Episode Transcript
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Speaker 1 (00:06):
This is News Radio seventy ten WNTMS ask the experts.
I'm Uncle Henry, your host, and I'm here once again
with board certified dermatologist doctor Thomas Bender with Advanced Dermatology
and Skincare Center, a forefront dermatology clinic. Advanced Dermatology and
(00:28):
Skincare Center has a team of board certified dermatologists with
locations in Mobile, Daphne, Baymonette, and Northwest Florida. You can
find out more about the doctors and the services they
provide by visiting the website Advanceddermclinic dot com. That's Advanceddermclinic
dot com. You can make an appointment at the website
(00:51):
or you can call two five to one sixty three
one thirty five seventy. Again, that number to make an
appointment is two five to one six one thirty five
seventy for Advanced Dermatology and Skincare Center. Before we begin
our conversation with doctor Thomas Bender, I need to let
you know that you do have opportunities to save money
(01:12):
on boatox during the month of October with Advanced Dermatology
and Skincare Center. Now, the one day you can save
in Mobile is Tuesday, October twenty eighth. If you purchase
four hundred dollars or more of Botox Tuesday, October twenty
eighth in Mobile, you get fifty dollars off, and the
(01:32):
next day the same deal goes in Daphne at the
Daphne location of Advanced Dermatology Wednesday, October twenty ninth. In Daphne,
if you purchase four hundred dollars or more of Botox,
you get fifty dollars off. Now you must schedule while
the appointments last, because these appointments will fill up quickly.
(01:53):
So if you would like to make that appointment on
the twenty eighth and Mobile or the twenty ninth in
Daphne to save money on Botox, call Advanced Dermatology in
Skincare Center at two five to one six three one
thirty five seventy. That's two five to one six three
one thirty five seventy to make those appointments for Botox
and to save money on Botox in October. Also during
(02:18):
the month of October, you can get forty dollars off Juvo. Now,
that is while the rebates last. That's forty dollars off
Juvo during the month of October while supplies last at
Advanced Dermatology and Skincare Center. Again, if you have any
questions about this, you can find out more at the
(02:38):
website advancedderm Clinic dot com. That's advancedderm Clinic dot com.
Now let's begin our conversation with Board certified dermatologist doctor
Thomas Bender with Advanced Dermatology in Skincare Center. This conversation
was recorded at doctor Bender's office in Providence Park near
(02:58):
Providence Hospital in Westmobile. Doctor Bender, Hawrah, thanks going at
Advanced Dermatology and Skincare Center.
Speaker 2 (03:05):
Outstanding as always. Thank you.
Speaker 1 (03:07):
Great to hear that we're in the month of October.
I know you follow Alabama football roll tied role Alabama
three and one. You also love Florida football Florida one
and three. This is what kind of a yin and
yang do you have going as a football fan.
Speaker 2 (03:21):
It's I mean, it's a difficult yin and yang, let
me tell you for sure, but you know, hopefully they'll
both play well, that's coming weekend and all will be
good with the world.
Speaker 1 (03:30):
That is a nice way of putting that. You have
no prescriptions for Florida anything you can offer prescription wise,
there's not an ointment for this.
Speaker 2 (03:38):
You know, there probably is an ointment for this. We
won't talk about that on the radio though, Okay, all right,
but I do think that, you know, their head coach
probably should consider maybe giving up some of his responsibilities
calling plays. Maybe that would help. And then of course,
you know, the quarterbacks really struggled. I mean, you know,
and as we all know, doesn't mat if you're in
Alabama or Florida, LSU or Ole missfan. If your quarterback
(04:00):
isn't playing well, you're probably not doing too well. And
that's what's going on with Florida right now. Maybe they
can improve, we'll see.
Speaker 1 (04:05):
All right, well, we'll get that. We'll try to get
that message to them. Maybe send them a link to
this podcast now Doctor Bender. You can find doctor Bender
at Advanced Dermatology and Skincare Center the website Advancedermclinic dot com.
Now doctor Bender. We have some emails in from listeners
with questions. I want to say, by the way, if
you want to send an email, you can email me
(04:26):
Uncle Henry at iHeartMedia dot com. That's Uncle Henry at
iHeartMedia dot com. We'll get the emails to this show
for doctor Bender. Now. The first mail email I've got
for you, doctor Bender, is about egzema. October is Exema
Awareness month, so a great email to start with. This
is from Rick Henry and Midtown Mobile. He says, Hi, doctor,
(04:48):
my exzema has been flaring up and it seems to
flare up more in the fall and winter. What's the
best way to manage exama daily? And should I avoid
certain products or foods?
Speaker 2 (05:03):
Well, I mean, if he's got more of a seasonal situation,
that's probably something that happens to be blooming in the fall,
you know, which there's always something blooming in South Alabama,
pollen in the air, especially maybe what's going on here.
But you know, we do have a lot of things
we can do to decrease his sensitivity. We have topical
medicines that you know, whether we use steroids or use
(05:24):
a newer medication that's a nonstroilling Town flume to which
I love to do. So that way, you basically have
a cream. You forget where you're supposed to use it.
