My Blog

By Sanjiva Goyal
March 31, 2020
Category: Dermatology

Tired of having to pluck, wax, and shave every few days? Dealing with thick, dark and unsightly hair in visible areas such as the chin or shoulders? If so, a dermatologist can provide you with a more effective solution for getting rid of unwanted body hair faster and easier. The answer lies in laser hair removal.

Plucking and waxing can be painful and shaving can leave you with ingrown hairs and irritation. None of these methods are fun. Plus, you have to keep doing it every few days or every week if you want smooth skin. Why go through the hassle when a dermatologist can help you get rid of hair without ever having to lift a finger?

It doesn’t come as much of a surprise that laser hair removal is one of the most popular cosmetic treatments. This procedure makes it easy to get smoother skin without having to deal with tweezing, shaving, or waxing. This non-invasive laser treatment can treat just about any part of the body; however, it’s most often used to treat the,

  • Chest
  • Upper lip and chin
  • Back
  • Bikini line
  • Underarm
  • Legs
  • Shoulder

Thanks to advanced laser technology, our dermatologist can provide patients with a safe, effective, and comfortable laser treatment to help them target and remove unwanted hair for the long term. Most laser systems offer a built-in cooling system to make treatment as comfortable as possible. Depending on the size of the treatment area, laser hair removal can take as little as 10 minutes for regions such as the upper lip or chin and as long as one hour (for a full back).

Since hair grows in cycles, you will need to get several laser hair removal sessions to ensure that our dermatologist removes as much of the hair as possible. The average person will get anywhere from 4-6 sessions. During laser hair removal, the handheld device will be directed over the skin to target and heat up the hair follicles to destroy them, preventing them from growing back. While laser hair removal will not permanently get rid of the hair, it will help the hair grow back fewer, finer, and lighter so they are far less visible.

If you think laser hair removal could help you feel more confident in your appearance, then your cosmetic dermatologist can give you the smoother results you want before summer hits.

By Sanjiva Goyal
March 27, 2020
Category: Skin Care
Tags: Skin Care Routine  

Caring for your skin doesn’t have to be challenging, and your dermatologist can help.

Healthy, clear skin isn’t just luck and genetics, it’s also a sign of your daily routine, your habits and lifestyle. What you do each and every day can have a major impact on your skin, for better or worse. Of course, our Jacksonville and Ponte Vedra Beach, FL, dermatologist Dr. Sanjiva Goyal also understands that there is a ton of information out there about creating the perfect skin care routine. Instead of driving yourself crazy with research, here are some simple things you should know,

Create Your Main, Daily Routine

When it comes to caring for your skin there should be three main components:

  • Cleansing: washing your face with a gentle cleanser
  • Toning: applying a toner, which balances the skin
  • Moisturizing: preventing dryness by applying a moisturizer daily (and yes, even to oily skin)

Yes, it can be that simple. Of course, as you age you will notice that your skin-care routine will also need to change. Perhaps you’ll need products geared towards acne or anti-aging. If you have questions about changing products to accommodate your aging skin our dermatologist here in Jacksonville, FL, would be happy to provide suggestions and recommendations.

Use Sunscreen

One of the best anti-aging tools at your disposal is a broad-spectrum sunscreen that protects your skin from UVA and UVB rays. It is important that you use sunscreen everyday, even on those cloudy or snowy days (remember, the sun’s rays can still penetrate through clouds and reflect off snow). Apply sunscreen to the face and body about 30 minutes before going outside, opt for a sunscreen with an SPF of at least 30.

Catch Those ZZZs

Want radiant, healthy smile? The answer could be hiding in your bed. Getting good, quality sleep every night can do wonders not just for your mood, energy levels and overall health, it can also keep skin looking its best. Not getting enough sleep speeds up the aging process, can cause puffy bags under the eyes and can increase cortisol levels, which can cause psoriasis and other skin conditions to flare-up. So, if you want to keep your skin looking great, make sure you are practicing good sleep habits.

Quit or Avoid Smoking

Might seem like a no-brainer but if you’re looking for (yet another) reason to quit smoking, the health of your skin may be exactly what you need to finally ditch the habit. Along with all the serious health problems that occur as a result of smoking, cigarettes and tobacco can also lead to premature and deep-set lines and wrinkles. Ever heard of smoker’s line? By quitting smoking you can greatly improve the health of your skin for the future.

Our dermatologist and his team here at Coastal Dermatology & MedSpa in Jacksonville and Ponte Vedra Beach, FL, provide comprehensive skincare to patients of all ages. No matter whether you are dealing with acne or you are curious about anti-aging treatments call our office today to schedule an appointment. For our Jacksonville, FL, office, please call 904-727-9123. For our Ponte Vedra Beach, FL, office, please call 904-567-1050.

By Sanjiva Goyal
March 13, 2020
Category: Skin Condition
Tags: Dermatitis  

If you’ve suddenly noticed your skin breaking out in a red, itchy rash, you could be dealing with dermatitis, a common skin condition that often leads to a red, swollen rash, or dry and intensely itchy skin. Sometimes dermatitis can even cause oozing or scaling blisters to form. This condition may be embarrassing but don’t worry—it isn’t contagious.

The most common types of dermatitis include:

  • Contact dermatitis: occurs when an allergen comes in contact with your skin
  • Eczema or atopic dermatitis: most commonly inherited
  • Dyshidrotic dermatitis: often appears on the hands and feet
  • Seborrheic dermatitis: a type of dermatitis that often affects the scalp (dandruff)

The causes really depend on the type of dermatitis you have. For example, contact dermatitis occurs when you come in contact with an allergen such as certain detergents, poison ivy, or nickel. Eczema most often runs in families and occurs more frequently in those with allergies or asthma.

