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Posts for category: Skin Care

By Sanjiva Goyal
June 21, 2019
Category: Skin Care
Tags: Juvederm  

Wrinkles, sagging skin, and loss of volume around the lips and cheek are the most common signs of aging. As we age, our collagen production decreases, leading to everything from crow's feet to loose, dry skin. Dermal fillers like Juvederm are designed to give your skin an extra boost and fill in areas that have started to show the signs of aging. Dr. Sanjiva Goyal, your dermatologist in Jacksonville and Vedra Beach, FL, offers Juvederm and other skin care and aesthetic services to help you look and feel your best at every age!

The basics on Juvederm

Juvederm is an injectable aesthetic treatment that uses hyaluronic acid to help firm and fill out contours and alleviate deep lines on the Juvedermface. Like collagen, hyaluronic acid is naturally produced by the body in order to help facilitate healing and preserve smooth, youthful skin texture.

Juvederm is a non-surgical, non-invasive aesthetic treatment, that doesn't require bandages or an extensive recovery period. In fact, a typical Juvederm treatment takes about 15 minutes, allowing you to get your treatment and then immediately go about your day afterward!

One of the most common uses for Juvederm is for lip enhancement and to fill creases/hollow areas around the mouth and cheeks.

Experiment with Juvederm

One of the many benefits of dermal fillers like Juvederm is that they are not permanent, allowing you to experiment with your appearance without making drastic changes to your face. Most dermal fillers dissolve naturally within 6 to 12 months, so there is no long term commitment!

Interested? Call either one of our offices in Jacksonville or Vedra Beach, FL, today!

For more information about Juvederm and other aesthetic procedures, contact Coastal Dermatology and Med Spa to schedule an appointment with Dr. Goyal today! Dial 904-727-9123 for Jacksonville or 904-567-1050 for Vedra Beach.

By Coastal Dermatology
May 01, 2019
Category: Skin Care
Tags: Mole  

Mole Removal: What to Expect

Worried about that mole? A mole is a dark spot or irregularity in the skin. Everyone is at risk of skin cancer and should keep an eye on their skin and moles. Simply thinking about having a skin mole removed might send shivers down your spine, but sometimes it’s necessary for your health. For example, if a biopsy is cancerous, removing the mole can help to stop any cancer from growing more. But many individuals also have moles removed for cosmetic reasons.

What Causes Moles?

Skin moles occur in all races and skin colors. Some individuals are born with moles. Most skin moles appear in early childhood and during the first 20 years of a person's life. New moles appearing after age 35 may require medical evaluation, and possible biopsy. Some moles appear later in life. Sun exposure seems to play a role in the development of skin moles. People with high levels of exposure to UV light tend to have more moles. However, moles may also occur in sun-protected areas.

How Is It Done?

Mole removal is a simple kind of surgical procedure. Your doctor will likely choose one of two ways: surgical shave or surgical excision. Surgical shave is done more often on small skin moles. After numbing the area, your healthcare provider will use a blade to shave off the mole and some tissue underneath it. Stitches aren’t usually required. During the surgical excision procedure, your doctor will numb the area. He or she will use a circular blade or scalpel to cut out the mole and some skin around it. The doctor will then stitch the skin closed.

Can a Mole Grow Back?

There's a small chance that a mole can grow back after mole surgery, although there's no way to predict whether this will happen. It's important to understand that no surgery has a 100 percent cure rate. Some mole cells may remain in the skin and may recur in the same area. Some skin moles are more aggressive than others and need closer follow-up and additional treatment.

Are There Any Risks?

Risks of mole removal methods include infection, rare anesthetic allergy, and very rare nerve damage. Follow your doctor's instructions to care for the wound until it heals. This means keeping it covered, clean and moist. The area may bleed a little when you get home, especially if you take medications that thin your blood. It's always prudent to choose a doctor with appropriate skills and experience with these removals. This will lower the risks associated with this procedure.


Take charge of your health today. Regular self-skin examinations and annual skin examinations by a doctor help people find early skin cancers. If you need a mole check, find a dermatologist near you and schedule your annual skin cancer screening.A simple skin cancer screening could save your life.

