Get In With Your Skin Gardens Dermatology Esthetic Blog

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November 13, 2020
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Patches, Redness and Flare-Ups, Oh My! Rosacea vs. Psoriasis

Rosacea and psoriasis are two of the most common skin conditions that plague Americans, but not many can identify the differing tell-tale signs between the two.

Here's how you can spot the signs, understand your diagnosis, and what you can do to relieve your symptoms.

Psoriasis can affect your entire body, resulting in itchy, red, patches.

According to Gardens Dermatology, psoriasis is a chronic, long-lasting disease that develops when a person's immune system sends faulty signals to the skin cells, prompting them to multiply. New skin cells form within days as opposed to weeks. Instead of shedding, the cells pile up on the skin's surface creating patches of psoriasis to appear. This disease is not contagious, so you cannot get it by touching a person who has it. Psoriasis can run in families but can happen in individuals without a family member with the disease.

There are different types of psoriasis, including:

Some people have more than one type or can develop into other forms. Current studies show that more than eight million Americans have this skin disease. The condition can start at any age but it is more common that it starts in adults.

Roughly 25% to 30% of people with psoriasis, may develop psoriatic arthritis, another form of the skin condition, which causes inflammation and swelling in the joints. Some psoriasis arthritis symptoms include a swollen finger or toe, nail separating from nail bed, lower back pain, heel pain, and stiffness when you wake up or sit for hours. There are treatment options to help ease symptoms or prevent further damage—including physical therapy, arthritis-friendly, exercise, and medication.

While there is currently no cure for psoriasis, you can alleviate itching, cracking and bleeding, by taking care of your skin. The dermatologists at Gardens Dermatology recommend:

  • Avoid excessive sun exposure.
  • Avoid skin injuries like bug bites and cuts.
  • Try not to scratch, as scratching can worsen your condition.
  • Here are some ways to relieve itching: applying a cold compress or ice pack, take medication as directed by your doctor, and moisturize daily, in the morning and evening before bed.

In contrast to psoriasis, rosacea is contained to the face and results in flushing of the skin and acne, like pimples and bumps.

Rosacea is a common skin ailment that begins with a tendency to blush or flush more than others, according to Gardens Dermatology. The redness slowly spreads from the nose and cheeks to the forehead and chin. In some people, it can reach the chest, back and remain red at all times. Due to the number of symptoms, there are four subtypes:

  • Erythematotelangiectatic rosacea—redness, flushing, and visible blood vessels.
  • Papulopustular rosacea—redness, swelling, and acne-like breakouts.
  • Phymatous rosacea—thick skin with a bumpy texture
  • Ocular rosacea—red and irritated eyes or swollen eyelids. Severe cases may require you to see an ophthalmologist.


The American Academy of Dermatology Association found that 16 million Americans have rosacea. It's most common in individuals ages 30 and 60 with fair skin, blonde hair, and blue eyes. Women experiencing menopause are also likely to develop rosacea. While women likely to get rosacea, men are likely to have severe cases. People with a family history of rosacea may inherit the genes of the disease.

Many people living with this skin condition say it affects their quality of life. They express having feelings of frustration, embarrassment, worry, depression, and low self-esteem. It also impacts the work and personal lives of many. There is no cure, but there are treatments to prevent rosacea from worsening. Some of these options include medication, antibiotics and laser or light procedures. You can also decrease its severity by avoiding hot showers, sweating, and heat which may increase blood flow to the affected area of the face and wearing sunscreen during the day and applying an emollient to help repair skin.

For more information on what causes acne and how to improve your skin, please call Gardens Dermatology & Cosmetic Surgery Center at 561-776-7041 or visit them online at

August 20, 2020
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Tips for researching skin care procedures online

People are always looking online for procedures to improve the look and health of their skin. Many learn about new procedures talking to friends, scrolling social media, and researching them on websites.  If you are feeling self-conscious about different skin issues, like wrinkles, and wondering if there is a way to change them. The answer is yes, but there are so many treatment options, how would you know where to start? Dr. Steven Shapiro, with Gardens Dermatology & Cosmetic Surgery Center in Palm Beach Gardens, has an easy solution.

People tend to focus on which procedures can help them with their problems, but that method might not be the right one. Instead, Dr. Shapiro suggests starting with the issue that is bothering you and then consult your Gardens Dermatology & Cosmetic Surgery Center board certified provider to discuss it. Your provider can perform a proper diagnosis and offer the best treatment options for you.

Treatments for common issues like wrinkles and frown lines are not always as black and white as they sound. For example, according to Dr. Shapiro, a wrinkle in motion and a wrinkle at rest are two different things that may require more than one procedure. For treatment options, providers may lean towards Botox for wrinkles in motion and fillers for wrinkles at rest.

