Texas Cosmetic Dermatology Blog

We have a comprehensive and innovative approach to treating All types of Acne, including:
Teen Acne, Adult Acne, Rosacea, Cystic Acne etc.
We combine lifestyle guidance, oral supplements when necessary, our own Naila MD Skin products for at home skin care with Novel in office treatments. Our treatment program is completely customized to individual skin types. During the course of treatment we evaluate patient response and modify our approach as clinically indicated.
Some of the treatments we incorporate are:

• Medical Microdermabrasion


• Medicated Chemical peels


• Intense Pulsed Light for cystic Acne and Rosacea


• Photodynamic Therapy for resistant Cystic Acne

We Accept medical Insurance for Acne treatments and most of our treatments are covered as a medical benefit by major medical Insurances. Individual Insurance coverage varies, please call our office to see if your insurance will cover these type of treatments.

Click to view our patient before and after photographs

To find out if your Medical Insurance covers your Acne Treatment, Please Call our office 888-210-9693

If you would like more information about treatment options for Acne, Rosacea, Cystic Acne, Acne scars in or around South lake, Colleyeville, Keller, Grapevine, Flower Mound, Lewisville, Arlington, Fort Worth, North Richland Hills, Denton and other areas around Dallas Fort Worth Metroplex, Please call our office at 888-210-9693 or visit our website at
www.nailamalikmdskin.com

I see many patients for various types of acne. My treatments vary from patient to patient and within each patient the treatments are modified according to response. Generally our Acne treatments include lifestyle modification, topical skin care, Acne cyst extractions, medical microdermabrasion, Medicated Acne peels, Intense Pulse light, PDT and short course of oral antibiotics if indicated.

More than 80% of patients have great response. I see 80-90% improvement in 3-4 months and we switch to maintenance phase of acne management.

Most acne treatments are done as Medical treatments and billed to medical Insurance (except PDT).

Recently I experienced something rather unusual. One of my teen patients with moderately severe cystic type acne with moderate inflammation who has been under my care for over 6 months has had a frustrating course. He would get better for few days, then get worse.He has been on topical and oral antibiotics longer than any other patient in my practice. Antibiotics transiently improved his lesions but stopped working after a few days. He has had microdermabrasion, chemical peels, Intense pulse light regularly.

His cystic lesions and inflamed skin improved most notably with IPL treatments which led to less redness, and fewer new cysts but this effect did not last beyond a few days

About 3 weeks ago, after detail discussion with his mom, we decided to stop all oral antibiotics, institute a stricter diet (less sugar, less saturated fat, no dairy) and try an atifungal medication. He had history of fungal skin infection in the past, some areas on face clinically appeared to be consistent with fungal infection.

He has shown remarkable improvement since then. I plan to continue IPL treatment every 2 weeks to reduce redness and cyst formation. I saw him today he looked GREAT!
He has NO active cystic lesions, has mild to moderate redness and acne scars which we can reduce over the next few months with microdermabrasion or a topical.

It just makes me realize that sometimes you have to think out of the box to get results!

I am really appreciative of my patient and his mother. If it was not for their patience and understanding, we would not have achieved this!!

If you have experience Acne resistant to medical treatment please call our office for information on treatment options and visit our http://www.nailamalikmdskin.com/Service/ACNE_TREATMENTS

Naila Malik MD PA offers Cosmetic skin treatments for Acne, Eczema, melasma, wrinkles, scars, cellulite, HCG weight loss, Bio-identical Hormone replacement Therapy in DFW Metroplex including, Southlake, Colleyville, Keller, Grapevine, Flowermound, Trophy club, North Richland Hills, Fort Worth, Arlington and surrounding areas.
Call our office at 888-210-9693 for information

LEGAL DISCLAIMER

The information on this Web site is provided by Naila Malik MD for educational purposes only. It is not a substitute for professional medical care, and medical advice and services are not being offered. If you have, or suspect you have, a health problem you should consult your physician. Only your doctor can provide you with advice on what is safe and effective for you. Never disregard professional medical advice or delay in seeking it because of something you have read on the Site!
THE SITE DOES NOT PROVIDE MEDICAL ADVICE.

YES!!
We have one of the most comprehensive Acne treatment programs in DFW metroplex! And YES we accept Medical Insurance for Acne treatments!

In our Southlake Dermatology office, we combine a variety of modalities to optimize the treatment results of all types of acne and acne scars. Most importantly, few people realize that Acne is a medical condition with serious emaotional impact and most of these treatments are covered by Medical Insurance.

We accept major medical Insurance like United, Aetna, Blue cross Blue Sheild, Cigna and others. Call our Southlake Cosmetic Dermatology office to see if we accept your medical Insurance. Our patients are from all over DFW metroplex and from other cities like Waco, Abilene, Denton Texas

We have a comprehensive Acne management program which includes lifestyle guidance, nutritional supplements, our exclusive NAILA MD skin products and prescription medications as needed.

Our in-office Medical Acne treatments are tailored to suit individual skin needs and include, Acne surgery, Medical Microdermabrasion, Customized Medicated Chemical Peels, Intense Pulsed Light and Photodynamic Therapy for resistant cystic acne.

Most of our patients have significant (about 90%) improvement or reduction of Active Acne lesions in 90 days

Photodynamic Therapy is not usually covered by medical Insurance. However most other treatments are covered by medical Insurance. Individual Insurance coverage varies. Call our office and we will be glad to check if your Insurance will cover your acne treatments.

Check out our Acne before and after photos.

