I had a terrible case of acne -- and I was in my late sixties. Nothing would make it go away, and I had been seen, evaluated, and treated by five or six board-certified dermatologists. Then I was referred to Cheryl Burgess, MD, a board-certified dermatologist who simply wouldn't give up. And she treated me over an extended period -- and I'm now healing. She really focuses on each patient's needs and keeps up with the latest research and state-of-the-art treatments. In addition, her staff is very patient focused and when you're going through something as difficult and disfiguring as I had been, they're an incredible help psychologically and emotionally.
I was told Dr. Burgess was the "go to" doctor for filler. After a bad experience with another doctor, I sought her out to correct the situation. At first, the results were good but then within a few months, puffiness occurred and ever since (almost 2 years ago) the appearance of my lower lids go back and forth from normal to puffy. One one side, I also get an indentation which makes it look even worse. After doing some reviews of Juviderm and talking to other doctors, I found out that this is common and that Juviderm tends to attract water which causes the puffiness. Juviderm it seems is not the best filler for the tear trough area and on top of that, she used the XC so I imagine that is even worse than just regular Juviderm. To make matters worse, it is much more permanent than temporary. I did go back 1 or 2 times about this but felt I was kind of blown off by my concern/dissatisfaction. I don't feel she tried to remedy the situation and I had to pay for the office visits! After the 2nd time I just left it alone and have dealt with the puffiness off and on since having the Juviderm injected. After close to 2 years, the puffiness is pretty constant and I'm very unhappy with how it looks especially given the time and money spent to make me look better not worse. Updated on 28 Oct 2016: I have come to find out that it has been known for YEARS that Juviderm in the under the eyes is problematic. Updated on 29 Mar 2017: After more than 2 years and having started having some of the filler dissolved, I am still dealing with the after effects of having filler injected. Still dealing with some puffiness and lumpiness. Juviderm should have never been injected in to my tear troughs. Can count anymore how many times I have read that this should not be used under the eyes because it is hydrophilic. I've read numerous reviews from others stating the same regarding Juviderm.
I visited the DC facility started the treatment with Dr. Cheryl M. Burgess. When I went for my second treatment, it was discovered that the laser machine was broken and I was asked to reschedule my appointment. I went to the receptionist and for some reason he told me that he was not able to access the appointment calendar and asked me to go and he will call me and set up my appointment. I never heard from him and I tried calling back but was not fortunate to talk to anybody. As such, the treatment stopped abruptly. To date, nobody has contacted me to schedule the appointment. I was and I am still disappointed as I did a lot of research before visiting Dr. Burgess.
Traumatic injury to hairy areas such as the scalp or eyebrows can cause hair loss. The site where the hair used to be will be replaced with scar tissue. The scar tissue can be removed and the hair edges are approximated or closed to alleviate the scarred area of scalp containing no hair or a minor hair transplant can be performed at the site of injury.
IPL isn't suitable for every skin type and therefore, test spots should be conducted with all lasers and light devices. Most burns are either first or second degree in nature. Generally, wound care is the first step of action followed by lightening agents and/or tretinoin once the are heals. It may take weeks and sometime months before the dark marks resolve from a burn.
The scar is tethered down to the underlying facial structure. Subcision technique of the scar revision and a stimulatory filler such as Bellafill or Artefill should improve the appearance.
I have an office in Annapolis Maryland which is close to Baltimore. I do not know of any certified prescribers in Baltimore City. You can also find listings through the specific brands of isotretinoin such as Absorica.
Through trial and error when having to take Accutane (isotretinoin) myself for cystic acne, I tried out and sampled many facial moisturizers. Having an oily complexion, I hardly ever used any lotions or creams on my face other than sunscreen. In retrospect, I understand your confusion. I find that when taking Accutane, the skin is dry but also can be very sensitive; therefore, I recommend AveneTrixera Emollient Cleanser Gel and Lotion to all of my patients while on Accutane.