It's no big deal because you can use it from
head to toe. We also do a lot of you know, anyitamines,
you know, something like zizols and newerform assoyo tech, we
can do that just also to decrease sensitivity. A lot
(05:45):
of times those medications do not cause folks to be
you know, tired. You know, we don't want to put
patients to sleep, especially when they're driving and doing their
activities and having to go to work during the day,
of course, and then if those things don't work, we
actually have some biologics where there are injections every couple
of weeks or every four weeks that will also decrease
(06:07):
the sensitivity. And so we've got a lot of great
things that have come down the pipeline that will allow
us to take an itch away from a patient, a
rash away from a patient, you know, even young children.
A lot of these are good down to age two now,
so that if we've got a child who's itchy different
times of the year and we can't get under control,
then we might have to switch to a biologic, even
(06:29):
if it generally only comes four or five times a year.
Speaker 1 (06:31):
So egx AMNT, how does it manifest? Is it just
patches of dry, itchy skin? Is that what it is?
It is?
Speaker 2 (06:38):
I mean kind of you know, a reddish you know,
with scale type, you know, patches along the skin, and
you know, and sometimes though there isn't a rash, you know,
sometimes a patient gets itchy, then they start scratching and
then they end up with a secondary you know, rash
from scratching. So and there's also some debate about that,
you know, is it the rash you know that then
(07:00):
or is it the itch then rashes. But I think that,
you know, the good news is for patients that are
suffering with it, you know, we'd love to see them
because we have a lot of tools in our toolbox
that we can help them with.
Speaker 1 (07:11):
This is something that I've not heard talked a lot
about before, and that is, Uh, you mentioned seasonal allergies.
You hear about people having seasonal allergies and you think
of sinus problems and things. How many seasonal allergies actually
affect people's skin and they may not even know it's
it's something blooming that's causing that to happen to their skin.
Speaker 2 (07:32):
I mean, we see patients all day, every day, every
part of the year that are complaining of you know,
an itch and they're not sure what's causing it. You know,
there's some low hanging fruit that I think, you know,
the listener was asking about you know, we always say, hey,
you probably should go to a detergent that's free and clear,
which means it's free and clear fragrance. It's free and
clear of a lot of the preservatives they use, and
(07:54):
every brand. So whatever your favorite brand is, you know,
you can you can buy you know all you can
buy tide, you can buy it. You all of them
have a free and clear because it's a big problem.
You know, things like dryer sheets and fabric softeners. We
try to take that out of the wash as well,
because those are very common causes of patience to break out.
And you know, it doesn't have to be something that's
(08:15):
brand new. It can be something that you guys have
washed your clothes in for years and all of a sudden,
your body just a side. It's it gets sensitive to it.
Same thing with foods.
Speaker 1 (08:24):
You know.
Speaker 2 (08:25):
I always tell the story, you know, when I was
in the military and working some weekends and and urgent care.
You have a patient come in and they're getting a
little bit itchy and my lips swung a little bit.
I would you eat last night? Well, I had a
shrimp dinner. You Friday night. A lot of folks you know,
want to eat seafood, some for religious reasons, and I
told them, well, you know, you might be getting a
(08:45):
shellfish allergy, and of course we love our seafood here
in the South. I mean, you know, they didn't want
to hear that. Next weekend, working there again, here the
patient comes and it's worse, you know. Now, their lips
really swollen, their faces swollen, They've got this rash on
their body. And I'm like, did you eat shellfish last night? Again,
they're like yes I did. I'm like, are you a
(09:06):
believer now? And they're like, yes, I am. And so
you can develop analergy at any point in time. This
patient had been eating shellfish for fifty years and all
of a sudden became alergious. So well, you got fifty
out of it. Some folks, you know, end up in
their twenties and thirties having analogy of shellfish.
Speaker 1 (09:22):
All right. Our next email is also from Midtown Mobile Pat.
Now Pat is sending an email trying not to come
see you. He writes, Hi, doctor Bender, I've been dealing
with an itchy red rash on my arms for weeks
now getting worse. Could you explain what might be causing
it and how I can treat it without having to
come see.
Speaker 2 (09:43):
You well, you know that's always challenging. Of course, I
know something over the radio, but you know, if you
have a rash on your arms, you know, if this
were in the spring, you know, we always are concerned about,
you know, when you strugging out in the sun the
first time you can actually have an allergy to the sun,
(10:03):
you know, And in a lot of times those patients,
they take any histamines, we give them a steroid cream
and then it goes away. Now, if this patient hasn't
been getting in the sun very much over the summer
and all of a sudden is getting out there because
the temperatures are cooling off a little bit, and now
this is really the first time all year they've gotten
some sun in quite a while, it could still be
what's causing it. And so taking in a histamine, using
(10:25):
a topical steroid over the counter can certainly help make
it go away. And I think that's probably going to
be our best bet. The other thing is if they
just started taking a different type of medication. Some medications
can make us more sun sensitive, and so that's another
thing that they can think about. Although you know, if
the forums and backs of the hands are involved. We
(10:46):
would also think that the face would be involved. But
some patients are good about putting sunscreen on their face
but not other places, So that would explain why the
face may not be involved. But you know, hopefully that
will help. But it's always a lot easier to lay
eyes on a patient and talk to them face to face.
