{"id":3839,"date":"2012-05-11T08:23:03","date_gmt":"2012-05-11T13:23:03","guid":{"rendered":"https:\/\/www.txid.org\/?p=3839"},"modified":"2015-08-13T18:12:34","modified_gmt":"2015-08-13T23:12:34","slug":"ask-the-experts","status":"publish","type":"post","link":"https:\/\/www.txid.org\/?p=3839","title":{"rendered":"Ask the Experts | San Antonio Boerne Dermatologist"},"content":{"rendered":"<h1 style=\"text-align: center;\"><span style=\"color: #ffcc00; font-size: 30px;\">Ask the Experts<\/span><\/h1>\n<h2><\/h2>\n<h2><span style=\"color: #ffcc00;\">Is laser surgery an effective treatment for genital warts? (J. &#8211; San Antonio)<\/span><\/h2>\n<p>Genital warts, which affect both males and females, are caused by the human papillomavirus (HPV), which is the same virus that causes warts on other parts of the body.\u00a0 These warts generally develop on the moist, soft tissue in the genital area and often manifest as small, skin-colored bumps that may look similar to cauliflower.\u00a0 In some cases, these warts can be quite small, making them difficult to see with the naked eye.<\/p>\n<p>Treatment options for genital warts vary depending on the severity of the infection.\u00a0 In most cases, genital warts can be successfully treated with medication.\u00a0 In more persistent cases, surgery may be a more effective approach. The most technologically advanced form of surgical treatment we offer is the \u00a0CO2 laser or cryosurgery in combination with Zyclara, a topical immunodulator and\/or salicylic acid, a keratolytic agent according to Dr. Ghohestani, a renowned San Antonio dermatologist.\u00a0 Our expert dermatologists can meet with you to discuss your particular condition, take necessary background information, and recommend one or two treatment options that may help provide the results you desire. It is important to let your sexual partner know about having a genital wart, since these warts are highly contagious. Additionally, oral sex may increase risk of epithelial cancer in the throat.<\/p>\n<h2><\/h2>\n<h2><span style=\"color: #ffcc00;\">5\/24\/12 &#8211; What treatment options do you provide for psoriasis? (D. &#8211; San Antonio)<\/span><\/h2>\n<p>Psoriasis is among the more common skin diseases affecting the life cycle of skin cells.\u00a0\u00a0 Thick, silvery, red patches of skin form on the surface, leading to irritation including itchiness, redness, and even pain.\u00a0 This particular skin disease tends to be persistent and often goes in and out of remission throughout one&#8217;s life.\u00a0 While there is currently no cure for psoriasis, treatments are available that may help reduce irritation and discomfort.\u00a0 The goal of these treatments are to interrupt current growth cycles and help smooth the skin.\u00a0 Available treatments at our San Antonio &#8211; Boerne Clinic include:<\/p>\n<ul>\n<li>Medications (both oral and injectable) &#8211; This treatment option is generally reserved for more severe cases of psoriasis due to the the side effects of each individual medication.<\/li>\n<li>Topical Treatments &#8211; By themselves, these treatment aim to smooth the skin and help reduce irritation at the surface.\u00a0 They can be quite helpful in less severe cases.\u00a0 However, as severity increases, combination with other therapies may be required.<\/li>\n<li>Ultra Violet (Phototherapy) Treatments &#8211; This treatment is administered using an ultraviolet laser that shines ultraviolet light on the affected areas. Texas Institute of Dermatology utilizes a high powered narrow band UV B for treatment of Psoriasis. This is a very effective treatment for spots on extremities and trunk.<\/li>\n<\/ul>\n<p>Results from these treatments will depend on the severity of the condition as well as other health factors.<\/p>\n<div class=\"vid1\"><iframe src=\"\/\/www.youtube.com\/embed\/tBWSOjkxBO0?rel=0\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<p>&nbsp;<\/p>\n<h2><span style=\"color: #ffcc00;\">5\/22\/12 &#8211; Do you have a treatment for Keloids? (C. Roberts &#8211; San Antonio)<\/span><\/h2>\n<p>Keloids are a type of scar characterized by excess growth of scar tissue at the site of healing.\u00a0 These scars can come as a result of an irritation to the skin such as Acne, Burns, illness such as Chickenpox, Cuts and Piercings, etc.