According to Gardens Dermatology & Cosmetic Surgery Center providers, Botox and Dysport injections treat wrinkles caused by facial expressions in both men and women. The injections reduce the appearance of wrinkles by relaxing muscles in the face, leading to smoother skin. Some of the target areas are forehead wrinkles, crow’s feet around the eyes, lines between the eyebrows, lip lines, and neck bands. These procedures are short and require little to no downtime. Patients can expect to see significant results after five to ten days. 

Gardens Dermatology & Cosmetic Surgery Center providers define dermal fillers as injections placed into the facial tissue to correct moderate to severe facial wrinkles and folds. Dermal fillers target cheeks, lines, and lips. This minimally invasive procedure provides dramatic results by plumping thin lips, enhancing shallow contours, softening facial creases, removing wrinkles, and improving the appearance of recessed scars. Fillers can also reverse the effects of aging and sun exposure.

There are several filler procedures designed to target specific areas. Some of these include Juvederm and Restylane. Please consult your Gardens Dermatology & Cosmetic Surgery Center provider to determine which option is best for you and your skin.

For more information on what causes acne and how to improve your skin, please call Gardens Dermatology & Cosmetic Surgery Center at 561-776-7041 or visit them online at


July 16, 2020
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What really causes acne?

Have you ever wondered what causes acne? Is it your diet, genetics, stress, or the environment? While these are all factors, according to Gardens Dermatology providers, it actually starts with a blocked hair follicle.

Each pore on your skin contains a hair follicle and a sebaceous (oil) gland. The gland releases sebum, a natural oil that travels up the hair to the surface and keeps it lubricated. When the hair follicle becomes blocked, oil, bacteria, and dead skin cells become trapped under the skin.

Acne is common among all age groups, not just teenagers. Teenagers are at risk for developing acne during puberty, where the body is going through hormonal changes, including oil production. It appears on the back, chest, neck, shoulders, upper arms, and buttocks. According to Healthline, some risk factors include hormonal changes caused by puberty or pregnancy, certain medications like birth control, a diet that's high in refined sugars and carbs, and parents who have acne.

People who struggle with acne may also develop health conditions like low self-esteem because they are uncomfortable with their skin. Having a social life or going to school and work becomes challenging. In some cases, a severe case of acne can cause depression and suicidal thoughts, which is most common in teenagers. Additionally, acne can leave behind dark spots that may take months or years to fade. People who struggle with cysts and nodules can develop permanent scarring.

There are some self-care tips you can do at home to help clear your skin.

  • Clean skin daily with a mild cleanser, no more than twice a day, especially after sweating. Sweat can make your acne worse.
  • Use your fingertips to clean your face. Washcloths, mesh sponges, and other abrasive tools can cause irritation.
  • Avoid products that may irritate your skin, such as exfoliants, toners, and astringents.
  • Rinse with lukewarm water.
  • Wash your hair regularly and keep it out of your face.
  • Keep your hands away from your face. Touching it can cause flare-ups
  • Monitor your time in the sun and stay out of tanning beds.

Despite how frustrating it can be, even the most stubborn acne cases are treatable. It's easier to treat when you catch it early. While most teenagers get acne, it can affect anyone at any age, even newborn babies. The providers at Gardens Dermatology customize and develop regimens and products based on the patient's skin type, acne type, and goals they have.

If you have been struggling with acne, talk to your dermatologist. They can make a proper diagnosis and discuss treatment options with you.

For more information on what causes acne and how to improve your skin, please call Gardens Dermatology & Cosmetic Surgery Center at 561-776-7041 or visit them online at

July 02, 2020
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Dangers of Buying Skin Care Products Online

Today, consumers can find hundreds of skincare products online, from exfoliants to rich moisturizers to chemical peels. Americans spend more than $12 billion on online beauty products every year according to global measurement company Nielsen. While online options may seem endless, unfortunately, not all beauty products are safe or suitable for your skin.

Please click on the link to see our Gardens Dermatology & Cosmetic Surgery Center article regarding Dangers of Buying Skin Care Products Online.

Schedule your skin check today. (561)776-7041


June 12, 2020
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How you wash your face can make a difference in your appearance.

Follow these tips from your Gardens Dermatology providers to help you keep your face looking healthy.

  1. Use a gentle, non-abrasive cleanser that does not contain alcohol.
  2. Wet your face with lukewarm water and use your fingertips to apply cleanser. Using a washcloth, mesh sponge, or anything other than your fingertips can irritate your skin.
  3. Resist the temptation to scrub your skin because scrubbing irritates the skin.
  4. Rinse with lukewarm water and pat dry with a soft towel.
  5. Apply moisturizer if your skin is dry or itchy. Be gentle when applying any cream around your eyes so you do not pull too hard on this delicate skin.
  6. Limit washing to twice a day and after sweating. Wash your face once in the morning and once at night, as well as after sweating heavily. Perspiration, especially when wearing a hat or helmet, irritates the skin. Wash your skin as soon as possible after sweating.

If you have questions or concerns about caring for your skin, schedule your appointment today