Saturday, October 7, 2017


I recently had the privilege to receive a threading demonstration treatment as shown in the video below, from a top South Korean doctor, Hanjin Kwon M.D.  It hurts no more than filler treatment, and topical numbing cream can be used before starting.  Recovery is very similar to filler with temporary bruising, swelling, soreness for about a week.  I had bruises that looked like stripes on my face for at least a week.  I covered them with makeup, no big deal.  Bruising is less if you avoid aspirin, ibuprofen, fish oil supplements, St. John's Wort, wine and any other blood thinning medications for at least ten days before the treatment.

I know you are probably asking, is it better than filler?  My answer is, No, just another option to achieve similar results.   One possible advantage of threading is the risk of intravascular occlusion seen with filler injection is not present.  The results may be more delayed than filler.  Pricing is similar to filler and depends on number of areas treated.

Friday, October 6, 2017

Fall Fashion

My assistants at the office and I just love to pair our great skin with great fashion.  I am excited to begin sharing with you our latest fashion faves.

This is Olivia, Master Aesthetician and model wearing this adorable deep blue velvet mini backpack from Mudd brand available at Kohls.  Her long wavy hair goes well with the mini pack. We are loving the velvet craze and want velvet everything.

Model:  Karen Stolman, M.D.   Photographer:  Olivia Anderson, M.A.

Velvet in green and Pink

Crushed velvet is showing up everywhere this season.   It is great mixed in with other textures or on its own.  
The green tee is from Nordstrom Rack, and the pink tee shirt dress is from Forever 21.

These are super comfy olive green suede low heel boots with gold chain detail on the heel, and inside zip, from Michael Kors.
See link below to purchase at Dillards.  They are also available at Macys

This is a lovely floral dress from Zara.  It has the high prairie collar.  I credit my good friend Abby for wearing it first at a recent Western wedding I attended.

Model:  Karen Stolman, M.D., Photographer:  Olivia Anderson, Master Aesthetician

To purchase dress, try this link...

We loved the corset look that is popular this fall.  This 3/4 sleeve top is from Express, and comes in white and red.  It is just adorable and goes well with skirt or pants.
The high/low, satin, pastel green skirt is from Forever 21.  

Model:  Karen Stolman, M.D.,  Photographer:  Olivia Anderson, Master Aesthetician.

Mule slides above

The Mule slides are made by STEVE MADDEN, and were purchased at Nordstrom Rack
The ankle boots are made by and purchased at ZARA

I wear a women's 8-8.5, if you are wondering.
To purchase ankle boots check out link below,

Model:  Olivia Anderson,  Master Aesthetician;  Photographer:  Karen Stolman, M.D.

We love these earrings that celebrate the human figure in a Picasso-like way.
You can find them at Mango

Model:  Karen Stolman, M.D.,  Photographer:  Olivia Anderson, Master Aesthetician

Pearls are really in this season.  These are multi-colored pearls to compliment my grays and browns.
This necklace is my own, and was a gift from my mother in the 90's.  It is meant to inspire and apologies that I cannot give you a link to purchase.

Model:  Karen Stolman, M.D.,   Photographer:  Oivia Anderson, M.A.

Lace with pin-stripes and bows.  So cute.
This shirt is from Zara

Model:  Karen Stolman, M.D.  Photographer:  Olivia Anderson, M.D.

More Lace detail on this paisley print blouse by "Exhiliration" from Target

Thursday, June 15, 2017

Amazing Wart Treatment for Killer Plantar Warts

Plantar warts are warts that occur on the plantar (or bottom) aspect of the foot.  They are notoriously stubborn warts.  Before I share this awesome home remedy that has worked for numerous of my patients, I want to give a little more wart background info.

Plantar warts are caused by the human papilloma virus, yes the same virus that is linked to genital warts and cervical cancer but a different strain(s).  The best way to tell if you have a wart on your foot, rather than a callus or other growth that may mimic a wart, is look for your normal skin footprint. Where the wart is present, you will see a disruption in the skin markings.  In addition, warts are very vascular or have a rich blood supply, which can be seen as brown or black dots (tips of dried blood vessels) that some people mistakenly describe as seeds.  Warts do not have roots or seeds.  Warts are passed by contact from person to person, and sometimes from infected objects like a nail file, foot pumice or buff, etc.  Warts spread to dry friction-prone areas of the skin, so to reduce spread and avoid infection, it is important to moisturize the wart-prone skin.

