Dermal Cancer – Part Two

Dermal CancerOne thing that all types of dermal cancers have in common is that early detection is key. Cancer screenings are vital, as is reporting any unusual or new moles to your dermatologist. The earlier your dermal cancer is detected, the more likely you and your doctor can develop an effective treatment plan.

People of all races and skin types can get dermal cancer. If you notice any of the following signs or symptoms, consult Dr. Holy as soon as possible.

  • Any skin lesion that grows larger and/or turns pearly, translucent, brown, black or multi-colored
  • An open sore or wound that does not heal, persists for more than four weeks or heals and later reopens
  • Any skin spot growth that continues to itch, hurt, crust over, form a scab, erode or bleed for several weeks

You are not helpless when it comes to preventing dermal cancer. There are things that you can do to prevent it or recognize it as early as possible. Things you can do to reduce your risk of getting dermal cancer:

Seek Shade: Shade is not only the best place to go in the heat of the midday sun, but one of the safest places to be for your skin.

Wear protective gear: If you know you’re going to be spending time in the sun, there are some things you can take along to protect your skin and eyes.

Use sunscreen: A little bit of cream, spray or gel can save your skin.

Self-Exam: The best way to catch cancer before it catches you is to discover it early. Take advantage of the fact that your skin is the most visible organ of the body and check it regularly.

When detected early, dermal cancer is highly treatable. Dr. Holy in Phoenix recommends a thorough skin examination every year or as any changes in skin appearance occur. To schedule a skin exam, contact The Center for Advanced Dermatology at 602-867-7546 or Remember, healthy skin is beautiful skin.

Posted: June 26, 2017 By:

Dermal Cancer – Part One

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Our skin is the largest of our human organs. Not only does our skin give us our appearance and shape, it also serves crucial functions such as regulating our body temperature and acting as a shield to protect us from environmental irritants, bacteria, heat and cold. Unfortunately, our skin is susceptible to cancer. In fact, dermal (skin) cancer is the most common of all cancers and affects millions of Americans each year.

There are three main types of dermal cancer. These cancers begin in a different type of cell within the skin and each cancer is named for the type of cell in which it begins.

Basal Cell Carcinoma (BCC): Basal cell carcinoma is the most common form of dermal cancer. It usually develops on sun exposed areas as a small, round, raised, red spot. If detected early the chances of a cure are good. While these tumors very rarely metastasize (cancer spreading to other parts of the body), early diagnosis and treatment is important to prevent extensive damage to surrounding tissue.

Squamous Cell Carcinoma (SCC): Squamous cell carcinoma is the second most common dermal cancer. It also mainly develops on sun exposed areas. It is a slowly growing cancer with a tendency to spread to other parts of the body. If SCC is detected early the cure rates are good.

Malignant Melanoma (MM): Malignant melanoma is the most dangerous and life-threatening dermal cancer. It has a great potential to spread to other parts of the body. Certain moles have the tendency to change their appearance and turn into MM. Because of the severity of MM, it is important for survival to detect MM as early as possible. With early detection and proper treatment, however, the cure rate for melanoma is about 95%.

Dermal Cancer Part Two to be continued…

Posted: June 19, 2017 By:

Botox Uses

Botox UsesBotox is a prescription medication approved for several different uses. Although the drug is well known for its ability to improve the appearance of facial lines and wrinkles, it is also approved for treating other conditions.

Botox injections work by weakening or paralyzing certain muscles or by blocking certain nerves. The effects last about 3 – 12 months, depending on what you are treating. The most common side effects of Botox are pain, swelling or bruising at the injection site.

When most people think of Botox the first thing that usually comes to mind is wrinkle reduction. In addition to being the gold standard for wrinkle reduction, Botox can also be used to treat a variety of issues, both cosmetic and non-cosmetic. Below is a list of conditions that Botox has been approved for:

Eyelid Spasms: The first use of Botox that was approved by the FDA back in 1989 was for the treatment of certain types of eye muscle problems or abnormal spasm of the eyelids (blepharospasm).

