Diabetes Affects The Skin

Good Skin Care and Diabetes

Larry Jaeger is a skin care specialist with over twenty-five years experience as a leading dermatologist in New York. He is extremely knowledgeable about all skin diseases and disorders and provides useful skin health information for patients with diabetes on how “diabetes affects the skin.”

Diabetes Affects The Skin Conditions

Diabetes Affects The Skin

People with diabetes are prone to dry skin, particularly when blood glucose levels run high. This causes the body to lose fluids and skin to become dry. Dry skin can crack and itch, which can lead to infections. You may also get dry skin with diabetes if you have neuropathy. The nerves in the legs and feet may not get the message to sweat, which is necessary to keep skin soft and moist. Keeping your skin moisturized when you have diabetes is one of the easiest ways to prevent skin problems.


Diabetic Skin Care Tips:

According to Larry Jaeger, here are some other ways you can prevent skin problems with diabetes:

  • After you wash with a mild soap, rinse and dry thoroughly in every nook and cranny of your body.
  • Use a moisturizer, but not between your toes.
  • Avoid very hot baths and showers, which can dry your skin.
  • Treat cuts right away. Wash minor cuts with soap and water.
  • Keep your blood glucose levels as close to normal as possible.
  • Control blood pressure and cholesterol by taking prescribed medications, which will improve circulation and keep your skin healthy.
  • Larry Jaeger also recommends drinking plenty of fluids, like water and caffeine-free, sugar-free drinks, to keep your skin hydrated.
  • Eat foods rich in omega-3 fatty acids, which nourish the skin. This includes fish like salmon, sardines, albacore tuna and mackerel, as well.

How Diabetes Affects The Skin: Handling Neuropathy Pain

Dr. Larry Jaeger is a well known and respected board certified dermatologist and dermatological surgeon who is the medical director of Advanced Dermatology Associates of New York. Dr Larry Jaeger specializes in all aspect of medical, cosmetic and surgical – Dr. Lawrence Jaeger is a board certified in dermatological surgery. How Diabetes Affects The Skin.

Acne Scar Treatments

The Best Acne Scar Treatments & Procedures

Larry Jaeger has over twenty-five years experience successfully treating patients suffering form acne scarring. Larry Jaeger is the founder and owner of Advanced Dermatology Associates a multi-center network of skin care treatment facilities in Manhattan and The Bronx: Acne Scar Treatments.

Acne Scar Treatments & Removal - 10019

Acne Scar Treatments

As with other conditions that cause scarring on the skin, acne scars are created when skin tissue is damaged. Different types of acne leave different kinds of scars (some leave no scars at all once healed). For example, inflammatory acne is much more likely to leave scars because it can injure the skin more than smaller or non-inflamed blemishes. Inflamed pimples, nodules, or cysts can damage skin tissue beyond repair.
Cystic acne can leave severe scarring.


Common Acne Scar Treatments

Scars caused by acne have been historically difficult to treat. Lawrence Jaeger recommends it’s important to be realistic, and understand that most scars can’t be completely erased. But in recent years, more effective procedures have given patients with acne scars some relief. Marked improvement can be achieved with the right treatment or combination of treatments. Your dermatologist can recommend the most appropriate scar treatments for you.

skin treatments

Most commonly (effective) treatments for acne scars.

Laser Treatments
Laser treatments come in two forms: ablative and non-ablative. Ablative lasers resurface the skin by removing outer layers. Non-ablative lasers create changes in the dermis without causing damage to the skin’s surface. They are often called lunchtime lasers because they can be done quickly, such as over a lunch hour. Unlike ablative lasers, there is minimal to no downtime.

The most common ablative lasers used to treat acne scars are the carbon dioxide and erbium: YAG lasers. These lasers burn skin tissue in a controlled manner to a specific depth. The usual result is that “new” skin is smoother, atrophic scars are reduced in depth, and the overall look of scarring is softened.

microdermabrasion-Acne Scar Treatments

Alternative Acne Scar Treatments

Larry Jaeger also recommends these alternative acne scar treatments as effective methods for a better looking complexion

Dr. Lawrence Jaeger is a board certified dermatologist in New York City and Medical Director of Advanced Dermatology Associates, a state of the art medical practice with multiple locations in Manhattan and the Bronx.  Dr Larry Jaeger and his group of board certified dermatologists and medical providers are experts in the diagnosis and treatment of all skin, hair and nail disorders. Advanced Dermatology Associates specialize in the practice of medical, cosmetic and surgical dermatology.

