"I noticed a crusty, rough spot on my face that won’t go away. Is it just dry skin, or could it be a precancerous spot?"

by: Dr. Ashley Baldree

Understanding Rough Skin Spots: When is it More Than Just Dry Skin?

Living in the sunny climate of the Greater Houston area, our skin takes on a lot of environmental stress. While many of us are quick to blame dry patches on a change in the weather, certain rough, scabby, or "stuck-on" spots require a closer look.

Recently, a 40-year-old female patient visited our clinic for a follow-up regarding two very common skin concerns: actinic keratosis on her forehead and an irritated seborrheic keratosis on her chest and lower leg. Both conditions can look like simple, rough bumps to the untrained eye, but they require very different medical approaches.

Here is what you need to know about identifying these spots and how a board-certified dermatologist in Houston can safely treat them.

What is Actinic Keratosis, and Why Does It Matter?

An actinic keratosis (AK) typically presents as a rough, scaly, or hypertrophic erythematous papule. In simpler terms, it feels like a patch of sandpaper or a persistent, crusty bump on sun-exposed areas like the face, scalp, or forearms.

During her visit, our patient was evaluated for an AK on her right forehead. Fortunately, thanks to a previous round of liquid nitrogen cryotherapy in Katy, the lesion had successfully resolved.

However, monitoring these spots is crucial for long-term health:

• The Precancerous Risk: Actinic keratoses are considered precancerous proliferations that develop within sun-damaged skin. If left untreated, a small subset of AKs can slowly progress into squamous cell carcinoma (a type of skin cancer).

• Prevention is Key: To prevent new AKs from forming, we highly recommend incorporating a daily broad-spectrum sunscreen SPF 30+ into your routine and wearing sun-protective clothing, especially during intense Texas summers.

Dealing with Irritated Seborrheic Keratoses

Unlike AKs, a seborrheic keratosis (SK) is entirely benign. These often look like "stuck-on," waxy, or pigmented plaques. However, because they are raised, they can easily become snagged on clothing or jewelry, leading to an irritated seborrheic keratosis.

Our patient presented with an inflamed, crusted SK on her right lower leg (distal pretibial region). To relieve her discomfort and remove the lesion, we performed a routine in-office procedure:

1. Paring: The lesion was gently pared down using a medical blade.

2. Cryotherapy: We applied liquid nitrogen for 2 freeze-thaw cycles to safely destroy the remaining abnormal tissue.

While the treated area will temporarily crust or scab over, it typically heals beautifully, leaving the skin smooth and irritation-free.

The Importance of Routine Skin Checks and Monitoring Benign Moles

During a comprehensive dermatological exam, we don't just look at the spots causing you immediate discomfort. We also map and monitor your benign nevi (common, healthy moles).

Our patient's exam revealed several regular, symmetrical, and evenly colored moles across her upper arm, back, and thigh. While these require absolutely no treatment, we counseled her on the importance of performing monthly self-skin checks at home.

When to Call the Doctor: You should always schedule an evaluation if you notice a mole changing in size, shape, or color, or if a spot begins to itch, burn, or bleed.

Why Annual Full Body Skin Exams Matter: A Dermatologist’s Perspective

by: Dr. Ashley Baldree

Full Body Skin Examinations in Katy and Houston, Texas

Regular skin examinations play an important role in maintaining healthy skin and detecting concerning lesions before they become serious. Even patients without a personal or family history of skin cancer can benefit from routine dermatologic evaluations, especially when new or changing skin growths develop.

At Village Dermatology, we recently evaluated a 53-year-old female who presented for her annual full-body skin examination and assessment of several skin lesions on the chest.

Why Annual Skin Checks Are Important

Many skin conditions develop gradually and may not cause symptoms such as pain, itching, or bleeding. During a comprehensive skin examination, dermatologists evaluate the skin from head to toe to identify:

• Precancerous lesions

• Skin cancers

• Changing moles

• Sun damage

• Benign skin growths

• Chronic skin conditions

Routine screenings can provide peace of mind while helping detect abnormalities at an early stage.

Comprehensive Examination Findings

A complete skin examination was performed, including evaluation of:

• Scalp

• Face

• Neck

• Chest

• Abdomen

• Back

• Arms and hands

• Legs and feet

• Nails

• Other skin surfaces

Dermoscopy was utilized to provide enhanced visualization of pigmented lesions and other skin growths. Most findings were reassuring and consistent with benign skin conditions.

Fibrous Papule on the Nose

One notable finding was a fibrous papule located on the nasal dorsum.

Fibrous papules are:

• Benign growths

• Commonly found on the nose

• Flesh-colored or slightly pink

• Firm to the touch

• Non-cancerous

These lesions do not require treatment, although cosmetic removal can be performed for patients who desire improvement in appearance.

Managing Dry Skin (Xerosis)

The patient also exhibited xerosis, or dry skin, involving the trunk.

Dry skin is especially common as we age and may be worsened by:

• Frequent bathing

• Hot showers

• Low humidity

• Harsh soaps

To improve skin hydration, recommendations included:

• Short warm showers

• Gentle fragrance-free cleansers

• Daily moisturizing immediately after bathing

Consistent moisturization often provides significant relief.

Understanding Benign Moles (Nevi)

Multiple benign nevi were identified throughout the body.

Characteristics of benign moles include:

• Symmetry

• Uniform color

• Smooth borders

• Stable appearance

Although these lesions were not concerning, patients are encouraged to perform monthly self-skin examinations and monitor for any changes.

Seborrheic Keratoses: Common Age-Related Growths

Several seborrheic keratoses were also noted.

These growths are:

• Extremely common

• Benign

• Often appear as "stuck-on" lesions

• More frequent with advancing age

While they can occasionally become irritated, treatment is generally unnecessary unless symptoms develop.

Lentigines and Sun Damage

The examination revealed multiple lentigines, commonly referred to as sun spots.

These flat tan-to-brown lesions develop from years of ultraviolet (UV) exposure and are frequently seen on:

• Face

• Chest

• Arms

• Shoulders

• Hands

Although lentigines are benign, they serve as evidence of cumulative sun damage.

Cherry Angiomas: Tiny Red Vascular Growths

Cherry angiomas were also present throughout the body.

These bright red vascular lesions are:

• Benign

• Common in adults

• Not contagious

• Usually harmless

Treatment is typically cosmetic and may be performed using laser therapy or electrodesiccation if desired.

The Importance of Sun Protection

One of the most important takeaways from this visit was the importance of daily sun protection.

Recommendations included:

Broad-Spectrum SPF 30+ Sunscreen

Daily sunscreen use helps reduce:

• Sunburns

• Premature aging

• Sun spots

• Skin cancer risk

Protective Clothing

Sun-protective clothing provides an additional layer of defense during outdoor activities.

Lip Protection

A lip balm containing sunscreen helps protect an area frequently exposed to UV radiation.

Regular Reapplication

Sunscreen should be reapplied every two hours during continued sun exposure and more frequently after swimming or sweating.

Monthly Self-Skin Examinations

Patients are encouraged to perform regular self-examinations and watch for:

• New lesions

• Changing moles

• Non-healing sores

• Bleeding spots

• Rapidly growing growths

Early recognition of suspicious changes often leads to earlier diagnosis and treatment.

Expert Skin Cancer Screenings in Katy and Houston

At Village Dermatology, we provide comprehensive skin cancer screenings, mole evaluations, and treatment of benign and precancerous skin lesions throughout Katy, Houston, and surrounding Texas communities.

Whether you are concerned about a changing mole, sun damage, or simply want the reassurance of an annual skin check, our dermatology team is here to help you maintain healthy skin for years to come.

Suspicious Cheek Lesion Evaluated and Biopsied: A Case Study from Village Dermatology

by: Dr. Caroline Vaughn

Evaluating Persistent Facial Skin Lesions: Why Early Diagnosis Matters

Skin lesions that persist for months or years may seem harmless, especially when they are asymptomatic. However, certain growths on the face can represent early skin cancer or precancerous changes. At Village Dermatology, we emphasize the importance of professional skin evaluations to identify concerning lesions before they progress.

In this case, a patient presented with a longstanding facial lesion that required further investigation to rule out skin cancer.

Patient Presentation

A 65-year-old female presented as a new patient for evaluation of a skin lesion located on her right cheek. The lesion had been present for several years and months and remained asymptomatic throughout its course. The patient reported that nothing made the lesion better or worse, and she had not sought treatment previously.

Because facial lesions can represent a variety of benign and malignant conditions, a comprehensive dermatologic examination was performed.

Dermatologic Examination

A focused skin examination included the:

• Face and head

• Right upper extremity

• Left upper extremity

• Right forearm

• Left forearm

A dermatoscope was utilized to closely evaluate the lesion and surrounding skin structures.

During examination, an erythematous nodule was identified on the right inferior central malar cheek. Given its appearance and location, further diagnostic evaluation was recommended.

Additional Findings: Excoriations on the Forearms

During the examination, the patient was also noted to have excoriations involving both forearms.

Excoriations are areas of skin damage caused by scratching or picking and can sometimes obscure the underlying cause of irritation.

The patient was advised to:

• Avoid scratching affected areas

• Apply a bland moisturizer twice daily

• Use CeraVe® Anti-Itch Cream as needed

• Apply triamcinolone acetonide 0.1% cream twice daily for up to two weeks per month

Education was provided regarding proper skin care and monitoring for new lesions.

Differential Diagnosis of the Facial Lesion

Based on the clinical examination, the lesion was classified as a Neoplasm of Uncertain Behavior (D48.5).

Possible diagnoses included:

• Benign skin growth

• Neoplasm of uncertain behavior

• Basal cell carcinoma (BCC)

Basal cell carcinoma is the most common type of skin cancer and frequently develops on sun-exposed areas such as the face. Although BCC typically grows slowly, early diagnosis and treatment are important to prevent tissue destruction and cosmetic complications.

Because a definitive diagnosis could not be made through visual examination alone, a biopsy was recommended.

Why a Skin Biopsy Was Necessary

When a dermatologist encounters a lesion with suspicious characteristics, a biopsy is often the most reliable method for obtaining a diagnosis.

The patient was counseled regarding:

• Observation versus biopsy

• Surgical removal options

• Potential risks and benefits of diagnostic testing

Risks discussed included:

• Scarring

• Infection

• Bleeding

• Scabbing

• Incomplete removal

• Nerve injury

• Allergic reaction to anesthesia

After reviewing all options, the patient elected to proceed with a biopsy.