Excessive Sweating: Botox is a temporary treatment option for sufferers of hyperhidrosis or excessive sweating. Botox is injected into the sweat glands just under the skin to temporarily block the chemical signals from the nerves that stimulate the sweat glands. Botox prevents unnecessary sweating for an average period of six to seven months.

Migraines: In 2013, Botox received FDA approval for the treatment of migraine headaches. The treatment involves the injection of Botox into seven different locations including the temples, neck, shoulders and forehead.

Chronic Neck and Cervical Muscle Pain: Botox injections can significantly improve pain levels and overall quality of life for sufferers of chronic pain. When Botox is injected into target muscles, it blocks signals that cause unnecessary muscle tightening; the cause of chronic pain.

Overactive Bladder: Botox is often used to treat several incontinence and overactive bladder symptoms when other types of medications do not work or cannot be taken. Specific symptoms may include a strong need to urinate with leaking or wetting accidents, a strong need to urinate right away and frequent need to urinate.

Muscle Stiffness: Botox is used to treat increased muscle stiffness in the elbow, wrist and finger muscles in people with upper limb spasticity.

To learn more about the many uses of Botox, contact The Center for Advanced Dermatology at 602-867-7546 or

Posted: June 12, 2017 By:

Micro Needling for Scars

MicroneedlingMicro needling is a popular skin rejuvenation and anti-aging treatment. Micro needling is a minimally invasive procedure that involves puncturing the skin with tiny, sterile micro needles to promote the production of collagen and elastin in the skin.

The concept of micro needling is based upon the skin’s ability to naturally repair itself when injured. Immediately following an injury, our skin begins the process of dissolving damaged tissue and replacing it with new cells. Micro needling is designed to stimulate your skin’s natural ability to produce new collagen formation, which can create smoother, tighter, and overall healthier skin, with a younger looking appearance. This procedure may also diminish skin imperfections. Among other skin improvement benefits, micro needling is highly effective for treating many types of scars including surgical scars, chicken pox scars, burn scars, wound scars, even difficult acne scars.

In Phoenix, Dr. Holy uses a derma roller on the skin. The derma roller needles produce a very shallow puncture which later causes the body’s defenses to fill the tiny wound with collagen and elastin.

One of the benefits of this procedure is that it can be used on many parts of the body:

  • Scalp
  • Face (including highly sensitive areas)
  • Neck
  • Chest
  • Arms
  • Love Handles (Flanks)
  • Hands
  • Legs
  • Abdomen
  • Back

Other benefits to choosing micro needling include:

  • Affordable
  • Effective – improvements are typically visible within days of treatment
  • Minimal downtime
  • Minimal discomfort
  • No bruising, infection, discoloration or other complications
  • No permanent damage or injury
  • Safe for most skin types

Since micro needling can be used on all parts of the body, it is an excellent option for scar treatment. Most people need a series of 3 treatments to see optimal results, although some scars, especially deeper acne and traumatic scars, may need 6-8 sessions to achieve desired goals.

If you’d like more information about micro needling for scars, contact The Center for Advanced Dermatology at 602-867-7546 or

Posted: June 5, 2017 By:

Mole Removal Care

Mole RemovalMoles are a common type of growth on the skin. They often appear as small brown spots and are caused by clusters of pigmented cells. Moles can develop anywhere on your body, including your scalp, armpits and between your fingers and toes. Moles are usually removed if they are thought to be cancerous but they can also be removed for cosmetic or comfort reasons.

Mole removal is usually a minimally invasive procedure with little discomfort and a quick healing time. There are some mole removal care tips to consider so that you decrease your risk for developing a noticeable scar or an infection after the procedure.

