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<title><![CDATA[Melasma—A Discoloration on the Face and Forehead]]></title>
<description><![CDATA[<div align="justify"><strong>&nbsp;&nbsp;&nbsp;Melasma is the discoloration commonly found on the upper cheek, nose, lips, upper lip, and forehead in women and men. It is also known as &quot;Chloasma faciei&quot; or the mask of pregnancy when present in pregnant women. It is a tan or dark skin discoloration. Although it can affect anyone, melasma is par ticularly common in women, especially pregnant women and those who are taking oral or patch contraceptives or hormone replacement therapy (HRT) medications. It is also prevalent in men and women of Native American descent (on the forearms) and in men and women of German/Russian and Jewish descent (on the face). </strong></div><br /><div align="justify"><strong>&nbsp;&nbsp;&nbsp; The symptoms of melasma are dark, irregular patches commonly found on the upper cheek, nose, lips, upper lip, and forehead. These patches often develop gradually over time. Melasma does not cause any other symptoms beyond the cosmetic discoloration. </strong></div><br /><div align="justify"><strong>&nbsp;&nbsp;&nbsp; Melasma is thought to be caused by the stimulation of melanocytes or pigment-producing cells by the female sex hormones estrogen and progesterone to produce more melanin pigments when the skin is exposed to sun. Women with a light brown skin type who are living in regions with intense sun exposure are par ticularly susceptible to developing this condition. The discoloration usually disappears spontaneously over a period of several months after giving bir th or stopping the oral contraceptives or hormone replacement therapy. </strong></div><div align="justify"><strong>&nbsp;&nbsp;&nbsp; Genetic predisposition is also a major factor in determining whether someone will develop melasma. </strong></div><br /><div align="justify"><strong>&nbsp;&nbsp;&nbsp; The incidence of melasma also increases in patients with thyroid disease. It is thought that the overproduction of melanocyte-stimulating hormone (MSH) brought on by stress can cause outbreaks of this condition. Other rare causes of melasma include allergic reaction to medications and cosmetics. </strong></div><div align="justify"><strong>&nbsp;&nbsp;&nbsp; Melasma Suprarenale (Latin&mdash;above the adrenals) is a symptom of Addison's disease, particularly when caused by pressure or minor injur y to the skin, as discovered by Dr. FJJ Schmidt of Rotterdam in 1859. </strong></div><div align="justify"><strong>&nbsp;&nbsp;&nbsp; Melasma is usually diagnosed visually or with assistance of a Wood's lamp (340 - 400 nm wavelength). Under Wood's lamp, excess melanin in the epidermis can be distinguished from that of the dermis. </strong></div><div align="justify"><strong>&nbsp;&nbsp;&nbsp; There are many treatments to hasten the fading of the discolored patches such as topical depigmention agents; an acid that increases skin cell turnover; one that decreases the activity of melocytes; facial chemical peels, laser treatments and intense pulsed light.</strong></div><div align="justify"><strong>&nbsp;&nbsp;&nbsp; At Miramar Dermatology, the physicians per form the Melanage Peel. &quot;The Melanage system has revolutionized the way we treat our patients with melasma. Our success rate is much better now that we have this modality&quot; says Dr. Gottlieb.</strong> </div><div align="right">-By Anita Finley </div><div align="center"><br />  <h2><em>Listen to Dr. Gottlieb and Anita Finley on Saturday, September 11th from 7:00-7:30 AM on WSBR 740AM and on the Internet at <a target="_blank" href="http://www.wsbrradio.com">www.wsbrradio.com</a></em></h2><br /></div>]]></description>
<date>8/26/2010</date>
<time>12:38:00 PM</time>
<link>http://www.miramardermatology.com/?view=plink&amp;id=139</link>
<id>139</id></item>
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<title><![CDATA[Is Your Acne Care Routine getting in the way of your busy schedule?]]></title>
