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Katherine L. Caretti, MD

Dermatologic Surgeon, Board Certified in Dermatology
20043 Mack Ave, Grosse Pointe Woods, Michigan
5 | 1 Reviews
17 Questions Answered
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QUESTIONS ANSWERED

I had a baby a year ago and had really bad acne. Well after I had him, this little cyst appeared on my chest. (Photo)

Asked By:AnonymousANSWERS (1)
It is hard to tell from the photo, but you may have developed an epidermal cyst or hypertrophic scar which will not go away without some type of intervention. For small lesions like yours, we often try injection with a steroid to shrink it down. Otherwise, you may need a small excision to remove the cyst completely. I recommend consultation with a board-certified dermatologist to determine the best option for you.
provider-Katherine L. Caretti, MD-photo

Katherine L. Caretti, MD

Dermatologic Surgeon, Board Certified in Dermatology

5 | 1 reviews

What procedure can be suggested to remove a double chin besides Liposuction? (photos)

Asked By:AnonymousANSWERS (1)
From the photo and your description it sounds like you would be an excellent candidate for Kybella. Kybella is a relatively new, FDA-approved, non-invasive method to treat localized fat in the submental area. It is an injectable medication of deoxycholic acid which permanently dissolves fat often requiring 2-4 treatments sessions to achieve the desired result. The CoolMini is another non-invasive option which destroys fat through cryolipolysis (freezing the fat). It is important to be seen in consultation with either a board-certified dermatologist or plastic surgeon to determine the best option for you.
provider-Katherine L. Caretti, MD-photo

Katherine L. Caretti, MD

Dermatologic Surgeon, Board Certified in Dermatology

5 | 1 reviews

Is tea tree oil good for age spots?

Asked By:AnonymousANSWERS (1)
Tea tree oil can have some antimicrobial and anti-inflammatory effects for various dermatologic conditions. Since age spots are generally the result of cumulative sun exposure, I have not seen tea tree oil have any effect for this condition. "Age spot" is an umbrella term for a variety of lesions that occur on the skin with time. Some of these spots are sun-induced and known as lentigines (similar to freckles and commonly referred as sun spots) while others such as seborrheic keratoses are not related to sun exposure and require destructive techniques to remove. The most important component of treatment for sun spots is initiating a daily sunscreen into your regimen to protect from further darkening of the sun spots. A retinoid containing product and bleaching creams such as hydroquinone or skin medica's Lytera have also been very effective in lightening these spots on the skin. Other options include chemical peels or resurfacing lasers. I suggest consultation with a board certified dermatologist so that they can tailor the treatment for your specific skin type.
provider-Katherine L. Caretti, MD-photo

Katherine L. Caretti, MD

Dermatologic Surgeon, Board Certified in Dermatology

5 | 1 reviews

Do I have an early stage of melanoma based on this mole? (Photo)

Asked By:AnonymousANSWERS (1)
Hello and thank you for your question. It is difficult to tell from the photo you posted, but your description of asymmetry and multiple colors within the mole are 2 atypical features that warrant examination by a dermatologist. Typically, we educate our patients on the ABCDEs of melanoma which stands for Asymmetry, Border irregularity, Color variation, Diameter 6mm or greater and Evolution (any previous change in color, size, shape, etc.) I suggest making an appointment with a board-certified dermatologist so that this mole can be more closely inspected and determined if biopsy is necessary.
provider-Katherine L. Caretti, MD-photo

Katherine L. Caretti, MD

Dermatologic Surgeon, Board Certified in Dermatology

5 | 1 reviews

Best type of laser treatment for rosacea?

Asked By:AnonymousANSWERS (1)
The gold standard laser treatment for rosacea is the pulsed dye laser (PDL), also known as the V-beam. This laser selectively targets the blood vessels in the skin that lead to the persistent redness of rosacea. Other options include the KTP laser and IPL. Be sure to consult with an experienced board-certified dermatologist or plastic surgeon that is knowledgable in laser medicine to achieve the best results. Good luck! Dr. Caretti
provider-Katherine L. Caretti, MD-photo

Katherine L. Caretti, MD

Dermatologic Surgeon, Board Certified in Dermatology

5 | 1 reviews

Botox side effects? 3 days later I have a head cold type sickness. Do you think these are related to the botox?