Speaker 1 (11:02):
Absolutely. Next email here is from Leah out in Westmobile.
Leo writes, doctor, no matter how much lotion I use,
my skin feels like sandpaper, especially in colder weather. Any
advice on moisturizers or routines to keep my skin hydrated
all day?
Speaker 2 (11:22):
You know, some patients just you know, have a genetic
predisposition for extremely dry skin. There are actually some you know,
characteristic dry skin, you know, syndromes as a matter of
fact that we treat. But if we're just dealing with
you know, dry skin by itself, not something like ichthosis
for example. You know, there are some things. Sera of
(11:44):
a cream is one of my favorites as far as moisturization,
you know, has seramides in it, which you know helps
replace seramides in the skin. A lot of medications that
we take like, for examples, the statins you know, lesterol
or medications can also make us dryer. So if she's
on one of those, that's something to think about. Obviously,
you don't want to stop that because it's doing some
other important things for her. And then you moisturize over
(12:05):
damp skin, so you get out of the shower, and
of course in the shower you want to use something
that's very moisturizing, like a dove for sensitive skin. If
you're using an antibacterial or ivory and some of the
other brands, that will dry your skin out more. If
you're taking really hot showers hot baths, that will dry
your skin out more, So you might want to turn
the temperature down a little bit, not asking patients to
(12:25):
take cold showers and baths. But then once you get out,
you blot dry. You don't rub your blot with the towel,
and then you can put the serie over damp skin
that locks in that moisture and will help her become
more moisturized, all right.
Speaker 1 (12:38):
Next to email doctor Bender is from Bill in fair Hope.
Bill writes, I am in my forties and I spend
a lot of time outdoors as a kid, without sunscreen. Lately,
I've noticed some spots on my face that look uneven.
What signs should I watch for with skin cancer? And
is it too late to start protecting my skin? Now?
Speaker 2 (13:01):
Never too late to protect your skin. So zinc oxide
sunscreen like the one we carry here el To MD
that is one of the best sunscreens on the market.
I would highly recommend that you go get this checked
and you can grab Smelt MD and protect yourself further.
But if it starts to bleed when you barely touch it,
it could be a basal cell carcinoma. If it's kind
(13:22):
of rough and scally, it could be a squam of
cell carcinum or a precancer. And so you know, we
definitely would urge you to get these spots checked out
and treat it if necessary.
Speaker 1 (13:33):
All right, Next email is from Janet, also a westmobilion,
Janet Rights. I've seen ads for botox and I'm curious,
does it really smooth out foreheadlines without looking fake? How
long does it last? And is it safe for someone
like me who's never done any kind of cosmetic stuff.
Speaker 2 (13:55):
It's probably the most performed cosmetic procedure in the world.
It's extremely safe. There's several different botox and botox competitors
out there now, you know, Juvo's one of them that
we do a lot of here.
Speaker 1 (14:05):
Oh by the way, this month, forty dollars off Jubo
at Advanced Dermatology and Skincare Center while rebates last. Yes.
Speaker 2 (14:12):
Yeah, the company that makes Jeuvo is basically, you know,
paying patients to try their product. So good for them.
I think that's a great idea. Patients really appreciate the
forty dollars discount. But anyway, I think that it's definitely
a safe procedure to have done. And you know, yes,
it will reduce the lines in your forehead, it will
(14:32):
open your eyes, both of which are a sign of
beauty and a sign of being refreshed. And I think
that in general it lasts between three to six months.
You know, I tell patients when you first start, it's
going to probably be more like three or four months,
and then if you continue on a lot of patients,
you know, see the time between treatments expands. So I
think that now is a great time to have it done.
Speaker 1 (14:55):
Got an email from Lisa in Spanish fort Lisa is
emailing about micro needling. She writes A friend rave to
me about micro needling for her skin texture. Is it
good for fine lines and big pores? And how many
sessions do most people need with micro needling?
Speaker 2 (15:15):
So we do both regular micro needling where you're essentially
just can take a roller or similar. You know, have
microneiling pins that are just real small little needles and
they're basically making these little it'sy bitsy holes in your face,
you know, which kind of encourages collagen regeneration. What we
have is radio frequency micro needling. So it's a gold
(15:37):
plated needles and a piece of equipment where we when
we put the needles in your face, we can push
a button in those needles heat up underneath the skin,
which causes a lot more collagen regeneration and can help
with discoloration, sun damage, fine lines and wrinkles. But it
does take numerous treatments. You know, some page will have
one treatment a year, and if you do that, over time,
(16:01):
your skin will look a lot younger five years down
the road than it does today. So I think that
with all of these procedures in today's world that we
do here, they're all kind of fractionated procedures where you know,
with this one in particular, you know, it's maybe a
day or two of rediness, me a little bit of swelling,
so it's not really any or much downtime at all.
(16:22):
And of course we've talked about CO two laser, which
is a little more expensive. It's something where you know,
we're literally destroying old tissue, kind of tricking the body
into rejuring new either one of those treatments. A lot
of patients will combine those, you know, for fine lines, wrinkles,
sun damage, you know, kind of slowing down even reversing
the aging process.