<description><![CDATA[<p align="justify"><img style="MARGIN-LEFT: 5px" border="1" alt="Acne Treatments" align="right" width="200" src="/blog/upload/Image/acne_treatmen_pads.jpg" />According to a new study published in the July 2010 issue of Journal of Drugs in Dermatology, an Acne care regimen does not have to eat away at your precious time.</p><br /><p align="justify">Researchers have found that a treatment regimen including Retin-A Micro&reg; Pump can deliver effective results while cutting everyday treatment time without sacrificing results. This once-daily treatment taken in the morning along with benzoyl peroxide has been shown very effective.</p><br /><p align="justify">These newly published study results are significant for both acne patients and dermatologists as they reinforce the ability to develop skin care regimens that cater to individual patients' lifestyles. This will encourage patients, particularly teens, to follow their prescribed treatment regimen.</p><br /><p align="justify">Retin-A Micro&reg; Pump is the only acne medication to combine tretinoin, the number one prescribed retinoid, with patented microsphere technology. The microspheres gradually release tretinoin over time to reduce irritation and help absorb excess facial oil to reduce facial shine. It is now available in a unique, sleek pump that delivers a consistent amount of medication, making it easy to use and less likely to over use.</p><br /><p align="justify">It is important to remember that severe Acne is a medical condition and treatment must be administered by a medical professional. </p><br /><p align="justify">For more information about the Retin-A Micro &reg; Pump, or other treatments for acne and skin conditions, contact the professionals at Miramar Dermatology Associates. Our Doctors will be happy to answer any questions you may have and determine which treat is right for you or you&rsquo;re teen.</p>]]></description>
<date>7/1/2010</date>
<time>12:48:00 PM</time>
<link>http://www.miramardermatology.com/?view=plink&amp;id=138</link>
<id>138</id></item>
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<title><![CDATA[Tired of living with Varicose Veins and ugly scars?]]></title>
<description><![CDATA[<h3 align="center"><font face="Calibri, Trebuchet MS"><strong><font color="#0066cc">Tired of living with Varicose Veins and ugly scars? </font><em><font color="#006600">Affordable treatment is available!</font></em></strong> </font></h3><br /><p align="justify"><font face="Calibri, Trebuchet MS">Varicose veins are not something you just have to live with. These snarled, bluish-purple lines, which usually form on the legs, are caused when the small valves within a vein lose the ability to push blood back up to the heart. As a result, the blood pools and the vein puffs up and becomes more visible under the skin. </font></p><br /><p style="LINE-HEIGHT: 115%; FONT-SIZE: 10pt" align="justify"><font face="Calibri, Trebuchet MS">For some patients, Varicose Veins are simply a cosmetic issue, for others however, this condition can cause pain and discomfort and may be indicative of a more serious problem within the circulatory system. Although this condition may not appear to be a big issue, it is important to seek the advice of a medical professional to avoid the possibility of clots and ulcers.</font></p><br /><p align="center"><font color="#006699" face="Calibri, Trebuchet MS"><strong><em>There are many treatments that can be performed by the patient at home!</em></strong></font></p><br /><p style="LINE-HEIGHT: 115%; FONT-SIZE: 10pt"><font face="Calibri, Trebuchet MS">The following steps can be taken by the patient, to reduce or slow the progression of Varicose Veins and other circulatory problems. These simple steps cost little or nothing and can make a huge difference.</font></p><br /><p><font color="#336600" face="Calibri, Trebuchet MS">&bull;&nbsp;Exercise: Any activity that gets the legs moving, such as walking, swimming or dancing, will stimulate good blood flow in the veins and strengthen the cardiovascular system. </font></p><br /><p><font color="#336600" face="Calibri, Trebuchet MS">&bull;&nbsp;Good skin care, such as using skin lotions to prevent fragile skin from cracking, and avoiding sun or using sunscreen, especially for fair-skinned people </font></p><br /><p><font color="#336600" face="Calibri, Trebuchet MS">&bull;&nbsp;Compression therapy: The patient wears elastic support stockings all day to help keep blood flowing up from the legs to the heart. Special compression stockings are available through pharmacies and online. </font></p><br /><p><font color="#336600" face="Calibri, Trebuchet MS">&bull;&nbsp;Avoiding long periods of sitting or standing: Doing such activities for a prolonged time impedes blood flow to the heart. </font></p><br /><p><font color="#336600" face="Calibri, Trebuchet MS">&bull;&nbsp;Leg elevation: Raising the legs above the heart for 10 to 15 minutes, three to four times daily, will drain pooled blood from the legs. </font></p><br /><p><font color="#336600" face="Calibri, Trebuchet MS">&bull;&nbsp;Weight loss: Excess body weight adds stress and strain to the leg veins. </font></p><br /><p><font color="#336600" face="Calibri, Trebuchet MS">&bull;&nbsp;Avoiding sitting with legs crossed </font></p><br /><p><font color="#336600" face="Calibri, Trebuchet MS">&bull;&nbsp;Avoiding high heels and tight clothing that can restrict blood flow in the legs&nbsp;</font></p><br /><p align="justify"><font face="Calibri, Trebuchet MS">There are many treatment options that the doctors at Miramar Dermatology can enact to treat more serious cases of Varicose Veins. Some of these hi-tech options include&hellip; </font></p><br /><p align="justify"><font face="Calibri, Trebuchet MS"><font color="#336600">&bull;&nbsp;sclerotherapy (microsclerotherapy)</font></font></p><br /><p align="justify"><font face="Calibri, Trebuchet MS"><font color="#336600">&bull;&nbsp;laser surgery </font></font></p><br /><p align="justify"><font face="Calibri, Trebuchet MS"><font color="#336600">&bull;&nbsp;minimally invasive catheter-assisted procedures </font></font></p><br /><p align="justify"><font face="Calibri, Trebuchet MS"><font color="#336600">&bull;&nbsp;surgical vein stripping </font></font></p><br /><p align="justify"><font face="Calibri, Trebuchet MS"><font color="#336600">&bull;&nbsp;ambulatory phlebectomy</font></font></p><br /><p align="justify"><font face="Calibri, Trebuchet MS"><font color="#336600">&bull;&nbsp;endoscopic vein surgery </font></font></p><br /><p align="justify"><font face="Calibri, Trebuchet MS">The Doctors at Miramar Dermatology may use a combination of these technologies along with Home based self treatments in order to produce the desired result. Each case is different and it is vital to have your condition evaluated by a medical professional. Please contact our office today with any questions you may have.</font></p>]]></description>
<date>5/20/2010</date>
<time>10:27:00 AM</time>
<link>http://www.miramardermatology.com/?view=plink&amp;id=137</link>
<id>137</id></item>
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<title><![CDATA[Acne Gets The Blue Light at Miramar Dermatology]]></title>
<description><![CDATA[<div style="MARGIN: 0in 0in 10pt"><span style="LINE-HEIGHT: 115%; FONT-SIZE: 12pt">Miramar Dermatology is proud to offer the latest in treatment for Acne.&nbsp;Blue Light treatment for Acne and for Actinic Keratosis is now available with easy treatments in our office.</span></div><br /><div style="MARGIN: 0in 0in 10pt"><strong><span style="LINE-HEIGHT: 115%; FONT-SIZE: 14pt">What is Blue Light?</span></strong></div><br /><div style="MARGIN: 0in 0in 10pt"><span style="LINE-HEIGHT: 115%; FONT-SIZE: 12pt">BLUE Light PhotoDynamic Therapy is the latest treatment of </span><span style="LINE-HEIGHT: 115%; FONT-SIZE: 12pt">Acne and Actinic Keratosis</span><span style="LINE-HEIGHT: 115%; FONT-SIZE: 12pt"> to be approved by the FDA. Blue Light works by killing the P. acnes bacteria in your skin. </span></div><br /><div style="MARGIN: 0in 0in 10pt"><span style="LINE-HEIGHT: 115%; FONT-SIZE: 12pt">BLUE Light can be administered alone or together with a topical application of ALA and Levulin<sup>&reg;</sup> (aminolevulinic acid). New studies show that BLUE Light provides treatment for both active Acne lesions and other inactive sebaceous glands that are not creating active lesions, but have the potential to do so. </span></div><br /><div style="MARGIN: 0in 0in 10pt"><strong><span style="LINE-HEIGHT: 115%; FONT-SIZE: 14pt">Does Blue Light treatment hurt?