The Facts About Adult Acne

By:  Dr. Oscar Hevia

Some adults, even those who never suffered from adolescent acne, may experience adult cystic acne, caused by an inflamed cyst that forms in the deeper layers of the skin.  This type of acne does not respond well to drying creams, which don’t penetrate beyond the surface layer.

However, a very effective treatment for cystic acne, or a blemish that can linger for weeks or months after the cyst subsides, is an anti-inflammatory cortisone injection, which will reduce the inflammation and thereby shrink the cyst.  While this may not be a desirable remedy for every outbreak, it certainly provides a viable treatment option prior to a special event. Typically, the cyst or the blemish will disappear within 24 hours after the injection. Continue reading

Let’s Not Forget the Neck and Décolletage

The neck and décolletage often come under increased scrutiny as the skin in these areas reveals the signs of exposure to the sun or the natural aging process. On the neck you may notice sagging jowls, general fullness, or cords or bands.  The skin on the upper chest, referred to as the décolletage, may appear “leathery” or reveal v-shaped lines.  Rejuvenation and/or restoration of a smoother, toned appearance to these all too often neglected areas, is almost always possible with various treatments, based on the issues that arise, as follows: Continue reading

Summer Sun Facts

Each year, as the summer sun beckons us to hit the beaches and soak up the rays, I remind my patients of the importance of including sunscreen in their beauty regimen. Sunscreen products have improved dramatically over the years and there is a product on the market for just about every situation and need.  Continue reading

Would You Consider A Non-Surgical “Nose Job”?

Let’s face it, we all stand in front of the mirror from time to time and scrutinize our faces, contemplating what we might change if we could wave a magic wand and instantly fix what we perceive as our little imperfections.

A good case in point is the fact that many people don’t like the shape of their nose. In some instances, surgery would be the only option to correct the shape, as would be the case if the patient seeks to make the nose smaller.However, there are many instances when a minor non-surgical change could make the desired difference. As a result, I’ve developed a highly effective re-contouring procedure for the nose. Continue reading

Are You Looking For The Glow?


Aging and sun damage can take a toll on the skin, revealing facial veins and pigmentation, uneven skin tone and wrinkles.  For those of you who are looking for ways to improve the appearance of your skin without surgery or, if you’d like to enhance the effects of other cosmetic procedures, a chemical peel may be a viable option.

A chemical peel will improve the texture and look of the skin on the neck, chest, arms and hands.  However, not all peels are created equal.  Depending on the result you’re looking for and the condition of your skin, you can select from a variety of peels.  Some will promote a smoother tone and a healthy glow, while in depth peels will penetrate beneath the skin’s outer layer to reveal new skin and restores a youthful radiance.  Here’s a brief overview of the various options:

Alpha Hydroxy Peel (AHA)

The mildest peel, AHA exfoliates the skin to loosen and remove dead cells on the skin surface.  Regular treatments will improve the appearance of fine lines, brown spots and dry skin.  This peel also helps with the treatment of acne by clearing clogged pores and AHA can be combined with microdermabrasion.

Glycolic Acid Peels

Glycolic peels and AHA peels provide similar results, but the glycolic peel will stimulate the growth of collagen.

Trichloracetic Acid Peels (TCA)

This medium-depth resurfacing treatment goes slightly deeper than AHA to reveal a new layer of skin.  The result is a smoother, more vibrant appearance, softening of fine lines and the minimizing of superficial skin discolorations.  This peel will also diminish the appearance of acne scars and is suitable for most skin types. TCA treatments will reveal results in 4 to 7 days, as the outer layer of skin peels way to reveal a new layer of skin.

Phenol Peel

This is the strongest and deepest penetrating facial peel and is generally recommended for the treatment of deep wrinkles, sun damage, aging skin and acne scars.  It removes the upper skin layer.  Recovery time will be determined by the strength of the concentration, but in most cases is a minimum of 7-10 days, followed by an overall redness to the skin for 2-3 months.