My Blog

Posts for: January, 2020

By Sanjiva Goyal
January 30, 2020
Category: Dermatology
Tags: Moles  

Do you have a mole? Chances are good that you have few of them, actually. The average person has around 30-40 moles, and while moles are usually nothing to worry about it is important to be able to spot any changes that could be warning signs of skin cancer. That’s why you should perform self-exams every month to check the state of your moles. Just because they could be harmless doesn’t mean you should ignore them.

A mole that develops after the age of 30, a mole that bleeds or a changing mole could be a sign of melanoma, a deadly form of skin cancer. This is why it’s important to check your moles regularly. When found early, melanoma is highly treatable. When it comes to pinpointing melanoma your dermatologist may teach you about the ABCDE's of skin cancer:

Asymmetry: If you were to draw a line down the middle of a mole both sides would be completely symmetrical; however, an asymmetrical mole could be a sign of melanoma.

Border: Melanoma is more likely to produce growths that have jagged or poorly defined edges.

Color: Healthy moles are usually a single color, while melanoma will often contain different colors or dark spots.

Diameter: Most healthy moles are smaller than a pencil eraser. If you notice that one or more moles are getting bigger you should speak to your dermatologist.

Evolution: Moles stay relatively the same over time; therefore, if you notice any changes to the size, color, shape, or texture then it’s time to consult with a skincare professional.

Of course, melanoma isn’t the only type of skin cancer to be on the lookout for. The two most common types of non-melanoma skin cancers include basal cell carcinomas and squamous cell carcinomas. Basal cell carcinomas often present as waxy-looking pale bumps on the skin, often on the head or neck, while squamous cells feel like firm nodules that may be smooth at first but become scaly.

Even if you aren’t noticing changes in your moles it’s still a good idea to schedule a skin cancer screening with your dermatologist once a year. Those at an increased risk for skin cancer may want to discuss coming in more often for exams. This exam is non invasive and could just save your life. If you’ve never had a skin cancer screening before it’s high time that you scheduled one.


By Sanjiva Goyal
January 14, 2020
Category: Dermatology
Tags: Hyperhidrosis   Sweating  

Excessive sweating, also known as hyperhidrosis, can be an annoying, embarrassing condition to deal with. Perspiring is normal, but hyperhidrosis is characterized by excessive sweating when your body doesn’t need to be cooled down.

One of the most common ways to tell whether you have hyperhidrosis is if one or two areas of your body are very sweaty, but the rest of your body is dry. Some common areas to experience hyperhidrosisinclude your head, feet, palms of your hands, and your underarms.

If you are experiencing excessive sweating, there are ways to minimize the impact. Consider trying these easy remedies:

  • Changing to antiperspirant, not deodorant
  • Using armpit shields to help absorb perspiration
  • Wearing loose clothing made of natural fibers like cotton
  • Changing your socks at least twice during the day
  • Wearing black and white clothing to reduce signs of sweating
  • Limiting or avoiding alcohol and spicy foods because they can worsen sweating

For moderate to severe cases of hyperhidrosis that aren’t managed well with conservative home therapies, it’s best to visit your dermatologist. There are several effective treatments for excessive sweating your dermatologist may recommend, including:

  • Prescription antiperspirant products containing aluminum chloride
  • Iontophoresis, which uses a weak electrical current to block the sweat glands from producing sweat; treatments are completely pain-free and take 20 to 30 minutes per treatment. 2 to 4 treatments per week are recommended with maintenance treatments every 1 to 4 weeks.
  • Botox injections, which help to reduce sweating; injections of botox are given into areas affected. Botox typically requires 15 to 20 injections and takes 30 to 45 minutes. The effects of injections can last for a few months and Botox treatment can be repeated if necessary.

Excessive sweating can disrupt your life, hampering your self-confidence. You can get relief from excessive sweating from your dermatologist. To find out more about treatment for excessive sweating, and other medical and cosmetic skincare treatments, talk with your dermatologist today!


By Sanjiva Goyal
January 10, 2020
Category: Cosmetic Dentistry
Tags: Juvederm  

When you look in the mirror, does your face look like it could use a lift? Juvederm is a safe, effective, non-invasive way to add volume to the cheeks and lips. Also used to soften lines and wrinkles, Juvederm is a subtle solution to smoothing problem areas around the nose, and mouth, while rejuvenating the skin. If you have questions about Juvederm, we hope to answer them below. If you'd like to learn more about this popular dermal filler, visit your dermatologist, Dr. Sanjiva Goyal, M.D. here at Coastal Dermatology and MedSpa in Jacksonville and Ponte Vedra Beach, FL, today.

What is Juvederm?

Juvederm is the #1 selling collection of hyaluronic acid fillers in the United States. At our offices in Jacksonville and Ponte Vedra Beach, FL, we offer four different types of Juvederm that focus on different areas of the face and delivers softness while helping the skin retain moisture. The type of Juvederm product that is best for you is contingent upon consultation to address your concerns. Juvederm can correct a variety of age-related issues from mild to severe.

How Does Juvederm Work?

Juvederm adds volume to facial tissue using its active ingredient—hyaluronic acid—a substance that is naturally present in your body. As you age, this hyaluronic acid decreases along with collagen. Juvederm works by using minimally invasive injections to create more collagen. During the procedure, your dermatologist in Jacksonville and Ponte Vedra Beach, FL, Dr. Sanjiva Goyal, M.D., will mark the treated areas before making the injection. Depending on where you receive Juvederm and how many doses you require, the procedure can last anywhere from 15 to 60 minutes.

How Can Juvederm Help Me?

Sometimes we desire a little cosmetic enhancement to boost our self-esteem. If you are over the age of 21, Juvederm is a long-lasting option to restore facial contours, and fight against the signs of aging. Cheeks can sometimes flatten, and Juvederm is capable of plumping them up along with deep facial wrinkles and creases. It can also be applied to safely augment the lips. Results are immediate and last up to six months or more. Dr. Sanjiva Goyal, M.D., offers a few different types of Juvederm, and he can help decide which option is best for you during your initial consultation.

Contact Us

For more information about Juvederm and other services provided, visit our website. To schedule your appointment at Coastal Dermatology and MedSpa, we have two convenient locations for our patients. For our Jacksonville, FL, office, please call 904-727-9123. For our Ponte Vedra Beach, FL, office, please call 904-727-9123.