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Melasma During Pregnancy

Posted on: September 13th, 2016
By: Austin Dermatology Clinic

beautiful-skinAmong the many physical changes that occur during pregnancy is a skin condition known as melasma. Melasma causes brown-colored patches to appear on the face. While melasma does not harm the pregnant mother or child, it can be distressing for the affected woman. If you experience melasma during your pregnancy or if your melasma has not subsided since your last pregnancy, the Quantum SR FotoFacial® can help restore your complexion.

About Melasma

Melasma is a skin condition that causes unsightly brown spots to develop on the face. This condition is triggered by hormones and occurs more frequently in women than in men, particularly for women who are pregnant, taking oral contraceptives, or on hormone replacement therapy during menopause. Melasma is so common during pregnancy that it is also referred to as the “mask of pregnancy.” Most often, people develop these brown spots on their cheeks, nose, forehead, chin, neck, and forearms as well as above the upper lip. Sun exposure increases the risk of developing melasma, and it is more widespread among women who live in tropical or sunny climates.

Treatment for Melasma

As melasma can be induced by sun exposure, protective measures such as wearing sunscreen and hats while outside can minimize your likelihood of acquiring these brown spots. However, if you have been unable to prevent melasma and are concerned about the appearance of your skin, there are treatments that can resolve this condition. Sometimes, melasma will go away on its own after pregnancy or after cessation of oral contraceptives or hormone replacement therapy. If melasma does not disappear, FotoFacial® treatment can help.

The FotoFacial® uses photorejuvenation to flash intense pulsed light (IPL) onto the skin. This IPL treatment emits simultaneous wavelengths of light to treat conditions such as melasma, rosacea, freckles, age spots, and other signs of hyperpigmentation.

Immediately after treatment, your melasma may at first appear to darken, but after a few days, the brown patches of skin will gently peel off. Treatment with FotoFacial® is performed in office and requires no anesthesia or downtime. FotoFacial® treatment performed by one of our licensed aestheticians can significantly improve the appearance of melasma, restore an even skin tone, and refresh your appearance.

If you are interested in reducing melasma and eliminating hyperpigmentation of the skin, schedule your FotoFacial® consultation at Austin Dermatology Clinic. Contact us at (512) 345-9411 today.

Lasers for Permanently Smooth Skin

Posted on: August 11th, 2016
By: Austin Dermatology Clinic

beautiful-legsCulturally speaking, most of us desire smooth skin and will frequently shave or wax to achieve it. We often perceive men with clean-shaven faces and women with silky smooth legs as more professional and attractive than those who choose not to shave. Other areas of the body are also frequently shaved to achieve beauty ideals. However, the time and expense required to maintain hairless skin on a regular basis are less than ideal. If you would like a more convenient and long-term solution, lasers can provide you with the smooth skin you desire by permanently removing unwanted hair from your face and body.

The Laser Hair Removal Experience

Dr. Coverman uses the Cutera® CoolGlide™ Nd:YAG laser and Candela® GentleLASE™ Pro Alexandrite laser for laser hair removal. For the treatment, the laser emits a light beam that is absorbed by the pigment in the hair bulb. Once it has found the targeted tissue with the appropriate pigment, the light then turns to heat and destroys the tissue. While the laser floods all of the skin with the beam of light, only the tissue that matches the targeted pigment – that is, the hair follicle – is destroyed. A few treatments may be necessary to destroy all the hair follicles in the area, after which they will no longer be able to grow and the skin will be permanently smooth.

The Benefits of Laser Hair Removal

Laser hair removal can produce permanently smooth, hairless skin. One benefit of this treatment is that it is completely safe. Only the hairs are destroyed by the laser, and no other surrounding tissues are damaged in the process. Additionally, laser hair removal is more effective than other treatments such as traditional electrolysis because it can even target hairs that have twisted or curled under the skin. Hair can be removed from all over the body, including the face, legs, arms, back, and other popular areas. After treatment with laser hair removal, you will no longer have to spend time every day shaving or waxing. This treatment produces excellent, long-lasting results and allows you to achieve your aesthetic goals and desires for smooth skin.

Board-certified dermatologist Dr. Michael Coverman offers laser hair removal at his practice in Austin, Texas. Contact us today at (512) 345-9411 to schedule your consultation with Dr. Coverman.