Speaker 1 (16:43):
We'll got an email here from Stephen Stephen B. Who writes,
doctor Bender, My cheeks get super red and flushed at
the slightest stress. I think it's Roseasha. How can I
calm it down and prevent breakouts?
Speaker 2 (17:00):
Well, you've got to figure out what's causing you to flare.
I mean that's the first thing you can google, you know,
what makes Roseaesha flare. And it's going to tell you
things like alcohol, you know, especially red wine that can
make a lot of patients flare with their roseation. It's
going to talk about you know, hot beverages like hot coffee,
hot tea. It's not the caffeine, it's the heat. It's
(17:20):
going to talk about heat in general, you know, which
we have a lot of in South Alabama. Some folks
react to spicy foods, and the list goes on and on. So,
you know, once you figure out your triggers, if you're
willing to you know, avoid those things, you should get
read less. We have topical creams that we start patients
on because we want to reduce how many episodes of
(17:41):
redness regardless of what you decide to you know, not
use or not drink in the future, because every time
that you flare, you know, you're dilating those vessels, which
in turn will make the baseline redness worse. So we're
trying to avoid that. So it's really important to avoid
those triggers and come in so we can evaluate you
(18:02):
and get you on some medication as well.
Speaker 1 (18:04):
Now, before we run out of time, doctor Bender, let's
talk about the neograph procedure. For people that have never
heard you talk about neographed neograpt helps men and women
with hair loss. Now, Doctor Bender, neograft essentially is the
very latest version, the very latest technology with hair transplants.
Speaker 2 (18:24):
It is and you know, it's basically an opportunity for
patients to have hair where they have been losing hair,
which for men and women for that matter, generally is
in the central scalp, you know. Obviously, you know, men
generally have a receding hairline and or loss at the crown.
Initially that's the first areas that really show the thinning.
(18:45):
And with ladies it's more of a diffuse thinning, so
they generally don't lose all their hair in one area.
They just kind of lose where they don't have the
quantity of hair and it becomes visible and probably psychologically
it's a lot harder on ladies than it is on men.
We do have a lot of ladies lady patients. But
this procedure took something that was, you know, almost barbaric
(19:07):
in the way it was done. You literally remove part
of the scalp and then you sew the scalp back together,
which of course is tight. A lot of risk with
that type of closure because it can come apart, you know,
what we call dehiss. You have a scar there, and
then of course patients don't want to cut their hair
short in that area where the scar is. And then
of course you have someone who basically is sitting there
(19:28):
with a microscope and removing each hair follicle by hand.
And when you do that, you know, fifteen hundred twenty
twenty five hundred follicles in a hair transplant, that's you know,
that can be extremely taxing. So this machine what it does,
it allows us to take it out by the follicle.
So it allows us to just basically, you know, it's
almost like a little less than a millimeter punch taking
(19:52):
the follicle out. So you have all these little itsy
bitsy holes where the hair follicles were, primarily in the
back of the scalp because those hairs are programmed to
live forever usually and also on the sides, and then
we take those and we put them up top wherever
a patient has lost them, and so and of course
we also talk to patients about things we can do
to help them keep their hair so that they don't
(20:13):
have to have another transplant in the future, because you know,
especially a lot of young men are coming in their
twenties and thirties and they're like, hey, you know, I'm
not ready to lose my hair yet, and so we
tell them, hey, you need to be committed to doing
these other you know, we've got some oral medications that
are really good to prevent hair loss. We have some
topical medications that are really good for preventing hair loss,
(20:36):
as well as some vitamins. So there's lots of other
things we can do too, And if you come in
early for a consultation, we may be able to help
you before you lose hair where you don't need a
geograph procedure.
Speaker 1 (20:46):
Now, you mentioned men, and when you first started teaching
me about this years ago, I always thought of it
in terms of men losing hair. But how many women
come in for this?
Speaker 2 (20:56):
Yeah, I don't have a number off the top of
my head, but we have a lot of female patients,
and you know, it's just so gratifying to be able
to give a lady their confident confidence back. And I
think that's really what we're talking about now. Some people,
you know, they lose their hair and it just doesn't
bother them. You know, they're they're happy to shave their
head or do whatever they want to do. But there
(21:18):
are a lot of folks out there that even the
slightest thinning and they're extremely concerned about that and their
appearance and so it's really, you know, satisfying for us
to be able to help them.
Speaker 1 (21:31):
You've been listening to board certified dermatologist doctor Thomas Bender
with Advanced Dermatology and Skincare Center, a forefront dermatology clinic.
Advanced Dermatology and Skincare Center has a team of board
certified dermatologists with locations of Mobile, Daphne, Baymonette, and Northwestern Florida.
(21:52):
You can make an appointment by calling two five to
one six three one thirty five seventy. That's two five
one six three one thirty five seventy. You can make
an appointment with Advanced Dermatology and Skincare Center, or you
can make an appointment at their website. The website is
Advanceddermclinic dot com. Again, that's Advanceddermclinic dot com.
