Dr. Josephine Futrell, M.D., Ph.D., Dermatology

Expert skincare and beauty tips

3 Quick Anti-Aging Tips — August 5, 2020
Atopic Dermatitis Follow-Up — August 1, 2020
When Summer Does a Number on Your Skin — July 29, 2020

When Summer Does a Number on Your Skin

What to do when summer does a number on your skin? You need a good skin care routine!

  1. Dry skin on the upper arms and thighs — Use your ZO complexion renewal pads and follow it with Nectifirm moisturizer daily as part of your facial routine.  
  2. Keratosis Pilaris or arm bumps —Try 12% Lachydrin lotion
  3. Dull skin on the face — Add ZO exfoliating polish and Daily Power defense to your usual routine of sunscreen and Retin A.  
  4. Too much brown — Try the ZO Pigment Control Kit or add Lytera to your hydroquinone regimen.  Skin care routines can be customized at Arklatex Dermatology.
Dupixent—Atopic Dermatitis Treatment Now Available for Children Age 6 and Up — July 22, 2020

Dupixent—Atopic Dermatitis Treatment Now Available for Children Age 6 and Up

Have you ever had a child ask you, “What does it feel like to have normal skin?”  That is what a young lady with severe atopic dermatitis asked me this week.  Since birth, she has been covered with an itchy scaly rash that has been resistant to topical and oral treatments with steroids and other medicines.  As a result, she sat in my office in July covered in a hoodie and sweatpants.  As she is only eleven, she has not been able to be treated with some of the newer therapies.  Just recently, the FDA approved Dupixent for children 6 and up, and she got her first injection this week.

Above is a picture of her arms pre-treatment.  Stand by for further updates in 2 weeks.

Things That Bite and Sting in the Summer — July 19, 2020

Things That Bite and Sting in the Summer

Most of us are spending more than the usual amount of time outside these days. As a result, we are having more encounters than we’d like with these unsavory pests.  

1) Mosquitoes:  Obviously the best way to treat mosquitoes is to avoid them. Using insect repellent and/or insect resistant clothing is your first line of defense.  This is the best advice because many diseases are spread by mosquitoes.  If you are bitten, however, you still need to treat the symptoms.  Taking Claritin or similar long acting antihistamines will markedly decrease itch and swelling.  Over-the-counter hydrocortisone two to three times daily is also helpful, and gives you something to do besides scratch.  If you forget and scratch, an antibiotic ointment applied daily may help prevent infection.  

2) Chiggers:  These are little mites that burrow into the skin.  They stick around for a few days and lay eggs before dropping off.  Before going out, make sure you spray your clothes to avoid allowing them access.  If your case is severe, call your physician.  I often recommend a steroid shot and a prescription medication to apply to kill the mites.  

3). Bees, wasps, and fire ants:  These stings often need more than antihistamines and topical steroids.  If swelling increases over several days, it may be a sign of infection. Your dermatologist can provide antibiotics.

Remember, don’t scratch.  Besides increasing the risk of scarring, you increase your risk of infection.

Pimple? Here’s what NOT to do. — July 15, 2020
Super Zit? — July 12, 2020

Super Zit?

Super zits are super annoying! Here are some tips for treating.

1) Do. Not. Mash!  This actually makes it last longer.  

2) Apply benzoyl peroxide nightly as part of your skin care regimen for several nights to dry it.  

3) Call your dermatologist to inject it with a mild cortisone solution.  

4) If cystic acne is a chronic problem, see your dermatologist about oral therapy.

Female Adult Acne — July 10, 2020

Female Adult Acne

Acne is not just a teenage problem.  Many women experience acne in their 20s, 30s, and 40s.  Causes and treatments may differ when you are older.

Consider birth control methods and acne.  Certain low estrogen oral contraceptives may actually improve acne. On the other hand, hormone-coated IUDs such as the Mirena may make acne prone individuals more likely to break out.  

Check with your dermatologist, as well as your gynecologist, beforehand!

Contact Dr. Futrell

5 Expert Tips for Better Skin — July 8, 2020

5 Expert Tips for Better Skin

Be proactive and prevent problems by adding these helpful tips to your routine for skin care.  

  1. Acne breakouts—Make sure to blot sweat frequently.  Sweat build up clogs pores. Wash headbands, bras and other occlusive clothing to avoid dirt buildup. Make sure your makeup/sunscreen is non comedogenic and oil free. If you wear a mask, don’t wear makeup under the mask.
  2. Dry skin—Shower and shampoo after getting out of the pool.  Use extra conditioner for your hair. Use sunscreen, and use it often, as a burn will take you all summer to recover. Make sure your soap is mild, and always apply moisturizer immediately after showering.  Remember that excessive air conditioning is drying to your skin.  
  3. Folliculitis—Change out of sweaty clothes as soon as possible. Loose clothes don’t block your pores as much. Avoid hot tubs as they can contain a kind of bacteria called Pseudomonas.  
  4. Nail salons—Not all nail salons are created equal. Choose a salon that is meticulous about cleaning. Some salons keep separate tools for each client. Never shave right before an appointment, as small cracks in the skin can be an entry point for bacteria.
  5. Sun allergy—Check your medicines before getting in the sun. Certain medicines such as tetracycline can make you more likely to sunburn. When in doubt, check with your dermatologist.  
Selfcare Sunday – Eyebrows — July 5, 2020