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Skin
IMPORTANT NOTIFICATION: Demand for medical dermatology services has exceeded our practice’s capacity due to a shortage of dermatology providers on Hawaii Island. We have made the difficult decision to temporarily halt the scheduling of any new medical dermatology patients at our practice effective Monday, November 21, 2022. Click here for more information.
Our expert providers offer personalized skin care and treatments for acne, scarring, rosacea, hyperpigmentation, infections, and hair loss.
Acne
Acne is the most common skin condition in the United States, affecting 50 million Americans annually. Let our team of experts take care of you!
Some of our favorite treatments include:
- Diamond glow : A medical grade, diamond tip facial that targets acne-prone skin by method of exfoliating, extracting and infusing skin with pore clarifying serums.
- Acne Peels : These exfoliating solutions are customized for different skin types and incorporate a variety of ingredients. They’re applied topically and customized by your esthetician.
- Prescription topical medications : These are customized to your skin to control your acne, avoid scarring and other damage to your skin, and make scars less noticeable.
- Oral Medications : These can treat acne by targeting Bacteria growth or Preventing flares caused by Hormones or Oil producing glands. A derivative of Vitamin A (Accutane) is commonly used to treat severe acne.
- Allergy testing : Providing a list of foods that can cause inflammation and increase acne flares
Scarring
We offer a several treatment methods to help reduce the appearance of scars. Types of scars include, keloids, contracture scars, hypertrophic scars, acne scars, and stretch marks.
Our providers and estheticians will design a customized scar treatment program for you. Various methods may be used and treatments may take several months depending on the thickness and location of the scar.
Treatment Options We Offer:
- CO2 Laser : A CO2 laser is a medical device that emits high-energy, focused light to vaporize and resurface scar tissue, promoting smoother and more even skin texture.
- Prescriptions : Prescriptions for scarring typically include topical medications, such as corticosteroids or silicone gel sheets, to reduce inflammation, promote wound healing, and improve the appearance of scars.
- IPL : IPL (Intense Pulsed Light) therapy is a non-invasive treatment that uses high-intensity light to target and fade the redness and pigmentation associated with certain types of scars, resulting in a smoother and more even skin tone.
- Steroid Injections : Steroid injections involve the direct application of corticosteroids into scar tissue to reduce inflammation and minimize the appearance of scars by flattening and softening them.
- Fractionated Light : Fractionated light therapy, or fractional laser therapy, treats scarring by delivering precise, fractionated laser beams to create micro-injuries in the skin, stimulating collagen production and encouraging the gradual improvement of scar texture and appearance.
- Surgical Scar Revision : Surgical scar revision, often accompanied by laser therapy, involves the precise removal and repositioning of scar tissue to improve its appearance and reduce visibility.
- Microneedling : Microneedling employs tiny needles to create controlled micro-injuries in the skin, stimulating collagen production and resulting in smoother, less noticeable scars.
Rosacea
Rosacea is a chronic inflammatory condition that appears as redness and swelling. Rosacea can cause acne or skin sensitivity. Rosacea is worsened by the sun, stress, heat, alcohol, or spicy foods. We offer a variety of effective treatments for rosacea, including IPL laser. Moderate to severe cases of rosacea may require an appointment with a provider for further evaluation and possible oral or topical prescription medication.
Treatment Options We Offer:
- Topical prescription : Topical prescription treatments for rosacea typically include medicated creams or gels containing ingredients like antibiotics or azelaic acid, which help reduce inflammation and redness associated with this skin condition.
- IPL : IPL (Intense Pulsed Light) therapy is a non-invasive treatment for rosacea that uses high-intensity light to target and reduce the redness and visible blood vessels associated with this skin condition, promoting a more even complexion.
- Topical skin care products : Topical skin care products for rosacea include specially formulated creams and gels designed to soothe redness and inflammation while strengthening the skin’s natural barrier, helping to manage and alleviate symptoms of this skin condition.
Before
After
Hyperpigmentation
The appearance of skin patches that are darker than the original skin is hyperpigmentation. Melasma, sunspots, and post-inflammatory hyperpigmentation are all different types of hyperpigmentation. Melanin is produced by skin cells and is a pigment that gives the skin its color. An excess production of melanin in the skin is what causes hyperpigmentation. An increase of melanin can be caused by sun exposure, hormone changes, medications, or trauma to the skin. We offer a variety of treatments for hyperpigmentation such as topical prescriptions, skin care products, diamond glow, microneedling, and IPL or Picosure laser.
Treatment Options We Offer:
- Topical hydroquinone prescription : Topical hydroquinone prescription is a skin-lightening medication used to reduce hyperpigmentation by inhibiting the production of melanin, resulting in a more even skin tone.
- Topicals skin Care products: Melaclear Advanced : Melaclear Advanced is a topical skincare product designed to address hyperpigmentation by utilizing a combination of ingredients to reduce dark spots and promote a more even complexion.
- Pure Radiance Brightening Vitamin C : Pure Radiance Brightening Vitamin C is a skincare product that helps treat hyperpigmentation by harnessing the power of Vitamin C to reduce dark spots and promote a more radiant and even skin tone.
- Microneedling : Microneedling is a minimally invasive cosmetic procedure that can be used to treat hyperpigmentation by creating controlled micro-injuries in the skin, stimulating collagen production and promoting a more even skin tone.