This is News Radio seventy ten WNTMS ask the experts.
I'm Uncle Henry, your host, and I'm here once again
with board certified dermatologist doctor Thomas Bender with Advanced Dermatology
and Skincare Center, a forefront dermatology clinic. Advanced Dermatology and
(00:28):
Skincare Center has a team of board certified dermatologists with
locations in Mobile, Daphne, Baymonette, and Northwest Florida. You can
find out more about the doctors and the services they
provide by visiting the website Advanceddermclinic dot com. That's Advanceddermclinic
dot com. You can make an appointment at the website
(00:51):
or you can call two five to one sixty three
one thirty five seventy. Again, that number to make an
appointment is two five to one six one thirty five
seventy for Advanced Dermatology and Skincare Center. Before we begin
our conversation with doctor Thomas Bender, I need to let
you know that you do have opportunities to save money
(01:12):
on boatox during the month of October with Advanced Dermatology
and Skincare Center. Now, the one day you can save
in Mobile is Tuesday, October twenty eighth. If you purchase
four hundred dollars or more of Botox Tuesday, October twenty
eighth in Mobile, you get fifty dollars off, and the
(01:32):
next day the same deal goes in Daphne at the
Daphne location of Advanced Dermatology Wednesday, October twenty ninth. In Daphne,
if you purchase four hundred dollars or more of Botox,
you get fifty dollars off. Now you must schedule while
the appointments last, because these appointments will fill up quickly.
(01:53):
So if you would like to make that appointment on
the twenty eighth and Mobile or the twenty ninth in
Daphne to save money on Botox, call Advanced Dermatology in
Skincare Center at two five to one six three one
thirty five seventy. That's two five to one six three
one thirty five seventy to make those appointments for Botox
and to save money on Botox in October. Also during
(02:18):
the month of October, you can get forty dollars off Juvo. Now,
that is while the rebates last. That's forty dollars off
Juvo during the month of October while supplies last at
Advanced Dermatology and Skincare Center. Again, if you have any
questions about this, you can find out more at the
(02:38):
website advancedderm Clinic dot com. That's advancedderm Clinic dot com.
Now let's begin our conversation with Board certified dermatologist doctor
Thomas Bender with Advanced Dermatology in Skincare Center. This conversation
was recorded at doctor Bender's office in Providence Park near
(02:58):
Providence Hospital in Westmobile. Doctor Bender, Hawrah, thanks going at
Advanced Dermatology and Skincare Center.
Speaker 2 (03:05):
Outstanding as always. Thank you.
Speaker 1 (03:07):
Great to hear that we're in the month of October.
I know you follow Alabama football roll tied role Alabama
three and one. You also love Florida football Florida one
and three. This is what kind of a yin and
yang do you have going as a football fan.
Speaker 2 (03:21):
It's I mean, it's a difficult yin and yang, let
me tell you for sure, but you know, hopefully they'll
both play well, that's coming weekend and all will be
good with the world.
Speaker 1 (03:30):
That is a nice way of putting that. You have
no prescriptions for Florida anything you can offer prescription wise,
there's not an ointment for this.
Speaker 2 (03:38):
You know, there probably is an ointment for this. We
won't talk about that on the radio though, Okay, all right,
but I do think that, you know, their head coach
probably should consider maybe giving up some of his responsibilities
calling plays. Maybe that would help. And then of course,
you know, the quarterbacks really struggled. I mean, you know,
and as we all know, doesn't mat if you're in
Alabama or Florida, LSU or Ole missfan. If your quarterback
(04:00):
isn't playing well, you're probably not doing too well. And
that's what's going on with Florida right now. Maybe they
can improve, we'll see.
Speaker 1 (04:05):
All right, well, we'll get that. We'll try to get
that message to them. Maybe send them a link to
this podcast now Doctor Bender. You can find doctor Bender
at Advanced Dermatology and Skincare Center the website Advancedermclinic dot com.
Now doctor Bender. We have some emails in from listeners
with questions. I want to say, by the way, if
you want to send an email, you can email me
(04:26):
Uncle Henry at iHeartMedia dot com. That's Uncle Henry at
iHeartMedia dot com. We'll get the emails to this show
for doctor Bender. Now. The first mail email I've got
for you, doctor Bender, is about egzema. October is Exema
Awareness month, so a great email to start with. This
is from Rick Henry and Midtown Mobile. He says, Hi, doctor,
(04:48):
my exzema has been flaring up and it seems to
flare up more in the fall and winter. What's the
best way to manage exama daily? And should I avoid
certain products or foods?
Speaker 2 (05:03):
Well, I mean, if he's got more of a seasonal situation,
that's probably something that happens to be blooming in the fall,
you know, which there's always something blooming in South Alabama,
pollen in the air, especially maybe what's going on here.
But you know, we do have a lot of things
we can do to decrease his sensitivity. We have topical
medicines that you know, whether we use steroids or use
(05:24):
a newer medication that's a nonstroilling Town flume to which
I love to do. So that way, you basically have
a cream. You forget where you're supposed to use it.
