Dr. Travis James is a board-certified dermatologist who was born and raised in Cache Valley. Dr. James completed his undergraduate degree in Economics with a minor in Chemistry at Utah State University graduating cum laude. He received his medical degree at Des Moines University where he graduated with honors and earned his Masters in Health Care Administration at the same time. He completed a transitional internship at Largo Medical Center in Florida prior to his dermatology residency at St. Joseph Mercy Hospital in Ann Arbor Michigan affiliated with Michigan State University. Dr. James is Board Certified by the American Board of Dermatology, a fellow of the American Academy of Dermatology, and has presented at local and national dermatology meetings. He specializes in general dermatology, skin cancers, and received extensive training in non-invasive cosmetic dermatology. Outside of the office Dr. James can be found spending time with his wife and four children. They all enjoy fishing, playing sports, being outdoors and spending time together.
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A: Was there known trauma to this location. The expectation of resolution is really dependent upon the cause. I would recommend evaluation by a board certified dermatologist and then better recommendations could be made. Good luck.
Dr. James
A: Thanks for your question. Both Restylane Defyne and Refyne or designed to be utilized in areas of high animation. The flexibility of these products make them ideal for areas like the marionette lines. In general Restylane Defyne is a little thicker product and is made for deeper lines like the marionette lines where Refyne is thinner for very fine lines like perioral rhytids or to be layed over the top of Defyne so in many patient a combination of the two products is ideal. Each of the fillers have unique characteristics that make them ideal for certain situations. Ensure you find an injector you can trust understands these products and they can deliver great results.
A: Thanks for your question. What you are experiencing looks to be post inflammatory hyperpigmentation which is not uncommon. If you had an aggressive treatment sometimes this can last for a couple weeks especially depending on skin type. The utilization of a topical steroid can help calm things down but doesn’t immediately take it away sometimes all that is needed is a little time. I would recommmend you see your provider if you are still experiencing problems. Good luck.
A: Thanks for your question. As you are a younger individual from the pictures presented it appears you would be a good candidate for Kybella. In my experience patients such as you are happy with the results from Kybella and in many cases 2 treatments would show substantial improvement but each individual is different some requiring more than 2 treatments. While surgical intervention would likely be possible as well I think that you are a good candidate for Kybella.
A: Thanks for your question. Every patient is unique in there course of telogen effluvium. For most the intial stressor/illness is about 4-6 months prior to the shed that takes place with telogen effluvium as the telogen phase of the hair cycle is typically this long. As far how long it takes to complete the shed I would say for most it is 3-4 months before they see a decrease in the amount of shed but can be even longer to appreciate the regrowth although most likely it starts sooner than appreciated by the individual. There are options that can be utilized to increase transition to anagen (growth) phase such as minoxodil, PRP, and I have seen good results with Viviscal but time alone is often enough to see full regrowth. Good luck.