Blog | The Neiman Dermatology Building

11 February 2020
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Biologics for Psoriasis

11 February 2020, Comments Comments Off on Biologics for Psoriasis

Psoriasis is an autoimmune condition that causes raised, red, scaly patches (with or without silver-colored scale) to appear on the skin. Typically found on the scalp, elbows, and knees, it is usually treated with topical creams, corticosteroids, and retinoids. However, for patients who have tried these options to no avail, or have severe symptoms, biologics may be considered.

Biologics are medications that specifically target parts of the immune system that are responsible for the overgrowth of skin cells relating to psoriasis. Administered at our office by injection, they can be a very effective treatment option for patients.

Neiman Dermatology Psoriasis Patient Results

Neiman Dermatology psoriasis patient after biologic treatment.

The following are biologics that we use for patients with psoriasis:

• Cimzia
• Cosentyx
• Humira
• Siliq
• Skyrizi
• Taltz
• Tremfya

It is important to remember that joint pain can sometimes be related to psoriasis. This is called psoriatic arthritis. Psoriasis should be managed as it can be linked to heart disease, diabetes, cancers, as well as other autoimmune diseases. Contact our office today, to see if biologics may be right for you.

Sources: National Psoriasis Foundation, Jonathan G. Turowski, AGPCNP-BC

30 January 2020
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Minoxidil for Women’s Hair Loss

30 January 2020, Comments Comments Off on Minoxidil for Women’s Hair Loss

To the surprise of many, hair loss can be just as much of a concern for women as it is for men. Jennifer Lopez recently proved that point with a shocking revelation that she uses a hair loss treatment called minoxidil. In a post on her Instagram page, she wrote, “When I was coming up, I didn’t know how to take proper care of my hair when I first started working in television and film — I had to learn about minoxidil from my hairstylist! And I’ve been using it ever since.”

Instagram Jennifer Lopez

Jennifer Lopez applying minoxidil to her scalp.

Minoxidil is a vasodilator that is commonly used topically to treat thinning hair and hair loss. First introduced in 1979, it was initially used as an oral medication for high blood pressure. Shortly after introduction however, it was noticed that some individuals began growing hair everywhere. Therefore, the manufacturer of minoxidil came up with a topical version of it. In 1988, it was approved by the FDA for treating hair loss in men. Three years after that, it was approved for women. Then in 1996, it became available over the counter.

Although minoxidil is known to be a vasodilator, not all medications that dilate blood vessels can stimulate hair growth. Minoxidil is believed to work in part by partially enlarging miniaturized hair follicles and reversing the miniaturization process. This can prolong the growth phase of the hair cycle, allowing the hair to become thicker and longer.

Side effects associated with minoxidil are minimal. The most common is an itchy, irritation of the scalp. This side effect is not too prevalent however and will cease upon discontinuation. Well-controlled clinical studies have not been conducted in pregnant or nursing women. Therefore, it should not be used while pregnant or breastfeeding. Patients with heart disease should consult with our office before using minoxidil.

Best used in the early stages of hair loss, minoxidil is massaged into the scalp twice a day (morning and evening – spacing each application about 12 hours apart). A much easier to use “spray” form is available at our office.

16 January 2020
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Winter Weather Skin Care

16 January 2020, Comments Comments Off on Winter Weather Skin Care

Winter can be a tough time of year on the skin. The cold air, wind, and indoor heat can all wreak havoc. There are ways to combat this, however. Here are some tips that will help keep your skin hydrated and looking great this season:

Woman Winter Weather

Limit time in the shower. Long showers can strip the skin of natural, necessary oils. This can leave the skin dry, cracked, and irritated (especially for those who suffer from eczema, psoriasis, or rosacea).
When bathing or showering, use warm or lukewarm water instead of hot. The warmer the water, the more likely it can irritate the skin.
Limit the time bathing or showering. Prolonged exposure to water can dry out the skin.
After bathing or showering, pat your skin dry with a towel, don’t rub.
Apply a moisturizer while your skin is still moist.
This helps to lock in moisture and prevent drying of the skin.
Apply sunscreen to exposed areas of skin.
Even if it’s not sunny out, harmful UVA rays are still prevalent.
Use a humidifier.
Adds moisture to the air preventing the skin from drying out.
Get a HydraFacial.
The drying effects of the weather can make skin look dull. The HydraFacial will give it a needed boost of hydration.