It's no big deal because you can use it from
head to toe. We also do a lot of you know, anyitamines,
you know, something like zizols and newerform assoyo tech, we
can do that just also to decrease sensitivity. A lot
(05:45):
of times those medications do not cause folks to be
you know, tired. You know, we don't want to put
patients to sleep, especially when they're driving and doing their
activities and having to go to work during the day,
of course, and then if those things don't work, we
actually have some biologics where there are injections every couple
of weeks or every four weeks that will also decrease
(06:07):
the sensitivity. And so we've got a lot of great
things that have come down the pipeline that will allow
us to take an itch away from a patient, a
rash away from a patient, you know, even young children.
A lot of these are good down to age two now,
so that if we've got a child who's itchy different
times of the year and we can't get under control,
then we might have to switch to a biologic, even
(06:29):
if it generally only comes four or five times a year.
Speaker 1 (06:31):
So egx AMNT, how does it manifest? Is it just
patches of dry, itchy skin? Is that what it is?
It is?
Speaker 2 (06:38):
I mean kind of you know, a reddish you know,
with scale type, you know, patches along the skin, and
you know, and sometimes though there isn't a rash, you know,
sometimes a patient gets itchy, then they start scratching and
then they end up with a secondary you know, rash
from scratching. So and there's also some debate about that,
you know, is it the rash you know that then
(07:00):
or is it the itch then rashes. But I think that,
you know, the good news is for patients that are
suffering with it, you know, we'd love to see them
because we have a lot of tools in our toolbox
that we can help them with.
Speaker 1 (07:11):
This is something that I've not heard talked a lot
about before, and that is, Uh, you mentioned seasonal allergies.
You hear about people having seasonal allergies and you think
of sinus problems and things. How many seasonal allergies actually
affect people's skin and they may not even know it's
it's something blooming that's causing that to happen to their skin.
Speaker 2 (07:32):
I mean, we see patients all day, every day, every
part of the year that are complaining of you know,
an itch and they're not sure what's causing it. You know,
there's some low hanging fruit that I think, you know,
the listener was asking about you know, we always say, hey,
you probably should go to a detergent that's free and clear,
which means it's free and clear fragrance. It's free and
clear of a lot of the preservatives they use, and
(07:54):
every brand. So whatever your favorite brand is, you know,
you can you can buy you know all you can
buy tide, you can buy it. You all of them
have a free and clear because it's a big problem.
You know, things like dryer sheets and fabric softeners. We
try to take that out of the wash as well,
because those are very common causes of patience to break out.
And you know, it doesn't have to be something that's
(08:15):
brand new. It can be something that you guys have
washed your clothes in for years and all of a sudden,
your body just a side. It's it gets sensitive to it.
Same thing with foods.
Speaker 1 (08:24):
You know.
Speaker 2 (08:25):
I always tell the story, you know, when I was
in the military and working some weekends and and urgent care.
You have a patient come in and they're getting a
little bit itchy and my lips swung a little bit.
I would you eat last night? Well, I had a
shrimp dinner. You Friday night. A lot of folks you know,
want to eat seafood, some for religious reasons, and I
told them, well, you know, you might be getting a
(08:45):
shellfish allergy, and of course we love our seafood here
in the South. I mean, you know, they didn't want
to hear that. Next weekend, working there again, here the
patient comes and it's worse, you know. Now, their lips
really swollen, their faces swollen, They've got this rash on
their body. And I'm like, did you eat shellfish last night? Again,
they're like yes I did. I'm like, are you a
(09:06):
believer now? And they're like, yes, I am. And so
you can develop analergy at any point in time. This
patient had been eating shellfish for fifty years and all
of a sudden became alergious. So well, you got fifty
out of it. Some folks, you know, end up in
their twenties and thirties having analogy of shellfish.
Speaker 1 (09:22):
All right. Our next email is also from Midtown Mobile Pat.
Now Pat is sending an email trying not to come
see you. He writes, Hi, doctor Bender, I've been dealing
with an itchy red rash on my arms for weeks
now getting worse. Could you explain what might be causing
it and how I can treat it without having to
come see.
Speaker 2 (09:43):
You well, you know that's always challenging. Of course, I
know something over the radio, but you know, if you
have a rash on your arms, you know, if this
were in the spring, you know, we always are concerned about,
you know, when you strugging out in the sun the
first time you can actually have an allergy to the sun,
(10:03):
you know, And in a lot of times those patients,
they take any histamines, we give them a steroid cream
and then it goes away. Now, if this patient hasn't
been getting in the sun very much over the summer
and all of a sudden is getting out there because
the temperatures are cooling off a little bit, and now
this is really the first time all year they've gotten
some sun in quite a while, it could still be
what's causing it. And so taking in a histamine, using
(10:25):
a topical steroid over the counter can certainly help make
it go away. And I think that's probably going to
be our best bet. The other thing is if they
just started taking a different type of medication. Some medications
can make us more sun sensitive, and so that's another
thing that they can think about. Although you know, if
the forums and backs of the hands are involved. We
(10:46):
would also think that the face would be involved. But
some patients are good about putting sunscreen on their face
but not other places, So that would explain why the
face may not be involved. But you know, hopefully that
will help. But it's always a lot easier to lay
eyes on a patient and talk to them face to face.
