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How to Improve Acne Scarring

Posted on: March 13th, 2017
By: Austin Dermatology Clinic

Acne scarring can be an unsightly reminder of teenage or even adult acne. Even though your whiteheads or blackheads may be gone, skin discoloration, raised scars, or pitted scars can remain. People often struggle to lighten their acne scars, and it can be a chore to cover them with makeup regularly. Dr. Coverman offers laser treatments to effectively lighten and erase the appearance of acne scars.

acne treatment before and after photo What Causes Acne Scars?

There are a variety of acne types, but in general, acne is inflammation of the skin. Scarring is typically caused by larger forms of acne or improper removal techniques. When the follicle wall breaks, the infection that causes acne spills out into the dermis, destroying healthy tissue. The body produces collagen to repair the damaged tissue. This repair job often isn’t as smooth or flawless as before.

Types of Scarring

  • Hypertrophic scars (keloid scarring) is caused by an overproduction of collagen during the healing process. This creates a raised mass of tissue over the acne area.
  • Atrophic scars (ice pick scarring) is caused by a lack of collagen during healing. This results in depressions in the tissue.
  • Post-inflammatory hyperpigmentation (PIH) isn’t actually scarring, but most people believe it is. PIH is temporary discoloration of the skin and usually fades on its own. Stubborn PIH can be treated with Retin-A or laser treatments.

Lasers to Treat Acne Scarring

Fractional laser technology is the ideal treatment for patients with acne scarring. Since scarring is caused by an overproduction or underproduction of collagen during the healing process, the removal of scars is treated in a similar way to how they are formed. Fractional lasers use heat to damage the tissue that comprises the scarred area. This process stimulates your body’s healing response, sending new collagen to the treatment site. The scars usually heal smoother and more evenly, restoring the quality of your complexion.

If you are looking to improve your complexion by eliminating unsightly acne scars, schedule your consultation with Dr. Coverman today. Call us at (512) 345-9411. 

Why Do Wrinkles Develop?

Posted on: February 14th, 2017
By: Austin Dermatology Clinic

Wrinkles can be a tell-tale sign of aging in both men and women. Many of us have heard from our mothers not to frown or to be careful of how expressive we are because it can leave lines. Skin care routines and expensive creams are all aimed at preventing wrinkle development. But do you really know why you have wrinkles and what’s the best way to treat them?

Juvederm before and after photo

Natural Aging

Aging is the least preventable cause of fine lines and wrinkles. Collagen and elastin in the tissues keep your skin firm and smooth. Over time, the collagen cells break down and the production of new cells slows. This causes volume loss and wrinkles to develop. Repetitive motions, like smiling or frowning, will break down collagen quickly in those areas. Repetitive muscle movements are also the cause of wrinkles around the eyes and on the forehead. The flexing and movement of your brow, forehead, or eye muscles can lead to deep wrinkles across the upper face.

Sun Exposure

Wearing sunscreen has more benefits than just preventing skin cancer (although that’s arguably the most important reason). UV rays from sunlight break down your skin’s connective tissues that lie in the deeper layers of skin. Overexposure to sunlight can cause collagen and elastin fibers to break down more rapidly, speeding up the aging process.

Smoking

People who smoke are more likely to develop wrinkles at a faster pace than non-smokers. The carcinogens in cigarettes lead to poor circulation, which can impact the quality of your skin tone and texture. Chronic smokers can suffer from dry or wrinkled skin.

Reversing Wrinkles

The process for reversing wrinkles centers around stimulating new collagen production in the problem areas to restore volume and a smooth out wrinkles. However, products such as BOTOX® Cosmetic prevent muscle movement around wrinkled areas, causing the face to relax and wrinkles to smooth out. BOTOX® Cosmetic injections only provide improvement to the upper part of the face. If you have wrinkles along the cheeks or lower face, stimulating collagen production will provide you with the best results. Common procedures to improve wrinkles include:

If you are looking to correct the appearance of unwanted wrinkles, schedule your consultation with Dr. Coverman today. Call us at (512) 345-9411.

How Does BOTOX® Cosmetic Work?

Posted on: January 24th, 2017
By: Austin Dermatology Clinic

Female patient receiving facial cosmetic injectionFacial aging can take many forms, and wrinkles tend to be a tell-tale sign of time etched into your face. Using at-home creams often provides only minimal benefits and definitely can’t reverse the appearance of deeper facial wrinkles. There are numerous anti-wrinkle treatments on the market, but many of them provide inconsistent results. If you suffer from unwanted fine lines or wrinkles, BOTOX® Cosmetic may be the right treatment for you.

Treating Upper Facial Wrinkles

BOTOX® Cosmetic is specifically designed to treat upper facial wrinkles that are caused by repetitive muscle movements. Unlike lower facial wrinkles, which are caused by collagen loss, upper facial wrinkles usually form when expression lines become etched into the skin. BOTOX® Cosmetic provides significant correction to:

  • Crow’s feet at the outer corners of the eyes, or “smile lines”
  • Furrows between the brows, or “frown lines”
  • Horizontal forehead wrinkles, or “worry lines”

How Does BOTOX® Cosmetic Work?