Procedure: Shave Biopsy of the Right Cheek

Written informed consent was obtained prior to the procedure.

The biopsy site on the right inferior central malar cheek was prepared with alcohol, and local anesthesia was achieved using approximately 0.5 cc of 1% lidocaine with epinephrine.

A shave biopsy extending to the level of the dermis was performed using a Dermablade. The tissue specimen was submitted for histopathologic examination (H&E staining) to determine the exact diagnosis.

Procedure Summary

• Location: Right inferior central malar cheek

• Lesion Type: Erythematous nodule

• Differential Diagnosis: Neoplasm of Uncertain Behavior vs. Basal Cell Carcinoma

• Biopsy Technique: Shave biopsy

• Instrument: Dermablade

• Anesthesia: 1% lidocaine with epinephrine

• Hemostasis: Drysol

• Dressing: Petrolatum and bandage applied

• Pathology: Submitted for microscopic evaluation

The patient tolerated the procedure well and received post-procedure wound care instructions.

Understanding Basal Cell Carcinoma

Basal cell carcinoma is the most frequently diagnosed skin cancer in the United States. Risk factors include:

• Chronic sun exposure

• Fair skin

• Increasing age

• History of tanning bed use

• Previous skin cancers

Common warning signs include:

• Pearly bumps

• Pink or red nodules

• Non-healing sores

• Lesions that bleed easily

• Growths that slowly enlarge over time

Many patients mistake early skin cancers for harmless blemishes or scars, which is why regular skin examinations are so important.

The Importance of Early Detection

Facial lesions deserve particular attention because skin cancers on the face can grow into surrounding tissues and may require more extensive treatment if diagnosis is delayed.

A biopsy allows dermatologists to:

• Confirm whether a lesion is cancerous

• Identify the specific type of skin cancer

• Determine appropriate treatment recommendations

• Improve cosmetic and medical outcomes through early intervention

Skin Cancer Evaluations in Katy and Houston, Texas

At Village Dermatology, we provide comprehensive skin cancer screenings, diagnostic biopsies, and advanced treatment options for patients throughout Katy and Houston, Texas. If you have a persistent facial lesion, a growth that does not heal, or any concerning skin change, our experienced dermatology team can provide an accurate diagnosis and personalized treatment plan.

Early evaluation can make all the difference when it comes to protecting your skin health and achieving the best possible outcome.

Female Hair Loss Treatment: Exploring Oral Minoxidil for Androgenetic Alopecia

by: Dr. Ashley Baldree

Hair Loss Treatment in Katy and Houston, Texas

Hair thinning can be distressing for women at any age. Female pattern hair loss, also known as androgenetic alopecia (AGA), is one of the most common causes of gradual hair thinning and often becomes more noticeable over time.

At Village Dermatology, we recently evaluated a 65-year-old female who presented for ongoing hair loss that had been progressing for several years. During the same visit, she was also evaluated for changes affecting her fingernails.

Patient Presentation

The patient returned for follow-up after previously discussing treatment options for hair loss. She reported:

• Progressive hair thinning over several years

• Diffuse loss throughout the scalp

• Increased visibility of the scalp

• No prior aggressive treatment for hair restoration

A comprehensive scalp examination was performed using dermoscopy to evaluate the pattern and characteristics of hair loss.

Diagnosing Female Pattern Hair Loss

On examination, the patient's hair loss pattern was most consistent with androgenetic alopecia.

Common features of female pattern hair loss include:

• Diffuse thinning across the scalp

• Widening of the central part line

• Gradual progression over time

• Preservation of the frontal hairline

Because several hair loss conditions can appear similar, a scalp biopsy was discussed as an option to further confirm the diagnosis if needed.

Understanding Androgenetic Alopecia

Androgenetic alopecia is a genetically influenced condition that affects millions of women.

Unlike temporary shedding disorders, AGA typically causes:

• Progressive miniaturization of hair follicles

• Shorter hair growth cycles

• Decreased hair density

• Thinner individual hair strands

Without treatment, hair thinning often gradually worsens over time.

Reviewing Hair Restoration Treatment Options

A variety of treatment options were discussed during the consultation, including:

Oral Minoxidil

Low-dose oral minoxidil has become an increasingly popular option for female pattern hair loss.

Topical Minoxidil (Rogaine®)

Topical minoxidil remains one of the most commonly recommended first-line treatments.

Spironolactone

An anti-androgen medication frequently used in women experiencing hormonally influenced hair loss.

Finasteride

A medication that may be considered in select patients under appropriate medical supervision.

Low-Level Laser Therapy

Laser devices may help stimulate hair growth and improve hair density.

Microneedling

Microneedling may enhance scalp stimulation and improve treatment response.

Hair Transplantation

For advanced cases, surgical hair restoration may provide long-term improvement.

Platelet-Rich Plasma (PRP)

PRP utilizes the patient's own growth factors to stimulate dormant hair follicles and support hair regrowth.

Choosing Oral Minoxidil

After reviewing all available options, the patient elected to begin low-dose oral minoxidil therapy.

Oral minoxidil has gained popularity because:

• It is easy to take

• It avoids daily scalp application

• Many patients experience increased hair density

• It may improve overall hair growth consistency

The patient was prescribed oral minoxidil 2.5 mg daily.

Important Oral Minoxidil Side Effects

As with any medication, potential side effects were reviewed in detail.

Patients taking oral minoxidil should monitor for:

• Swelling of the feet or ankles

• Fluid retention

• Rapid heart rate

• Dizziness

• Lightheadedness

• Headaches

• Shortness of breath

• Unwanted facial or body hair growth

Patients should contact their dermatologist if any concerning symptoms develop.

Nail Changes: Diagnosing Onychomycosis

In addition to hair loss concerns, the patient reported changes involving her fingernails.

Examination revealed:

• Nail discoloration

• Nail lifting (onycholysis)

• Subungual debris

These findings were most consistent with onychomycosis, a fungal infection of the nails.

Treating Nail Fungus Conservatively

Although oral antifungal medications often provide the highest cure rates, treatment decisions must take into account a patient's overall health and medication regimen.

Because the patient was preparing to begin injections for osteoporosis and arthritis, topical treatment was selected initially.

The treatment plan included:

• Ketoconazole 2% cream applied daily

• Keeping nails trimmed short

• Vinegar soaks as supportive therapy

Oral antifungal therapy may be considered in the future if additional treatment becomes necessary.

Why Early Hair Loss Evaluation Matters

Hair loss is often easier to treat when addressed early.

Prompt evaluation can help:

• Identify the underlying cause

• Preserve existing hair density

• Slow progression

• Improve treatment outcomes

• Restore confidence

A personalized treatment plan is often the key to achieving the best results.

Expert Hair Loss Treatment in Katy and Houston

At Village Dermatology, we provide comprehensive evaluation and treatment for female pattern hair loss, androgenetic alopecia, scalp disorders, and nail conditions throughout Katy, Houston, and surrounding Texas communities.

Whether you're experiencing hair thinning, increased shedding, or nail changes, our dermatology team can help identify the cause and develop a customized treatment plan designed for your needs.

Irritated Skin Tag in the Armpit Successfully Removed: A Case Study from Village Dermatology

by: Dr. Ashley Baldree

Understanding Skin Tags and When They Need Treatment

Skin tags, also known as acrochordons, are among the most common benign skin growths seen in dermatology practices. While they are harmless and non-cancerous, skin tags can become irritated, painful, or bothersome when they rub against clothing, jewelry, or skin folds. At Village Dermatology, we frequently help patients throughout Katy and Houston, Texas safely remove symptomatic skin tags and improve their comfort and confidence.

Patient Presentation

A 41-year-old male presented to our clinic as a new patient with concerns about an irritated growth located in the right posterior axilla (armpit area). The lesion had become increasingly bothersome due to friction and irritation. The patient sought evaluation, diagnosis, and treatment options.

During the dermatologic examination, the scalp, face, head, and right axillary region were evaluated. The patient was otherwise healthy, well-developed, and in no acute distress.

Dermatologic Examination Findings

Examination revealed a pedunculated, skin-colored papule located in the right posterior axilla. The appearance was characteristic of a skin tag (acrochordon), a benign overgrowth of skin commonly found in areas where skin rubs together.

Skin tags most commonly occur in:

• Armpits (axillae)

• Neck

• Groin

• Eyelids

• Under the breasts

Although benign, these growths may become inflamed, irritated, or traumatized through daily activities.

Diagnosis

Skin Tag (Acrochordon) – ICD-10: L91.8

The lesion demonstrated classic clinical features of a benign skin tag and did not show concerning characteristics suggestive of skin cancer or atypical growth.

Treatment Discussion

The patient was counseled regarding the nature of skin tags and available treatment options.

Topics discussed included:

• Skin tags are benign growths and generally do not require treatment unless symptomatic.

• Friction from clothing can cause irritation and discomfort.

• Removal options include cryotherapy (liquid nitrogen), surgical excision, or snip removal.

• Potential risks of removal include bleeding, infection, pigment changes, pain, and rare scarring.

After reviewing the risks and benefits, the patient elected to proceed with cosmetic skin tag removal.

Procedure: Skin Tag Removal

Written informed consent was obtained prior to treatment.

The lesion was cleansed and prepared using standard sterile technique. Local anesthesia was achieved with 0.5 cc of 0.5% lidocaine with epinephrine (1:200,000) to ensure patient comfort.

The skin tag was then removed using a gradle excision technique. Hemostasis was successfully achieved with Drysol solution.

Procedure Summary

• Location: Right posterior axilla

• Number of skin tags removed: 1

• Anesthesia: Lidocaine with epinephrine

• Technique: Gradle excision

• Hemostasis: Drysol

• Outcome: Successful removal without complications

The patient tolerated the procedure well and was provided with routine wound care instructions.

Why Do Skin Tags Develop?

Although the exact cause is not fully understood, skin tags are associated with:

• Friction between skin surfaces

• Obesity

• Genetics

• Aging

• Insulin resistance and diabetes

• Hormonal changes

Because the armpits experience frequent friction and moisture, they are one of the most common locations for skin tag formation.

When Should You See a Dermatologist?

Patients should seek evaluation if a skin growth:

• Becomes irritated or painful

• Bleeds repeatedly

• Changes rapidly in size or color

• Gets caught on clothing or jewelry

• Causes cosmetic concerns

• Is difficult to identify

While most skin tags are harmless, a board-certified dermatologist can distinguish benign lesions from other growths that may require further evaluation.

