Skyrizi for Psoriasis

Skyrizi (risankizumab-rzaa) joins the ever-growing ranks of biologics for the treatment of psoriasis. Skyrizi is new IL-23 inhibitor, which binds to the p19 subunit,  joining Tremfya and Ilumya, and Stelara (which binds to the p40 subunit).  It is approved for adults with moderate to severe plaque psoriasis who are candidates for systemic therapy of phototherapy. Skyrizi has… Read More

Seysara For Acne

What is Seysara For Acne? Seysara (sarecycline) is the newest (approved in 2018) antibiotic for the treatment of acne vulgaris in patient ages 9 and up. It is in the tetracycline class, and related to the well-known acne medications doxycycline and minocycline. What is the dosing for Seysara? Seysara is dosed by weight. 60 mg for… Read More

Topical Oxymatazoline Cream (Rho-fade) for Rosacea

Rosacea is a chronic skin diseases marked by persistent facial erythema, easy flushing, and the development of telangiectasia. Over time papules and pustules may appear as well. Several topical and systemic medications are used to treat rosacea, but these primarily address the inflammatory lesion component. Treatments for persistent facial erythema are limited, usually requiring pulsed-due… Read More

Botox Lip Flip

You read more and more about the Botox “lip flip” as a new procedure to add volume to the lips. In truth, this is a long-established Botox injection technique that now has a catchy new name. What is a Botox lip flip? First, what a Botox lip flip is not. It is not filler. It… Read More

Treating Acne Without Antibiotics

Systemic antibiotics, such as doxycycline and minocycline, have long been the mainstay of treating moderate to severe acne. But many are concerned about the long-term use of antibiotics, the development of antibiotic resistance, and concern regarding adverse effects with long-term use. There are a number of alternatives to oral antibiotics in the treatment of acne.… Read More

Laser Treatment For Congenital Melanocytic Nevi (Birth Marks)

Laser Treatment of Congenital Melanocytic Nevi Congenital melanocytic nevi (CMN) are nevi are a type of birth mark that are present at birth or develop within the first few weeks of life. They are fairly common, reportedly occurring in 1-2% of the population. They are commonly seen in a dermatology office. Congenital melanocytic nevi are… Read More

New Treatments For Alopecia Areata

Xeljanz and JAK inhibitors for Alopecia Areata Alopecia areata (AA) is an autoimmune disease in which hair cells are attacked by the immune system, leading to patches of hair loss. This is often a relapsing-remitting condition. The mainstay of current treatments are intralesional steroid injections, topical steroids, and immunotherapy, such as squaric acid. A number… Read More

Terbinafine For Tinea Infections

Fungal infections, also known as tinea or dermatophyte infections, are a common problem seen in a dermatology practice. Tinea commonly affects the feet, groin, body, scalp and nails. Although many cases of tinea are treated with topical anti-fungals, tinea infection of hair-bearing areas or of nails require oral anti-fungals. In adults, this is commonly terbinafine,… Read More

Voluma Hyaluronic Acid Gel For Facial Temples

Juvederm Voluma is a hyaluronic acid filler, typically used in the mid-face to lift the cheeks. It is used off-label in many other areas, such as along the jawline or in the temple area. Loss of volume in the temporal fossae (the lateral sides of the forehead) is common with age. Fillers, including fat, hyaluronic… Read More

Collagen Supplements For Skin Conditions

A recent review article in the Journal of Drugs in Dermatology reviews the data to support collagen supplementation in the treatment of various skin conditions. This is a very welcome addition to the literature, since so few “neutraceuticals” are rigorously studied. What is collagen? Collagen is the main component of extracellular matrix, contributing 75% of the… Read More