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Cosmetic Dermatology

Sophia Au-Stenger, PA-C

December 11, 2024 by

Hyperhidrosis

November 21, 2024 by michaelboache

Excessive sweating is a medical condition called hyperhidrosis. There are two different types, the first of which is a focal hyperhidrosis. It limits the sweating to one area of the body, such as the armpits, hands, face or feet. The second type of hyperhidrosis does not limit itself to one part of the body, but is present over any and all parts of the body.

Causes

Hyperhidrosis is normally an indicator or result of another disorder or condition in the body, but can be hereditary. This includes but is not limited to menopause, obesity and nerve disorders. Due to menopause, women are more likely to be diagnosed with hyperhidrosis. This condition is also found in children and young teens.

Symptoms

There are several symptoms of hyperhidrosis. A sign of excessive sweating would be visible sweat while a person is sedentary. If everyday activities are difficult due to sweat, the skin peels due to being damp with sweat too often, and skin infections are a constant problem, hyperhidrosis may be the cause.

Treatment

There are several treatments for hyperhidrosis that a doctor may suggest. The most common would be an antiperspirant, which is applied to the skin and blocks the sweat glands in an attempt to get the body to stop producing sweat. A doctor might also suggest iontophoresis or Botox injections. Medication may be prescribed or surgery may be considered in some cases.

Our Approach and Expertise

Excessive sweating—known as hyperhidrosis—can significantly impact your daily life, affecting everything from personal comfort to social confidence. At The Center for Dermatology and Plastic Surgery, we specialize in diagnosing and treating hyperhidrosis with proven, effective solutions tailored to your individual needs.

Hyperhidrosis can affect the underarms, palms, soles, face, or other areas of the body, and may occur without an underlying medical cause (primary hyperhidrosis) or as a result of another condition (secondary hyperhidrosis). Our board-certified dermatologists begin with a comprehensive evaluation to identify the type and severity of your condition and rule out any underlying health issues.

We offer a full range of treatment options—from prescription-strength topical therapies and oral medications to in-office procedures such as Botox® injections, which can temporarily block the nerve signals responsible for excessive sweating. For more persistent cases, we also provide advanced therapies, including iontophoresis and surgical referral when appropriate.

Our team understands that excessive sweating is more than a physical condition—it can deeply affect emotional and social well-being. That’s why we take a compassionate, personalized approach, working closely with you to restore comfort, confidence, and control.

With extensive experience and access to the latest technology, The Center for Dermatology and Plastic Surgery is your trusted partner in achieving long-term relief from excessive sweating. The Center for Dermatology and Plastic Surgery is here to support all your skin health needs with trusted, expert care.

Schedule your appointment today.

Eczema

November 21, 2024 by michaelboache

Learn more about a common skin condition, eczema, and how our board-certified dermatologists can help you.

Eczema, sometimes referred to as atopic dermatitis, is condition of skin that leaves it dry and irritated, causing it to crack and sometimes bleed. 

Causes

While physicians are unsure of the exact cause of eczema, it is thought to be a combination of several factors:

  • Genetics
  • Immune dysfunction
  • Environmental exposures, including:
    • Irritating soaps
    • Changes in weather

Children are more likely to have eczema; however, people can develop eczema at any age. Some children will grow out of it but it may return again in later years. Those with asthma, hay fever and certain allergies are more prone to eczema than others. Additionally, a family history of eczema or asthma and hay fever, can increase the risk of developing eczema to flare.

Symptoms

It presents with dry, itching skin that can be red and cracked, or can occasionally be bumpy. Severe forms of eczema can cause fluid to come out from the cracks left in the skin. If left untreated, these cracks can allow bacteria and viruses to penetrate the skin and lead to a more serious infection.

Treatment

This condition cannot be cured, but needs to be managed chronically. Occasionally, changes to the patient’s skin care routine are all that is needed to maintain clear skin. Flares and poorly controlled eczema can be treated with medicated ointments or creams. Antibiotics may be necessary if there is concern for infection. Similarly, bleach baths or vinegar water soaks may be used to prevent infections. 

As fragrances, dyes and other chemicals can exacerbate this, it is important to use fragrance free and sensitive skin self-care and laundry products. Avoid alcohol based products, including aerosol and waterless hand sanitizers, as alcohol is very drying for the skin. Antihistamines taken routinely can decrease the itch associated with this skin condition and are particularly helpful in patients with associated hay fever and seasonal allergies.