Expert Skin Tag Removal in Katy and Houston, Texas

At Village Dermatology, we provide expert diagnosis and treatment of skin tags, moles, cysts, and other common skin growths. Whether your lesion is causing discomfort or you simply want cosmetic improvement, our experienced dermatology team offers safe and effective treatment options tailored to your needs.

If you have an irritated skin tag or another concerning skin growth, schedule an appointment with Village Dermatology for a professional evaluation.

Managing Adult Acne with Accutane: What Happens During Month 6 of Treatment?

by: Dr. Caroline Vaughn

Advanced Acne Treatment in Katy and Houston, Texas

For many adults, acne can persist well beyond the teenage years. When traditional treatments fail to provide adequate improvement, isotretinoin (commonly known as Accutane®) may offer a highly effective solution.

At Village Dermatology, we recently followed a 25-year-old female patient during her sixth month of isotretinoin therapy for persistent facial acne. Her case highlights both the effectiveness of treatment and the importance of managing common side effects along the way.

Patient Progress During Month 6 of Accutane

The patient returned for a focused follow-up appointment after completing six months of isotretinoin treatment.

At this visit, she reported:

• Overall improvement in acne

• Only a few minor breakouts during the previous month

• Continued adherence to a gentle skincare routine

• Good tolerance of medication

Her skincare regimen included:

• Gentle facial cleanser

• Cetaphil® moisturizer

• Consistent moisturizing practices

Given her positive response, isotretinoin therapy was continued at 80 mg daily.

Common Side Effects During Accutane Therapy

Although isotretinoin is one of the most effective acne treatments available, side effects are common and require ongoing monitoring.

This patient experienced two frequently encountered side effects:

Cheilitis (Dry Lips)

Dry, cracked lips are among the most common isotretinoin-related side effects.

To improve comfort, we recommended:

• Frequent application of Vaseline®

• Aquaphor® throughout the day

• Lip moisturization before bedtime

Most patients experience significant improvement with diligent moisturizing.

Nosebleeds (Epistaxis)

The patient also reported occasional nosebleeds.

Because isotretinoin can dry the nasal passages, saline nasal mist was recommended multiple times daily to maintain moisture and reduce irritation.

Fortunately, she denied more serious side effects including:

• Depression

• Severe skin dryness

• Headaches

• Muscle aches

• Elevated cholesterol

• Elevated triglycerides

Why Monthly Monitoring Is Essential

Isotretinoin is considered a high-risk medication and requires close supervision.

At each follow-up visit, patients undergo evaluation for:

• Medication effectiveness

• Side effects

• Laboratory monitoring when indicated

• Pregnancy prevention compliance

For female patients, pregnancy prevention remains critically important due to the risk of severe birth defects associated with isotretinoin exposure during pregnancy.

During this visit:

• A urine pregnancy test was performed

• The result was negative

• Contraception methods were reviewed

• iPLEDGE requirements were confirmed

The patient reported using:

• Birth control pills (primary method)

• Male latex condoms (secondary method)

These measures help ensure treatment remains safe and compliant with federal isotretinoin regulations.

When Acne and Periorificial Dermatitis Overlap

During the examination, the patient also exhibited acneiform papules and pustules around the lower cheeks and facial folds.

These lesions were concerning for:

• Periorificial dermatitis

• Rosacea-related inflammation

Because periorificial dermatitis can mimic acne, proper diagnosis is important for selecting effective treatment.

What Is Periorificial Dermatitis?

Periorificial dermatitis is a chronic inflammatory skin condition that commonly affects areas around:

• The mouth

• The nose

• The eyes

Symptoms may include:

• Small red bumps

• Acne-like pustules

• Burning or irritation

• Recurrent facial flares

Triggers often include:

• Heavy cosmetics

• Topical steroid use

• Fluorinated toothpaste

• Sun exposure

• Wind exposure

Additional Treatment with Metronidazole Cream

To address the persistent facial bumps, topical metronidazole 0.75% cream was prescribed.

Metronidazole is frequently used to treat:

• Periorificial dermatitis

• Rosacea

• Facial inflammatory eruptions

Patients are advised to:

• Use gentle skincare products

• Avoid irritating cosmetics

• Wear broad-spectrum sunscreen daily

• Use non-comedogenic moisturizers

With consistent treatment, many patients experience gradual improvement over several weeks.

The Importance of a Personalized Acne Treatment Plan

Acne treatment is rarely one-size-fits-all.

Many patients require adjustments throughout treatment based on:

• Skin response

• Side effects

• Coexisting skin conditions

• Long-term treatment goals

This patient's continued improvement demonstrates how close monitoring and individualized care can help achieve clearer skin while maintaining safety.

Expert Acne and Accutane Care in Katy and Houston

At Village Dermatology, we provide comprehensive acne treatment for teenagers and adults throughout Katy, Houston, and surrounding Texas communities.

Whether you are struggling with persistent acne, hormonal acne, rosacea, or periorificial dermatitis, our dermatology team can create a personalized treatment plan designed to help you achieve healthier, clearer skin.

Schedule a consultation today to learn more about your treatment options.

Treating Precancerous Sun Damage with Photodynamic Therapy (PDT): A Patient Success Story

by: Dr. Ashley Baldree

Advanced Actinic Keratosis Treatment in Katy and Houston, Texas

Years of sun exposure can lead to the development of rough, scaly spots known as actinic keratoses (AKs). These precancerous lesions are extremely common and can increase the risk of developing certain forms of skin cancer if left untreated.

At Village Dermatology, we recently followed a 66-year-old patient undergoing her second session of Photodynamic Therapy (PDT) to treat widespread actinic keratoses affecting the face, nose, and lips.

Patient Presentation

The patient returned for her second PDT treatment after previously undergoing red-light photodynamic therapy several weeks earlier.

She had a history of multiple actinic keratoses located on:

• The face

• The nose

• The lips

These lesions appeared as rough, erythematous patches with overlying scale—classic features of sun-damaged precancerous skin.

Prior treatments included cryotherapy, but due to the extent of sun damage, field treatment with PDT was recommended.

What Are Actinic Keratoses?

Actinic keratoses are rough, scaly growths caused by cumulative ultraviolet (UV) damage from years of sun exposure.

They commonly develop on:

• Face

• Nose

• Lips

• Ears

• Scalp

• Chest

• Forearms

• Hands

Although many AKs remain stable, some can progress into squamous cell carcinoma, making early treatment important.

Why Photodynamic Therapy Is an Excellent Treatment Option

Photodynamic Therapy (PDT) treats not only visible actinic keratoses but also microscopic sun damage that may not yet be visible.

Benefits of PDT include:

• Treatment of large areas of damaged skin

• Improved skin texture and tone

• Reduction of precancerous lesions

• Minimal downtime compared to surgery

• Excellent cosmetic outcomes

For patients with extensive sun damage, PDT often provides a more comprehensive approach than treating individual lesions one at a time.

PDT Treatment Session #2

During this visit, the patient underwent her second session of red-light PDT.

Preparation

Before treatment, hyperkeratotic lesions were gently curetted to remove excess scale and improve medication penetration.

The treatment area was then cleansed and prepared.

Application of Ameluz®

One tube of Ameluz® (aminolevulinic acid gel) was applied to the:

• Face

• Nose

• Lips

The medication selectively accumulates within abnormal sun-damaged cells.

Red-Light Illumination

Following application, the treatment area was exposed to a 635 nm red LED light source for 30 minutes.

Activation of the medication produces a photochemical reaction that destroys precancerous cells while minimizing injury to surrounding healthy tissue.

What Patients Can Expect After PDT

Patients commonly experience temporary reactions following treatment, including:

• Redness

• Mild swelling

• Burning or stinging sensations

• Crusting

• Peeling

• Sunburn-like discomfort

These reactions are expected and indicate that the treatment is working.

Most patients notice gradual improvement over the following days to weeks.

Critical Post-Treatment Instructions

Sun avoidance is extremely important after PDT.

Patients are instructed to:

• Avoid direct sunlight for 48 hours

• Wear protective hats and clothing

• Use broad-spectrum sunscreen

• Remain indoors when possible during the immediate recovery period

Sun exposure during this timeframe can significantly increase discomfort and inflammation.

Why Full Face Treatment Matters

Many patients have extensive sun damage beyond the lesions that are visible to the naked eye.

Field therapy with PDT helps address:

• Visible actinic keratoses

• Early precancerous changes

• Subclinical sun damage

• Future lesion development

This comprehensive treatment strategy often results in healthier skin and fewer future procedures.

Skin Cancer Prevention Starts Early

Actinic keratoses serve as a warning sign that significant UV damage has occurred.

Patients with AKs should:

• Schedule regular skin examinations

• Perform monthly skin self-checks

• Wear daily sunscreen SPF 30+

• Avoid tanning beds

• Seek evaluation for any changing lesions

Early detection and treatment remain the most effective strategies for preventing skin cancer.

Expert PDT Treatment in Katy and Houston

At Village Dermatology, we offer advanced Photodynamic Therapy (PDT), cryotherapy, skin cancer screenings, and comprehensive treatment for actinic keratoses throughout Katy, Houston, and surrounding Texas communities.

If you have rough, scaly spots that may represent sun damage or precancerous lesions, schedule an appointment with our dermatology team to learn whether PDT may be right for you.

Itchy Scalp for Months? Understanding Scalp Psoriasis and Seborrheic Dermatitis

by: Dr. Ashley Baldree

Chronic Scalp Itching in Katy and Houston, Texas

An itchy scalp can be frustrating, uncomfortable, and difficult to manage without an accurate diagnosis. While many people assume dandruff is the cause, persistent scalp itching may actually be related to inflammatory skin conditions such as scalp psoriasis or seborrheic dermatitis.

At Village Dermatology, we recently evaluated an 82-year-old patient who presented with months of persistent scalp itching and scaling.

Patient Presentation

The patient came to our clinic for evaluation of an itchy scalp that had been present for several months. He reported:

• Persistent scalp itching

• Ongoing scalp irritation

• Moderate symptoms

• No previous dermatologic treatment

Because chronic scalp conditions can have overlapping symptoms, a comprehensive examination was performed.

Dermatologic Examination

A detailed scalp examination was completed, including dermoscopic evaluation and hair inspection.

