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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.

The Smoothbeam Laser for Acne

Posted on: June 4th, 2015
By: Austin Dermatology Clinic

Effective Treatment for Acne

Smoothbeam Laser for AcneAcne plagues many faces both young and old, and there are numerous products and treatments out there that claim to battle this common affliction. However, not all treatments are the same, and products require consistent use to maintain clear skin. We offer laser treatment for acne that diminishes blemishes and prevents future breakouts for at least six months.

The Smoothbeam laser safely and effectively treats acne by targeting the cause of these blemishes. Located in each pore (hair follicle) is a sebaceous gland that produces sebum, our skin’s natural oil. Acne develops when this oil and dead skin cells clog the pores. When bacteria make their way down into the pores, they cause inflammation in the form of acne. The Smoothbeam laser targets the sebaceous gland to alter its function and reduce its production of oil. With less oil for the bacteria to feed on, these acne-causing organisms won’t multiply and spread, which prevents acne from forming and improves your complexion.

Smoothbeam Laser for AcneBenefits of the Smoothbeam Laser

  • FDA approved to treat acne
  • Immediate improvement after the first treatment
  • No downtime
  • Lasting results

A series of four treatments at one-month intervals is recommended for the best results. Most patients see an improvement in their acne for at least six months after the completion of their treatment series.

If you’re ready to rid your face of the annoyance and embarrassment that is acne, schedule your consultation with Dr. Michael H. Coverman. Contact Austin Dermatology Clinic by calling (512) 345-9411. Dr. Coverman is a laser instructor for a national organization and has extensive experience providing his patients with healthy, beautiful skin. Dr. Coverman is also board certified by the American Board of Dermatology (ABD) and the American Board of Internal Medicine (ABIM), meaning he has the training, knowledge, and experience to treat the unique needs of his patients.

Improve Your Spider Veins

Posted on: April 30th, 2015
By: drcoverman

Sclerotherapy in Austin, TX

spider veinsAlmost no one likes to wear long pants in the heat of summer, but if you have unsightly spider veins, you may be doing just this. Spider veins can cause embarrassment and prevent you from enjoying yourself and being comfortable this summer.

Fortunately, Dr. Coverman offers sclerotherapy to help you achieve attractive legs by improving the appearance of spider veins. Don’t be that anomalous person at the beach covered up while everyone else is having fun in the sun; contact Dr. Coverman about spider vein treatment today!

Beautiful legs on beach

Benefits of Sclerotherapy

  • Doesn’t require anesthesia
  • Is not painful
  • Performed in the office
  • Takes about 20 minutes
  • No downtime

How Is Sclerotherapy Treatment Performed?

Sclerotherapy treatment is performed in the office by Dr. Coverman. He injects a highly concentrated saline solution into the spider veins using a tiny needle. This solution kills the lining of the veins, and the body will naturally remove the dead tissue. Results will be visible immediately during the treatment, and the veins will continue to fade over the next four to six weeks.

The procedure is not generally painful, but some mild discomfort (slight burning sensation and/or slight local cramping) may exist for a short time. Most large spider veins can be treated in one visit, but a second treatment about one month later may be necessary for further improvement. Annual treatment may be recommended to maintain results.

If you would like to regain your beautiful, healthy legs, call (512) 345-9411 for more information. Dr. Michael Coverman is board certified by the American Board of Dermatology (ABD) and the American Board of Internal Medicine (ABIM). He and his friendly staff look forward to helping clear your spider veins and the embarrassment they cause so you can feel sexy and confident this summer!


What Is Fraxel®?

Posted on: December 3rd, 2014
By: drcoverman

Fraxel® laser treatment improves signs of aging to produce a more youthful face, neck, décolletage, and hand appearance. This procedure has helped hundreds of millions of patients of all ethnicities look and feel younger. Fraxel® treatment is non-invasive, safe, and only requires minimal recovery time so you can get back to your busy life soon after the approximately 30-minute procedure.