\u00a0 Some studies have shown genetic ties to Keloid scarring, which helps to explain why some individuals tend to develop more Keloid scars than others.\u00a0 This type of scarring is also more common in individuals from 10-20 years of age, african americans, hispanics, and asians. The chest and back, especially upper chest area, are more prone to keloid formation.<\/p>\n<p>While these scars are generally not medically harmful, they can be cosmetically troubling and sometimes painful.\u00a0 Several treatment options are available at our San Antonio-Boerne clinic for treating scars including:<\/p>\n<ul>\n<li><span style=\"color: #ffcc00;\"><a title=\"Microdermabrasion\" href=\"https:\/\/www.txid.org\/?page_id=163\"><span style=\"color: #ffcc00;\">Dermabrasion<\/span><\/a><\/span><\/li>\n<li>Dermsanding<\/li>\n<li><span style=\"color: #ffcc00;\"><a title=\"Acne Scar Treatment\" href=\"https:\/\/www.txid.org\/?page_id=2671\"><span style=\"color: #ffcc00;\">Laser Treatment<\/span><\/a><\/span><\/li>\n<li><span style=\"color: #ffcc00;\"><a title=\"Laser Resurfacing\" href=\"https:\/\/www.txid.org\/?page_id=2752\"><span style=\"color: #ffcc00;\">Laser Skin Resurfacing<\/span><\/a><\/span><\/li>\n<li>Subcision<\/li>\n<li><span style=\"color: #ffcc00;\"><a title=\"Dermatology Surgery\" href=\"https:\/\/www.txid.org\/?page_id=18\"><span style=\"color: #ffcc00;\">Punch Excision and Grafting<\/span><\/a><\/span><\/li>\n<li><span style=\"color: #ffcc00;\"><a title=\"Fillers\" href=\"https:\/\/www.txid.org\/?page_id=2626\"><span style=\"color: #ffcc00;\">Dermal Fillers<\/span><\/a><\/span><\/li>\n<li>Chemical Peels<\/li>\n<li>Steroid Injections<\/li>\n<li>Cryofreeze<\/li>\n<\/ul>\n<p>Dr. Ghohestani is one of the few physicians in the San Antonio and Boerne areas with special expertise in treating Keloids. \u00a0He is a member of the <a title=\"Keloid Research Foundation \" href=\"http:\/\/www.keloidresearchfoundation.org\/\" target=\"_blank\">Keloid Research Foundation<\/a>\u00a0. After completing a consultation, Dr. Ghohestani can recommend the one or two treatment options that may reduce the appearance of keloids and help you achieve the look you desire.<\/p>\n<h2><\/h2>\n<h2><span style=\"color: #ffcc00;\">5\/9\/12 &#8211; What is the basic charge for spider vein treatment?<\/span> <span style=\"color: #ffcc00;\">(Sherry &#8211; San Antonio)<\/span><\/h2>\n<p><a href=\"https:\/\/www.txid.org\/wp-content\/uploads\/2009\/12\/Spider-Veins.jpg\"><img decoding=\"async\" class=\"size-full wp-image-3694\" style=\"border: 2px solid white; margin: 10px;\" title=\"Spider Veins\" src=\"https:\/\/www.txid.org\/wp-content\/uploads\/2009\/12\/Spider-Veins.jpg\" alt=\"\" width=\"147\" height=\"173\" align=\"right\" \/><\/a>Spider veins, a milder form of Varicose Veins, are veins that have become gnarled and enlarged over time.\u00a0 While any vein can become varicose, the veins in our legs and feet tend to be at higher risk because standing and walking increases the pressure in your veins.\u00a0 Usually, spider veins are fairly painless and become a cosmetic issue.\u00a0 However, in some cases, the veins can become painful and may also indicate underlying circulatory issues.<\/p>\n<p>The most widely used <span style=\"color: #ffcc00;\"><a title=\"Leg veins\" href=\"https:\/\/www.txid.org\/?page_id=200\"><span style=\"color: #ffcc00;\">treatment for spider veins<\/span><\/a><\/span> is Sclerotherapy, which has been around since the 1930s.\u00a0 This injectable irritant causes the vein to eventually turn into scar tissue and fade from view.\u00a0 Sclerotherapy is estimated to be effective on 50-80% of spider veins with each injection.\u00a0 Costs for this treatment are $349 for a single treatment covering a 10 cm x 5 cm area or you can buy a three-treatment package for $899.<\/p>\n<p>As technology continues to grow, intense pulsed light (IPL) treatments are becoming more and more popular due to their speed and ease of treatment.\u00a0 Advanced Fluorescent Technology (AFT) for Rosacea may help to treat spider veins that present on your cheeks.\u00a0 This treatment, for a 10 cm x 5 cm area costs $299 or a three-treatment package can be purchased for $699.\u00a0 Another form of light treatment is the long-pulsed YAG laser for spider veins.\u00a0 This treatment is similar to AFT in that it sends strong pulses of light into the vein causing it to fade over time.