Chemical peels can help address many different skin concerns, including body acne, stretch marks, pigmentation, and fine lines. However, the key to achieving the best results lies not just in the treatment itself, but in how well you care for your skin during the healing process.

Keep reading to learn what to expect after a chemical peel and how supporting your skin’s natural healing process can make the difference between good results and an exceptional transformation.

Why Proper Healing Matters After Chemical Peels

Chemical peels work by removing damaged skin layers and stimulating collagen production, revealing healthier, more youthful-looking skin underneath. This process naturally creates a controlled injury to the skin that requires careful attention during the recovery period.

The healing phase is when your skin rebuilds and regenerates, making it particularly vulnerable to damage from sun exposure, harsh products, or improper care. Following certain instructions during your recovery ensures that your skin heals evenly and achieves the best possible results from your treatment investment.

1. Follow Your Healing Instructions Religiously

Proper aftercare following a chemical peel is essential for achieving the best results and preventing complications. Your dermatologist will provide specific instructions tailored to your treatment type and skin needs, which should be followed exactly as directed.

The timing and application of recommended products plays a crucial role in your healing process. Skipping steps or substituting products can interfere with your results and potentially lead to complications like uneven peeling or prolonged irritation.

Many patients make the mistake of thinking they can use their regular skincare products during the healing process. However, your skin’s needs are completely different after a chemical peel, and only the products recommended by your provider are designed to support this unique healing phase.

For some peels at Calkin & Boudreau, specifically VI Peels, you will receive a comprehensive aftercare kit that includes a cleanser, post-peel protectant, post-peel towelettes, sunscreen, and detailed instructions. Using a physical sunscreen with zinc and titanium dioxide is imperative post-peel.  Moisturizer with sunscreen is not suggested.

2. Avoid Sun Exposure at All Costs

Your newly revealed skin after a chemical peel is extremely sensitive to UV radiation and can burn much more easily than normal. Even minimal sun exposure during the first week of healing can cause permanent hyperpigmentation or scarring that may be difficult to treat.

Wear proper and adequate sunscreen if going outside and consider additional protection like wide-brimmed hats and UV-protective clothing.

Adam Ford, MD, a dermatologist at Golden State Dermatology in Sacramento, emphasizes the critical importance of sun protection during healing:

“ I cannot stress enough how vulnerable your skin is to sun damage in the days following a chemical peel. Even a few minutes of direct sunlight can cause a sunburn and create lasting pigmentation issues. This can completely undo many of the benefits of the peel. I always tell my patients to attempt to stay indoors during daylight hours for the first week. It’s best to avoid the sun at all costs and embrace indoor activities. The temporary lifestyle adjustment is worth the long-term results you’ll achieve.”

3. Don’t Pick, Peel, or Scratch

One of the most challenging aspects of chemical peel recovery is resisting the urge to help the peeling process along by picking at your skin. This natural impulse can be incredibly damaging and may result in scarring, uneven texture, or infection.

The peeling process happens on its own timeline, and interfering with it disrupts your skin’s natural healing mechanisms. Allow the dead skin to shed naturally, even if it means dealing with some temporary flaking or peeling for a few extra days. Remember that the peeling you see is a sign that the treatment is working, not something that needs your intervention.

4. Stay Hydrated Inside and Out

Chemical peels can temporarily compromise your skin’s natural moisture barrier, making proper hydration essential for comfortable healing. Drink plenty of water throughout your recovery period to support your skin’s healing processes from within.

Use only the moisturizing products approved by your dermatologist. Also, avoid heavy creams or oils that might trap bacteria or prevent proper skin shedding.

Your skin may feel tight or dry during the healing process, which is completely normal. Resist the urge to apply additional moisturizers beyond what’s recommended in your aftercare instructions, as this can actually slow your healing.

5. Modify Your Exercise and Activity Routine

Intense physical activity during the first few days after your chemical peel can increase swelling, prolong healing, and potentially lead to complications. Excessive sweating can irritate your sensitive skin and may increase your risk of infection.

Plan to take a break from vigorous workouts, hot yoga, saunas, and steam rooms for at least a week following your treatment. Light activities like gentle walking are usually acceptable, but always follow your provider’s specific recommendations.

6. Expect and Embrace the Peeling Process

Peeling typically begins around day three and can continue for up to a week, depending on the depth of your treatment. The skin may come off in sheets or small flakes, and the process rarely looks as neat and tidy as many patients expect.

Shawna Nelson, a licensed aesthetician at Golden State Dermatology in Mountain View, helps patients understand the peeling phase:

“I often tell my patients that the peeling phase is not always pretty in the middle, but the end result is beautiful. Some patients panic when they see large pieces of skin coming off, thinking something has gone wrong. Actually, this is exactly what we want to see. The more dramatic the peel, often the more dramatic the results. Trust the process and resist the urge to help it along.”

7. Watch for Signs of Complications

While complications from chemical peels are rare when performed by experienced providers and proper aftercare is followed, it’s important to know what signs warrant immediate attention. Unusual symptoms could indicate an infection or adverse reaction that requires treatment.

Contact your provider immediately if you experience severe swelling, pus, red streaking, fever, or pain that seems disproportionate to your treatment. While some discomfort is normal, severe or worsening symptoms are not typical and should be evaluated promptly.

Most patients experience only mild discomfort, similar to a sunburn, during the first few days. This should gradually improve, not worsen, as your skin heals.

8. Plan for Multiple Treatments and Long-Term Maintenance

Chemical peels often provide visible results after just one treatment, but the best results typically require a series of treatments spaced four to six weeks apart.  For preventative maintenance, most patients benefit from quarterly chemical peel treatments to maintain their results. Those seeking corrective treatment for more significant concerns may need a series of two to four treatments or more for optimal skin remodeling.

Your provider will work with you to develop a treatment plan that addresses your specific skin concerns and fits your lifestyle. Consistent treatments combined with proper aftercare and sun protection will help you maintain your results long-term.

If you have questions about your skin, schedule an appointment at Calkin & Boudreaux today!

Are you considering laser resurfacing but wondering if it’s the right treatment for your skin concerns? Laser resurfacing has become one of the most effective solutions for addressing various skin imperfections, from fine lines and wrinkles to acne scars and uneven pigmentation.

Keep reading to discover the key signs that indicate you’ll be thrilled with your laser resurfacing results and learn how this advanced technology can help you achieve the smooth, youthful skin you’ve always wanted!

1. You Have Fine Lines and Wrinkles That Bother You

Fine lines and wrinkles are among the most common concerns that laser resurfacing addresses with remarkable success. If you notice crow’s feet around your eyes, frown lines between your brows, or pucker marks around your mouth, laser resurfacing can significantly improve these signs of aging.

The UltraPulse CO2 fractional laser system works by applying thousands of tiny, instantaneous laser pulses to your skin. Each pulse heats a section of tissue, eliminating pigment discolorations at the surface while creating a zone of heating deep in the skin’s tissue to vaporize aging collagen and promote new collagen growth.

2. Your Skin Tone Appears Uneven or Splotchy

Uneven skin tone and pigmentation irregularities can make your complexion look aged and tired, even when you feel vibrant. Brown spots, sun damage, and splotchy areas respond exceptionally well to laser resurfacing treatments. The laser eliminates pigment discolorations at the surface while stimulating the production of fresh, healthy skin cells.

ActiveFX, one of the three types of laser resurfacing available, is particularly effective for improving skin texture and tone while reducing uneven pigmentation and sun damage.

3. You’re Dealing with Acne Scarring

Acne scars can be a persistent reminder of past breakouts, affecting your confidence and self-esteem. Deep acne scars, including those caused by cystic acne, respond particularly well to DeepFX laser treatment. This procedure uses fractional CO2 laser microbeams to target the deeper dermal layers of your skin, activating healing responses that regenerate tissue and trigger collagen development.

