My Blog
By Cindy Hoffman Dermatology
August 30, 2019
Category: Dermatology
Tags: Wrinkles  

The telltale signs of aging skin—wrinkles, puffy eyes, age spots—may start to appear as we grow older. We can’t fight the aging process, but we can take steps now to help reduce and prevent wrinkles from appearing prematurely.  

Many factors can contribute to the onset of wrinkles, which are frequently produced by years of unprotected sun exposure in combination with each person’s unique genetic predisposition. Wrinkles are a by-product of the aging process. As we age, our skin loses its elasticity, is less capable of retaining moisture and is slower to heal.  All of these contribute to the development of wrinkles and sagging skin.

How Can I Slow the Progression of Wrinkles?

Daily skincare and proper sun protection are important factors in slowing the aging process, diminishing fine lines and minimizing wrinkles.   

  • Take your vitamins.  Many vitamins are good for the skin. Vitamin C, a natural antioxidant found in citrus fruits and dark green leafy vegetables, can help reduce the appearance of sun damage.
  • Apply sunscreen.  Protecting yourself from sun exposure can help prevent the progression of fine lines. The American Academy of Dermatology recommends applying a sunscreen with a SPF of at least 30 to protect against harmful UV rays.  
  • Moisturize.  Dry skin causes the skin to look dull and aged. To prevent dry skin, apply moisturizer every day.   
  • Get your beauty sleep.  When your body doesn’t get enough sleep, it produces excess cortisol, a hormone that breaks down skin cells. Keep your skin looking and feeling young by getting at least seven hours of sleep every night.
  • Avoid tanning beds. Tanning beds emit harmful UVA rays and are never 'safe' alternatives to the sun.
  • Take care of your hands. Our hands are often the first part of our body to reveal signs of aging, as they are the most used and exposed parts of the body. Protect the hands by wearing gloves, moisturizing and applying sunscreen.
  • Quit smoking.  Smoking may damage more than your lungs—it causes skin aging and wrinkles around the mouth.

Like it or not, wrinkles are a natural part of aging. Even the most diligent skincare regimen or the most expensive wrinkle cream won’t totally eliminate your fine lines. You can significantly reduce the appearance of your wrinkles, however. Start taking care of your skin now, embrace your age and love the skin you’re in!

By Cindy Hoffman Dermatology
July 31, 2019
Category: Dermatology
Tags: Fillers   Dermal Fillers  

Are Fillers Right for You?

Thinking about fillers? Dermal filler injections can give you a more youthful look for a fraction of what a facelift costs. Dermal fillers are soft tissue fillers injected into the skin to improve your facial appearance or reverse the signs of aging. Dermatologists offer a variety of dermal fillers to meet their patients' individual needs. Here are several signs that dermal fillers are right for you.

1. You want to erase facial wrinkles.

As people age, fine lines, folds, and wrinkles start to appear. The hyaluronic acid and collagen in the skin diminishes, causing the skin to lose volume and structure. Dermal filler injections eliminate wrinkles by adding plumpness to the skin and replacing the collagen lost due to skin damage or aging. The treatment will fill fine lines and wrinkles in less than 30 minutes with results that can last up to 18 months.

2. You want to smooth away laugh lines.

Don't be afraid to laugh! Nasolabial folds, also known as laugh lines, are nothing to laugh about. These creases and lines run from the sides of the nose to the corners of the mouth, and are the result of the loss of facial volume as we age. Dermal filler injections smooth laugh lines by filling in deep creases. For laugh lines, you should opt for hyaluronic acid fillers, like Juvéderm, Sculptra, Restylane, or Juvéderm Voluma.

3. You want to enhance your cheeks.

Wrinkles and fine lines aren't the only signs of aging. Over time, your skin may start to sag and your cheeks may flatten. This happens because volume is lost in the cheeks. Using dermal fillers, your doctor can improve the appearance of your cheeks without surgery. Injectable treatments add volume to correct age-related volume loss in the cheeks and help create a youthful appearance.