Bandages: After a mole removal, the treated area should be covered with a bandage. For the first week to two weeks, the area will need to be cleaned and the bandage changed once or twice per day. Keeping the wound covered and dry will help keep it from becoming infected.

Ointment: If your method of mole removal required stiches, you will need to keep the wound moist with antibiotic ointment during recovery. It is important to avoid having a scab grow over the stitches, so keeping the area moist with ointment until you have your stitches removed4-7 days later.

Scabbing: Over the first week or two after mole removal (or beginning after you’ve had your stitches removed), your skin will begin to form a scab. It’s essential that you continue to cover this area with a bandage and don’t pick at the scab. Let the scab fall off naturally. This will decrease your chances of visible scarring and infection.

Follow-up: You may need to return for a follow-up visit with Dr. Holy to check the progress of your healing or to have stitches removed. It’s important to keep all follow-up appointments.

Contact The Center for Advanced Dermatology immediately if the following should occur during your recovery:

  • Fever
  • Puss coming from your wound
  • Worsening redness, pain or swelling at your wound site
  • Your wound will not stop bleeding

Your individual mole removal care instructions may vary slightly depending on the method of removal used by Dr. Holy. To learn more about mole removal or to schedule a skin evaluation in Phoenix, contact The Center for Advanced Dermatology at 602-867-7546 or

Posted: May 29, 2017 By:

Chemical Peel vs. Microdermabrasion

Chemical Peel vs. MicrodermabrasionYou may have wondered what the difference is between a chemical peel and microdermabrasion. Both treatments are a form of exfoliation of the skin. Exfoliation is the act of removing dead skin cells from the epidermis, the outermost layer of the skin. The easiest way to maintain healthy skin is by keeping it free and clear of dead skin cells. The difference between microdermabrasion and chemical peels is that they are two different types of exfoliation: microdermabrasion is a physical exfoliation and chemical peels are a chemical exfoliation.

While microdermabrasion works well on superficial skin imperfections (some acne scars, fine lines, wrinkles, enlarged pores and sun spots), a chemical peel is more effective on serious skin problems like deeper scars and wrinkles.

Microdermabrasion is a manual exfoliation of the epidermis to remove dead skin cells, debris and impurities. Normally, an instrument which combines suction and a wand made of diamond or small crystal particles is used to remove particles from the skin. Microdermabrasion produces instant results, but may not be a good choice for inflamed, sensitive or rosacea type skin. Microdermabrasion encourages collagen stimulation and a more rapid cell turnover in the skin. After microdermabrasion, skin will appear softer, smoother, brighter, clearer, fresher and younger looking. Although it is primarily used on the face, it can be used on other parts of the body from the neck to chest, to hands, etc. To maintain the healthy glow associated with microdermabrasion, it is recommended once a month for optimum results. Appointments made too close together could irritate and redden the skin.

Chemical peels use topical applications of peeling solutions to rejuvenate the skin, address fine lines and wrinkles, pigmentation, tone and texture. Chemical peels involve controlled removal of varying layers of the skin with the use of a chemical agent. Chemical peels are often categorized according to the depth of the peel:

  • Light Chemical Peel: This kind of peel removes just the outer layer of the skin (epidermis) in a light exfoliation.
  • Medium Chemical Peel: This type of peel removes skin cells from both the outer layer of skin (epidermis) and upper part of the middle layer of skin (dermis).
  • Deep Chemical Peel: The chemical used for this type of peel penetrates down to the lower dermal layer. A deep chemical peel usually involves a pretreatment for up to eight weeks to prepare the skin for the peel and to speed the healing process.