4. You Want Dramatic Results with Manageable Downtime

Unlike some cosmetic treatments that require multiple sessions with minimal visible improvement, laser resurfacing can provide significant results that justify the recovery period. While there is some downtime involved, particularly with more intensive treatments like TotalFX, the dramatic improvement in skin quality makes it worthwhile for many patients.

Andrew Menkes, MD, at Golden State Dermatology in Mountain View, explains the balance between results and recovery:

“Many patients come to me wanting significant improvement in their skin but are concerned about downtime. Laser resurfacing offers one of the best result-to-recovery ratios in cosmetic dermatology. While you may experience some swelling and need special follow-up care for healing, the transformation in skin texture, tone, and overall appearance is often dramatic enough that patients feel the temporary inconvenience was completely worth it. I always tell my patients that this treatment is an investment in their long-term skin health and appearance.”

5. Traditional Skincare Products Haven’t Given You the Results You Want

If you’ve tried everything: countless serums, creams, and over-the-counter treatments without achieving the skin transformation you’re seeking. If this sounds like you, laser resurfacing might be the solution you need.

Topical products can only penetrate so deeply into the skin, limiting their ability to address structural issues like collagen loss and deep pigmentation problems.

Laser resurfacing works at a cellular level, removing the very thin, outermost layer of skin and stimulating regeneration from within. This approach can achieve results that simply aren’t possible with surface-level treatments alone.

6. You’re Looking for Long-Lasting Improvements

One of the most appealing aspects of laser resurfacing is the longevity of results. Unlike some treatments that require frequent maintenance sessions, laser resurfacing provides improvements that can last for years with proper skincare and sun protection.

The collagen stimulation triggered by the treatment continues to improve your skin quality for months after your session.

For patients seeking more gentle improvements with less downtime, LaseMD offers an excellent alternative. This non-ablative fractional thulium laser creates numerous tiny microchannels in the skin, stimulating natural collagen and elastin production while leaving “bridges” of healthy tissue between each channel for faster healing.

7. You Have Realistic Expectations About the Process

The best candidates for laser resurfacing understand that achieving beautiful results requires patience and proper aftercare. While some improvement is visible immediately, the full benefits of treatment develop over several months as your skin continues to regenerate and produce new collagen.

You should be prepared to follow post-treatment instructions carefully and protect your newly rejuvenated skin from sun exposure. Eric Lovato, PA-C, at Dermatology and Laser Centre of Studio City, a Golden State Dermatology Affiliate, emphasizes the importance of patient education and realistic expectations:

“I spend considerable time with each laser resurfacing patient discussing what to expect during the healing process. Patients who come in with realistic expectations about the timeline and aftercare requirements are consistently the happiest with their results. The key is understanding that laser resurfacing is a process, not an instant fix. Your skin will look progressively better over the weeks and months following treatment, and following our aftercare guidelines is crucial for achieving optimal results and maintaining your beautiful new skin.”

Choosing the Right Type of Laser Resurfacing

Calkin & Boudreaux offers several laser resurfacing options to meet different needs and comfort levels.

ActiveFX provides visible improvement in skin texture and tone with minimal discomfort, while DeepFX targets deeper skin layers for more dramatic results in treating moderate to deep wrinkles and deep acne scars. TotalFX combines both approaches for comprehensive skin rejuvenation. For patients seeking non-ablative options, LaseMD offers effective results with less downtime than traditional laser resurfacing.

Your dermatologist will help determine which approach best suits your skin concerns, lifestyle, and desired outcomes.

If you have questions about your skin, schedule an appointment at Calkin & Boudreaux today!

The holiday season brings many opportunities to celebrate with family and friends, making it the perfect time to invest in treatments that help you look and feel your absolute best. Whether you’re preparing for office parties, family gatherings, or simply want to start the new year with renewed confidence, professional dermatological treatments offer lasting results that go far beyond what any over-the-counter product can achieve.

Keep reading to learn about six treatments that will help you achieve radiant, refreshed skin just in time for all your holiday celebrations.

Why Are the Holidays the Perfect Time for Skin Treatments?

The weeks leading up to major holidays present an ideal window for cosmetic treatments, as you’ll have time to heal and see full results before your important events. Many professional treatments require minimal downtime, allowing you to return to your daily activities while your skin undergoes its transformation process.

The cooler winter months also offer prime conditions for certain treatments that require sun protection during the healing process. That way, your skin can recover properly while you’re naturally spending more time indoors and wearing protective clothing when venturing outside.

Exploring Your Options

At Calkin & Boudreaux, our providers offer some excellent treatment options that can help you achieve your aesthetic goals while working with your holiday timeline.

1. Microneedling with Radiofrequency

Microneedling with Radiofrequency (RF) is a minimally invasive treatment that rejuvenates the skin by combining traditional microneedling with the deep-heating power of radiofrequency energy. Tiny, ultra-fine needles create controlled micro-injuries in the skin while simultaneously delivering RF energy into the deeper dermal layers. This process stimulates the body’s natural healing response—boosting collagen and elastin production for smoother, firmer, and more youthful-looking skin.

By targeting both the surface and deeper layers of the skin, RF microneedling improves tone, texture, and tightness, helping reduce fine lines, acne scars, enlarged pores, and overall laxity. Over the weeks following treatment, new collagen continues to remodel and strengthen the skin’s foundation, revealing gradual, natural-looking results that can last for months.

2. VI Peels

VI Peels offer a powerful yet gentle approach to skin resurfacing that can address multiple concerns in a single treatment session. These medical-grade chemical peels use a blend of ingredients, including salicylic acid, retinoic acid, and vitamin C to penetrate deep into your skin and stimulate cellular renewal.

The treatment process begins with thorough skin cleansing, followed by the careful application of the VI Peel solution. Most patients experience only mild tingling during application, and the entire procedure takes approximately 30 minutes to complete.

Following treatment, your skin will begin peeling within 48 to 72 hours, revealing the fresh, new skin underneath. The complete peeling process typically lasts five to seven days, during which time you’ll need to follow specific aftercare instructions to ensure optimal results and prevent complications.

3. DiamondGlow

DiamondGlow represents the next generation of dermabrasion technology, combining exfoliation, extraction, and infusion in one comprehensive treatment. This three-in-one approach removes dead skin cells, clears congested pores, and delivers condition-specific serums deep into your skin for immediate and long-lasting results.

The treatment utilizes a diamond-tipped wand to gently resurface your skin while simultaneously vacuuming away dead cells and impurities. As this exfoliation occurs, the device infuses your skin with professional-grade serums tailored to address your specific concerns, whether you’re dealing with dryness, hyperpigmentation, or signs of aging.

Alison Boudreaux, MD, board-certified dermatologist in Sacramento, explains the versatility of DiamondGlow treatments:

4. LaseMD Skin Resurfacing

LaseMD uses fractional non-ablative laser technology to create controlled micro-injuries in your skin, stimulating your body’s natural healing process and collagen production. This advanced resurfacing treatment can effectively address fine lines, sun damage, melasma, and overall skin texture concerns while requiring minimal downtime.

The laser creates thousands of microscopic treatment zones in your skin while leaving surrounding tissue intact, allowing for faster healing and reduced risk of complications. After LaseMD treatment, your skin will begin to show improvement within a few days, with results typically visible after a series of treatments spaced four to six weeks apart.

5. IPL FotoFacial

Intense Pulsed Light (IPL) technology offers a non-invasive solution for addressing multiple skin concerns in a single treatment session. IPL delivers broad-spectrum light energy that targets specific chromophores in your skin, effectively treating sun damage, age spots, rosacea, broken capillaries, and overall skin tone irregularities.

The treatment works by directing controlled light energy into your skin, where it is absorbed by targeted pigmented and vascular lesions. This absorption process heats and destroys unwanted cells while leaving surrounding healthy tissue unaffected, allowing your body to naturally eliminate the treated areas over the following weeks.

