Melasma is typically caused in women by exposure to estrogens. For this reason, any hormone replacement you are taking that contains estrogen can contribute, so I would refrain from using estrogens. Also, the h... continue reading  about  I'm 53 and in menopause. Since perimenopause, my melasma has returned. I had it my 30s due to birth control pills. I'm using TriLuma and am fanatical about sunscreen. I'm Asian and dermatologists have told me laser or other procedures might worsen it.

This is a great question! In fact, people between the ages of 18-65 can be treated with Botox. Those lines that form between the eyebrows are a result of powerful muscle contractions caused from concentration o... continue reading  about  I'm nearing 40 and noticing frown lines between my eyebrows and was wondering if there was an ideal age to begin Botox. Is there an age at which it is too late?

Dark brown coloring of the knees is often also associated with some thickening of the skin. In most patients, it would be due to a condition called post-inflammatory hyperpigmentation due to friction from cloth... continue reading  about  What causes dark hyperpigmentation in the skin on the knees? And what can be done for this?

The appropriate treatment for adult acne is medication prescribed by a dermatologist or primary care physician. These are medications applied topically to the skin surface and include tretinoin, benzoyl peroxid... continue reading  about  I have adult acne, but I'm also getting saggy skin now that I'm in my 40s. Would laser treatments help both?

I'm SO glad that your family is remembering sunscreen! The most recent statistics from the Center for Disease Control (CDC) show that approximately 70,000 people in the United States are diagnosed with melanoma... continue reading  about  My son is in school all day, then jumps into a car to travel to an outdoor swim practice. He has about five minutes to get ready. If we apply sunscreen in the morning, is it still effective eight hours later? What sunscreens are best for his situation?

The following can cause increased hair loss: poor nutrition, genes, hormones, age, certain medications, stress, rapid weight loss and some medical conditions.I will address the nutrition component. Listed are s... continue reading  about  I am a vegetarian. I have unhealthy hair, dandruff, and hair loss. A recent blood test indicated my testosterone is slightly higher than normal. I started including egg and ground flaxseed powder in my diet. Can you suggest a diet to promote hair growth?

Those small dilated veins around the ankle are very common (I have them too) and are called telangectasias or "spider veins." They are not usually a health concern and are most often asymptomatic. On occasion t... continue reading  about  What causes broken veins around the ankles? Is there any preventive measures that can be taken?

For any surgical procedure, you should do your homework. This includes breast augmentation. Your plastic surgeon should be board certified in Plastic Surgery. Remember that any surgery, cosmetic or not, is a ma... continue reading  about  I'm considering breast implants. What should I look for (beyond board certification) in selecting my plastic surgeon?

There are two basic types of cosmetic laser treatments that offer skin rejuvenation. There are classified as ablative and non-ablative. The most effective for wrinkle removal and collagen regeneration is the CO... continue reading  about  I've heard about laser skin treatments for collagen rejuvenation. Can you tell me how it works and how many treatments I'll need? Also, does the treatment hurt and what can I expect afterwards?