Fraxel® treats the following skin imperfections: 

A woman with her hair in a towel with clear skin and a circle next to her face showing where redness was

  • Fine lines, such as “crow’s feet”
  • Wrinkles
  • Scarring
  • Uneven texture
  • Actinic Keratosis (AK): precancerous skin damage
  • Pigmentation irregularities
    • Age spots
    • Sun damage
    • Freckles
    • Blotchiness

Fractional Skin Resurfacing

Fraxel® uses fractionated laser technology to treat a fraction of the skin at a time in thousands of microscopic laser spots. This leaves tiny “bridges” of healthy skin between the spots of ablated damage to aid in the healing process. Fraxel® also stimulates the production of collagen while resurfacing areas of the top layer of skin. Wrinkles, scars, and other signs of aging improve as the skin’s natural rejuvenation process is accelerated.

A diagram showing how Fractional Laser Skin Resurfacing works

If you are interested in rejuvenating your appearance with Fraxel® laser resurfacing, please call Austin Dermatology Clinic at (512) 345-9411 or fill out our online consultation form for more information. Dr. Michael Coverman is board certified by the American Board of Dermatology (ABD) and the American Board of Internal Medicine (ABIM). He is a laser instructor for a national organization and is dedicated to providing his patients with the safest and most effective procedures.

Tattoo Removal

Posted on: November 3rd, 2014
By: drcoverman


As the times change, so do people’s perceptions. When you were younger, perhaps you got a tattoo because it was the “thing” to do. Now that you’re older, perhaps you want it removed because it blemishes your appearance and/or affects the way people perceive you. Whatever your reason may be, our Austin practice can remove your unsightly tattoo(s) safely and effectively with laser tattoo removal.

Candidates for Tattoo Removal

Ideal candidates for tattoo removal are in good physical health and do not have any serious skin conditions. People who have taken Accutane or its generics (acne medication) or Soriatane (psoriasis medication) within the last six months are not candidates for laser treatment. Even though tattoo removal is very effective, it is important to have realistic expectations about the outcome.

Preparing for Tattoo Removal

Before you undergo tattoo removal, be prepared to avoid the following:

  • Smoking for at least a month
  • Sun exposure for at least 3 weeks
  • Anti-inflammatory drugs for at least 2 weeks
  • Sunless tanning lotion for at least a week

The MedLite IV YAG Laser and Candela Alexandrite Laser that we use during treatment offer many benefits over surgical removal, including:

  • Less discomfort
  • Quicker recovery time
  • Little to no scarring

The Procedure

The laser is a beam of light that can be set to particular wavelengths to selectively target certain colors. When the laser beam hits the targeted tissue, the light’s wavelength is absorbed into the pigment of the tattoo and turns into heat, which breaks up the pigment. Once this happens, the body’s metabolic processes will naturally absorb and eliminate the particles of pigment.


Before the laser tattoo removal treatment, local anesthetics are used so that the procedure is painless. The patient remains awake as the laser is applied directly to the skin to penetrate deep down and break up the tattoo’s pigment. Each procedure can usually be completed in about an hour, although the size and number of tattoos to be removed will determine the exact length of treatment needed.


The area(s) treated will appear slightly red and blistered directly after laser treatment is complete. To ensure a swift and proper recovery, sun exposure should be avoided as much as possible, and medicated ointment should be applied until the skin completely heals.


Most patients can expect their tattoo(s) to be noticeably diminished after just one treatment, but to completely eliminate the tattoo, multiple treatments will likely be needed. Patients are typically extremely satisfied with the final results of laser tattoo removal and feel confident knowing that their tattoo is permanently gone or lightened.

If you want to effectively get rid of your tattoo through laser treatment, feel free to call Austin Dermatology Clinic. Simply call (512) 345-9411 or fill out our online consultation form to get started today. Dr. Michael Coverman is board certified in dermatology and is a laser instructor for a national organization. Dr. Coverman looks forward to meeting you during your initial consultation to discuss your preferences and goals.

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