6. Botox & Dermal Fillers

Injectable treatments remain among the most popular cosmetic procedures for achieving immediate, natural-looking results with minimal downtime. Botox works by temporarily relaxing specific facial muscles that create dynamic wrinkles, while dermal fillers restore lost volume and smooth static lines for a more youthful appearance.

Botox injections target expression lines around the eyes, forehead, and between the brows by blocking nerve signals to specific muscles. Dermal fillers utilize hyaluronic acid-based formulations to restore volume to areas affected by age-related volume loss, including the cheeks, lips, nasolabial folds, and under-eye areas.

These treatments provide immediate results that continue to improve over the following days as the product settles naturally into place.

Amanda Knox, RN, aesthetic nurse in Sacramento emphasizes the importance of proper technique and timing:

“The key to successful injectable treatments lies in understanding facial anatomy and creating natural-looking results that enhance rather than change your appearance. We recommend scheduling Botox treatments at least two weeks before important events to allow time for the full effect to develop, while filler treatments can be performed closer to your special occasions since results are visible immediately. The goal is always to help patients look like the best version of themselves.”

When Should I Schedule My Treatment?

Timing considerations vary depending on your chosen treatment and the specific events you’re preparing for during the holiday season. Treatments requiring minimal downtime, such as DiamondGlow or IPL, can be scheduled relatively close to important events, while more intensive procedures may require several weeks of healing time.

For the best results, many providers recommend beginning your treatment plan 6 to 8 weeks before major holiday events. This timeline allows for proper healing, potential follow-up treatments if needed, and time for your final results to fully develop before your special occasions.

If you have questions about your skin, schedule an appointment at Calkin & Boudreaux today!

Skin conditions can range from minor irritations to more complex disorders that require professional treatment. While some skin conditions may seem straightforward, proper diagnosis and treatment from a qualified dermatologist ensures the best outcomes and prevents potential complications.

Let’s explore the eight most prevalent skin conditions that dermatologists encounter and the effective treatments that can help restore your skin’s health and appearance.

1. Acne

Acne is one of the most common skin conditions, affecting people well into their adult years. This condition occurs when hair follicles become clogged with oil, dead skin cells, and bacteria, leading to various types of breakouts including blackheads, whiteheads, papules, and cystic lesions.

Treatment approaches for acne vary significantly based on severity and type. Professional treatments at Calkin & Boudreaux may include chemical peels, extractions, or light-based therapies. Your dermatologist will create a personalized treatment plan that addresses your specific type of acne while considering your skin sensitivity and lifestyle factors.

2. Eczema

Eczema, particularly atopic dermatitis, presents as red, itchy, and inflamed patches of skin that can appear anywhere on the body. This condition is frequently associated with allergies and asthma, making it important to address underlying triggers alongside topical treatments.

The hallmark of eczema is intense itching that can significantly impact quality of life and sleep patterns. Treatment strategies focus on restoring the skin barrier, reducing inflammation, and identifying potential triggers. Prescription topical corticosteroids and newer medications can provide significant relief for many patients.

Moisturizing also plays an important role in eczema management. The providers at Calkin & Boudreaux are experts in eczema treatment and can help identify your personal triggers, as well as develop a comprehensive management plan that includes both treatment and prevention strategies.

3. Psoriasis

Psoriasis is a chronic autoimmune condition that causes accelerated skin cell production. Plaque psoriasis is the most common subtype of psoriasis. It is characterized by thick plaques with silvery-white scale. It may appear on the elbows, knees, scalp, or other areas of the body. Psoriasis can be localized or widespread. It can have a psychosocial impact on the patient, and may significantly affect daily activities.

Meghan Feely McDonald, MD at Golden State Dermatology in Carmel explains the importance of comprehensive psoriasis care:

“Psoriasis is a systemic inflammatory condition that requires a thoughtful, personalized approach. Modern treatments have revolutionized our ability to help patients achieve clear skin and improved quality of life. We now have a wide range of options available ranging from topical treatments to biologic medications that target specific immune pathways. The key is understanding a patient’s goals and individualizing a treatment regimen to optimize clinical outcomes.”

Treatment options range from topical medications, phototherapy, and excimer laser to systemic medications and biologics. The choice of treatment depends on the extent of involvement, comorbid health conditions, patient preferences, and response to previous therapies.

4. Rosacea

Rosacea primarily affects the central face, causing persistent redness, visible blood vessels, and sometimes acne-like bumps. This condition tends to worsen over time without proper treatment and can significantly impact self-confidence and social interactions.

Topical medications such as metronidazole gel and azelaic acid can help control symptoms. For more severe cases, oral antibiotics or other systemic medications may be necessary to achieve adequate control.

5. Seborrheic Dermatitis

Seborrheic dermatitis appears as red, scaly patches in areas rich in oil glands, particularly the scalp, face, and chest. While often dismissed as simple dandruff when it affects the scalp, this condition can be persistent and require professional treatment for optimal control.

The exact cause involves a combination of oil production, yeast organisms on the skin, and individual susceptibility. Stress, hormonal changes, and certain medical conditions can exacerbate symptoms.

Treatment typically involves medicated shampoos containing ingredients like ketoconazole, selenium sulfide, or zinc pyrithione. Topical antifungal creams and mild corticosteroids may be prescribed for facial involvement or more stubborn cases.

6. Melasma

Melasma presents as brown or gray patches on the face, most commonly affecting women during pregnancy or while using hormonal contraceptives. It can persist long after hormonal changes have resolved, requiring ongoing management.

Sun exposure significantly worsens melasma, making strict sun protection absolutely essential for treatment success. Even brief exposures can trigger darkening of existing patches or development of new ones.

Hema Patel, PA-C, at Golden State Dermatology in Walnut Creek, shares her approach to melasma treatment:

“Melasma can be one of the more challenging pigmentation disorders to treat, but we’ve seen excellent results with combination approaches. Success requires patience and consistency from both the provider and patient. We often use a multi-modal approach that includes prescription lightening agents, chemical peels, and sometimes laser treatments, but the foundation of any successful melasma treatment is religious sun protection. I always tell my patients that even the best lightening treatments won’t work if we can’t control the sun exposure that triggers the pigmentation in the first place.”

Treatment combinations may include tretinoin or corticosteroids. Professional treatments such as chemical peels and certain laser therapies may also be an option.

7. Skin Cancer

Skin cancer, including basal cell carcinoma, squamous cell carcinoma, and melanoma, represents the most common type of cancer in the United States. Early detection through regular self-examinations and professional skin checks dramatically improves treatment outcomes and survival rates.

Warning signs include new growths, changes in existing moles, sores that don’t heal, or any spot that looks different from others. The ABCDE rule (Asymmetry, Border irregularity, Color variation, Diameter larger than a pencil eraser, Evolving) helps identify potentially concerning lesions.

Treatment options vary widely based on cancer type, size, location, and stage. Early-stage skin cancers often require only minor surgical procedures, while more advanced cases may need comprehensive treatment approaches including surgery, radiation, or systemic therapies.

8. Age Spots and Sun Damage

Age spots are flat brown spots that develop from years of sun exposure. These benign pigmented lesions commonly appear on the face, hands, shoulders, and other sun-exposed areas as we age.

While age spots are harmless, they can be cosmetically concerning and may sometimes be confused with more serious pigmented lesions. Treatment options include prescription lightening agents, chemical peels, cryotherapy, and laser treatments. The choice of treatment depends on the size, number, and location of the spots, as well as patient preferences and skin type.

If you have questions about your skin, schedule an appointment at Calkin & Boudreaux today!

Back acne, commonly known as “bacne,” can be just as frustrating and confidence-damaging as facial acne. Unlike facial breakouts that are easily visible and accessible for treatment, back acne presents unique challenges due to its location, making it harder to reach, treat, and monitor progress.

With the right approach and professional guidance, most people can successfully manage and eliminate their back acne. Keep reading to learn the root causes of bacne, and some of the treatment strategies that might be able to help you achieve clearer, healthier skin on your back and shoulders.