\u00a0 The biggest difference is that the long-pulsed YAG laser is more focused and can be effectively used on the legs, hands, and even the face.\u00a0 This treatment is widely becoming the treatment of choice for smaller, more stubborn veins.\u00a0 The costs for long-pulsed YAG are between $399 to $459 for a 10 cm x 5 cm area or $899 for a three-treatment package.<\/p>\n<h2><\/h2>\n<h2><span style=\"color: #ffcc00;\">5\/8\/12 &#8211; Is UV Treatment Effective for Vitiligo?\u00a0 (Anonymous &#8211; San Antonio)<\/span><\/h2>\n<p>Vitiligo is an autoimmune disease that causes the skin to lose and\/or stop producing melanin, the pigmentation that dictates the color of your eyes, skin, and hair.\u00a0 This loss of pigmentation is why white patches on the skin, the hair, or even the eyes may appear and continue to grow over time.\u00a0 While the loss of pigmentation is not associated with physical pain, the loss of color may be unsightly or embarrassing.<\/p>\n<p>Recently researchers have identified candidate genes that are associated with a higher chance of developing Vitiligo.\u00a0 Interestingly, people with brown and dark eyes have a higher change of developing Vitiligo than do those who do not have these characteristics.\u00a0 Scientists are unsure why this finding has developed, but further studies are ongoing.<\/p>\n<p>While Vitiligo is not curable, there are treatment options that may help to slow down or stop the loss of pigmentation, and in some cases, may help to restore color.\u00a0 At the Texas Institute of Dermatology, we offer a high-power, narrow band UVB laser treatment for Vitiligo.\u00a0 The rays of the laser deliver a special form of UVB that uses a specific ultraviolet B wavelength.\u00a0 This form of treatment, due to its ease of process, is swiftly becoming the treatment of choice for patients suffering from Vitiligo.<\/p>\n<h2><\/h2>\n<h2><span style=\"color: #ffcc00;\">5\/8\/12 &#8211; I have Granuloma Annulare.\u00a0 Do you think you can help me? (Sherry &#8211; San Antonio)<\/span><\/h2>\n<p>Granuloma Annulare is a chronic skin condition characterized by raised, red bumps and\/or patches that generally form in a circular pattern.\u00a0 Women, children, and\/or young adults are more likely to get Granuloma Annulare.\u00a0 Individuals who are over 40 and who have diabetes mellitus or thyroid disease are at greater risk of getting General Granuloma Annulare, which is a little more severe.\u00a0 Most regularly, the bumps are found on the hands, knees, feet, and elbows.\u00a0 In most cases, they will disappear after a period of two years.\u00a0 These bumps are sometimes associated with other diseases, such as Diabetes Mellitus.\u00a0 Therefore, a thorough search of underlying disease is warranted.<\/p>\n<p>While meeting with <a title=\"About Us\" href=\"https:\/\/www.txid.org\/?page_id=2\">Dr. Ghohestani,<\/a> he will make sure the clinical diagnosis is Granuloma Annulare, thereby ruling out any other skin conditions that mask themselves as Granuloma Annulare.\u00a0 Additionally, the doctor will take a thorough patient history, including looking at underlying diseases, to get at the root cause of the problem.\u00a0 After receiving this information, the dermatologist can them make a few treatment recommendations that may help address your skin condition.<\/p>\n<h2><\/h2>\n<h2><span style=\"color: #ffcc00;\">5\/8\/12 &#8211; What is the post-care treatment, limitation, and side effects from having nail fungus laser treatment done on several nails on one foot?\u00a0 (Liz &#8211; San Antonio)<\/span><\/h2>\n<p><a href=\"https:\/\/www.txid.org\/wp-content\/uploads\/2012\/04\/Onychomycosis-Cropped.jpg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-3778\" style=\"border: 2px solid white; margin: 10px;\" title=\"Toe Nail Fungus Treatment San Antonio Boerne\" src=\"https:\/\/www.txid.org\/wp-content\/uploads\/2012\/04\/Onychomycosis-Cropped-1024x674.jpg\" alt=\"Top Dermatologist Nail Disease Treatment\" width=\"294\" height=\"194\" align=\"right\" \/><\/a>Nail fungus is a fungal infection in one or more of your nails.\u00a0 These fungal infections tend to enter through small cuts and\/or openings between the nail and nail bed allowing the fungi to grow in and under the nails. \u00a0If the conditions are right (warm and moist) the fungus will continue to grow.