Skin Conditions

Why see a Board Certified dermatologist?

Board Certified Dermatologists are nationally accredited skin experts. Dr. Evans is a Board Certified Dermatologist which means she has successfully completed the following:

  • Four years of Vassar College earning a bachelor’s degree
  • Four years of Medical School at the University of Connecticut School of Medicine
  • One year of Internal Medicine Internship at Emory School of Medicine
  • Three years of ACGME approved dermatology residency at Emory University School of Medicine,
  • One year of ACGME approved Mohs Surgery Fellowship
  • Became licensed by Medical Board of California to practice medicine
  • Passed the American Board of Dermatology National Board Exam which tests doctor's knowledge, experience, and skills.

This means that she has had thirteen years of training before she ever looked at your skin. This intense preparation is essential to provide you the quality patient care your skin deserves.

Skin Conditions Dr. Evans can treat when you become her patient:

Uneven Skin Tone & Pigmentation Issues

Dyschromia: Multiple, usually brown, grey, tan and black colors on the skin that lead to the appearance of uneven or multicolored skin.

Lentigos: Brown spots on the skin usually due to sun exposure over time.

Melasma: Brown colored areas on the skin of the face that are most often distributed in a symmetrical way, such as over both cheeks. These dark areas are frequently due to the hormonal changes that surround the use of hormonal therapies, oral contraceptive pills, pregnancy and other changes in the body.

Treatments: Multiple treatments exist to treat the above conditions. These treatments include various laser treatments, skin peels, prescription medications, and cosmeceutical products. Dr. Evans will prescribe the best treatment protocol to fit your individual needs.


*Acne

Acne Treatment | Eczema Treatment | San Francisco CAAcne is the term for the blocked pores (blackheads and whiteheads), pimples, and deeper lumps (cysts or nodules) that can appear typically on the face, neck, chest, back, shoulders and upper arms. Seventeen million Americans currently have acne, making it the most common skin disease in the country. While it affects mostly teenagers, and almost all teenagers have some form of acne, adults of any age can have it. Acne is not life-threatening, but it can cause physical disfigurement (scarring) and emotional distress.

Sebaceous glands are attached to hair follicles in the skin on the face, neck, back and chest. They produce an oily substance called sebum, which normally reaches the skin surface through the opening of the follicle (pore). When follicles become plugged, sebum cannot reach the surface of the skin. This blocked sebum promotes the growth of bacteria (Propionibacterium acnes, or P. acnes) beneath the skin, which in turn produce chemicals and enzymes that attract white blood cells, causing inflammation. Eventually the follicle wall breaks down and the sebum, skin cells and bacteria erupt to form lesions or pimples. These are the visible effects of acne.

*Treatment for acne varies depending on the type and severity of lesions, skin type and the patient's age and lifestyle; on average results are visible in six to eight weeks.  Please be informed that individual results may vary on a case by case basis. Options include:

  • Laser resurfacing
  • Soft tissue fillers and fat transfer
  • Subcision for rolling and boxcar scars
  • Punch excisional surgery for deep "ice-pick" pitted scarring
  • Dermabrasion and microdermabrasion

Eczema

Acne Treatment | Eczema Treatment | San Francisco CAEczema is a group of inflamed skin conditions that result in chronic itchy rashes. About 15 million people in the U.S. suffer from some form of eczema, including 10-20 percent of all infants. Symptoms vary from person to person but often include dry, red, itchy patches on the skin which break out in rashes when scratched.

Objects and conditions that trigger itchy eczema outbreaks may include rough or coarse materials touching the skin, excessive heat or sweating, soaps, detergents, disinfectants, certain foods, dust mites, animal saliva and danders, upper respiratory infections and stress.

Treatment involves medications and special intensive moisture rich plans to soothe and treat this skin condition.


Psoriasis

Acne Treatment | Eczema Treatment | San Francisco CAPsoriasis is a chronic skin disorder that cause scaling and crusting of the skin. Some patients experience itching and/or burning of their skin. Over seven million men and women in the U.S. of all ages have some form of psoriasis, which may be mild, moderate or severe. The most commonly affected areas are the scalp, elbows, knees, hands, feet and genitals.

