Sourced directly from Dr. Christopher Sciales,'s social posts and replies.
What is professional blackhead removal (comedone extraction) and how does it work?
Professional blackhead removal, also known as comedone extraction, involves applying gentle pressure to prepped skin with a specialized tool to push out clogged pores, sebum, and gunk without damaging the follicle. Using these tools in a professional setting is much safer for your skin than using fingers, which can cause damage.
What is a HydraFacial and what are its benefits and process?
A HydraFacial is a state-of-the-art treatment that deeply cleanses, exfoliates, extracts impurities, nourishes, and hydrates the skin in as little as three steps. It uses a special handpiece with Vortex technology and can be customized to address specific concerns like acne, pigmentation, fine lines, and wrinkles. The treatment takes 30-45 minutes, and patients often leave the office looking like a 'glazed donut' with healthy, hydrated skin.
What causes rough and bumpy skin and how can it be treated?
Rough and bumpy skin is commonly caused by dry skin and an overproduction of dead skin cells that are not shedding properly. Treatment involves gentle exfoliation using products with enzymes or light percentages of salicylic acid, and focusing on hydration. Moisturizers containing humectants and emollients like ceramides, squalene, and glycerin are recommended to help retain skin moisture.
Is teenage acne normal and how should it be managed?
Teenage acne is absolutely normal and very common, primarily due to a surge of hormones causing oil glands to overproduce. Not keeping skin clean can exacerbate breakouts. The most important steps are using a gentle cleanser twice daily, a gentle moisturizer to keep the skin barrier hydrated, and exfoliating ingredients like salicylic acid to remove pore-clogging buildup. If breakouts don't improve after a couple of months, it's time to see a dermatologist or dermatology provider for professional help.
What is the best approach for lip care, especially for dry lips?
For dry lips, it's important to both hydrate and protect. Products like Vaseline, Aquaphor, or other ointments occlude the skin, protecting it but not providing hydration. To infuse lips with moisture, use lip oils and masks. The best approach is to use both hydrating and occlusive products.
What can cause psoriasis to flare up and how should it be managed?
Psoriasis can flare up due to various factors, including trauma to the skin (such as surgery) and stress, which is a significant indicator for many dermatological conditions. Large flares can occur after major stressful events. Additionally, scratching and rubbing can worsen psoriasis, a phenomenon known as the Koebner phenomenon, by causing a rebound effect. If you're experiencing a flare-up, it's important to make an appointment with your dermatology provider.
Is it important to wear sunscreen in the winter?
Absolutely. Even with a lower UV index, significant UV rays from the sky can cause sunburns and predispose to skin cancer. This is especially true when skiing, as light reflecting off snow can easily burn exposed skin areas. Therefore, wearing sunscreen is important even in the winter.
What causes chest and back acne and how can it be prevented?
Chest and back acne share many causes with facial acne, primarily genetics and hormones. Diet, particularly foods high on the glycemic index that spike blood sugar and cause inflammation, and stress can also contribute. Unique to chest and back acne are factors like sweating and clothing. If you work out frequently, shower shortly after and wear moisture-wicking clothing to prevent sweat from sitting on your skin, which can reduce breakouts.
What is Mohs surgery and what are its benefits?
Mohs surgery is considered the gold standard for certain skin cancers, boasting a 99% cure rate. During the procedure, the doctor removes the skin cancer while taking as little healthy skin as possible, checking each layer until the cancer is completely gone. This process ensures complete removal while sparing healthy tissue.
How can skin cancer be prevented?
Skin cancer can be prevented by consistently wearing sunscreen, using protective clothing, and getting regular annual skin checks. Early detection and the right treatment are key.