Asked By:AnonymousANSWERS (1)
The most common adverse effects from Botox are usually injection related side effects such as pain, redness, swelling, bruising or headaches.  With that said, there have been some rare reports of flu-like symptoms after Botox injections in large doses for neurological conditions such as migraines. With the low number of units you had, I believe it is most likely a coincidence that you developed an upper respiratory infection. Hope you feel better soon! Dr. Caretti
provider-Katherine L. Caretti, MD-photo

Katherine L. Caretti, MD

Dermatologic Surgeon, Board Certified in Dermatology

5 | 1 reviews

Can I take Norfloxacin capsule after Botox injection?

Asked By:AnonymousANSWERS (1)
There are certain medications that can decrease neuromuscular transmission and could potentiate the effects of patients treated with Botox. These include aminoglycoside antibiotics, penicillamine, quinine, and calcium channel blockers. It is best to avoid these medications if being treated with Botox. Norfloxacin does not fall into this category. It is always best to review your concerns with the administering physician.  Best, Dr. Caretti
provider-Katherine L. Caretti, MD-photo

Katherine L. Caretti, MD

Dermatologic Surgeon, Board Certified in Dermatology

5 | 1 reviews

Why does Botox last longer for some patients than others?

Asked By:AnonymousANSWERS (1)
Since the mechanism of Botox is to relax the underlying facial muscles that lead to the wrinkles, the length of time that Botox lasts has to do with how quickly the nerves sprout new fibers. There is likely a genetic basis to this, but the exact gene has not been defined. With that said, with repeated injections, it is possible that individuals may not use the muscles that cause these expression lines as often and the effects may last longer.  There may also be remodeling of the skin that occurs with consistent injections, because the tissue is no longer subjected to the same forces of muscle contraction. Hope that makes sense! Dr. Caretti
provider-Katherine L. Caretti, MD-photo

Katherine L. Caretti, MD

Dermatologic Surgeon, Board Certified in Dermatology

5 | 1 reviews

I am consider to get a Botox but not sure how the treatment works. Please advise

Asked By:AnonymousANSWERS (1)
Botox works by blocking the contraction of the underlying facial muscles. For example, the horizontal wrinkles of the forehead and the vertical lines of the glabella (area between the eyebrows) are caused by repeated contraction of the underlying muscles that are perpendicular to those wrinkles. Weakening or relaxing these muscles with Botox can smooth these lines. The results usually take effect within 3-7 days and last for 3-4 months. The art of Botox lies in careful injection technique to target the appropriate muscle and a knowledge of the appropriate number of units to achieve the desired effect. I recommend consultation with a board-certified dermatologist or plastic surgeon to determine the best treatment for you. Best, Dr. Caretti
provider-Katherine L. Caretti, MD-photo

Katherine L. Caretti, MD

Dermatologic Surgeon, Board Certified in Dermatology

5 | 1 reviews

Mole removed on first appointment?

Asked By:AnonymousANSWERS (1)
Moles can be removed on the initial visit, but it will depend on the physician's office policy and if time has been blocked out for such a procedure. There are a couple of options for removal including saucerization which would leave a circular scar or excision which is preferred and would leave a small linear (line) scar. Excision also ensures complete removal of the mole and decreases likelihood of mole recurrence. In either case, be mindful of the fact that it is impossible to cut the skin without leaving a small scar.
provider-Katherine L. Caretti, MD-photo

Katherine L. Caretti, MD

Dermatologic Surgeon, Board Certified in Dermatology

5 | 1 reviews

Katherine L. Caretti, MD reviews

Katherine L. Caretti, MD

RATING DETAILS

5.0
1 reviews

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$5002 months post-opBotox

Alexalu

56 Year Old Mother Looking for a Refreshing Look - Grosse Pointe, MI

I'm looking to reduce the actual fine lines and wrinkles in my eye area (crows feet) and the deep wrinkles on my forehead. I don't want a drastic change, just more of a soften look. I don't want to frozen look like I see on many other women. I want a natural look and a dermatologist who understands what I'm looking for

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