Warts have no perfect cure, even at the dermatologist's office, so home remedies that may work are worth looking at.  It is hopeful that someday there will be a vaccine to protect from the strains of Human Papilloma Virus that infect our feet, but for now that does not exist.

A patient of mine gave me permission to share her amazing cure photos for her son's stubborn plantar warts.  She is not the first person I have heard of succeeding with this wart busting regimen.  I have met at least two others and heard of many more.

Here is the regimen:
step 1.  Apply Dr. Bragg's or similar Apple Cider Vinegar to warts.  Try soaking cotton balls with the vinegar and tape the cotton balls to the warts for at least 15 minutes.
step 2.  Apply Oregano Essential Oil (my patient used Doterra Brand) three times a day to the warts until they clear, or completely flake off.  It takes about three weeks for plantar warts like these, maybe less time for other warts.  Note, I have advised some of my patients to purchase oregano oil for this treatment, but the only brand that consistently seems to work is Doterra.   I do not work for Doterra.

Here are the pictures, Day 1 or first day of treatment, ending with post-treatment cure!
We are looking at the bottom of a teen boy's foot.  See the yellowish warts turn white after soaking with the apple cider vinegar, and then more white after days of treatment with the oregano oil.

The "octopus sucker" look as my patient described

Hallellujah !!
This looks like a cure !!

Disclaimer:  This is what doctor's like to term a case report of a successful treatment.  I am not aware of a controlled study with a significant sample size of patients to confirm that this home remedy works as well as in-office treatments like liquid nitrogen or laser or chemotherapy injections or candida injections or even other home remedies like duct tape, but it seems worth trying. I do not work for Doterra or Dr. Bragg.

Tuesday, September 13, 2016

Dairy and acne

This is not new news, but we now have more evidence in the dermatology literature confirming that skim milk and fat free milk gives more acne!

Low fat and whole milk do not have as solid links to acne as skim or fat free.  There are theories about the skim/fat free milk having more lactose or being more hormonal but that still needs to be figured out.  

Online Dermatology Consults: Azova

Telemedicine is sweeping the country and represents the new horizon in healthcare.  It began as a way for urban physicians to offer healthcare to rural patients or to those who were too far away to come in person to a family doctor or specialist.  With telemedicine, a physician can conduct a consult with a patient via live video.  There are already a handful of Telemedicine systems that are being incorporated into hospitals and clinics, but none of them offer the diversity in services as Azova.

Ask your doctors when they will be getting Azova Telehealth in their practice.

While I still encourage my patients to come in to the office if possible, if that is difficult you can try getting an online video or messaging consult with me via Azova on

The most commonly missed cause of ACNE!

It is time I made a public service announcement about this skin truth.  I see it almost every day in my dermatology practice.  I have had dreams that it should be taught in secondary school, maybe in health class.  I also plan to teach my colleagues who practice dermatology because I have seen even experienced dermatologists miss this.  It is too common to ignore.

It might surprise you to hear that one of the most common causes of acne is a form of bad hygiene, or at least misguided or improper hygiene.  I will not totally blame it on hygiene though, because stress and hormones may underlie this type of acne.  Hopefully you are still reading with excitement as this is going to blow your mind.

DANDRUFF, yes those flakes on the scalp, even a case from a year ago, can cause ACNE!!

Here is the story...and it begins with the sebaceous oil and normal yeast flora of the scalp.
We all have sebaceous oil in our scalp and we all have a yeast on our skin that thrives in this oil called Pityrosporum ovale/malassezia furfur and will overgrow with oil and humidity.  Dermatologists now believe that dandruff in the scalp (seborrhea) may be entirely caused by this yeast overgrowing.  Therefore, dandruff is NOT a problem with dry scalp, but the opposite, oily scalp.  Any condition that increases scalp oil production may result in more dandruff.

