My Blog

By Coastal Dermatology
May 15, 2018
Category: Skin Condition
Tags: Eczema  

Eczema is a chronic skin condition that produces itchy rashes that are scaly, dry, and leathery. It can appear anywhere on the body and mostEczema often appears in the creases of the arms, legs, and face. Something that many people may not know is that there are multiple types of eczema. They all share some common symptoms but are all different depending on the nature of what triggers the reaction and the location of the rash.

Types of Eczema           

Atopic Dermatitis

This is the most frequent and common form of eczema and it’s thought to be caused by the body’s immune system functioning abnormally. It’s characterized by itchy, inflamed skin and typically runs in families. Atopic Dermatitis usually flares up and goes away intermittently throughout a person’s life.

Contact Dermatitis

This is caused when the skin comes in contact with an irritant such as certain chemicals. Finding what triggers a breakout is important so that it can be prevented in the future. Triggers may be things like laundry detergent, body soap, fabrics, poison ivy, and more.

Dyshidrotic Dermatitis

Dyshidrotic Dermatitis usually affects the palms and soles of the feet. It is characterized by clear, deep blisters that itch and burn and occurs frequently during summer months and in warm areas.

Neurodermatitis

This form of eczema is a chronic skin inflammation caused by a cycle of scratching to a localized itch, such as a mosquito bite or spider bite. It’s characterized by scaly patches of skin, usually on the head, lower legs, wrists, and forearms. The skin may become thickened and leathery.

Nummular Dermatitis

This form is characterized by round patches of irritated skin that can be crusted, scaly, and very itchy. It frequently appears on the back, arms, buttocks, and lower legs.

Seborrheic Dermatitis

This is a common condition that causes yellow, oily, and scaly patches on the scalp, face, and other body parts. Dandruff is a form of Seborrheic Dermatitis. This form of eczema doesn’t always itch. Triggers can include weather, oily skin, emotional stress, and infrequent shampooing.

Stasis Dermatitis

This appears on the lower legs of older people and is related to circulation and vein problems. Symptoms can include itching and red-brown discoloration on the skin the legs. As the condition progresses it can lead to blistering, oozing, and skin lesions.

Eczema comes in all shapes and sizes and can be triggered by many things. If you have questions about eczema or want to make an appointment, call our office today!

By Coastal Dermatology
May 08, 2018
Category: Skin Care
Tags: Acne  

Though it is the most common skin condition, acne can be a frustrating, embarrassing condition. Though some cases of acne are mild, acnesometimes this condition can become chronic. Luckily, treating your chronic acne is possible with help from your dermatologist. Find out more about chronic acne treatments with Dr. Sanjiva Goyal at Coastal Dermatology and MedSpa in Jacksonville and Pointe Vedra Beach, FL.

What causes chronic acne? 
Though a pimple every once in a while is a perfectly normal occurrence, this acne is not chronic or severe. Severe, chronic acne often has cysts and nodules, affects a large area of skin, or which leaves significant scarring once healed. At its root, acne comes from the sebaceous glands in the skin producing too much sebum. The extra sebum causes the pores to produce more skin cells which eventually become stuck together by the sebum and clog the pores, creating a pimple. The appearance of acne can be caused by hormonal changes, diet, stress, or even some medications.

Do I have chronic acne? 
Chronic acne can occur on the face, chest, back, shoulders, and neck. The blemishes often lie deep under the surface of the skin and become filled with pus or fluid. Blemishes can occur in clusters or on their own, and the acne itself is often painful and causes scarring once healed. The acne cysts can vary in size, from small specks to several centimeters in size. Treating chronic acne will depend on the patient, their medical and family history, any other underlying conditions, and their lifestyle choices.

Treating Chronic Acne in Jacksonville and Pointe Vedra Beach
The goals of treating chronic acne are to clear the acne itself, prevent new scarring from occurring, and help the patients’ overall physical and mental wellness. Often, treatment begins with an oral antibiotic and topical medication applied directly to the acne. If antibiotics fail to produce results, isotretinoin treatments are highly successful in treating severe acne.

For more information on acne treatments, please contact Dr. Goyal at Coastal Dermatology and MedSpa in Jacksonville and Pointe Vedra Beach, FL. Call (904) 727-9123 to schedule your appointment in Jacksonville, and (904) 567-1050 to schedule your appointment in Pointe Vedra Beach today!

By Coastal Dermatology
April 27, 2018
Tags: Sun Damage   Dark Spots   Freckles  

Even if you are someone who lathers on the SPF regularly, chances are good that if you’ve spent any time in the sun during your lifetime that you have some sun damage. Everything from dark spots to freckles can form as a result of exposure to the sun. Of course, if you find those dark spots becoming more visible or more widespread then you may want to consider how a dermatologist can help refresh your appear and hide those signs of sun damage.

If you are noticing more and more dark spots then it’s a good idea to seek a skincare professional who can determine the cause of these spots. There are many reasons discolorations occur and it’s important that we are able to detect early signs of skin cancer and melanoma before we decide the best course of action.