<\/p>\n<p>The FDA-cleared Nd:YAG laser treats persistent toenail fungus by creating micro-cavitations\u00a0 in the surface of the nail.\u00a0 The laser then delivers acoustic shock waves onto the surface of the nail that travel through to the nail bed.\u00a0 This process irritates the fungal colony, which may decapsulate the fungus spores.\u00a0 Then, as the fungal infection absorbs the laser light, it may deactivate unwanted organisms while also helping to treat embarrassing yellow and brown streaks in the nail.<\/p>\n<p>Post-care Treatment: In nearly every case, Dr. Ghohestani recommends using oral medication in combination with the laser treatment.\u00a0 Medications such as &#8220;Lamisil&#8221; help to fight fungal infections from the inside out.<\/p>\n<p>Limitations:\u00a0 Significant changes in nail color limit the laser&#8217;s ability to penetrate to the nail bed, thereby treating the root of the problem.\u00a0 Dr. Ghohestani can meet with you and make the necessary recommendations regarding which treatment will work best for you.<\/p>\n<p>Side-effects: No adverse side effects have been noted as a result of the laser nail treatment.<\/p>\n<h2><\/h2>\n<h2><span style=\"color: #ffcc00;\">5\/8\/12 &#8211; Can laser toenail treatment be done on Diabetics? (Anonymous &#8211; San Antonio)<br \/>\n<\/span><\/h2>\n<p>Treatment of Onychomycosis (nail fungus) is more challenging in diabetic patients due to several factors (i.e. diabetics tend to be more prone to infection).\u00a0 A combination therapy for Onychomycosis using laser light and oral medication (Lamisil) is highly suggested.\u00a0 Dr. Ghohestani can provide some treatment options that may best work for you in order to achieve the results you desire.<\/p>\n<p>&nbsp;<\/p>\n<h2><span style=\"color: #ffcc00;\">5\/8\/12 &#8211; Do I have to wait for my nail to grow back before I can be treated with the laser?\u00a0 (Manuel &#8211; San Antonio)<\/span><\/h2>\n<p>One of the side-effects of toenail fungus is separation or even complete removal of the nail from the nail bed.\u00a0 Treatment is not dependent upon the presence of the nail.\u00a0 The best option is to come in for a consultation.\u00a0 Dr. Ghohestani will examine your toenail and determine the best treatment option given your specific case.<\/p>\n<h2><\/h2>\n<h2><span style=\"color: #ffcc00;\">5\/8\/12 &#8211; Do you have anything to get rid of acne scarring on African American Skin? (Valerie &#8211; San Antonio)<\/span><\/h2>\n<p><a href=\"https:\/\/www.txid.org\/wp-content\/uploads\/2012\/01\/CO2-Combined-1.jpg\"><img decoding=\"async\" class=\"wp-image-3682\" style=\"margin: 10px;\" title=\"Laser Acne Scar Treatment Before and After\" src=\"https:\/\/www.txid.org\/wp-content\/uploads\/2012\/01\/CO2-Combined-1-1024x1006.jpg\" alt=\"Top San Antonio Boerne Dermatologist Laser Acne Scarring Treatment\" width=\"294\" height=\"290\" align=\"right\" srcset=\"https:\/\/www.txid.org\/wp-content\/uploads\/2012\/01\/CO2-Combined-1-1024x1006.jpg 1024w, https:\/\/www.txid.org\/wp-content\/uploads\/2012\/01\/CO2-Combined-1-100x100.jpg 100w, https:\/\/www.txid.org\/wp-content\/uploads\/2012\/01\/CO2-Combined-1-600x590.jpg 600w, https:\/\/www.txid.org\/wp-content\/uploads\/2012\/01\/CO2-Combined-1.jpg 512w\" sizes=\"(max-width: 294px) 100vw, 294px\" \/><\/a>At Texas Institute of Dermatology, we offer the latest techniques for Acne Scar treatment. In order to properly treat acne scars, the top layers of the skin need to be removed thereby stimulating collagen production.\u00a0 This allows the skin to build a fresher, clearer surface.\u00a0\u00a0<a title=\"Fractional Co2 Laser\" href=\"https:\/\/www.txid.org\/?page_id=194\">Fractional CO2<\/a> laser treatments are best suited to promote this natural process.\u00a0 The CO2 laser is precisely engineered to achieve an exact depth of abrasion, thereby reducing potential complications.\u00a0 Deeper\u00a0scars may require different approaches, such as punch grafts 4-6 weeks prior to laser treatment in order to achieve the look you desire.\u00a0 In some cases, fillers can also be used to bolster scars.<\/p>\n<p>Different skin pigmentation carries different risks of hyper- and\/or hypopigmentation.\u00a0 African American skin, in particular, carries the risk of dyspigmentation if the laser is performed on relatively dark skin.