</span></strong></div><br /><div style="MARGIN: 0in 0in 10pt"><span style="LINE-HEIGHT: 115%; FONT-SIZE: 12pt">NO, BLUE Light patients simply sit in front of the BLUE Light delivery system for about sixteen minutes. Patients receiving the topical application of ALA with their BLUE Light treatment sit with the ALA solution on for about thirty minutes, then sit in front of the BLUE Light delivery system for about eight minutes. </span></div><br /><div style="MARGIN: 0in 0in 10pt"><span style="LINE-HEIGHT: 115%; FONT-SIZE: 12pt">For Acne, Blue Light treatment requires 2 weekly sessions lasting about 8-20 minutes per treatment, a total of 6 treatments are required over a 3 week period.</span></div><br /><div style="MARGIN: 0in 0in 10pt"><span style="LINE-HEIGHT: 115%; FONT-SIZE: 12pt">Treatment is also available for actinic keratosis of the face and scalp with the Blue Light and with Levulin&reg;. This treatment requires 2 sessions and you should expect the face to become red and irritated for 7-10 days following the treatment. </span></div><br /><div style="MARGIN: 0in 0in 10pt"><strong><span style="LINE-HEIGHT: 115%; FONT-SIZE: 14pt">How much does Blue Light Cost and will my insurance pay for it?</span></strong></div><br /><div style="MARGIN: 0in 0in 10pt"><span style="LINE-HEIGHT: 115%; FONT-SIZE: 12pt">Treatment for actinic keratosis of the face and scalp with the Blue Light and with Levulin&reg; is covered by most insurance companies. </span></div><br /><div style="MARGIN: 0in 0in 10pt"><span style="LINE-HEIGHT: 115%; FONT-SIZE: 12pt">Because treatment for Acne with Blue Light has only recently been approved by the FDA, most insurance companies are not yet paying for the treatment. The cost for 6 sessions is currently $300.00.</span></div><br /><div style="MARGIN: 0in 0in 10pt"><span style="LINE-HEIGHT: 115%; FONT-SIZE: 12pt">For more information about Blue light Treatment, please contact the doctors at Miramar Dermatology today. We look forward to hearing from you and will be happy to answer any questions you may have about skin care.</span></div>]]></description>
<date>4/1/2010</date>
<time>2:56:00 PM</time>
<link>http://www.miramardermatology.com/?view=plink&amp;id=136</link>
<id>136</id></item>
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<title><![CDATA[Can You Look Younger With Facial Rejuvenation?]]></title>
<description><![CDATA[<div style="MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal"><span style="FONT-SIZE: 12pt">What is Facial rejuvenation?</span></div><br /><div style="MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal"><span style="FONT-SIZE: 12pt"></span><span style="FONT-SIZE: 12pt">Facial rejuvenation includes a variety of surgical procedures, and non-invasive temporary skin treatments. The facial rejuvenation experts at Miramar Dermatology will customize a treatment that is right for your specific skin type.</span></div><br /><div style="MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal"><span style="FONT-SIZE: 12pt"></span><strong><span style="FONT-SIZE: 18pt">Facial Rejuvenation Facts:</span></strong></div><br /><div style="MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal"><strong><span style="FONT-SIZE: 18pt"></span></strong><span style="FONT-SIZE: 12pt">The Face shows more visible signs of aging than any other area of the body. Facial rejuvenation uses a variety of treatments to hold back the natural forces at work in an aging face. Factors that contribute to the aging process include:</span></div><br /><ul type="disc"><br />    <li style="MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal"><span style="FONT-SIZE: 12pt">Pollution, both chemical and biological.</span></li><br />    <li style="MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal"><span style="FONT-SIZE: 12pt"></span><span style="FONT-SIZE: 12pt">Exposure to sun, wind, excessive heat and cold.</span></li><br />    <li style="MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal"><span style="FONT-SIZE: 12pt"></span><span style="FONT-SIZE: 12pt">Genetics.</span></li><br />    <li style="MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal"><span style="FONT-SIZE: 12pt"></span><span style="FONT-SIZE: 12pt">Hormonal changes, Free Radical damage and depleted collagen production.</span></li><br />    <li style="MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal"><span style="FONT-SIZE: 12pt"></span><span style="FONT-SIZE: 12pt">Facial ligaments that have lost their elasticity.