The Importance of Regular Skin Examinations: A Case of Actinic Keratosis and Monitoring Non-Melanoma Skin Cancer

By Dr. Tony Nguyen, Village Dermatology

At Village Dermatology’s Katy office, we understand that skin health becomes increasingly important as we age, particularly for those with a history of skin cancer or pre-cancerous lesions. I have seen a 62-year-old patient for her annual full-body skin examination. With a history of basal cell carcinoma and actinic keratoses (AKs), this patient is closely monitored to manage her skin health and address any emerging concerns.

In this post, I’ll discuss the findings of her examination, the treatments provided, and essential recommendations for those with a history of skin lesions or significant sun damage.

Patient Background and History

This patient’s medical history includes:

• A previous basal cell carcinoma removed from her forehead four years ago.

• A history of actinic keratoses, pre-cancerous lesions commonly associated with cumulative sun damage. Learn more about actinic keratosis and its risks.

During this visit, her skin showed several areas of concern. Actinic keratoses lesions, common on sun-exposed areas, were found on her left central cheek, left inferior forehead, right neck, superior thoracic spine, and left upper back. Given her history and the appearance of these lesions, we treated the AKs immediately using liquid nitrogen.

Actinic Keratosis Treatment and Follow-Up Care

Actinic keratoses are often a precursor to squamous cell carcinoma if left untreated. While the risk of progression is low, regular treatment and monitoring are essential. During this visit, we applied cryotherapy (liquid nitrogen) to five actinic keratosis lesions, a standard treatment that freezes abnormal cells, causing them to slough off.

For patients with extensive actinic damage like this patient, topical treatments such as Efudex (5-fluorouracil) and calcipotriene may be recommended for long-term care. These topical agents help treat existing lesions and prevent new ones from forming. The patient was advised to apply these treatments to her lower legs, arms, hands, chest, and face, which have shown significant sun damage over time. You can read more about our actinic keratosis treatment options here.

Expected Outcomes and Precautions

Patients undergoing treatment for AKs should monitor their skin closely. While cryotherapy and topical treatments are highly effective, some lesions may be persistent or resistant. We instructed the patient to contact our office if:

• The lesions fail to heal after treatment.

• She experiences severe side effects, such as extensive crusting, scabbing, or redness.

For added protection, broad-spectrum sunscreen (SPF 30+), protective clothing, and limiting sun exposure are essential. In particular, patients with a history of non-melanoma skin cancers benefit significantly from daily sun protection.

Monitoring for Recurrence of Non-Melanoma Skin Cancers

Given her history of basal cell carcinoma, this patient was also advised to monitor any scars from previous excisions for signs of recurrence. Any discoloration, changes, or new bumps in these areas should be evaluated immediately, as they can signal recurrence or new growth.

During this visit, we identified an erythematous pearly papule on her left neck, a lesion of uncertain behavior that raised concerns for basal cell carcinoma. After obtaining consent, we performed a biopsy using the shave method to obtain a tissue sample for pathology. The biopsy process involved:

• Preparing the area with alcohol.

• Administering local anesthesia.

• Using a Dermablade to perform a shave biopsy to the dermal level.

• Applying Drysol for hemostasis and bandaging the area.

We will follow up with the patient regarding biopsy results within two weeks. However, we instructed her to contact our office if she has not received communication by that time.

Key Takeaways for Skin Health

1. Regular Skin Examinations: For patients with a history of non-melanoma skin cancer, annual or even biannual skin checks are crucial to identify any new or recurring lesions.

2. Sun Protection: Sunscreen (SPF 30+) and sun-protective clothing are essential for preventing new actinic keratoses and reducing the risk of skin cancers.

3. Monitoring Post-Excision Scars: Patients should monitor any scars from previous excisions for changes, as these could indicate recurrence.

4. Diet and Lifestyle: A healthy lifestyle, including limiting sun exposure, can help reduce the risk of skin cancer progression.

Conclusion

The patient’s annual examination highlights the importance of consistent skin monitoring and proactive treatment in preventing skin cancer progression. For patients in Katy, Village Dermatology offers comprehensive skin evaluations, personalized treatment plans, and ongoing guidance to help manage and protect skin health. If you have a history of sun damage or skin cancer, schedule your consultation with us today and take control of your skin health.

About the Author:

Dr. Tony Nguyen is a board-certified dermatologist at Village Dermatology, specializing in skin cancer prevention, treatment, and comprehensive skincare. Dr. Nguyen is dedicated to providing compassionate, expert care to patients in Katy and surrounding areas.

This article is intended for informational purposes only. For personalized medical advice, please consult with a qualified healthcare provider.

Managing Adult-Onset Acne in Your 40s: Understanding the Role of Hormones, Diet, and PCOS

By Dr. Caroline Vaughn, Village Dermatology

For many women, acne may seem like a teenage issue, but it can reappear later in life. Recently, I met with a 40-year-old patient experiencing new onset of acne. Her symptoms included not only persistent breakouts but also irregular menstrual cycles and hirsutism (excessive hair growth), both of which are common signs of polycystic ovary syndrome (PCOS). To add to her concerns, she has been gaining weight due to a diet high in processed foods.

This case highlights the complex relationship between hormones, diet, and adult-onset acne. In this article, we’ll discuss why these factors matter, how they interconnect, and effective strategies for managing acne related to hormonal changes and dietary habits.

Adult-Onset Acne and Hormonal Imbalances

When a woman in her 40s begins experiencing acne, it's often tied to underlying hormonal shifts, such as those associated with PCOS. PCOS is a hormonal disorder that affects many women, often leading to symptoms like irregular menstrual cycles, hirsutism, weight gain, and yes—acne. In PCOS, the body produces higher levels of androgens (male hormones), which can trigger excess sebum (oil) production and lead to clogged pores and breakouts.

Learn more about the impact of PCOS on the skin and other health aspects by visiting a PCOS resource page.

Diet’s Role in Acne Development

Diet plays a crucial role in skin health, particularly for those prone to acne. Our patient mentioned an increased intake of processed foods, which can have an impact on skin. Processed foods are often high in refined sugars and unhealthy fats, which can lead to inflammation in the body. This inflammation is then reflected on the skin, often manifesting as acne.

A high glycemic diet, filled with processed foods, can also trigger insulin spikes, which may exacerbate the hormonal imbalances seen in PCOS. Insulin resistance, often linked to a diet high in sugar, is common in PCOS and can further increase androgen production, worsening acne.

For more insights on how diet affects acne, you can explore our Diet and Acne page for helpful tips.

Treatment Options for Adult Acne Related to Hormones and Diet

Managing adult-onset acne, especially when related to hormonal imbalances and dietary habits, involves a multi-faceted approach. Here are some strategies that can be effective for patients like ours:

1. Hormonal Therapy

• For women with PCOS, treatments that address hormonal imbalances can be particularly helpful. Birth control pills and anti-androgens, such as spironolactone, can regulate hormones and reduce acne. These treatments help control androgen levels, addressing the root cause of acne in cases like this one.

2. Topical and Oral Medications

• Traditional acne treatments, such as topical retinoids, benzoyl peroxide, and salicylic acid, can help reduce inflammation and unclog pores. In some cases, oral medications like antibiotics or isotretinoin may be necessary, especially if topical treatments are not effective on their own.

3. Dietary Adjustments

• Reducing processed food intake and opting for a balanced, low-glycemic diet with plenty of fresh fruits, vegetables, and whole grains can be beneficial for skin health. Studies show that diets rich in antioxidants and low in sugar may help reduce inflammation and stabilize insulin levels.

Visit our Causes of Acne page to understand more about factors contributing to adult acne and the most effective treatment approaches.

Lifestyle and Skincare Tips for Managing Acne

For our Katy-based patients, adopting a skincare routine tailored to adult acne is essential. Here are some helpful tips:

• Gentle Cleansing: Use a gentle cleanser that won’t strip the skin of its natural oils. Cleansing twice a day is typically sufficient, particularly if your skin is sensitive.

• Avoid Heavy Makeup: Heavy or oil-based makeup can worsen acne by clogging pores. Opt for non-comedogenic products that allow the skin to breathe.

• Regular Exercise: Physical activity can help regulate insulin and stress levels, both of which play a role in hormonal balance and, consequently, acne. However, be sure to cleanse your face afterward to remove sweat and bacteria.

Conclusion

Adult-onset acne can be frustrating, especially when hormonal changes and lifestyle factors like diet are involved. For women with PCOS, addressing hormonal imbalances alongside dietary changes is often the key to achieving clearer skin. At Village Dermatology, we understand the unique challenges that adult acne presents and are here to help you navigate the best treatment options.

If you’re experiencing new acne or suspect you may have PCOS, please reach out to our office in Katy, Texas, to schedule a consultation. Together, we can develop a personalized treatment plan that addresses the underlying causes and gets your skin back on track.

About the Author:

Dr. Caroline Vaughn is a board-certified dermatologist at Village Dermatology, dedicated to providing compassionate and effective skin care solutions for patients in Katy and the surrounding areas.