Advanced Dermatology Associates accept all Insurance Plans, HMOs, PPOs as well as Medicare and Medicaid.

Moderate Acne Treatment

Moderate Acne Treatment Options

Larry Jaeger, founder and owner of Advanced Dermatology Associates in New York treats patients suffering from all forms of acne: Moderate Acne Treatment.

the signs on acne

Moderate Acne

Moderate acne is that sort of breakout-middle-ground – your acne isn’t mild but you wouldn’t consider it severe either.

Dr. Larry Jaeger relates that if your blemishes are typically inflamed, or if you have persistent pimples and blackheads that stubbornly hang around despite using over-the-counter acne products, you might have moderate acne.

Don’t think that you can’t get your skin under control; you can.
You might just need a different approach (and a different treatment). And there are plenty of treatment options that are really effective.

Moderate Acne – Treatments Available:

Over-the-Counter Treatments for Moderate Acne

Because moderate acne breakouts are more stubborn than mild acne, it typically doesn’t improve with over-the-counter medications. But there is one exception:

Benzoyl peroxide
According to Dermatologist Larry Jaeger, Benzoyl peroxide is hands-down the most effective OTC acne treatment there is (prescription benzoyl peroxide treatments are also available.) It helps to reduce blackheads and pore blockages, but it really shines as an inflamed breakout treatment.

If you’re breaking out, you may want to try an OTC benzoyl peroxide product first. Give it 10-12 weeks to work. But if you’re not happy with the results after several weeks, it’s time to move on to something stronger.


Topical Prescription Medications for Moderate Acne

It’s likely you’ll need a prescription medication to get your moderate acne cleared up.

With so many good prescription acne treatments available, it doesn’t make sense to stick with OTC products for just so-so results. You’ll be a lot happier with the results of a prescription medication, and your physician will probably start you off with a topical treatment first.

acne-treatment-severity-chart:Moderate Acne Treatment

Topical retinoids – Treating Moderate Acne

Topical retinoids are some of the most commonly used topical acne treatments today.

They can be used by both teens and adults.

Topical retinoids are also prescribed as anti-aging treatments, so they pull double duty for adults with acne. Topical retinoids work by speeding up cell turnover and unclogging pores, so long-term they work to reduce breakouts. They can also help make pores look smaller.

Topical antibiotics – Treating Moderate Acne

These are only prescribed for inflammatory breakouts, as they won’t do much if anything for non-inflammatory blemishes. Topical antibiotics work by reducing the amount of acne-causing bacteria (bacteria called propioni acnes) found on the skin.

To get the best results, topical antibiotics should be prescribed along with another acne medication. There is some worry that bacteria are becoming more resistant to antibiotics, and that they are becoming less effective than they used to be.

Combination medications – Treating Moderate Acne

Combination medications have two acne-fighting ingredients in one medication. Dermatologists have long prescribed several topical acne medications to be used at once, because treating acne this way is much more effective.

Combo treatments basically take this idea and make it much more convenient. Just one quick application and you’re done.

Most combinations medications are a marriage of a topical antibiotic and a topical retinoid or benzoyl peroxide.

Oral Medications for Moderate Acne

If topical medications aren’t giving you the results you want, oral medications can be the next step in your treatment. They might even be the first step, depending on your situation.

It doesn’t have to be an either/or prospect, anyway. Your dermatologist might prescribe both an oral and topical medication. Again, it just depends on your situation and your skin.

Oral antibiotics for Moderate Acne

Oral antibiotics work like topical antibiotics – they reduce the amount of bacteria that contribute to acne breakouts.

Oral antibiotics are usually prescribed for moderate acne breakouts that are inflamed. They just aren’t all that effective for comedonal acne.

Again, bacterial resistance is a growing problem with antibiotic over-use, so it’s important that you take them exactly as directed.