Speaker 1 (11:02):
Absolutely. Next email here is from Leah out in Westmobile.
Leo writes, doctor, no matter how much lotion I use,
my skin feels like sandpaper, especially in colder weather. Any
advice on moisturizers or routines to keep my skin hydrated
all day?
Speaker 2 (11:22):
You know, some patients just you know, have a genetic
predisposition for extremely dry skin. There are actually some you know,
characteristic dry skin, you know, syndromes as a matter of
fact that we treat. But if we're just dealing with
you know, dry skin by itself, not something like ichthosis
for example. You know, there are some things. Sera of
(11:44):
a cream is one of my favorites as far as moisturization,
you know, has seramides in it, which you know helps
replace seramides in the skin. A lot of medications that
we take like, for examples, the statins you know, lesterol
or medications can also make us dryer. So if she's
on one of those, that's something to think about. Obviously,
you don't want to stop that because it's doing some
other important things for her. And then you moisturize over
(12:05):
damp skin, so you get out of the shower, and
of course in the shower you want to use something
that's very moisturizing, like a dove for sensitive skin. If
you're using an antibacterial or ivory and some of the
other brands, that will dry your skin out more. If
you're taking really hot showers hot baths, that will dry
your skin out more, So you might want to turn
the temperature down a little bit, not asking patients to
(12:25):
take cold showers and baths. But then once you get out,
you blot dry. You don't rub your blot with the towel,
and then you can put the serie over damp skin
that locks in that moisture and will help her become
more moisturized, all right.
Speaker 1 (12:38):
Next to email doctor Bender is from Bill in fair Hope.
Bill writes, I am in my forties and I spend
a lot of time outdoors as a kid, without sunscreen. Lately,
I've noticed some spots on my face that look uneven.
What signs should I watch for with skin cancer? And
is it too late to start protecting my skin? Now?
Speaker 2 (13:01):
Never too late to protect your skin. So zinc oxide
sunscreen like the one we carry here el To MD
that is one of the best sunscreens on the market.
I would highly recommend that you go get this checked
and you can grab Smelt MD and protect yourself further.
But if it starts to bleed when you barely touch it,
it could be a basal cell carcinoma. If it's kind
(13:22):
of rough and scally, it could be a squam of
cell carcinum or a precancer. And so you know, we
definitely would urge you to get these spots checked out
and treat it if necessary.
Speaker 1 (13:33):
All right, Next email is from Janet, also a westmobilion,
Janet Rights. I've seen ads for botox and I'm curious,
does it really smooth out foreheadlines without looking fake? How
long does it last? And is it safe for someone
like me who's never done any kind of cosmetic stuff.
Speaker 2 (13:55):
It's probably the most performed cosmetic procedure in the world.
It's extremely safe. There's several different botox and botox competitors
out there now, you know, Juvo's one of them that
we do a lot of here.
Speaker 1 (14:05):
Oh by the way, this month, forty dollars off Jubo
at Advanced Dermatology and Skincare Center while rebates last. Yes.
Speaker 2 (14:12):
Yeah, the company that makes Jeuvo is basically, you know,
paying patients to try their product. So good for them.
I think that's a great idea. Patients really appreciate the
forty dollars discount. But anyway, I think that it's definitely
a safe procedure to have done. And you know, yes,
it will reduce the lines in your forehead, it will
(14:32):
open your eyes, both of which are a sign of
beauty and a sign of being refreshed. And I think
that in general it lasts between three to six months.
You know, I tell patients when you first start, it's
going to probably be more like three or four months,
and then if you continue on a lot of patients,
you know, see the time between treatments expands. So I
think that now is a great time to have it done.
Speaker 1 (14:55):
Got an email from Lisa in Spanish fort Lisa is
emailing about micro needling. She writes A friend rave to
me about micro needling for her skin texture. Is it
good for fine lines and big pores? And how many
sessions do most people need with micro needling?
Speaker 2 (15:15):
So we do both regular micro needling where you're essentially
just can take a roller or similar. You know, have
microneiling pins that are just real small little needles and
they're basically making these little it'sy bitsy holes in your face,
you know, which kind of encourages collagen regeneration. What we
have is radio frequency micro needling. So it's a gold
(15:37):
plated needles and a piece of equipment where we when
we put the needles in your face, we can push
a button in those needles heat up underneath the skin,
which causes a lot more collagen regeneration and can help
with discoloration, sun damage, fine lines and wrinkles. But it
does take numerous treatments. You know, some page will have
one treatment a year, and if you do that, over time,
(16:01):
your skin will look a lot younger five years down
the road than it does today. So I think that
with all of these procedures in today's world that we
do here, they're all kind of fractionated procedures where you know,
with this one in particular, you know, it's maybe a
day or two of rediness, me a little bit of swelling,
so it's not really any or much downtime at all.
(16:22):
And of course we've talked about CO two laser, which
is a little more expensive. It's something where you know,
we're literally destroying old tissue, kind of tricking the body
into rejuring new either one of those treatments. A lot
of patients will combine those, you know, for fine lines, wrinkles,
sun damage, you know, kind of slowing down even reversing
the aging process.
