Fort Myers Dermatologists

How to Get Rid of my Skin Redness from Seborrheic Dermatitis? (photo)

Medicated creams do not work. Have been diagnosed with seborrheic dermatitis , dandruff shampoo does not work. Looking for some kind of FOR SURE fix if you work in Florida and know what will work tell me how much and I will travel to you! - My skin is sometimes flaky but mostly RED. Gets worse when I am hot, stressed and exerted. Got this when I was years old. I do not drink, do drugs and a healthy diet also does not help. Anyone willing to guarantee a treatment ?

Thank you for submitting your picture.  I must say that I am not sure that seborrheic dermatitis is your only, or even your primary skin disease.  From your picture, it appears to me that you may have a form of rosacea.  And perhaps because you have been treated only for seborrheic dermatitis (I assume??), your skin is not improving the way you would like it to.

The reason Rosacea occurs to me from your photograph is that I think you may have tiny dilated blood vessels on the surface of your skin, and maybe a slight hypertrophy or enlargement of some of the nasal tissue, which dermatologists refer to as "rhinophyma."

I often see the combination of these two skin disease so it would not be unusual for you to even have both.  My suggestion is that your dermatologist try some of the Rosacea treatments and see if that doesnt help.

Now, as for your question about willing to guarantee a medical form of therapy, let me answer that more clearly:  "no."  :)

Sandy Martin, MD

Fort Myers Dermatologist

Is Botox for Sweating Permanent or Will I Have to Have Routine Injections, As is the Case for Wrinkles?

How long does a botox treatment last for heavy perspiration?

I have performed a fair amount of Botox injections for axillary hyperhidrosis. Most patients find the treatment easy to tolerate and moderately to amazingly effective. The amount of time of relief varies from person to person but can be as little as 3 or 4 months to as much as one year. The amount of BOTOX I use varies from 50 units to 100 units per armpit and I typically give about 20 (painless or nearly so :)) injections. I will usually do a starch iodine test at least once on a patient to determine the extent of area to inject.

Sandy Martin, MD

Fort Myers Dermatologist

Significant Indentations from Botox?

I received botox 3 months ago for treatment of migraines. 3 weeks later I noticed a dime size depression over my eyebrow which has gotten worse so that that now it covers an area 1 inch wide & 1.5 inches high, with a spoon-shaped strip next to the nerve that is particularly depressed. That whole area is so sunken that the other side of my forehead looks puffy in comparison. I'm 27. I'm worried because it is getting worse. Is this from the Botox? Can I reverse it? Thank you!

Thank you for the photographs.  They are very helpful.  The first thing that came to my mind was what is called the En Coup de Sabre type of Scleroderma.  This is a linear type of scleroderma that one sees on the forehead or scalp.  This condition is not related to Botox or to underlying muscle atrophy but rather is a condition that may be associated with certain serologic changes.

The cause is unknown, but I would suggest you discuss this with a dermatologist who I suspect may want to take a skin biopsy.

Sandy Martin, MD

Fort Myers Dermatologist