To determine which exfoliating treatment is best for your skin, we recommend scheduling a consultation with Dr. Holy in Phoenix. To schedule an appointment, contact The Center for Advanced Dermatology at 602-867-7546 or

Posted: May 22, 2017 By:

Dermatologists Specializing in Psoriasis

DermotologistsPsoriasis is a chronic auto-immune disease that causes a dry, reddish and scaly rash. Originating from the Greek word psora, meaning being itchy, psoriasis is a common skin condition that affects millions of people in the United States. Normally, skin cells reproduce every 21-28 days. With psoriasis, skin cells reproduce at a much faster rate of 2-6 days. The accelerated cell production causes constant shedding of the skin as the older skin cells are replaced with new skin cells. There are various types of psoriasis that can develop from various triggering agents in all parts of the body and require specific treatment based on the severity of the psoriasis.

Plaque psoriasis (psoriasis vulgaris) is the most common form of psoriasis, affecting 80-90% of patients who develop the condition. Characterized by dry, itchy raised and inflamed red lesions covered in silvery white scales, plaque psoriasis appears on the surface of the skin most commonly on the knees, lower back, scalp, nails and elbows, but can appear anywhere on the body. The flaky white skin cells build up on the inflamed area and over time are dislodged and shed.

Inverse psoriasis is found in skin fold areas that are subject to irritation due to sweating and rubbing of the skin such as the armpits, groin, under the breasts or other folds around the genital and buttock area. Bright red lesions, without the white flaky scales, that may appear shiny and smooth in texture are generally the first symptoms of inverse psoriasis.

Guttate psoriasis first appears in childhood/young adulthood and forms many small red spots on the skin, generally on limbs and the scalp.

Pustular psoriasis is a less common form of psoriasis characterized by white blisters of non-infectious pus that surround patches of red skin.

Erythrodermic psoriasis is the rarest form of psoriasis. Common among individuals who have unstable cases of plaque psoriasis and undefined lesions, erythrodermic psoriasis is an inflammatory form of psoriasis that develops on most of the body’s surface and causes extensive skin shedding, severe itching and pain.

Dermatologist Dr. Holy specializes in identifying and treating psoriasis and creating the best possible results for psoriasis patients in Phoenix. While there is currently no cure for psoriasis, proper treatment is dependent on the severity, type and location on the skin affected by the psoriasis. Topical treatments, phototherapy and/or systemic medications are common treatments recommended for psoriasis patients. To learn more about psoriasis or to find out how Dr. Holy can help you, contact The Center for Advanced Dermatology at 602-867-7546 or

Posted: May 15, 2017 By:

Wrinkle Treatments for the Face – Part Two

Wrinkle Treatments

Micro-Needling: Micro-Needling is a form of collagen induction therapy intended to smooth wrinkles, improve depressed acne scarring as well as reduce the appearance of stretch marks. The micro-needling device slides along the skin, penetrating the upper layers of the skin to a depth of up to 2mm to create numerous tiny needle wounds. The procedure prompts the body to respond through the creation of new collagen and elastin fibers. In response to the stimulus, the skin plumps and thickens, reducing the appearance of scars, fine lines and wrinkles.

Fractional CO2 laser: Fractional CO2 laser resurfacing can erase years from your face and dramatically improve the appearance of wrinkles and skin pigment. Fractional CO2 lasers excel at treating deeper wrinkles, more severe textural changes from sun damage, wrinkles, blotchiness, acne scars and surgical or traumatic scars. It can even be used on the delicate eyelid skin and around the mouth.

Fraxel® laser skin treatments: Fraxel is a laser skin rejuvenation treatment that resurfaces your outer skin, erasing imperfections. It also encourages the production of collagen which is instrumental in maintaining firm, youthful, healthy-looking skin. Fraxel is one of the most advanced laser wrinkle treatments for the face available today.

Radiofrequency (RF) skin tightening: Radio frequency skin tightening is an aesthetic technique that uses RF energy to heat tissue and stimulate subdermal collagen production to reduce the appearance of fine lines and loose skin. The technique induces tissue remodeling and production of new collagen and elastin. This technology involves targeting the energy which is from a radiofrequency source rather than a light source to heat up the deeper layers of the skin.

