DuPage Medical Group Charitable Fund accepted the ALS ice bucket challenge
Dr. Bhatia along with members of the DuPage Medical Group Charitable Fund accepted the ALS ice bucket challenge from Leopardo construction and nominate the staff and physicians of Dupage Medical Group along with the Edward Foundation!
Could It Be Shingles?
It happens without warning. You begin to notice that you have an outbreak of red bumps on one side of your body that rapidly turn into what appear to be blisters on top of a red rash. Over the next few days, the blisters and rash may spread and finally they erupt and start to dry into crusts. You have noticed that the area is itchy, and sometimes sore. You wonder; could this be shingles?
Shingles, or Herpes Zoster (HZ) as it is known medically, is the diagnosis of a rash that fits this description. It is caused by the same virus that is responsible for chickenpox, or varicella. Most people are infected with chickenpox during childhood. After the infection subsides, the virus becomes inactive and remains in our nervous system. In some people, the virus is reactivated in the future and manifests itself in the rash known as HZ.
For most people, HZ tends to occur later in life and some may experience more than one episode in a lifetime. Increasing age, being on immunosuppressive medications, fatigue, emotional stress, and radiation therapy have all been thought to be implications for re-activation of the virus.
Patients may experience headaches, sensitivity to light, or a general feeling of being tired prior to the eruption of the rash. Some people experience a swelling of the lymph nodes, pain, itching, or a burning sensation localized to a dermatome which may precede the rash by four or five days. A dermatome is an area of the skin that is innervated by a single spinal nerve. It generally follows a linear pattern. This explains why the rash usually only affects one side of the body. The vesicles may begin as clear but become cloudy or filled with yellow pus by the third to fourth day. They may rupture and form crusts that fall off within two to three weeks.
A complication of HZ may be post herpetic neuralgia, the residual pain that can last more than thirty days since the onset of the rash. The incidence of this usually increases with age, and most cases occurring after age thirty. If HZ occurs around or over the eyes, it is a more serious concern and patients must see an ophthalmologist for a consultation to check to make sure there are no complications within the eye such as swelling or inflammation that could affect the vision.
Depending on the severity, we can treat shingles with cool wet dressings, oral steroids, and/or oral antiviral medications. The oral antiviral therapy is the most common form of treatment and works best if it is initiated within the first forty eight hours of the onset of the symptoms. Pain management varies depending on the severity of the symptoms.
If you suspect you have HZ it is important to make an appointment for evaluation so that treatment may be initiated if appropriate.
The Dermatology Institute of Naperville welcomes Dr. Shruthi Reddy to our group as of 9/1/14.
Dr. Reddy is a board certified dermatologist who will practice out of 640 S. Washington St. in Naperville, and 12004 S. Route 59 in Plainfield. Dr. Reddy treats adults and children and her clinical interests include acne, atopic dermatitis, contact dermatitis, eczema, psoriasis, diagnosis and treatment of skin cancers, mole evaluations and treatment, and vitiligo. Dr. Reddy earned her medical degree from the University of Illinois College of Medicine at Chicago and completed her residency at the University of Illinois at Chicago. Dr. Reddy spent two years in private practice before joining DuPage Medical Group. Appointments for Dr. Reddy can be scheduled by calling 630-547-5040
Congratulations to Dr. Bhatia on being elected to the Board of Directors of the American Society for Dermatologic Surgery and the American Society for Dermatologic Surgery Association.
ASDS dermatologists are experts in performing a wide range of treatments and procedures to treat the health, function and beauty of skin throughout every stage of life. They are the premier medical specialists trained to treat skin and soft tissue in both medically necessary and cosmetic surgical and non-surgical methods.
Dr. Bhatia was in Australia last week as an invited speaker at the following events:
The Australasian College of Dermatologists on the topic of "Practical Applications of the 532 and 1064 nanometer lasers in Aesthetic Dermatology.
The Australian Society of Aesthetic Plastic Surgery where he spoke on the following topics:
What are pores and how do we treat them?
Laser Physics and the Aesthetic Physician
Update on the Treatment of Acne Scarring
Update on Ablative Lasers for the Treatment of Sun Damage, Aging and Scars
Practice Update: What treatments do you recommend during this time of year?
Dr. Bhatia In the fall, people often want to repair the damage that their skin has suffered during the summer months from outdoor activities such as boating, golfing, swimming, being outside in the garden and playing with their kids. It’s really a time of rejuvenation and restoring the health of the skin. There are several popular treatments performed this time of year, and all are done after the tans have faded.
Intense pulsed light (IPL): One common treatment is IPL; it’s a nice treatment that can be done in the office, usually in a series of three to five treatments. It targets brown spots (age spots) in the skin that have come up as well as some of the fine blood vessels. A lot of people come in and get IPL done on the face and chest area, and sometimes on the back of the hands, since these are areas that suffer the most sun damage over the summer.
Chemical peels: Another procedure done more in the fall is a chemical peel. The more superficial chemical peels target the epidermal problems, such as brown spots, textural irregularities, and general sun damage. For minimal downtime, people get mild peels every 2 to 4 weeks. If they can afford the downtime, they may choose to have a more intense chemical peel only once or twice in the fall.
Fractional ablative therapies: This is also a popular time for the fractional ablative therapies, such as fractionated CO2 or fractionated erbium lasers. These do a really good job of not only cleaning up the textural abnormalities and brown spots and getting rid of a lot of the photo damage, but they also serve to stimulate new collagen synthesis. Even though they are associated with a little more down time, which is usually 7 days, patients feel fine after the treatments. It’s just that they look a little pink and sunburned, and all the brown spots get very dark, but then they peel off within a week. These treatments really give people a renewed freshness to their skin.
With all of these treatments, most women feel like makeup goes on better and their skin just feels softer and healthier.
Skincare tips: Even in the fall and winter, and even on cloudy days, 80% of UV rays go through the clouds. So, if people want to protect themselves really well, sunscreen should be worn—SPF 30 or higher on the face, ears, and neck every day. The sunscreen should be reapplied frequently when outside or near windows or in a car, even in the fall and winter months. In fact, in the winter, sometimes the UV rays are more intense when there’s snow outside because the light will reflect off the snow and increase the intensity of the UV radiation that reaches the skin.
Moisturizing: This time of year, it becomes a little more important to moisturize. The skin tends to become drier and more affected by the elements, such as wind and cold. So moisturizing—moisturizing with a day cream that’s hydrating and preferably has an SPF in it—is important.
The DuPage Medical Group Histology Lab at Dermatology Institute of Naperville announces their recent merit of Accreditation with the College of American Pathologists (CAP). The CAP is the leading organization of board-certified pathologists, and serves patients, pathologists, and the public by fostering and advocating excellence in the practice of pathology and laboratory medicine worldwide. This organization holds pathology laboratories to the highest of expectations and is therefore the gold standard of quality in pathology. CAP Accreditation means this laboratory has been thoroughly inspected and found to meet the highest standard of care for its patients.
Regrets Only: Dr. Kelly Stankiewicz on Tattoo Removal
Kelly Stankiewicz, MD, FAAD
PracticeUpdate: Dr. Stankiewicz, have there been any recent improvements in tattoo removal?
Dr. Stankiewicz: Until recently, there have been very few changes in the way we’ve treated tattoos over the last 20 to 30 years. Now, there are some exciting new innovations. I think most exciting is the picosecond laser, which has shown to be an improvement over the Q-switched lasers. Although the idea of using the picosecond laser for tattoo removal has been around for quite a while, the laser hasn’t been readily available on the market until now. Its shorter pulse duration is an advantage over the Q-switched laser for tattoo removal. Unfortunately, the cost of the picosecond laser, at this point, is quite high.
Another recent innovation involves combining laser treatments on the same day. For example, repeat treatments of tattoos with the Q-switched laser is a procedure that received a lot of attention after one study was published with positive results.1 In a single treatment session, 61% of tattoos were completely cleared; however, the results have not been replicated in practice. The technique is a little bit more time consuming, but it is likely an improvement over conventional methods. However, right now, we don’t know how much better, if really at all, and we need a little bit more data.
A practice that is becoming more common is treatment by combined use of a Q-switched laser and an ablative fractional laser, one first and the other immediately afterwards. We know that ablative fractional lasers destroy microcolumns of skin, and the ink along with it. This method seems to be more comfortable for patients; there is less blistering and recovery is faster.2 And it may be more effective on treatment-resistant pigments. Again, we need more data, but the technique is becoming more widely used.
Ultimately the goal would be tattoo removal accomplished in a single day—a person comes in and the tattoo is removed after spending one day with the dermatologist.
PracticeUpdate: Are any types of tattoo ink or colors removed more easily in case of regret?
Dr. Stankiewicz: Of all of the traditional inks, black is the easiest to remove; red is the second easiest. If someone is concerned about potentially having to remove a tattoo in the future, the inks to definitely avoid are oranges, yellows, purples, and some blues. They are very hard to remove with the current laser technology.
InfinitInk is a tattoo ink that is made specifically for easier removal. Currently, only black ink is available. The number of laser treatments necessary is significantly fewer with this technology. It hasn’t really caught on in the tattoo world because tattoo artists are somewhat resistant to the idea that their tattoos should be temporary. It is part of the culture to have something that can never be removed. However, some tattoo studios are offering it.
I think it is a great idea and something to be encouraged in people who are not quite sure or think they may one day regret their tattoo. Approximately 25% of Americans between the ages of 18 and 50 have a tattoo, and the number is rising. I would speculate that this number would rise faster if people knew that removable tattoo ink was available. So, overall, I think it would be beneficial for the tattoo industry to embrace the product.
PracticeUpdate: What happens when a patient has an allergic reaction to the dye in a tattoo? Is that patient treated any differently than someone who wishes to have a tattoo removed for cosmetic reasons?
Dr. Stankiewicz: They are not treated the same. It can be very difficult to manage someone who has an allergic reaction to a tattoo. Often, we try to manage the reaction with topical or injected steroids; however, we don’t remove allergic tattoos the same way we remove regular tattoos. The reason is because there have been case reports of people with allergic tattoos who have had immediate hypersensitivity reactions, including anaphylaxis; so we are always cautious when treating them. We usually remove allergic tattoos surgically. Another way to remove them that looks promising is with repeated treatments using ablative fractional lasers.3
PracticeUpdate: What dyes should be avoided entirely in tattoos to decrease the potential for side effects?
Dr. Stankiewicz: Red dye is by far the biggest offender. Red tattoo color can cause all kinds of problems, like hypersensitivity reactions, lichenoid reactions, and pseudolymphomatous reactions. There are some case reports of eruptive keratoacanthomas or skin cancers with red inks.
PracticeUpdate: What is your best advice for a young person who is considering getting a tattoo?
Dr. Stankiewicz: Well, I have so much advice that I am going to have to narrow it down. Tattooing is a risk factor for contracting hepatitis C; so, it is very important to know the tattoo parlor and know that the tattoo parlor is following the appropriate protocols and precautions to prevent the spread of blood-borne infections. I would discourage people from walking down the sidewalk, ducking into the nearest tattoo parlor, and going for it. People should to do their research first.
In my clinic, most people who come for tattoo removal have had tattoos before the age of 20. The most common age is 19, 18, 17, or even younger. People’s styles and tastes change so much. Values—what is important in life—change. I would encourage people to wait until later in life to get a tattoo. The people who are most happy with their tattoos are those who have gotten them in their 40’s, and the tattoo really means something to them. But, obviously, not everyone has to wait that long.
I also commonly see patients with tattoos in languages that they don’t understand, particularly Chinese. I think this trend may have passed. Somebody may think it is kind of cryptic and exotic at the time, but may come to find out it means something totally different than what was expected. And the tattoo is permanent at that point.
I would also encourage people to consider locations that are easy to hide. Tattoos on hands and fingers and your neck may cause difficulties in the future—getting jobs and so forth. The last piece of advice would be to consider inks that are easier to remove in case of regret, like InfinitInk, or at least a traditional black.
PracticeUpdate: Do you think people talk to a dermatologist or a primary care physician before they get a tattoo?
For each dollar spent on a product you receive 2 points
For each dollar spent on an esthetic treatment, receive 3 points
Refer a friend to us and get 500 points!
Once you reach 2,500 points we will reward you with a $50 gift card towards your next spa service.
It’s that easy!
January 29, 2013
Skip the tanning bed, Keep up with skin exams, Ignore the myths, and Never skimp on sun protection
With an easy to remember acronym, S.K.I.N., The Skin Cancer Foundation is proposing four simple steps for keeping skin cancer prevention and skin health top of mind in 2013 and beyond: Skip the tanning bed, Keep up with skin exams, Ignore the myths, and Never skimp on sun protection.
We now have Belotero Balance the new dermal filler that is indicated for the treatment of moderate to severe facial wrinkles and folds. Once injected it immediately plumps the skin smoothing lines and wrinkles on your face. Make an appointment to see if Belotero is right for you.
Join us for our Annual Summer Soiree: Girls Night Out. Spend an evening with the girls and learn about the latest in cosmetic treatments and sking care with Dr. Kelly Stankiewicz and our estheticians.
Join us for our annual patient Open House on Thursday, May 10th from 3:30 - 6:30. Lectures, demonstrations, raffles and goody bags. Call and reserve your spot 630-547-8040
LaViv is here! LAVIV™ (azficel-T) is the first and only FDA-approved therapy that uses your own collagen-producing cells (fibroblasts) to improve the look of your smile lines—for results that are totally you. Call for a consultation today!
The DuPage Medical Group Charitable Fund is proud to be the recipient of DMK Burger’s 365 Days of Charity in October. Stop in their Lombard location (next to Dick’s Sporting Goods on Butterfield) and try one of their great burgers. The chef has created a special seasonal bison burger topped with butternut squash and a carrot/zucchini slaw. Order one October 25 – October 30th and proceeds for the $10 burger go to the DMG Charitable Fund.
Great burgers, beer and it all benefits charity! Did I mention that they have 6 kinds of tasty fries?!
Look for the Grand Opening of Belleza, our medical spa, opening street level in December! Follow us on Facebook and this website for grand opening details and specials! We hope you will join us!
Pumpkin peels are back for fall!
It is a three step treatment that includes our GloPumpkin enzyme scrub, pumpkin exfoliating peel and pumpkin facial mask. A perfect way to soothe,hydrate, and revive dull skin. Call 630-547-5040 and schedule with one of our aestheticians.
BOTOX Beauty Day!
One day only Friday, November 11th. Spaces are limited, schedule your appointment today!
We are pleased to announce the addition of physician Dr. Kelly J. Stankiewicz to our practice!
We are pleased to announce the addition of physician Dr. Kelly J. Stankiewicz to our practice as of September 1, 2011.Dr. Stankiewicz did her undergraduate studies at the University of Michigan with a major in Chemistry, and attended medical school at Indiana University.Her dermatology residency was done at Dartmouth-Hitchcock Medical Center, (Dartmouth Medical School).She completed her fellowship at Massachusetts General Hospital (Harvard Medical School, Boston MA)Dr. Stankiewiczis happy to be back in the Midwest with her fiancé. She enjoys traveling and spending time with friends and family all over the world.She will be seeing dermatology patients of all ages and says her doctoring style is centered on patient education.We are thrilled to have her join us!
Dr. AshishBhatia received the prestigious award of Contributory Service Faculty Teacher of the Year from Northwestern University, Feinberg School of Medicine, Dermatology Department for lecturing to dermatology residents on topics such as Mohs Surgery, Grafts, laser physics, and advanced lasers.
Good News! All the sunscreens we carry here at The Dermatology Institute follow the new FDA sunscreen rules! To learn more about these new FDA guidelines on sunscreens Click Here
For most of us, one major goal of the summer is to avoid a sunburn while outside enjoying the warm weather. While it’s obvious that a burn from the sun is damaging to skin, it’s important to note that even a sun tan can do harm to skin cells and should be avoided. Taking the time to protect yourself from the sun is essential because even a small amount of sun exposure can contribute to many harmful skin conditions, such as skin cancer and even premature aging.
However, there are a few steps you can take if you do happen to get a sunburn. First, increasing fluid intake by drinking plenty of water can help speed up the healing process. Over the counter ibuprofen and topical hydrocortisone cream can lessen inflammation and decrease discomfort. Also, keeping the skin moisturized with heavy creams and lotions can ease a sun burn quickly. If these measures are not enough to calm burned skin, you can contact your healthcare provider to determine if a prescription strength steroid cream, or even oral medications, is necessary to treat the burn. If your sunburn is severe and has blister formation, medical attention should be obtained as soon as possible.