What Exactly Is Bacne?

Bacne refers to acne breakouts that occur on the back, shoulders, and sometimes extending to the chest area. Just like facial acne, it develops when hair follicles become clogged with oil, dead skin cells, and bacteria, leading to inflammation and various types of blemishes.

The skin on your back contains larger pores and more sebaceous glands than many other areas of your body, making it particularly susceptible to acne formation. These breakouts can range from mild blackheads and whiteheads to severe cystic acne that causes painful, deep nodules under the skin.

What Causes Back Acne to Develop?

Several interconnected factors contribute to the development of back acne, often working together to create the perfect conditions for breakouts to occur.

Excess Oil Production

Your back contains numerous sebaceous glands that produce sebum, an oily substance designed to keep your skin moisturized and protected. However, when these glands produce too much oil, it can mix with dead skin cells and clog your pores, creating the perfect environment for acne-causing bacteria to thrive. Hormonal fluctuations, particularly during puberty, menstruation, pregnancy, or times of stress, can trigger increased sebum production.

Friction and Irritation

The constant friction from tight clothing, backpacks, sports equipment, or even bedsheets can irritate the skin on your back and contribute to acne formation. Athletic activities that involve wearing tight gear or equipment that rubs against the back are particularly problematic. The combination of friction, heat, and sweat creates ideal conditions for bacteria to multiply and pores to become blocked.

Sweat and Heat Buildup

Excessive sweating, especially when trapped against the skin by non-breathable fabrics, creates a warm, moist environment that promotes bacterial growth. When sweat sits on your skin for extended periods, it can mix with oil and dead skin cells to clog pores and trigger inflammation.

Heat and humidity can also increase oil production and make existing acne worse. This is why many people notice their bacne worsens during summer months or after intense workouts when they don’t shower immediately.

Hair and Skincare Products

Many hair care products, including conditioners, leave-in treatments, and styling products, can run down your back during showering and clog pores. These products often contain oils, silicones, and other ingredients that can be comedogenic, meaning they’re likely to cause pore blockages.

Body lotions, sunscreens, and other topical products applied to the back area can also contribute to acne if they contain pore-clogging ingredients. Even products labeled as “non-comedogenic” can sometimes cause breakouts in sensitive individuals.

Dr. Caroline Campbell, a dermatologist at Duncan Dermatology, a Golden State Dermatology affiliate, explains the complexity of bacne development:

“Back acne develops through the same multifactorial process as facial acne—it’s an inflammatory condition of the pilosebaceous unit driven by bacteria, hormones, sebum, and keratin buildup. What makes truncal acne unique is the environment: thicker skin, more active oil glands, and frequent friction from clothing or athletic gear create the perfect setup for breakouts. As highlighted in recent JAMA review, addressing both the biologic and external triggers—not just the surface lesions—is key to achieving lasting clearance.”

(Reference: Eichenfield DZ et al., JAMA*, 2024.)

How Can You Prevent Back Acne?

Prevention is often the most effective approach to managing bacne, focusing on eliminating or reducing the factors that contribute to pore blockages and bacterial growth.

Wearing loose-fitting, breathable clothing made from natural fibers like cotton can significantly reduce friction and allow your skin to breathe properly. It’s also important to change out of sweaty clothes immediately after exercising and avoid wearing the same shirt for extended periods.

Shower immediately after sweating, using a gentle cleanser specifically designed for acne-prone skin that contains ingredients like salicylic acid or benzoyl peroxide. Focus on thoroughly cleansing your back and shoulders, but avoid scrubbing aggressively, which can worsen inflammation and irritation.

Choose non-comedogenic skincare products, sunscreens, and body lotions specifically formulated for acne-prone skin. Read ingredient labels carefully and avoid products containing heavy oils, butters, or other known pore-clogging substances.

When applying products to areas near your back, such as your neck or shoulders, be careful not to let excess product migrate to acne-prone areas. Consider using different products for your face and body to avoid cross-contamination of acne-triggering ingredients.

What Are the Most Effective Treatments for Bacne?

Treatment options for back acne range from gentle over-the-counter products to powerful prescription medications and professional procedures, with the best approach depending on the severity and underlying causes of your specific breakouts.

Over-the-Counter Options

Salicylic acid body washes and leave-on treatments can help exfoliate dead skin cells and unclog pores, making them an excellent first-line treatment for mild to moderate bacne. These products work by penetrating into the pores and dissolving the buildup that leads to acne formation.

Professional Treatment Options

For moderate to severe bacne that doesn’t respond to over-the-counter treatments, professional intervention may be necessary. Oral medications, including antibiotics for bacterial control or hormonal treatments for women with hormone-related acne, may be recommended for persistent cases. Your dermatology provider can determine which prescription options are most appropriate based on the severity and characteristics of your specific acne.

Advanced Dermatological Procedures

Chemical peels designed for body acne can help exfoliate multiple layers of dead skin cells and unclog pores more effectively than topical treatments alone. These professional treatments can also help fade post-acne marks and improve overall skin texture on the back and shoulders.

Light-based therapies and laser treatments can target acne-causing bacteria and reduce inflammation for patients who haven’t responded well to traditional treatments. These procedures are typically performed in a series and may be combined with other treatment modalities for optimal results.

Vanessa Parvez, PA-C at Golden State Dermatology in Berkeley, discusses treatment approaches:

“The key to successful bacne treatment is patience and consistency. The skin on the back is thicker, has larger pores, and tends to shed dead skin cells more slowly than facial skin, so it often responds more gradually to treatment. We typically recommend a combination approach that includes both topical and, when appropriate, oral therapies, along with lifestyle modifications to address contributing factors. Many patients notice improvement within 6 to 8 weeks, but it can take 3 to 4 months to see the full benefits of their regimen.”

When Should You See a Dermatologist for Back Acne?

If your bacne is painful, leaving scars, or significantly impacting your quality of life and self-confidence, it’s time to consult a dermatology expert. Cystic acne that forms deep, painful nodules under the skin requires professional treatment to prevent permanent scarring and manage the underlying inflammation.

Over-the-counter treatments that haven’t shown improvement after 6-8 weeks of consistent use also warrant professional evaluation. Your provider can assess whether you need stronger medications or if there are underlying factors contributing to your persistent breakouts.

If you have questions about your skin, schedule an appointment at Calkin & Boudreaux today!

Hair loss during menopause is one of the most distressing changes women experience during this life transition. While many women expect hot flashes and mood changes, the gradual thinning of hair often comes as a shock, impacting self-confidence and requiring a comprehensive understanding of both causes and solutions.

Keep reading to discover the science behind menopausal hair loss and learn about the comprehensive treatment approaches that can help you maintain healthier, fuller hair during this important life stage.

Why Does Menopause Trigger Hair Loss?

The primary culprit behind menopausal hair loss is the dramatic shift in hormone levels that occurs during this transition. As estrogen and progesterone levels decline, the protective effects these hormones have on hair follicles diminish significantly.

Declining Estrogen Levels

Estrogen helps keep hair in the anagen (growth) phase for longer periods, promoting thicker, fuller hair. When estrogen levels drop, hair follicles spend less time in the growth phase and more time in the resting phase, leading to shorter, thinner hair strands that are more likely to fall out.

Increased Androgen Activity

While declining estrogen is a major factor, the relative increase in androgens (male hormones) also plays a crucial role in menopausal hair loss. During menopause, while overall hormone production decreases, the ratio of androgens to estrogen increases.

These androgens, particularly dihydrotestosterone (DHT), can cause hair follicles to shrink in a process called miniaturization. This leads to progressively thinner hair strands and eventually to follicles that stop producing hair altogether, particularly around the crown and temples.

Scalp Aging and Reduced Circulation

Beyond hormonal changes, the aging process itself affects the scalp environment in ways that can accelerate hair loss. The scalp skin becomes thinner and less elastic with age, reducing blood flow to hair follicles and limiting the delivery of essential nutrients.