Oral contraceptives (birth control pills) for Moderate Acne

Obviously, these aren’t an option for the guys. But birth control pills are the go-to treatment for adult women who suffer from those “hormonal” breakouts every month. Teen girls can also get relief from acne by going on birth control pills.

So, how do birth control pills help clear up acne?

They stabilize hormonal fluctuations. Acne development is closely linked to androgen hormones. Keep those hormones under control, and acne often clears up.

Larry Jaeger advises that you’ll most likely need a topical acne treatment too when using birth control pills to control acne.

Another hormone regulator is spironolactone. This treatment is only appropriate for adult women with acne.

Spironolactone is not specifically an acne treatment, as it’s used to treat problems such as high blood pressure and fluid retention. But for many women it’s really effective in keeping the skin clear. To be effective, though, it needs to be used long-term.


Need Help Treating Your Moderate Acne?

Call a Dermatologist.
Sometimes you can clear up moderate acne on your own with OTC products. But more than likely you’ll need help from a dermatologist to get breakouts under control.

Don’t hesitate to make an appointment with a dermatologist. Moderate acne can be treated, and your skin can improve.

Dr. Larry Jaeger is a well known and respected board certified dermatologist and dermatological surgeon who is the medical director of Advanced Dermatology Associates of New York. Dr Larry Jaeger specializes in all aspect of medical, cosmetic and surgical dermatology, including Moderate Acne Treatment.

Skin Desquamation

Larry Jaeger is an expert in the field of skin disease. He is a Board Certified Dermatologist with over twenty-five years experience treating patients suffering from all forms of dermatological disorders and skin desquamation.

Skin Desquamation : Creates Skin Peeling

What is skin desquamation?

Larry Jaeger describes desquamation (say des-kwa-MA-shun) as the natural process in which skin cells are created, sloughed away and replaced. Sometimes called cell turnover, desquamation happens every second of every single day, without you even noticing!

The desquamation process happens in the outermost layer of the skin — the epidermis. The epidermis itself has 4 unique layers. Each of these layers plays a role in desquamation.

Skin cells are born in the basal layer, and look like columns.
New skin cells are created in the stratum germinativum, which is the the deepest layer of the epidermis. This layer is also called the basal layer.

Skin cells begin their life as a single layer of thick, column-shaped cells. These cells are responsible for creating every cell of your skin.


How skin desquamation happens?

The cells in this layer divide. Half of them stay behind in the stratum germinativum. The other cells begin their migration to the skin’s surface.

Skin cells begin to make keratin.
Their next stop is the stratum spinosum. Here, the skin cells change from their column-like shape to a shape that is more like a polygon.

The stratum spinosum is also called the “spiny layer” because those polygon-shaped cells do look rather spiny if you were to see them under a microscope.

It’s also here in the spiny layer where the skin cells begin to make keratin, the tough, fibrous proteins that make up the main structure of the skin.

(Keratin is the main constituent of your hair and nails, too.)

The cells begin to flatten out.
The skin cells continue to push upward from the stratum and arrive in the stratum granulosum. In this layer, the cells begin to flatten out. They have also lost their nucleus.

This layer is also called the “granular layer.”
The cells reach the surface, where they eventually slough away.
The skin cells have reached their final destination — the stratum corneum. Once the cells arrive at this uppermost layer of the skin they are essentially dead.

The cells in the stratum corneum are very flat and tightly packed. These flat, dead cells continuously fall away as newer cells push their way to the surface. In this way, your skin is constantly renewing itself.

The entire desquamation process, from cell birth to sloughing away, takes approximately 14 to 28 days.

Abnormal desquamation may play a role in acne development.
It’s believed that in people with acne, this desquamation process goes awry. Dead skin cells hang around longer than they should, clogging pores and contributing to breakouts. This is why exfoliating treatments help improve the skin.

Dr. Larry Jaeger is a board certified dermatologist who has a practice in New York.  Dr Larry Jaeger specializes in the treatment of all skin, hair and nail disorders including all skin growths. What is Skin Desquamation?


What Is Microdermabrasion?

Larry Jaeger is an expert at treating all forms of skin disorders and skin disease. He has performed microdermabrasion treatments at Advanced Dermatology Associates for many years and discusses the skin care benefits.