Note: This article is for informational purposes only. For personalized medical advice, consult a qualified healthcare provider

Understanding Seborrheic Dermatitis: A Case Study of a Red, Scaly Rash in the Beard Area

By Dr. Reena Jogi, Village Dermatology

At Village Dermatology, we frequently encounter patients with a range of skin concerns, from acne to more complex inflammatory conditions. Recently, a patient visited our Houston office with a red, scaly rash in the beard area of his face. After a thorough evaluation, we diagnosed the condition as seborrheic dermatitis. In this article, I’ll discuss the details of this case and shed light on the causes, symptoms, and treatments available for seborrheic dermatitis, especially in facial areas.

The Patient's Case

Our patient, a middle-aged man with no significant medical history, presented with complaints of a persistent red and flaky rash around his beard area. He noticed the rash tended to worsen in colder weather and with stress, causing both physical discomfort and visible irritation.

Upon examination, the rash appeared as well-demarcated, erythematous (red) plaques with greasy-looking, yellowish scales. These symptoms and the specific location in an area rich in sebaceous (oil-producing) glands were key indicators of seborrheic dermatitis.

What is Seborrheic Dermatitis?

Seborrheic dermatitis is a common inflammatory skin disorder that frequently affects areas of the body with higher concentrations of sebaceous glands, such as the scalp, face, and upper chest. It’s characterized by red, scaly patches that often produce an oily or greasy sheen.

The condition has a biphasic incidence, affecting infants between 2 weeks and 12 months old and then reappearing during adolescence and adulthood. The global prevalence is estimated to be around 4%, though certain populations, such as individuals with compromised immune systems, may be at higher risk. In fact, the prevalence can rise to as much as 35% in patients with early HIV infection and up to 85% among those with AIDS.

For more on this condition, including its appearance on various skin areas, visit our Seborrheic Dermatitis page.

Causes and Pathogenesis

The exact cause of seborrheic dermatitis remains unclear, though it appears that Malassezia, a type of yeast found on normal skin, plays a role in the condition's development. The lipid-rich environment of sebaceous glands may create an ideal setting for Malassezia, leading to an inflammatory response in susceptible individuals. Interestingly, seborrheic dermatitis is not caused by an overproduction of oil, despite its preference for oily skin areas.

Other contributing factors include genetic predisposition, changes in skin barrier function, and immune response variations. Patients with neurological conditions, such as Parkinson’s disease, often exhibit seborrheic dermatitis due to increased sebum production, which has been observed to improve with treatments like L-DOPA.

Symptoms of Seborrheic Dermatitis in the Beard Area

Seborrheic dermatitis can manifest in various ways depending on the affected area. On the face, it typically appears as:

• Red, inflamed patches with visible scaling.

• Yellowish, greasy scales along the hairline, eyebrows, and in this case, the beard area.

• Itching or irritation, especially during colder weather or times of stress.

In patients with facial hair, seborrheic dermatitis can be especially persistent in the beard and mustache areas. Shaving can sometimes help reduce irritation and improve control, though it is not a guaranteed solution.

Treatment Options

While seborrheic dermatitis is a chronic, relapsing condition, several treatments can help manage and reduce symptoms:

1. Topical Antifungal Treatments

• Antifungal agents, such as ketoconazole cream or shampoo, target Malassezia and have shown excellent efficacy in managing symptoms.

• For facial hair areas, I often recommend using ketoconazole 2% shampoo as a face wash daily until the symptoms subside, then reducing to once weekly to prevent recurrence.

2. Topical Corticosteroids

• For patients with significant redness and irritation, a low-potency corticosteroid cream may be applied to reduce inflammation. However, due to potential side effects, corticosteroids should be used sparingly on the face and only for short periods.

3. Alternative Anti-inflammatory Agents

• Topical calcineurin inhibitors, such as tacrolimus and pimecrolimus, offer an effective alternative for patients who require longer-term treatment, as they help reduce inflammation without the side effects of corticosteroids.

4. Lifestyle and Environmental Adjustments

• Stress reduction and the use of gentle, non-irritating skincare products can play a significant role in managing flare-ups. Patients are advised to avoid harsh cleansers and opt for gentle moisturizing products to maintain the skin barrier.

For further guidance on managing seborrheic dermatitis, please refer to our detailed page on Seborrheic Dermatitis.

Conclusion

Seborrheic dermatitis can be a challenging condition, especially when it affects visible areas like the face and beard. At Village Dermatology, we understand the impact this condition can have on patients' lives, and we’re here to offer effective, personalized care. With a combination of targeted treatments and lifestyle modifications, patients can achieve long-lasting relief from symptoms.

If you’re experiencing symptoms of seborrheic dermatitis or have concerns about a similar skin condition, don’t hesitate to reach out to our team. Schedule a consultation with us today, and let’s find the best treatment approach for you.

About the Author:

Dr. Reena Jogi is a board-certified dermatologist at Village Dermatology, specializing in medical, cosmetic, and surgical dermatology. Dr. Jogi is dedicated to providing her patients with compassionate and effective care for a wide range of skin concerns.

"Understanding Stasis Dermatitis: FAQs"

Written by Dr. Caroline Vaughn, Village Dermatology

Introduction

If you’ve been diagnosed with stasis dermatitis, you likely have questions about what this means for your health and future. Stasis dermatitis is a common skin condition, especially in people with poor circulation in their legs, and while it’s not life-threatening, it can lead to discomfort and long-term changes in the skin if not managed properly. At Village Dermatology, we understand that you may have concerns about your condition, and I’m here to answer some of the most common questions I hear from patients.

What Is Stasis Dermatitis?

Stasis dermatitis, or stasis eczema, is a chronic skin inflammation that typically occurs in the lower legs due to poor blood flow, or chronic venous insufficiency. This condition causes swelling, redness, and skin discoloration in the affected area. Over time, stasis dermatitis can lead to skin changes, including thickening and hardening, as well as hyperpigmentation or darkened areas.

Stasis dermatitis is generally not dangerous, but it’s a sign that the blood circulation in your legs isn’t optimal. Addressing this issue early can help prevent more serious complications and improve the look and feel of your skin. You can read more about stasis dermatitis on our Village Dermatology page.

Will Stasis Dermatitis Be Life-Threatening?

No, stasis dermatitis itself is not life-threatening. It’s a skin condition resulting from venous issues, and while it can be uncomfortable, it does not pose a direct threat to your life. However, because stasis dermatitis indicates poor blood flow in the legs, it’s essential to monitor and manage it to prevent more severe complications, especially if you’re at risk for venous ulcers or infections. Working with a dermatologist and your healthcare team to manage circulation issues can reduce the likelihood of these complications.

Could I Need an Amputation Because of Stasis Dermatitis?

The short answer is no; stasis dermatitis alone will not lead to amputation. Amputations are generally considered only in cases of severe infections that affect the deeper tissues, which is extremely rare with stasis dermatitis. However, it’s essential to take care of your legs, avoid scratching, and seek treatment if you notice any signs of infection, such as increased redness, warmth, pain, or drainage. Good skincare, along with medical management, can help prevent complications that could put your leg health at risk.

Could Stasis Dermatitis Lead to Sepsis?

Sepsis is a severe reaction to infection that spreads throughout the body, but it’s important to know that stasis dermatitis rarely leads to such severe infections. If the skin becomes broken or ulcerated, it’s possible for bacteria to enter and cause a superficial infection, which can sometimes lead to cellulitis, a more localized skin infection. If left untreated, cellulitis can become serious, but with proper care and treatment, it’s rare for stasis dermatitis to progress to this point. The best way to avoid any complications is to keep the skin clean, moisturized, and avoid scratching or picking at affected areas.

Will My Leg Permanently Look Like This?

The appearance of stasis dermatitis can improve with treatment, but some changes, such as darkened skin, may be longer-lasting, particularly if the condition has been present for a while. Early intervention is essential for minimizing long-term changes. Treatment focuses on improving blood flow in the legs, reducing inflammation, and keeping the skin moisturized to prevent further irritation. If hyperpigmentation (darkening of the skin) is already present, it can take several months to fade.

Compression therapy, which involves wearing special stockings to support circulation, is often recommended to reduce swelling and improve blood flow. Additionally, using emollient-rich moisturizers and avoiding harsh soaps can help soothe the skin and improve its texture over time.

How Can I Take Care of My Skin with Stasis Dermatitis?

Managing stasis dermatitis involves a few key steps that can help improve symptoms and reduce complications:

1. Use Compression Stockings: Compression stockings help improve blood flow, reducing swelling and pressure in the legs.

2. Moisturize Regularly: Use fragrance-free, rich moisturizers to keep your skin hydrated and reduce dryness and irritation.

3. Elevate Your Legs: Elevating your legs can help reduce swelling by encouraging blood flow back to the heart.

4. Gentle Skincare: Use mild, fragrance-free cleansers to wash your legs, and avoid harsh scrubbing, which can worsen irritation.

When Should I See a Dermatologist?

If you’re dealing with stasis dermatitis, it’s beneficial to work with a dermatologist to manage the condition effectively. Schedule a visit if you notice increased swelling, pain, or signs of infection, or if you’re experiencing significant discomfort. At Village Dermatology, we offer customized treatment plans to manage stasis dermatitis and improve the health and appearance of your skin. You can learn more about our approach to stasis dermatitis here.

Conclusion

Stasis dermatitis is a manageable skin condition that stems from circulation issues in the legs. While it may look concerning, it’s not life-threatening, and with the right care, you can improve the appearance of your skin and prevent complications. At Village Dermatology, we’re here to provide guidance and support for all aspects of skin health, including stasis dermatitis. Don’t hesitate to reach out if you have questions or need a personalized treatment plan.