During the examination, findings suggested either:

• Localized scalp psoriasis

• Seborrheic dermatitis

Although both conditions can appear similar, additional nail findings observed during the visit favored a diagnosis of psoriasis.

The patient denied experiencing any joint pain or symptoms suggestive of psoriatic arthritis at this time.

What Is Scalp Psoriasis?

Scalp psoriasis is a chronic autoimmune skin condition that causes inflammation and rapid skin cell turnover.

Common symptoms include:

• Persistent itching

• Thick scaling

• Red or pink plaques

• Flaking that resembles severe dandruff

• Dryness and irritation

The condition can affect small isolated areas of the scalp or involve larger portions of the scalp surface.

How Is Scalp Psoriasis Different from Dandruff?

Many patients confuse scalp psoriasis with dandruff or seborrheic dermatitis because the symptoms can overlap.

Seborrheic Dermatitis

Typically causes:

• Greasy scales

• Mild redness

• Flaking

• Intermittent itching

Scalp Psoriasis

Often causes:

• Thicker scaling

• More defined plaques

• Persistent itching

• Associated nail changes

• Potential joint involvement

A dermatologic examination is often necessary to distinguish between the two conditions.

Why Monitoring for Psoriatic Arthritis Is Important

Psoriasis affects more than just the skin.

Some patients may eventually develop psoriatic arthritis, an inflammatory joint condition associated with psoriasis.

Symptoms can include:

• Joint pain

• Morning stiffness

• Swelling of fingers or toes

• Reduced mobility

Because early treatment improves outcomes, patients with psoriasis should notify their dermatologist if joint symptoms develop.

Treatment Plan

To help control inflammation and itching, a customized treatment plan was initiated.

Derma-Smoothe® Scalp Oil

A topical corticosteroid oil was prescribed to reduce inflammation and relieve itching during active flares.

Benefits include:

• Rapid itch relief

• Reduction of scalp inflammation

• Improved comfort during flare-ups

Ketoconazole 2% Shampoo

Ketoconazole shampoo was also prescribed to address scalp scaling and inflammation.

Patients were instructed to:

• Apply to the scalp

• Allow the shampoo to remain in place for five minutes

• Rinse thoroughly

• Use two to three times weekly

This therapy can be beneficial for both seborrheic dermatitis and inflammatory scalp conditions.

Additional Scalp Care Recommendations

Patients with chronic scalp conditions may also benefit from:

• Regular moisturizing treatments

• Medicated shampoos

• Tar-based shampoos

• Selenium sulfide shampoos

• Zinc pyrithione shampoos

Consistent scalp care often helps reduce flare frequency and improve symptom control.

Understanding the Chronic Nature of Scalp Conditions

Both scalp psoriasis and seborrheic dermatitis are chronic conditions characterized by periods of improvement and flare-ups.

Common triggers include:

• Emotional stress

• Illness

• Weather changes

• Skin irritation

• Inconsistent treatment

Long-term management often focuses on controlling symptoms and minimizing recurrences.

Expert Scalp Psoriasis Treatment in Katy and Houston

At Village Dermatology, we diagnose and treat scalp psoriasis, seborrheic dermatitis, dandruff, eczema, and other inflammatory skin conditions for patients throughout Katy, Houston, and surrounding Texas communities.

If you are experiencing persistent scalp itching, flaking, or irritation that is not improving with over-the-counter products, our dermatology team can help identify the cause and create a personalized treatment plan.

Early Acne Treatment in Teens: Why Starting the Right Skincare Routine Matters

by: Dr. Caroline Vaughn

Teen Acne Treatment in Katy and Houston, Texas

Acne is one of the most common skin conditions affecting teenagers. While acne often begins with occasional whiteheads and pimples, early treatment can help prevent progression to more severe inflammatory acne and reduce the risk of permanent scarring.

At Village Dermatology, we recently evaluated a 14-year-old patient who presented for treatment of facial acne that had been developing over several months.

Patient Presentation

The patient came to our clinic with concerns about acne affecting both cheeks. He reported:

• Whiteheads

• Pimples

• Breakouts present for several months

• Acne limited primarily to the face

Prior to his visit, he had been using a gentle facial cleanser but had not started prescription acne therapy.

Like many parents, his father was interested in products with favorable safety and ingredient ratings and wanted to establish an effective skincare routine before the acne became more severe.

Understanding Teenage Acne

Acne develops when hair follicles become clogged with oil, dead skin cells, and bacteria.

Several factors contribute to acne formation, including:

• Hormonal changes during puberty

• Increased oil production

• Inflammation within the skin

• Bacterial overgrowth

• Genetic predisposition

Without treatment, mild acne can sometimes progress to more widespread inflammatory lesions and even permanent acne scarring.

Dermatology Examination Findings

A focused facial examination was performed.

The patient demonstrated acne lesions involving the central portions of both cheeks, including:

• Comedonal acne (whiteheads and clogged pores)

• Early inflammatory papules

Fortunately, there was no evidence of severe cystic acne or acne scarring at this time.

Because treatment was started early, the goal was to control inflammation and prevent disease progression.

Building an Effective Acne Treatment Plan

After discussing treatment options, a customized skincare regimen was developed.

The treatment plan included:

Morning Routine

Benzoyl Peroxide Wash

A benzoyl peroxide cleanser helps reduce acne-causing bacteria and decrease inflammation.

Clindamycin 1% Gel

Topical clindamycin was prescribed for daily morning use.

Benefits include:

• Reducing acne-causing bacteria

• Improving inflammatory lesions

• Helping prevent future breakouts

Daily Moisturizer with SPF 30+

Sun protection remains an essential component of every acne treatment program.

Evening Routine

Gentle Cleanser

A non-irritating cleanser helps remove oil and debris without damaging the skin barrier.

Tretinoin 0.025% Cream

Tretinoin is considered one of the most effective topical medications for acne treatment.

It works by:

• Unclogging pores

• Increasing cell turnover

• Preventing new acne formation

• Improving overall skin texture

Patients typically begin applying tretinoin two to three nights per week before gradually increasing to nightly use as tolerated.

Moisturizer

Regular moisturizing helps minimize dryness and irritation that may occur during the adjustment period.

What Results Can Patients Expect?

One of the most important parts of acne treatment is setting realistic expectations.

Many patients begin treatment expecting immediate improvement, but acne medications require time to work.

Most patients notice:

• Early improvements within several weeks

• Significant improvement after two to three months

• Continued progress with consistent treatment

Many dermatology studies demonstrate approximately 60% to 80% improvement after several months of proper therapy.

Moisturizers Recommended for Acne-Prone Skin

To help maintain a healthy skin barrier, several dermatologist-recommended moisturizers were discussed, including:

• Vanicream Daily Facial Moisturizer

• CeraVe PM Facial Moisturizing Lotion

• La Roche-Posay Toleriane Double Repair Moisturizer

• Avène Cicalfate

• Kiehl's Ultra Facial Cream

These products are generally non-comedogenic and suitable for acne-prone skin.

Why Early Treatment Is Important

Treating acne early can provide several benefits:

• Prevent worsening inflammation

• Reduce the risk of acne scarring

• Improve self-confidence

• Establish healthy skincare habits

• Minimize future treatment needs

The earlier acne is addressed, the easier it is often to achieve long-term control.

Expert Teen Acne Care in Katy and Houston

At Village Dermatology, we specialize in treating acne in children, teenagers, and adults throughout Katy, Houston, and surrounding Texas communities.

Whether you're dealing with early breakouts, persistent acne, cystic acne, or acne scarring, our team can develop a customized treatment plan tailored to your skin type and goals.

If your child or teenager is struggling with acne, schedule an appointment with Village Dermatology to begin an effective treatment program and achieve healthier, clearer skin.

"Why Is My Hair Getting Thinner Even Though I'm Healthy?"

by: Dr. Ashley Baldree

A Real Patient Case of Female Pattern Hair Loss in Katy and Houston, Texas

One of the most common concerns women bring to Village Dermatology is:

"Why is my hair getting thinner even though I'm healthy?"

Hair thinning can be emotionally distressing, especially when it occurs gradually over time without an obvious cause. Many women are surprised to learn that female pattern hair loss, also known as androgenetic alopecia, is extremely common and often highly treatable when addressed early.

This patient case highlights how a personalized treatment approach can help women preserve and potentially improve hair density.

Patient Presentation

A 39-year-old woman presented to Village Dermatology for follow-up evaluation of ongoing hair thinning.

She had previously been diagnosed with androgenetic alopecia, a common cause of hair loss in women characterized by gradual thinning over the crown and top of the scalp.

The patient reported progressive thinning involving the mid-scalp and crown region and wanted to discuss current and emerging treatment options available for long-term management.

What Is Female Pattern Hair Loss?

Female pattern hair loss is a hereditary condition that causes hair follicles to gradually shrink over time.

Unlike sudden hair loss conditions, androgenetic alopecia typically develops slowly and may present as:

• Widening of the hair part

• Reduced hair density

• Increased scalp visibility

• Diffuse thinning at the crown

• Excessive hair shedding

Although genetics play a major role, hormonal influences can also contribute.

Examination Findings

During examination, diffuse non-scarring hair thinning was noted on the posterior mid-parietal scalp.

Importantly, there was no evidence of scarring, inflammation, or permanent follicle destruction.

This finding is encouraging because non-scarring forms of hair loss often respond better to treatment when addressed early.

Understanding Hair Growth Treatment Options

During the visit, a comprehensive discussion was held regarding available therapies for androgenetic alopecia.

Oral Minoxidil

Oral minoxidil has become increasingly popular for female pattern hair loss.

Benefits may include:

• Increased hair density

• Reduced shedding

• Improved hair thickness

• Enhanced growth cycle support

Patients should understand that improvement typically requires several months of consistent treatment.

Finasteride

Finasteride may be considered in select female patients under physician supervision.

This medication works by reducing the effects of hormones that contribute to follicle miniaturization.

Careful counseling is required because finasteride is not appropriate during pregnancy due to the risk of birth defects.

Nutritional Supplements

Hair growth supplements such as:

• Nutrafol

• Viviscal

• Vitamin D (when indicated)

may help support overall follicular health in some patients.

Low-Level Laser Therapy (LLLT)

Low-level laser therapy uses light energy to stimulate hair follicles and may help improve density when used consistently.

Platelet-Rich Plasma (PRP)

PRP therapy has become one of the most requested hair restoration treatments.