Collagen production in the scalp decreases over time, weakening the structural support around hair follicles. This compromised scalp environment creates additional challenges for maintaining healthy hair growth, making targeted scalp treatments an essential component of comprehensive hair loss management.

What Are the Different Types of Menopausal Hair Loss?

Androgenetic alopecia, also known as female pattern baldness, is the most common type of hair loss experienced during menopause. This condition typically manifests as diffuse thinning across the crown of the head rather than the receding hairline pattern seen in men.

Telogen effluvium is another type of hair loss that can occur during menopause, characterized by widespread hair shedding following physical or emotional stress. The hormonal upheaval of menopause itself can trigger this type of temporary hair loss, though it may become chronic if underlying causes aren’t addressed.

Dr. James Kilgour at Golden State Dermatology explains the complexity of menopausal hair loss:

What Medical Treatments Are Available for Menopausal Hair Loss?

Minoxidil remains the most widely prescribed topical treatment for female pattern hair loss and can be particularly effective when started early in the hair loss process. This FDA-approved medication works by extending the growth phase of hair follicles and increasing blood flow to the scalp.

Hormone replacement therapy may also help some women experiencing menopausal hair loss, particularly when estrogen and progesterone levels are restored to more optimal ranges. However, the decision to pursue hormone therapy should always involve careful consideration of individual risk factors and benefits with a qualified provider.

However, professional scalp treatments can play a vital role in creating an optimal environment for hair growth during menopause. These treatments focus on improving circulation, reducing inflammation, and delivering targeted nutrients directly to hair follicles.

Advanced serum solutions containing growth factors, peptides, and other bioactive compounds can help counteract some of the age-related changes in scalp tissue. These specialized formulations work to strengthen the scalp’s structural integrity and enhance the cellular environment surrounding hair follicles.

Dr. James Kilgour discusses the importance of comprehensive scalp care:

“I’ve seen remarkable improvements in my patients when we address scalp health as part of their overall hair loss treatment plan. The scalp environment is just as important as hormonal factors in determining hair growth success. Professional-grade serums and treatments can help restore some of the youthful characteristics of scalp tissue, creating better conditions for hair follicle function. When combined with appropriate medical treatments and lifestyle modifications, comprehensive scalp care can make a significant difference in treatment outcomes for menopausal hair loss.”

When Should You See a Dermatologist for Hair Loss?

Early intervention is key when dealing with menopausal hair loss, as hair follicles become increasingly difficult to revive once they’ve been inactive for extended periods. If you notice increased hair shedding, thinning around the part line, or overall volume loss, it’s important to seek professional evaluation promptly.

A dermatologist can perform comprehensive testing to rule out other causes of hair loss and develop a personalized treatment plan. This may include blood work to check for nutritional deficiencies, thyroid function, and hormone levels, as well as a detailed scalp examination to assess follicle health.

How Long Does It Take to See Results from Treatment?

Hair growth is inherently slow, and it typically takes 3-6 months to see initial improvements from most hair loss treatments. This timeline reflects the natural hair growth cycle, which cannot be accelerated beyond certain biological limits.

Consistency with treatment is crucial during this waiting period, as stopping treatment prematurely can result in loss of any progress made. Many women find it helpful to take progress photos and measurements to track subtle changes that might not be immediately apparent.

Menopausal hair loss doesn’t have to be an inevitable part of aging. By understanding the multiple factors involved and working with experienced providers to develop comprehensive treatment strategies, women can maintain healthier, fuller hair throughout this life transition and beyond.

If you have questions about your skin, schedule an appointment at Calkin & Boudreaux at Allura Skin & Laser Center today!

Whether you’re dealing with stubborn acne, fine lines, or uneven skin texture, retinoids have earned their reputation as one of the most powerful tools in dermatology. These vitamin A derivatives work at the cellular level to transform your skin from within, offering benefits that extend far beyond surface-level improvements.

Keep reading to learn how retinoids function and how finding the right approach for your skin type can unlock a new level of skin health and radiance!

What Are Retinoids and How Do They Work?

Retinoids are derivatives of vitamin A that work by accelerating cellular turnover and promoting the production of new, healthy skin cells. They penetrate deep into the skin to influence how cells behave, essentially reprogramming them to function more efficiently and effectively. This process helps unclog pores, smooth skin texture, and stimulate collagen production for firmer, more youthful-looking skin.

The magic of retinoids lies in their ability to normalize the skin cell cycle, which often becomes disrupted due to factors like aging, sun damage, or hormonal changes. By encouraging faster cell renewal, retinoids help shed damaged skin cells more quickly while promoting the growth of fresh, healthy cells underneath.

Not all retinoids are created equal, and understanding the differences can help you choose the most appropriate option for your skin concerns. Prescription retinoids offer the strongest effects and are typically recommended for more severe skin concerns or when over-the-counter options haven’t worked sufficiently.

Over-the-counter retinol products provide a gentler introduction to retinoid therapy and can be excellent starting points for those new to these powerful ingredients. Your provider at Calkin & Boudreaux can help determine which type and strength will work best for your specific skin type and concerns.

The Anti-Aging Benefits of Retinoids

One of the most celebrated benefits of retinoids is their ability to combat signs of aging effectively. By stimulating collagen production and accelerating cell turnover, retinoids can significantly reduce the appearance of fine lines, wrinkles, and age spots over time.

Regular retinoid use helps maintain skin elasticity and firmness, creating a more youthful complexion that many patients notice within just a few months of consistent use. The anti-aging effects of retinoids are both preventative and corrective, making them valuable whether you’re looking to address existing concerns or prevent future signs of aging.

Gene Rubinstein, MD, at LAskinMD, a Golden State Dermatology Affiliate in Studio City, emphasizes the transformative potential of retinoids:

“One of the most powerful benefits of retinol is its ability to thicken the dermis, making skin stronger and more resilient. On the face, this translates into fewer fine lines, firmer texture, and a healthier, more youthful look over time. Micronized formulas are especially valuable because their smaller particles penetrate more evenly with less irritation, even around sensitive areas like the eyes. When paired with sun protection, retinol remains one of the few proven treatments that rebuild the foundation of the skin itself.”

Especially for senior patients, thinning skin on the arms becomes a cosmetic concern. Dr. Rubinstein adds:

“As we age, the skin on the forearms becomes thinner and more fragile, which makes easy bruising a common concern. Retinol can help by thickening the dermis and strengthening the skin from within, so the blood vessels underneath are better supported. With consistent use, retinol not only improves texture and tone but can also reduce the frequency and severity of bruising on the arms, giving the skin a healthier, more resilient appearance.”

Retinoids for Acne Treatment

Beyond their anti-aging properties, retinoids excel at treating acne by preventing the formation of comedones (blackheads and whiteheads) and reducing inflammation. They work by keeping pores clear and reducing the stickiness of dead skin cells that can clog follicles and lead to breakouts. The dual action of clearing current acne while preventing future breakouts makes retinoids a cornerstone of many effective acne treatment plans.

Improving Skin Texture and Tone

Retinoids are particularly effective at improving overall skin texture and evening out skin tone. They help reduce the appearance of enlarged pores, smooth rough patches, and fade dark spots or post-inflammatory hyperpigmentation from previous breakouts.

Dr. Rubinstein explains the diverse possibilities for retinol use.

“Retinol isn’t just for the face — body formulations can be transformative on sun-damaged forearms, chest, and even cracked shins, where thinning and fragile skin are common. Retinol helps restore durability, improve tone, and smooth roughness in these overlooked areas. With consistent use, skin not only looks better, but feels stronger and more resilient from head to toe.”

Many patients notice that their skin feels smoother and looks more radiant after incorporating retinoids into their routine. This improvement in texture and tone often leads to a more even makeup application and a natural glow that doesn’t require heavy products or filters.