Understanding Pityriasis Rosea: Causes, Symptoms, and Treatment Options

Written by Dr. Ashlee Baldree, Village Dermatology

Introduction

If you or a loved one has experienced an unexpected skin rash, you may be wondering what caused it and how to treat it. One common, yet often misunderstood skin condition is pityriasis rosea (PR). At Village Dermatology, we’re here to provide you with answers. Pityriasis rosea is typically harmless and resolves on its own, but understanding the condition can help ease concerns and ensure you get proper care. In this article, I’ll explain what pityriasis rosea is, what causes it, and how it can be managed.

What is Pityriasis Rosea?

Pityriasis rosea is a temporary skin rash that appears suddenly, usually affecting the torso and sometimes extending to the arms and legs. While it can occur in people of any age, it’s most common in older children and young adults. Pityriasis rosea is often recognized by a distinctive “herald patch”—a single, round or oval lesion that appears on the chest, back, or neck. A few days to two weeks later, more smaller lesions appear, creating a characteristic “Christmas tree” pattern along the skin.

What Causes Pityriasis Rosea?

The exact cause of pityriasis rosea remains unknown, but research suggests that a viral infection may be involved. Some studies have linked PR to human herpesviruses 6 and 7, though these viruses are not the same as those that cause cold sores or shingles. Pityriasis rosea is not considered highly contagious, and it often resolves on its own within six to twelve weeks. For patients in Katy and Memorial, Houston, understanding the benign nature of PR can help reduce any anxiety surrounding this condition.

What Are the Symptoms of Pityriasis Rosea?

The main symptom of pityriasis rosea is the appearance of oval, reddish-pink patches that can be mildly itchy. After the herald patch appears, more lesions begin to develop on the trunk, following the natural lines of the skin. This “fir tree” or “Christmas tree” pattern is particularly noticeable on the back. Other common symptoms include:

• Itchiness: Mild to moderate itching can accompany the rash, although some patients report no itching at all.

• Prodromal Symptoms: In rare cases, patients may experience mild flu-like symptoms such as headache, fatigue, or sore throat before the rash appears.

Diagnosis of Pityriasis Rosea

Pityriasis rosea is often diagnosed based on its appearance. The presence of the herald patch, followed by the distinct pattern of lesions, helps dermatologists like myself identify PR quickly. However, certain conditions, like fungal infections and secondary syphilis, can resemble pityriasis rosea, so additional tests may be necessary if symptoms are atypical.

If you’re in the Katy or Memorial, Houston areas and have noticed a new rash, scheduling a visit to Village Dermatology can help ensure you receive an accurate diagnosis and guidance on managing the condition.

Treatment and Management

Most cases of pityriasis rosea resolve on their own without any treatment. However, for patients who experience itching or discomfort, several treatment options can help ease symptoms:

• Topical Corticosteroids: These can be applied to reduce inflammation and relieve itching. For short-term use, topical steroids can provide significant relief.

• Antihistamines: Oral antihistamines can help manage itching, especially at night.

• Moisturizers: Regularly applying gentle, unscented moisturizers can help keep the skin hydrated and reduce itching.

• Sunlight or Phototherapy: Exposure to natural sunlight or controlled phototherapy can help speed up the healing process for some individuals, though sunburn should be avoided.

Severe cases of pityriasis rosea are rare but may benefit from other interventions. At Village Dermatology, we tailor each treatment plan to meet the individual needs of our patients, ensuring that even mild skin concerns are addressed with the utmost care and compassion.

What to Expect

Pityriasis rosea is generally a self-limiting condition, meaning it will eventually clear up on its own. The rash typically fades within six to twelve weeks, leaving minimal to no scarring. In some cases, patients with darker skin tones may experience post-inflammatory hyperpigmentation (darkening of the skin), which can last for several months. This is a common and temporary side effect that fades over time.

When to See a Dermatologist

If you’re dealing with a new rash and aren’t sure what’s causing it, a visit to Village Dermatology in Katy or Memorial, Houston, can provide clarity. We recommend seeing a dermatologist if you experience any of the following:

• Persistent or severe itching

• Widespread rash that does not improve

• Uncertainty about the diagnosis

• Presence of symptoms like fever or sore throat before the rash

Conclusion

Pityriasis rosea is a common, harmless skin condition that can cause concern due to its sudden appearance and distinct rash pattern. Understanding the nature of PR and knowing that it often resolves on its own can be reassuring. At Village Dermatology, we’re here to help our patients in Katy and Memorial, Houston, with expert guidance and personalized care for all skin conditions, including pityriasis rosea.

If you have questions or concerns about pityriasis rosea or any other skin condition, schedule a consultation with us at our Katy or Memorial, Houston office. We’re dedicated to providing compassionate care to help you feel confident in your skin.

"Androgenetic Hair Loss in Women: Causes and Effective Treatments"

Written by Neda Nosrati, Village Dermatology

Introduction

Hair loss is a challenging experience for many women, affecting both confidence and self-image. Androgenetic alopecia, commonly known as female pattern hair loss, is a prevalent condition that impacts millions of women. Unlike temporary hair shedding, androgenetic hair loss is progressive and can be influenced by multiple factors. In this article, I’ll explore the causes of androgenetic hair loss in women, as well as the treatments available, including the use of medications like spironolactone.

What is Androgenetic Hair Loss, and What Causes It?

Androgenetic alopecia is primarily driven by genetic and hormonal factors. In women, this condition typically manifests as gradual thinning across the scalp rather than total baldness, with the hairline often remaining intact. The underlying cause is usually sensitivity to androgens—male hormones like testosterone—that shrink hair follicles over time, reducing hair density.

Hormonal Changes and Genetics
Genetics plays a central role in determining whether someone will experience androgenetic alopecia. Hormones, especially androgens, directly influence the hair growth cycle, causing hair follicles to miniaturize and produce finer, shorter hair strands. Over time, these follicles may stop producing hair altogether. Hormonal shifts during menopause, pregnancy, or conditions like polycystic ovary syndrome (PCOS) can increase androgen levels, further accelerating hair loss in genetically predisposed individuals.

Schedule an appointment to review your hair concerns

For more information on causes and other types of hair loss in women, see our page on female hair loss.

Can Diet, Environment, and Stress Impact Hair Loss?

While genetics and hormones are the primary factors, diet, environmental factors, and stress levels also play a role in overall hair health and can exacerbate androgenetic hair loss.

Diet and Vitamin Deficiencies
Adequate nutrition is essential for hair growth. Nutrient deficiencies—especially in iron, vitamin D, and B vitamins—can weaken hair and slow its growth cycle. While diet alone does not cause androgenetic hair loss, ensuring sufficient intake of nutrients supports hair health and may reduce the impact of genetic factors. Consider a balanced diet rich in proteins, leafy greens, and omega-3 fatty acids, which nourish hair follicles and promote a healthy scalp.

Stress and Environmental Factors
High stress levels can contribute to a type of hair shedding called telogen effluvium, which often coexists with androgenetic hair loss, making the condition appear worse. Environmental factors like pollution, UV radiation, and chemical exposure can also damage hair follicles over time. While these factors are not direct causes, they may worsen the appearance of hair thinning in those with androgenetic alopecia.

Is Spironolactone an Effective Treatment?

Spironolactone is a medication primarily used to treat hormonal acne, but it has shown effectiveness in treating androgenetic hair loss as well. This drug works by blocking androgen receptors and reducing the impact of hormones on hair follicles. Spironolactone can be particularly beneficial for women with signs of hormone imbalance, such as irregular periods or adult acne.

It’s important to consult with a dermatologist to determine if spironolactone is appropriate, as the medication is not recommended for women who are pregnant or may become pregnant. For suitable candidates, spironolactone can be a safe and effective option for reducing hair loss and promoting fuller, thicker hair.

Other Treatment Options for Androgenetic Hair Loss

In addition to spironolactone, several other treatments are available for managing androgenetic hair loss in women:

1. Topical Minoxidil
Minoxidil is one of the most common and FDA-approved treatments for androgenetic alopecia. Applied directly to the scalp, minoxidil helps prolong the growth phase of hair follicles, slowing hair loss and stimulating new growth. Minoxidil is available in different strengths, and consistent use is necessary to maintain results.

2. Low-Level Laser Therapy (LLLT)
Low-level laser therapy is a non-invasive option that stimulates hair follicles, encouraging growth and improving hair density. Laser therapy devices, available as in-office treatments or at-home devices, can be beneficial for women experiencing mild to moderate androgenetic hair loss.

3. Platelet-Rich Plasma (PRP) Therapy
PRP therapy uses the patient’s own blood, processed to concentrate platelets and growth factors, which are then injected into the scalp. This treatment aims to rejuvenate hair follicles and stimulate growth. PRP therapy has shown promising results in reducing hair thinning, and many patients notice improvements after a few sessions.

4. Nutritional and Supplement Support
While diet alone may not reverse androgenetic hair loss, certain supplements can support hair health. Supplements containing biotin, iron, zinc, and vitamin D are often recommended to ensure that nutritional deficiencies do not contribute to hair thinning. However, it’s best to consult with a dermatologist or healthcare provider before beginning any supplement regimen.