Chemical peel: A chemical peel uses a chemical solution to smooth the texture of your skin by removing the damaged outer layers. Chemical peels can improve the skin’s appearance. In this wrinkle treatment, a chemical solution is applied to the skin which makes it “blister” and eventually peel off. The new skin is usually smoother and less wrinkled than the old skin. A chemical peel is one of the least invasive ways to improve the appearance of your skin.

If you are experiencing facial wrinkles and would like to discuss treatment options with Dr. Holy, contact The Center for Advanced Dermatology at 602-867-7546 or to schedule an appointment.

Posted: May 8, 2017 By:

Wrinkle Treatments for the Face – Part One

Wrinkle Treatments

Wrinkles are the most common sign of aging. We all get them…and we all want to get rid of them. The gradual development of facial wrinkles, whether fine surface lines or deeper creases and folds, is a classic sign of accumulated skin damage and inevitable aging. Premature aging and wrinkling of the skin may be accelerated by various causes including excessive exposure to the sun and other elements, overactive facial expression muscles, the frequent use of tobacco products and poor nutrition. Dr. Holy in Phoenix offers multiple wrinkle treatments for the face.

BOTOX® Cosmetic/Dysport/Xeomin: BOTOX Cosmetic, Dysport and XEOMIN are different products that rely on the same active ingredient — botulinum toxin type A — to relax the facial muscles that are responsible for the formation of wrinkles. They work by selectively weakening these facial muscles, relaxing wrinkles and smoothing the overlying skin. The result is a youthful-looking, refreshed appearance that respects your own unique features.

Dermal fillers: Dermal fillers help to diminish facial lines and restore volume and fullness in the face. Dermal fillers are injectable gels composed from either natural or synthetically derived materials like hyaluronic acid. Dermal fillers gently lift and pump up the skin to restore the collagen that has been lost due to the natural aging process. Dermal fillers also enable the body to generate its own collagen which can help in giving a natural and youthful facial appearance.

Platelet-Rich Plasma (PRP) liquid facelift: The PRP Facelift is a procedure that uses your own blood to help boost the youthful appearance of your face. This procedure helps grow new tissue which smooths skin texture and encourages the growth of new blood vessels to provide a beautiful healthy glow! By activating and harnessing natural growth factors within your own blood, the Platelet Rich Plasma liquid facelift safely, comfortably and effectively restores the balance your skin needs to maintain a fresh, youthful look.

Wrinkle Treatments for the Face Part Two continued next week.

Posted: April 30, 2017 By:

Chemical Peels for Younger-Looking Skin

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Chemical peels work to remove the damaged outer layers of skin through the application of a chemical solution to the face, neck or hands.  The chemicals will produce a controlled wound that allows softer and more even-toned layers of skin to regenerate.

Uses for Chemical Peels

Chemical peels can be used to reduce the appearance of:

  • Wrinkles and fine lines
  • Scars
  • Age spots
  • Sun-damaged skin
  • Acne
  • Freckles
  • Irregular skin color

Types of Chemical Solutions Used in Chemical Peels

There are several different types of chemical solutions that can be used in a chemical peel procedure, such as:

  • Salicylic acid
  • Glycolic acid
  • Trichloroacetic acid
  • Lactic acid
  • Carbolic acid

If you are planning to have a chemical peel in preparation of a big event, allow enough time for your treated areas to properly heal. It may take anywhere between 3 days to 2 weeks or more to fully recover. It is also important to avoid the sun and wear sunscreen and protective gear during the healing process.

Most light and medium-level chemical peels must be repeated to achieve maximum results; deep chemical peels will typically have longer-lasting results and a much longer chemical peel recovery process.

If you would like to learn more about chemical peels and determine if the procedure might provide the facial rejuvenation results you desire, contact The Center for Advanced Dermatology to schedule a consultation in Phoenix today. Call 602-867-7546 or visit

Posted: April 25, 2017 By: