Estrogen Deficient Skin

estrogen deficient skinAs women reach menopause, the estrogen level throughout the body declines naturally. This natural reduction in estrogen leads to estrogen deficient skin, which is the key factor that contributes to aging skin. 

What Is Cutaneous Aging?

Cutaneous aging is a complex biological phenomenon which occurs in all human beings. It is a result of a combination of genetic, environmental, chronological and hormonal factors. While we cannot make changes to our genetics, our age or our previous environmental exposures (at least not yet!), we can make safe and natural adjustments to our hormonal depletion. Estrogen is a steroid hormone which is mainly synthesized in the ovaries of pre-menopausal women. Once you are post-menopausal, estrogen synthesis mainly occurs in peripheral tissues such as adipose tissue (fat cells) and adrenal glands. 

What is Eczema?

eczemaEczema is not actually a dermatological diagnosis, it’s actually a nonspecific term that refers to a variety of different rashes such as atopic dermatitis, irritant dermatitis and contact dermatitis. Eczema refers to the skin changes seen rather than a specific diagnosis. The changes seen include rough texture, dryness, sometimes dampness due to oozing but almost all forms are itchy. Atopic dermatitis is the diagnosis most commonly referred to eczema and is seen most often in children where it can occur as early as four months old. Atopic dermatitis/childhood eczema is not contagious but is recurrent and chronic. While most children will outgrow this condition by age 5, a significant percentage will persist through childhood and into teenage and adult years. This condition is exacerbated by diet in less than 5% of individuals, with allergy testing not helpful in diagnosis or treatment. While the mainstay for years was to use corticosteroids, recent advances now offer steroid-free options.

What Causes Eczema?

The cause of eczema is still unknown, though some suspect that the cause has both environmental and genetic components. Profuse sweating is not a medical cause but often is related. Those with a skin condition like eczema are also often prone to allergies, especially hay fever and asthma.

What You Need to Know About Dermatologists

best dermatologist for your needsDermatology is a medical and surgical specialty dealing with treating skin, nails and hair and the diseases that come with these part of the body. A dermatologist is a specially trained doctor who examines and treats malignant and benign skin disorders. Dermatologists treat disease as well as cosmetic problems of the skin, scalp, hair, adjacent mucous membranes, and nails. Many are trained in dermatological surgery, are skilled diagnosticians and provide medical care for moles, cancers, melanomas, and other types of tumors. Dermatologists also interpret biopsies, recognize marks of systemic and infectious diseases, and manage contact dermatitis and additional inflammatory disorders.

Kinds of Dermatologists

The field of dermatology is expansive with many subspecialties. There are four main types of dermatology specialists:

  • Dermatopathologists:  Though widely trained in pathology, dermatopathology is a subspecialty of dermatology and pathology that specializes in the study of cutaneous disease.  
  • Cosmetic Dermatologists: Cosmetic dermatology is a subspecialty focusing on aesthetics, correcting such flaws as wrinkles, scars and acne.
  • Pediatric Dermatologists: The majority of pediatric dermatology focuses on dermatitis originating from allergy, hives, warts, birthmarks, acne and other issues specific to children.
  • Immunodermatologists: Immunodermatology focuses on how skin and immunity are related. There are several subspecialties, including photo-immunology, inflammatory diseases such as eczema, autoimmune skin disease and immunology of microbial skin disease such as leprosy.

Hidradenitis Suppurativa

hidradenitis suppurativaWe all go through physical changes throughout our lives. These stages of change sometimes bring skin problems, including blackheads, cysts and pimples. But sometimes what we think is just a few new pimples or bumps can actually indicate a deeper problem. One such condition is hidradenitis suppurativa, also called acne inversa.

What is hidradenitis suppurativa?

Often appearing where your skin touches other skin, such as under your arms or in the groin, hidradenitis suppurativa may present as another dermatological condition at first. After a while, you may notice a pattern of repeated bumps occurring in these areas, areas where acne is rare. Sometimes, the chronic infections of hidradenitis suppurativa on your skin look and feel like painful boils.

