All Posts tagged dermatology

Natural beauty… with a little help from our friends

Take a look at the photo above. Does one photo automatically make you think that person is happier, friendlier and even more beautiful? Did you have a check list you went through to determine which photo one was more attractive than the other? Our minds subconsciously recognize aspects of people’s faces and bodies that allow us to make the decision that something is considered beautiful. It is the eyes, mouth, cheekbones- all in the right proportions and balanced….natural.

With time we start to develop changes on our faces and bodies that stand out or distort our original proportions. We have creases between our eyebrows, lines above our lips, sunken skin on our cheeks, brown spots on the chest and hands, and little rolls above our waistband. All of these changes are part of the aging process yet lend us to feel less attractive and takes away from our confidence when we look in the mirror. Our minds subconsciously recognize the imperfections. We notice them on ourselves and everyone we meet.

Can using lasers, Botox or fillers actually give us back our natural beauty? Every day cosmetic dermatologists hear, “I don’t want the procedure done because I don’t want to look fake.” However, when done correctly, cosmetic procedures can restore or slightly enhance our face and bodies but still appear natural.

We have all seen examples of overdone or poorly done procedures. Even though when just looking at the lips or the forehead alone they may look “perfect.” However, a frozen forehead or huge lips that are out of proportion make us stop and think…what is wrong with this picture? No longer do we think beautiful but unnatural.

Subtle procedures that appear natural is the goal at Midlands Cosmetic, Dermatology & Skincare. We strive to make people look better without others realizing anything was done.

 

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KYBELLA™ Seminar

The highly-trained skin care experts at Midlands Clinic are pleased to offer KYBELLA™ — the first and only FDA-approved nonsurgical treatment that contours and improves the appearance of submental fullness, or “double chin” Join us for this seminar and learn more about KYBELLA™ and see an injection demonstration.   Tuesday, January 19th 2016…

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FDA approved injection can melt away chin fat

This article was featured on KMEG14 Siouxland News.

CORRECTION: The video states that the KYBELLA™ procedure costs “around $5,000.” The correct price is $1200.

There’s a new treatment to melt away “double-chin fat,” and you don’t have to go under the knife for it.

The Kybella procedure is an FDA approved non- surgical injection, which eliminates fat below the chin.

Midlands Clinic Dermatologist Dr. Indy Chabra is one of the first dermatologists in Siouxland to offer the fat removing treatment.

“The product works by dissolving fat cells and releasing the fat, so it works in a permanent manner. So the number of injections really depends on the degree of submental fullness, how much fat there is underneath the chin. So it varies person to person. In this patient, it was 20 injections.”

The procedure costs $1200. Chabra says his patients experience visible results around their chin and areas around the neck.

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Common care products cause skin irritations

Common care products cause skin irritations

This article originally appeared in the Sioux City Journal, and was also published in the May 2014 issue of Siouxland Life Magazine.

April 11, 2014 11:28 am • DOLLY A. BUTZ dbutz@siouxcityjournal.com
(Photograph by Dawn J. Sagert)

Indy Chabra’s patients often think the red, itchy rashes on their skin are related to something they ate. They don’t usually suspect that the things they wear, touch or clean themselves with could be causing the problem.

“They waste so much money going to the allergist and getting prick testing,” the Dakota Dunes dermatologist said.

Nickel is the most common cause of allergic contact dermatitis in the United States. But everything from sofas made in China to volleyballs and formaldehyde-based products, Chabra said, can cause rashes which are often treated with a strong topical steroid.

“If you look at the back of shampoo bottle or any product, it’ll say DMDM hydantoin or a bunch of other allergens,” he said. “When you’re allergic to any of this stuff you often have cross allergies.”

Annually, the American Contact Dermatitis Society selects a contact allergen of the year. The 2013 allergen of the year is Methylisothiazolinone (MI), a powerful preservative increasingly found in cosmetics and toiletries, including wet wipes.

Infants and young children present at Midlands Clinic, 705 Sioux Point Road, with rashes after parents have tried numerous over-the-counter treatments. Chabra asks them if they’ve been using wet wipes. They stop. The rash clears up.

“Every time they use it, that’s when the rash comes. You stop it, the rash goes away,” he said.

Chabra asks patients suffering from allergic contact dermatitis if they’ve recently changed skin or hair care products. The answer is often, “No.”

“Companies change the specific ingredients of products without telling people,” he said. “Second, our immune system changes. Third, the skin changes. If the skin is broken down, the chances of it developing an allergic contact dermatitis is higher.”