Sclerotherapy to Reduce Leg Veins

Posted on: July 13th, 2016
By: Austin Dermatology Clinic

Spider veins can mar the appearance of legs that would otherwise have an attractively even skin tone. These spiky-looking, thin veins may cover a small surface area or extend over much of the leg. Sclerotherapy is a tried and proven method that can reduce spider veins and improve the appearance of the legs.

What Are Spider Veins?

spider-veinsSpider veins are small veins that look like spider webs or tree branches and are blue or red in color. They can be easily seen through the skin and are most often found on the face and legs. Spider veins are usually caused by weakened vein valves, which cause the blood in the veins to back up. Sun exposure, injuries, hormonal changes, extended periods of sitting or standing, aging, obesity, pregnancy, and a family health history of having vein problems are some of the most common causes and risk factors for spider veins. In most cases, spider veins are not a health hazard. However, their unsightly appearance leads many patients to pursue sclerotherapy to improve their appearance.

Sclerotherapy Treatment

beautiful-legsSclerotherapy, as it is performed today, has changed very little since its development in the first half of the twentieth century. For the treatment, a highly concentrated, sterile saltwater solution is injected into the spider vein through a small needle. This substance destroys the lining of the veins, and the body flushes the destroyed cells out over the following four to six weeks. The results may become visible as early as one day or as late as several weeks after treatment. While results can vary per patient, most patients can look forward to seeing a noticeable reduction in the appearance of spider veins after one or two treatments. Once your desired results have been achieved with sclerotherapy, your legs will have a more even skin tone and a more attractive appearance.

Dr. Coverman offers sclerotherapy and other cosmetic treatments that can improve the appearance of your skin. To schedule your consultation with Dr. Coverman, please contact us by calling (512) 345-9411 today.

Fighting Adult Acne

Posted on: June 15th, 2016
By: Austin Dermatology Clinic

Many people want to believe that acne is a problem that only adolescents have to struggle with. However, the truth is that acne never goes away and many adults battle acne on a day-to-day basis. Dr. Coverman routinely sees adult acne sufferers in his Austin clinic who are at their wit’s end with controlling their acne. For many, adult acne is caused deep in the pores, and at-home remedies fail to provide the relief they desire.

Acne in Your Pores

types-of-acne-pimplesTo treat your acne, it is important to understand how it develops in the first place. Sebaceous glands produce sebum that is designed to keep the skin moisturized. An overproduction of this oil can clog your pores. Blackheads are a mixture of oil and dirt that clog the pore. Whiteheads occur when the clogged pore fosters bacteria and an infection develops. Aggressive, cystic acne is caused by an infection that goes deep into your skin, creating a red, tender bump full of pus.

How Do Your Pores Get Clogged?

Clogged pores are caused by the mixture of oil, dead skin, dirt, and bacteria. People with oily skin are more likely to develop chronic acne. As adults, hormonal factors can increase the production of oils.

  • Your period – Women are more likely to break out around their period because of an increase in progesterone, which increases the production of sebum.
  • Stress – When you are stressed, your body produces cortisol, which is known to stimulate the production of oils.

Other factors such as poor diet and hygiene habits can lead to acne breakouts. Diets high in sugar, oils, and simple carbs can lead to inflammation of the skin. People will also find an increase in acne breakouts when they do not properly cleanse their face of makeup, dirt, and environmental factors.   

Fight Your Adult Acne

Dr. Coverman creates custom treatment plans for his acne patients that can include a number of oral and topical medications. He also recommends laser treatments to eliminate acne. The Smoothbeam® laser is the ideal treatment for patients with acne-prone skin. Smoothbeam® emits a long wavelength that penetrates deep into the dermis, targeting the sebaceous glands. The laser energy kills bacteria in your pores and damages the sebaceous gland so you don’t produce excess oil.

If you are struggling to control your chronic acne, schedule a consultation with Dr. Coverman today. Contact our office at (512) 345-9411 for additional information.

Treating Upper and Lower Facial Wrinkles

Posted on: May 26th, 2016
By: Austin Dermatology Clinic

Facial wrinkles can be the bane of your existence. Drugstore creams and makeup do little to mask their presence, which can result in an aged appearance. Dr. Coverman provides a variety of effective treatments for erasing the appearance of facial wrinkles. Each procedure varies depending on the severity and placement of your facial wrinkles.

