with comfort in mind.\n\n\n\nDirections to Northwest Dermatology – Bingham Farms from Beverly Hills, MI\n\nOur location in Bingham Farms is just a few turns away—easy to reach and even easier to return to.\n\nFrom Beverly Hills:\n\n\nHead west on Beverly Road or 13 Mile Road.\n\nMerge onto Telegraph Road (US-24 N).\n\nContinue north for a few minutes, then turn left onto 13 Mile Road.\n\nOur office is just up the road, tucked into a peaceful medical corridor.\n\n\nEstimated Drive Time: ~10 minutes or less.\n\nFree parking. A quiet atmosphere. A team who knows what your skin needs, and nothing more than that.","sa_city":"Beverly Hills, MI","sa_description":"","sa_service_provided":"dermatologist","service_area_closest_location":"Bingham","service_area_content_row":"","service_area_faq":""} ## [Three Skin Conditions—Milia, Whiteheads, Fungal Acne](https://nw-derm.com/blog/three-skin-conditions-milia-whiteheads-fungal-acne) Learn the key differences between milia, whiteheads, and fungal acne. Discover their unique causes and effective treatments for clearer, healthier skin. {"_body":"Three Different Skin Disorders, Three Different Causes, Three Different TreatmentsDealing with Milia, Whiteheads, and Fungal AcneMilia, whiteheads, and fungal acne are actually distinct disorders, each with different causes.We all want smooth, healthy, glowing skin that keeps us looking youthful and fresh. Unfortunately, Mother Nature sometimes has other ideas, leaving us with unsightly blemishes and lumps.This discussion centers on three skin conditions that can easily be confused because all often appear as white bumps on the skin. Milia, whiteheads, and fungal acne are actually distinct disorders, each with different causes. Knowing which one you’re dealing with is important because each requires a specific treatment response. Here’s what you need to know.Milia Are a Type of CystMilia are tiny white bumps that form under the outer layer of skin. Commonly found on the face, milia, which are sometimes called milk spots, are actually cysts that resemble a grain of sand or a hard, milky capsule.A cyst is a small pocket of tissue that contains fluid, air, or another substance. In this case, that substance is old skin cells, including keratin, the protein that gives skin its structure. Milia can develop when the epidermis, your outer layer of skin, fails to shed dead cells to make room for new ones. When old skin cells don’t fall off your body, new skin grows on top of them and traps dead cells and keratin just under the surface. The old cells harden and turn into cysts. Unlike acne (they’re often confused), milia do not develop in a pore and are not red, inflamed, or painful. They’re also small, only 1 to 2 millimeters in diameter.Most cases have no clear cause and can develop at any age, including among babies. Milia may also form after skin injuries, such as burns, sunburns, and blistering rashes, and with the use of some medications. People with acne or blackheads often have milia too, although they can appear spontaneously on clear skin as well.How to treat miliaThe best treatment is generally to do nothing. The condition is harmless and will likely clear on its own. That may take time, sometimes weeks or months. If you find milia particularly annoying, see your healthcare provider for a definitive diagnosis (there can be other causes of small, white skin bumps) and a prescription medication that helps your skin shed and replace cells faster. You can try over-the-counter products, but usually they have little effect.Under no circumstances should you try to remove milia yourself at home. They cannot be popped or scrapped; doing so may cause scarring or infection. A healthcare professional can surgically excise milia by using a needle to puncture each spot and removing the contents with tweezers and a magnifying glass. Cryotherapy to freeze and remove spots one by one is another possibility. But the best and easiest approach is patience. Simply wait—milia will go away.Bacteria Trapped in Pores Lead to WhiteheadsWhiteheads are a mild type of acne that displays small, closed bumps sticking up on your skin. They’re under the surface, with a white or sometimes yellowish head showing through. They develop when bacteria, dead skin, and the oily lubricant sebum (necessary for keeping your skin and hair hydrated and shiny) plug the openings of hair follicles and sebaceous (oil) glands, clogging and closing off pores. Once a pore is blocked, the debris hardens, and a white tip forms.Also known as congested skin or a closed comedo, pimple, or zit, whiteheads are commonly found on chins, cheeks, forehead, and corners of the mouth. Adolescents and young adults are most susceptible (those pesky hormonal changes!), but blemishes can occur at any age. Dehydrated skin and using too heavy or greasy products are another cause. Blackheads are a close relative, except the pores remain open, causing dirt in the bump to appear darkened or black.Most whiteheads disappear on their own after a week or so. They’re not contagious and rarely painful. While they don’t affect physical health, they can be a psychosocial or psychological problem, leading to anxiety, depression, mood disorders, or suicidal thoughts. Over-the-counter medications may speed treatment by removing the top layer of damaged skin and dissolving dead skin cells (salicylic acid); removing surface bacteria (benzoyl peroxide); or breaking up whiteheads (and blackheads) by minimizing the oil production that causes clogged pores (retinols and retinoids). Many brand-name products are available at numerous price points; reading labels carefully lets you know which items offer what benefits so you can decide what’s right for you.Treatment for whiteheadsFor serious cases, your healthcare provider can assist with prescription-strength retinoids or oral antibiotics. Physical removal of whiteheads is possible using microdermabrasion to sand off top layers of skin to free clogged pores; chemical peels to remove layers of skin; or laser skin resurfacing with pulsating beams of light that reduces the amount of oil your sebaceous glands produce. Such measures are for professional use only and should never be attempted on your own. Even squeezing or popping whiteheads is not advisable. Applying pressure can push bacteria deep into cells causing inflammation or producing scarring by damaging your skin.Mostly, try not to worry. Whiteheads are harmless and will clear up on their own.With Fungal Acne, the Name Says It AllMalassezia folliculitis, the scientific name for fungal acne, refers to an infection in the hair follicles. Fungal acne is different from common acne (like whiteheads, which develop when follicles get blocked with bacteria, oil, and dead skin) because it’s caused by the fungus Malassezia, a type of yeast naturally found on everyone’s skin. This yeast can get inside hair follicles and grow, causing the follicle to react by becoming inflamed; the resulting infection generates pockets of white pustules or red bumps that show up in rash-like clusters on the forehead, chin, neck, chest, or back. These eruptions tend to be sudden and itchy or burning, which is a clue that you’re dealing with fungal acne rather than common acne or some other painless skin disorder.Who will get fungal acne?Although anyone can get fungal acne, it’s most common among adolescents and young adult males; they tend to have the oily skin yeast needs to thrive. The condition is most likely in those who live in hot, humid climates; sweat a lot or have naturally greasy skin; wear tight-fitting clothing, especially while exercising; suffer from other fungal infections, a weakened immune system; or use antibiotics. Coating the skin with heavy, oil-based moisturizers and sunscreens can also be a culprit, as the skin can skin be damaged by excessive rubbing, shaving, plucking, or touching that traps yeast in hair follicles, giving it a place to grow. Fungal acne is different from Hormonal acne.If you suspect fungal acne, get a diagnosisFungal acne is best diagnosed by a dermatologist or other healthcare professional. They may scrape a spot and examine the sample under a microscope to see if yeast spores are present. Treatment involves prescribing oral or topical antifungal medications, creams, and shampoos. Antibiotics don’t help. In extreme cases that don’t respond well to other treatments, photodynamic therapy combining light and a drug may be used to destroy unhealthy fungal cells. The disorder can recur, so working with your healthcare provider long-term is important.Good Skincare Habits Help Prevent DisordersWhile avoiding problems completely can be tricky, taking good care of your skin certainly helps.Wash your face morning and evening with lukewarm water and a mild cleanser. Avoid harsh scrubs and pat, don’t rub, your skin dry.Use only oil-free and noncomedogenic makeup and remove at the end of each day.Read product labels so you know what ingredients are present and how they work. Trial-and-error is the best way to find out what items work best for your skin.If you exfoliate, do so only a few times a week to avoid the irritation that can lead to skin disorders.Routinely wash hair to control oil buildup that clogs pores.Keep hands away from your face. Despite frequent handwashing, dirt, bacteria, oil, and all manner of pollutants are always present, just waiting to irritate your skin.It’s a good idea to understand what kinds of skin disorders can affect you—there are lots more than what we’ve covered here. Knowledge gets you prepared for whatever comes your way.Learn more about the Skincare Benefits of Turmeric."} ## [Top 4 Reasons Why You Should Wear Sunscreen](https://nw-derm.com/blog/why-you-should-wear-sunscreen) Discover why dermatologists recommend daily sunscreen use year-round. Learn 4 essential reasons to protect your skin from UV damage, regardless of season or skin tone. {"_body":"Most of us are aware of the importance of wearing sunscreen in the summer months to avoid painful, damaging sunburnt skin and lip. But it really should be a year-round preventative habit. You should always wear sunscreen, no matter your age, skin color, or skin tone. You can purchase sunscreen in many different forms (creams, lotions, gels, sprays). Sunscreen can also be found in anti-aging and make-up products like serums, foundations, and primers.  No matter the form, you should always look for and use a sunscreen with an SPF of 30 or higher. Reapply every 1-2 hours on skin that is exposed to the sun or right after swimming or sweating.  