By Coastal Dermatology
April 05, 2019
Category: Skin Care
Tags: Acne  

Discover helpful acne-fighting tips and trick to achieve clearer skin.

You’re trying to find the right way to get your acne under control, right? Well, there are certainly so many options out there that it can be a bit daunting. First and foremost, if you are just starting to deal with acne then you may want to tackle the issue from the comfort of your own home before turning to a dermatologist for help.

At-Home Treatment Options

The first line of defense is usually to try an over-the-counter acne cleanser or topical cream that contains an active ingredient such as benzoyl peroxide or salicylic acid. It’s important to be patient when it comes to seeing results. No acne product will work overnight. In fact, it can take anywhere from 4-6 weeks of consistent use before you start to notice results from commercial acne products, so don’t give up on a product too soon.

Other tips to follow include:

  • Cleaning your smartphone with disinfectant wipes at lease once a day (imagine just how much bacteria your phone picks up everyday).
  • Washing your face twice a day, once in the morning and at night before bedtime, and immediately after sweating.
  • Being gentle with your skin. Harsh scrubs and being aggressive won’t get rid of acne; it will actually just make it worse.
  • Using cosmetic products that won’t clog pores (look for words like “non-comedogenic” or “oil free”)
  • Leaving acne alone (do not pick acne or try to extract it yourself, as this can lead to scarring)
  • Washing pillowcases regularly to get rid of pore-clogging bacteria

When to See a Dermatologist

If you are having trouble getting your acne under control after weeks of trial and error, or if your acne is severe and painful then it’s time to enlist the help of a dermatologist who will be able to provide you with more effective strategies for getting rid of your acne. After all, there are different things that can cause acne and it’s important that your skin doctor figures out what’s causing your acne so that they can create the right treatment plan for you.

Dermatologist-Approved Acne Treatment Options

Depending on what’s causing your breakouts, a dermatologist may recommend these treatment options:

  • Topical treatment: Prescription-strength cleansers, ointments, and creams containing glycolic acid, benzoyl peroxide, and retinoids can target and eliminate acne.
  • Topical or oral antibiotics: Antibiotics can reduce inflammation and kill the bacteria responsible for acne.
  • Oral contraceptives: If you are dealing with breakouts that occur around your menstrual cycle then hormonal fluctuations could be causing your acne. There are certain types of birth control pills that have been FDA approved to fight acne.
  • Isotretinoin: More commonly referred to as Accutane, this powerful oral medication is used for those dealing with severe cystic acne that can lead to deep scarring. This is often recommended when other treatment options haven’t been effective.

Have questions about getting your acne under control? Then it’s time to consult with a dermatologist.

By Coastal Dermatology
December 11, 2018
Category: Skin Care
Tags: Skin Cancer  

Skin CancerWhat are your chances of developing the most common cancer in the United States? One in five American adults will develop skin cancer at some point in their lives, says the American Academy of Dermatology. That's why routine skin examinations with Dr. Sanjiva Goyal at Coastal Dermatology & MedSpa in Jacksonville , FL, are so vital. Count on his technical skill and compassionate manner to help you avoid this potentially deadly cancer.

Kinds of skin cancer

The most common kinds are basal cell carcinoma and squamous cell carcinoma which grow in the epidermis, or top layer of the skin. These cancers are readily detected and treated; plus, they do not spread quickly or affect major organs. A third cancer, however--malignant melanoma--is deadly and insidious, spreading to all major organs if not detected in its earliest stages.

Causes of skin cancer in Jacksonville

The Skin Cancer Foundation says that UV light from the sun or artificial tanning is the real culprit. Increasing age, gender (more men than women experience skin cancer), light skin tone and multiple sunburns early in life increase the chances of a skin cancer diagnosis.

Unfortunately, lack of education about skin cancer risks is risky, too. Many people do not understand the importance of applying protective sun screen products, wearing long sleeve and sun glasses on hot days or staying in the shade during peak daylight hours of 10 am to 2 pm. In other words, not knowing how to protect yourself increase your chances of developing skin malignancies.