With dermatitis, it is common to experience flare-ups with bouts of remission. Common symptom triggers include environmental or hormonal changes, stress, or certain irritants (e.g. new detergents; perfumes).

Since the symptoms of dermatitis are similar to other skin conditions, it is important to see a dermatologist for a proper diagnosis. Some types of dermatitis can be diagnosed through a simple physical exam; however, if your dermatologist believes that your symptoms are due to an allergic reaction, then allergy testing may be necessary to determine what’s causing your dermatitis.

Those with mild symptoms may find relief through over-the-counter antihistamines and topical creams to stop itching and redness; however, a dermatologist can create a customized treatment plan based on the type of dermatitis you are dealing with and your symptoms. Along with home care (e.g. oatmeal baths; cold compresses) and over-the-counter medications, a dermatologist may also prescribe stronger antihistamines, topical steroids, or oral medication to ease more serious flare-ups.

Your dermatologist can also discuss ways to prevent flare-ups including treating and preventing dry skin, using a proper moisturizer, and implementing necessary dietary changes. Some patients also find that alternative therapies such as acupuncture or massage therapy help reduce the number and severity of flare-ups.

If you are experiencing symptoms of dermatitis, it is important that you see your dermatologist right away for care. The sooner you seek treatment the sooner you will experience relief.

By Sanjiva Goyal
February 26, 2020
Tags: Tattoo Removal   Tattoos  

Tattoo removal has become one of aesthetic and medical dermatology's most sought-after services. Read on to learn about how this treatment works.

The procedure

Dermatologists mostly use Q-switched, or quality-switched, laser instruments for tattoo removal. Short, focused bursts of light break up the tattoo pigment that lies embedded in skin. With repeated treatments, the pigment particles eventually clear the body, and the tattoo lightens or fades away completely. Your skin doctor will tailor your treatments to your skin and to your tattoo.

Skin doctors find that older tattoos composed of darker hues such as brown or green respond best to laser removal. Colors such as red or yellow are more easily retained and may not fade completely.

These treatments are best performed by a board-certified dermatologist who will examine your skin and your tattoo, review your medical history, and give you the safest and most effective treatment options available.

The American Society for Aesthetic Surgery reports that skin doctors performed more than 45,000 tattoo removal procedures in 2013, and those numbers continue to rise. In just a few treatments, many patients experience complete erasure of their body artwork.

After your tattoo removal

As you may have some blistering, bleeding, and swelling after your laser removal procedure, you must treat your skin gently afterward. Keep the area clean and dry to avoid infection.

Additional aftercare involves:

  • Avoiding sun exposure
  • Keeping the treated skin covered
  • Wearing loose clothing over the tattoo site
  • Applying antibiotic ointment or cream as directed

If you want a tattoo removed...

See your board-certified dermatologist for a personalized consultation. They have the credentials, skill, and tools to do the job safely and effectively. Call your skin doctor today to find out more about removing tattoos.

By Sanjiva Goyal
February 11, 2020
Category: Dermatology
Tags: Acne   Acne Treatment  

Anyone who has ever walked through the skincare aisle of their local drugstore knows that there are tons of acne-fighting products on the market. So, which one is right for you? Should you opt for an acne cleanser or spot treatment, or both? Choosing the right acne treatment can be challenging, to say the least.

While acne is a common problem among teenagers, many people don’t just leave acne behind the minute they toss out those graduation caps. In fact, many adults well into their 20s, 30s and beyond still deal with regular acne outbreaks. So, how do you properly treat acne? There is no singular way to treat acne and the best treatment option for you and your skin will depend on the cause. While you might not know what’s to blame for your acne symptoms a dermatologist certainly can help.

Treating Acne on Your Own

If you are dealing with mild to moderate acne, look for products that contain these powerful acne-fighting ingredients:

  • Salicylic acid
  • Benzoyl peroxide
  • Glycolic acid
  • Sulfur
  • Retinol

How a Dermatologist Treats Acne

If you’ve tried over-the-counter acne products for more than 12 weeks and aren’t seeing results, or if you are experiencing severe, deep or cystic acne then it’s time to turn to a skin care professional for help. The first thing your dermatologist will do is determine the cause of your acne. From there, one or more of these treatments may be recommended:

Prescription topical medications: Certain topical medications act as an anti-microbial and anti-inflammatory, which reduces redness and inflammation associated with acne while also removing acne-causing bacteria from the surface of the skin.

A simple extraction: You should never pick at your acne or try to pop a pimple on your own, as you could end up causes further irritation or scarring; however, a dermatologist knows the safest and most effective techniques for extracting blackheads and whiteheads safely.

Birth control pills: For women who notice breakouts that correspond to their menstrual cycle, certain birth control pills may be able to reduce the amount of androgen hormones, which in turn can reduce breakouts. Talk to your dermatologist about the birth control pills that are FDA approved to treat acne.

Isotretinoin: This is an extremely intense oral retinoid that is used for treating severe, cystic acne that isn’t responsive to other treatment options. Isotretinoin is better known as Accutane, and this treatment can take up to nine months to see full results. Some patients will require multiple courses of treatment. Due to the nature of this strong medication, there are some possible side effects. It is important to discuss these side effects with your dermatologist before beginning Isotretinoin.

If you are having trouble getting your acne under control it’s important that you have a dermatologist that you can turn to for customized care. Take control of your acne once and for all.





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