Cosmetic Dermatology Richmond

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Cosmetic Dermatology Richmond
Dermatologist Richmond  | Dr. Yvonne Knight M.D.
West End Dermatology Associates and Medi Spa West | 3811 Gaskins Road | Richmond, VA 23233 | 804-270-6100
Dermatology Consultation Richmond
Acne Treatment | Rosacea Treatment | Eczema Treatment | Richmond

Some of the many disorders treated by our providers include:


Acne is one of our most common diagnoses. It usually is a mixture of blocked pores (blackheads and whiteheads), pimples, and deeper bumps (cysts or nodules) that may involve the face, neck, chest, back, shoulders or upper arms. Seventeen million Americans currently have acne, making it the most common skin disease in the country. While it affects mostly teenagers, adults of any age can have it. Although it is not life-threatening, acne can cause physical disfigurement (scarring) and emotional/psychological distress.

We offer numerous options for the treatment of acne. These will vary depending on the type and severity of the patient’s lesions, the patient's skin type, age and lifestyle, and how quickly the acne needs to be cleared. Options include:

  • Topical Medications
  • Oral Antibiotics
  • Accutane
  • Blackhead Extraction
  • Photodynamic Regimen Therapy
  • Baseline Skin Care
  • LED Light treatment

The scarring left over by acne can be treated in a variety of ways as well. These include:

  • Chemical Peels
  • Dermabrasion
  • Microdermabrasion
  • Topical Medicines & Injections
  • Soft Tissue fillers
  • Laser/Pulsed Light Treatments


Rosacea is a chronic skin disease that causes redness of the face. Some patients complain of bumps in the involved areas also. The eyes may also be affected with dryness and redness. Symptoms range from red pimples, lines and visible blood vessels to dry or burning skin and a tendency to flush easily. It is not yet known what causes rosacea and the disease is not curable, but controllable. Our options for treating rosacea include topical and oral medications and laser therapy to treat any dilated vessels causing a permanent red appearance.


Eczema is a group of inflamed skin conditions that result in chronic itchy rashes. 15 million people in the U.S. suffer from some form of eczema. Symptoms vary but often include dry, red, itchy patches on the skin which worsen when scratched.

Objects and conditions that trigger itchy eczema include rough or coarse materials touching the skin, excessive heat or sweating, soaps, detergents, disinfectants, fruit and meat juices, dust mites, animal saliva and dander, upper respiratory infections and stress.

Treatment involves an appropriate skin care regimen, avoiding aggravating factors and the use of prescription anti-inflammatory creams or ointments. Unfortunately, there is no magic cure that will permanently eliminate eczema. The main objective in treating eczema is control. Since eczema changes in appearance, medications are chosen that are best suited to control problems occurring at that particular time.

Topical steroids are the main medicine used in eczema. Other non steroidal topical products include tar derivatives which help to heal the skin with less use of steroids. Topical antibiotics are used when the skin shows signs of infection, usually as a result of scratching. The proper use of water is very important ... too much exposure can make your condition worse. Showers are necessary but should be short.

Dryness is the friend of eczema, so it's very important to keep your skin lubricated with moisturizers. Deodorant soaps, hot water, alcohol, and drying agents help to keep eczema around ... so try to avoid these also.

Certain internal medicines may sometimes be used. Steroids or antibiotics may be taken by mouth to improve more severe cases of eczema. If this proves insufficient, we may prescribe corticosteroid medication, oral antibiotics to combat infection, or sedative antihistamines.

Moles & Birthmarks

Moles 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 angiomas). Though most moles are harmless, any mole may develop into cancer. Moles exhibiting any of the following changes or warning signs should be examined by one of our providers as soon as possible:

  • Growing and larger than six millimeters
  • Itching or bleeding
  • Rapidly changing in color, size or shape
  • Has multiple colors
  • Is located where it can't be easily monitored, such as on the scalp or private area


Psoriasis is a frequently recurring skin condition associated with a rheumatic disease or autoimmune disorder. Normal skin cells turn over at a certain rate. In psoriasis, the skin turns over 10 times more rapidly causing the epidermis to become thicker. There is no cure but the symptoms can be controlled. It often starts in adolescence or young adulthood (16-20 years) or with a smaller peak between the ages of 50 and 60. Caucasians are most often affected. Those at highest risk for this disease are people with a family history of psoriasis (5-10%) and those with HLA antigens in their blood. Living in cold climates or having emotional stress also increases the risk.