During PRP treatment:

1. A small amount of blood is drawn.

2. Growth factors are concentrated.

3. The growth factor-rich plasma is injected into the scalp.

These growth factors may help stimulate dormant follicles and reduce shedding.

Stem Cell Hair Restoration

Advanced regenerative therapies continue to evolve.

Stem cell-based treatments aim to deliver highly concentrated growth factors to the scalp and may offer future options for patients seeking additional hair restoration solutions.

Why Early Treatment Matters

Hair follicles affected by androgenetic alopecia become progressively smaller over time.

The earlier treatment begins, the greater the opportunity to:

• Preserve existing hair

• Slow progression

• Improve density

• Reduce future hair loss

Waiting until substantial thinning occurs may limit the effectiveness of available therapies.

Hair Loss Results Take Time

One of the most important discussions during the visit involved setting realistic expectations.

Most hair loss treatments require:

• 3 to 6 months before noticeable improvement

• Ongoing maintenance

• Consistent use

Hair restoration is a long-term commitment rather than an overnight solution.

Acne Management Remained Stable

In addition to addressing hair loss, the patient also discussed her acne management.

She reported excellent control using:

• Arazlo®

• Dapsone gel

• Winlevi®

The patient was satisfied with her results and continued her current regimen.

Expert Hair Loss Treatment in Katy and Houston, Texas

Hair thinning affects millions of women and can significantly impact confidence and quality of life.

At Village Dermatology, we provide comprehensive evaluation and treatment for:

• Female pattern hair loss

• Hair shedding

• Hormonal hair loss

• Scalp disorders

• Hair restoration therapies

Whether you're interested in oral medications, PRP, regenerative treatments, or customized hair restoration plans, our team can help identify the best approach for your specific needs.

If you've noticed thinning hair, increased shedding, or widening of your hair part, schedule an evaluation with Village Dermatology in Katy or Houston, Texas and learn about the latest treatment options available today.

"Can a Chemical Peel Help My Acne and Acne Dark Spots?"

by: Dr. Ashley Baldree

A Real Patient Case from Village Dermatology in Katy and Houston, Texas

One of the most common questions dermatologists hear is:

"Can a chemical peel help my acne and acne dark spots?"

For many adults struggling with persistent acne, the answer may be yes. Chemical peels can be an excellent addition to a comprehensive acne treatment plan, helping improve active breakouts, clogged pores, and post-inflammatory hyperpigmentation.

At Village Dermatology, we recently treated a 33-year-old woman who was looking to improve both her acne and the pigmentation left behind from previous breakouts.

Patient Presentation

A 33-year-old female presented for follow-up treatment of moderate facial acne that had been present for several years.

Her primary concerns included:

• Active pimples

• Persistent clogged pores

• Acne-related pigmentation

• Uneven skin tone

Despite using prescription skincare products, she was interested in additional treatments that could accelerate improvement and enhance her overall complexion.

Understanding Adult Female Acne

Acne is not just a teenage problem.

Many women continue to experience breakouts into their 30s, 40s, and beyond due to factors such as:

• Hormonal fluctuations

• Genetics

• Stress

• Skincare products

• Inflammation

• Environmental factors

Adult acne often presents with:

• Blackheads

• Whiteheads

• Inflammatory papules

• Pustules

• Post-inflammatory hyperpigmentation (dark marks)

In this patient's case, both active acne lesions and pigmentation were contributing to her concerns.

Examination Findings

During examination, multiple acne lesions were noted on the face, including:

• Comedonal papules (clogged pores)

• Inflammatory papules

• Pustules

These findings were consistent with moderate acne vulgaris.

Treatment Approach

The patient was advised to temporarily simplify her skincare routine with gentle skin care for one week following treatment.

After healing, she was instructed to resume:

• Tretinoin 0.05%

• Azelaic acid

• Daily broad-spectrum sunscreen

This combination helps improve acne, pigmentation, and overall skin texture.

Chemical Peel Treatment

As part of her acne treatment plan, a professional chemical peel was performed.

Modified Jessner Peel

The first pass utilized a Modified Jessner solution.

Modified Jessner peels help:

• Exfoliate dead skin cells

• Improve acne

• Reduce pore congestion

• Enhance skin texture

• Promote brighter skin tone

30% Salicylic Acid Peel

The second pass included a 30% salicylic acid peel.

Salicylic acid is particularly beneficial for acne-prone skin because it:

• Penetrates oil glands

• Dissolves pore congestion

• Reduces inflammation

• Improves active breakouts

• Helps prevent future acne lesions

The combination of these two peeling agents provides a powerful treatment for acne and acne-related discoloration.

Benefits of Chemical Peels for Acne

Many patients notice improvements in:

Fewer Breakouts

Chemical peels help unclog pores and reduce acne-causing congestion.

Brighter Skin Tone

Peels accelerate skin cell turnover, helping fade acne marks and pigmentation.

Improved Skin Texture

Exfoliation can create smoother, healthier-looking skin.

Enhanced Skincare Results

Prescription treatments such as tretinoin and azelaic acid often work more effectively when combined with professional treatments.

Importance of Sun Protection After a Chemical Peel

Following any chemical peel, sun protection is critical.

Patients should:

• Avoid direct sun exposure

• Wear SPF 30+ sunscreen daily

• Reapply sunscreen regularly

• Wear hats and protective clothing outdoors

This is especially important in sunny climates like Katy and Houston, Texas.

Proper sun protection helps prevent unwanted pigmentation and supports optimal healing.

Is a Chemical Peel Right for Your Acne?

Chemical peels can be highly effective for patients experiencing:

• Active acne

• Blackheads

• Whiteheads

• Acne scarring

• Acne pigmentation

• Uneven skin texture

The best treatment plan depends on your skin type, acne severity, and skincare goals.

A consultation with a board-certified dermatologist can help determine whether a chemical peel is an appropriate option for you.

Expert Acne Treatment in Katy and Houston, Texas

At Village Dermatology, we offer customized acne treatment plans that may include:

• Prescription medications

• Chemical peels

• Medical-grade skincare

• Laser treatments

• Acne scar treatments

Our goal is to help patients achieve clearer, healthier skin through personalized dermatologic care.

If you're struggling with acne, acne scarring, or post-inflammatory hyperpigmentation, schedule a consultation with Village Dermatology and learn what treatment options may be right for you.

"Why Does My Scalp Rash Keep Coming Back Even After Treatment?"

by: Dr. Caroline Vaughn

A Real Patient Case of Allergic Contact Dermatitis and Seborrheic Dermatitis in Katy, Texas

At Village Dermatology, one of the most common questions we hear from patients in Katy and Houston is:

"Why does my scalp rash keep coming back even after treatment?"

Scalp itching, redness, flaking, and recurring rashes can be frustrating and often have more than one underlying cause. A recent patient case demonstrates how identifying triggers and following a targeted treatment plan can dramatically improve symptoms.

Patient Presentation

A 62-year-old woman returned to Village Dermatology for follow-up evaluation of two chronic skin conditions:

• Seborrheic dermatitis affecting the scalp

• Allergic contact dermatitis involving the scalp, forehead, ears, and neck

At her previous visit, she had been experiencing significant scalp irritation, itching, redness, and rash-like patches extending beyond the scalp onto surrounding skin.

Initial Treatment Plan

To address inflammation and scaling, the patient was prescribed:

For Seborrheic Dermatitis

• Ketoconazole 2% shampoo

• Clobetasol 0.05% scalp solution

For Allergic Contact Dermatitis

• Prednisone taper

• Tacrolimus 0.1% ointment

She was also instructed to avoid potential irritants and carefully monitor any products coming into contact with her scalp and skin.

Significant Improvement at Follow-Up

At her follow-up appointment, the patient reported substantial improvement.

Most of the rash had resolved, and she was largely clear except for a few residual bumps on the scalp.

The most important discovery during the visit was identifying a likely trigger.

The patient noticed that flare-ups seemed to occur after using a volumizing hair product recommended by her salon.

After discontinuing the product, her symptoms improved significantly.

This finding strongly suggested that the product may have been contributing to her allergic contact dermatitis.

What Is Allergic Contact Dermatitis?

Allergic contact dermatitis occurs when the immune system reacts to a substance that comes into contact with the skin.

Common triggers include:

• Hair care products

• Fragrances

• Preservatives

• Cosmetics

• Sunscreens

• Metals

• Nail products

• Essential oils

Symptoms may include:

• Redness

• Itching

• Burning

• Scaling

• Swelling

• Eczema-like patches

In this patient, well-defined eczematous patches affected multiple areas around the scalp and neck, making a product-related allergy highly suspicious.

Why Hair Products Are Common Culprits

Many patients are surprised to learn that shampoos, conditioners, hairsprays, volumizers, and styling products can trigger allergic reactions.

Ingredients commonly associated with reactions include:

• Fragrances

• Preservatives

• Formaldehyde-releasing agents

• Propylene glycol

• Botanical extracts

• Hair dye chemicals

When symptoms repeatedly occur after using a specific product, avoiding the suspected trigger is often one of the most effective treatments.

What Is Seborrheic Dermatitis?

Seborrheic dermatitis is a chronic inflammatory condition that commonly affects:

• Scalp

• Eyebrows

• Ears

• Nasolabial folds

• Beard area

Symptoms often include:

• Flaking

• Dandruff

• Itching

• Redness

• Scalp irritation

Unlike allergic contact dermatitis, seborrheic dermatitis is not caused by an allergy. Instead, it is believed to result from a combination of:

• Skin oil production

• Yeast overgrowth

• Genetic predisposition

• Immune responses

• Stress

Managing Seborrheic Dermatitis Long-Term

Because seborrheic dermatitis is chronic, patients should expect periods of improvement and occasional flare-ups.

Treatment commonly includes:

• Ketoconazole shampoo

• Selenium sulfide shampoos

• Zinc pyrithione shampoos

• Topical corticosteroids

• Anti-inflammatory medications

For this patient, continued use of ketoconazole shampoo and intermittent clobetasol solution helped maintain control of symptoms.

When Should Patch Testing Be Considered?

Patch testing may be recommended when:

• Rashes repeatedly return

• The trigger remains unclear

• Multiple products are suspected

• Standard treatments provide only temporary relief

Patch testing helps identify specific allergens responsible for skin reactions and can be extremely valuable for patients with recurrent dermatitis.

