My Blog
By Judith Silverstein, MD
October 16, 2019
Category: Dermatology
Tags: Adult Acne  

Adult AcneAcne is the most common of all skin disorders, affecting almost everyone at some point in their lives. While most people outgrow acne in their late teens or early twenties, many are affected into adulthood or even experience late onset acne. Although the exact cause of adult acne is unknown, possible causes include stress, cosmetics and hormones.

How Can I Treat Adult Acne?

Not only is chronic adult acne frustrating, but it can also have long-lasting effects on the self-esteem and confidence of those suffering from it. To combat blemishes, follow a few basic guidelines to improve your skin's condition.

  • Avoid the urge to pick or squeeze pimples. Aggravating your acne will only increase inflammation, delay the healing process and lead to scarring.
  • Follow a daily skincare regimen to remove oils, make up, and sweat from the surface of your skin.
  • When wearing make-up, only use oil-free cosmetics.
  • Avoid over-washing your skin, as this can make your acne worse.
  • Wash gently with a mild facial cleanser once or twice a day. Be cautious of harsh cleansing products that lead to dry, irritated skin.
  • Eat a well-balanced diet.
  • Limit exposure to sun and excess cold.

Fortunately, the physical and emotional effects of acne can be reversed with proper treatment. While adult acne can be persistent, an individualized treatment plan from our office can help you reduce blemishes, prevent scarring and eliminate your acne. With diligent home care and help from your dermatologist, your acne can be significantly improved, allowing you to regain your confidence!

By Judith Silverstein, MD
October 03, 2019
Category: Dermatology
Tags: Nail Care  

The nails take a lot of abuse. From gardening and dishes to regular wear and tear, harsh chemicals and hard work can really take a toll on the condition of fingernails and toenails. Many nail problems can be avoided with proper care, but others may actually indicate a serious health condition that requires medical attention.  

According to the American Academy of Dermatology, nail problems comprise about 10 percent of all skin conditions, affecting a large number of older adults. Brittle nails are common nail problems, typically triggered by age and the environment. Other conditions include ingrown toenails, nail fungus, warts, cysts or psoriasis of the nails. All of these common ailments can be effectively treated with proper diagnosis from a dermatologist.

Mirror on Health

A person’s nails can reveal a lot about their overall health. While most nail problems aren’t severe, many serious health conditions can be detected by changes in the nails, including liver diseases, kidney diseases, heart conditions, lung diseases, diabetes and anemia. That’s why it’s important to visit your dermatologist if you notice any unusual changes in your nails.

Basic Nail Care

It’s easy to neglect your nails, but with basic nail care, you can help keep your fingernails and toenails looking and feeling great. Here’s how:

  • Keep nails clean and dry to prevent bacteria from building up under the nail.

  • Cut fingernails and toenails straight across to prevent ingrown nails and trauma.

  • Avoid tight-fitting footwear.

  • Apply an anti-fungal foot powder daily or when needed.

  • Avoid biting and picking fingernails, as infectious organisms can be transferred between the fingers and mouth.

  • Wear gloves to protect your fingernails when doing yard work or cleaning house to protect the nails from harsh chemicals and trauma.

  • When in doubt about self-treatment for nail problems, visit your dermatologist for proper diagnosis and care.

Always notify a dermatologist of nail irregularities, such as swelling, pain or change in shape or color of the nail. Remember, your nails can tell you a lot about your overall health, and a dermatologist can help determine the appropriate treatment for any of your nail problems.

By Judith Silverstein, MD
September 24, 2019
Category: Dermatology
Tags: Rashes  

Have a skin rash? Whether it's dry, itchy, red, bumpy, crusty, scaly, or blistered, a skin rash can be an incredible nuisance to your day-to-day life. Fortunately, the dermatologists here at Atlanta Center for Dermatologic Diseases (with offices in Sandy Springs, GA, Roswell, GA, Alpharetta, GA, and Cumming, GA) offers full-service care to eliminate these skin inflammations. Read on to learn more!

Common Causes of Rashes

Some of the more common causes of skin rashes include genetic makeup, certain diseases, irritating substances, sun exposure, hot/humid weather, and allergies. Rashes can also signal a bacterial or fungal infection.

When To Seek Treatment

Although most rashes are not life-threatening, some rashes can indicate a more serious health issue. For example:

  • Painful skin rashes should always be evaluated by a dermatologist as soon as possible.
  • A rash that covers your body could indicate something concerning, such as an allergic reaction or infection.
  • If your rash is accompanied by difficulty breathing, call 911 or go to the emergency room immediately.