5. Hair Transplant Surgery
For severe cases where other treatments have not been effective, hair transplant surgery may be an option. This procedure involves moving healthy hair follicles from one part of the scalp to areas affected by thinning. Although it’s more invasive, hair transplants can provide long-lasting results for suitable candidates.

For a full overview of female hair loss and treatment options, visit our female hair loss page, where we offer insights into managing and treating different types of hair loss.

Conclusion

Androgenetic hair loss in women can be distressing, but effective treatments are available. Understanding the root causes of this condition—ranging from genetics and hormones to diet and environmental factors—can help guide treatment choices. At Village Dermatology, we offer personalized care plans that address each patient’s unique needs, from medical treatments like spironolactone to non-invasive therapies like laser treatment.

If you’re concerned about hair thinning or want to explore treatment options, please visit our hair loss page or schedule a consultation with us. Together, we can help you achieve healthier, fuller hair.

"Do I Have Athlete’s Foot? Signs, Treatment, and Prevention Tips"

Written by Dr. Caroline Vaughn

Introduction:

Athlete’s foot is a common and often uncomfortable fungal infection that affects many people. As a dermatologist at Village Dermatology, I often see patients in our Katy office who are dealing with persistent itching, peeling, or painful cracks in the skin on their feet. Many wonder if their symptoms are caused by athlete’s foot and, if so, what can be done about it. In this article, I’ll explain how to recognize athlete’s foot, the best treatment options, and tips for keeping it from coming back.

Is My Foot Condition Athlete’s Foot?

Athlete’s foot, also known as tinea pedis, is caused by a fungus that grows on the skin, especially in warm, damp places. It’s easy to pick up this fungus by walking barefoot in places like locker rooms, public showers, or around swimming pools. Anyone can get athlete’s foot, but it’s more common in teens and adults who wear tight, closed-toe shoes for long periods. If you have a condition like diabetes, you may also be at a higher risk.

What Does Athlete’s Foot Look and Feel Like?

Athlete’s foot can appear in a few different ways on the skin of the foot. Here are some common forms and what to look for:

1. Between the Toes (Interdigital Type): This type is the most common and appears between the toes, usually as red, itchy, peeling skin. Sometimes, you might notice small cracks or cuts, which can be painful.

2. Across the Soles (Like a Moccasin): This form creates thick, scaly patches across the bottom and sides of the feet, giving it a “moccasin” or slipper-like appearance. The skin may feel rough, and you might notice redness underneath the scales.

3. Blisters on the Foot : Some people develop itchy, painful blisters on the sole or side of the foot. These blisters can burst and may lead to a secondary bacterial infection if not treated promptly.

Other skin conditions, like eczema or psoriasis, can look similar to athlete’s foot, so it’s best to get a professional diagnosis. At Village Dermatology in Katy, we use a quick, painless test called a KOH preparation to check for fungal cells, ensuring that we start you on the right treatment.

Should I See a Doctor for My Foot Skin Issue?

If you’ve been trying over-the-counter treatments and your symptoms aren’t going away, or if you’re experiencing painful cracks, blisters, or peeling, it’s a good idea to visit a dermatologist. Athlete’s foot can spread to other parts of the body, like the hands or groin, and can also lead to bacterial infections if not properly managed.

At Village Dermatology, we typically treat athlete’s foot with topical antifungal creams or ointments that you apply directly to the affected area. For stubborn or recurrent cases, we may recommend oral antifungal medications for a more complete treatment.

How to Prevent Athlete’s Foot

Because athlete’s foot is so contagious, taking steps to protect your feet can help you avoid getting it or keep it from returning. Here are some tips I recommend:

• Keep Feet Dry: Drying your feet thoroughly after washing, especially between the toes, can reduce moisture where fungi thrive.

• Wear Breathable Shoes: Choose shoes made from materials that allow airflow, and try not to wear the same pair every day. In communal areas, like showers or locker rooms, wearing sandals can help protect your feet.

• Use Antifungal Powder: Foot powders or sprays can help keep your feet dry throughout the day.

• Change Socks Daily: Wear clean, dry socks each day, and change them if they become sweaty.

These simple steps can go a long way in preventing athlete’s foot. If you have frequent flare-ups, talk to us at Village Dermatology about a prevention plan tailored for you.

Final Thoughts

Athlete’s foot is a common condition, but you don’t have to live with the discomfort. If you’re struggling with itchy, peeling, or painful skin on your feet, let our board-certified dermatologists at Village Dermatology help. Our Katy office is ready to provide expert care, from diagnosing your condition to offering effective treatment options.

For more information or to schedule an appointment, visit our main page or check out our Katy location page. We’re here to help you keep your feet healthy and comfortable.

Does Insurance Pay for Mohs Skin Cancer Surgery?

By Dr. David Wang

When dealing with skin cancer, getting the best treatment is essential. For many patients in Katy and Memorial, Texas, Mohs surgery is a preferred treatment option due to its high cure rate and tissue-sparing precision. But one common question arises: Does insurance cover Mohs surgery for skin cancer? Here’s what residents in the Houston area need to know about insurance coverage for this specialized procedure.

What Is Mohs Surgery?

Mohs surgery is an advanced, layer-by-layer procedure used to remove skin cancer, typically for basal cell carcinoma and squamous cell carcinoma. By removing only the cancerous layers and sparing healthy tissue, this surgery is especially beneficial for sensitive areas like the face, neck, and hands. It’s one of the most effective treatments for non-melanoma skin cancer, offering the highest cure rate with minimal impact on surrounding skin.

Is Mohs Surgery Covered by Insurance?

Most insurance providers do cover Mohs surgery when it’s deemed medically necessary. In areas like Katy and Memorial, Texas, insurers generally recognize the value of Mohs surgery, especially for cases where cancer is aggressive, recurrent, or located in a visible area. Coverage is likely if:

1. The procedure is medically necessary: This applies when the skin cancer is in areas of high functional or cosmetic importance, such as the face or hands.

2. The cancer has a high risk of recurrence: Mohs surgery is ideal for recurring cancers or those in challenging areas where complete removal is essential.

3. Other treatments are less effective: Mohs surgery is often the most successful option for complex skin cancers, especially those in delicate or high-risk areas.

Steps to Confirm Insurance Coverage

To ensure your insurance covers Mohs surgery, take these steps:

1. Contact your insurance provider: Check directly with your insurer to confirm coverage for Mohs surgery for skin cancer.

2. Request pre-authorization: Some insurance companies require pre-approval before the surgery. Our team at Village Dermatology can assist with obtaining pre-authorization if needed.

3. Understand potential out-of-pocket costs: Even with insurance coverage, co-pays or deductibles may apply. We can help clarify any costs involved.

Why Insurance Coverage for Mohs Surgery Matters

For skin cancer patients in Katy and Memorial, knowing that insurance typically covers Mohs surgery can offer peace of mind. With its high cure rate and precision, Mohs surgery is an excellent option for treating skin cancer, particularly in visible or delicate areas. Reducing financial barriers helps patients access this top-tier treatment without additional stress.

Learn More About Skin Cancer Treatment Options

At Village Dermatology, our experienced team in Katy and Memorial, Texas, is here to support you in every step of your skin cancer treatment, from performing skin biopsies to helping navigate insurance coverage for Mohs surgery. Let us help you make informed choices for your skin health.

References

1. American Academy of Dermatology Association. "Understanding Mohs Surgery." Available at: https://www.aad.org

2. American Academy of Dermatology Association. "When is Mohs Surgery Necessary?" Available at: https://www.aad.org

3. Skin Cancer Foundation. "Mohs Surgery." Available at: https://www.skincancer.org

Why Acne Worsens During Hormonal Changes and How to Treat It Without Scarring

Written by Dr. Caroline Vaughn

Acne is a common concern for teens and adults alike, and it often seems to worsen during times of hormonal change. Many patients in Katy and Memorial, TX, come to us at Village Dermatology to understand why this happens and to explore effective treatment options that reduce the risk of scarring. Here, we’ll break down the impact of hormones on acne and discuss treatment options to help manage breakouts and prevent long-term skin damage.

Why Does Acne Worsen with Hormonal Changes?

Hormones play a significant role in the development of acne, often triggering or intensifying breakouts. During puberty, pregnancy, menstrual cycles, and even periods of high stress, the body experiences fluctuations in androgen hormones. Androgens, such as testosterone, stimulate oil (sebaceous) glands in the skin, leading to increased sebum production. Excess sebum, combined with dead skin cells and bacteria, clogs pores and can result in inflammation and breakouts.

Some patients experience what’s known as hormonal acne, typically affecting areas like the jawline, chin, and cheeks. This type of acne can be persistent and challenging to manage. Hormonal changes can also disrupt the skin's natural balance, making it more susceptible to inflammation and acne-causing bacteria, which leads to deeper, more painful breakouts.

For more insights on acne triggers, including how dietary habits may also contribute, visit our diet and acne page.

Can Acne Be Treated Without Scarring?

Absolutely, with the right treatments, many patients can manage their acne effectively and reduce the chances of scarring. Our approach at Village Dermatology includes both preventive and active treatments designed to minimize the long-term effects of acne. Here are some effective options:

1. Topical Treatments
   Topical solutions such as retinoids, benzoyl peroxide, and salicylic acid are the first line of defense. These treatments work by exfoliating the skin, reducing oil production, and clearing clogged pores. Consistent use can improve skin texture, control breakouts, and reduce the risk of scarring.