Hidradenitis suppurativa is often initially mistaken for the following conditions:

  • Pimples or "butt acne"
  • Deep acne-like recurrent cysts and blackheads
  • Chronic folliculitis or ingrown hairs
  • Recurrent boils
  • Chronic staph infections

If you are experiencing chronic bumps on your skin, it is time to make an appointment with the best dermatologist for your needs. The earlier hidradenitis suppurativa is diagnosed, the simpler the treatment so don’t hesitate to visit your dermatologist today!

Back to School, Avoid Hair Hitchhikers!

Tips on Lice Prevention

avoid hair hitchhikersThe kids have headed back to school after winter break! It is imperative that parents and caregivers continue to be aware and actively check their children for head lice throughout the year. Lice are parasites found on the scalp and present a unique pediatric dermatological problem. In school-aged children, these parasites are easily spread through personal contact or through sharing items of clothing or hats. An infestation will not resolve itself on its own, so it is crucial for parents and caregivers to be aware of what these parasites look like and for children's heads to be checked for these bugs frequently. For children with long hair, an infestation may be avoided by keeping the child's hair tied up, braided or contained in a bun. Lice are highly contagious and easily spread from person to person, which is why it is important to take precautions in order to avoid transferring them.


When a louse, the singular of lice, imbeds itself into a human head, a number of symptoms can present:

  • Frequent itching and scratching
  • Head sores
  • Difficulty sleeping/insomnia
  • Visible eggs, called nits, in hair

These pesky parasites can certainly be uncomfortable. Constant itching and scratching can also lead to unexpected hair loss. Combing these parasites out of the hair can also lead to hair loss, especially when they are difficult to remove.

Do you suffer from excessive underarm sweating?

do you suffer from excessive underarm sweatingEveryone sweats from time to time. Sweating is a necessary bodily function. When your body works like it should, your body produces sweat in an effort to maintain your body temperature. However, when your body produces an excessive amount of perspiration for no apparent reason, it’s often embarrassing and uncomfortable. This condition is known as hyperhidrosis.

Excessive Perspiration

Hyperhidrosis is excessive sweating on the bottom of the feet, underarms or palms. About 2 to 3 percent of Americans live with this condition. Symptoms under the arms usually start appearing during late adolescence, but for the feet and palms, symptoms may appear prepubescent, as early as 13 years old.

Although hyperhidrosis isn’t life-threatening, it can cause a great deal of emotional turmoil. A person with sweaty palms may dread shaking hands. Excessive underarm sweat can ruin clothes and cause unsightly stains. And sweaty feet can ruin socks and shoes, cause foot odor, be a breeding ground for fungal infections, and limit the types of shoes that can be worn.

Why You Should See A Dermatologist For Hair Loss

Dermatologist Hair LossLosing your hair can be devastating. Even though we preach that beauty is only skin deep, most cultures still associate beauty with a full head of hair. 

Aside from affecting your appearance, it can affect the way you feel about yourself. If you’re suffering from or showing signs of losing your hair, medical intervention is warranted. 

Dermatologists specialize in hair loss, also known as alopecia or baldness, and can help you preserve the hair you have and even possibly regrow the hair you've lost. 

Read on to learn what causes hair loss, the symptoms and ways you can treat it! 

What causes hair loss?

It's perfectly normal to find hair on the floor on in the shower. On average, people lose up 100 hairs a day as part of the normal shedding and growth cycle. However, when someone suffers from alopecia, shedding increases dramatically. Over time, the hair gets thinner and finer. 

The main causes of hair loss include: 

  • Hereditary - In most cases, there is an inheritable condition known as male or female pattern baldness. It usually follows a specific pattern that is predictable and happens when a person ages. 
  • Hormonal Changes - Many conditions can negatively affect hormones and in turn cause temporary or permanent hair loss. Pregnancy and menopause are some of the main culprits for hormonal alopecia. 
  • Medical Conditions - Thyroid conditions and infections can cause increased shedding and baldness.