Protecting Aging Skin During Treatment

During the visit, the patient also discussed concerns regarding sun damage and facial aging.

Signs of photoaging included:

• Sun spots

• Pigmentation changes

• Loss of skin elasticity

To address these concerns, tretinoin cream was prescribed along with recommendations for daily broad-spectrum sunscreen use.

Consistent sun protection remains one of the most effective strategies for preventing premature skin aging in Texas.

Key Takeaways From This Case

This patient's improvement highlights several important lessons:

• Chronic scalp rashes often have multiple contributing factors.

• Hair care products can trigger allergic contact dermatitis.

• Seborrheic dermatitis requires long-term management.

• Identifying triggers is essential for preventing recurrence.

• Patch testing can be valuable when symptoms persist.

• Daily sun protection helps improve overall skin health.

Expert Treatment for Scalp Conditions in Katy and Houston

If you are experiencing persistent scalp itching, flaking, redness, or recurrent rashes, the dermatology specialists at Village Dermatology can help determine the underlying cause and develop a personalized treatment plan.

Whether your symptoms are caused by seborrheic dermatitis, allergic contact dermatitis, or another skin condition, early diagnosis can help prevent ongoing discomfort and improve your quality of life.

Village Dermatology proudly serves patients throughout Katy, Houston, and surrounding Texas communities with comprehensive medical, surgical, and cosmetic dermatology services.

"Doctor, Should I Be Worried About This Mole on My Arm?"

by: Dr. Ashley Baldree

A Full Body Skin Exam Reveals Common Benign Skin Growths in a Young Texas Patient

At Village Dermatology, one of the most common questions we hear from patients in Katy and Houston is:

"Doctor, should I be worried about this mole on my arm?"

A recent patient visit highlights why routine skin examinations are an important part of maintaining healthy skin and why many seemingly concerning lesions turn out to be completely benign.

Patient Case Overview

A 31-year-old woman presented to Village Dermatology for her annual full body skin examination. She had several skin lesions she wanted evaluated, including spots on her left upper arm and left lower leg.

Although the lesions were not causing pain, itching, or bleeding, she wanted reassurance that they were not dangerous and sought a comprehensive skin cancer screening.

Comprehensive Skin Examination

A thorough full body skin examination was performed, including evaluation of:

• Scalp and hair

• Face and neck

• Chest and abdomen

• Back

• Arms and legs

• Hands and feet

• Nails

• Other skin surfaces

A dermatoscope was utilized to closely examine pigmented lesions and identify features that may indicate skin cancer or other concerning changes.

Findings: Benign Nevi (Moles)

The primary lesion of concern on the left upper arm measured approximately 6.5 mm and demonstrated reassuring features:

• Symmetrical appearance

• Regular borders

• Even pigmentation

• Stable clinical appearance

The lesion was diagnosed as a benign nevus (common mole).

Benign nevi are collections of pigment-producing cells called melanocytes. Most adults develop multiple moles throughout their lifetime, and the vast majority are harmless.

Additional Benign Findings

During the examination, several other common benign skin conditions were identified.

Seborrheic Keratoses

A waxy, pigmented growth on the trunk was diagnosed as a seborrheic keratosis.

These growths are:

• Extremely common

• Non-cancerous

• Often hereditary

• More common with age

Many patients mistake seborrheic keratoses for skin cancer because they can appear dark, raised, and irregular.

Lentigines (Sun Spots)

The patient also demonstrated lentigines, commonly called:

• Age spots

• Sun spots

• Liver spots

These develop due to cumulative ultraviolet (UV) exposure and are especially common in sunny climates like Katy and Houston.

While benign, they serve as a reminder that the skin has experienced sun damage over time.

Cherry Angiomas

Multiple cherry angiomas were noted during the examination.

These bright red vascular growths are:

• Benign

• Extremely common

• Typically increase with age

• Not associated with skin cancer

Dermatofibroma

A dermatofibroma was identified on the left upper back.

Dermatofibromas are firm, scar-like nodules that often develop following minor trauma such as:

• Insect bites

• Ingrown hairs

• Small cuts or scratches

These lesions are benign and usually require no treatment unless they become symptomatic.

Changes in Skin Texture

The patient also had an area of altered skin texture on the forehead. While no definitive diagnosis was established during the visit, conservative management with moisturization and topical tretinoin therapy was initiated.

Close monitoring was recommended to ensure no progression occurs.

Why Annual Skin Exams Matter

Many patients assume they only need a skin examination if they have a suspicious lesion. However, routine skin checks provide several important benefits:

• Early detection of melanoma

• Identification of precancerous lesions

• Monitoring of changing moles

• Education regarding sun protection

• Peace of mind regarding benign growths

Even younger adults can develop skin cancer, making periodic skin examinations an important preventive healthcare measure.

How to Monitor Moles at Home

Patients are encouraged to perform monthly self-skin examinations using the ABCDE rule:

A – Asymmetry
One half differs from the other.

B – Border
Edges are irregular or poorly defined.

C – Color
Multiple colors or uneven pigmentation.

D – Diameter
Larger than 6 mm or increasing in size.

E – Evolving
Any change in appearance, symptoms, or behavior.

If a mole changes in size, shape, color, begins itching, bleeding, or becomes painful, evaluation by a board-certified dermatologist is recommended.

Protecting Your Skin in Texas

Residents of Katy and Houston experience significant UV exposure throughout the year. Consistent sun protection remains one of the most effective ways to prevent skin cancer and premature aging.

Recommended sun safety measures include:

• Daily broad-spectrum SPF 30 or higher sunscreen

• Reapplication every two hours outdoors

• Sun-protective clothing

• Wide-brimmed hats

• UV-blocking sunglasses

• Seeking shade during peak sunlight hours

Expert Skin Cancer Screening in Katy and Houston

At Village Dermatology, we provide comprehensive skin cancer screenings, mole evaluations, and personalized dermatologic care for patients throughout Katy, Houston, and surrounding communities.

If you have a mole or skin lesion that concerns you, scheduling a professional skin examination can provide reassurance and help identify potential problems early.

Our goal is to help every patient maintain healthy skin through prevention, education, and expert dermatologic care.

Treating Stubborn Plantar Warts in Children: A Follow-Up Success Story

by: Dr. Ashley Baldree

Pediatric Wart Treatment in Katy and Houston, Texas

Plantar warts are a common skin condition in children and can often be frustrating for both patients and parents. These warts develop on the feet and are caused by infection with the human papillomavirus (HPV). While many warts eventually resolve on their own, treatment is often recommended when they become persistent, uncomfortable, or continue to spread.

At Village Dermatology, we recently followed a young patient who returned for ongoing treatment of a plantar wart located on the arch of her foot.

Patient Presentation

A 7-year-old female returned for follow-up evaluation of a verruca vulgaris (common wart) located on the right arch of her foot.

At her previous visit, treatment included:

• Careful paring of the wart with a surgical blade

• Liquid nitrogen cryotherapy (LN2)

• Instructions to begin over-the-counter salicylic acid wart bandages at home

The patient and her mother returned for reevaluation to assess treatment progress.

Why Plantar Warts Can Be Difficult to Treat

Plantar warts develop on weight-bearing areas of the foot, making them particularly stubborn.

Factors that contribute to persistent plantar warts include:

• Pressure from walking and standing

• Thick skin on the soles of the feet

• Deep extension of wart tissue

• Ongoing viral activity within the skin

Because of these factors, multiple treatment sessions are often necessary to achieve complete clearance.

Follow-Up Examination

During the visit, a comprehensive examination of the patient's right foot was performed.

Although the wart had been previously treated, examination revealed that the lesion remained present on the right arch.

The patient and her mother discussed available treatment options, including:

Repeat Cryotherapy (Liquid Nitrogen)

Cryotherapy freezes the wart tissue and stimulates the body's immune system to help eliminate the viral infection.

Cantharidin Therapy

Cantharidin is a blistering agent frequently used in pediatric dermatology to treat warts.

After reviewing both options, the patient and her mother elected to proceed with another round of liquid nitrogen treatment.

Cryotherapy Treatment

The wart was treated with liquid nitrogen during the visit.

Cryotherapy remains one of the most commonly used wart treatments because it:

• Is performed quickly in the office

• Does not require surgery

• Can be highly effective with repeated treatments

• Helps stimulate an immune response against the wart virus

Patients and parents are counseled regarding possible temporary side effects including:

• Blistering

• Crusting

• Scabbing

• Temporary skin discoloration

• Mild discomfort

These reactions are expected and often indicate that the treatment is working.

Home Wart Treatment Remains Important

Successful wart treatment often requires a combination of office-based therapy and at-home care.

Salicylic acid remains one of the most effective over-the-counter wart treatments and works by gradually removing infected skin cells.

Parents are encouraged to follow treatment instructions carefully and continue home therapy as recommended by their dermatologist.

Understanding Verruca Vulgaris

Verruca vulgaris, or common warts, are caused by HPV infection of the skin.

These lesions often appear as:

• Rough or cauliflower-like bumps

• Thickened areas of skin

• Small flesh-colored or tan growths

• Lesions that interrupt normal skin lines

Warts are contagious and may spread through direct contact or contact with contaminated surfaces.

Preventing Wart Spread

To help reduce transmission and recurrence, patients should:

• Avoid picking at warts

• Wear footwear in public locker rooms and pools

• Avoid sharing shoes or socks

• Keep affected areas clean and covered when appropriate

• Follow all treatment recommendations

Early treatment can often prevent warts from becoming larger or spreading to additional locations.

Expert Pediatric Wart Treatment in Katy and Houston

At Village Dermatology, we provide comprehensive wart treatment for children and adults throughout Katy, Houston, and surrounding Texas communities. Treatment options include cryotherapy, salicylic acid therapy, cantharidin, and other advanced wart management techniques tailored to each patient.

If your child has a persistent wart that is not improving, schedule an appointment with our dermatology team for expert evaluation and treatment.

Enlarging Scalp Lesions: When Should You Have a Mole Checked?

by: Dr. Caroline Vaughn

Scalp Mole Evaluation in Katy and Houston, Texas

Many people discover bumps or moles on their scalp while brushing their hair, visiting a hairstylist, or experiencing changes in existing skin lesions. Because the scalp is difficult to examine regularly, changes may go unnoticed for months or even years.

At Village Dermatology, we recently evaluated a young woman concerned about several enlarging lesions on her scalp that had been present for approximately two years.