Because it cannot be cured, a patient will always have the tendency for flares of the skin. And while hereditary eczema cannot be prevented, the frequency and severity of the flares can be managed with good skin care and avoidance of irritants. At The Center for Dermatology and Plastic Surgery, we’re committed to delivering exceptional care for all your skin concerns.

Schedule your appointment today.

Uneven Skin Tone

November 21, 2024 by michaelboache

An uneven skin tone, called hyperpigmentation, is irregular darkening of the skin.

The cause of uneven skin tone is the overproduction of melanin, the pigment responsible for skin and hair color. The resulting dark patches and spots are typically perceived as “aged skin.”

There are several factor that can lead to uneven skin tone. A few of them are:

Sun exposure: Brown spots and uneven skin tone develop as a result of too much melanin being produced to help protect your skin from UV light.

Pollution: Particles and gasses from traffic-related air pollution are able to penetrate the skin and lead to formation of brown spots, particularly on the face.

Our Approach and Expertise

At The Center for Dermatology and Plastic Surgery, we understand that this can affect more than just your appearance—it can also impact your confidence. Whether you’re experiencing dark spots, redness, discoloration, or dullness, our expert dermatology team offers advanced solutions tailored to your skin’s unique needs.

Uneven skin tone can result from a variety of factors, including sun damage, hormonal changes, acne scarring, inflammation, and certain medical conditions. Our board-certified dermatologists begin with a thorough skin analysis to identify the root cause and create a customized treatment plan that targets both the symptoms and underlying issues.

We offer a wide range of safe, effective treatments to help restore clarity and balance to your complexion. Options may include prescription topical therapies, chemical peels, laser treatments, microneedling, or medical-grade skincare regimens—each chosen based on your skin type, tone, and long-term goals.

Our approach is both results-driven and compassionate. We prioritize skin health while helping you achieve a more radiant, even complexion—one that reflects your natural beauty and enhances your confidence.

With state-of-the-art technology, medical expertise, and personalized care, The Center for Dermatology and Plastic Surgery is your trusted destination for treating uneven skin tone in Phoenix and beyond. Your skin is in expert hands with the dedicated team at The Center for Dermatology and Plastic Surgery.


Schedule your appointment today.

Stretch Marks

November 21, 2024 by michaelboache

Finally we have a treatment that can really make a difference with your stretch marks

A stretch mark is a type of scar that develops when our skin stretches or shrinks quickly. The abrupt change causes the collagen and elastin, which support our skin, to rupture. As the skin heals, stretch marks may appear.

Not everyone develops these narrow bands on their skin. Fluctuating hormone levels seem to play a role. You may also have a higher risk if people in your family get stretch marks.

Our Approach and Expertise

Stretch marks—also known as striae—are a common skin concern that can appear during periods of rapid growth, weight change, pregnancy, or hormonal shifts. While harmless, they can affect how you feel about your skin. At The Center for Dermatology and Plastic Surgery, we offer effective, personalized solutions to help reduce the appearance of stretch marks and restore confidence in your skin.

Stretch marks often appear as red, purple, or silvery lines on the abdomen, thighs, breasts, hips, or arms. They form when the skin stretches quickly and the collagen and elastin fibers beneath the surface are disrupted. Over time, these marks may fade, but for many patients, they remain visible and bothersome.

Our board-certified dermatologists and experienced providers begin with a thorough consultation to assess your skin and discuss your goals. We then create a tailored treatment plan that may include fractional laser therapy, microneedling with radiofrequency, topical retinoids, or medical-grade skincare to improve texture, tone, and elasticity.

Whether your stretch marks are new or longstanding, our goal is to soften their appearance, stimulate collagen production, and support healthy skin regeneration. With a blend of advanced technology, expert care, and aesthetic sensitivity, we help you achieve smoother, more even-toned skin—and renewed confidence. From cosmetic enhancements to medical dermatology, The Center for Dermatology and Plastic Surgery is your trusted skin health partner.

Schedule your appointment today.

Aging Skin

November 21, 2024 by michaelboache

Many signs of aging skin are caused my enviornmental factors. Environmental stress can be sun (UV exposure), pollution, diet and even just plain stress. In addition, we lose facial volume because our facial fat pads diminish as we age.

As a result the breakdown of these fibers causes laxity, wrinkles, and sun spots over years. Although we cannot completly stop the aging process we can use the below treatments to help your skin look its best at any age!