Symptoms of skin cancer

Basically, changes in skin texture and color may indicate cancer. Also, if an existing spot or mole begins itching or bleeding, you should see Dr. Goyal right away for a skin examination. The Prevent Cancer Foundation advises the ABCDEs of mole examination to alert you to possible skin cancer risk. If you have moles, look at these characteristics:

A Moles are asymmetrical. In other words, if you were to draw a line down the middle of a mole, each side should be equal in size if the lesion is benign.

B Notched, uneven borders may indicate cancer.

C Moles are usually brown or tan. Multi-colored moles may be melanoma.

D Moles may be malignant if larger than 6 millimeters in diameter.

E Moles should not change in shape and size. Evolution may mean cancer.

Treatments

Most skin cancers may be surgically excised. MOHS surgery removes a lesion layer by layer, sparing more healthy tissue. Freezing or desiccation with electric current may be options as well as radiation or chemotherapy. Dr. Goyal is a board-certified dermatologist with the expertise and experience to plan your successful treatment.

Be on guard

What you don't know about your skin may hurt you. Look for signs of cancer by examining your skin at home every month. Also, see Dr. Goyal annually if you are over 40 for a complete dermatology check-up. Coastal Dermatology & MedSpa has two locations. For Jacksonville, phone (904) 727-9123. In Ponte Vedra Beach, call (904) 567-1050.

By Coastal Dermatology
December 03, 2018
Category: Skin Care
Tags: Lupus   Sun Sensitivity  

Lupus can affect the skinFind out what this autoimmune disorder means for your skin health.

According to the Lupus Foundation of America, approximately 1.5 million Americans and five million people globally have some form of lupus. While lupus can affect both men and women, about 90 percent of those with diagnosed lupus are women between the ages of 15 to 44. Even though this chronic autoimmune disease affects millions, significantly less than half of people are actually somewhat familiar with the disease. 

So, what exactly is lupus, how can you contract this disorder and what treatment options are available?

About Lupus

Our immune system is meant to attack foreign agents in our body to fight diseases and other infections. However, if you have been diagnosed with lupus then your immune system actually responds by attacking the healthy cells within your body. This ultimately causes damage to certain organs in the body like your heart, skin and brain.

There are different types of lupus; however, the most common form is systemic lupus erythematosis. Discoid lupus is known for causing a persistent skin rash, subacute cutaneous lupus causes skin sores when exposed to the sun, drug­induced lupus is the result of a certain medication and neonatal lupus affects infants.

Know that you aren’t alone when it comes to handling your lupus symptoms. While symptoms can be severe and affect your daily life talk to your dermatologist about the best ways to reduce your symptoms and improve your quality of life.

Lupus Risk Factors

While anyone can develop lupus, women are more likely to develop this condition. Also, African American, Hispanic, Native American and Asian women are at an increased risk over Caucasian women. While the cause is unknown, some research has found that perhaps genes play an influential role in the development of lupus; however, there are several factors that could be at play.

Lupus Symptoms

Those with lupus may experience some or all of these symptoms:

  • Muscle aches and pains
  • Joint pain and swelling
  • Skin rashes, most commonly found on the face
  • Fever
  • Chest pain when breathing deeply
  • Loss of hair
  • Pale fingers and toes
  • Sun sensitivity
  • Mouth sores
  • Extreme fatigue
  • Leg or eye swelling
  • Swollen glands

These symptoms may not be present all the time. Those with lupus have flare­ups in which the symptoms will appear for a little while and then go away. Also new symptoms may also arise at any time.

Lupus Treatments

If you’ve been diagnosed with lupus then you will most likely need to see several specialists regarding your condition. If you are dealing with skin sores and rashes, then you will want to talk to your dermatologist about the best treatment plan for you. About 40 to 70 percent of those with lupus experience symptoms when exposed to sunlight.

When you come in our office for treatment our goal is to find certain medications that can reduce pain, swelling and redness and prevent further flare­ups. Furthermore, we will recommend a sunscreen and other lifestyle changes that can help to protect your skin from damaging sun exposure.