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

Expert skincare and beauty tips

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.
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.

Insect Stings and Allergies — June 15, 2020

Insect Stings and Allergies

Stung by a bee, wasp or ant and allergic? Excessive swelling and itching at the site of the sting, coupled with generalized itching, hives and difficulty breathing can be a medical emergency.  Put a Benadryl or other antihistamine under your tongue, and seek medical assistance immediately.

If you know you are allergic, keep an Epipen on hand and use it at the first sign of distress.  Remember, it only gives you short term relief.  Seek medical assistance quickly.  Talk to your doctor about protection and desensitization.

Things that Bite and Sting in the Summer — June 9, 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 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.

Benefits of Chemical Peels — October 4, 2019
Summer Skin — May 10, 2019

Summer Skin

Now is the time to get skin fit for summer.  Here are a few tips.  

1) Along with your gentle cleanser, don’t forget to exfoliate. Try Skinmedica AHA/BHA.  

2) Wear sunscreen daily and reapply often. If you need to reapply without taking off your makeup, try Colorscience powdered Sunforgettable (comes in several shades).  

3) An antioxidant is a must to neutralize UV damage. My favorite is still TNS Essential Serum.

4) Use HA5 to daily moisturize, but in the event of sunburn, try epidermal repair cream.  

5) Don’t forget your nightly Retin-A.  

We have all these products available at ArkLaTex Dermatology .

Visit our online store. 

Our Favorite Sunscreens (video) —
Sweating—When More is Not Better. — May 7, 2019

Sweating—When More is Not Better.

Excessive sweating, or hyperhidrosis, is a common skin problem that is worse in summer.  If it is severe enough to interfere with your lifestyle, consider these options:  

  1. Drysol, a prescription strength topical antiperspirant will solve most problems, but is very drying and may irritate.
  2. Qbrexa is a newer topical that is less irritating and can be wiped on.
  3. The best treatment and longest acting is Botox, which is great for the underarm area, but is the most expensive.

All three are available at ArkLaTex Dermatology.

When Summer Bites Back – What to Do for a Sunburn — May 6, 2019

When Summer Bites Back – What to Do for a Sunburn

42-26881203Memorial Day is approaching, and with it comes an increased chance of sunburn.  While the proper solution is to avoid burning altogether, here are a few tips if it occurs. 

  1. Take a nonsteroidal drugs like aspirin or Motrin to reduce both inflammation and pain.  
  2. Be generous with emollients.  Epidermal Repair Cream is great, but you may also try CeraVe healing ointment.  
  3. For the lips, use Vaseline, but if fever blisters occur, get a prescription for Valtrex.
  4. Remember, a tanning bed used to “pre-treat” only increases your total ultraviolet exposure and risk for skin cancer.
Take These 5 Products on Your Next Trip — April 5, 2019

Take These 5 Products on Your Next Trip

Sunbathing

Summer’s just around the corner. Don’t let your skincare routine take a vacation. Here are my top 5 products to take on a trip:

1. Sunscreen – use it every day
2. Antioxidant serum – something rich in Vitamin C. My favorite is TNS essential serum.
3. Moisturizer for both face and body.
4. Bottled water – don’t let yourself get dehydrated.
5. Packaged hand wipes – plans, trains and autos are huge infection sources.

Use these and have fun!