And remember, there is no “best” sunscreen...the BEST sunscreen is the one you love so that you’ll USE it and REAPPLY it often. \n\nIn this blog, we’re going to discuss the importance of sunscreen and why it isn’t just for sunny days at the beach. \n\nSo, Why Should You Wear Sunscreen?\n\n1. Sunscreen Helps Prevent Skin Cancer\n\nSkin cancer is the most common form of cancer in the United States, and certain forms can be deadly. As specified by researchers, it was predicted that more than 100,000 people would be diagnosed with melanoma in 2020, and approximately 7,000 people would die from such cases. The top three most common types of skin cancer are basal cell skin cancer, squamous cell skin cancer, and melanoma. The top risk factor causing these skin cancers is exposure to UV radiation.   \n\nBy applying sunscreen every day, you cut your risk of contracting skin cancers in half! And by going to tanning salons/booths, you INCREASE your risk of skin cancer, including life-threatening melanoma by 50%. AVOID TANNING BOOTHS! A spray tan can be a beautiful alternative AND is healthy without increasing your risk of skin cancer. \n\n2. Sunscreen Prevents Uneven Skin Tone & Sunspots\n\nHyperpigmentation (brown spots in sun-exposed areas) is a common skin condition caused by excessive melanin production––caused by too much sun exposure. Typically, hyperpigmentation shows up as darkened patches on the skin. In addition, sunscreen protects against sunspots, which are a culprit in increasing the look of aging. Sunspots typically are flat areas of discolored skin that can be different shades of brown.   \n\nPeople with darker skin tones are more susceptible to hyperpigmentation, but any skin tone/color can get these.   \n\nThe sun rays that DO penetrate through window glass (UVA rays) can cause this hyperpigmentation and brown spots, so therefore it’s important to wear sunscreen on exposed skin EVEN WHILE IN THE CAR OR SITTING NEAR WINDOWS. \n\n3. Sunscreen Prevents Premature Aging\n\nYour skin is made up of three layers: the epidermis, the dermis, and the subcutis. Within the dermis, you’ll find collagen, elastin, and other fibers that work to support your skin’s structure. This combination of elements is what gives skin its youthful, smooth appearance. When multiple levels of the epidermis are damaged, premature aging occurs.  \n\nHave you ever noticed that frequent tanners show aging a lot more than those who stay out of the sun? Spending too much time in the sun unprotected can lead to premature aging due to two kinds of UV light: UVA and UVB light. Sunscreen’s role in all of this is to block and absorb UV rays through a combination of chemical and physical properties.  \n\nThose who spend time in the sun without sunscreen put their skin at risk at a molecular level, leading to looking older faster...nobody wants that!\n\n4. Sunscreen Protects Sun-Sensitive Skin\n\nSunscreen is especially helpful in preventing skin irritation and inflammation in people with sun-sensitive conditions, like lupus, polymorphous light eruption (PMLE), and rosacea. Since the immune system plays a vital role in our overall health, it’s important to protect our skin. \n\nWe'll Help You Take Care of Your Skin\n\nWe want your skin to look its best. If you have any skincare concerns, or would like to learn more about skincare––contact us!"} ## [Ups and Downs of Accutane](https://nw-derm.com/blog/ups-and-downs-of-accutane) Discover the benefits and risks of Accutane (isotretinoin) for severe acne treatment. Learn why this powerful prescription drug requires careful medical supervision. {"_body":"The Power and Perils of Accutane   \n\nThis is serious stuff. Accutane® is actually a brand name for isotretinoin, a very potent drug used primarily to treat persistent nodular acne. Isotretinoin in any form is available only by prescription from a certified pharmacy. It must be used under the close supervision of a board-certified dermatologist, and is carefully controlled. There are good reasons for that. Here are some ups and downs of Accutane.\n\nAcne on the face of young women. Improper therapy has led to a severe form of chronic inflammation face.-Image\n\nUnderstanding the Fraught History of the Drug  \n\nIsotretinoin was originally studied and patented in 1969 by Roche Laboratories as a possible treatment for skin cancer. Isotretinoin (also known as 13-cis-retinoic acid) proved to be ineffective for that purpose so was set aside. Then, a decade later, the compound demonstrated surprising success as a treatment for severe acne that was not responsive to other therapies. The drug was subsequently approved by the FDA in 1982 as a treatment for acne and marketed as Accutane. It was a resounding success.  \n\nTo counter compelling evidence that the medication could cause miscarriage, birth defects, and related complications in pregnant women, prescriptions came with a warning label, accompanied by cautionary information sent to doctors and pharmacists. Within a year, numerous lawsuits against the drug manufacturer were filed. Throughout the 1980s warning efforts escalated as the FDA and other regulatory agencies debated what to do. \n\nEventually, doctors were issued informed consent forms to be signed by patients and a series of increasingly stringent pregnancy prevention programs were put in place. Other side effects, including gastrointestinal complications and psychiatric disorders, were reported as well. In 2002 the original patents expired, opening the market to generic versions of Accutane selling at lower cost. In June 2009, buffeted by declining sales and escalating personal injury lawsuits, Roche Pharmaceuticals gave up on the entire venture, discontinuing manufacture and withdrawing the Accutane name and brand from the United States.  \n\nBut isotretinoin didn’t go away. Why? Because it works. No other medication has proved to be as effective in treating the ravages of severe nodular acne and cystic acne. Today it’s marketed in the U.S. and worldwide under numerous labels and often unofficially still called Accutane. There are many ups and downs of Accutane that each person should consider before use. \n\nIsotretinoin Is the Acne Drug of Last Resort  \n\nFor most people acne is merely an annoyance, managed with good skincare and over-the-counter ointments and creams. Nodular acne is another matter entirely. It’s severe, it’s painful, and left untreated, it can produce severe scars. The condition causes hard lumps or nodules to form deep under the skin and manifest on the surface as angry red bumps. Lasting for weeks or even months, the nodules involve a type of bacteria that gets trapped in the pores, along with dead skin cells, hair, and the sebum (an oil made by the body) that keeps skin moist. The resulting infection leads to inflammation and disfiguring surface breakouts. Causes include hormones, genetics, skincare products that clog pores, some medications, and anxiety and stress. Nodular acne can afflict anyone. But it’s more common in adolescents and young adults. Androgen hormones cause oil in the skin to thicken, especially among those assigned male at birth.   \n\nThe Most Effective\n\nCystic acne is a related condition also involving swelling and inflammation. Pus-filled cysts develop far under the skin as bacteria, oil, and dead skin cells are trapped and block pores. Ranging in size from a pea to a dime, the cysts are painful to the touch and crusty as fluid drains. Permanent scarring can occur.  \n\nBoth types of acne require treatment by a dermatologist; over-the-counter potions and creams simply can’t do the job. That’s where isotretinoin/Accutane comes in. Prescribers refer to it as the drug of last resort. This is because it clears up nodular and cystic acne when nothing else can. Until the advent of Accutane in 1982, there simply was no effective way to deal with severe forms of scarring acne, as described in prestigious publications such as the Journal of the American Medical Association at the time. That’s still true today. Used properly, isotretinoin has a success rate approaching 90%, and in the majority of cases, the results persist for life.  \n\nBut the devastating side effects are equally real, especially for women of child-bearing age.  \n\nLONDON, UK - August 2022: packs of isotretinoin or roaccutane tablets used to treat severe acne.\n\nUsing Isotretinoin Safely  \n\nIsotretinoin is a man-made form of vitamin A called an oral retinoid. Taken during pregnancy, isotretinoin (or any form of oral retinoid) can cause serious problems, and while in-utero babies need vitamin A for healthy growth, the mother naturally produces sufficient quantities; too much can cause severe birth defects—the risk is as high as 60%. Hence the dangers of isotretinoin during this critical time. Women who are pregnant or trying to be absolutely cannot use this drug.  \n\nBecause of this, strict controls for the prescription of isotretinoin are in place, due to the many ups and downs of Accutane. iPledge is the only website isotretinoin is available through. The FDA requires companies marketing any form of isotretinoin to install the site; all prescribers, pharmacists, and people taking the drug must register and log in required information on a regular basis. Women with child-bearing potential must commit to using two forms of effective contraception simultaneously for the duration of isotretinoin therapy, and for the month immediately preceding and a month after treatment. \n\nFurther, they must have two negative pregnancy tests 30 days apart before starting isotretinoin and a negative test before each prescription is written. Prescriptions are for 30 days only, a new one must be provided each month and filled within 7 days. Men taking isotretinoin must use a condom during sexual encounters in case the drug carries over into his female partner via the sperm. In addition, women agree to monthly blood tests to check for pregnancy; all users submit to monthly blood draws to monitor liver function. Everyone taking isotretinoin must participate in iPLEDGE, regardless of age or gender. Prescribing dermatologists meet monthly with patients to gauge response to the medication and monitor progress of the treatment plan.  \n\nSome Side Effects\n\nDosage is based on the weight of each patient. Most doctors start with a low dose and gradually increase amounts based on tolerance and response. The average course of treatment is 4 to 6 months, with most people beginning to show improvement in half that time. \n\nBesides birth defects, isotretinoin can cause dryness of lips, eyes, nose, and skin. Aches, joint pain, problems with night vision, increased cholesterol, and elevated sugars are also possible; some risk of bowel disease has been noted. Usually side effects are mild and decrease as the body adjusts. The potential connection with mental health problems such as depression, anxiety, and suicidal thoughts is tougher to determine, especially since the upset and disfiguration of severe acne often lead to such thoughts. Some practitioners contend that treatment with isotretinoin actually lessens these behaviors by giving patients hope and a cure.  \n\nWhile it must be used with extreme caution, isotretinoin is the most powerful drug available for treatment of severe acnes. For many people, it’s life-changing because it’s the only thing that works. But before starting, make sure to consider all the ups and downs of Accutane"} ## [Vitiligo](https://nw-derm.com/services/vitiligo) Discover advanced vitiligo treatments including FDA-approved therapies and phototherapy. Expert dermatologists help restore skin pigmentation with proven results. {"featured_image2":"","hero_description":"","secondary_image":"","secondary_image_alt":"","service_description":"","faq_title":"FAQ Vitiligo","faq_sub":"","cta_heading":"New Options Bring New Hope for Vitiligo","cta_body":"Vitiligo treatment has come a long way. With FDA-approved topical therapies and advanced phototherapy options now available, repigmentation is a realistic goal for many patients. Our dermatologists stay current on the latest advances so they can offer you the most effective treatment plan for your skin.","cta_label":"Schedule Your Vitiligo Consultation","cta_url":"\/schedule","meta_title":"","meta_description":"","faqs":[{"question":"Are there new treatments for vitiligo beyond UV light therapy?","answer":"Yes. The treatment landscape for vitiligo has changed significantly in recent years. The FDA approved Opzelura (ruxolitinib) cream as the first pharmacologic treatment specifically designed to promote repigmentation in vitiligo patients aged 12 and older. This topical JAK inhibitor works by targeting the immune pathway responsible for melanocyte destruction. Recent research shows that combining JAK inhibitors with narrowband UVB phototherapy can further improve outcomes and may reduce relapse rates."},{"question":"Is vitiligo an autoimmune condition?","answer":"That is the leading theory. Vitiligo is widely understood to be an autoimmune condition in which the body's own immune system attacks and destroys melanocytes, the cells responsible for producing skin pigment. According to a 2026 review in Expert Review of Clinical Pharmacology, the condition affects approximately 0.5 to 2% of the global population. People with vitiligo are more likely to have other autoimmune conditions such as thyroid disease, which is why your dermatologist may recommend related blood work as part of your evaluation."},{"question":"How long does vitiligo treatment take to show results?","answer":"Repigmentation is a gradual process that requires patience. The FDA notes that patients using Opzelura (ruxolitinib) may need more than 24 weeks of consistent, twice-daily application before achieving satisfactory results. Phototherapy typically requires multiple sessions over several months. The face and neck tend to respond best to treatment, while the hands, feet, and bony areas can be more resistant. Your dermatologist will set realistic expectations and track your progress over time to adjust the treatment plan as needed."}],"_body":"About VitiligoVitiligo is a skin condition of white patches resulting from loss of pigment. Any part of the body may be affected. Usually both sides of the body are similarly affected by a few to many milky-white patches. Common areas of involvement are the face, lips, hands, arms, legs and genital areas.Vitiligo affects one or two of every 100 people. About half the people who develop it do so before the age of 20; about one fifth have a family member with this condition. Most people with vitiligo are in good general health. Melanin, the pigment that determines color of skin, hair, and eyes, is produced in cells called melanocytes. If these cells die or cannot form melanin, the skin becomes lighter or completely white. Vitiligo is the result of the disappearance of the skin’s melanocytes. No one knows why this happens for sure.Causes of VitiligoMelanin is the pigment that gives the skin its characteristic color. Vitiligo is caused by a loss of pigment in the skin, due to destruction of pigment-forming cells known as melanocytes. The exact cause of the destruction of these cells is not known. One possible explanation might be that the body’s immune system destroys the cells, as in other autoimmune conditions. Although vitiligo affects all races equally, it is more noticeable in dark-skinned people.Symptoms of VitiligoSymptoms of vitiligo include an often rapid pigment loss on several areas of the skin. The initial appearance of the white patches can be followed by a stable period without any progression of the condition. Later on, further cycles of pigment loss and stability may be observed. Vitiligo commonly affects areas on the skin that are exposed to sun, body folds (such as armpits), previous sites of injury, areas around moles, or areas around body openings. It is rare for pigment to return once the white patches have developed. Vitiligo can also affect the eyelids and hair.Diagnoses and Treatment of VitiligoYour doctor can usually make the diagnosis of vitiligo during a physical exam. There is no known way to prevent or cure vitiligo. However, several methods, including cosmetics, re-pigmentation using UV light therapy, corticosteroid creams, depigmentation of unaffected skin areas, and skin grafting, can be used to improve the appearance of skin severely affected by vitiligo."} ## [Warts & Plantar Warts](https://nw-derm.com/services/warts-and-plantar-warts) Learn about warts and plantar warts caused by HPV. Discover types, symptoms, and treatment options for these common skin growths that affect children and adults. {"_body":"What to do About Warts\n\nA wart is a skin growth caused by some types of the virus called the human papillomavirus (HPV). There are more than 100 known types of HPV. HPV infects the top layer of skin, usually entering the body in an area of broken skin. The virus causes the top layer of skin to grow rapidly, forming a wart. Most go away on their own within months or years.\n\nThey can grow anywhere on the body. They are most common among children and young adults.\n\n\n\nHow are Warts Spread?\n\nWarts are easily spread by direct contact with a human papilloma virus. You can infect yourself again by touching it and then another part of your body. You can infect another person by sharing towels, razors, or other personal items. After contact with HPV, it can take many months of slow growth beneath the skin before you notice a wart. We can help. Call us Today.\n\nAs experts in wart treatment, our dermatologists are able to prescribe the best possible treatment for your type of warts.\n\nTypes of Warts\n\nThere are five kinds of warts. They look different and form on different parts of the body.\n\nCommon warts grow most often on the hands, but they may be anywhere on the body. They are rough, shaped like a dome, and gray-brown in color.\n\n\nPlantar Warts: These warts grow on the soles of the feet, often appearing as hard, thick patches of skin. They usually have small, dark specks in the center, which are actually tiny clotted blood vessels. Plantar warts can be painful, especially when walking, as they may make it feel as if you're stepping on a small pebble.\n\nFlat Warts: Typically found on the face, arms, or legs, flat warts are small, smooth, and slightly raised. They usually have flat tops and will appear in various colors like pink, light brown, or light yellow. Because of their small size and flat appearance, they can often go unnoticed.\n\nFiliform Warts: These warts generally grow around the mouth, nose, or beard area. They have a unique appearance, with thread-like projections extending from the surface, making them look somewhat like tiny skin tags. Filiform warts are usually the same color as the surrounding skin, which is what makes them look like tiny skin tags. \n\nPeriungual Warts: These warts grow under and around the toenails and fingernails. They have a rough, uneven surface and can cause discomfort by impacting nail growth. Periungual warts can be a problem if they interfere with nail function or cause pain.\n\n\nSymptoms of Warts\n\nWarts come in a wide range of shapes and sizes. It may be a bump with a rough surface, or it may be flat and smooth. Tiny blood vessels grow into the core to supply it with blood. In both common and plantar warts, these blood vessels may look like dark dots in the wart’s center. In most cases, the skin lines and creases over the wart look distorted. Warts are usually painless. But a wart that grows in a spot where you put pressure, such as on a finger or on the bottom of the foot, can be painful.\n\nDiagnoses of Warts\n\nA doctor usually can tell if a skin growth is a wart just by looking at it. Your doctor may take a sample of the wart and look at it under a microscope (a skin biopsy). This may be done if it is not clear that the growth is a wart. It may also be done if a skin growth is darker than the skin surrounding it, is an irregular patch on the skin, bleeds, or is large and fast-growing.\n\nTreatment for Warts\n\nMost warts, while annoying, don’t necessarily require treatment. They’re often harmless and can even go away on their own over time. However, if you’re dealing with warts that are painful, spreading, or simply bothering you due to their appearance, there are several options we can consider to help manage them.\n\nHome Treatment\n\nFor starters, one of the simplest approaches is to try a home treatment. Over-the-counter options like salicylic acid can work. This treatment works by gradually peeling away the layers of the wart. Another interesting method that some people find success with is using duct tape. It sounds a bit unusual, but covering the wart with duct tape might help suffocate it, leading to its eventual removal.\n\nThis is where we come in, seek professional treatment.\n\nIf those methods don’t do the trick, or if the wart is stubborn, we can explore stronger treatments. There are prescription-strength medications that we can apply directly to the wart. Sometimes, injecting the wart with medicine can help your body’s immune system fight off the virus causing it.