Although these are great ways to treat a sunburn, the ideal situation is to prevent a sunburn in the first place. It is recommended to wear SPF 30 or higher sunscreen every day, even in cloudy weather, and reapply sunscreen every 1.5 - 2 hours when outside. There are so many different formulations of sunscreen on the market, such as creams, lotions, sprays, and sticks, that there is a perfect one for every situation. There is even a new sunscreen in a powder formula for no-mess application and less irritation to sensitive skin that is sold only at dermatology offices. Ask any staff member about it at your next office visit!
It's that time of year again where the weather is finally warmer and we can send our kids outdoors to play. As Chicagoans this is something to celebrate, but we have to remember to protect our most important assets, our kids. Children's fragile skin and rapidly dividing cells are much more vulnerable to the harmful rays of the sun. We know that bad sunburns during childhood can lead to skin cancer, wrinkles, and age spots when they are older.
I often hear parents say "we wear sunscreen, but my child just gets brown in the summer". The fact is that there is no such thing as a safe tan, so any change in color is a sign of damage. This means you could be doing better with the sun protection and avoidance you provide to your child.
Use a broad-spectrum sunscreen of an SPF 30 or higher, apply 30 min prior to going outside, and reapply more frequently (every 60 - 90 minutes, especially if the child is swimming). Provide sun protective hats and shirts, as well as shaded areas to play. It is also important to try to avoid the peak hours of sunlight, from 10 AM to 3 PM.
As for the really little ones, keep children under 6 months completely protected from the sun . It is not recommended that sunscreen be used on babies this young. If they have to be outside with you, consider investing in a mesh sun protective cover for your stroller.
We want you to enjoy the few months of warm weather with your family, but remember to be safe while you have "fun in the sun".
Dr. Jeffrey appeared May 5th on ABC Channel 7's Healthbeat at 10 p.m. In this episode Dr. Hsu discussed the benefits of Sclerotherapy and discussed the latest advances in this vein-reducing procedure. Watch Dr. Hsu perform this procedure on a patient and answer questions about Sclerotherapy and Asclera. Click here to watch video
The Dermatology Institute now offers - CoolSculpting™ by ZELTIQ™
CoolSculpting™ by ZELTIQ™is a new, non-invasive way to gently and effectively reduce fat in targeted areas of the body that results in a noticeable, natural-looking fat reduction in the treated areas. What makes the CoolSculpting procedure different is that it uses advanced cooling technology to selectively target fat bulges and eliminate fat cells through a gradual process that does not harm the surrounding tissues. This procedure can reduce unwanted abdominal fat, love handles (flanks), and back fat. Click here to learn more about CoolSculpting™ by ZELTIQ™
You winterize your home, your car and even your wardrobe, why not your skin? The Midwest winter poses unique challenges to maintaining healthy skin. Constantly switching between heated dry indoor air and the harsh and cold winds of outdoor air removes moisture from the skin. While moisturizers are helpful, it's better to prevent the moisture loss in the first place. Skin that's dry, cracked, or irritated is vulnerable to infection, while a good skin care regimen that improves skin health can to boost your body's natural defenses.
Here are a few ways to winterize your skin:
Use a humidifier in the bedroom or living room once the relative humidity inside drops below 60 percent.
Hot showers can dry out your skin. Instead take lukewarm showers,patting gently afterward with a towel and applying a moisturizer within three minutes of stepping out of the shower to lock in moisture.
Look for lotions or creams with any of the following ingredients: petrolatum, mineral oil, linoleic acid, ceramides, dimethicone or glycerin.
Keep well hydrated by drinking lots of water.
Use lip balms and lipsticks with moisturizers.
Use sun block. Although the skin is less exposed in the winter, ultraviolet rays can be particularly intense on a clear winter day. Even when cloudy, UV rays still penetrate.
Brittle nails can be helped by using Vaseline to moisturize and a nail polish with nail protein.-Moisturizing is especially effective at night.
On January 27th, 2011 Dr. AshishBhatia will be speaking at a CME training program for residents and fellows on Injectables and Facial Aesthetics. This course is designed to increase physician understanding of anatomy, injection technique, and how to attain optimal patient satisfaction. http://www.aestheticcare.org/events/event025.shtml
The American Society for Dermatologic Surgery (ASDS) presented Dr. AshishBhatia, with the Excellence in Education Award for his significant commitment of time and energy to teach dermatologic surgery and promote the advancement of the specialty.