Upper Facial Wrinkles

Upper facial wrinkles occur in the upper third of the face and are often the result of repetitive facial muscle movements such as smiling, squinting, or furrowing your brow. They usually appear as:

  • Crow’s feet around the eyes
  • Horizontal lines along the forehead
  • Vertical wrinkles between the brows

BOTOX® Cosmetic

BOTOX® Cosmetic inhibits neurotransmitters and is ideal for upper facial wrinkles. These wrinkles are usually caused by the repetitive movement of the facial muscles. BOTOX® Cosmetic prevents the facial muscles from receiving the neurotransmitters. This causes the muscles to relax, which smooths out the appearance of wrinkles.


Dysport® is virtually identical to BOTOX® Cosmetic and is also made in the USA. It works just as strong, lasts just as long, and is just as safe. It is significantly less expensive, and about 90 percent of our patients choose this.

Lower Facial Wrinkles

Lower facial wrinkles occur on the lower two-thirds of the face and are most often the result of diminished collagen production. They usually appear as:

  • Deep nasolabial folds from the nose to the corners of the mouth
  • Lines from the corners of the mouth downward
  • Chin wrinkles
  • Volume loss in the cheeks that causes wrinkling or hollows


Dr. Coverman was the first physician in Texas to use any fillers when he was selected by the Collagen Corporation in 1981 to begin injecting Zyderm® and Zyplast®. He now offers a wide variety of facial fillers for the lower face, and the type to be used will depend on the placement and severity of your wrinkles. Most fillers are created from a hyaluronic acid and stimulate the production of new collagen when injected into the skin. This process helps fill and smooth the appearance of wrinkles caused by lost collagen.  

Facial fillers can also treat a number of problems that are the result of a lack of volume such as hollowed cheeks or thin lips.

Overall Facial Wrinkles and Other Signs of Aging

It is common for sun exposure to cause overall facial wrinkling, which can be more difficult to treat using injections. Overall facial wrinkles can also be associated with hyperpigmentation, brown spots, or long-term acne scarring.

Laser Resurfacing

Laser resurfacing can be used to treat wrinkles of the upper and lower face. Again, Dr. Coverman was the first doctor in Austin to use lasers for the skin in 1983, and he was the first to perform full face resurfacing with the CO₂ laser shortly thereafter. Laser resurfacing can also treat skin discoloration caused by sun exposure and acne scarring. Laser resurfacing uses heat caused by the laser’s energy to penetrate the skin’s surface and eliminate damaged cells. This, in turn, stimulates the body to produce new collagen and elastin fibers to heal itself, which results in an increase in collagen. The newly formed collagen helps smooth wrinkles and corrects discoloration and scarring. Lasers are the ideal treatment for overall facial rejuvenation.

If you are tired of living with facial lines and wrinkles, schedule your consultation with Dr. Coverman today. Contact our office at (512) 345-9411.

Get Soft Feet Naturally

Posted on: February 26th, 2016
By: Austin Dermatology Clinic

Summertime can do some damage to your feet. Walking around barefoot, wearing sandals, and the hot weather can leave your feet dry, rough, and calloused.

Pedicures and feet buffing can temporarily remove some of this type of skin buildup, but did you know that the constant friction from these beauty practices can actually make your feet worse? The scraping of dead skin cells only causes more cells to grow, bringing no means to an end.

What if someone told you that you can restore soft, smooth feet without using harsh chemicals? Well, it’s possible now with Baby Foot™. A single-use product, Baby Foot™ naturally treats dry, rough, and calloused feet. It works by exfoliating dead skin cells and moisturizing the feet.

Candidates for Baby Foot™

If you have dry skin, calluses, rough patches, or layers of dead skin that you would like to remove from your feet, you may be a good candidate for Baby Foot™ treatment. It is safe for almost all patients and is extremely effective.

You may NOT be a good candidate for Baby Foot™ if you:

  • Are pregnant
  • Are diabetic
  • Have open cuts or sores on your feet
  • Are allergic to any of the ingredients in Baby Foot™

How Does Baby Foot™ Work?

A one-time treatment, Baby Foot™ is fast and effortless. Baby Foot™ consists of a plastic “sock” that contains 17 types of natural extracts that have exfoliating ingredients such as glycolic acid and citric acid. Essentially, these agents work together to loosen and break apart the dead skin cells. In addition, they moisturize the feet in the same process.