Call our Southlake Cosmetic Dermatology office at 888-210-9693 to make an appointment for Acne evaluation and treatment options.

LEGAL DISCLAIMER

The information on this Web site is provided by Naila Malik MD for educational purposes only. It is not a substitute for professional medical care, and medical advice and services are not being offered. If you have, or suspect you have, a health problem you should consult your physician. Only your doctor can provide you with advice on what is safe and effective for you. Never disregard professional medical advice or delay in seeking it because of something you have read on the Site!
THE SITE DOES NOT PROVIDE MEDICAL ADVICE.

Accutane No Longer Sold

Generic Versions Still Available as Isotretinoin

July 8, 2009 - Accutane, Medication for cystic acne, will not be sold any more, drug giant Hoffmann-La Roche Inc. has announced.

Isotretinoin, The Generic version of Accutane is still available through various manufacturers. Roche introduced Accutane in 1982 and has sold it to 13 million patients since its introduction will not be selling Accutane any longer.

In a news release, Roche announced its decision was due to "business reasons". Accutane sales have been declining over the years due to availability of generic Isotretinoin, now reduced to less than 5% of the Isotretinoin market.

Personal injury lawsuits make up another big reason. Inflammatory bowel disease was recently added to long list of serious side effects possibly caused by this medication.
Accutane and other Isotretinoin products are effective treatments for serious Cystic acne. But this class of drugs has been associated with many serious side effects: Depression, psychosis, suicide, Inflammatory Bowel disease are just a few of the long line of side effects. Accutane and Isotretinoin products can also cause miscarriage and serious birth defects if taken by pregnant women.

I have been effectively treating all types of Acne with a combination of lifestyle adjustment, Topical skin care, prescription antibiotics and office treatments. Cystic Acne is generally resistant to treatment and can be associated with deep scarring. In our office we have been able to achieve reasonable control with Photodynamic therapy which also helps reduce scarring.

For more information on our acne treatments, please visit our website or contact our office at 888-210-9693

LEGAL DISCLAIMER

The information on this Web site is provided by Naila Malik MD for educational purposes only. It is not a substitute for professional medical care, and medical advice and services are not being offered. If you have, or suspect you have, a health problem you should consult your physician. Only your doctor can provide you with advice on what is safe and effective for you. Never disregard professional medical advice or delay in seeking it because of something you have read on the Site!
THE SITE DOES NOT PROVIDE MEDICAL ADVICE.

Acne treatment has come a long way in the last decade! Medical research has led to new discoveries in causes of acne and developed many new acne treatment options.Combination treatments are the most effective method for long term control. Each acne treatment works on one cause of acne. Combining two or more treatments leads to attacking at several causative levels ensuring better control.

Acne is a chronic condition and requires a multilevel approach for effective management. When treating Acne, We can achieve a reasonable control in more than 90% of our patients keeping in mind the following:

• It is a matter of time and patience. While most of our patients achieve clear skin in 3 to 4 months, for some it may take longer.
• Same treatment protocol does not work for everyone.
• Lifestyle, Diet, exercise, stress management play a very important role in effective Acne management.

• Topical skin care. For most of our patients we recommend our own skin products with Alpha and beta hydroxy acids, Salacylic acid, Sulphur and anti inflammatory botanicals. These products are less irritating than prescription Retinoids
• Oral Antibiotics: I use oral antibiotics ONLY when clearly indicated for inflammatory Acne and for the shortest time possible. Long term use of oral antibiotics has been associated with development of bacterial resistance, yeast infections and other side effects.
• Acne Surgery for gentle extraction of comadones combined with Medical Microdermabrasion and Medicated Chemical Peels reduces oil production, blackheads and inflammation leading to fewer acne lesions.
• Light based treatments especially Photodynamic therapy work effectively for cystic acne resistant to other treatment modalities.
• Resurfacing lasers such as CO2 Fractional laser, work very well for reduction of Acne scars

For more information or a consultation please call our office at 888-210-9693.

LEGAL DISCLAIMER

The information on this Web site is provided by Naila Malik MD for educational purposes only. It is not a substitute for professional medical care, and medical advice and services are not being offered. If you have, or suspect you have, a health problem you should consult your physician. Only your doctor can provide you with advice on what is safe and effective for you. Never disregard professional medical advice or delay in seeking it because of something you have read on the Site!
THE SITE DOES NOT PROVIDE MEDICAL ADVICE.

Continue reading "Acne Vulgaris - New Treatments" »

Medical studies show, stress worsens Acne in teens. Teenagers under high levels of stress are more likely to have increased acne severity.

Researchers say acne is an inflammatory disease, and previous studies have shown stress can trigger inflammation in the body. This is most likely mediated through release of Adrenal Androgens during stress which causes increase in sebum production and inflammation.

Knowing what causes stress and developing an effective stress management strategy is an important adjunct to long term acne management. I have found, discussing the role of stress in Acne exacerbation and the importance of adequate stress management leads to more realistic expectations from medical treatments and fewer inflammatory Acne breakouts.

For more information on stress management and acne treatment options please visit our website or call our office at 888-210-9693

LEGAL DISCLAIMER

The information on this Web site is provided by Naila Malik MD for educational purposes only. It is not a substitute for professional medical care, and medical advice and services are not being offered. If you have, or suspect you have, a health problem you should consult your physician. Only your doctor can provide you with advice on what is safe and effective for you. Never disregard professional medical advice or delay in seeking it because of something you have read on the Site!
THE SITE DOES NOT PROVIDE MEDICAL ADVICE.