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Acne Can Be Devastating Both Physically And Emotionally

Our skin team will design a unique combination of ingredients to address many of the problems associated with acne including cystic changes, hormonal, hyperpigmentation and scarring.

Please check out our featured cases to the left. We address acne with a combination of exfoliating, anti-inflammatory agents and pigment management. The majority of of our acne patients were able to see improvement within 2 weeks and resolve within 4-6 weeks.


Androgens – Male Hormones:

Yes ladies, you do have male hormones inside your body. Starting in early pre-puberty, your body begins to produce DHEAS (dihydroepiandrosterone sulfate) which is an androgen. When puberty officially hits, you also start to produce testosterone and DHT (dehydrotestosterone).

Androgens really ramp up the oil production of your skin. On one hand, this is a good thing, oil keeps skin moist and supple. On the other hand, too much oil production blocks your sebaceous glands where the oil (or sebum) mixes with the dead skin cells and makes a nice clog in your pore. This is a gourmet feast for bacteria which find the clogged pores and begin to multiply.

Androgens produce sebum. Sebum is the fat or oil secreted by our pores and coats the hair follicles. If you don’t shampoo your hair every day, it becomes oily due to excess sebum. We have sebaceous glands on our face, neck, head, and shoulders, which explains why we have acne breakouts in these areas.

When Do Breakouts Occur?

Many women, in fact up to 50% of all women experience some form of adult hormonal acne the week before their period. This is caused by that androgen surge. Some women are even more prone to adult acne because they have larger problems with androgens, and these are the women with polycystic ovarian syndrome. Because the overabundance of androgens throws their monthly cycles completely off kilter, they never know when they’ll experience an acne breakout.

Most women who suffer from adult hormonal acne experience their worst breakouts on their chin and around their lips. Adult hormonal acne typically begins after the age of 25 and occurs on and off during the course of adulthood. The bad news is that when a women begins to go through menopause, her female hormones begin to dwindle, and those androgens become even more dominant. Here comes the acne, yet again.

How Do You Handle It?

Some women have had good success by understanding what causes their acne and sticking to a very strict daily face cleaning regimen.

There are a number of acne products on the market, most of them targeted for teenagers. Most of these products can be too strong for more mature skin, but you can use them sparingly and see how your skin reacts. Anything that irritates your skin is too strong.

Try The Following Regimen To See If It Helps:

  • The most important thing is to wash your face twice a day with a gentle soap. There is no need to wash your face more often unless you are sweating profusely or have a very dirty job.
  • Salicylic acid is found in a number of acne products and this works to dissolve the sebaceous oils, helping to remove any skin debris that is clogging your pores. Rinse this off.
  • Find a very mild benzoyl peroxide cream, something that is 2.5% or less. This is applied directly to the skin at night to help unclog you pores as you sleep. Try this every other night at first.

When To Get Help:

If your acne does not respond to this treatment, you may well need to visit your dermatologist for help. There are topical antibiotics that can be prescribed and are very helpful. The second alternative is a prescription for Retinoic Acid. The beauty of Retinoic Acid is that it also decreases wrinkles and rejuvenates your skin. This is dangerous to pregnant women, so it will not be prescribed if you are pregnant, or are thinking of becoming pregnant.

What To Avoid:

The last thing you can do to help control your adult hormonal acne is to avoid certain compounds in your skin care products and makeup. Avoid products that contain butyl stearate, lanolin, lauryl alcohol, oleic acid, vegetable butters and oils, and waxes.

DPN Moles

Dermatosis papulosa nigra(DPN’s) is a unique skin condition seen primarily in persons of color. It appears as small, dark bumps and most commonly affects the face, neck, chest, and back.

We are able to successfully treat DPN’s in our office.

The cause of dermatosis papulosa nigra is uncertain. There is a strong genetic basis for the disorder, and oftentimes the lesions can be seen in several members of the same family. Under the microscope, the lesions are a type of keratosis that is harmless. Dermatosis papulosa nigra is not a skin cancer, and it will not turn into a skin cancer. The condition is chronic, with new lesions appearing over time.


Dermatosis papulosanigra is characterized by multiple, firm, smooth, dark brown to black, flattened papules that measure 1-5 mm in diameter. Lesions occur mainly on the malar area of the face and the forehead, although they also may be found on the neck, upper back, and chest. A small percentage of patients have similar lesions on the upper trunk. Scaling, crusting, and ulceration do not occur.

Lesions usually begin during puberty. They tend to increase steadily in number and size as the individual ages



United States
Whereas earlier studies revealed a 10% frequency in adult blacks, more recent data suggest a frequency of approximately 35% in this population.


Dermatosis papulosa nigra is not associated with any mortality or morbidity.


Dermatosis papulosa nigra affects up to 35% of the African American population. Dermatosis papulosa nigra also occurs among Asians, although the exact incidence is unknown.


Females are affected more frequently than males.


Dermatosis papulosa nigra usually begins in adolescence and is rare in persons younger than 7 years. The incidence of dermatosis papulosa nigra, as well as the number and size of individual lesions, increases with age

REFRESH Lifestyle

The “Sensible” Weight Loss Program

Welcome and congratulations on taking the first step toward a thinner, healthier and happier you! Our aim at Refresh Lifestyle is dedicated to working with you as a team to correctly attain your weight loss goal.

It is the combination of the nutritious, well balanced diet, prescribed vitamins and supplements, B-12 and B Complex injection, an individualized program of moderate exercise, and one weekly weigh-ins with our medical staff that make this program simple, sensible and satisfying.

The Refresh Lifestyle regimen is an outgrowth of a weight loss method developed in the 1950’s. This strict high protein, low carbohydrate system developed in Rome, Italy, has been widely accepted as a significant contribution to good nutrition and weighs loss. The diet we use at Refresh Lifestyle is modified from Dr. Evans original diet.

By carefully following this high protein, low carbohydrate technique, along with a daily variety of your favorite fruits and vegetables, patients can achieve significant weight loss.

Depending on various factors involved, including an individual’s metabolic rate, a Refresh Lifestyle patient may lose as much as 3 to 7 pounds a week!


When dieting, your daily food allowance is reduced. To help curb hunger pangs, appetite suppressants are dispensed. They are an aid to help curb your hunger, making it easier to follow the Refresh Lifestyle diet. Dosage and strength varies from patient to patient. Most patients feel no hunger, dizziness or fatigue while on the program. The B12 and B Complex vitamin injections are an additional boost from your body’s needs. It is important to us that you feel good while on the Refresh Lifestyle program. We want you to tell us how you feel!


Follow the diet. Follow the diet. Follow the diet. Follow the diet. Substituting other foods for those on the list will result in an adverse affect. Switching and replacing may cause poor nutrition, slower weight loss and an increase in calorie and/ or fat intake. In some cases it will even cause weight gain! Surplus calories are stored as body fat-regardless of the food source. Remember, the list of allotted foods is designed to work together to achieve maximum weight loss. The menu is well balanced and varied with many foods so that you will not become bored.


1) Do not fry foods in oil. If you wish to fry, use PAM. Do not fry in butter or margarine. We recommend cooked items be baked, boiled or broiled.

2) Spices are allowed and even encouraged! Take this opportunity to discover and experiment with new seasonings! By using distinctive flavors and aromas, you decrease monotony and increase interest. Salt may be used moderately.

3) For salads a low-calorie dressing may be used, but make sure it contains no oils or dairy products. (Fresh lemon juice, black pepper and sweet basil make a good salad dressing.)

4) DAIRY ITEMS ARE NOT ALLOWED! Dairy is not part of this diet. The vitamins and supplements we provide make up for no dairy. (You may take calcium supplement if you wish.)

5) ALCOHOLIC BEVERAGES ARE NOT ALLOWED! Many alcoholic beverages contain high amounts of refined sugar.

6) Snacking is dangerous and can be your downfall! Think before eating. Even fast-food restaurants have salad bars. When you control your appetite, you control your weight. If you are hungry in-between meals, eat as many of the low calorie vegetables you wish, or a portion of your daily fruit.

7) Physical activity is a must! Weight-loss and physical activity go hand in hand. An increase in activity helps keep both your appetite and your weight down. Brisk walking is an excellent from of exercise. Walking is good for your cardiovascular system and for toning your body. Dedicate yourself to making physical activity a part of your life’s routine and enjoy the benefits!

8) Drink plenty of water! Patients should drink at least 8 large glasses – the equivalent of 64 ounces- of water, low sugar beverages, tea and decaffeinated coffee, you avoid constipation and dehydration. The juice of one lemon should be included in your daily fluid intake. Instead of that cup of coffee in the morning, boil some water as you normally would and squeeze the lemon juice into the water-filled mug. An artificial sweetener can be added to reduce the tartness.

9) Meat, fish and food should be weighed raw.

10) Be smart about calories. Be smart about cooking. Be smart about what and how You eat. And be smart about exercise.