What to Expect When Starting Your Retinoid Journey

Beginning a retinoid routine requires patience and a gradual approach to minimize potential side effects like dryness, redness, or peeling. Most dermatologists recommend starting with a low concentration and using the product every few nights initially, gradually increasing frequency as your skin adjusts.

You may experience a period of potential irritation and dryness during the first few weeks. This is normal and temporary for many users. Your provider at Calkin & Boudreaux will guide you through this adjustment period and help modify your routine if needed to ensure the best possible experience.

Why Sun Protection is Essential When Using a Retinoid

One of the most important aspects of using retinoids is maintaining diligent sun protection, as these products can increase your skin’s sensitivity to UV radiation. Daily broad-spectrum sunscreen with an SPF of at least 30 becomes even more crucial when using retinoids regularly.

Naura Shah, PA-C at Golden State Dermatology in Tracy, stresses the importance of this combination approach:

“I always emphasize to my patients that retinoids and sun protection work as a team to optimize skin health. While retinoids are working to repair and renew the skin, proper sun protection ensures that new damage doesn’t occur, allowing the full benefits of treatment to be seen. This partnership is especially important because retinoids can make the skin more photosensitive initially. Investing in a broad-spectrum, high-quality sunscreen (SPF 30 or higher) is just as important as the retinoid product itself when it comes to achieving skin goals, but it is equally critical to apply sunscreen correctly—using enough to cover all exposed areas, applying at least 15 minutes before going outside, and reapplying every 2–4 hours or after swimming or sweating—to ensure optimal protection.”

Embrace the Transformation

Retinoids represent one of the most scientifically proven and effective approaches to improving skin health and appearance. Whether you’re dealing with acne, signs of aging, or simply want to maintain healthy, radiant skin, these powerful ingredients can help you achieve your goals with patience and proper guidance.

The journey to transforming your skin with retinoids is truly a process of transformation from within, creating lasting changes that continue to benefit your skin for years to come. With the right product, proper usage, and professional support, retinoids can unlock your skin’s potential and help you achieve the clear, healthy complexion you’ve been seeking.

If you have questions about your skin, schedule an appointment at Calkin & Boudreaux today!

Living with eczema can be challenging. It can cause a variety of symptoms, ranging from mild irritation to severe, persistent inflammation that disrupts daily life.

While prescription treatments and medical therapies remain the gold standard, many patients are interested in exploring natural remedies they can use in addition to their existing treatment plans or to provide relief for milder symptoms. These remedies often focus on reducing inflammation, strengthening the skin barrier, and addressing underlying triggers that can worsen eczema flare-ups.

Keep reading to discover seven evidence-based natural remedies that may help manage your eczema symptoms and improve your overall skin health.

What Is Eczema and Why Does It Occur?

Eczema, also known as dermatitis, is a condition where skin becomes inflamed due to irritation from harsh soaps or chemicals, or from allergens that trigger individual sensitivities. The most common form is atopic dermatitis, which occurs in people who have a personal or family history of asthma, hay fever, or eczema.

Atopic dermatitis causes extremely sensitive and dry skin with an impaired protective barrier to the environment, resulting in worsened itching and rash development. This compromised barrier function allows moisture to escape more easily while permitting irritants and allergens to penetrate deeper into the skin layers.

How Can Natural Remedies Help with Eczema?

Natural remedies work by addressing various aspects of eczema, from reducing inflammation and soothing irritated skin to strengthening the skin barrier and supporting overall skin health. Many natural approaches focus on gentle, non-irritating ingredients that can be used safely alongside conventional treatments without causing additional skin sensitivity.

These remedies often contain compounds with anti-inflammatory, antimicrobial, or moisturizing properties that help calm active flare-ups and prevent future outbreaks. Here are some options:

1. Oatmeal Baths and Topical Applications

Colloidal oatmeal has been is often considered a safe and effective ingredient for treating eczema and other inflammatory skin conditions. The compounds found in oats provide anti-inflammatory and moisturizing benefits that can significantly reduce itching and irritation during flare-ups.

You can create an oatmeal bath by grinding plain, unflavored oats into a fine powder and adding it to lukewarm water, then soaking for 10-15 minutes before gently patting your skin dry. Regular oatmeal treatments can help restore the skin’s pH balance and provide a protective barrier that locks in moisture.

Many people find that incorporating oatmeal baths into their routine 2-3 times per week helps prevent flare-ups and maintains healthier skin between active outbreaks.

2. Coconut Oil for Skin Barrier Support

Virgin coconut oil contains lauric acid which can provide both antimicrobial and anti-inflammatory properties beneficial for eczema management. The oil’s natural composition allows it to penetrate the skin effectively while creating a protective layer that helps prevent moisture loss and bacterial overgrowth.

Apply a thin layer of virgin coconut oil to slightly damp skin after bathing to maximize absorption and hydration benefits.

Dr. David M. Pilkington, a dermatologist at Golden State Dermatology, shares his perspective on natural moisturizing approaches:

“Coconut oil can be an excellent addition to an eczema management routine, particularly for patients looking for natural moisturizing options. The key is using high-quality, unrefined virgin coconut oil and applying it to slightly damp skin to enhance absorption. While it works well for many patients, it’s important to patch-test any new product first, as some people with eczema can be sensitive to coconut oil. We often recommend incorporating it gradually into a comprehensive skincare routine that includes gentle cleansing and other proven treatments.”

3. Honey as a Natural Healing Agent

Manuka honey, in particular, has demonstrated significant antimicrobial and anti-inflammatory properties that make it valuable for treating eczema-related skin damage and preventing secondary infections. The honey’s unique compounds can help speed wound healing while providing gentle moisture to damaged skin areas.

Medical-grade honey products are specifically designed for topical use and undergo processing to ensure safety and consistency for wound care applications. You can apply a thin layer of medical-grade honey to clean, affected areas and cover with a sterile bandage, leaving it on for several hours or overnight for maximum benefit.

Regular use of honey treatments may help reduce the severity of flare-ups and promote faster healing of cracked or damaged skin. Always choose medical-grade or high-quality Manuka honey rather than regular commercial honey for therapeutic purposes.

4. Probiotics for Internal Support

Emerging research suggests that gut health plays a significant role in eczema development and severity, with many people with eczema showing imbalances in their intestinal microbiome. Probiotic supplements containing specific strains may help modulate immune responses and reduce eczema severity over time.

James Kilgour, MD at Golden State Dermatology in Sacramento, explains the role of probiotics in eczema management:

“The relationship between gut health and eczema is fascinating and continues to evolve as we learn more about the microbiome’s impact on immune function. Many of our patients have found that incorporating specific probiotic strains can complement their topical treatments and help reduce flare-up frequency. However, it’s important to choose high-quality supplements with clinically studied strains and to be patient, as improvements typically develop gradually over several months. We recommend discussing probiotic use with your healthcare provider to ensure it fits appropriately into your overall treatment plan.”

5. Evening Primrose Oil and Omega Supplements

Evening primrose oil contains an omega-6 fatty acid that may help reduce inflammation and improve skin barrier function in some people with eczema. Omega-3 fatty acids from fish oil or algae supplements may also provide anti-inflammatory benefits that support overall skin health and eczema management. The combination of omega-3 and omega-6 fatty acids helps maintain proper cell membrane function and supports the skin’s natural healing processes.

6. Aloe Vera for Soothing Relief

Pure aloe vera gel provides cooling, anti-inflammatory relief that can help calm active eczema flare-ups and reduce redness and itching. Choose 100% pure aloe vera gel without added fragrances, colors, or alcohol, as these additives can further irritate sensitive eczema-prone skin.

Apply a thin layer to clean, affected areas 2-3 times daily, or store the gel in the refrigerator for additional cooling relief during particularly uncomfortable flare-ups.

7. Stress Management and Lifestyle Approaches

Chronic stress can significantly worsen eczema symptoms by triggering inflammatory responses and compromising immune function. Incorporating stress-reduction techniques such as meditation, yoga, deep breathing exercises, or regular physical activity can help break the stress-eczema cycle and improve overall skin health.

