As the most common skin condition in the US, acne affects nearly 85% of people at some point in their lives, to some degree, but it takes many forms. Acne can be mild with only blackheads and whiteheads (comedones) or severe with large, painful, scarring cysts. Acne can start in adolescence and improve with age or develop among adult women on the lower face fluctuating with hormones. Regardless of severity or age group, studies show that breakouts can have substantial emotional effects, leading to poor self-esteem, anxiety, and depression.
Luckily, there are now many effective therapies to help control and even potentially cure acne. Dr. Hausauer brings years of rigorous training in the management and prevention of breakouts to each case. She thoughtfully customizes a treatment plan for you and your skin, using a combination of over-the-counter and/or prescription topical products, oral medications, chemical peels, lasers/light treatments, and other devices. While prevention is the best tact against scarring, sometimes indentations and uneven tone are unavoidable. Peels, lasers such as the Halo® or Profractional®, microneedling, and platelet rich plasma (PRP, plasmaX) are all techniques to resurface the skin. They work to stimulate the production of normal collagen and smooth a scarred or dimpled canvas. Dermal fillers can be injected to restore deeper divets. As our director of Dermatology, Dr. Hausauer is acclaimed for her work in the field of the microneedling and PRP (plasmaX), taking particular interest in its benefits on depressed scars.
An under-diagnosed condition, rosacea causes redness (erythema) and inflammation on the central face. Flushing with wine or temperature changes, fine blood vessels on the cheeks, a red bulbous nose, or pimples in adults may all be signs of rosacea and warrant dermatologic evaluation to discuss management options. Dr. Hausauer and her team prefer to combine topical prescriptions, oral medications, and laser treatments such as the V-beam Perfecta® to calm irritated, sensitive, and erythematous skin.
A common inflammatory condition of the skin, eczema is the umbrella term for many different forms of scaly, crusted, and at times, cracked or oozing rashes. Itching so severe that it may inter with sleep or overshadow daily activities. Dr. Hausauer offers many medical treatments to improve or when possible, eliminate eczema. Our team has the experience and knowledge to design treatment plans that fits your lifestyle and needs.
Thick, silver, scaly rash on the elbows and knees; constant shedding from your scalp or nail changes; painful joints when you first wake – these may all be signs of psoriasis, an immune-driven skin condition. And while sadly there is no current cure, the number of treatment options has blossomed in recent years. Not one therapy fits all, so Dr. Hausauer customizes your care, ranging from topical creams to oral pills to ultraviolet light therapy to the most cutting edge injectable medications.
Hyperpigmentation and Melasma
A flawless complexion with even coloring is the foundation of that radiant, youthful glow. Hyperpigmentation (brown spots) contributes to looking and feeling dull or aged.
Sun spots, called lentigines, are discrete tan to brown patches typically on the face, neck, chest, and hands from cumulative ultraviolet exposure. Melasma, by contrast, is a condition involving the development of irregular, net-like patches on the face in response to sun, hormones, and other environmental exposures. Traditionally called the “mask of pregnancy” because of its link to estrogen and progesterone, mounting evidence suggests that even visible light and heat (yes, saunas and hot yoga) may flare this exquisitely sensitive pigmentary condition.
A combination of at home care and office-based procedures is typically the most effective at fading and controlling pigmentation. And while lasers work from some conditions, they may flare others, so seeking expert care is critical. Dr. Hausauer addresses uneven tone from all angles: lifestyle, skin products, lasers such as BBL, and peels such as Cosmelan®. Over time and with diligence, we work together for…
You, only brighter.
Birthmarks and Moles
Present at birth or shortly thereafter, birthmarks fall into several categories.
Pigmented marks take many different forms. The most common are garden variety moles termed congenital nevi, which are benign but can be cosmetically removed via standard processes or BBL. Others include café au lait spots, Nevus of Ota (blue-gray patch on the face), and Becker’s nevus (patch over the shoulder often with hair). These may also respond to laser therapy, depending on the circumstances.
Common vascular birthmarks include hemangiomas and port wine stains. Whereas hemangiomas occur in infants and fade spontaneously, port wine stains are permanent and thicken over time. Most adults have at least one, if not many, cherry angiomas, round, flame-red collections of blood vessels forming a dome on the skin. Lasers such as the V-beam Perfect® can improve or eliminate these birthmarks either as a simple in office procedure or in special circumstances, in the operating room for more extensive involvement.
Affecting 50 million men and up to 30 million women in the US alone, hair loss is a common concern. We spend nearly $3.5 billion dollars per year on therapies to combat hair loss, according to Th Washington Post, but many marketed products have little scientific evidence to support their claims and varying degrees of success. Seeking expert consultation is a must to understand your best options. While at New York University (NYU), Dr. Hausauer trained with one of the most influential and prolific hair physicians in the world, and based on these encounters, she gained a particular interest in developing minimally invasive techniques to combat hair loss. She served as the lead researcher on a recent clinical trial investigating platelet rich plasma (PRP, plasmaX) for male and female pattern hair loss; travels nationally teaching other providers these techniques; and is the chief editor of a textbook on this subject. Her knowledge allows for the seamless integration of this therapy with existing medical and surgical options to create a comprehensive hair loss plan.
Skin Cancer and Melanoma
1 in 5 Americans will develop skin cancer during their lifetime, though most are detected early and highly curable. Basal cell cancer (BCC) –usually a pearly bump—is by far the most common with 4 million cases diagnosed per year, while squamous cell cancer (SCC)—a red, rough patch that often bleeds or ulcerates—is second with 1 million annually.
In contrast, melanoma accounts for less than 1% of all skin cancers, but the majority of deaths. If caught early when limited to the skin, a small, usually in-office surgical procedure cures most. New, sophisticated medical therapies have changed the prognosis for those with later stage melanoma, the most hopeful and best outcomes in history. Melanoma can develop from an existing mole or from a brand new spot; please ask our team if you have a new, evolving, or irregularly colored or shaped area of concern.
Ultraviolet radiation not only from the sun but also tanning beds is strongly linked to the development of skin cancer, as explained in Dr. Hausauer’s previous publications. Because of this fact, California along with many other states prohibit those under 18 years of age from using indoor tanning devices without a prescription. Importantly, these beds use ultraviolet type A, which contribute to the breakdown of skin collagen (wrinkles and folds), development of sun spots, but only a produce a short-lived tan. Translation: damaged skin for only a few days of bronze with the constant need to spend money re-tanning. Moreover, those who use tanning beds more than 10 times have a 34% higher risk of melanoma compared to never users, especially if under the age of 35 years when the risk may go up to as high as 75%.
Thought we do not offer mohs micrographic surgery, a specialized technique for treatment of BCC and SCC, Dr. Hausauer is skilled surgeon who has performed many skin cancer excisions and repairs. She has a firm knowledge of skin cancer management and keen eye for aesthetics. When necessary, let the full Aesthetx team, uniting dermatology and plastic surgery, direct your care.
Benign Skin Lesions
There are many an unwanted lumps, bumps, or marks: fatty deposits (lipomas), cysts or enlarged pores, skin tags, split earlobes holes from heavy jewelry, the list goes on. At Aesthetx, nothing is too small or too large for our world leading team of dermatologic and plastic surgeons. Together, they will design the best treatment plan to address all your concerns.