2. Oral Medications
   For patients with moderate to severe acne, oral medications, including antibiotics or hormonal treatments (such as birth control pills or spironolactone), can help regulate hormonal imbalances that trigger acne. This approach targets acne at its root, making it an effective option for hormonal acne sufferers.

3. Advanced In-Office Treatments
   For persistent acne or post-acne scars, in-office treatments can be highly effective. Options like chemical peels, laser therapy, and light therapy work to resurface the skin, treat active breakouts, and improve overall skin tone and texture. Treatments such as chemical peels also help prevent acne from developing into deeper lesions, which minimizes scarring. For details, visit our acne treatment page.

4. Early Scar Treatment
   Acne scars form when breakouts cause damage to the underlying skin tissue, and once scars form, they can be challenging to treat. Addressing acne early with these treatments can prevent acne from escalating to a stage that causes scarring. For those with existing scars, we offer several scar reduction treatments to help smooth and restore the skin’s appearance. Learn more about our solutions on our acne scars page.

How We Help Patients in Katy and Memorial, TX

Preventing and treating acne without scarring is possible, and it begins with a personalized approach. At Village Dermatology, we’re committed to helping patients navigate their unique skin needs by providing expert care tailored to individual skin types, lifestyle, and treatment goals. Dr. Caroline Vaughn and our dedicated team will assess your skin, discuss your concerns, and recommend the most effective treatment plan to help you achieve clear, healthy skin.

If you’re ready to take control of your acne, visit our Katy or Memorial locations for a consultation. For more information on how to become a patient and start your skincare journey, click here to schedule an appointment.

Choosing the Right Dermatologist in Katy, Texas

By Dr. Neda Nosrati

Selecting a dermatologist is crucial for addressing skin concerns, and knowing what to look for can make all the difference. Here’s a guide to help you make the best choice for your needs in Katy, Texas.

1. Specialized Experience and Credentials: If you’re searching terms like “Katy acne specialist” or “Katy anti-aging dermatologist,” look for a board-certified dermatologist with expertise in your specific concerns. This certification ensures that your dermatologist has completed rigorous training and maintains high standards of care.

2. Personalized Medical Care: At Village Dermatology, we prioritize hands-on, physician-led care. Unlike many practices, we rely only on board certified physician M.D. (medical doctor) dermatologists, not midlevel providers, such as nurse practitioners or physician assistants, for medical dermatology. All our patients receive care directly from dermatologists, ensuring thorough, tailored treatment.

3. Accessibility and Location: With multiple locations and flexible hours, Village Dermatology offers convenience, allowing you to manage ongoing or complex treatments close to home in Katy.

4. Cutting-Edge Treatments and Technology: A good dermatologist provides advanced treatment options for both medical and cosmetic needs. Whether it’s laser treatments for pigmentation or tailored acne therapies, ask if the practice offers updated technology to achieve the best results.

5. Communication and Patient Comfort: Look for a dermatologist who listens to your concerns, explains options clearly, and makes you feel at ease. A comfortable, open relationship ensures you can address any concerns promptly and with confidence.

Exploring New Treatments in Alopecia Areata: A Closer Look at Tofacitinib

Written by Dr. Neda Nosrati

Alopecia areata, a common yet complex autoimmune disorder, leads to unexpected hair loss, typically forming in small patches. For some, it may progress to complete scalp baldness (alopecia totalis) or full-body hair loss (alopecia universalis). As we learn more about this condition, advancements in treatments provide hope for individuals facing severe alopecia areata, including recent trials with Tofacitinib.

What is Alopecia Areata?

Alopecia areata is an autoimmune condition where the immune system mistakenly attacks hair follicles, disrupting hair growth. While alopecia can affect individuals of any age, gender, or ethnicity, the onset often occurs in early adulthood. Symptoms range from small patches of hair loss on the scalp to more extensive loss across the body. In addition to hair loss, people with alopecia may experience nail changes, like pitting or ridging, further distinguishing it as a unique autoimmune disorder.

For more on the general aspects and causes of alopecia areata, please visit our Alopecia Areata Overview.

New Hope with Tofacitinib Trials

In a trial published in JAAD (Journal of the American Academy of Dermatology), Tofacitinib, a JAK inhibitor initially developed for treating rheumatoid arthritis, demonstrated promising results for patients with severe alopecia areata. The study, conducted with 90 patients, showed a significant clinical response, with nearly 77% of participants experiencing positive changes, particularly those with resistant cases of alopecia totalis and alopecia universalis.

• Patient Response: Over 58% of participants saw a considerable improvement, specifically a 50% reduction in their Severity of Alopecia Tool (SALT) score.

• Safety: The treatment was well-tolerated with no serious adverse effects reported, which is encouraging for long-term management.

• Sustained Results: Patients who used Tofacitinib for a period of 4 to 18 months continued to experience benefits, showing a change in their SALT scores of up to 81.9% for alopecia areata and 59.0% for more advanced forms.

These findings offer hope for individuals with severe forms of alopecia who have struggled with other treatments. Tofacitinib may become a critical option, especially as it shows a high tolerance and low risk of adverse effects compared to some current therapies.

Understanding Alopecia Treatment Options

Effective management of alopecia areata depends on several factors, including the extent of hair loss, the patient’s age, and their overall health. Along with emerging treatments like Tofacitinib, other common approaches include:

• Topical Treatments: Often the first line of treatment for mild cases, topical corticosteroids or minoxidil help to stimulate hair growth.

• Injectable Corticosteroids: Commonly used for small patches, injections may be effective for temporary hair regrowth.

• Platelet-Rich Plasma (PRP) Therapy: PRP uses the patient's blood to extract growth factors that can be injected into the scalp, promoting natural hair regrowth. PRP is an increasingly popular option for patients looking for non-surgical treatments.

• Lifestyle Adjustments: Managing stress and improving dietary habits can play a role in reducing triggers that may exacerbate hair loss.

Participate in Our Alopecia Trials

For those interested in exploring new treatment options, our team at Village Dermatology in Katy is dedicated to providing the latest in medical advancements. If you are living with alopecia areata and want to learn more about participating in clinical trials, including those exploring the use of Tofacitinib, please connect with us. Become a Patient and take a step toward exploring a treatment that could work for you.

This blog post is intended to educate readers on alopecia areata and provide insights into new treatment developments, supporting patients on their journey to managing and understanding this condition.

Melanoma vs. Non-Melanoma Skin Cancer: Understanding the Differences

By Dr. David Wang

Skin cancer is one of the most common cancers in the United States, with rates continuing to rise as people spend more time outdoors without adequate sun protection. However, not all skin cancers are the same. The two main categories of skin cancer—melanoma and non-melanoma—have different characteristics, risk factors, and treatments. Here, we’ll explore the differences between these types of skin cancer to help you better understand them and know when to seek medical attention.

Melanoma: A Dangerous Type of Skin Cancer

Melanoma is a serious form of skin cancer that develops in the melanocytes, the cells that produce melanin, the pigment responsible for skin color. Although melanoma is less common than non-melanoma skin cancers, it’s known for its ability to spread to other parts of the body, making it more dangerous. In early stages, melanoma can be successfully treated, but it becomes much more challenging once it spreads.

Key warning signs of melanoma include changes in the size, shape, or color of a mole, the appearance of a new spot on the skin, or the spread of pigment from the border of a mole into the surrounding skin. Remember the “ABCDE” rule when examining moles:

• Asymmetry – one half doesn’t match the other

• Border – edges are irregular or blurred

• Color – uneven color tones

• Diameter – larger than a pencil eraser

• Evolving – changes in size, shape, or symptoms

For more details on melanoma, its prevention, and treatment options, please see our page on melanoma. Early detection and intervention are critical to ensuring a positive outcome.

Non-Melanoma Skin Cancers: Common but Manageable

Non-melanoma skin cancers include basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). These types of cancer are much more common and are usually less aggressive than melanoma, but they still require attention and treatment.

1. Basal Cell Carcinoma (BCC): Basal cell carcinoma is the most common type of skin cancer. It develops in the basal cells, which are found in the outermost layer of the skin. While BCC rarely spreads to other areas of the body, it can grow locally and cause damage to surrounding tissues. BCC often appears as a pearly or waxy bump, flat, flesh-colored, or brown scar-like lesion.

2. Squamous Cell Carcinoma (SCC): Squamous cell carcinoma arises from the squamous cells in the skin’s outer layer. SCC has a higher potential to spread than BCC, although this is rare. It often appears as a red, scaly patch, a sore that doesn’t heal, or a raised growth with a central depression.

For more insights into basal cell carcinoma and its treatment, please visit our page on basal cell carcinoma.

Key Differences Between Melanoma and Non-Melanoma Skin Cancers

MELANOMA

Origin: Melanocytes

Common Symptoms: Moles that change or new spots

Aggressiveness: Higher risk of spreading

Appearance: Asymmetrical, varied colors

Risk Factors: Sun exposure, family history, light skin

NON-MELANOMA

Origin: Basal or squamous cells

Common Symptoms: Waxy bump, red scaly patch

Aggressiveness: Rarely spreads

Appearance: Pearly or flesh-colored

Risk Factors: Sun exposure, light skin

Prevention Tips for All Types of Skin Cancer

No matter the type, prevention is essential for lowering the risk of skin cancer. Here are some helpful tips:

1. Use Sunscreen Daily: A broad-spectrum sunscreen with SPF 30 or higher can shield your skin from harmful UV rays.

2. Avoid Peak Sun Hours: The sun’s rays are strongest between 10 a.m. and 4 p.m. Avoid sun exposure during these hours when possible.