Microdermabrasion, also known as microderm, is one of the easiest, safest and most effective anti-aging treatments you can get. It has many benefits! Microderm softens fine lines and wrinkles, helps to smooth coarsely textured skin, decreases the appearance of shallow scars, decreases pore size, and reduces superficial hyper-pigmentation, also known as age spots. Microdermabrasion also makes it easier for high-tech serums and skin care products to penetrate into the deeper layers of the skin. That helps build collagen, which gives skin its plump, youthful appearance.

Changing Skin Care Treatmentsmicrodermabrasion-benefits-returns

Professional microdermabrasion is usually done in a day spa, medical spa or specialized skin care studio. Microdermabrasion is essentially mechanical exfoliation that takes place with the help of a machine. The outermost layer of dead skin cells is removed from the face, chest and hands by physical means — not a chemical peel.

There are two types of microdermabrasion:

  • the original crystal microdermabrasion technology
  • or the newer diamond-tip microdermabrasion.

The original microdermabrasion technology, which has been around since the ’80s, is called crystal microdermabrasion. It uses a wand to spray and then vacuum up aluminum oxide crystals, also known as corundum, the second hardest mineral after diamonds.

Crystal microdermabrasion might also appear on a spa menu as particle resurfacing, power peel, derma-peel or Parisian peel. It can sting a little bit, and leaves a little residue of crystals on the skin. It’s important to wear eye covers when you get a crystal microderm treatment.

The newer diamond-tip microdermabrasion has been growing in popularity because it achieves the same results with less discomfort and without the crystal residue at the end of the treatment. The esthetician uses a variety of diamond tips, from coarse to fine, depending on how thick or delicate the skin is. The diamonds are the hardest mineral, and exfoliate the skin as the esthetician passes the wand over the face several times. Suction in the middle of the wand pulls the dead skin cells off the face. Because there are no loose crystals, you don’t have to wear plastic eye covers.

Which is better? Crystal microderm or diamond tip microderm? It’s really a matter of personal preference — and which machine your spa has. Most spas are buying diamond tip machines now, but may still have the crystal microderm machines. Some women prefer the more aggressive feel of the crystal microderm machines because they can tell something is “happening.”

The latest technology to hit the market is the HydraFacial, which uses water to deeply exfoliate the skin, perform extractions, then infuse the skin with serums.


The Benefits of Microdermabrasion

Microdermabrasion can achieve dramatic results, but it is highly dependent on the skill of the esthetician. In general, it’s best if you get it from an esthetician you already know and trust. For the best results, it is generally recommended get a series of treatments. Your esthetician should be able to recommend the number that is appropriate for your skin type and condition. A typical diagnosis is six treatments about 10 to 14 days apart.

Dr. Larry Jaeger is the medical director of Advanced Dermatology of New York, and specializes in the area of medical, cosmetic and surgical dermatology.


1. Microdermabrasion was first developed in Italy in 1985 — pasta, pizza and microdermabrasion — thanks guys!

2. There are over 100 microdermabrasion machines on the market but they all have the same basic design — exfoliate and suck up those dead skin cells!

3. Microdermabrasion has been shown to diminish fine lines, wrinkles, shallow acne scars, though results may vary from person to person.

4. Those who suffer from enlarged pores will be pleased to know microdermabrasion can help minimize pores and is great for unclogging them.

5. Microdermabrasion may decrease the appearance of superficial hyper-pigmentation, age spots and other superficial skin damage caused by the sun.

6. Removing dead skin through microdermabrasion can aid in the penetration of skincare products by up to 50% and with  a more even surface to work with, it allows makeup to go on more smoothly.

7. In 2009, the American Society of Plastic Surgeons reported there were 910,168 microdermabrasion procedures done in the US alone (176,541 of those men). It’s obviously big business, and not just in the States either.

8. Many people choose microdermabrasion over chemical peels and laser treatment because it is generally safer and more cost-effective.

9. The procedure may be a little uncomfortable but shouldn’t hurt (though skin can feel a little tender afterwards).

10. Microdermabrasion stimulates blood flow, which increases the nutrition delivered to skin cells. This improves cell production, which improves skin’s elasticity and texture.