- Warts
- ArthritisSystemic therapy is typically used for individuals with moderate to severe psoriasis and psoriatic arthritis. The most common systemic medicines for treating psoriasis are Acitretin (Soriatane), Cyclosporine, and Methotrexate.
- CryotherapyTreating warts can be a challenging endeavor. Some warts require repeated, consistent treatment before any impact is made, while others disappear on their own just a few months after appearing. Treatment is available in the form of topical agents, surgery, phototherapy, injections, systemic agents; and alternative therapies such, tea tree oil, and adhesiotherapy (application of duct tape to suffocate the wart). The most common way to remove warts in the office is cryotherapy (freezing).
- Medical Weight LossIs when excessive shedding of the hair happens due to a stressful event. Stress pushes a large number of hairs into a resting phase. There are other causes besides stress like poor diet, weight loss, menopause, certain drugs or underlying health conditions. To better understand how your hair grows, Hair growth is divided into three cycles...
- Pregnancy
- Depression
- Anxiety
- ThyroidThe most common form is called androgenic alopecia or male, female pattern baldness. Hormones called androgens present in both males and females that are responsible for regulating hair growth change such as androgen overproduction. Because of this, the hair growth cycle begins to weaken, and the hair follicle shrinks producing finer strands until eventually, no new hair grows in its place. Genetics plays a role, and this is an inherited condition. Other factors include stress, medications, vitamin deficiencies, hormonal changes, thyroid disease, and anemia. Even some hairstyles like tightly pulled back braids or cornrows can contribute.
- UltrasoundUltherapy is a non-surgical, non-invasive treatment of the skin to stimulate collagen and create a lifting effect. The first and only treatment available that uses focus ultrasound to treat skin laxity. Ultherapy is FDA approved for lifting of the brow, chin and neck. Skin laxity can be seen as early as your 30’s and one of the first noticeable signs of aging. As our collagen production slows down, skin gets noticeable thinner and the underlying structure begin to change creating jowls or a double chin and visible laxity in the neck. These changes can be frustrating making you look older than you are or feel.
- ChemotherapyFor more invasive and advanced melanoma studies of the lymph glands may need to be performed prior to the removal of the melanoma surgically and may be followed by chemotherapy.
- Radiation TherapySurgical approaches to skin cancer treatment include curettage, surgical excision, Mohs micrographic surgery, radiation therapy, or cryotherapy. For small tumors, your plastic surgeon may surgically remove the tumor, along with some healthy tissue around it, using curettage, surgical excision or cryotherapy. For more advanced cancer, or for recurring cancer, Mohs micrographic surgery may be selected so that all of the tissue removed has been methodically examined under microscope, ensuring that no cancer remains. Radiation is generally reserved for the most advanced cancer.
- Mohs SurgeryMohs surgery may be used when treating individuals that have recurring skin cancers, or cancers that are at high risk for recurrence. Mohs might also be conducted if the cancer is found in an area where function and cosmetic appearance are important, particular areas of the face such as the lips, ears, eyelids, and nose.
- BotoxXEOMIN® is a facial injectable administered by board-certified dermatologist, Dr. Victor Michalak. Similar to Botox®, XEOMIN temporarily diminishes the appearance of dynamic lines.
- Eyelid SurgeryIf this sounds familiar, you’re not alone. Each year thousands of women and men choose eyelid surgery to help restore a more energetic and youthful appearance. Both mature and younger patients can be afflicted and for some even have excess skin obscuring vision. Younger patients usually have a genetic predisposition for puffy lower lid bags.
- LiposuctionThe biggest difference between the Microcannula Tumescent Technique and other forms of liposuction surgery is that it requires only local anesthesia. The doctor injects a combination of lidocaine, a local anesthetic, and the vasoconstrictive drug epinephrine, which shrinks capillaries, directly into the fat compartments. Because the anesthetic solution is not directly entering the bloodstream, there is little potential for toxic effects.
- Breast ReductionExcessively large breasts can result in a variety of physical (and sometimes psychosocial) problems for the patient. Before breast reduction, patients commonly report symptoms such as...
- Plastic SurgeryMany Pacific Northwesterners assume that with the cloudy climate, they don’t need to bother with sun protection. Unfortunately, this is not the case. UV radiation is so powerful that 70% to 80% can pass through thin clouds, the type of clouds that tend to fill the sky on overcast days in the greater Seattle area. Equally surprising is that skin cancer surgery is one of the most common procedures performed in plastic surgery.
- BlepharoplastyEyelid lifts continue to be one of the top cosmetic procedures performed in the U.S. ranking 4th in 2018. It’s not surprising blepharoplasty’s are so popular considering there are limited options for correcting the problem other than surgery.