Causes of excess scalp oil, or yeast overgrowth,  and more dandruff:
1.  Inadequate washing/shampooing of the scalp
2.  Hormone changes such as those of pregnancy
3.  Stress
4.  Taking oral antibiotics which kills some healthy bacteria that may be keeping the pityrosporum in check.
5.  Hereditary excess scalp oil
6.  pH changes in the skin

If the dandruff is neglected long enough the pityrosporum yeast can find their way to the face, neck and chest.   Often it will be worse by the hairline and go from there.  Some people or even doctors wrongly diagnose it as pomade (greasy hair product) acne.  While pomade acne exists, it is surely overdiagnosed.

I call this yeast acne "Pityrosporum Acne or Follculitis".  It may respond to over-the-counter dandruff shampoos, but you will have to let the shampoo sit on the affected skin for extra minutes and do it daily for at least two weeks.  I usually prescibe my patients an antiyeast lotion or pill when I see them in the clinic.

PITYROSPORUM ACNE has a certain look to it.  It is usually pink or skin-toned, very fine bumps 1-2 mm or less that appear on the face, chest and back.  They will often cluster on the forehead, and hairline.  

Friday, March 20, 2015

What can be done about jowls?

I would like to highlight and discuss my take on some effective non-surgical modes of improving jowls.  For those of you who need to clarify what is meant by "jowls," I am referring to the saggy and sometimes fat pouches of skinon either side of our chin that worsen with age.

Filler treatment to the jawline with Radiesse or a similar sturdy filler ( Voluma ) or multiple treatments with Sculptra can significantly diminish saggy jowls and rejuvenate the jawline.  This can be catered for either men or women, with the goal of maybe giving a more defined strong jawline for men, and a youthful, soft jawline in women.

Laser resurfacing - ablative or non-ablative - have been shown to smooth jawlines and lift jowls, and could be combined with treatment with Lipo Dissolve or a similar product to chemically dissolve fat.
This treatment is not always recommended for darker or melasma-prone skin types.

Radiofrequency heating, either subcutaneous or fractionated and applied to the top of the skin is very effective at smoothing wrinkles and skin tightening.  Treatments may need to be repeated and full results may not be seen for 3-6 months.

As far as which treatment is best for you, it is important to discuss the options with your dermatologist.  Some people, especially when there is both excess fat and skin laxity, do best with a combined approach and treatment with more than one modality.

Can we cure melasma? An update on melasma treatment

Unfortunately, a cure for melasma still remains elusive in the year 2015.  The newest, latest treatments including:  Tranexamic acid oral medication, and QS-Lasers and other lasers, may improve and clear melasma but only temporarily.   The majority of people get a recurrence of their melasma even with only mild sun exposure.   Some physicians are trying (off-label) tranexamic acid orally long term in their patients because recurrence of melasma is certain within two months of stopping the medication.    Tranexamic acid is not recommended in people who have a history of a clotting or blood disorder, are pregnant or nursing, or take aspirin.  

Monday, February 16, 2015

Shrinking those pores

While using a clinical strength topical retinoid can shrink pores, they'll come right back if you stop using it.

To shrink the pores on the face, longer term, I prefer treatment with fractional radiofrequency or a combination device that does fractional radiofrequency (RF) with microneedling simultaneously.  I am seeing lasting pore shrinkage for at least six months or more and still counting.  Multiple treatments are sometimes necessary, like 2-3 depending on the device and severity of the pore problem, but I am seeing modest improvement with even a single treatment with my Endymed Intensif device that combines the RF with microneedling.

A study from Korea, published 9/2014, had patients with large pores, treated with a fractional radiofrequency device and they were followed for three months after their last treatment and improvement was sustained.   I would like to see longer follow up to know more formally how lasting the pore shrinkage really is, but I am hopeful that it is at least six months and possibly longer.

Wednesday, January 28, 2015

Preventing aging in your skin with antioxidants

Hopefully, by now you know that sun avoidance is paramount to delaying the aging changes of the skin.  I would add (tobacco) smoking avoidance to that list too.  Aging of the skin is primarily due to oxidation which can also be delayed or lessened with the application of topical antioxidants found in skin serums and creams.  Many cosmeceutical lines now contain antioxidants.  It is best to use a line that has published good data on the efficacy of their antioxidant product.  For some ideas, see

Thursday, December 18, 2014

High Altitude and your Skin

This is my husband!  in the Dolomites in Italy.  He is a mountaineering guide based in Utah, as well as a physician and web developer.