Some of the natural agents used in Baby Foot™ include:

  • Lemon
  • Grapefruit
  • Camel Grass
  • Ivy
  • Sage
  • Tea Plant

Patients only need to wear the plastic socks for one hour and then wash their feet. For the next five to seven days, the dead skin will naturally peel and slough off. The end result? Soft, smooth feet – just like a baby’s! Patients will see results after just one use and may even notice an improvement in foot odor.

If you are tired of dry, rough, and callused feet, Dr. Michael H. Coverman may be able to help. To learn more about Baby Foot™ treatment, contact Austin Dermatology Clinic by calling (512) 345-9411, or fill out our online contact form for more information.

Full Body Skin Exams

Posted on: February 3rd, 2016
By: Austin Dermatology Clinic

At Austin Dermatology Clinic, P.A., an important service we offer is the Full Body Skin Exam, which we recommend that all patients (children too) receive annually. In addition, one should be especially attentive if any immediate family member has ever had a malignant melanoma. Also, you should perform monthly self-skin checks at home, and we will show you how.

The most common skin cancer is basal cell carcinoma followed by squamous cell carcinoma. If detected and removed early, these lesions rarely, if ever, metastasize or are fatal. They can be cured with a simple excision in the office.

Any new skin lesion, especially one that is growing, itches, bleeds, or won’t heal should be evaluated.

Malignant melanoma is far less common and usually occurs on the backs of men or the legs of women, but it can occur literally anywhere. Please remember that this is the ONE body cancer that you can actually SEE, and detect early. By the time you discover pancreatic cancer, it is already too late. If detected early, malignant melanoma can be 100% curable with just a simple excision!

Some doctors may tell you to watch, photograph, measure a mole, or “call the doctor if it changes.” We disagree! If a mole is “funny looking” today, it is not going to be any less “funny looking” tomorrow. If it caught your eye in the first place, there was a reason! To quote a world famous histopathologist, “the best place for an odd looking mole is in a specimen bottle – not on your body!” If you wait for a mole to “change,” what if you waited one day too late. It does happen.

We recommend that all patients learn the ABCD’s of skin cancer examination:

A for Asymmetry

B for irregular Borders

C for different Colors

D for Diameter greater than a pencil eraser

Melanoma has been on the rise recently, especially in young women, likely due in part to tanning bed use. The American Academy of Dermatology has lobbied virtually every state legislature to ban this use. Just recently the World Health Organization (WHO) has confirmed that tanning beds are carcinogenic.   This study found that patients under the age of 30 who use tanning beds regularly had a 75% increase in lifetime melanoma risk. Considering the popularity of tanning beds, as well as our sunny climate, a Full Body Skin Exam is essential.

No tanning bed bulbs are “SAFE!” Despite what they tell you, these people mistakenly believe that UVB only burns you, and the UVA in those tanning beds only tans you. We have now learned that UVA causes just as much skin cancer as UVB. Hence, no tanning bed is safe – ever!

Although we do recommend self-evaluation, this is difficult and supports the need for an in-office Full Body Skin Exam by professionals.

Brooke Stidham, PA-C and I are currently accepting new patients and are contracted with most insurance companies including Medicare. We look forward to seeing you in the near future for your Full Body Skin Exam!

To schedule your full body skin exam with Dr. Michael H. Coverman or Brooke Stidham, PA-C, please contact Austin Dermatology Clinic. Call us today at 512-345-9411.

Treating My Rosacea

Posted on: December 11th, 2015
By: Austin Dermatology Clinic

Rosacea AfterRosacea BeforeRosacea is a chronic condition wherein patients have cycles of flare-ups and remissions. It is marked by pronounced redness across the cheeks, nose, chin, forehead, and in some cases, down onto the neck and chest. While teens and young adults may develop rosacea, it most commonly occurs in patients over the age of 30. If left untreated it is likely to worsen over time.

Causes of Rosacea

It is currently unknown what causes rosacea; however, evidence suggests that it may be a genetic condition. Rosacea develops from an inflammation of the facial blood vessels that results in flushing, redness, bumps, pimples, and visible blood vessels called telangiectasia. Many scientists believe that the causes of rosacea lie in the immune system, the neurovascular system, or are the result of vascular changes from aging.