Speaker 1 (16:43):
We'll got an email here from Stephen Stephen B. Who writes,
doctor Bender, My cheeks get super red and flushed at
the slightest stress. I think it's Roseasha. How can I
calm it down and prevent breakouts?
Speaker 2 (17:00):
Well, you've got to figure out what's causing you to flare.
I mean that's the first thing you can google, you know,
what makes Roseaesha flare. And it's going to tell you
things like alcohol, you know, especially red wine that can
make a lot of patients flare with their roseation. It's
going to talk about you know, hot beverages like hot coffee,
hot tea. It's not the caffeine, it's the heat. It's
(17:20):
going to talk about heat in general, you know, which
we have a lot of in South Alabama. Some folks
react to spicy foods, and the list goes on and on. So,
you know, once you figure out your triggers, if you're
willing to you know, avoid those things, you should get
read less. We have topical creams that we start patients
on because we want to reduce how many episodes of
(17:41):
redness regardless of what you decide to you know, not
use or not drink in the future, because every time
that you flare, you know, you're dilating those vessels, which
in turn will make the baseline redness worse. So we're
trying to avoid that. So it's really important to avoid
those triggers and come in so we can evaluate you
(18:02):
and get you on some medication as well.
Speaker 1 (18:04):
Now, before we run out of time, doctor Bender, let's
talk about the neograph procedure. For people that have never
heard you talk about neographed neograpt helps men and women
with hair loss. Now, Doctor Bender, neograft essentially is the
very latest version, the very latest technology with hair transplants.
Speaker 2 (18:24):
It is and you know, it's basically an opportunity for
patients to have hair where they have been losing hair,
which for men and women for that matter, generally is
in the central scalp, you know. Obviously, you know, men
generally have a receding hairline and or loss at the crown.
Initially that's the first areas that really show the thinning.
(18:45):
And with ladies it's more of a diffuse thinning, so
they generally don't lose all their hair in one area.
They just kind of lose where they don't have the
quantity of hair and it becomes visible and probably psychologically
it's a lot harder on ladies than it is on men.
We do have a lot of ladies lady patients. But
this procedure took something that was, you know, almost barbaric
(19:07):
in the way it was done. You literally remove part
of the scalp and then you sew the scalp back together,
which of course is tight. A lot of risk with
that type of closure because it can come apart, you know,
what we call dehiss. You have a scar there, and
then of course patients don't want to cut their hair
short in that area where the scar is. And then
of course you have someone who basically is sitting there
(19:28):
with a microscope and removing each hair follicle by hand.
And when you do that, you know, fifteen hundred twenty
twenty five hundred follicles in a hair transplant, that's you know,
that can be extremely taxing. So this machine what it does,
it allows us to take it out by the follicle.
So it allows us to just basically, you know, it's
almost like a little less than a millimeter punch taking
(19:52):
the follicle out. So you have all these little itsy
bitsy holes where the hair follicles were, primarily in the
back of the scalp because those hairs are programmed to
live forever usually and also on the sides, and then
we take those and we put them up top wherever
a patient has lost them, and so and of course
we also talk to patients about things we can do
to help them keep their hair so that they don't
(20:13):
have to have another transplant in the future, because you know,
especially a lot of young men are coming in their
twenties and thirties and they're like, hey, you know, I'm
not ready to lose my hair yet, and so we
tell them, hey, you need to be committed to doing
these other you know, we've got some oral medications that
are really good to prevent hair loss. We have some
topical medications that are really good for preventing hair loss,
(20:36):
as well as some vitamins. So there's lots of other
things we can do too, And if you come in
early for a consultation, we may be able to help
you before you lose hair where you don't need a
geograph procedure.
Speaker 1 (20:46):
Now, you mentioned men, and when you first started teaching
me about this years ago, I always thought of it
in terms of men losing hair. But how many women
come in for this?
Speaker 2 (20:56):
Yeah, I don't have a number off the top of
my head, but we have a lot of female patients,
and you know, it's just so gratifying to be able
to give a lady their confident confidence back. And I
think that's really what we're talking about now. Some people,
you know, they lose their hair and it just doesn't
bother them. You know, they're they're happy to shave their
head or do whatever they want to do. But there
(21:18):
are a lot of folks out there that even the
slightest thinning and they're extremely concerned about that and their
appearance and so it's really, you know, satisfying for us
to be able to help them.
Speaker 1 (21:31):
You've been listening to board certified dermatologist doctor Thomas Bender
with Advanced Dermatology and Skincare Center, a forefront dermatology clinic.
Advanced Dermatology and Skincare Center has a team of board
certified dermatologists with locations of Mobile, Daphne, Baymonette, and Northwestern Florida.
(21:52):
You can make an appointment by calling two five to
one six three one thirty five seventy. That's two five
one six three one thirty five seventy. You can make
an appointment with Advanced Dermatology and Skincare Center, or you
can make an appointment at their website. The website is
Advanceddermclinic dot com. Again, that's Advanceddermclinic dot com.
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