4. You want to get rid of acne scars.

While acne scars may fade over time, they often don't go away completely without treatment. Injectable treatment fades acne scars by adding volume to them. Restylane, Juvederm, Radiesse, and Belotero are the injectables for treating acne scars. They are able to reduce the appearance of certain types of scars and improve the texture of your skin.

5. You want to make your lips look bigger.

Some patients have thin lips and want to make them bigger. Other patients have noticed their lips thinning over time. Your dermatologist can use dermal fillers to increase volume in your lips. Juvederm can improve the appearance of your lips by adding volume, structure, and shape. The effects typically last up to one year. After that, more injections will be required to maintain your new look.

Say goodbye to those signs of aging. Search for a qualified dermatologist in your area right now and schedule an appointment for a dermal filler treatment. Dermal filler treatment is the secret to looking younger! With dermal filler treatments, you will look as incredible as you feel!

By Cindy Hoffman Dermatology
June 28, 2019
Category: Skin Conditions
Tags: Warts  

Warts are small, harmless growths that develop on the skin. You may notice only one or they may grow in clusters. While they are usually painless, sometimes they can develop in places like the soles of the feet (known as plantar warts), which can be uncomfortable. Common warts often appear on the hands and arms while flat warts develop on the face and forehead. Plantar warts are typically found on the soles of the feet. Apart from developing these skin-colored growths, there usually aren’t any other symptoms associated with this condition.

What causes warts?

Warts are caused by an infection known as the human papillomavirus (HPV). There are more than 100 strains of HPV that can develop in different areas of the body, from the mouth and skin to the genital region. The type of HPV that causes warts on the hands, feet, or rest of the body isn’t the same type that causes genital warts.

How do I treat warts?

Warts usually go away on their own once the body fights the infection; however, it can take months to years for the wart to go away. Therefore, if you feel embarrassed by the wart or if the wart is in an awkward or uncomfortable place then you may choose to visit a dermatologist to have it removed. If you are a healthy individual you may also consider trying an over-the-counter wart removal option before turning to a dermatologist.

You should see a dermatologist if:

  • Warts are spreading or getting worse
  • Warts aren’t responding to at-home treatment
  • Warts are developing on your face or genitals
  • Warts are painful, bleeding, or itching
  • You have a weakened immune system
  • You have diabetes

When you visit your dermatologist, they will first need to make sure that the growth is a wart. Depending on the type and location of the warts, your skin doctor will talk to you about your treatment options. Common ways to treat warts include,

Salicylic Acid

This topical treatment is often used on warts of the hands, feet or knees, and you will need to apply the topical treatment daily for several weeks. After the solution is applied you will also use a pumice stone to file away the dead outer layer of skin from the wart. The acid treatment will continue to kill the wart layer by layer until it’s completely gone.

Freezing the Wart

This is another common method for removing a wart. Liquid nitrogen is sprayed on the wart to freeze it. This is also referred to as cryotherapy. More than one liquid nitrogen treatment session may be needed in order to completely remove the wart.

Other options for removing a wart include burning, cutting or removing the wart with a laser, and these treatment options are often used on warts that don’t respond to the other treatments above. If you are dealing with warts and want to turn to a dermatologist to have it removed, then call to make your next appointment.

By Cindy Hoffman Dermatology
May 31, 2019
Category: Skin Conditions
Tags: Shingles  

The effects of chickenpox may last beyond your childhood infection. Shingles, a widespread, itchy, painful rash, can break out at any time in adulthood because the causative agent, the Varicella Zoster virus, lies dormant within the body for life. Your dermatologist can help you control the awful pain and dangerous complications of shingles. He or she also has suggestions on avoiding an outbreak of this common and contagious skin disease.