Patient Presentation

A 25-year-old female presented as a new patient for evaluation of multiple scalp lesions. She reported:

• Lesions located on the scalp

• Gradual enlargement over time

• No pain or itching

• Presence for approximately two years

• Concern regarding whether the growths were dangerous

Because changes in skin lesions can occasionally signal skin cancer or atypical moles, a comprehensive dermatologic evaluation was performed.

Comprehensive Scalp Examination

A detailed scalp examination was completed, including hair inspection and dermoscopic evaluation.

Dermoscopy is a specialized diagnostic technique that allows dermatologists to closely examine skin lesions using magnification and polarized light. This tool helps distinguish benign lesions from growths that may require further investigation.

Upon examination, the lesions demonstrated reassuring features including:

• Symmetrical appearance

• Uniform coloration

• Regular borders

• Stable pigmentation patterns

These findings were most consistent with benign melanocytic nevi, commonly known as moles.

Understanding Benign Scalp Moles

Benign nevi are collections of pigment-producing cells within the skin. They are extremely common and can occur anywhere on the body, including the scalp.

Many scalp moles remain stable throughout life and require no treatment.

Typical characteristics of benign moles include:

• Symmetry

• Even color distribution

• Smooth borders

• Stable appearance over time

Although most scalp moles are harmless, periodic monitoring remains important because changes can occur over time.

Why Scalp Moles Deserve Special Attention

The scalp is one of the most difficult areas for patients to monitor.

Hair often conceals lesions, making it challenging to identify changes in:

• Size

• Shape

• Color

• Surface texture

Because scalp melanomas can sometimes be diagnosed later than lesions found on other parts of the body, routine skin examinations are particularly valuable.

Patients should seek dermatologic evaluation if a scalp lesion:

• Rapidly enlarges

• Changes color

• Becomes irregular

• Bleeds

• Itches persistently

• Develops ulceration

Courtesy Extraction of a Milia Cyst

During the same visit, a small milia cyst was identified on the right central frontal scalp.

Milia are tiny superficial cysts that contain keratin, a naturally occurring skin protein. These small white or flesh-colored bumps are completely benign and frequently occur on the face and scalp.

The patient elected to undergo a courtesy extraction during the visit.

What Causes Milia?

Milia form when keratin becomes trapped beneath the skin surface.

Common causes include:

• Natural skin cell turnover

• Skin trauma

• Sun damage

• Occlusive skincare products

• Spontaneous development without a clear cause

Because milia are harmless, treatment is usually performed only for cosmetic reasons.

How to Monitor Moles at Home

Patients with moles should perform monthly self-skin examinations whenever possible.

The ABCDE warning signs can help identify concerning changes:

A – Asymmetry

One half differs from the other.

B – Border

Edges become irregular or poorly defined.

C – Color

Multiple colors develop within the lesion.

D – Diameter

Growth larger than approximately 6 mm.

E – Evolving

Any change in appearance over time.

If any of these changes occur, prompt dermatologic evaluation is recommended.

Expert Skin Cancer Screening and Mole Evaluation in Katy and Houston

At Village Dermatology, we provide comprehensive skin cancer screenings, mole evaluations, scalp examinations, and dermatologic surgery services for patients throughout Katy, Houston, and surrounding Texas communities.

If you notice a changing mole, enlarging scalp lesion, or any growth that concerns you, our dermatology team can provide an expert diagnosis and personalized treatment recommendations.

Teen Acne Success Story: Month 5 of Accutane Treatment Shows Excellent Progress

by: Dr. Ashley Baldree

Advanced Acne Treatment in Katy and Houston, Texas

Acne can be one of the most frustrating skin conditions for teenagers, especially when breakouts affect both the face and trunk. While many patients improve with topical medications and oral antibiotics, some cases require a more aggressive treatment approach to prevent scarring and achieve long-term clearance.

At Village Dermatology, we recently followed a 16-year-old patient undergoing isotretinoin (Accutane) therapy who demonstrated excellent progress during his fifth month of treatment.

Patient Background

The patient initially presented with inflammatory and comedonal acne involving the face and trunk. His acne included:

• Inflammatory papules

• Pustules

• Comedonal lesions (clogged pores)

• Persistent breakouts despite previous treatment attempts

Due to the severity and extent of his acne, isotretinoin therapy was initiated to target the underlying causes of acne and reduce the risk of permanent scarring.

Month 5 Follow-Up: Significant Improvement

During his recent follow-up appointment, the patient reported excellent tolerance of treatment.

Most importantly, he experienced:

• No new acne breakouts during the previous month

• Continued improvement of existing lesions

• No significant treatment-related complications

Aside from manageable skin dryness, he reported no major side effects.

This type of response is encouraging and commonly seen as patients progress through later stages of isotretinoin therapy.

Isotretinoin Dosage Adjustment

Because the patient tolerated treatment well and continued to show improvement, his isotretinoin dosage was increased to 100 mg daily.

Dosage adjustments are often made throughout treatment based on:

• Patient weight

• Clinical response

• Side effect profile

• Cumulative target dose

The goal is to reach a cumulative treatment dose of approximately 200–220 mg/kg, which has been associated with lower relapse rates and long-term acne clearance.

Monitoring Safety During Accutane Therapy

One of the reasons isotretinoin remains such an effective treatment is that patients are closely monitored throughout therapy.

At this visit, the patient denied experiencing common isotretinoin side effects, including:

• Depression or mood changes

• Dry or cracked lips (cheilitis)

• Severe skin dryness

• Nosebleeds

• Headaches

• Muscle aches

• Elevated cholesterol

• Elevated triglycerides

• Retinoid dermatitis

Because the dosage was increased, laboratory testing was scheduled for the following month to continue monitoring treatment safety.

Why Monthly Monitoring Matters

Isotretinoin is considered a high-risk medication that requires regular follow-up appointments and laboratory monitoring.

Patients receiving Accutane should:

• Complete monthly evaluations

• Undergo recommended blood testing

• Avoid donating blood

• Never share medication

• Report any concerning symptoms immediately

• Inform their dermatologist of any side effects

These precautions help ensure that treatment remains both safe and effective.

Skin Care During Accutane Treatment

Proper skincare is essential while taking isotretinoin.

Patients are encouraged to use:

Gentle Cleansers

Harsh scrubs and drying products should be avoided.

Non-Comedogenic Moisturizers

Regular moisturization helps minimize dryness and irritation.

Broad-Spectrum Sunscreen SPF 30+

Isotretinoin increases sun sensitivity, making daily sun protection extremely important.

Consistent skincare can significantly improve comfort throughout treatment.

What Results Can Patients Expect?

Many patients begin noticing substantial improvement after several months of therapy.

Isotretinoin works by addressing all major contributors to acne:

• Excess oil production

• Clogged pores

• Inflammation

• Acne-causing bacteria

For many patients, completing a full treatment course results in long-term remission and dramatically clearer skin.

Expert Teen Acne Treatment in Katy and Houston

At Village Dermatology, we specialize in personalized acne treatment plans for adolescents and adults throughout Katy, Houston, and surrounding communities.

Whether you are dealing with persistent acne, cystic acne, acne scarring, or treatment-resistant breakouts, our experienced dermatology team can help determine the most effective treatment strategy for your skin.

If you or your teenager are struggling with severe acne, schedule a consultation with Village Dermatology to learn whether isotretinoin may be an appropriate treatment option.

Wart on the Lip or Cold Sore? A Dermatologist Explains the Difference

by: Dr. Ashley Baldree

Evaluating a Persistent Lip Lesion in Katy and Houston, Texas

A new patient recently visited Village Dermatology concerned about a growth on her lower lip that had been present for approximately three months. The lesion first appeared shortly after a cold sore outbreak and had not resolved on its own.

Because growths on the lips can represent a variety of conditions—including warts, viral infections, benign growths, and, in rare cases, skin cancer—an accurate diagnosis by a board-certified dermatologist is important.

Patient Presentation

The patient was a 47-year-old woman who presented for evaluation of an asymptomatic lesion located on the right lower lip. She reported:

• The lesion had been present for several months.

• It developed after a cold sore outbreak.

• The spot was not painful or itchy.

• No prior treatment had been attempted.

• No family history of melanoma.

A comprehensive skin examination of the face and lips was performed, including dermoscopic evaluation to closely examine the lesion's structure.

Examination Findings

Upon examination, a pink cauliflower-like papule was identified along the right inferior vermilion border of the lip.

The appearance was most consistent with verruca vulgaris, commonly known as a wart.

Warts are caused by infection with the human papillomavirus (HPV) and can occasionally develop on or around the lips. These lesions may appear rough, raised, or cauliflower-like and can persist for months if left untreated.

Because the lesion developed following a cold sore outbreak, it was understandable that the patient initially questioned whether the spot was related to herpes simplex virus. However, the clinical appearance suggested a wart rather than an active cold sore.

Treatment with Liquid Nitrogen Cryotherapy

After discussing treatment options, the patient elected to proceed with cryotherapy.

The lesion was carefully pared using a sterile blade before treatment. Liquid nitrogen was then applied using two freeze-thaw cycles to destroy the abnormal tissue.

Cryotherapy remains one of the most effective treatments for many common warts and offers several benefits:

• Quick in-office procedure

• Minimal downtime

• No surgical incision required

• High success rates for many wart types

Patients are counseled that temporary crusting, blistering, redness, or pigment changes can occur following treatment.

When Should a Lip Lesion Be Biopsied?

While many lip lesions are benign, persistent growths should never be ignored.

At Village Dermatology, we may recommend a biopsy when a lesion:

• Does not respond to treatment

• Continues to enlarge

• Develops ulceration

• Bleeds spontaneously

• Has atypical clinical features

In this patient's case, a biopsy was discussed as a future option if the lesion fails to resolve after cryotherapy.

Managing Recurrent Cold Sores

During the visit, the patient also reported a history of recurrent cold sores.

Cold sores are caused by the herpes simplex virus (HSV-1) and commonly appear as painful clusters of blisters around the lips. While outbreaks often resolve on their own, many patients experience recurrent episodes triggered by:

• Stress

• Illness

• Sun exposure

• Trauma to the lips

• Hormonal changes

For outbreak management, antiviral therapy was prescribed.

Preventing Future Herpes Simplex Outbreaks

Patients with recurrent cold sores can often reduce the severity and duration of outbreaks through early treatment and preventive measures.

