My Blog

Posts for: October, 2019

By Judith Silverstein, MD
October 28, 2019
Category: Dermatology
Tags: Melanoma  

Melanoma MoleMelanoma is the deadliest form of skin cancer. Fortunately, it rarely develops without warning, and the number of fatalities caused by melanoma could be greatly reduced if people were aware of the early signs and took time to examine their skin. With early diagnosis and treatment, your chance of recovery from melanoma is very good.   

What Causes Melanoma?

The main cause of melanoma is too much skin exposure to ultraviolet (UV) radiation. UV rays from the sun and tanning booths can damage skin cells, causing the cells to grow abnormally. The best way to prevent melanoma is to reduce the amount of time you spend in the sun, wearing hats and protective clothing when possible and generously applying sunscreen.

Melanoma can occur anywhere on the body, including the soles of your feet or your fingernails. In women, melanoma is most often seen on the lower legs, and in men, it most commonly forms on the upper back.

Anyone can get melanoma, but people with the following traits are at a higher risk:

  • Fair skin
  • Excessive sun exposure during childhood
  • Family history of melanoma
  • More than 50 moles on the skin
  • Several freckles
  • Sun-sensitive skin that rarely tans or burns easily

Melanoma can appear suddenly as a new mole, or it can grow slowly, near or in an existing mole. The most common early signs of melanoma are:

  • An open sore that repeatedly heals and re-opens
  • A mole or growth that takes on an uneven shape, grows larger or changes in color or texture
  • An existing mole that continues to bleed, itch, hurt, scab or fade

Because melanoma can spread quickly to other parts of the body, it is important to find melanoma as early as possible. The best way to detect changes in your moles and skin markings is by doing self-examinations regularly. If you find suspicious moles, have them checked by your dermatologist.

Visiting your dermatologist for a routine exam is also important. During this skin cancer "screening," your dermatologist will discuss your medical history and inspect your skin from head to toe, recording the location, size and color of any moles. Melanoma may be the most serious form of skin cancer, but it is also very curable when detected early.


By Judith Silverstein, MD
October 23, 2019
Category: Dermatology
Tags: Acne Treatment  

Treating acne isn’t always as easy as grabbing an acne treatment from your local pharmacy and getting clearer skin. There is a lot of trial and error when it comes to treating acne effectively. Whether you are just in the beginning stages of treatment or you are feeling frustrated by how to treat your acne, our Sandy Springs, GA, dermatologists understand that you might have questions. Here are some of the top questions about acne treatment.

What causes acne?

When it comes to the development of acne there are several factors at play here. Acne happens when the oil glands cause excess oil production or when the hair follicle is clogged with oil and dead skin cells. Hormones and bacteria can also lead to acne. The type of acne that you have can help our Sandy Springs, GA, skin doctor determine the best course of action for treating the problem.

When should I see a doctor?

If over-the-counter acne treatments aren’t alleviating your symptoms, if your acne is severe or if you are embarrassed by your acne then it’s time to see a dermatologist who can help you better control your breakouts.

How long do I need to use a product to know whether it’s working?

It can take up to 12 weeks for an acne product to finally produce the results you want; therefore, you must be patient. This includes both over-the-counter and prescription topical medications and cleansers, as well as oral medication. Don’t give your acne products the boot so quickly.

How can I get rid of a pimple immediately?

Unfortunately there is no overnight miracle remedy or cream that can completely get rid of pimples. While home remedies like tea tree oil and even toothpaste may sound like a quick fix these can often exacerbate acne-prone skin and lead to further irritation.

Is acne genetic?

Genes can certainly play a role in whether or not you get acne; however, it’s not the deciding factors. Genes, hormones and your environment all play a role. You can’t do much about your genes but our dermatologist can help you get your hormonal acne under control.

Which acne products will work best for me?

This will depend on the type of acne you’re dealing with and the severity of your acne. Mild acne may respond to simple over-the-counter products while hormonal acne may best be treated with oral contraceptives. Deep nodules and cystic acne often require a more intensive oral medication to prevent scarring.

Does diet affect acne?

Research has found that what we eat doesn’t necessarily affect our acne because acne is often caused by hormonal changes such as puberty and menstruation; however, there is research that suggests that too much dairy could increase breakouts because of the hormones found in dairy products.

Ready to get your acne under control? The team at Atlanta Center for Dermatologic Diseases has offices in Sandy Springs, Roswell, Alpharetta, and Cumming, GA, to serve you better. Call us today to schedule a consultation.


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.