Tired of Your “Age Spots”?

tired of your age spotsSometimes we notice what appears to be moles or freckles on our hands or other areas of our body that are exposed to the sun, such as our shoulders or our face. When spots like this appear, the smart thing to do is make a visit to your dermatologist. Most of the time these spots are nothing to worry about, but it’s always best to get them checked. These spots are infamously called “age spots” or “liver spots”. Solar lentigines or senile lentigo may be callled age spots but they don’t appear exclusively on the elderly. Anybody of any age, as well as race or gender, can get them.

Though age spots most often appear on exposed areas of the skin, the reason they appear is still unknown. When there is an increase in melanin in a specific area they appear. Melanin is the pigment that gives skin its color.

Signs and Symptoms

Age spots range in color from tan to black and feel the same as the rest of the skin. They are not raised and are painless and harmless. However, not everything that appears to be an age spot is just that. If there is anything abnormal about the spot, you may need a biopsy.

Seasonal Skin Care Tips (Winter)

winter skin careWinter is Coming! Just as summer increases the risk of certain skin conditions due to increased exposure to the sun, winter also has its skincare concerns.

Skin problems caused by winter are often due to the body’s attempt to keep itself warm. The blood vessels narrow in order to keep the body’s heat locked within. Consequently, the outermost layers of the skin dries out and starts to flake. The cold, dry air dries out skin even further and this can exacerbate skin conditions like psoriasis, eczema, and acne. People with such conditions are often susceptible to flare-ups or breakouts in the cold weather. Additionally, heating systems dry out our skin even further.


Showers and baths should be kept short year round but especially in the winter. Most people enjoy bathing in hot water, but lukewarm water is much better for your skin. Hot water may feel good, but it dries out the skin by stripping it of its protective oils. Make sure not to use abrasive washcloths and sponges. If possible, only wash places that produce odors like your feet, groin, and underarms.

Avoid scented soaps. They are full of perfumes that will strip the skin of its natural oils, leaving it dry. We recommend superfatted soaps that contain more oils or butters than regular soaps. They will help moisturize the skin. Also, liquid soaps generally tend to contain more moisturizers than bar soaps.

When you are done bathing, gently pat the skin dry with a towel. Don’t rub the skin harshly. Otherwise your towel will absorb the protective oils you want on your skin.

How You Save Money Without Using Insurance

save money without insuranceIt may be hard to believe but the pricing for direct pay is more often than not, less expensive than the same services in network. With the rising costs of specialty copays and deductibles (not including office procedures that often go toward a separate deductible), there can be significant savings. Paying directly for health care results in savings especially when seeking treatment at an office that caters to self-pay patients. When a health care provider creates their own fee schedule in favor of patients paying out-of-pocket, you actually win financially.

Direct Pay Model

Direct pay indicates that the patient will cover the cost of the services rendered at the end of the appointment. It may seem scary to pay the large bill yourself, but by doing so, you usually end up paying less than if you used your insurance. You can cost compare yourself and will find that it’s often less expensive to be seen by an out-of-network provider than an in-network provider.

Common Summer Skin Problems and How to Solve Them

Summer is a season when most of us enjoy the outdoors soak up some sun. Sunlight in moderation can be healthy for the skin and for the rest of the body. It activates the skin cells to manufacture vitamin D, which is essential for the synthesis of essential minerals such as magnesium and calcium. Although the sun is good for your skin in small doses, too much of it can lead to skin problems. Here are some dermatological issues you may experience during summer and how to solve them.

Sunburns, Sun Allergy & Melasma

Woman With Shoulder SunburnMelasma, sunburns and sun allergy are some issues many people experience during the summer.. Melasma is a condition that predominantly affects women between the ages of 20 and 55. It is characterized by tan, brown or grey-blue patches on the forehead, cheeks and jawline. Its primary cause is exposure to the sun, but genetic and hormonal issues can play a part. Over-the-counter creams can be used to treat melasma, but to prevent flare-ups, you should consider wearing hats and using sunscreen when you’re outdoors.

Adult and Pediatric Dermatology
4601 W. 109th St., Suite 116  •  Overland Park, Kansas 66211  •  913-469-1115