Symptoms may include red, raised patches of skin with silvery-white scales. If the scales are picked off, small pin-points spots of bleeding known as Auspitz's sign appear. Nails may exhibit pinhead-sized pits, peeling, or a red-brown discoloration resembling spots of oil. Lesions may itch. Some lesions may be pustular in nature. Joint pain is present in approximately 7% of patients with psoriasis. A skin biopsy may also be taken. Psoriasis is not curable but it is controllable. Warm climates help decrease the severity of the disease. Keep your skin clean. Avoid breaks in the skin.

There are many treatment modalities that may also be used in psoriasis. Topical steroids, oral antihistamines and non-steroidal anti-inflammatory agents all help decrease psorisis. Some cases of psoriasis may require systemic medicines such as methotrexate, etretinate, or isotretinoin, Enbrel, Humira, or Amevive.


Warts are skin growths caused by viruses. Warts are different in type and depth of skin involvement. Therefore, they are treated differently according to their type, the location on the patient and the skin color of the patient. Some warts disappear on their own!

Over the counter products include salicylic acid products. which can assist in dissolving the keratin protein that makes up the wart and the dead skin around it. Others treatment include prescription topical medicines, liquid nitrogen freezing or cauterization.

Hair Loss

Tension or traction alopecia is hair loss resulting from constant pulling on the hair. Your hair can be pulled rapidly in a sudden tug (plucking eyebrows) or slowly through a hairstyle or habit. This slow pull causes hair to be lost but also damage to the scalp, preventing regrowth. Examples include: any chronic tight or binding style, a pinned knot of hair, buns, braids (for more than a few days), box braids, cornrows, extensions, tight ponytail, twists, roller setting the hair at night and sleeping on the rollers (one hour, once a week is fine), attaching artificial hair to the scalp (additional weight and pull on the hair), and repeated use of tight scarves, hats & wigs. Tightness pulls out hair from the roots, especially along the hairline

Women, men and children – anyone wearing a hairstyle with traction will have alopecia. Most people notice it only after it has become very obvious. Men experience traction alopecia from tight braids but think they are merely balding earlier than normal. They usually resort to shaving their heads to mask the problem.

We produce a finite number of hairs over our lifetime. Once they are all pulled out through tension, more will not grow. Tension hairstyles destroy the root of the hair through slow, chronic pulling, causing permanent damage. The follicle stretches and then scars over. Even if the cycles of hair growth were not completed, scarred over follicles cannot grow hair. Certain areas of the scalp (especially the hairline) have a tendency to lose hair easier than other areas. Also, scratching and chronic irritation will cause inflammation that will result in scarring.

We don’t know the answer to this yet. Some women braid their hair for one summer only and experience hair loss the next year.

Traction alopecia can be treated with prescription medicines along with OTC products and hair care changes. Treatment varies with the duration of the traction and the amount of hair loss a person has.


Fungi usually make their homes in moist areas of the body where skin surfaces meet: between the toes, in the genital area, and under the breasts. Many fungi that infect the skin (dermatophytes) live only in the topmost layer of the epidermis (stratum corneum) and do not penetrate deeper. Fungal infections on one part of the body can cause rashes on other parts of the body that are not infected. Fungal infections are very common and include athlete's foot, jock itch, ringworm and yeast infections.

When an infection (such as from fungi, bacteria, viruses, or mites) is suspected, a fungal culture may be performed by scraping off some material from the skin. If the specimen contains bacteria, fungi, or viruses, they will often grow in the culture and can then be identified.


Birthmarks and other abnormal skin pigmentation are caused by the body's inability to produce enough melanin. Abnormal skin pigmentation can cause conditions such as vitiligo, pigmentation loss, melasma, albinism, port wine stains, macular stains and hemangioma.

Skin discoloration results from several factors. Some are natural, such as birthmarks. Others are related to factors such as sun exposure, allergy or immune reaction. The skin can become darker (e.g., acanthosis nigricans, progressive pigmentary purpura) or lighter (albinism, vitiligo).

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