3. Wear Protective Clothing: Hats, sunglasses, and long-sleeve shirts can help shield your skin.

4. Regular Skin Checks: Monitor your skin for any new or changing spots. Early detection is essential for all skin cancers.

Can Skin Cancer Be Treated?

Yes, treatment is highly effective, especially with early detection. Options include:

• Surgical Removal – The most common treatment for removing cancerous lesions, especially in localized BCC and SCC.

• Radiation Therapy – May be recommended for cases where surgery isn’t possible.

• Chemotherapy and Immunotherapy – Often used for more advanced melanoma.

Whether you have a new lesion or are monitoring an existing one, it’s essential to consult a dermatologist for a thorough examination. Our team at Village Dermatology is experienced in diagnosing and treating all types of skin cancer, including melanoma and non-melanoma skin cancers.

If you’re concerned about a spot on your skin or need guidance, become a patient with us at Village Dermatology. We’re here to provide expert care for our communities in Katy and beyond.

References

• American Cancer Society: "What is Melanoma Skin Cancer"

• Medical News Today: "Melanoma vs. Skin Cancer"

For more information or to schedule a consultation, please contact Village Dermatology today.

Effective Hair Loss Solutions: PRP Therapy and More with Dr. Reena Jogi

By Dr. Reena Jogi

Hair loss can be a frustrating journey, but there are advanced solutions that can make a difference. Dr. Reena Jogi, a trusted dermatologist in Katy, TX, offers state-of-the-art treatments, with PRP (Platelet-Rich Plasma) therapy at the forefront, to help you achieve fuller, healthier hair. In this article, we’ll explore how PRP works, its benefits, and other solutions available for hair loss at Village Dermatology.

Why Choose PRP Therapy for Hair Loss?

Platelet-Rich Plasma (PRP) therapy is a groundbreaking, natural approach to treating hair loss, using the power of your own body to stimulate hair growth. Here’s how PRP stands out as a leading treatment:

1. Stimulates Hair Follicles: PRP is rich in growth factors that actively signal hair follicles to shift into a growth phase, promoting natural hair restoration without chemicals or surgery.

2. Improves Hair Density and Thickness: Over time, PRP can enhance the quality and density of your hair, leading to noticeable improvements in thickness and volume.

3. Minimally Invasive: PRP therapy involves drawing a small amount of your blood, processing it to concentrate the platelets, and then injecting the PRP into targeted areas of the scalp. With minimal downtime, it’s a convenient choice for those with busy lifestyles.

4. Combines Well with Other Treatments: For many patients, Dr. Jogi combines PRP with other treatments like microneedling to amplify the effects and achieve optimal results.

The PRP Process at Village Dermatology

At Village Dermatology, the doctors prioritize patient comfort and precision with PRP therapy:

• Personalized Consultation: Each doctor assesses each patient’s hair loss patterns and determines the best approach, customizing the number of PRP sessions needed to meet individual goals.

• Advanced PRP Equipment: Using top-tier centrifugation technology, we ensure that the PRP has a high concentration of growth factors, optimizing the treatment’s effectiveness.

• Comprehensive Aftercare: Each doctor provides guidance on scalp care post-treatment to support healing and maximize hair growth results.

Learn more about what you can expect during your PRP treatment on our PRP information page.

Additional Hair Loss Treatments Offered by Dr. Jogi

PRP therapy can be a highly effective solution on its own or part of a holistic approach. Village Dermatology offers additional treatments to support hair growth and slow hair loss progression:

• Topical and Oral Medications: Treatments like Minoxidil and Finasteride can complement PRP by supporting hair follicle health and slowing hair loss.

• Microneedling with PRP: Microneedling enhances PRP by creating micro-channels in the scalp, increasing absorption and boosting the effects of the growth factors.

• Lifestyle Recommendations: Proper nutrition and lifestyle changes can make a significant difference in maintaining healthy hair. Dr. Jogi offers individualized guidance based on each patient’s needs.

For a deeper look at our treatment options, visit Dr. Jogi’s treatment page.

Book Your PRP Therapy Consultation with Dr. Reena Jogi in Katy, TX

PRP therapy can be a powerful step toward restoring your hair and confidence. Dr. Reena Jogi’s expertise in PRP and other hair loss treatments makes Village Dermatology a top choice in Katy for effective, personalized care. If you’re ready to explore PRP or other hair restoration options, take the first step by scheduling a consultation with Dr. Jogi.

Visit our Become a Patient page to book your appointment and start your journey toward healthier, fuller hair today.

Intertriginous Skin Disorders: A Guide from

Dr. Ashley Baldree at Village Dermatology Katy

Intertriginous skin disorders affect areas where skin touches skin, such as the groin, armpits, or under the breasts, leading to irritation and inflammation. These conditions can stem from a variety of causes, including infections, inflammatory diseases, and chronic skin conditions. As a board-certified dermatologist at Village Dermatology in Katy, Dr. Ashley Baldree offers expert care for patients suffering from these skin disorders, providing relief and improving quality of life.

Common Intertriginous Skin Disorders

1. Intertrigo – One of the most common intertriginous skin disorders, intertrigo results from friction, moisture, and warmth in skin folds, creating the perfect environment for bacteria or yeast to grow. It manifests as red, inflamed skin, and if untreated, can become infected. Learn more about the causes and treatments for intertrigo.

2. Inverse Psoriasis – Unlike traditional psoriasis, inverse psoriasis affects the skin folds and lacks the usual thick, scaly plaques. Instead, patients experience smooth, shiny red patches. Psoriasis is a chronic condition that often requires ongoing treatment. Find out more about psoriasis and its treatment options here.

3. Hidradenitis Suppurativa – This chronic skin condition causes painful lumps and abscesses in areas like the groin, underarms, and breasts. Left untreated, it can lead to scarring and sinus tracts under the skin. Early diagnosis and treatment are key to managing the symptoms of hidradenitis suppurativa.

4. Candidiasis – A yeast infection commonly seen in moist skin folds, candidiasis can cause red, itchy patches with a white, powdery surface. It is particularly common in individuals with diabetes, obesity, or compromised immune systems. Proper skincare and antifungal treatments can help manage this condition.

Diagnosis and Treatment Options

Diagnosing intertriginous skin disorders begins with a thorough patient history and physical examination. Common diagnostic tools may include:

• Skin Cultures: To detect bacterial or fungal infections.

• Wood’s Lamp Examination: For conditions like erythrasma, which fluoresce under UV light.

• Skin Biopsies: In rare cases, a biopsy may be necessary to rule out more serious conditions.

At Village Dermatology, Dr. Ashley Baldree offers a range of treatment options tailored to each patient's unique needs. Treatment may include topical antifungal or antibacterial creams, oral medications, and lifestyle recommendations to reduce moisture and friction in affected areas.

Why Visit Village Dermatology Katy?

At Village Dermatology in Katy, we are dedicated to providing personalized care for all skin conditions, including intertriginous skin disorders. Whether you’re dealing with chronic psoriasis or a simple case of intertrigo, Dr. Ashley Baldree and the expert dermatology team are here to help you achieve healthier skin.

For more information or to schedule an appointment, visit our Katy office page today!

Understanding Psoriasis: Causes, Symptoms, and Treatment Options

By Dr. Caroline Vaughn

Psoriasis is a common, chronic skin condition that affects millions of people worldwide. It is characterized by red, inflamed patches of skin covered with silvery scales. Although it can appear anywhere on the body, psoriasis commonly affects the scalp, elbows, knees, and lower back. This article explores the causes, symptoms, and the most effective treatments for psoriasis to help you better understand and manage this condition.

What Causes Psoriasis?

The exact cause of psoriasis remains unclear, but it is generally considered an immune-mediated disease, meaning it involves the immune system attacking healthy skin cells. In people with psoriasis, this immune response speeds up the life cycle of skin cells, leading to the rapid buildup of cells on the skin’s surface.

Several factors can trigger or worsen psoriasis, including:

• Genetics: Psoriasis tends to run in families. If you have a close relative with psoriasis, your chances of developing it increase.

• Environmental Triggers: Stress, skin injuries, infections, and certain medications can cause flare-ups.

• Lifestyle Factors: Smoking, excessive alcohol consumption, and obesity are known to exacerbate the symptoms of psoriasis.

For more detailed information about the causes of psoriasis, visit our psoriasis causes page.

Common Symptoms of Psoriasis

Psoriasis symptoms can vary depending on the type and severity of the condition. The most common form is plaque psoriasis, which causes the following:

• Red patches of skin covered with thick, silvery scales.

• Dry, cracked skin that may bleed.

• Itching, burning, or soreness in affected areas.

• Thickened, ridged, or pitted nails.

• Swollen and stiff joints (in psoriatic arthritis).

Symptoms often appear in cycles, with periods of flare-ups followed by times of remission.

Psoriasis Treatment Options

While there is no cure for psoriasis, many effective treatments are available to help control symptoms and prevent flare-ups. Treatment is tailored to each patient based on the type and severity of their psoriasis, as well as their lifestyle. Here are some common treatment options:

• Topical Treatments: These include corticosteroids, vitamin D analogs, and retinoids, which are applied directly to the skin to reduce inflammation and slow skin cell turnover.