If the winter weather is giving your skin trouble, contact our office today and let us help.

23 October 2019
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Halloween Makeup Is No Joke For Your Skin

23 October 2019, Comments Comments Off on Halloween Makeup Is No Joke For Your Skin

With the recent success of Todd Phillips’ Joker, it’s inevitable that more people will be wearing makeup for Halloween this year. However, it’s important to understand that when wearing makeup, proper skin care and product use is important throughout the application process. Below, is a step by step guide to help.



Start out by cleansing the area where the makeup will be applied. We recommend using Skinceuticals Gentle Cleanser. This mild cleanser is effective in removing any excess oil or impurities, leaving the skin perfectly prepped for later applying the makeup.

Skinceuticals Gentle Cleanser

Skinceuticals Gentle Cleanser


Next, moisturize. Skinceuticals Hydrating B5 Gel is a great option, as the combination of hyaluronic acid and Vitamin B5 works wonderfully to enhance the skin’s moisture.

Skinceuticals Hydrating B5 Gel

Skinceuticals Hydrating B5 Gel


Using a primer will help prevent makeup from fading throughout the night. Smashbox Photo Finish Primer is a perfect choice. A lightweight formulation that avoids all the ingredients that can clog pores and cause breakouts. It also does a good job preventing dryness by helping the skin retain moisture.

Smashbox Photo Finish Primer

Smashbox Photo Finish Primer


Whatever type of makeup your costume requires, make sure you are cognizant of the ingredients. Those containing artificial or synthetic fragrances, parabens or oxybenzone can be unsafe for your skin. Usually, the better the quality of the makeup, the better it will be. The Mehron Special FX Makeup Kit is the cream of the crop and a great option.

Mehron Special FX Makeup Kit

Mehron Special FX Makeup Kit


Initially, try makeup removing wipes. This should remove a majority of makeup. We suggest Honest Beauty Refreshingly Clean Makeup Remover Wipes. Then to get rid of the remaining, use a cleanser. Skinceuticals Simply Clean is the best one for this step.

Honest Beauty Refreshingly Clean Makeup Remover

Honest Beauty Refreshingly Clean Makeup Remover


Skinceuticals Simply Clean

Skinceuticals Simply Clean


This time moisturizing, you can either use Skinceuticals Hydrating B5 Gel again or Skinceuticals Daily Moisture. Both are good options to keep your skin hydrated.

Skinceuticals Daily Moisture

Skinceuticals Daily Moisture

As evidenced above, when applying makeup to your skin, it’s no laughing matter. Whether it be for Halloween or just a night out, these steps will help keep your skin looking it’s best.

17 October 2019
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Michael Jackson’s Vitiligo

17 October 2019, Comments Comments Off on Michael Jackson’s Vitiligo
Michael Jackson Vitiligo

Michael Jackson showing signs of vitiligo on his face and neck.

With the 10th anniversary of Michael Jackson’s death this past June, many throughout the world celebrated the legacy of the “King of Pop.” He was a transcendent, entertainment icon whose incredible talent and eccentric lifestyle made him a regular focus of the tabloids.

Although he may have been most well known for his music, his constantly evolving skin tone garnered almost as much attention. According to Jackson, in a 1993 interview with Oprah Winfrey, his changing skin tone was attributed to a condition called vitiligo.

Vitiligo is a rare skin disorder (affecting less than 2% of the population) that causes de-pigmentation on areas of the skin. Usually developing small in size, it occurs when the cells responsible for skin pigmentation die or are unable to function properly. Vitiligo can occur at any age and typically worsens over time. Although the cause is unknown, some believe that it can be linked to genetics or stress.

In Michael Jackson’s situation, it first presented itself in the early 1980s. According to a longtime friend, he started wearing his signature sequin glove on his right hand to hide the early signs of the condition. In the years following, as the condition became more noticeable, he received a lot of criticism and ridicule. Which is unfortunately all too common for those who suffer from vitiligo, due to society’s lack of knowledge about it. This can lead to serious psychological effects, causing sufferers to take desperate measures to hide their symptoms.

Although vitiligo affects all skin tones and types, it is obviously more observable the darker the skin. Currently, there is no cure for vitiligo, but there are many different treatment options available. Contact our office today if you believe you may have vitiligo.

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