Chabra performs a T.R.U.E. test or epicutaneous patch test, to help him diagnose allergic contact dermatitis. The test’s sticky panel, which is applied to the patient’s upper back, contains tiny amounts of 35 allergens. Substances a person isn’t allergic to, won’t cause a skin reaction.

Gold, Chabra said, is the most common cause of eyelid dermatitis in women.

“Because the gold rings — and a lot of the facial products they use have sunscreen in them — have zinc and titanium. Titanium is a metal that upgrades little particles of gold. You’re putting this on your face every day, and eyelid skin is some of the thinnest skin in the body. That’s why you get eyelid dermatitis.”

A women visited her ophthalmologist multiple times to rid herself of an eyelid rash, before coming to Midlands Clinic. Chabra performed a patch test, which he said “lit up for gold.”

“Then we realized that the glasses have 14-carat gold,” he said. “She changed them and she was fine.”

Chabra also patch-tested a high school volleyball player suffering from a facial rash. It turns out that the teen is allergic to rubber accelerants used in the manufacturing process.

“To make rubber you take the sap and vulcanize it. Otherwise rubber is very gooey, and so you use all these accelerants in it,” Chabra explained. “She was allergic to all of those.”

Chabra contends that the teen is in a tough situation. He instructed her to wash her hands immediately after playing volleyball, and not to touch her face before she does.

“Allergic contact dermatitis is one of the more rewarding areas,” he said. “You can figure it out and fix it.”

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Skin Cancer Screenings

Dr. Daffer and Dr. Chabra and staff will be the June E Nylen Cancer Center on May 1st, 2014 conducting skin cancer screenings from 6:30 p.m. to 8:00 p.m. Please call 712-252-0088 to schedule.

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Evaluation and Management of Multiple Osteoma Cutis

Evaluation and Management of Multiple Osteoma Cutis

Osteoma cutis is the formation of bone in the dermis or subcutis. Depending on the context, these de novo ectopic bone lesions may be classified as primary or secondary osteoma cutis. Primary osteoma cutis is the idiopathic formation of bone. In contrast, secondary osteoma cutis, which is much more common, is bone formation as a potential complication of several acquired disorders, such as severe acne; connective tissue disease; or inherited disorders such as Albright’s hereditary osteodystrophy.

Read the rest of this article featuring Dr. Chabra here.

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Gouty Tophi on the Ear: A Review

Gouty Tophi on the Ear: A Review

Although the classic location of gouty tophi is the great toe (podagra), gouty tophi of the ear also is common and is worth including in the differential diagnosis in patients presenting with ear lesions. Other entities presenting as papules or nodules on the ear include chondrodermatitis nodularis helicis (CNH), actinic keratosis, basal cell carcinoma, squamous cell carcinoma, verruca vulgaris, amyloids, rheumatoid nodules, and elastotic nodules. If tophaceous gout is suspected, alcohol fixation of the biopsy specimen is preferable, as it enables visualization of characteristic needle-shaped urate crystals.

Read the rest of this article featuring Dr. Chabra here.

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Driving without sunscreen can cause cancer

Driving without sunscreen can cause cancer

Do you ever think about wearing sunscreen while you are driving? A local Siouxland dermatologist says its time to because two out of three skin cancer cases are related to driving.

Skin cancer, the most common cancer diagnosis, is responsible for three and a half million cases each year.

A Siouxland dermatologist at the Midlands Clinic decided to dive into the numbers and found something that caught his eye.

Read the rest of this article featuring Dr. Chabra here.

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The sun is finally here. What about sunscreen?

The sun is finally here. What about sunscreen?

How does sunscreen prevent skin cancer?

By protecting the skin from sunlight, sunscreen prevents the development of skin cancer. Skin cancers will require surgeries to treat, and may even kill you.

Sunlight contains ultraviolet (UV) light, which can be divided into 3 sub-types – UV-C (100-290 nm), UV-B (290-320 nm), and UV-A (320-400). Almost all of the deadly UV-C, and most of UV-B light are blocked by the Earth’s ozone layer. However, some UV-B and most of the UV-A penetrate the atmosphere and reach us.

Read the rest of this article featuring Dr. Chabra here.

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Midlands Clinic Newsletter

The Siouxland area is blessed with a variety of gifted primary care doctors, but when a patient’s health care needs become more specialized, the physicians and surgeons on Midlands Clinic, P.C. in Dakota Dunes have the skill and experience to pick up where primary care leaves off.

This team of seven board-certified general surgeons, two endocrinologists, a dermatologist and three physician assistants have built a reputation as a diverse practice ready to tackle health problems ranging from diabetes to obesity, rashes, wrinkles, and cancer, all within a compassionate and efficient environment.

Read the rest of our newsletter here.

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