Sleep quality also plays a crucial role in eczema management, as poor sleep can worsen inflammation and reduce the body’s ability to heal damaged skin. Creating a consistent bedtime routine, maintaining a cool, comfortable sleeping environment, and using gentle, fragrance-free bedding can help improve both sleep quality and eczema symptoms.

If you have questions about your skin, schedule an appointment at Calkin & Boudreaux today!

New skin growths commonly develop as a result of sun exposure over time, family history, hormonal influences, and the natural processes that affect our skin. These developments can trigger anxiety, particularly when you’re uncertain whether these changes represent normal aging or indicators of a more serious health concern.

While the majority of newly appearing skin lesions are harmless manifestations of the aging process, knowing when to seek professional medical evaluation can offer reassurance and ensure timely identification of any conditions requiring treatment. Keep reading to learn more about common skin growths and when you should worry about them!

What Causes Skin Growths?

After turning 45, both men and women commonly experience an increased frequency of new skin growth. These developments result from multiple contributing factors, including years of accumulated ultraviolet radiation exposure, shifting hormone levels, and the natural cellular changes that occur as skin ages.

Certain lesions may manifest individually, while others tend to cluster or appear in multiple locations across various body regions. Familiarizing yourself with the defining features of common benign lesions can help you differentiate between typical age-related skin changes and those that may warrant professional evaluation.

Seborrheic Keratosis (SK)

Seborrheic keratoses rank among the most common skin formations that often develop during the middle years of life. They are characterized by their raised, textured appearance that ranges from pink to deep brown.

They are harmless and remarkably common in individuals over 45, regardless of gender, with some people developing just a few while others may accumulate dozens or even hundreds over their lifetime.

The primary concern regarding seborrheic keratoses comes when they develop a deep brown color, as this coloring can occasionally look similar to dangerous melanoma skin cancers. This potential for confusion makes professional assessment by a qualified dermatologist essential for accurate identification and patient reassurance.

Skin Cancer

Any newly developed skin lesion or pre-existing growth that demonstrates alterations in size, shape, pigmentation, or surface characteristics should be evaluated by a board-certified dermatologist. This is particularly important for lesions that begin bleeding, develop pain, or exhibit irregular boundaries or varied coloration patterns.

Yearly comprehensive skin examinations are typically recommended for all adult patients, with particular emphasis on individuals over 45 or those with elevated skin cancer risk factors. These thorough evaluations allow dermatologists to track existing formations and detect new lesions during their earliest, most treatable stages.

The ability to distinguish between benign skin growths and potentially dangerous skin cancers requires professional medical training and specialized diagnostic equipment. While many skin formations appear concerning to patients, dermatologists can quickly identify which lesions require immediate attention and which represent normal aging changes that pose no health risks.

Skin Tags

Skin tags, medically termed acrochordons, are characterized as soft, flesh-colored growths that predominantly emerge in areas where skin surfaces touch, including the neck region and underarms. These benign formations frequently develop with age and may develop more often during periods of substantial weight fluctuation.

Although generally painless, these growths can occasionally create problems when they become entangled with accessories, garments, or hair, or when they undergo twisting that compromises their blood circulation. Such situations can result in sudden, severe discomfort that may necessitate prompt professional removal.

Sarah Semaan, MD, board-certified dermatologist in Walnut Creek, explains the management of common skin growths:

“The vast majority of patients feel tremendous relief when they learn that most new skin formations they notice are entirely benign and simply reflect the natural changes that accompany the aging process. However, professional evaluation of any new or evolving lesion remains crucial, as certain harmless growths can bear a striking resemblance to more concerning conditions. Many patients choose to have skin tags and other benign growths removed for aesthetic purposes or to prevent ongoing irritation, and these procedures can typically be completed quickly in our office with minimal patient discomfort.”

Age Spots and Melasma

Age spots, also known as solar lentigines, along with melasma, represent common pigmented formations that develop in body areas with significant sun exposure history, such as the face, hands, forearms, and lower legs. These darkened areas affect individuals across all ethnic backgrounds and skin tones, typically becoming more numerous and noticeable as years pass.

The gradual accumulation of these pigmented areas throughout life can create substantial cosmetic concerns for individuals who desire even skin tone and clarity. While these spots generally pose no health risks, you should seek evaluation from your dermatologist of pigmented lesions that change in size, shape, coloration, or texture.

Actinic Keratosis

In contrast to the benign formations previously discussed, actinic keratoses constitute precancerous lesions that demand immediate professional medical attention and treatment intervention. These scaly, rough-textured areas remain persistent for two months or longer without resolution, despite consistent application of moisturizing products.

These lesions initially manifest as pink-colored, sandpaper-like spots approximately the size of small seeds, gradually becoming increasingly tender and potentially painful as time progresses. They characteristically develop in body regions with extensive historical sun exposure, including the entire facial area, nasal surfaces, dorsal hand surfaces, outer forearm areas, and ear tops.

The clinical importance of actinic keratoses stems from their documented potential to transform into squamous cell carcinoma, a form of aggressive skin malignancy. Prompt professional evaluation and treatment intervention by a qualified dermatologist is essential to prevent malignant transformation.

Sebaceous Hyperplasia

Sebaceous hyperplasia typically develops as small, yellowish-pink facial bumps that may be various sizes throughout monthly cycles, particularly in response to hormonal fluctuations. These small growths are enlarged sebaceous glands that become visible through facial pores and are often more prevalent during menopause when estrogen production declines.

Although sebaceous hyperplasia poses no health risks, these lesions occasionally look similar to basal cell skin cancers. Professional medical evaluation ensures a correct diagnosis and appropriate management recommendations.

Dayoung Ko, MD, board-certified dermatologist in Mountain View, emphasizes the importance of professional evaluation:

“We frequently see patients who arrive with concerns about new skin developments, and while the vast majority prove to be harmless, professional assessment always provides better outcomes than prolonged worry and uncertainty. Our clinical expertise allows us to rapidly differentiate between innocent age-related skin changes and lesions requiring medical intervention or ongoing monitoring. The confidence and peace of mind that results from obtaining a definitive diagnosis proves invaluable, and when treatment becomes necessary, we offer comprehensive options addressing both medical and aesthetic patient concerns.”

Determining the Right Time for Dermatological Evaluation

Any newly developed skin lesion or pre-existing growth that demonstrates alterations in size, shape, pigmentation, or surface characteristics should receive evaluation from a dermatologist. This recommendation becomes particularly important for lesions that begin bleeding, develop pain, or exhibit irregular boundaries or varied coloration patterns.

Although yearly skin examinations are important for all adult patients, it is especially important for those over 45 or those possessing elevated skin cancer risk factors. These thorough evaluations also allow your dermatologist to track existing growths and detect new lesions during their earliest, most treatable stages.

What to Expect During Your Skin Assessment

Throughout a dermatological consultation, your provider will meticulously examine any concerning lesions using specialized magnification tools and advanced diagnostic techniques. They may use dermoscopy, a painless examination method that allows them to get a better view of skin structures that are invisible during standard visual inspection.

When any formation appears suspicious or if your dermatologist is unsure of a diagnosis, they may suggest tissue sampling through a biopsy to rule certain diagnoses out. Most skin biopsies represent straightforward office procedures that yield essential data for developing appropriate treatment strategies.

How Can I Protect My Skin?

Prevention continues to represent the most effective strategy for minimizing new skin growth development and reducing overall skin cancer risk. Consistent daily application of broad-spectrum ultraviolet protection with SPF 30 or higher ratings, protective clothing choices, and strategic avoidance of peak solar intensity periods can substantially decrease your likelihood of developing both benign and malignant skin formations.