Our Approach and Expertise

Aging is a natural process, but its effects on the skin—such as fine lines, wrinkles, volume loss, sun damage, and uneven tone—can make many individuals feel less like themselves. At The Center for Dermatology and Plastic Surgery, we take a personalized, science-backed approach to helping you age confidently and gracefully.

Our experienced team of board-certified dermatologists and plastic surgeons understands that no two aging journeys are alike. We begin with a comprehensive consultation to assess your skin’s health, texture, tone, and elasticity, and listen closely to your goals. Whether you’re seeking subtle rejuvenation or a more transformative result, we develop a treatment plan tailored to your needs, lifestyle, and comfort level.

We offer a full range of advanced options to address signs of aging, including laser treatments, injectables (like Botox® and dermal fillers), chemical peels, microneedling, skin-tightening procedures, and medical-grade skincare regimens. For those considering surgical solutions, our plastic surgeons provide expert care with natural-looking results.

Our goal is not to change how you look—but to help you look and feel your best at every age. With a focus on long-term skin health and aesthetic balance, we combine trusted medical expertise with the latest technology to deliver results that are both beautiful and enduring. From cosmetic enhancements to medical dermatology, The Center for Dermatology and Plastic Surgery is your trusted skin health partner.

Schedule your appointment today.

Skin Laxity

November 21, 2024 by michaelboache

Skin seems to become looser over time and this happens for a number of reasons. Center for Dermatology & Plastic Surgery has options to tighten skin on the face and body.

One cause of skin laxity is due to the effect of environmental stress on elastic fibers and collagen fibers in the skin. Environmental stress can be sun, pollution, diet and even just plain stress. In addition, we lose facial volume because our facial fat pads diminish as we age.

As a result the breakdown of these fibers causes laxity, increasing over years. Gravity combined with volume loss pulls the looser skin downwards. The face will show some “jowling” as early as the 30′s. Puffiness and bags under the eyes can also be due in part to skin laxity.

Our Approach and Expertise

As we age, our skin naturally loses collagen, elastin, and volume—leading to skin laxity, or a gradual loosening and sagging of the skin. Whether you’re noticing mild drooping along the jawline or more significant skin laxity on the face, neck, arms, or body, The Center for Dermatology and Plastic Surgery offers effective, personalized solutions to help restore a firmer, more youthful appearance.

Our expert team of board-certified dermatologists and plastic surgeons begins with a detailed consultation to evaluate the severity of skin laxity and identify the best treatment approach based on your goals, skin type, and lifestyle. We believe in natural-looking results and long-term skin health, which is why we combine leading-edge technology with proven techniques tailored to your unique needs.

Depending on your treatment plan, options may include non-invasive procedures like radiofrequency microneedling, ultrasound skin tightening (such as Ultherapy®), and laser therapies, or minimally invasive treatments like thread lifts or dermal fillers to restore structure and definition. For those seeking more dramatic or lasting results, surgical lifting procedures are also available, performed by our highly skilled plastic surgeons.

No matter your age or stage, our goal is to help you look refreshed, lifted, and confident—without looking overdone. At The Center for Dermatology and Plastic Surgery, you’re in expert hands every step of the way. Count on The Center for Dermatology and Plastic Surgery for expert, compassionate care tailored to your unique skin.

Schedule your appointment today.

Melasma & Freckles

November 21, 2024 by michaelboache

What Are Melasma and Freckles?
Melasma and freckles are both types of skin pigmentation, but they differ in cause, appearance, and how they behave over time. Melasma is a chronic skin condition that causes irregular, blotchy patches of darker pigmentation—usually on the face, especially the cheeks, forehead, upper lip, and nose. It’s most commonly triggered by sun exposure, hormonal changes (such as during pregnancy or with birth control use), and genetics. Freckles, on the other hand, are small, flat, light to dark brown spots that appear on sun-exposed skin, especially in fair-skinned individuals. Unlike melasma, freckles often fade with reduced sun exposure and tend to appear more prominently in the summer. While both conditions are benign, many people seek treatment for cosmetic reasons or to achieve a more even skin tone.

Our Approach and Expertise

At The Center for Dermatology and Plastic Surgery, we specialize in treating pigmentary concerns like melasma and freckles with precision, compassion, and advanced dermatologic care. Whether you’re seeking to even out your complexion or address stubborn dark patches, our team offers customized solutions rooted in medical expertise and aesthetic understanding.