</span></li><br />    <li style="MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal"><span style="FONT-SIZE: 12pt"></span><span style="FONT-SIZE: 12pt">Poor skincare, diet and exercise</span></li><br />    <li style="MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal"><span style="FONT-SIZE: 12pt"></span><span style="FONT-SIZE: 12pt">Cigarette smoking.</span></li><br />    <li style="MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal"><span style="FONT-SIZE: 12pt"></span><span style="FONT-SIZE: 12pt">Skin disorders including acne, and chicken pox, which may produce scarring.</span></li><br /></ul><br /><div style="MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal"><span style="FONT-SIZE: 12pt">Facial rejuvenation includes many non-invasive and minimally invasive treatments and procedures used to improve slight facial imperfections. The doctors at Miramar Dermatology will use the latest techniques and the latest technology to help you appear years younger than you do now. These are all considered forms of facial rejuvenation. At Miramar Dermatology, our team will use a combination of treatment options to develop a comprehensive facial rejuvenation strategy designed specifically for you.</span></div><br /><div style="MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal"><span style="FONT-SIZE: 12pt"></span><span style="FONT-SIZE: 12pt">If you are unhappy with how old you look, there are options that can make you look years younger. It is important to consult with a medical team when addressing these concerns. The professional staff at Miramar Dermatology will be happy to answer any question that you may regarding facial rejuvenation, please contact us today to schedule your appointment. </span></div>]]></description>
<date>3/8/2010</date>
<time>3:35:00 PM</time>
<link>http://www.miramardermatology.com/?view=plink&amp;id=135</link>
<id>135</id></item>
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<title><![CDATA[South Floridian Cold Weather, Dry Skin, Chapped Lips?]]></title>
<description><![CDATA[<p align="justify">It&rsquo;s not very often that we in South Florida experience winter weather. In recent weeks, the air outside has been cold and lacking the normal humidity associated with Florida. This year many of us actually turned on the heat for the first time in a long while, which makes the air dry and can create a perfect environment for chapped skin and cracked lips.</p><p align="justify">Since many of us have never lived with cold weather conditions, or maybe have forgotten how to deal with these conditions, the doctors at Miramar Dermatology thought it would be a good idea to give you some advice to keep your skin healthy and viverant.</p><div align="center"><img height="210" alt="" width="280" border="1" src="/blog/upload/Image/cold-in-south-florida.jpg" /></div><p align="justify">To prevent scaling, flaking and itching, pay special attention to your skin during the cold months by applying a cream-based moisturizer every day. A good time to use moisturizer is just after showering to help trap moisture on the skin's surface. This will aid in keeping your skin moist throughout the day.</p><p align="justify">We all know that washing hands often is imperative in the prevention of the spread of germs; however, all of that soap and water can make your hands chapped. You should consider using a mild soap and moisturizing afterwards to relieve the dryness.</p><p align="justify">When it&rsquo;s cold nothing feels better than a hot shower or bath, however water that is too hot can actually do more damage to the skin than good. Short showers or baths with lukewarm water and a non-irritating, non-detergent-based cleanser are easier on the skin. Immediately afterward, apply a mineral oil or petroleum jelly-type moisturizer and gently pat skin dry.</p><p align="justify">A humidifier can help to deal with dry air from heaters; this will add some moisture back into the air. Don&rsquo;t forget to clean your humidifier often to prevent mold and fungus.</p><p align="justify">The doctors at Miramar Dermatology want you to remember that scaling, itching or cracked skin that is not relieved by moisturizers should be checked by a dermatologist, who may suggest a prescription medication.</p>]]></description>
<date>2/4/2010</date>
<time>4:55:00 PM</time>
<link>http://www.miramardermatology.com/?view=plink&amp;id=134</link>
<id>134</id></item>
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