Routine self-monitoring using established diagnostic criteria, including asymmetry assessment, border evaluation, color analysis, and diameter measurement, can help you recognize worrisome changes at their earliest stages. When uncertainty exists regarding any skin formation, professional medical evaluation provides the most dependable pathway to accurate diagnosis and appropriate treatment planning.

If you have questions about your skin, schedule an appointment at Calkin & Boudreaux today!

Hair restoration has evolved dramatically over the past few decades, offering new hope to so many people experiencing pattern baldness, thinning hair, or other forms of alopecia. Thanks to these advances, patients have access to both surgical and non-surgical options that can effectively address various stages and types of hair loss, making the decision process both exciting and potentially overwhelming.

Keep reading to learn about the differences between these approaches, their respective benefits and limitations, and which option might work best for your specific situation.

What Options Are There for Hair Restoration?

There is a wide range of treatments designed to slow hair loss, stimulate new growth, or transplant existing hair to areas of thinning or baldness.

Non-surgical options typically focus on medical treatments, topical applications, and innovative therapies that work at the cellular level to improve hair health and density.

Surgical methods involve physically relocating healthy hair follicles from donor areas to recipient sites, providing immediate structural changes to hairline and density.

The choice between surgical and non-surgical hair restoration often depends on various factors. For example, these factors may include the extent of hair loss, age, lifestyle preferences, budget considerations, and personal goals for treatment outcomes.

For some patients, combining both approaches may provide the most comprehensive and long-lasting results, with non-surgical treatments supporting and maintaining surgical improvements over time.

Non-Surgical Hair Restoration Methods

Medical Therapies

These include DHT-blocking medications such as finasteride (Propecia) and dutasteride (Avodart), which work by blocking the pathway that converts testosterone into dihydrotestosterone (DHT)—the hormone responsible for male pattern baldness. Finasteride blocks one of the enzymes involved in DHT production, while dutasteride blocks both, leading to greater suppression of the hormone but also a higher potential for side effects.

Minoxidil (Rogaine) is another option in a foam, liquid, or pill that improves blood flow to hair follicles and works particularly well for women with overall thinning, though both men and women can use it safely with other treatments and typically see results within three to six months.

Regenerative Therapies

These treatments use your body’s natural healing factors to stimulate hair growth and include PRP, Acell, and ATP. Most patients need several treatments spaced about a month apart, then maintenance sessions every few months to help thicken existing hair, wake up sleeping follicles, and improve results when combined with other treatments.

Light Therapy

Low-level light therapy uses LED lights to stimulate hair follicles and improve hair growth. The treatment is painless and can be done in the office or at home with special devices.

You’ll need consistent treatments over several months to see results. Many patients notice their hair feels thicker and looks fuller after several months of treatment.

Dr. Paul Rose, a dermatologist at Golden State Dermatology, emphasizes the importance of a comprehensive non-surgical approach:

Oral Medications

Propecia is the brand name for finasteride, a medication that works by blocking the enzyme that converts testosterone into DHT. Lowering DHT levels in the scalp helps slow hair loss and, in many cases, encourages regrowth. Whether prescribed as Propecia or in its generic form, the active ingredient is the same and works identically. This treatment tends to be most effective for thinning at the crown and mid-scalp areas.

Some patients may require a stronger option, such as dutasteride (Avodart). Unlike finasteride, which blocks one type of DHT-producing enzyme, dutasteride blocks both, resulting in a more significant drop in DHT levels. It’s often recommended for those who don’t see sufficient improvement with finasteride alone or who are experiencing more aggressive patterns of hair loss.

Another option is oral minoxidil, a less common but sometimes highly effective treatment. While minoxidil is widely known as a topical solution, taking it orally can benefit certain patients—particularly women with diffuse thinning across the scalp. Because oral minoxidil can affect blood pressure, it requires close monitoring and regular follow-ups with a dermatologist.

Hair Prosthetics

Hair prosthetics provide a nonsurgical option for patients seeking immediate restoration. Unlike older wigs or toupees, today’s systems are engineered with advanced materials that replicate the appearance and movement of natural hair. They can be customized to match a patient’s hair color, density, and style, making them a practical solution for those who are not surgical candidates or prefer to avoid the risks and recovery associated with transplantation.

This approach offers both versatility and convenience. Prosthetics can be adjusted over time as hair patterns change and deliver full coverage without the delay of medical therapies. For patients prioritizing rapid, reliable improvement without invasive procedures, hair prosthetics represent an effective alternative within the spectrum of hair restoration options.

Surgical Hair Restoration Options

FUE (Follicular Unit Extraction)

FUE is a hair transplant method where individual hair follicles are removed from the back of the scalp using tiny punches. The resulting scars are small, dot-like marks that heal quickly and are barely noticeable—even with very short hairstyles.

Recovery is faster than with other surgical techniques, and most patients can return to work within a few days. This approach is especially effective for younger patients who prefer to keep their hair very short, as it avoids the linear scar associated with traditional strip methods.

Strip FUT (Follicular Unit Strip Surgery)

With strip FUT, a thin strip of scalp is removed from the back of the head and carefully divided into individual hair follicles. This method allows more grafts to be harvested in a single session, making it an excellent choice for patients who need significant hair restoration. It is ideal for people who wear their hair longer than half an inch and don’t mind a linear scar that is not readily visible.

With a ledge closure technique developed by Dr. Rose, even the linear scar can be virtually invisible, allowing some patients to keep their hair very short. FUT also takes less time to perform and is typically less expensive than other methods, making it a cost-effective option for extensive hair restoration.

Scalp Micropigmentation (SMP)

SMP is like a specialized tattoo that creates the look of tiny hair follicles on your scalp. It makes your hair appear fuller and can help define your hairline or cover scars from previous procedures.

This treatment works well by itself if you like a buzz-cut look, or it can be combined with hair transplants to make them look fuller. You’ll need several sessions, and touch-ups every few years to keep it looking fresh.

Factors to Consider When Looking at Hair Restoration Options

Extent and Pattern of Hair Loss

Early-stage hair loss often responds well to non-surgical treatments, while advanced baldness may require surgical intervention for meaningful restoration. Patients with diffuse thinning might benefit more from non-surgical approaches, while those with well-defined bald areas are often good candidates for hair transplantation.

Age and Future Hair Loss Progression

Younger patients may benefit from starting with non-surgical treatments to slow progression before considering surgery, while older patients with stable hair loss patterns might be ideal candidates for immediate surgical intervention. Your dermatologist will consider your family history and current progression rates when advising you on timing and treatment selection.

Lifestyle and Recovery Considerations

Non-surgical treatments typically require minimal downtime but demand long-term commitment to daily medications or regular treatment sessions. Surgical procedures involve initial recovery periods with activity restrictions but offer more permanent structural changes. Patients with demanding professional schedules or active lifestyles may prefer non-surgical options, while those seeking dramatic, one-time improvement might choose surgery.

Budget and Long-term Costs

Non-surgical treatments often have lower upfront costs but require ongoing expenses for medications, maintenance treatments, and follow-up care. Surgical procedures involve higher initial investment but may prove more cost-effective over time, especially when combined with minimal maintenance therapy. Insurance typically doesn’t cover cosmetic hair restoration, making financial planning an important consideration.

Dr. Paul Rose discusses the decision-making process for hair restoration:

“Choosing between surgical and non-surgical hair restoration isn’t always an either-or decision, and the best approach often involves combining both methods strategically. We evaluate each patient’s specific pattern of hair loss, lifestyle factors, expectations, and long-term goals to develop personalized treatment plans that maximize both immediate and lasting results. Some patients start with non-surgical treatments to stabilize their hair loss and then add surgical procedures for areas that need more dramatic improvement, while others begin with surgery and use non-surgical methods to protect their investment and maintain optimal results over time.”

The decision between surgical and non-surgical hair restoration should be made in consultation with an experienced dermatologist who can properly evaluate your individual situation and goals.

If you have questions about your skin, schedule an appointment at Calkin & Boudreaux today!