Once your dermatologist has performed a thorough screening and has determined that the dark spots aren’t cancerous, then it’s time to get down to business discussing what cosmetic option or options will work best for diminishing those dark spots, whether you are looking for at-home solutions or in-office treatments.

The number one treatment for getting rid of discolorations and dark spots is laser therapy. There are a variety of lasers available that can provide you with the results you want depending on your specific needs, goals, and skin problems. One of the most common lasers used to treat dark spots is the intense pulsed light (IPL). The goal of IPL is to reduce and even eliminate uneven pigmentation to provide a more even appearance. Another benefit to IPL is that is can also brighten the skin.

There are different wavelengths that are able to penetrate through different layers of the skin. Depending on the severity of your dark spots, your dermatologist will determine the wavelength that will provide you with the best results. As the laser is directed over the skin it will heat up and destroy the darker pigmentations of the skin. While it’s common for most people to treat their face, you can get IPL treatment just about anywhere, from your face and neck to your chest and legs.

Laser treatment can take anywhere from 15 to 30 minutes to complete and can be performed without the need for anesthesia. The process is non-invasive and also boasts no downtime. Even though you may notice some redness afterwards, you can go right back to your daily routine. You’ll start to notice the dark spots flaking and going away over the course of a couple of weeks. You will most likely require a couple of sessions in order to get the optimal results.

Don’t let sun damage ruin the appearance of your skin. Turn to a dermatologist who can help meet your needs and provide you with the proper treatment option to give you the fantastic results you want. Laser treatment can be an amazing way to restore and revive sun-damaged skin.

By Coastal Dermatology
April 13, 2018
Category: Skin Care
Tags: Skin Care Tips  

Skin TagsWe all desire to maintain and restore our youthful appearance. But with hundreds of anti-aging products on the market that promise to make you look younger, finding the right one for your skin can be overwhelming and confusing.  

Rather than buying product after product in an attempt to achieve a more youthful glow, it’s best to find an experienced dermatologist who can assess your skin type and problems, and then make recommendations for the best course of treatment.

There are many professional, cosmetic treatments available to help you minimize signs of aging and renew your young, healthy skin. Talk to your dermatologist about:

  • Botox
    Botox involves a series of injections which work to relax the muscles that cause facial expressions. It’s a quick procedure that is commonly used to treat frown lines, crow’s feet and forehead wrinkles.
  • Microdermabrasion
    This non-surgical procedure involves removing the top layer of skin to reveal a fresh, healthy skin underneath.  Microdermabrasion offers many age-defying benefits, including softening fine lines and minimizing scars and shallow wrinkles.
  • Chemical Peel
    Chemical peel treatment involves applying chemicals to the skin to gently exfoliate the skin on the face and encourage new skin cells to replace the old, dead ones. Skin peels can take years off of aging skin, and maybe a good treatment option for people with sun damage, fine lines or discoloration of the skin.

Not all skin problems require professional treatment. There are other practical ways that you can keep skin looking fresh and healthy every day.

  • Protect your skin from the sun
    Applying sunscreen to protect your skin from the sun’s harmful rays is one of the single most important things you can do to prevent brown spots, fine lines and sagging skin caused by repeated sun exposure.  
  • Eat a well-balanced diet
    Regular consumption of fruits, vegetables, water and other foods high in antioxidants and omega-3s can keep your skin from aging.
  • Moisturize
    Lock in moisture and keep skin hydrated by applying lotions or creams daily. Keep skin moist to give the skin a radiant, smooth look.
  • Avoid smoking
    Smoking cannot only lead to cancer and other diseases, but it can also damage your skin. Common side effects of smoking include skin discoloration and fine lines.

You can’t turn back the hands of time, but you can prevent and even reverse some of the visible signs of aging by practicing smart basic skin care and consulting your dermatologist for professional treatment.

By Coastal Dermatology
March 27, 2018
Category: Skin Care

Tattoo RemovalWhile people have many reasons for getting tattoos, people have just as many reasons for wanting to have them removed down the road. The old methods of tattoo removal were time-intensive and often resulted in scarring. Fortunately, thanks to advancements in laser technology, tattoos can be significantly lightened and reduced safely today with the help of your dermatologist.

How Does Laser Tattoo Removal Work?

The lasers used to remove tattoos can precisely target ink in the skin, allowing for non-invasive and effective removal of unwanted tattoos. During treatment, the laser works by emitting a focused beam of laser light that passes through the skin’s outer layer. The ink particles absorb the light from the laser, breaking the pigment into smaller particles that are eventually removed by the body’s natural healing processes.

Following a series of laser treatments, the ink particles are gradually faded from the skin. The number of treatment sessions required for optimal results varies according to the size, location, color and depth of the tattoo. Some only require a few laser sessions, while others require multiple treatments.

If you’re having second thoughts about a tattoo or want to learn more about laser tattoo removal, talk to your dermatologist and find out if laser tattoo removal is right for you.





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