He is pretty good at reapplying sunblock which is crucial when he is on the job.  Most sunblocks last only a couple hours and need reapplication.  He also tries to where a brim on his hat or helmet to protect his eyes and skin.  I check his face, neck and ears monthly for any odd skin lesions just in case.  His climbing buddies tend to get problems with pre-cancers on their neck and ears.

Tuesday, December 16, 2014

My Take on Bio-Oil

Many of my patients ask me about Bio-Oil.  It is a skin product that has been very effectively marketed to the point where some people describe it as practically magic.  It is even sold at Costco.

I would like to look together at the ingredients and tell you my thoughts.  You can see that there are multiple fragrances, many of which are known contact dermatitis allergens, which I would recommend avoiding if you have sensitive, eczema-prone, or allergic skin problems.  So, I would not recommend Bio-Oil for my patients with sensitive skin problems.  The botanical oils are calming, anti-inflammatory so for other people they not only moisturize but can be soothing to the skin.  Other than these calming and moisturizing oils which are found in many good skin products, the Bio-Oil product is not that unique or special in my opinion.  If I bought Bio-Oil I would use it for dry skin or dry hair, and avoid acne-prone areas.

In addition, the claims that are made about Bio-Oil being helpful for scars, stretch marks are unsubstantiated by controlled scientific studies.  However, botanical oils and other moisturizers will temporarily diminish the appearance of skin texture irregularities including scars and stretch marks. In addition, studies have shown that massaging scars and striae with an emollient can result in modest improvement, though it is unclear if it is the product alone or the massage/rubbing that is most effective or both.

Here are the published ingredients which I found on the company's website:


Calendula Officinalis Flower Extract (Calendula Oil)
Lavandula Angustifolia Oil (Lavender Oil)
Rosmarinus Officinalis Leaf Oil (Rosemary Oil)
Anthemis Nobilis Flower Oil (Chamomile Oil)


Retinyl Palmitate (Vitamin A)
Tocopheryl Acetate (Vitamin E)

Oil base

Mineral Oil (Paraffinum Liquidum)
Cetearyl Ethylhexanoate
Isopropyl Myristate
Glycine Soja Oil
Helianthus Annuus Seed Oil

Fragrance (Rose)

Alpha-Isomethyl Ionone
Amyl Cinnamal
Benzyl Salicylate
Hydroxyisohexyl 3-Cyclohexene Carboxaldehyde

Color (Orange)

D&C Red No.17 (CI26100)

Friday, December 5, 2014

Vanquish vs. CoolSculpting

I have been asked now and then which is better.  I offer both treatments in my office and can say first-hand that they are both effective for small pinchable (squeezable) pockets of fat.  If you have more than a few inches to pinch and really want drama faster, then I prefer tumescent liposuction.  As far as how to choose between the two (Vanquish and CoolSculpting), we price them similar and will use a few criteria to distinguish which patient would do best with which.

If you have excess fat on the abdomen, waist and back that continues pretty circumferentially, then I prefer the Vanquish.

If it is difficult for you to come once a week for four weeks in a row for an 45 minute long treatment with Vanquish, then you may prefer the CoolSculpting which can be done in one to two treatment sessions.

If you have lots of skin laxity in the abdomen or thighs, I may prefer Vanquish because there is more data to support collagen stimulation from heat than cold.

Both CoolSculpting and Vanquish can be done on the thighs.  CoolSculpting can be done off-label on the arms and chest (man-boobs).  Vanquish can wrap around almost 2/3 of the thigh circumference per treatment where as the CoolSculpting applicators are much smaller.  So if your thighs are large, Vanquish may be better.

Thursday, November 20, 2014

Article from Racked on tallow in skin creams

Click on the link (or copy the link and paste in your browser) below to see my take on tallow-based skin creams.

Monday, November 17, 2014

Aesthetic Blueprint with Kent Remington, M.D.

My partners and I just returned from the Aesthetic Blueprint Conference with Dr. Kent Remington in Dana Point, California.
I am now armed with my aesthetic calipers so I can measure everyone's intercanthal distances and verify that they have properly place brow peaks and cheek apices.