Helpful strategies include:

• Daily use of broad-spectrum SPF 30+ sunscreen

• Avoiding excessive sun exposure

• Managing stress levels

• Beginning antiviral medication at the first sign of symptoms

Early intervention frequently shortens outbreaks and improves patient comfort.

Why Dermatology Evaluation Matters

Many patients assume any bump on the lip is a cold sore. However, dermatologists routinely diagnose a wide variety of lip lesions including:

• Viral warts

• Herpes simplex infections

• Actinic cheilitis

• Mucoceles

• Benign growths

• Precancerous lesions

• Skin cancers

Obtaining an accurate diagnosis is essential for selecting the appropriate treatment and ensuring the best possible outcome.

Expert Wart and Cold Sore Treatment in Katy and Houston

At Village Dermatology, we diagnose and treat lip lesions, warts, cold sores, and skin cancers for patients throughout Katy, Houston, and surrounding communities.

If you have a persistent bump, wart, sore, or growth on your lip that does not heal, schedule an appointment with our dermatology team for a professional evaluation and personalized treatment plan.

Acne Treatment Success with Isotretinoin (Accutane): Managing Side Effects While Achieving Clearer Skin

by: Dr. Caroline Vaughn

Acne Treatment in Katy and Houston, Texas

Acne is one of the most common skin conditions treated at Village Dermatology. While many patients respond well to topical medications and oral antibiotics, some individuals require more advanced treatment to achieve lasting results. Isotretinoin, commonly known by its former brand name Accutane, remains one of the most effective treatments for moderate to severe acne.

Recently, we followed a 37-year-old male patient from the Katy and Houston area who was undergoing isotretinoin therapy for persistent facial acne.

The Patient's Acne Journey

The patient presented with moderate inflammatory and comedonal acne affecting both cheeks. His acne consisted of inflammatory papules, pustules, and clogged pores that had persisted for several months despite previous treatment attempts.

After a thorough evaluation, isotretinoin therapy was initiated to address the underlying causes of acne and reduce the risk of permanent scarring.

One-Month Follow-Up on Isotretinoin

At his one-month follow-up appointment, the patient reported that he was tolerating isotretinoin well overall. As expected, he experienced some common side effects including:

• Dry lips (cheilitis)

• Mild scalp hair shedding

• Increased dryness of the skin

Fortunately, these side effects were manageable and did not interfere significantly with daily activities.

The patient had already been taking finasteride for androgenetic alopecia (male pattern hair loss). During the visit, we discussed that temporary increased hair shedding can occasionally occur while taking isotretinoin. In most cases, this side effect improves after treatment is completed.

Because the patient continued to experience a few new acne breakouts during the first month of therapy, his isotretinoin dosage was increased from 40 mg daily to 80 mg daily to help achieve optimal results.

Understanding Isotretinoin Side Effects

Many patients considering Accutane treatment are concerned about side effects. While isotretinoin is highly effective, close monitoring is essential.

Common side effects may include:

• Dry lips

• Dry skin

• Dry eyes

• Nosebleeds

• Temporary hair shedding

• Increased sun sensitivity

Patients receiving isotretinoin require regular follow-up appointments and laboratory monitoring throughout treatment.

At Village Dermatology, we carefully monitor all patients taking isotretinoin to ensure treatment remains both safe and effective.

Managing Cheilitis (Dry Lips) During Accutane Treatment

One of the most common side effects of isotretinoin is cheilitis, or inflammation and dryness of the lips.

To minimize discomfort, we recommend:

• Frequent application of Vaseline® or Aquaphor®

• Applying lip moisturizer before bedtime

• Staying well hydrated

• Avoiding lip licking, which can worsen irritation

Most patients find that consistent moisturization keeps symptoms manageable throughout treatment.

Important Safety Precautions for Accutane Patients

Patients taking isotretinoin should always follow safety guidelines, including:

• Never sharing medication with others

• Avoiding blood donation during treatment

• Completing required monthly monitoring

• Reporting any significant side effects immediately

• Using sunscreen daily with SPF 30 or higher

• Avoiding elective cosmetic procedures until advised by their dermatologist

Patient education is a critical part of successful isotretinoin therapy.

What Results Can Patients Expect?

Most patients begin seeing significant improvement after several months of treatment. While some breakouts may continue during the early stages, isotretinoin works by targeting all major causes of acne:

• Excess oil production

• Clogged pores

• Inflammation

• Acne-causing bacteria

Many patients experience long-term remission after completing a full cumulative treatment course.

Expert Acne Care in Katy and Houston

At Village Dermatology, we provide comprehensive acne treatment options for teenagers and adults throughout Katy, Houston, and surrounding communities. Whether you are struggling with persistent breakouts, acne scarring, or treatment-resistant acne, our team can develop a personalized treatment plan designed to help you achieve clearer skin.

If you are interested in learning whether isotretinoin (Accutane) may be right for you, schedule a consultation with Village Dermatology today.

“Are These Dark Spots and Growths on My Skin Something to Worry About?”

By: Dr. Caroline Vaughn

A Real Patient Case from Village Dermatology in Katy & Houston, Texas

As we age, it’s very common to notice new spots, bumps, and growths on the skin. Many patients worry these could be dangerous, but most are actually benign (non-cancerous) and part of normal skin aging.

This case highlights a 78-year-old male who presented for a routine upper body skin exam and was found to have several common, harmless skin growths.

Patient Case Overview

The patient came in for a full upper body skin check, with:

• Asymptomatic lesions on the chest and neck

• No pain, itching, or bleeding

On examination, several benign findings were identified:

• Seborrheic keratoses (waxy, stuck-on growths)

• Cherry angiomas (small red vascular spots)

• Skin tags (acrochordons)

• Lentigines (sun spots)

Common Benign Skin Growths Explained

Seborrheic Keratoses

• Waxy, “stuck-on” appearing lesions

• Range from light tan to dark brown

• Very common with aging

These are completely harmless and do not require treatment unless for cosmetic reasons.

Cherry Angiomas

• Small, bright red or purple bumps

• Caused by clusters of blood vessels

• Increase in number over time

Also benign and do not require removal unless desired.

Skin Tags (Acrochordons)

• Soft, flesh-colored growths

• Common around the neck, armpits, and skin folds

• Can become irritated from friction

In this case, multiple skin tags were safely removed with liquid nitrogen.

Lentigines (Sun Spots)

• Flat, brown spots on sun-exposed areas

• Caused by cumulative sun exposure over time

• While harmless, they are a sign of sun damage, making sun protection essential.

Cosmetic Treatments Performed

Although these lesions are benign, some were treated for cosmetic reasons:

• Liquid nitrogen (cryotherapy) used to remove:

  • 1 seborrheic keratosis

  • 10 skin tags

Patients were counseled on expected effects such as:

• Temporary crusting or scabbing

• Possible pigment changes

• Low risk of scarring

The Importance of Sun Protection

Given the presence of sun-related skin changes, the patient was advised to:

• Use broad-spectrum sunscreen SPF 30+ daily

• Reapply every 2 hours when outdoors

• Wear sun-protective clothing

• Use SPF lip balm

Sunscreen helps prevent:

• New sun spots

• Skin aging

• Skin cancer risk

When Should You See a Dermatologist?

Even though many skin growths are benign, it’s important to seek evaluation if you notice:

• Rapid changes in size, shape, or color

• Bleeding or non-healing lesions

• New or unusual growths

Routine skin exams are especially important as we age.

Skin Cancer Screening & Dermatology Care in Katy & Houston, TX

Village Dermatology provides comprehensive skin exams and cosmetic treatments for patients across Katy and Houston, Texas, helping identify:

• Benign vs. concerning lesions

• Early signs of skin cancer

• Age-related skin changes

Our goal is to keep your skin healthy, protected, and monitored over time.

“Why Does My Child Keep Getting These Itchy Bumps on Her Legs?”

By: Dr. Ashley Bladree

A Real Patient Case from Village Dermatology in Katy & Houston, Texas

Skin conditions in children can be stressful for parents—especially when bumps appear, spread, and don’t go away on their own. One of the most common causes of this in young children is molluscum contagiosum, a highly treatable viral skin condition.

This case highlights a 4-year-old female with persistent, itchy bumps on the back of her legs that required in-office treatment.

Patient Case Overview

The patient presented with:

• Multiple itchy, irritated bumps on the back of both thighs

• Symptoms present for several weeks

• Increasing concern due to persistence and irritation

On exam:

• Pink, shiny bumps with a central indentation (umbilication)

• Classic appearance of molluscum contagiosum

• Associated surrounding irritation (molluscum dermatitis)

What Is Molluscum Contagiosum?

Molluscum contagiosum is a common viral skin infection in children.

Key features:

• Small, round, pink or flesh-colored bumps

• Often have a central “dell” or indentation

• Can be itchy or irritated

How it spreads:

• Direct skin-to-skin contact

• Shared items (towels, clothing)

• Water exposure (pools, baths)

It is benign and very common, especially in children.

Why Do the Bumps Keep Spreading?

Many parents notice that the bumps increase over time.

This happens because:

• The virus spreads easily through touch and scratching

• Children may unknowingly autoinoculate (spread to other areas)

• The immune system takes time to clear the virus

What Is Molluscum Dermatitis?

In this case, the patient also developed molluscum dermatitis, which is:

• Red, irritated skin surrounding the bumps

• Caused by the body’s immune response to the virus

This can make the condition appear worse—but it often signals that the body is starting to fight the infection.

Treatment Performed

Cantharidin (Blistering Therapy)

• Applied to 8 lesions in the office

• Causes controlled blistering to remove the bumps

• Safe and commonly used in pediatric dermatology

Important Aftercare:

• Wash off medication after 4 hours

• Mild blistering or scabbing is expected

• Avoid scratching to prevent spread

Supporting Treatment for Dermatitis

• Triamcinolone cream for inflamed, itchy areas

• Regular use of moisturizers (emollients) 2–3 times daily

When Should You Follow Up?

You should return if:

• Bumps continue to spread rapidly

• Lesions do not improve

• Signs of infection appear (yellow crusting, pain)

This patient was scheduled for a 4-week follow-up to monitor progress.

Pediatric Dermatology Care in Katy & Houston, TX

Village Dermatology provides gentle, effective care for children with skin conditions like molluscum contagiosum across Katy and Houston, Texas. Our team focuses on:

• Child-friendly treatment approaches

• Minimizing discomfort and anxiety

• Fast, effective clearance of lesions