\n\nAnother common and often effective treatment is cryotherapy, which involves freezing the wart with liquid nitrogen. This method can be a bit uncomfortable, but it’s quite effective for many people.\n\nIn more persistent or severe cases, we might consider surgical options. These can include electrosurgery, where we burn off the wart, or curettage, which involves scraping the wart off. Laser surgery is another option that uses intense light to destroy the wart tissue.\n\nUltimately, the right treatment depends on your specific situation, including the type and location of the wart, as well as your personal preferences. We’ll work together to choose the approach that’s best for you, balancing effectiveness with your comfort.\n\nWart treatment does not always work. Even after a wart shrinks or goes away, warts may come back or spread to other parts of the body. This is because most treatments destroy the wart but do not kill the virus that causes the wart.","faq_title":"FAQ Warts & Plantar Warts","faq_sub":"","faqs":[{"question":"Why do my warts keep coming back after treatment?","answer":"Wart recurrence is one of the most frustrating aspects of the condition. According to Harvard Health, no treatment is 100% effective because the HPV virus can remain dormant in surrounding skin tissue even after the visible wart is removed. The Cleveland Clinic notes that once you have HPV, there is no sure way to prevent warts from returning. Your immune system plays the biggest role in long-term clearance, which is why some patients benefit from immunotherapy-based treatments that stimulate the body's own viral defense rather than just removing the wart tissue."},{"question":"What is the difference between a wart and a callus?","answer":"This is a common point of confusion, especially with plantar warts on the feet. The Cleveland Clinic explains that plantar warts usually have small dark specks in the center (tiny clotted blood vessels), while calluses do not. Warts also tend to disrupt the natural skin lines on the sole of your foot, whereas calluses maintain them. Warts may be painful when pinched from the sides, while calluses are typically only uncomfortable with direct downward pressure. If you are unsure, a dermatologist can make the distinction quickly with a clinical exam."},{"question":"Are over-the-counter wart treatments as effective as professional treatment?","answer":"OTC treatments can work for some warts, but they have limitations. Harvard Health notes that over-the-counter salicylic acid products require consistent daily application for several weeks and work best on smaller, superficial warts. Deeper or more stubborn warts, especially plantar warts, often do not respond to OTC products. A dermatologist has access to professional-grade cryotherapy using liquid nitrogen (far more potent than drugstore freezing kits), cantharidin, immunotherapy injections, and laser treatment. These methods offer higher cure rates and faster results, particularly for warts that have resisted home treatment."}],"cta_heading":"Stubborn Warts Need Professional Treatment","cta_body":"If drugstore remedies are not cutting it, you are not out of options. Our dermatologists treat even the most resistant warts with professional-grade methods, from cryotherapy to immunotherapy, designed to remove the wart and reduce the chance it comes back.","cta_label":"Schedule Your Wart Removal Appointment","cta_url":"\/schedule","meta_title":"","meta_description":""} ## [Washington Twp](https://nw-derm.com/locations/washington-twp) Expert dermatology care in Washington Township, MI. Call (586) 786-8586 or book online. Conveniently located at Van Dyke Ave. Your skin health matters. {"location_address":"57850 Van Dyke Ave #200 Washington, MI 48094","phone_tel":"5867868586","phone_text":"(586) 786-8586","appt_cta":"Book Appointment in Washington Twp","appt_url":"https://l.klara.com/DCJSNGb5gJRfFEH8","location_image":"https://cdn.liteframecms.com/northwest-dermatology/Front-Optimized.jpg","google_name":"Northwest Dermatology Group Washington","map_shortcode":"[map location=\"Northwest Dermatology Group Washington\" zoom=\"15\" height=\"500\"]"} ## [West Bloomfield Skin Treatment – Thoughtful, Personalized Care at Northwest Dermatology](https://nw-derm.com/service-area/west-bloomfield-skin-treatment-thoughtful-personalized-care-at-northwest-dermatology) Discover personalized skin treatment in West Bloomfield at Northwest Dermatology. Expert care tailored to your unique skin story. Schedule your consultation today. {"_body":"","sa_city":"West Bloomfield","sa_description":"At Northwest Dermatology, we believe great skin care is about more than just treatments—it’s about understanding your skin’s story and creating a plan that feels right for you.","sa_service_provided":"Skin Treatment","service_area_closest_location":"Bingham","service_area_content_row":[{"service_area_content_copy":"If you're in West Bloomfield, MI, you don’t have to look far for expert skin care that’s as subtle or transformative as you want it to be. Our Bingham Farms location is just around the corner, offering a full range of medical and cosmetic dermatology services tailored to your unique needs.\nFrom routine skin checks and acne management to anti-aging solutions like Botox and laser therapy, we provide modern treatments in a welcoming, no-pressure environment. Whether you want to refresh your appearance, manage a chronic skin condition, or get proactive about your skin health, our team is here to help—with care that’s honest, thorough, and focused on your goals.\nWe serve West Bloomfield and the surrounding areas, including Franklin, Birmingham, Bloomfield Hills, and Farmington Hills. Let us show you how expert care can make all the difference for your skin.","service_area_content_heading":"From routine skin checks and acne management to anti-aging solutions like Botox and laser therapy. ","service_area_content_image":"8192"}],"service_area_faq":[{"service_area_faq_answer":"In most cases, no referral is needed—just call us to schedule an appointment. Some insurance plans may require a referral, so we’ll help you figure out the details.","service_area_faq_question":"Do I need a referral to see a dermatologist at Northwest Dermatology?"},{"service_area_faq_answer":"We offer a wide range of services, including acne and rosacea treatments, skin cancer screenings, Botox and fillers, chemical peels, laser treatments, and more. If it concerns your skin, we’re here to help.","service_area_faq_question":"What skin treatments do you offer?"},{"service_area_faq_answer":"Every patient is different. We’ll sit down with you, talk about your goals, assess your skin, and create a personalized plan that’s tailored to your needs.","service_area_faq_question":"How do I know which treatment is right for me?"},{"service_area_faq_answer":"Sun protection is key—wear SPF every day, avoid tanning beds, and get annual skin checks. A consistent skincare routine tailored to your skin type also helps, and we’re happy to make product recommendations.","service_area_faq_question":"What’s the best way to maintain healthy skin?"},{"service_area_faq_answer":"Yes—when done by experienced professionals like our team at Northwest Dermatology, cosmetic treatments like Botox, fillers, and lasers are safe, effective, and designed to deliver natural-looking results.","service_area_faq_question":"Are cosmetic treatments safe?"},{"service_area_faq_answer":"Yes we offer telemedicine health appointments. Please call our office direct to schedule a telemedicine appointment at (248) 353-0880","service_area_faq_question":"Do you offer telemedicine appointments? "}]} ## [What Are the Best Treatments for Warts?](https://nw-derm.com/blog/best-wart-treatments) Discover effective wart removal treatments for HPV-caused skin growths. Learn about professional and home remedies to safely eliminate unsightly warts fast. {"_body":"Warts are benign skin growths that form on the body and can develop in different areas. This skin condition is caused by the human papillomavirus (HPV), which infects the top layer of the skin. Once HPV infects the skin, it causes the abnormality known as a wart. \n\nIf you’ve ever had a wart, you know how unsightly they can be. And while many wart treatments are out on the market, it seems like they never help fast enough. The good news? Despite their unpleasant appearance, warts are generally harmless and disappear on their own over time.  \n\nIn this blog, we’re going to discuss the best treatments to get rid of these unsightly blemishes and have healthy, happy skin. \n\nHow Are Warts Diagnosed?\n\nUsually, a doctor can tell if skin growth is a wart just by looking at it. Typically, warts present as flesh-colored, grainy bumps that are rough to the touch. Your doctor may take a biopsy of the wart and look at it under a microscope to test for abnormal probabilities. This may be done if a wart is darker than the skin surrounding it, bleeds, or is large and fast-growing.\n\nHow Are Warts Treated?\n\nUsually, a doctor can tell if skin growth is a wart just by looking at it. Typically, warts present as flesh-colored, grainy \n\nWarts normally do not have to be treated and will generally disappear on their own after a few weeks or months. In some cases, it can take years. Despite their harmlessness, warts can be bothersome and unattractive, leading people to want to get rid of them as fast as possible.  \n\nIf you have warts that are painful or spreading, or you want to get rid of them as soon as possible, your treatment choices include: \n\n\n\nSalicylic Acid\n\nA doctor can prescribe a strong prescription solution that contains salicylic acid.\n\n\n\n\n\n\n\n\n\nCryotherapy\n\nThis technique uses liquid nitrogen to freeze off warts. During treatment, a doctor applies liquid nitrogen directly to the wart, causing it to freeze off.\n\n\n\n\n\n\n\n\n\nSurgery\n\nSometimes, warts can be cut out of the skin through surgical methods such as electrosurgery, curettage, and laser surgery.\n\n\n\n\n\n\n\nThough warts can be removed through various methods, treatment is not always effective. Even after a wart shrinks and goes away, others may come back or spread to other parts of the body. This is because most treatments destroy the wart, but do not kill the virus that causes them. \n\nQuality Wart Removal Treatment\n\nWarts are annoying, unattractive, and irritating skin blemishes. Instead of waiting for warts to go away––which can take months or even years––get them removed by a skincare professional. There’s no reason to neglect your skin! We’re here to help in any way we can. You deserve healthy, glowing skin.  \n\nFor more information or to schedule an appointment, contact us!"} ## [What Botox Is All About ](https://nw-derm.com/blog/what-botox-is-all-about) Discover how Botox works to reduce fine lines, wrinkles, and crow's feet. Learn if this popular non-surgical treatment is right for your aging concerns. {"_body":"You’ve been thinking about Botox. You’re noticing fine lines, wrinkles, and crow’s feet staring back at you from the mirror. You’re seeing signs of aging that are starting to concern you. You’re upset about looking tired or stressed when you aren’t. As you’re wondering if it’s time to do something about your appearance, Botox is top of mind. That’s hardly surprising, given that talk about Botox is everywhere. And maybe the product is right for you as a non-surgical way of achieving a more youthful appearance by softening and smoothing out facial creases and wrinkles. This discussion of the facts and realities of Botox tells you what you need to know before you proceed. Our focus here is actually on Botox® Cosmetic, which is the official name of a botulinum toxin produced by the bacterium Clostridium botulinum; only strain A of the neurotoxin (there are eight in all) has been approved and marketed for cosmetic purposes. Botox strain B has a number of clinical applications as a therapeutic treatment for crossed eyes, facial muscle spasms, foot pain, chronic migraines, overactive bladder, stomach issues, and more. Look for that information in another article available soon in this space. What to Know While thinking through whether Botox treatments are right for you, make sure you’re keeping these basics in mind. Results are subtle. If you’re looking for dramatic changes to your appearance, you’ll want to pursue other approaches. Botox does improve how you look, but in ways that are soft and nuanced. Outcomes are natural, and you still look like you, just better.Solutions are temporary. The improvements produced by Botox injections (that’s how the substance is introduced into the body) wear off. That’s due to how they work. Changes produced by treatments take from two days to two weeks to become evident, with maximum improvement achieved after about a month. The changes then wane gradually, returning your skin to its original condition in 16 to 20 weeks. To maintain your appearance, you’ll have to repeat treatment periodically. Treatments are a medical procedure. Botox Cosmetic is available only as a prescription drug from a licensed medical professional. You cannot buy it over-the-counter or online. Although regulations vary somewhat by country, state or province, and regional statute, Botox must be administered by a qualified medical practitioner, such as an MD, DO, physician assistant, or nurse practitioner, who has completed specialized training in the use of cosmetic injectables. These experts have a deep understanding of facial anatomy—the face has 43 muscles, many of which are not Botox-suitable—and are skilled at delivering the precise dosages in exact locations that are specific to your needs and goals. Treatments are administered in a clinic or medical office that is clean and outfitted for this purpose. Botox is costly. Since Botox is a cosmetic procedure, and cosmetic procedures are rarely covered by insurance, you’ll be paying for injections on your own. Given that results are temporary, you’ll be repeating this several times a year. Actual treatment cost depends on how many units of Botox are used, how many areas are treated, where you live, professional and facility charges, and other factors. In late 2023, the average price range in most U.S. states was $300 to $900 per treatment, although costs can go much higher. Make sure your budget can cover the expense.What to Consider Pursuing Botox should be a thoughtful decision that starts with understanding what it is and how the substance works in your body to produce cosmetic change. Botox is a neurotoxin derived from the same Clostridium botulinum bacterium that causes a life-threatening type of food poisoning called botulism. Although first discovered by a Belgian scientist in the early 1800s following a botulism outbreak, the toxin was finally isolated in crystalline form in the 1940s. By the 1970s, scientists were using botulinum to treat eye disorders and migraine headaches and noticed that it also reduced wrinkles in the skin between the eyebrows. The pharmaceutical company Allergan, now part of AbbVie, then licensed Botox as a brand. The first FDA approval came in 1989 as a treatment for crossed eyes; in 2002, it was approved for cosmetic treatment of the glabellar lines between the eyebrows. Although a brand name, Botox became a generic term for this entire category of treatment even though competitive drugs manufactured by other companies are available. All of today’s purified forms of the bacterium are highly regulated and safe. For cosmetic purposes, Botox is injected into specific facial muscles, triggering temporary paralysis by blocking nerve signals. This relaxes the muscles responsible for facial contractions, which, in turn, reduces the appearance of wrinkles and fine lines. Most commonly targeted are forehead creases, crow’s feet around the eyes, and those glabellar frown marks between the eyebrows. Relaxing these muscles can lead to a rejuvenated, more relaxed appearance in those areas. Verifying the credentials of providers and facilities is an important part of the research you’ll want to do before deciding where to pursue treatment. Check out the experience of medical professionals and ask about quality to make sure only FDA-approved drugs from well-established manufacturers are in use. Thinking through what you want to accomplish with the procedure and why you’re considering it is important to long-term satisfaction. Be clear about what Botox can and cannot do for you. Certainly, you can improve your appearance (for a period of time), but treatment is likely not a means of changing everything about your life. Defining your objectives also influences the extent of your treatment and how often you’ll want and can afford to return. What to Expect Your Botox experience starts with a consultation. Prior to actual treatment, you’ll want to meet with your chosen provider to discuss your goals, health status, medical conditions, current medications, outcomes, risks, and potential complications. Ask lots of questions so you know what you’re doing, starting with determining your eligibility for Botox. Those who are pregnant or breastfeeding, suffer a neurological disorder such as ALS or MS, or have very thick, sensitive, or infected skin should not be treated. Most providers advise avoiding alcohol for 24 hours before and after treatment because it dilates blood vessels and may lead to excessive bruising. Actual treatment involves the medical provider using ultra-fine needles to inject Botox solution into targeted areas of the face. The amount of Botox and number of injections are determined by the provider in accordance with your appearance goals. No anesthesia is needed; pain is usually limited to a very brief prick which can be counteracted by application of a topical anesthetic prior to injection or other distraction methods. You’ll likely be sitting up or reclining during injection to minimize the risk of diffusion. The entire procedure takes about 15 minutes, and you can resume work or most other activities with no downtime. Side effects are minimal but can include bruising or pain at the injection site, flu-like symptoms, headache, nausea, redness, and temporary facial weakness. After treatment, avoid rubbing the injected area and remain upright for at least four hours; for 24 hours, stay away from strenuous exercise, don’t sit in the sun or enter a sauna, cover your face in extreme cold, and hold off on washing or touching your face. Don’t have facials or massages for two weeks. This keeps Botox from spreading into unwanted areas or diluting because of increased blood flow. What To Remember The fact that there were four million Botox injections in the U.S. in 2023 confirms effectiveness and appeal. But be careful—fake Botox is plentiful, readily available, and potentially dangerous, as are untrained, unqualified people offering injections in unsafe settings at reduced cost. Group treatments are another bad idea, as are limited-time offers demanding immediate commitment and money up front. Practitioners who advertise only online or on social media are suspicious as well. When done properly, Botox injections are a safe, verified strategy for rejuvenating your appearance by removing wrinkles and fine lines. Know what you’re doing and the providers you’re doing it with, and you’ll enjoy pleasing, appearance-enhancing results. "} ## [What Causes Hormonal Acne](https://nw-derm.com/blog/hormonal-acne) Discover why hormonal acne affects women in their 20s, 30s, 40s and beyond. Learn the causes behind adult-onset breakouts and how hormones trigger flare-ups. {"_body":"Zits are for kids, right? Not necessarily. Just when you thought you’d gotten beyond pubescent breakouts, acne flares up – again. Among women, the culprit is often referred to as hormonal acne, and it can afflict us in our 20s, 30s, 40s and beyond.\n\nDefining Hormonal Acne\n\nThe term hormonal acne is often used to describe adult-onset female acne. And as the name suggests, a strong hormonal component is involved. Generally, flare-ups coincide with the menstrual cycle or pregnancy, when hormonal fluctuations are most pronounced. The decline in hormone production that accompanies menopause can once again trigger acne, just when we thought those bumps and \n\n\n\nlesions were finally gone.   \n\nThe American Academy of Dermatology characterizes acne as the most common skin condition in the country. It is estimated to affect as many as 50 million people at any given time. Treatment costs top $1 billion a year. The problem develops in response to hormonal changes. Changes like the rise in testosterone associated with puberty and monthly fluctuations of progesterone and estrogen among women. These, in turn, lead to alterations in skin cell activity Causing inflammation of pores, and hair follicles clogged with oil and bacteria. Hello, acne, in a range of types and forms.  \n\nHormonal changes are linked to development of acne at every age. Because of that some medical professionals do not recognize hormonal acne as a distinct phenomenon. Many dermatologists and specialists, however, describe specific types of cyclical outbreaks that appear among women as hormonal acne. For purposes of this discussion, that’s the definition we’ll use.\n\nHormonal Symptoms Characterized\n\nSeveral factors indicate your aggravating skin eruptions are linked to hormonal acne.   \n\n\nSince hormones and acne go together, nearly half of women experience outbreaks in the decades beyond teenage years. With the body genetically focused on pregnancy, childbirth, and breastfeeding, hormones actually peak in your 20s and early 30s. Acne can result, even if it passed you by when younger. Menopause causes another acne surge as hormone production fades and your body is once again forced to adjust.  \n\nHormonal acne tends to appear on your lower face, around the jawline, and down the neck; that’s because excess hormones stimulate the oil glands, many of which are around the chin area. Teenage acne, on the other hand, concentrates on the forehead, nose, and chin, and skin lesions are different.  \n\nHormonal acne often manifests in painful, fluid-filled cysts, nodules, and pustules deep under the skin’s surface rather than the top-level whiteheads and blackheads typical of teen years. These bumps can be tender and inflamed, growing over a period of days or weeks. Given the acute nature of such outbreaks, a clinical approach to treatment may be required.  \n\nEven in postmenopausal women, hormonal acne is cyclical, coinciding with patterns that occur at the same time every month. Breakouts pop up in the same place each month as well.  \n\nCortisol, the stress hormone, affects all other hormones, causing everything to be out of whack. Stress to the extreme defines the COVID-driven pandemic of the last two years, setting up ideal conditions for a hormonal acne flare.  \n\n\n\n\nTreating Hormonal Acne Takes Time\n\nBasically, there are two ways to go: trying over-the counter remedies or seeking professional help.   \n\nAlthough hormonal acne may eventually improve on its own, it can be a chronic problem that’s tough to get rid of without personalized treatment. Ignoring hormonal acne can lead to long-term issues, including scarring and emotional distress.  \n\nOver-The-Counter Cleanser\n\nOver-the-counter cleansers contain ingredients that help exfoliate the skin by unclogging pores. Look for products that contain alpha or beta hydroxy acids, such as glycolic, lactic, or salicylic substances. Topical retinoids are another OTC choice. These items remove dead skin cells so they don’t bind together and block pores. Both cleansers and retinoids may help prevent new acne from developing, especially when coupled with gentle, twice-daily face washing and wearing sunscreen to protect infected skin. The flip side is that over-the-counter products may be pricey and cannot penetrate deep under the skin where most hormonal acne eruptions reside. At that point, treatment is needed by a dermatologist or other medical professional.\n\n\n\n\n\nPrescription Medications\n\n\n\nPrescription medications work from the inside out to balance hormones and clear up your skin. Oral contraceptives, a frequently used form of hormonal therapy, can be very effective. In fact, several are approved by the U.S. Food and Drug Administration for acne treatment in addition to birth control. Reducing male hormones, primarily testosterone, with low levels of antiandrogen drugs is another tactic for improving hormonal acne. A type of oral vitamin A called Isotretinoin reduces oil production and helps renew the skin. With all such treatments, careful consultation with your dermatologist is required to reduce the risk of side effects and ensure drugs are not used during pregnancy.  \n\nNatural treatments like tea tree oil, green tea, and masks and creams containing aloe vera, benzoyl peroxide, passionflower extract, sulfur, and other ingredients may appeal to some people, with the caveat that efficacy is not scientifically validated. The role of diet relative to hormonal acne isn’t fully understood either, although limiting sugar, dairy, white carbs, and red meats and getting regular exercise makes good sense.  \n\nSuccessful treatment of hormonal acne often requires a combination of over-the-counter products and professional management. And improvement can take a while—eight to ten weeks or more. So be patient, stay persistent, work with your doctor, and focus on getting zits out of your life.   \n\nThere are several other types of acne - Read More Here."} ## [Winter Skincare: Must-Haves for Glowing Winter Skin  ](https://nw-derm.com/blog/winter-skincare-must-haves-for-glowing-winter-skin) Discover essential winter skincare products to combat dryness and maintain radiant skin. Expert tips to protect against harsh weather and indoor heating. {"_body":"Oh, the weather outside is frightful … But your wintertime skin doesn’t have to be. \n\nBut the fire is so delightful … Except heat, whether from your furnace, the fireplace, or the HVAC system in your car, sucks moisture from your skin, leaving it dry, flaky, irritated, and dull.\n\nAnd since we've no place to go … Actually, we’re in and out frequently, braving the vagaries of weather to get to work, see friends, go shopping, engage in activities. Such constant drastic change is hard on skin. \n\nLet it snow! Let it snow! Let it snow! … Since Mother Nature is always in charge, it’s up to us to deal with whatever wintery mix she presents us, when and where it comes around. \n\nWhy Winter Skincare Is Different \n\nWe’re all familiar with the dry hands, flaky legs and arms, and chapped lips that go with winter. That’s because as temperatures drop and harsh winds blast around us, moisture dries up, causing skin to contract and crack. Moisture-starved skin looks pallid and flat, and fine lines and wrinkles become more pronounced. The dry, cold air of winter strips away natural oils, making skin more susceptible to irritation and itchiness. Cell turnover slows down, meaning dead skin cells are shed more slowly, keeping newer, healthier cells trapped underneath. \n\nWhat to do?\n\nTo keep your skin glowing and fresh, here are the six must-have elements of your winter skincare routine. \n\nAdjust to the season\n\nWhile the steps remain basically the same, making seasonal adjustments to the products you use makes sense. That starts by knowing your skin type—oily, dry, normal, or combination—since that helps guide your choices. For example, dry skin people may find themselves switching to a cream moisturizer rather than lotion since cream is thicker and moisturizes better. Those with oily skin might stick with water-based lotions to avoid the excessive oil build-up that can lead to breakouts. \n\nFor everybody, hydrating products are the key to healthy winter skin. This is a season of deep moisturization, high replenishment, and repairing. Finding the right combination may involve trial-and-error testing, but that’s ok; you want to find what makes you feel and look your best every winter day and evening. And yes, you’ll need to change things up again when warmer weather (yippee, summer!) rolls around. \n\nCleansing is the foundation\n\nThe foundation of every skincare routine is a cleanser. Cleansing skin twice a day is essential, in the morning to remove overnight sleep residues and prepare for makeup, and at the end of the day to get rid of makeup, grime, pollution, and get your skin ready to repair itself while you sleep. In winter that often means shifting to a gentle, milky lotion since harsher chemicals further dry out already weather-parched skin. Read labels carefully and look for ingredients like hyaluronic acid, glycerin, and niacinamide. Salicylic acid is better for oily skin because it helps control excessive oil. All these ingredients and others nourish skin in different ways. Be sure to avoid products with fragrances or sulfates because they dry skin out. \n\nTaking shorter showers or baths and avoiding steaming hot water contributes to winter skin health. The hottest possible water feels great when the weather outside is rages, but that leaches away much-needed moisture. A nourishing body wash helps too. \n\nIf you choose to exfoliate, do so gently and only occasionally. Chemical exfoliants are preferable to devices because they are easier on your skin. \n\nHydrated Skin is critical to winter skin care\n\nHydration and cleansing is key to healthy skin in the winter. \n\nWinter skincare is all about hydration—you want to get water to your skin since so many factors are conspiring to take it away. That starts with drinking plenty of water daily. Vegetables and fruits with high water content are another great source of hydration. Think broccoli, celery, cucumber, eggplant, green cabbage, lettuce, spinach, tomatoes, and zucchini/summer squash on the veggie side; fruits include cantaloupe, honeydew, strawberries, and watermelon. Other sources of hydration include putting a cool-mist humidifier in your bedroom and adding a whole-house humidifier to your furnace. The latter may help lower your heating bills since damp air feels warmer than dry.  \n\nAs you’re enjoying another festive beverage during holiday parties, remember that alcohol dehydrates. And the damage caused by smoking is so widely recognized that’s enough said.   \n\nMoisturize morning and evening to keep skin youthful\n\nPerhaps the most important item in your winter skincare toolbox is moisturizer. Since your skin dries out throughout the day, you want to moisturize morning and evening to keep skin youthful and plump. Using a rich, cream-based formula loaded with ceramides, hyaluronic acid, peptides, prebiotics and postbiotics, and squalane, is perfect for many skin types. For others, a water-based lotion works best. (Trial-and-error again.) Whatever product you choose, the goal is hindering water evaporation by locking moisture into the skin. A moisturizer that’s clinically verified as repairing the skin barrier works best.  \n\nMany people include a toner and/or serum as part of their routine. Toners remove any residue left behind by a cleanser and add moisture. Products containing green tea, hyaluronic acid, and niacinamide work great for pretty much everybody. Applying the toner before putting on serum and moisturizer ups the moisture content reaching your skin. Serums, especially those containing peptides, calm and cool winter-inflamed skin, helping restructure it, and spurring collagen growth. This pulls moisture into the skin for an immediate plumping and hydrating effect. Serum should go on before moisturizer as well. \n\nAnti-aging substances are another popular element of skincare. Those containing retinol are most effective since they get deep into the skin to stimulate collagen production. Over time, retinols even out texture, fine lines, wrinkles, and pore size. \n\nProtect your skin as much as possible\n\nWith much shorter daylight, sharply colder temperatures, and often cloudy skies, sunscreen is the most commonly overlooked aspect of winter skincare. Snow sports enthusiasts are well aware of the dangers of painful sunburn. But did you know the sun is responsible for 90% of skin aging, and that happens year-round? Even with heavy cloud cover, UV rays reach and damage skin, which is why skincare experts recommend applying an actual sunscreen product, minimum SPF 30, every single day. \n\nEnjoy!\n\nSure, it’s cold, blustery, snowy—but that’s no reason to spend months huddled indoors. Winter is lots more pleasant when you embrace it, from pursuing your usual work and social activities to finding new ways to get outside. Even a walk, properly bundled up, gets the endorphins flowing. If you’ve thought about skiing or snowboarding, go ahead, maybe take a couple lessons, and give it a try. Take up a new hobby, join a club or social group, go outside and build a fire while you watch the moon. Winter is inevitable, so you might as well make the best of it. Keep up your winter skincare routine and remember—Mother Nature rules. "} ## [Your Journey to Healthy Skin Starts Here](https://nw-derm.com/ga-lp-book-an-appointment-washington-old) Book an appointment with Board-Certified Dermatologists in Washington Twp. Expert medical, surgical & cosmetic dermatology for healthy, beautiful skin. {"hero_heading":"Your Journey to Healthy Skin Starts Here","hero_subheading":"Book an appointment online with one of our Board-Certified Dermatologists in Washington Twp. It’s easy – click the button below and get scheduled!","hero_cta_label":"Book Appointment in Washington Twp Now","hero_cta_url":"https://l.klara.com/TBSW7CNZHw9Vyr9y","hero_body":"Trust our experts to provide the best care for your skin. We combine medical, surgical, and cosmetic dermatology for natural and beautiful results. Your journey to perfect skin starts with Northwest Dermatology. Requesting an appointment online is easy. Fill out the form to book an appointment now!","services_heading":"We Foster a Welcoming Environment","services_sub":"Your journey to perfect skin starts here. Northwest Dermatology Group will help you with any conditions you might have, while working toward your aesthetic goals. We provide excellent medical dermatology and cosmetic treatments to patients in Southfield and throughout all of Oakland County.","reviews_heading":"See What Our Patients Have to Say","faq_heading":"Frequent Questions ","faq_sub":"","location_heading":"Washington Township","location_choice":"Washington","meta_title":"","meta_description":"","og_image":"","services_items":[{"service_title":"Cosmetic Dermatology","service_body":"Cosmetic Dermatology Treatments for Wellness and Beauty","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group12.svg"},{"service_title":"Skin Conditions","service_body":"Medical Dermatology Treatments for a Wide Variety of Conditions","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group10.svg"},{"service_title":"Face Treatments","service_body":"We provide expert care in diseases associated with the skin, hair and nails.","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group6.svg"},{"service_title":"Skin Cancer","service_body":"Surgical Dermatology Treatments for Skin Cancer and Mohs Surgery","service_icon":""}],"faqs":[{"question":"","answer":""}]} ## [Your Journey to Healthy Skin Starts Here](https://nw-derm.com/ga-lp-book-an-appointment-washington) Book an appointment with board-certified dermatologists in Washington Twp. 4.7 rating from 950+ patients. Expert skin care you can trust. Call 586-786-8586. {"hero_rating_text":"4.7 Rating from 950+ patients","hero_heading":"Your Journey to Healthy Skin Starts Here","hero_subheading":"Book an appointment online with one of our Board-Certified Dermatologists. It’s easy – click the button below and get scheduled!","hero_cta_label":"Book Appointment in Washington Twp","hero_cta_url":"https://l.klara.com/TBSW7CNZHw9Vyr9y","hero_phone":"(586) 786-8586","hero_phone_tel":"5867868586","hero_body":"Trust our experts to provide the best care for your skin. We combine medical, surgical, and cosmetic dermatology for natural and beautiful results. Your journey to perfect skin starts with Northwest Dermatology. Requesting an appointment online is easy. Fill out the form to book an appointment now!","hero_image":"https://cdn.liteframecms.com/northwest-dermatology/SDC_5460.jpg","hero_image_alt":"northwest dermatology group washington","hero_badge_number":"10,000+","hero_badge_label":"Over 10,000 Patients Served","services_heading":"We Foster a Welcoming Environment","services_sub":"Your journey to perfect skin starts here. Northwest Dermatology Group will help you with any conditions you might have, while working toward your aesthetic goals. We provide excellent medical dermatology and cosmetic treatments to patients in Southfield and throughout all of Oakland County.","feature_heading":"Your Skin Is Talking. We Are Listening.","feature_cta_label":"Schedule Your Appointment","feature_cta_url":"https://l.klara.com/TBSW7CNZHw9Vyr9y","feature_body":"Skin changes deserve professional attention, not guesswork. Whether you are managing a chronic condition, monitoring a mole, or simply overdue for a screening, our board-certified dermatologists are here to provide the clarity and care your skin needs. Early evaluation leads to better outcomes.","feature_image":"https://cdn.liteframecms.com/northwest-dermatology/DSC_9552.jpg","feature_image_alt":"","reviews_heading":"See What Our Patients Have to Say","reviews_sub":"","faq_heading":"Frequent Questions","faq_sub":"","location_heading":"Washington Township","show_locations":[{"id":387,"slug":"washington-twp","collection":"locations","title":"Washington Twp"}],"final_cta_heading":"Our Commitment to Our Patients Is Unwaivering ","final_cta_label":"Book Now","final_cta_url":"https://l.klara.com/TBSW7CNZHw9Vyr9y","final_cta_body":"At Northwest Dermatology Group, we truly care about our patients. We strive for 100% patient satisfaction. We hope your visit to our office is enjoyable, and that you will feel comfortable referring friends and family. We provide excellent medical dermatology and cosmetic treatments to patients in Southfield and throughout all of Oakland County. Through our experienced staff, state-of-the-art equipment, advanced services, and our integrity, we will provide you with a level of unparalleled service.","final_cta_image":"https://cdn.liteframecms.com/northwest-dermatology/SDC_5354-1.jpg","final_cta_image_alt":"","onclick_conversion_id_phone":"AW-781861073/YU_3CNWqtKYcENGB6fQC","onclick_conversion_id":"AW-781861073/9Qa_CNitlaYcENGB6fQC","hero_trust_items":[{"trust_text":"Hour Detroit Top Docs"},{"trust_text":"Board Certified Dermatologists"},{"trust_text":"Telemedicine Available"},{"trust_text":"Accepting New Patients"}],"trust_bar_items":[{"trust_number":"50","trust_label":"years in practice"},{"trust_number":"2 ","trust_label":"convenient locations"}],"services_items":[{"service_title":"Cosmetic Dermatology","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group8.svg","service_body":"Cosmetic Dermatology Treatments for Wellness and Beauty"},{"service_title":"Skin Conditions","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group10.svg","service_body":"Medical Dermatology Treatments for a Wide Variety of Conditions"},{"service_title":"Face Treatments","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group12.svg","service_body":"We provide expert care in diseases associated with the skin, hair and nails."}],"feature_benefits":[],"faqs":[{"question":"What conditions does Northwest Dermatology treat at the Washington Township office?","answer":"Our Washington Township location offers the same full scope of medical dermatology services as our Bingham Farms office. Our board-certified dermatologists and providers treat conditions including acne, eczema, psoriasis, rosacea, moles, warts, rashes, vitiligo, fungal infections, and molluscum contagiosum, as well as skin cancer screenings and Mohs micrographic surgery. We see patients of all ages, from newborns to seniors, across all skin types and ethnicities."},{"question":"Do I need a referral to see a dermatologist at your Washington Township location?","answer":"In most cases, no. Most insurance plans allow you to book directly with a dermatologist without a referral from your primary care provider. However, some HMO and managed care plans do require one, so we recommend checking with your insurance carrier before your visit. Our front desk team can also help answer coverage questions when you call to schedule. Northwest Dermatology Group has served Southeast Michigan for more than 50 years, and our Washington Township office makes it easier for patients in Macomb County and the surrounding communities to access the same expert, board-certified care."},{"question":"Is cosmetic consultation available at the Washington office?","answer":"Yes—our providers offer thoughtful, conservative cosmetic care that enhances your natural features."