- Chemical Peels : Chemical peels are a skincare treatment used to address hyperpigmentation by applying a chemical solution to the skin, which exfoliates the top layer and encourages the growth of new, more even-toned skin.
- IPL : IPL (Intense Pulsed Light) therapy is a non-invasive treatment for hyperpigmentation that uses high-intensity light to target and reduce excess pigmentation in the skin, resulting in a more balanced and uniform complexion.
- Picotone : Picotone is a laser-based treatment for hyperpigmentation that uses ultra-short pulses of laser energy to break down excess pigment in the skin, leading to a more even and rejuvenated complexion.
Fungal, Yeast, and Bacterial Infections
These type of infections are caused by an overgrowth of microorganisms. A infection may appear as redness and may be accompanied by other symptoms. These infections may occur anywhere on the body and can also affect the finger and toenails. “Athlete’s foot” is a commonly known fungal infection. An overgrowth of yeast in the scalp can cause scaling and itching (seborrheic dermatitis). Bacterial infections may require a wound culture to isolate the organism to specify treatment. Schedule your focused visit today for evaluation and a treatment plan. Your treatment plan may include a skin scraping, nail trimming sample, biopsy, or culture for diagnosis. Infections are commonly treated with topical or oral medications.
Hair Loss
An accurate diagnosis is the most effective way to treat hair loss. At Dr. Monica Scheel dermatology we have in-depth knowledge about the many causes of hair loss. Hair loss can be caused by underlying disease, vitamin deficiency, hormone imbalance, or stress. At your consultation, we will create a customized treatment plan for you that may include supplements, nutrition counseling, prescription medications, blood work, scalp biopsy, steroid injections, or PRP injections. We offer Nutrafol, a specially formulated natural supplement that supports hair growth and a compounded topical Hair Density Serum at our office
Treatment Options We Offer:
- PRP (platelet rich plasma) injections
- Nutrafol
Before
After
Under eye hollows
Genetic factors and aging can contribute to the appearance of hollowing under the eyes. Hyaluronic acid filler can be used to improve the tired-looking appearance of under eye hollows. Filler will last about 1 year under the eyes. We offer the following for under eye hollows:
Saggy skin
We offer a variety of treatments to address skin laxity on the face. Loss of collagen, fat, and bone, sun damage, genetic factors, and aging can all contribute to skin laxity. Some treatments that we may recommend to improve saggy skin are listed below. We recommend follow up treatments and medical-grade skin care products to maintain your results after initial treatment.
- Lifting threads
- Liquid facelift using filler
- Some of our favorite fillers for liquid facelift:
- Juvederm Voluma
- Juvederm Volux
- Restylane Lyft
- Potenza RF Microneedling
Crepey skin
With aging and sun damage, the skin becomes thinner due to loss of collagen. The best treatments for crepey skin are those that initiate collagen stimulation. Follow up treatments as recommended by your provider and medical-grade skincare products (vitamin c serum and retinol daily) are essential to maintain your results after treatment.
- Sculptra
- CO2 Laser
- Potenza RF Microneedling
- Firming threads
- Fractionated Light
Volume loss
If you feel like you are losing the contours of your cheeks and jawline or losing volume of your face overall, hyaluronic acid filler and sculptra are our most recommended treatments. Hyaluronic acid filler is a gel that can be used to fill folds, lift, and contour the face. Sculptra is a bio-stimulator that stimulates your body’s own collagen. Sculptra is especially effective for the lower cheek area.
- Hyaluronic acid filler
- Sculptra
Dull skin
Brighten your complexion with a variety of our treatments. If vellus hair and dead skin are contributing to dull-looking skin we recommend either peels, diamond glow microdermabrasion, or dermaplane with our estheticians. We often find that collagen stimulating treatments such as lasers and sculptra give your skin a beautiful glow starting at about 1 month post treatment.
- Chemical Peel
- CO2 Laser
- Diamond Glow
- Fractionated Light
- Dermaplane
- Picotone
- Microneedling
- Sculptra
- Potenza RF Microneedling
Submental fat/ Double Chin
We offer the only injectable for dissolving fat, Kybella. Kybella is a non-surgical alternative to improve the appearance of fullness of the face and under the chin. Kybella works by destroying fat cells in the area it is injected. For optimal results, a series of 3 treatments are recommended using 2 vials each.
Jowls
One of the most common concerns with aging is the appearance of jowls. Our expert injectors customize a treatment for you based on your needs. The appearance of jowls can be due to fat in the area or loss of volume in the other areas of the face. Some options for treatment include the following:
- Kybella
- Hyaluronic acid filler
- Some of our favorite fillers for improvement of jowls are:
- Juvederm Volux
- Radiesse
- Lifting threads
Brow lift
The treatments we offer in our office can provide a subtle brow lift of a couple millimeters. If you are hoping for a non-surgical improvement for a reasonable cost, Botox/Dysport or firming threads may be options for you.
- Dysport/Botox brow lift
- Lifting threads
- Firming threads
Neck
Genetics, aging, sun damage, and lifestyle habits can all contribute to saggy skin, crepey skin, and horizontal neck lines. Skin texture of the neck can best be improved by lasers that stimulate collagen. Horizontal neck lines needing volume replacement and collagen stimulation are best treated with hyperdilute radiesse.