Acne is the most frequent skin condition seen by medical professionals. It consists of pimples that appear on the face, back and chest. About 80% of adolescents have some form of acne and many adults experience acne. In normal skin, oil glands under the skin, known as sebaceous glands, are connected to the hair follicle and produce an oily substance called sebum. When the hair follicles become plugged with sebum, it is the "landmine" of acne.
Moles are brown or black growths, usually round or oval, that can appear anywhere on the skin. They can be rough or smooth, flat or raised, single or in multiples. They occur when cells that are responsible for skin pigmentation, known as melanocytes, grow in clusters instead of being spread out across the skin. Generally, moles are less than one-quarter inch in size. Most moles appear by the age of 20, although some moles may appear later in life. You should regularly monitor moles and have them inspected annually by a dermatologist. If you notice any changes, you should consult Dr. Wiley immediately.
Psoriasis is a skin condition that creates red patches of skin with white, flaky scales. It most commonly occurs on the elbows, knees and trunk, but can appear anywhere on the body. The first episode usually strikes between the ages of 15 and 35. It is a chronic condition that will then cycle through flare-ups and remissions throughout the rest of the patient's life. Psoriasis affects as many as 7.5 million people in the United States. Topical ointments (steroids, vitamin D, tar products) can be very effective for some people. For more resistant cases, we specialize in Xtrac (Excimer) laser therapy for psoriasis and a number of other skin disorders.
Vitiligo (vit-ih-LIE-go) is a disease that causes the loss of skin color in blotches. The extent and rate of color loss from vitiligo is unpredictable. It can affect the skin on any part of your body. It may also affect hair, the inside of the mouth and even the eyes. Normally, the color of hair, skin and eyes is determined by melanin. Vitiligo occurs when the cells that produce melanin die or stop functioning. Vitiligo affects people of all skin types, but it may be more noticeable in people with darker skin. The condition is not life-threatening or contagious. Dr. Wiley specializes in treating Vitiligo and uses a combination approach that includes both topical and photodynamic laser treatments to revitalize the skin. We are happy to show you our before and after photos of patients with vitiligo.
"Rash" is a general term for a wide variety of skin conditions, some major and some minor. A rash refers to a change that affects the skin and usually appears as a red patch or small bumps or blisters on the skin that may or may not itch. Since a rash is a "new" change in your skin, it should be examined early with proper diagnosis and treatment therapy.
Rosacea is a chronic skin condition that causes facial redness, acne-like pimples, visible small blood vessels on the face, swelling and/or watery, irritated eyes. This inflammation of the face can affect the cheeks, nose, chin, forehead or eyelids. More than 14 million Americans suffer from rosacea. It is not contagious, but there is some evidence to suggest that it is inherited. There is no known cause or cure for rosacea,however current dermatologic therapy ranging from topicals and antibiotics - to laser light therapy- can control the potentially progressive disorder.
Skin cancer is the most common form of human cancers, affecting more than one million Americans every year. One in five Americans will develop skin cancer at some point in their lives. Skin cancers are generally curable if caught early by a variety of methods. However, people who have had skin cancer are at a higher risk of developing a new skin cancer, which is why regular self-examination and dermatologist visits are imperative.
Warts are growths that appear most frequently on the hands and feet. Sometimes they look flat and smooth, other times they have a dome-shaped or cauliflower-like appearance. Warts can be surrounded by skin that is either lighter or darker. Warts are caused by different forms of Human Papilloma Virus (HPV). They occur in people of all ages and can spread from person-to-person and from one part of the body to another by contact. Warts are benign (noncancerous) but can cause significant problems as they spread and grow. Early intervention to destroy the earliest wart can help prevent spreading.
Wrinkles are a natural part of the aging process. They occur most frequently in areas exposed to the sun, such as the face, neck, back of the hands and forearms. Over time, skin gets thinner, drier and less elastic. Ultimately, this causes wrinkles - either fine lines or deep furrows. In addition to sun exposure, premature aging of the skin is associated with smoking, heredity and skin type (higher incidence among people with fair hair, blue-eyes and light skin). We have several options for improving the appearance of wrinkles, from lasers to chemical peels.
Everyone loses hair. It is normal to lose about 50-100 hairs every day. If you see bald patches or lots of thinning, you may be experiencing hair loss. There are many causes of hair loss. Women may notice hair loss after giving birth. People under a lot of stress can see noticeable hair loss. Some diseases and medical treatments can cause hair loss. We specialize in hairloss (alopecia), especially in people of color. Neograft hair restoration may be an option for hair replacement for both men and women.
Keloids are equally common in women and men, although at least in times past more women developed them because of a greater degree of earlobe and body piercing among women. Keloids are less common in children and the elderly. Although people with darker skin are more likely to develop them, keloids can occur in people of all skin types. Keloid therapy can range from topical ointments, steriod injections, and selective surgical excision.