\u00a0 Pre- and post-laser cooling, appropriate settings, and extensive knowledge of the skin are of utmost importance in order to minimize this risk.<\/p>\n<h2><\/h2>\n<h2><span style=\"color: #ffcc00;\">5\/7\/12 &#8211; Can you use Botox on sagging cheeks and neck?\u00a0 (Linda &#8211; San Antonio)<\/span><\/h2>\n<p>Unfortunately, BOTOX<sup>\u00ae<\/sup> Cosmetic is not used to treat aged or sagging skin.\u00a0 BOTOX<sup>\u00ae<\/sup> relaxes the facial muscles.\u00a0 It Botox is injected between the eyebrows, the so called 11s disappear.\u00a0 However, BOTOX<sup>\u00ae<\/sup> injection doesn&#8217;t affect the cheeks, or deep smile lines.\u00a0 Usually, a filler or laser are treatments of choice for sagging cheeks and\/or deep smile lines.<\/p>\n<p>BOTOX<sup>\u00ae<\/sup> Cosmetic is a purified protein produced by the <em>Clostridium botulinum<\/em>, which reduces the activity of\u00a0 muscles that cause bothersome wrinkles.\u00a0 Wrinkles on the neck are generally caused by the sternocleidomastoid (SCM) muscle, which goes along either side of your neck allowing you to flex and turn your head.\u00a0 This repeated motion over several years can create bands along the neck (Turkey neck), for which BOTOX<sup>\u00ae<\/sup> Cosmetic can be a wonderful solution.<\/p>\n<p>The good news is that there are other treatments options that we offer in our clinic that can help to reduce the signs of aged and\/or sagging skin.\u00a0 Our most advanced skin tightening and rejuvenation treatment is our state-of-the-art <a title=\"Renew 3\u00d760, a revolutionary combination system for skin rejuvenation\" href=\"https:\/\/www.txid.org\/?page_id=198\">Renew 3&#215;60<\/a> treatment.\u00a0 By combining 4 treatments over three sessions aimed at stimulating new collagen growth, the Renew 3&#215;60 system may help to renew your skin from the inside out.<\/p>\n<p><a title=\"Fillers\" href=\"https:\/\/www.txid.org\/?page_id=2626\">Injectable fillers<\/a> are another option that may help produce desired results in patients suffering from aged or sagging skin.\u00a0 These fillers can help to fill in gaps where collagen has been lost over the years, helping to fill the lost volume.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ask the Experts Is laser surgery an effective treatment for genital warts? (J. &#8211; San Antonio) Genital warts, which affect both males and females, are caused by the human papillomavirus (HPV), which is the same virus that causes warts on other parts of the body.\u00a0 These warts generally develop on the moist, soft tissue in [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"_glsr_average":0,"_glsr_ranking":0,"_glsr_reviews":0,"footnotes":""},"categories":[6],"tags":[103,98,16,97,91,75],"class_list":["post-3839","post","type-post","status-publish","format-standard","hentry","category-admin","tag-genital-wart","tag-ask-dermatologist","tag-botox","tag-keloid","tag-laser-vein-removal","tag-wrinkles"],"aioseo_notices":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ASK DERMATOLOGIST<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.txid.org\/?p=3839\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ASK DERMATOLOGIST\" \/>\n<meta property=\"og:description\" content=\"Ask the Experts Is laser surgery an effective treatment for genital warts? (J. &#8211; San Antonio) Genital warts, which affect both males and females, are caused by the human papillomavirus (HPV), which is the same virus that causes warts on other parts of the body.\u00a0 These warts generally develop on the moist, soft tissue in [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.txid.org\/?p=3839\" \/>\n<meta property=\"og:site_name\" content=\"Top Dermatologist in San Antonio Boerne | Texas Institute of Dermatology, Laser and Cosmetic Surgery\" \/>\n<meta property=\"article:published_time\" content=\"2012-05-11T13:23:03+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2015-08-13T23:12:34+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.txid.org\/wp-content\/uploads\/2009\/12\/Spider-Veins.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"147\" \/>\n\t<meta property=\"og:image:height\" content=\"173\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" 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