Dr. Jeffrey Hsu co-authored "Lippincott's Primary Care Dermatology" which is a book to help understand, diagnose, and treat dermatologic problems in the primary care field. Family practitioners, internists, nurse practitioners, and physician assistants will utilize this book. Click here to purchase this book
Dr. AshishBhatia and Dr. Jeffrey Hsu participated in the American Academy of Dermatology’s Play Sun Smart™ skin cancer screening program for the Chicago Cubs organization. The Play Sun Smart program helps to educate players and fans about how to prevent and detect skin cancer.
Dr. Jeffrey Hsu participated in the Road to Healthy Skin Tour that made a stop at the Oak Brook Family Recreation Center last Monday, June 21st. Dr. Hsu provided free skin screenings to people in the community!
We now carry Renova! As part of a comprehensive skincare and sun avoidance program, RENOVA 0.02% can reduce the signs of photodamage, helping to smooth out fine facial wrinkles. Call to schedule your appointment today. 630-547-5040.
Dr. AshishBhatia was selected to be on the American Board of Dermatology's question writing committee. He is a member of the committee responsible for reviewing and writing questions for the Board Certification Exam in Dermatology. All Dermatology residents must pass this national exam to become Board Certified.
Congratulations to Dr. Jeffrey Hsu for receiving The President's Volunteer Service Award from President Barack Obama. This award is in recognition and appreciation for his commitment to servicing needs in the community.
You Asked-We Responded!
New! After school acne clinic-Tuesday/Wednesday appointments 4-5:30pm. (Acne only)
Spaces are filling up fast...call to schedule your appointment today! 630-547-5040.
Daily appointments available also.
Those Pesky Red Bumps
By Laura Collins, APN DCNP
Have you ever wondered what those little red bumps with the dry skin on the backs of your arms or on your thighs were?
This is a condition known as KeratosisPilaris,or KP,and it is completely harmless. About 50% of the general adult population experiences it at some point during their lives. The condition can also be chronic. It has been described as a feeling like goosebumps or sand paper on dry skin. The condition may in fact worsen during the dry winter months and even during pregnancy.
How would I know it is KP?
Some of the most common symptoms include: small, painless acne-like bumps with or without dry skin, most notably experienced on the upper outer arms and thighs.
Are there any treatments available to treat KP?
Unfortunately there is no cure, however there are a few things that you can do to minimize the appearance of the lesions, cut down on redness, and sometimes even clear the condition. We recommend keeping showers to less than ten minutes, using lukewarm to cool water only. We prefer a gentle soap such as the Dove Nutrium Body Wash or Cetaphil cleanser. You may gently exfoliate the affected areas with a loofah sponge two to three times weekly to assist with clearing. Finally, it is important to moisturize one to two times daily with a cream, such as Cerave Moisturizing Cream.
If the above recommendations aren’t enough to clear the condition, you may try over the counter Amlactin cream or lotion, available at most drugstores. If this is still not enough to improve the condition, you may consider making an appointment with us to determine if more aggressive, prescription treatment is needed.
Have you ever gone to a tanning bed to get a base tan before a trip or to look good for a dance? Do you go weekly because it makes you feel good or for the vitamin D?
If you answered yes to any of these questions, you are among the millions of people who still expose themselves to this known carcinogen. Just like with smoking, we now know so much more about the effects of tanning on our skin. There is no such thing as a safe tan, and indoor tanning is even worse than tanning outdoors. Recent studies now suggest that indoor tanning, especially while you are young may increase your risk of developing a melanoma by as much as 75%.
Melanoma is a skin cancer that can potentially spread through your body and could be fatal. Tanning also increases your risk of developing non-melanoma skin cancers.
Tanning can also prematurely age the skin, leading to age spots, lines, and wrinkles as well as thinning of the skin. This happens because the ultraviolet light from both tanning beds and sunlight damage the collagen and elastin. The American Academy of Dermatology advises that if Vitamin D deficiency is a concern you should seek other ways rather than sun exposure to correct it. We recommend speaking to your primary care physician about having your Vitamin D levels checked and starting a supplement. If you still desire the look of a tan, a safe alternative to consider is spray tanning.
Worth a thousand words? Pictures can speak volumes; make sure you like what they're saying.
Chicago — Clinical photography for dermatology goes far beyond creating a pretty picture to convince the viewer of the efficacy of a treatment or product — it is an unparalleled tool that, when used properly, is invaluable in any dermatology practice. Click here to read full article