• Light Therapy: Also known as phototherapy, this treatment uses ultraviolet light to slow skin cell growth. It is particularly effective for people with moderate to severe psoriasis.

• Systemic Medications: For more severe cases, oral or injected medications that target specific parts of the immune system may be prescribed.

• Biologics: These newer treatments are designed to target specific immune system pathways. They are often used for people who haven't responded well to traditional therapies.

For a comprehensive look at the available treatments, please visit our psoriasis treatment overview.

Living with Psoriasis

Psoriasis is a lifelong condition that requires ongoing management. It’s important to work closely with a dermatologist to develop a treatment plan that works for you. Additionally, making lifestyle changes—such as quitting smoking, reducing alcohol consumption, and maintaining a healthy weight—can help reduce the frequency and severity of flare-ups.

If you’re experiencing symptoms of psoriasis or need help managing your condition, our team at Village Dermatology is here to assist. Schedule a consultation with one of our specialists to get personalized care.

This blog post is intended to provide general information about psoriasis. For personalized advice, always consult with your healthcare provider or schedule a visit with our dermatology team.

Dr. Caroline Vaughn is a board-certified dermatologist at Village Dermatology. She specializes in the diagnosis and treatment of a wide range of skin conditions, including psoriasis.

Understanding Dermatitis: Symptoms, Causes, and Treatments

By Dr. Ashley Baldree

Dermatitis is a common skin condition that affects people of all ages, causing inflammation, itching, and discomfort. At the Village Dermatology office in Katy, we understand the challenges that come with managing dermatitis and are here to help you find relief. In this blog, we will explore the symptoms, causes, and treatment options for this condition, providing valuable insights for patients in the Katy area.

What is Dermatitis?

Dermatitis, often referred to as eczema, is a condition characterized by red, inflamed, and itchy skin. It can appear on any part of the body and may vary in severity. While dermatitis is not contagious, it can cause significant discomfort and impact your quality of life. Several types of dermatitis exist, with the most common being atopic dermatitis, contact dermatitis, and seborrheic dermatitis.

Symptoms of Dermatitis

The symptoms of dermatitis can vary depending on the type and severity of the condition. Common symptoms include:

• Red, inflamed skin

• Itching (often intense)

• Dry, scaly patches

• Blisters or oozing in more severe cases

• Cracking or crusting skin

These symptoms can flare up in response to certain triggers, such as stress, allergens, or harsh weather conditions. If you experience persistent skin irritation, it’s important to seek treatment to manage your symptoms effectively.

Causes of Dermatitis

The exact cause of dermatitis is not always clear, but it often results from a combination of genetic and environmental factors. Common triggers include:

• Allergens (such as pollen, dust mites, or pet dander)

• Irritants (like soaps, detergents, or certain fabrics)

• Weather changes, especially during colder months

• Stress or emotional distress

• Skin infections

In some cases, dermatitis may be linked to other conditions such as asthma or hay fever, particularly with atopic dermatitis.

Treatment Options for Dermatitis

Treating dermatitis depends on its severity. For mild to moderate cases, topical treatments and proper skin care routines may be sufficient. However, more severe cases might require advanced treatments. Here at Village Dermatology Katy, we offer personalized treatment plans tailored to your needs.

1. Topical Treatments: For mild to moderate dermatitis, emollients and moisturizers are essential to keep the skin hydrated and reduce inflammation. In some cases, over-the-counter or prescription topical corticosteroids are used to manage flare-ups. Learn more about dermatitis treatments.

2. Phototherapy: Narrowband UVB therapy is a non-invasive option for more persistent cases of dermatitis. It helps reduce inflammation and itchiness by exposing the skin to controlled UV light. This option may be considered if topical treatments aren't sufficient.

3. Systemic Treatments: For moderate to severe dermatitis, oral or injectable medications may be prescribed. These treatments target the immune system to reduce the underlying causes of inflammation. You can read more about treating moderate dermatitis and severe dermatitis.

4. Allergen Management: If your dermatitis is triggered by allergens, avoiding these triggers can be an essential part of managing your condition. We can help identify potential triggers and recommend strategies to reduce your exposure to them.

5. Lifestyle Adjustments: Stress management, proper skincare routines, and avoiding irritants are all part of managing dermatitis. Making these adjustments can help minimize flare-ups and keep your skin healthier.

When to See a Dermatologist

If you're dealing with persistent or severe dermatitis that doesn't improve with over-the-counter treatments, it's time to consult a dermatologist. Dr. Ashley Baldree and the team at Village Dermatology Katy are experienced in diagnosing and treating all types of dermatitis. We offer personalized care to help you manage your symptoms and live comfortably with this condition.

Visit our dermatitis page to learn more about the condition and how we can help you find relief.

Schedule a Consultation

If you’re struggling with dermatitis and looking for expert care, schedule a consultation with our Katy office today. We are dedicated to helping you achieve clearer, healthier skin. Contact us at Village Dermatology to book your appointment and take the first step toward effective dermatitis management.

This article is part of our ongoing effort to provide the Katy community with the highest standard of dermatological care. For more information about dermatitis and other skin conditions, explore our resources at Village Dermatology Houston.

Understanding Acne: Causes, Treatment, and Prevention

By Dr. Caroline Vaughn

Acne is one of the most common skin conditions, affecting millions of people worldwide. Whether you’re a teenager or an adult, acne can impact your skin’s appearance and your confidence. At Village Dermatology, we are committed to helping patients manage acne and improve their skin health. In this blog, we’ll discuss what causes acne, how to treat it, and steps you can take to prevent breakouts.

What Causes Acne?

Acne develops when the hair follicles on your skin become clogged with oil (sebum) and dead skin cells. This blockage creates an environment where bacteria can thrive, leading to inflammation, blackheads, whiteheads, or pimples. Several factors can contribute to acne, including:

1. Hormones: Hormonal changes, especially during puberty, pregnancy, or menopause, can cause an increase in oil production, leading to acne. Even adults can experience hormonal acne due to fluctuations in hormones. For more information on how hormones affect your skin, check out our detailed page on Hormones and Acne.

2. Diet: While the relationship between diet and acne isn’t fully understood, certain foods may trigger breakouts. High-glycemic foods, dairy, and processed sugars can potentially worsen acne for some people. If you think your diet might be contributing to acne, learn more about how food impacts your skin on our page about Diet and Acne.

3. Stress and Lifestyle: Stress, lack of sleep, and poor skincare routines can also exacerbate acne. Stress causes your body to release hormones like cortisol, which can increase oil production and inflammation.

Treating Acne

Acne treatments are not one-size-fits-all. The best treatment plan depends on the severity of your acne, your skin type, and other personal factors. At Village Dermatology, we offer customized acne treatment plans that may include:

• Topical Treatments: These include creams, gels, and cleansers containing active ingredients like benzoyl peroxide, retinoids, or salicylic acid to reduce inflammation and prevent clogged pores.

• Oral Medications: For moderate to severe acne, oral antibiotics or birth control pills may be recommended to control bacteria and regulate hormones.

• Hormonal Therapy: For women, hormonal treatments like spironolactone can reduce the effects of androgens, hormones that can increase oil production.

• Procedures: In-office treatments such as chemical peels, laser therapy, and extractions can help reduce acne and improve the appearance of your skin.

For a more in-depth look at the variety of treatment options we offer, visit our dedicated Acne Treatment Page. We provide tailored solutions to meet your specific needs, whether you're dealing with mild breakouts or severe cystic acne.

We also offer solutions for long-term acne complications. If you've experienced acne scars, our team provides a variety of treatments to improve skin texture and reduce the visibility of scars. Learn more about your options for Acne Scar Treatment.

Preventing Acne Breakouts

Prevention is key to maintaining clear skin. While some factors like hormones or genetics are beyond your control, there are steps you can take to reduce the likelihood of breakouts:

1. Keep Your Skin Clean: Wash your face twice a day with a gentle cleanser to remove excess oil and dirt. Avoid scrubbing too hard, as this can irritate your skin.

2. Use Non-Comedogenic Products: Opt for skincare and makeup products labeled “non-comedogenic,” meaning they won’t clog your pores.

3. Stay Hydrated: Drinking plenty of water helps flush toxins from your skin and keep it healthy.

4. Manage Stress: Reducing stress through activities like exercise, meditation, and proper sleep can help balance hormone levels and reduce breakouts.

When to See a Dermatologist

If over-the-counter treatments aren't working, or if your acne is severe, it may be time to see a dermatologist. At Village Dermatology, we take a personalized approach to acne treatment, addressing your skin’s unique needs. Whether you're dealing with hormonal acne, diet-related breakouts, or scarring from past blemishes, we’re here to help.

For more information on our acne treatments or to schedule an appointment, visit our Acne Treatment Page.

By understanding the causes of acne and exploring effective treatment options, you can achieve clearer, healthier skin. At Village Dermatology, we are passionate about helping our patients look and feel their best. Whether you're struggling with occasional breakouts or persistent acne, contact us today to begin your skincare journey.