What does shingles look like? A shingles rash is a reddened, itchy, oozing skin rash composed of raised blisters. Typically, it is widespread on the face near the eye, on the torso (front wrapping around to the back), or on the neck. People experience exceptional pain for at least two to six weeks, and due to damaged nerve endings, some individuals have unresolved pain for years.

What are the potential complications? Just like its childhood counterpart, shingles is contagious. So, people exposed to your shingle rash may develop chickenpox if they have never been sick with it previously.

Plus, shingles may lead to serious vision or hearing problems, fever, balance issues, and light sensitivity. People with a weakened immune system are potential shingles sufferers, and unfortunately, perfectly healthy people who have a shingles flare-up can then become immunosuppressed. In short, shingles is nothing to joke about.

How is it treated? Mild cases respond to cool baths, skin calming lotions, topical steroids and over the counter pain relievers. More severe flare-ups may require narcotic pain relievers, anti-convulsants, steroidal injections and numbing medications applied directly to the skin. Medications such as Acyclovir and Valacyclovir help dampen the spread of the virus.

Can you prevent an outbreak of shingles? Your dermatologist or primary care physician may provide you with a shingles vaccine to greatly reduce your chances of having shingles. The American Academy of Dermatology says that Zostavoax is for patients over 60, and the Shingrix vaccine may be administered beginning at age 50.

Find out more

Your dermatologist is an excellent resource for prevention, diagnosis and treatment of a wide array of simple to complex skin conditions and diseases. If you are starting a shingle outbreak or desire to prevent one, call your skin doctor for a consultation. He or she will inform you on the best ways to stay as healthy as possible.

By Cindy Hoffman Dermatology
April 26, 2019
Category: Skin Care
Tags: Mole  

Mole Removal: What to Expect

Worried about that mole? A mole is a dark spot or irregularity in the skin. Everyone is at risk of skin cancer and should keep an eye on their skin and moles. Simply thinking about having a skin mole removed might send shivers down your spine, but sometimes it’s necessary for your health. For example, if a biopsy is cancerous, removing the mole can help to stop any cancer from growing more. But many individuals also have moles removed for cosmetic reasons.

What Causes Moles?

Skin moles occur in all races and skin colors. Some individuals are born with moles. Most skin moles appear in early childhood and during the first 20 years of a person's life. New moles appearing after age 35 may require medical evaluation, and possible biopsy. Some moles appear later in life. Sun exposure seems to play a role in the development of skin moles. People with high levels of exposure to UV light tend to have more moles. However, moles may also occur in sun-protected areas.

How Is It Done?

Mole removal is a simple kind of surgical procedure. Your doctor will likely choose one of two ways: surgical shave or surgical excision. Surgical shave is done more often on small skin moles. After numbing the area, your healthcare provider will use a blade to shave off the mole and some tissue underneath it. Stitches aren’t usually required. During the surgical excision procedure, your doctor will numb the area. He or she will use a circular blade or scalpel to cut out the mole and some skin around it. The doctor will then stitch the skin closed.

Can a Mole Grow Back?

There's a small chance that a mole can grow back after mole surgery, although there's no way to predict whether this will happen. It's important to understand that no surgery has a 100 percent cure rate. Some mole cells may remain in the skin and may recur in the same area. Some skin moles are more aggressive than others and need closer follow-up and additional treatment.

Are There Any Risks?

Risks of mole removal methods include infection, rare anesthetic allergy, and very rare nerve damage. Follow your doctor's instructions to care for the wound until it heals. This means keeping it covered, clean and moist. The area may bleed a little when you get home, especially if you take medications that thin your blood. It's always prudent to choose a doctor with appropriate skills and experience with these removals. This will lower the risks associated with this procedure.


Take charge of your health today. Regular self-skin examinations and annual skin examinations by a doctor help people find early skin cancers. If you need a mole check, find a dermatologist near you and schedule your annual skin cancer screening.A simple skin cancer screening could save your life.





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