Treatments for Rashes

Rash treatments include antihistamine creams, baths, moisturizers, lotions, and cortisone creams. For poison ivy, dermatologists may recommend cool showers and calamine lotion, and an antihistamine for decrease redness and itching. For rashes caused by an allergen, your physician will need to determine which substance caused the problem. A medical test can determine which allergens are causing the problem. For eczema, your dermatologist may suggest moisturizers called emollients that retain water in skin, keeping it smooth while soothing any itch.

Need Care? Give Us a Call

Your rash doesn't have to be the mystery that it may seem at first—let the experts here at the Atlanta Center for Dermatologic Diseases calm your nerves and show you the best way to treat your skin rash. Call one of Atlanta Center for Dermatologic Diseases's offices now to schedule an appointment:

  • (404) 252-4333 for Sandy Springs, GA
  • (770) 751-1133 for Roswell, GA
  • (770) 664-5225 for Alpharetta, GA
  • (770) 844-1902 for Cumming, GA
By Judith Silverstein, MD
September 13, 2019
Category: Dermatology
Tags: Chemical Peels  

Chemical PeelsIf you’re bothered by fine lines, wrinkles, acne scarring or an uneven skin tone, or if you are looking for a simple way to rejuvenate your skin, chemical peels may be a good option for you.

A chemical peel is a cosmetic procedure performed by your dermatologist. This in-office treatment involves applying an acid solution to remove damaged outer layers of skin, erasing imperfections and improving skin tone and texture. As the old, outer layer of skin is exfoliated and removed, it stimulates the growth of new, healthy skin cells that are smoother and less wrinkled than the old skin.

This time-tested, non-invasive procedure is quick—in most cases less than an hour—and yields fast results. It can drastically improve the appearance of skin marked by wrinkles, scars and other signs of aging or sun damage.

Chemical peels can improve the appearance of:

  • Fine lines and wrinkles
  • Uneven skin pigmentation
  • Acne scarring
  • Sun-damaged skin
  • Age spots
  • Freckling

Chemical peels can be applied to many parts of the body including the face, neck, chest and hands and are available in several different strengths. Our office can help you determine the type of chemical used depending on your skin type and desired results. The best candidate for a chemical peel is a person with fair skin and light hair, although darker skin types can also achieve good results depending on their specific problem and treatment goals.

How many treatments are necessary depends on the severity of skin damage and the patient’s goals. With each treatment, scarring and other imperfections typically diminish more and more.

At your dermatologist's office, we can help you achieve your most radiant, youthful skin. Visit to learn more about cosmetic dermatology and to find out if you are a candidate for chemical peels.

By Judith Silverstein, MD
September 03, 2019
Category: Dermatology
Tags: Wrinkles  

The telltale signs of aging skin—wrinkles, puffy eyes, age spots—may start to appear as we grow older. We can’t fight the aging process, but we can take steps now to help reduce and prevent wrinkles from appearing prematurely.  

Many factors can contribute to the onset of wrinkles, which are frequently produced by years of unprotected sun exposure in combination with each person’s unique genetic predisposition. Wrinkles are a by-product of the aging process. As we age, our skin loses its elasticity, is less capable of retaining moisture and is slower to heal.  All of these contribute to the development of wrinkles and sagging skin.

How Can I Slow the Progression of Wrinkles?

Daily skincare and proper sun protection are important factors in slowing the aging process, diminishing fine lines and minimizing wrinkles.   

  • Take your vitamins.  Many vitamins are good for the skin. Vitamin C, a natural antioxidant found in citrus fruits and dark green leafy vegetables, can help reduce the appearance of sun damage.
  • Apply sunscreen.  Protecting yourself from sun exposure can help prevent the progression of fine lines. The American Academy of Dermatology recommends applying a sunscreen with a SPF of at least 30 to protect against harmful UV rays.  
  • Moisturize.  Dry skin causes the skin to look dull and aged. To prevent dry skin, apply moisturizer every day.   
  • Get your beauty sleep.  When your body doesn’t get enough sleep, it produces excess cortisol, a hormone that breaks down skin cells. Keep your skin looking and feeling young by getting at least seven hours of sleep every night.
  • Avoid tanning beds. Tanning beds emit harmful UVA rays and are never 'safe' alternatives to the sun.
  • Take care of your hands. Our hands are often the first part of our body to reveal signs of aging, as they are the most used and exposed parts of the body. Protect the hands by wearing gloves, moisturizing and applying sunscreen.
  • Quit smoking.  Smoking may damage more than your lungs—it causes skin aging and wrinkles around the mouth.

Like it or not, wrinkles are a natural part of aging. Even the most diligent skincare regimen or the most expensive wrinkle cream won’t totally eliminate your fine lines. You can significantly reduce the appearance of your wrinkles, however. Start taking care of your skin now, embrace your age and love the skin you’re in!





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