Understanding Cutaneous Warts: Causes, Types, and Treatment Options

By Dr. Ashley Baldree

Warts are a common skin condition caused by the human papillomavirus (HPV). Although they are typically harmless, they can be bothersome and sometimes painful. At Village Dermatology, we frequently encounter different types of warts, including common warts, plantar warts, and flat warts. Here’s what you need to know about these cutaneous growths and how we can help you manage them effectively.

What Causes Warts?

Warts are caused by various strains of HPV, which infect the top layer of the skin through small cuts or abrasions. The virus triggers rapid cell growth, resulting in a raised bump. While warts are generally non-cancerous, some types can be contagious and may spread through direct contact or contaminated surfaces.

Types of Cutaneous Warts

1. Common Warts (Verruca Vulgaris)

   • Appearance: Common warts are small, grainy skin growths that often appear on the hands, fingers, and around the nails. They have a rough texture and may contain black dots, which are tiny, clotted blood vessels.

   • Common Locations: Hands, fingers, knees, and elbows.

   • Symptoms: These warts are usually painless but may become tender if located in an area prone to friction or pressure.

2. Plantar Warts (Verruca Plantaris)

   • Appearance: Plantar warts appear on the soles of the feet and can resemble calluses. They grow inward due to the pressure from walking or standing and may have a central black dot.

   • Common Locations: Weight-bearing areas of the feet, such as the heels or balls of the feet.

   • Symptoms: Plantar warts can be painful, especially when standing or walking, as they press into the deeper layers of the skin.

3. Flat Warts (Verruca Plana)

   • Appearance: Flat warts are smaller and smoother than other types, with a flat top. They can be slightly raised and may appear in clusters.

   • Common Locations: Face, neck, back of the hands, and legs.

   • Symptoms: While flat warts are generally painless, their location on visible areas such as the face can be a cosmetic concern.

How Are Warts Treated?

At Village Dermatology, we offer various treatment options tailored to the type, size, and location of the wart. Our goal is to remove the wart while minimizing the risk of recurrence. Here are some common treatment methods:

1. Cryotherapy (Freezing)

   • This involves applying liquid nitrogen to freeze the wart, causing the skin cells to die and eventually fall off. It is effective for common and plantar warts but may require multiple sessions for complete removal.

2. Topical Treatments

   • Prescription-strength salicylic acid or other topical agents can help exfoliate the wart over time. This treatment works well for flat warts and smaller common warts.

3. Electrosurgery and Curettage

   • For stubborn warts, we may use electrosurgery (burning) followed by curettage (scraping) to remove the wart. This method is often used for larger or deep plantar warts.

4. Laser Therapy

   • Laser treatment targets the blood vessels within the wart, cutting off its blood supply and leading to its destruction. It is effective for resistant warts and those in sensitive areas.

5. Immunotherapy

   • This approach stimulates the body's immune system to fight off the wart. It can be helpful for warts that do not respond to other treatments.

Preventing the Spread of Warts

While it may not be possible to completely avoid warts, taking precautions can reduce the risk of spreading the virus:

• Avoid direct contact with warts on other people or yourself.

• Wear sandals or shower shoes in public locker rooms or swimming pools to prevent plantar warts.

• Don’t share personal items like towels, razors, or socks that may come into contact with warts.

• Keep warts covered with a bandage, especially if they are located on the hands or feet.

Why Choose Village Dermatology?

At Village Dermatology, we offer personalized care and a variety of treatment options for warts. Our experienced team, led by Dr. Ashley Baldree, is committed to providing effective solutions for all types of skin conditions. Whether you’re dealing with a stubborn wart or seeking cosmetic improvement, we’re here to help.

Schedule a Consultation Today

If you’re struggling with cutaneous warts, don’t wait for them to go away on their own. Schedule a consultation with Dr. Baldree at Village Dermatology to discuss the best treatment options for your needs. With proper care and attention, we can help you achieve smoother, healthier skin.

Skin Disease Screening in Solid Organ Transplant Patients

Skin Disease Screening in Solid Organ Transplant Patients: Protecting Your Skin Post-Transplant

By Dr. Caroline Vaughn

Solid organ transplant recipients face a heightened risk of skin cancer, particularly squamous cell carcinoma, due to long-term immunosuppression. At Village Dermatology in Katy, Texas, we provide specialized care aimed at early detection, prevention, and management of skin cancers for transplant patients.

Why Are Transplant Patients at Higher Risk?

Immunosuppressive medications, necessary to prevent organ rejection, weaken the immune system's ability to detect and destroy cancer cells, making patients more susceptible to skin cancers. Squamous cell carcinoma, for example, is up to 250 times more likely to occur in transplant recipients than in the general population and may exhibit aggressive behavior, leading to a higher risk of metastasis.

Pre-Transplantation Skin Screening

Before undergoing transplantation, a thorough skin evaluation is essential to identify any existing skin cancer or precancerous lesions. The Dermatologists at Village Dermatology recommend removing suspicious lesions and treating conditions like actinic keratosis or warts. For those with a history of skin cancer, a waiting period before the transplant may be advised, based on the type and severity of previous cancers.

Post-Transplantation Surveillance

Following transplantation, regular skin examinations are crucial for early detection of new or recurring skin cancers. At Village Dermatology's Katy office, we recommend:

• Annual full-body skin exams for patients without a history of skin cancer.

• More frequent screenings (every 3-6 months) for individuals with prior skin cancer or multiple risk factors.

• Monthly self-examinations to detect new moles, spots, or changes in existing skin lesions.

Preventive Measures

Sun Protection

Sun exposure is a significant risk factor for skin cancer development. Transplant patients should adhere to sun protection measures, including daily use of broad-spectrum sunscreen, wearing sun-protective clothing, and avoiding peak sun hours. Educating patients on sun safety helps reduce the incidence of actinic keratosis and other skin changes that could lead to cancer.

Modifying Immunosuppressive Therapy

For transplant recipients who develop skin cancer, adjusting the immunosuppressive regimen may reduce the risk of further malignancies. Some medications, such as mTOR inhibitors, are associated with a lower incidence of skin cancer compared to traditional immunosuppressants like calcineurin inhibitors.

Chemoprevention

Actinic Keratoses are the precursor lesions seen in transplant patients which can then lead to the development of squamous cell carcinomas. Patients experiencing frequent or aggressive squamous cell carcinomas may benefit from chemoprevention strategies, including oral medications like acitretin. These agents help reduce the number of new skin cancer lesions but should be used under close supervision due to potential side effects.

Treatment Options for Skin Cancer

• Surgical Removal: Mohs surgery or standard excision are commonly used to treat high-risk or invasive squamous cell carcinomas, ensuring complete removal while preserving healthy tissue.

• Cryotherapy or Topical Treatments: For early-stage lesions like actinic keratosis, non-surgical methods such as cryotherapy, topical agents, or photodynamic therapy can be effective.

• Radiation Therapy: In cases where surgery is not feasible, radiation may be used to control local disease.

Managing Other Skin Cancers

While squamous cell carcinoma poses the greatest risk, transplant recipients are also more susceptible to basal cell carcinoma and melanoma. These cancers are treated similarly to how they are in the general population, with surgical removal being the primary approach. For aggressive cases, immune checkpoint inhibitors may be considered, though they carry a risk of organ rejection.

Why Choose Village Dermatology in Katy?

At Village Dermatology, we understand the unique needs of solid organ transplant recipients. Our team is experienced in providing specialized dermatological care, including skin cancer prevention, early detection, and personalized treatment plans. Located conveniently in Katy, Texas, we offer state-of-the-art diagnostic tools and treatments to help keep your skin healthy throughout your transplant journey.

Schedule Your Screening Today

Regular skin disease screenings are a vital part of post-transplant care. If you're a transplant recipient or have a history of skin cancer, contact Village Dermatology in Katy for an appointment. Early detection and proactive management are your best defenses against skin cancer.

For more information on skin disease screening, visit our Village Dermatology page.

The Benefits of CO2 Laser Treatment for Skin Resurfacing

By Dr. Ashley Baldree

At Village Dermatology, we offer advanced CO2 laser treatments at our Katy and Memorial Houston offices, designed to rejuvenate your skin by targeting fine lines, wrinkles, acne scars, and uneven texture. This powerful laser stimulates collagen production, resulting in smoother, firmer, and more youthful skin.

Why Choose CO2 Laser Treatments?

1. Reduces Wrinkles: Effective for minimizing fine lines around the eyes, mouth, and forehead.

2. Evens Skin Tone: Improves texture and eliminates skin discolorations.

3. Diminishes Scarring: Significantly reduces acne and surgical scars.

4. Boosts Collagen: Promotes natural collagen growth for long-lasting results.

Our Katy and Memorial Houston offices provide personalized care to ensure the best outcomes. Whether you're looking to reduce signs of aging or improve skin tone, CO2 laser treatments offer a solution tailored to your needs.

What to Expect During Your Visit

During your session, you'll experience a warming sensation as the laser penetrates your skin. Most patients experience mild redness and swelling afterward, similar to a sunburn, which typically subsides within a few days. Dr. Baldree and the cosmetics team at Village Dermatology will guide you through every step to ensure optimal results.

Visit Our Katy or Memorial Houston Offices

Ready to transform your skin? Visit our Katy or Memorial Houston offices for expert CO2 laser treatment and personalized skincare advice. For more details on this innovative procedure, check out our CO2 Laser page.

Contact us today to schedule your consultation and experience the benefits of CO2 laser technology at Village Dermatology in Katy and Memorial Houston!