Symptoms of Rosacea

  • Frequent flushing
  • Persistent redness
  • Painful bumps and pimples
  • Visible blood vessels
  • Irritation of the eyes
  • Itching of the skin
  • Dry skin
  • Raised red patches
  • Rhinophyma
  • Edema of the face

Flares of Rosacea

  • Alcohol, especially red wine
  • Heat
  • Sunlight
  • Stress

Types of Rosacea

Rosacea can present itself is various forms ranging from mild redness to severe swelling. It is common to experience multiple types of rosacea during a flare-up. Understanding your rosacea triggers may help you minimize these flare-ups.

  • Erythematotelangiectatic rosacea – persistent flushing and redness; blood vessels may be visible
  • Papulopustular rosacea – persistent redness along with bumps and pimples
  • Phymatous rosacea – facial redness along with skin thickening that may result in the enlargement of the nose
  • Ocular rosacea – affects the eyes and causes symptoms such as dry eye, tearing, burning, swollen eyelids, and styes

Treating Rosacea with Dr. Coverman

Rosacea is a chronic condition, and currently there isn’t a treatment that will permanently rid you of your symptoms. To minimize the effects of rosacea, it is important to treat flare-ups as soon as they occur. For patients who cannot yield the results they desire using creams and medications, Dr. Coverman offers the FotoFacial™ treatment. The FotoFacial™ is a specialized procedure that uses intense pulsed light (IPL) technology to treat the blood vessels that cause rosacea. Each treatment is safe and relatively painless with a fast recovery period. Most men and women can immediately return to work and their daily activities.
If you are tired living with the effects rosacea has on your complexion, schedule your consultation with Dr. Coverman today. Contact our office at (512) 345-9411 or fill out our online contact form here for additional information.


Posted on: October 23rd, 2015
By: drcoverman

As the winter months approach, the humidity in the air begins to drop, and most of us complain of dry skin. What to do?

Moisturizers don’t “moisturize!”   What?

Skin is soft and supple due to the presence of water in and between cells.   It makes them “spongy,” compressible, and gives you the nice soft feeling of comfort that you would expect.   During the dry winter months, due to low atmospheric humidity, this water evaporates and hence your skin dries.

Then what do moisturizers moisturize?   Well, they really don’t.   What they do is trap the further evaporation of water by their occlusive barrier.   For that matter, I suppose you could use Vaseline as a moisturizer since it is probably the thickest thing out there.   The reason we use more elegant moisturizers is that they dissolve better, they smell better, they are not as sticky, and they are easier to apply. In addition, some of the newer “high tech” moisturizers contain ceramides and phospholipids which are chemicals that mimic the normal lipids in your skin.   By adding these, the skin is nourished and enhanced with the very chemicals it is actually made of, and all of these are meant to trap the evaporation of more water to give you an elegant cosmetic feel and appearance.

Of course moisturizers moisturize, but I hope you will see not in the way you thought. They trap what is there, and prevent further uncomfortable evaporation.

A last thought – what if you drink more water to replenish that lost water even more? Actually, your body has a very delicate mechanism to sense how much water is in it, and if you drink more water, your body will naturally eliminate it anyway.

Your body’s thirst mechanisms will make sure that you drink all that you need – no more and no less.   Let thirst be your guide, and let the moisturizers trap what you drink.



Posted on: June 26th, 2015
By: sales


Introducing Our New Micro-Needling Procedure


You can now improve your skin’s appearance with our new Micro-Needling Procedure, which is also known as Collagen Induction Therapy. We use the Eclipse Micropen™ skin needling system, which allows for controlled induction of the skin’s self-repair mechanism by creating micro “injuries” in the skin that trigger new collagen synthesis. The result is smoother, firmer, and younger-looking skin.


Skin needling procedures are performed in a safe and precise manner with the use of the sterile (disposable) Micropen needle head. The procedure is normally completed within 30 to 60 minutes depending on the required treatment and anatomical site. For optimal improvement, a series of three to six treatments at four- to six-week intervals is recommended. After the procedure, the skin will be red and flushed in appearance similar to a moderate sunburn. You may also experience skin tightness and mild sensitivity to touch on the area being treated. These symptomis will diminish greatly after a few hours following treatments, and within the next 24 to 72 hours, the skin will be completely healed.


If you book through August 31st with either Tammy or Christi, you can save $50 when mentioning this blog. You can purchase up to four Micro-Needling procedures at this special price. Call us today at (512) 345-9411 for more information.

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12 Oaks Medical Center
11623 Angus Road Suite 25
Austin, Texas 78759
Telephone: (512) 345-9411