BOTOX® Cosmetic is a neurotoxin that, when injected, blocks the transmission of stimulus to the facial muscles. Without stimulation, the muscles won’t contract, and they begin to relax. Since the targeted wrinkles are formed from the repetitive movements of your facial muscles, the wrinkles relax as the muscles relax. Patients will begin to notice their upper facial wrinkles smoothing out within 24 to 48 hours of their treatment. BOTOX® Cosmetic results last approximately four to six months, and repeat treatments can help maintain results.

Benefits of BOTOX® Cosmetic

  • BOTOX® Cosmetic is injected during a quick, in-office visit
  • There is zero recovery period; you can immediately resume your regular activities
  • There are few side effects, which may include mild bruising and swelling that subsides within 24 hours
  • Dramatic results can be seen within days of your treatment

If you are tired of facial wrinkles aging your appearance, schedule your consultation with Dr. Coverman to discuss your options. Call us at (512) 345-9411.

Who Should Perform My Laser Treatment?

Posted on: December 30th, 2016
By: Austin Dermatology Clinic

Pretty Woman With Hand On Her ChinYou may be familiar with the advertising schemes in the food industry that present certain products as “healthy” choices. Driven by financial gain, major food companies market their products with appealing words like “healthy whole grains” and “reduced fat” when the consumer is actually getting highly processed food with excessive sugar. While there are certain regulations with the words they can use, there are also many loopholes and ambiguities that can deceive the consumer.

The plastic surgery industry is, unfortunately, similar.

Certain appealing buzzwords project the illusion of safety and expertise but skirt around the truth of what the patient is really getting. Some medspas will flaunt their “years of experience” and “licensed laser specialists,” which can easily be half-truths or credentials that are completely unrelated to dermatology. Here are some of the phrases to look for and how to ensure you are choosing a trustworthy, qualified professional to perform your laser treatment.

“Years of Experience” (in What?)

Since any medical doctor can legally perform injections and laser treatments, a regular doctor, gynecologist, or even a dentist can vaguely claim to have “years of experience” without any experience administering cosmetic laser treatments. No matter what surgical or nonsurgical treatment you choose, you should always ask the technician you are considering to be more specific about their claims. They should also be able to provide plenty of before and after photos of their patients who have had the procedure you are considering to validate their credentials.

“Licensed” or “Certified” (by Who? in What?)

If someone claims to be a “licensed technician” or a “certified technician,” they may be licensed or certified in one thing or another that may not be laser treatment. There is no national or local certifying body for laser technology. An individual who is licensed likely indicates that they are licensed by the state as an aesthetician. This licensure requires formal school in sanitization protocol, understanding the skin, and administering certain skin treatments, but it does not require specific laser training.

Some may claim to be certified in laser technology because they have taken a course funded by the laser manufacturer themselves. The person taking the course pays for their spot in the class and may receive a certificate but is in no way formally trained. The only national educational body devoted to educating board-certified dermatologists and plastic surgeons on laser procedures is the American Society for Laser Medicine and Surgery, Inc. All of our staff have attended these meetings periodically to ensure they are fully trained in safety and application. Dr. Coverman has also personally trained all of his laser staff with hands-on instruction and has lectured to other physicians to help them meet the state requirements for licensure.

 
If you would like laser skin treatments from a professional you can trust, please schedule a consultation with Dr. Coverman’s office by calling (512) 345-9411 or by filling out our online contact form today.

How Does Tattoo Removal Work?

Posted on: November 30th, 2016
By: Austin Dermatology Clinic

For some, the tattoos of their youth don’t stand the test of time. Work obligations or other personal reasons might have you thinking that it would be better if you were able to erase a certain bit of ink from your skin. In the past, this was utterly impossible, and tattoos were completely permanent. However, recent laser technology has provided people with the ability to fully or partially erase an unwanted tattoo.

Why Are Tattoos Permanent?

Tattoo Removal Before and After PhotosDuring the tattoo process, a needle pushes ink into the dermis, the second layer of skin just below the epidermis. The pigment particles in ink are too large to be destroyed by the waste-disposing white blood cells. Since the pigment cannot be removed by the body, it stays visible under the skin.

How Do Lasers Remove Tattoos?

Dr. Coverman utilizes two different lasers to remove tattoos. The goal of laser removal is to break down the ink particles so they can be absorbed by the body. The lasers deliver beams of light in differing wavelengths to target certain pigments. The lasers produce heat, which breaks down the pigment in the tissue and allows it to be naturally removed by your body.

There are some pigments, particularly red, yellow, and green, that may be more difficult to break down. Multiple treatments are needed to break down various ink colors and to thoroughly remove the particles from the tissue.

Is Tattoo Removal for Me?

Tattoo removal is ideal for patients looking to erase unwanted tattoos. However, if you have taken Accutane (or its generics) or SORIATANE® in the past six months, laser treatments may not be for you. Some patients may develop scarring around the treatment area, which may affect your decision to undergo treatment.

 
If you want to erase an unwanted tattoo, schedule your removal consultation today. Contact our office at (512) 345-9411.

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®

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

Fillers

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.

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

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