Psoriasis cannot be cured but it can be treated successfully, sometimes for months or years at a time. Treatment depends on the type, severity and location of psoriasis. The patient's age, medical history and life may also have a significant impact on the methods utilized. The most common treatments are topical medications, phototherapy, oral and injectable medication.

ROSACEA

Rosacea Treatment | Mole Removal | San Francisco CA

Rosacea is a common, chronic skin condition that affects over 14 million Americans, many of whom are unaware that they have the condition. Rosacea appears on the skin of the face as areas of redness and sometimes small, pus-filled bumps similar to acne. This condition of the skin can affect a patient's confidence and self-esteem. There are several treatments available to relieve symptoms and prevent flare ups of rosacea.

While there is no cure for rosacea, there are several treatments available to help control symptoms and allow patients to enjoy their lives without constantly worrying about the appearance of their skin. The most effective treatment for rosacea depends on each patient's individual case, but usually includes a combination of prescription treatment and laser therapy.

The symptoms of rosacea can be reduced by wearing sunscreen the right kind of sunscreen and providing gentle but thorough care for your skin. Treatments of the skin with lasers is one of the best ways to improve the redness of the skin and give you the great skin you deserve.


AGE SPOTS

Rosacea Treatment | Mole Removal | San Francisco CA

Age spots, sometimes called "liver spots", are flat brown patches on the skin that have darkened in color "pigmented" after exposure to sunlight and time. They are can be found on any area of the body but are commonly found on areas of skin that are frequently exposed to sunlight, such as the face, hands, and arms.

There are many ways to treat age spots including prescription medications, lightening serums, peels and laser therapy.


RASHES

Rosacea Treatment | Mole Removal | San Francisco CA

A rash is a change in the skin's color or texture. Simple rashes are called dermatitis, which means the skin is inflamed or swollen. Other common rashes include eczema, psoriasis, impetigo, shingles, chicken pox, measles, scarlet fever, insect bites and those caused by medical conditions such as lupus or rheumatoid arthritis.

A dermatologist is usually able to identify the rash by looking at it and asking about accompanying symptoms. Rashes can often be treated with special moisturizing creams, prescription medications or more extensive treatments.


MOLE / BIRTHMARK REMOVAL

Rosacea Treatment | Mole Removal | San Francisco CA

Moles and other birthmarks are benign pigmented spots or patches of skin that range in color from tan, brown and black (moles) to red, pink or purple (vascular lesions, such as strawberry hemangiomas or port wine stains). Though some birthmarks are not dangerous, they may develop into cancer. Moles (also called Nevi) that exhibit any of the following warning signs should be examined by a dermatologist immediately:

  • Larger than six millimeters.
  • Itches or bleeds.
  • Rapidly changes in color, size or shape.
  • Has multiple colors.
  • Is located where it can't be easily monitored, such as on the scalp.

Depending on their depth, location and color, as well as the patient's skin type, age and other factors, treatment for benign but unattractive birthmarks may take the form of laser or pulsed light therapy, microdermabrasion or surgical excision.


WARTS

Rosacea Treatment | Mole Removal | San Francisco CA

Warts are skin growths caused by viruses. Different warts respond to varied and multiple treatments including: salicylic acid products, liquid nitrogen freezing or electrical stimulation. Surgery may be recommended for painful or large warts that do not respond to these treatments.


SUN DAMAGE

Rosacea Treatment | Mole Removal | San Francisco CA

Sun damage can affect any area of your skin as a result of exposure to the ultraviolet (UV) rays of the sun. Sun damage may lead to sun spots, age spots, rough skin and wrinkles. Sun exposure can also lead to premature aging and skin cancer.

The best treatment against sun damage is preventing it from occurring in the first place. It is important to wear the right type of high-quality sunscreen lotion on a daily basis. While some wrinkles on the skin need to be treated with BOTOX® and fillers, most existing sun damage can be treated through skin procedures like specialized serums, prescription medications, chemical peels, and laser therapy.


If you would like more information about Skin Conditions or to schedule an appointment, feel free to fill out our convenient contact form or call us directly at SF: (415) 202-1540 or CM: (415) 924-2055.


*Individual results may vary on a case by case basis.