- Body ContouringLeslie does Ultherapy for skin tightening, Ultrashape for body contouring, two custom treatments using the Fraxel® laser; Fraxel Facial and Fortified Fraxel Facial and Microneedling. She also offers Vitalize, Rejuvenize, and glycolic acid peels. If you’re being treated for acne, the glycolic acid peels can be sometimes covered by insurance.
- Laser ResurfacingTotalFX is a laser treatment that treats sun damage, wrinkles, scars and more. This laser literally transforms your skin by smoothing out deep wrinkles old scars and textural issues. This is a non-surgical treatment but considered an ablative laser, meaning it removes very thin layers of skin. The procedure combines the benefits of ActiveFX and DeepFX together treating the upper and lower layers of skin. FX means this is a fractional laser, treating only a “fraction” of the skin’s surface while leaving some of the skin intact. The benefit is the healthy, untouched skin helps to speed the healing of the treated areas. This procedure is also referred to as laser resurfacing and fractional Co2 laser resurfacing.
- GynecomastiaCharacteristics of male breasts are enlargement of the chest area or under the areola, resembling a “breast” that is resistant to diet and exercise or does not fit with otherwise normal anatomy. Both overweight and normal weight individuals can be afflicted. The chest area might feel rubbery or lumpy to the touch due to enlarged glandular tissue and for some increased pain and sensitivity in the area. True gynecomastia involves swelling of glandular tissue and fat not just fat in the chest area.
- MolesIf you elect to remove a mole for cosmetic reasons, the procedure is similar. Mole removals can either be done by shave or surgical excision. The location and depth of the mole will determine how it’s removed and discussed in your appointment. Cosmetic removal is normally not covered by insurance because it’s an elective procedure. We will provide the fees prior to your procedure.
- Cosmetic SurgeryFor more information on Kybella and how it can improve your double-chin. Please contact our Eastside-based office at Cosmetic Surgery & Dermatology of Issaquah, Inc. to schedule your consultation with board-certified dermatologist and cosmetic surgeon, Dr. Victor Michalak.
- Dermabrasion
- Cosmetic DermatologyCosmetic dermatology is another part of Emily’s scope of practice. She is excited about how technology can be utilized to treat patients in a way that couldn’t be done in the past. Fraxel, and Vbeam, are just a few of the services Emily performs here.
- Skin CancerActinic Keratosis, also known as solar keratosis, is the most common type of pre-cancer condition, affecting approximately 58 million Americans. Actinic Keratoses are precancerous skin cells. If not properly treated, they can develop into squamous cell carcinoma, a potentially fatal form of skin cancer.
- DermatologyHair loss is not just physical but takes an emotional toll on both men and women. For men, 25% will see the first signs of hair loss in their 20’s and by your 50’s an estimated 85% will have noticeable hair loss. This might not be as obvious as an issue for women but according to the American Academy of Dermatology, 40% of women will have some visible hair loss by their 40’s. Medical treatment is available for hair loss and if you’re noticing abnormal shedding, thinning or bald patches, it’s time to see your dermatologist.
- Acne TreatmentThe best acne treatment plan is chosen based on factors such as the acne type, severity, skin type and area(s) affected.
- Cyst
- EczemaIn the most general sense, eczema can indicate any one of a number of skin conditions that cause the skin to become swollen and itchy. Often when a person says they have eczema, they are referring to atopic dermatitis, a chronic condition that is the most common type of eczema. Atopic dermatitis causes the skin to swell, crack, and ‘weep’ clear fluid. Other types of eczema include hand, nummular, and seborrheic dermatitis.
- FungusNail fungus can be an embarrassing, and sometimes painful condition to bear. Scientifically known as onychomycosis, nail fungus occurs when fungi infect one or more of your nails. Symptoms of nail fungus range from the crumbling and changing in color of the nail, to foul odor and separation of the nail from the nail bed. Once the infection has damaged and misshapen the nail, the area can become quite painful.
- LesionsTreatment involves rubbing the cream onto lesions once or twice a day for 2-4 weeks. Reddening, swelling, and crusting may occur but they are temporary. This treatment has produced cure rates up to 93 percent with rarely any scarring.
- Chemical PeelsA Chemical peel is a non-invasive procedure that uses a solution applied to the skin to improve a variety of imperfections and sun damage. The solution usually has lower pH, causing the to skin react and exfoliate. This process stimulates new fresh skin cells, creating smoother skin with less discoloration. Depending on the type of peel and how deep the solution penetrates, fine lines, acne, and acne scars will also improve.
- Rashes
- Skin CareDCL ( Dermatologic Cosmetic Laboratories ): Uses the highest grade ingredients to create effective skin care with innovative ingredients. DCL is a popular choice for patients seeking a simple skincare program with an attractive price point. Products we carry: AHA Resurfacing Lotion 8 and AHA Resurfacing Lotion 20.
- PsoriasisAnyone can develop psoriasis at any time. The following factors are known to increase your risk of developing the condition...