},{"question":"Do you accept new patients?","answer":"Yes—many of our patients live in the Macomb area, and find the drive quick and the care exceptional. We're currently accepting new patients, schedule online, or call our office at (586) 786-8586"}]} ## [Your Journey to Healthy Skin Starts Here](https://nw-derm.com/ga-lp-book-an-appointment) Book online with board-certified dermatologists in Bingham Farms, MI. 4.7 rating from 950+ patients. Expert skin care you can trust. Call (248) 353-0880. {"hero_rating_text":"4.7 Rating from 950+ patients","hero_heading":"Your Journey to Healthy Skin Starts Here","hero_subheading":"Book an appointment online with one of our Board-Certified Dermatologists. It’s easy – click the button below and get scheduled!","hero_cta_label":"Book Appointment in Bingham Farms, MI","hero_cta_url":"https://l.klara.com/CNYfPAfxaSHBcdBP","hero_phone":"(248) 353-0880","hero_phone_tel":"2483530880","hero_body":"Entrust your skin's health to our specialized professionals who deliver exceptional dermatological care. We seamlessly blend medical expertise, surgical precision, and cosmetic artistry to achieve naturally radiant, beautiful outcomes. Your path to flawless skin begins with Northwest Dermatology, scheduling your consultation online couldn't be simpler. Complete the form to secure your appointment today!","hero_image":"https://cdn.liteframecms.com/northwest-dermatology/SDC_5419.jpg","hero_image_alt":"northwest dermatology group oakland county","hero_badge_number":"10,000+","hero_badge_label":"Over 10,000 Patients Served","services_heading":"We Foster a Welcoming Environment","services_sub":"Your path to radiant, healthy skin begins with us. Northwest Dermatology Group specializes in addressing diverse skin conditions while simultaneously advancing your aesthetic aspirations. We deliver exceptional medical dermatology care and innovative cosmetic solutions to patients across Southfield and the greater Oakland County area.","feature_heading":"Your Skin Is Talking. We Are Listening.","feature_cta_label":"Schedule Your Appointment","feature_cta_url":"https://l.klara.com/CNYfPAfxaSHBcdBP","feature_body":"Skin changes deserve professional attention, not guesswork. Whether you are managing a chronic condition, monitoring a mole, or simply overdue for a screening, our board-certified dermatologists are here to provide the clarity and care your skin needs. Early evaluation leads to better outcomes.","feature_image":"https://cdn.liteframecms.com/northwest-dermatology/DSC_1347.webp","feature_image_alt":"","reviews_heading":"See What Our Patients Have to Say","reviews_sub":"","faq_heading":"Frequent Questions","faq_sub":"","location_heading":"Bingham Farms","show_locations":[{"id":386,"slug":"bingham-farms","collection":"locations","title":"Bingham Farms"}],"final_cta_heading":"Our Commitment to Our Patients Is Unwaivering ","final_cta_label":"Book Now","final_cta_url":"https://l.klara.com/CNYfPAfxaSHBcdBP","final_cta_body":"At Northwest Dermatology Group, we truly care about our patients. We strive for 100% patient satisfaction. We hope your visit to our office is enjoyable, and that you will feel comfortable referring friends and family. We provide excellent medical dermatology and cosmetic treatments to patients in Southfield and throughout all of Oakland County. Through our experienced staff, state-of-the-art equipment, advanced services, and our integrity, we will provide you with a level of unparalleled service.","final_cta_image":"https://cdn.liteframecms.com/northwest-dermatology/SDC_5354-1.jpg","final_cta_image_alt":"","onclick_conversion_id_phone":"AW-781861073/ut-nCNKqtKYcENGB6fQC","onclick_conversion_id":"AW-781861073/9Qa_CNitlaYcENGB6fQC","hero_trust_items":[{"trust_text":"Hour Detroit Top Docs"},{"trust_text":"Board Certified Dermatologists"},{"trust_text":"Telemedicine Available"},{"trust_text":"Accepting New Patients"}],"trust_bar_items":[{"trust_number":"50","trust_label":"years in practice"},{"trust_number":"2 ","trust_label":"convenient locations"}],"services_items":[{"service_title":"Cosmetic Dermatology","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group8.svg","service_body":"Cosmetic Dermatology Treatments for Wellness and Beauty"},{"service_title":"Skin Conditions","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group10.svg","service_body":"Medical Dermatology Treatments for a Wide Variety of Conditions"},{"service_title":"Face Treatments","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/Group12.svg","service_body":"We provide expert care in diseases associated with the skin, hair and nails."},{"service_title":"Same Day Appointments","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/appointment1.webp","service_body":"We reserve openings for urgent scheduling. Please call the office at (248) 353-0880."},{"service_title":"Telemedicine Appointments","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/telemedicine1.webp","service_body":"Please call our office direct to schedule a telemedicine appointment at (248) 353-0880"},{"service_title":"Schedule w/ Dr. Levin","service_icon":"https://cdn.liteframecms.com/northwest-dermatology/female-doctor1.webp","service_body":"Please call our office direct to schedule an appointment at (248) 353-0880"}],"feature_benefits":[],"faqs":[{"question":"What conditions does Northwest Dermatology treat?","answer":"Our board-certified dermatologists and providers treat conditions including acne, eczema, psoriasis, rosacea, moles, warts, rashes, vitiligo, fungal infections, and molluscum contagiosum, as well as skin cancer screenings and Mohs micrographic surgery. We see patients of all ages, from newborns to seniors, across all skin types and ethnicities."},{"question":"Do I need a referral to see a dermatologist at your Washington Township location?","answer":"In most cases, no. Most insurance plans allow you to book directly with a dermatologist without a referral from your primary care provider. However, some HMO and managed care plans do require one, so we recommend checking with your insurance carrier before your visit. Our front desk team can also help answer coverage questions when you call to schedule. Northwest Dermatology Group has served Southeast Michigan for more than 50 years, and our office makes it easier for patients in Oakland County and the surrounding communities to access the same expert, board-certified care."},{"question":"Is cosmetic consultation available at the Washington office?","answer":"Yes—our providers offer thoughtful, conservative cosmetic care that enhances your natural features."},{"question":"Do you accept new patients?","answer":"Yes—many of our patients live in the area, and find the drive quick and the care exceptional. We're currently accepting new patients, schedule online, or call our office at (248) 353-0880"},{"question":"Do you offer Telemedicine appointments?","answer":"Please call our office direct to schedule a telemedicine appointment at (248) 353-0880"}]} ## [Ross Brothers](https://nw-derm.com/provider/ross-brothers) Dr. Ross Brothers is a board-certified dermatologist and Mohs surgeon at Northwest Dermatology Group, providing expert skin care to metro Detroit patients. {"provider_photo":"https://cdn.liteframecms.com/northwest-dermatology/RB-2.png","provider_title":"Dermatologist","provider_name":"Dr. Ross Brothers","provider_bio":"Dr. Ross Brothers is a board-certified dermatologist and Mohs micrographic surgeon who joined Northwest Dermatology Group in 2018. He was born and raised in the metro Detroit area. He earned a bachelor’s degree from Michigan State University in 2008. He graduated from Wayne State University School of Medicine in 2014 and completed his intern year in Grand Rapids. Dr. Brothers completed his dermatology training at Case Western Reserve University School of Medicine/MetroHealth, where he served as chief resident.Dr. Brothers is a clinical professor at Michigan State University, College of Human Medicine and provides dermatology education to medical students at Oakland University William Beaumont School of Medicine. Dr Brothers is on staff at William Beaumont Hospital, Providence Hospital, and the DMC. He specializes in clinical and surgical dermatology, with interests in Mohs surgery, atopic dermatitis, psoriasis, skin cancer, and the cutaneous findings of systemic disease.Outside the office, Dr. Ross enjoys spending time with his incredible wife and their three boys. He can often be found trying to keep up with his boys and their uncle, Dr. Ryan, on the local mountain bike trails in the summer or on ski hills in the winter. While he may not be as good at skiing or mountain biking as his brother, he is a better homebrewer.","provider_schedule_link":"/schedule","provider_schedule_cta":"Schedule Dr. Ross Brothers","_body":""} ## [Ryan Brothers](https://nw-derm.com/provider/ryan-brothers) Dr. Ryan Brothers is a board-certified dermatologist serving Metro Detroit. Oakland University graduate with extensive trauma center research experience. {"provider_photo":"https://cdn.liteframecms.com/northwest-dermatology/SDC_5465.jpg","provider_title":"Dermatologist","provider_name":"Dr. Ryan Brothers","provider_bio":"Dr. Ryan Brothers was born and raised in Metro Detroit. He attended Oakland University where he graduated with a bachelor’s degree in biology. Prior to medical school, he worked in multiple level-1 trauma emergency rooms in Detroit conducting research on new technologies that would become the new standards of care for patients. Dr. Ryan earned his medical degree at Michigan State University and went on to his internship at Ascension Providence Rochester Hospital in Rochester, Michigan. He completed his dermatology residency at Aspen /OPTI-West Hospital Program in Utah, where he served as chief resident and trained extensively in general dermatologic surgery and Mohs micrographic surgery.In his spare time, Dr. Ryan enjoys being outdoors camping, skiing, biking, competing in races, and anything else that involves crashing down a mountain. He and his brother, Dr. Ross, are also avid brewers. They love crafting every style of beer to share with their family, friends and the occasional lucky patient. Dr. Ryan married his wonderful wife on a cliff in Moab, Utah in 2020 and they have a beautiful son.","provider_schedule_link":"/schedule","provider_schedule_cta":"Schedule Dr. Ryan Brothers","_body":""} ## [Julia McAree](https://nw-derm.com/provider/julia-mcaree) Meet Julia McAree, PA - Detroit native and UDM graduate providing compassionate healthcare. Experience includes mobile clinic work serving the Detroit community. {"provider_photo":"https://cdn.liteframecms.com/northwest-dermatology/JuliaMcAree.jpeg","provider_title":"Physicians Assistant","provider_name":"Julia McAree, PA","provider_bio":"Julia McAree was born and raised in Metro Detroit. She attended University of Detroit Mercy, graduating with a bachelor in biology and masters in Physician Assistant studies. Throughout PA school, Julia participated in operating a mobile healthcare clinic providing free health screenings around Detroit. She loves the city and has even moved downtown herself.She also worked for several years in nursing homes and especially enjoys geriatric care.She enjoys spending time with family, baking new recipes, and playing hockey in her spare time.She has a background in Internal Medicine, Family Practice, and Urgent Care. She has a passion for Dermatology, seeing visible results in healing skin being so rewarding.She is honored to be a member of the Northwest Dermatology family!","provider_schedule_link":"/schedule","provider_schedule_cta":"Schedule with Julia","_body":""}