Melasma often appears as blotchy, brown-to-gray patches on the cheeks, forehead, nose, or upper lip and is commonly triggered by sun exposure, hormones, or pregnancy. Freckles, by contrast, are small, flat spots caused primarily by sun exposure and genetics. While both conditions are harmless, they can be frustrating or cosmetically bothersome for many patients.

Our board-certified dermatologists begin with a careful evaluation to distinguish between melasma, freckles, and other types of pigmentation. From there, we create a treatment plan tailored to your skin type, sensitivity, and lifestyle.

Treatment options may include topical lightening agents, chemical peels, laser therapies (such as fractional or pigment-specific lasers), microneedling, and comprehensive sun protection strategies. We also offer medical-grade skincare regimens to help prevent recurrence and maintain long-term results.

At every step, we prioritize skin health, safety, and natural-looking outcomes. Whether you’re managing melasma flare-ups or seeking a clearer, more radiant complexion, The Center for Dermatology and Plastic Surgery is here to guide your journey with proven care and personalized attention. The Center for Dermatology and Plastic Surgery: Advanced care for your skin, every step of the way.

Schedule your appointment today.

Fat Reduction

November 21, 2024 by michaelboache

What Is Fat Reduction?

Fat reduction refers to non-surgical or minimally invasive treatments that target and eliminate stubborn fat deposits that are resistant to diet and exercise. Common problem areas include the abdomen, flanks (love handles), thighs, chin, upper arms, and back. While these treatments are not a substitute for weight loss, they can help refine body contours and enhance natural shape. Popular fat reduction methods include cryolipolysis (fat freezing), injectable treatments (like Kybella® for under-chin fat), and radiofrequency or laser-based fat reduction. These techniques work by breaking down fat cells, which are then naturally metabolized by the body over time—leading to a slimmer, more sculpted appearance without the downtime of surgery.

Our Approach and Expertise

At The Center for Dermatology and Plastic Surgery, we offer a comprehensive range of fat reduction treatments designed to help you look and feel your best—without the need for surgery. Our board-certified providers use the latest technologies and evidence-based techniques to safely and effectively target areas of unwanted fat with minimal discomfort and downtime.

Whether you’re bothered by a double chin, stubborn belly fat, or excess fullness in the thighs or arms, we start with a personalized consultation to understand your goals and assess your body’s unique contours. Based on your needs, we may recommend treatments such as CoolSculpting®, Kybella®, or other advanced body-contouring modalities that deliver gradual, natural-looking results.

With a focus on safety, precision, and aesthetics, our team works with you to achieve smoother, more defined contours—without compromising your natural proportions. At The Center for Dermatology and Plastic Surgery, our goal is to help you feel confident in your skin, using expert care you can trust. Trust The Center for Dermatology and Plastic Surgery for personalized, expert solutions for your skin.

Schedule your appointment today.

Broken Blood Vessels

November 21, 2024 by michaelboache

What Are Broken Blood Vessels?

Broken blood vessels—also known as telangiectasias or spider veins—are small, dilated capillaries that appear just beneath the surface of the skin. They often show up as fine red, purple, or blue lines, most commonly on the face (cheeks, nose, and chin) or legs. These vessels can be caused by a variety of factors, including sun exposure, genetics, aging, rosacea, trauma to the skin, or lifestyle habits like alcohol use or extreme temperatures. While they are harmless, many people seek treatment to improve the appearance of their skin and restore a more even complexion.

Our Approach and Expertise

At The Center for Dermatology and Plastic Surgery, we offer expert diagnosis and advanced treatment options for broken blood vessels to help restore your skin’s clarity and confidence. Our board-certified dermatologists carefully evaluate the cause and location of your vascular concerns to recommend the most effective, minimally invasive solution.

We utilize state-of-the-art laser and light-based technologies—including vascular lasers like Excel V™ or Intense Pulsed Light (IPL) therapy—to precisely target and fade visible blood vessels without damaging the surrounding skin. Treatments are quick, safe, and require little to no downtime, making them ideal for busy lifestyles.

In addition to treating existing vessels, we guide patients on prevention strategies to reduce recurrence, including proper sun protection, gentle skincare routines, and avoiding known triggers like extreme heat or harsh exfoliants.

With a personalized approach and a commitment to both aesthetic and medical excellence, The Center for Dermatology and Plastic Surgery is your trusted partner in achieving clearer, healthier-looking skin.

Schedule your appointment today.

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