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 Protects and moisturizes your skin. While helping to reduce the appearance of redness by utilizing multiple calming agents, anti-inflammatory agents and light-reflecting minerals.
 Bi-mineral Complex including zinc and cooper helps replenish elastin and build collagen- Malonic Acid in a patent-pending Obagi formulation helps stimulate the production of healthy skin cells.
- Blueberry Extract provides antioxidants that help eliminate free radicals.
- Penetrating Therapeutics™ uses a patented Obagi technology to help drive ingredients deep into the skin.
 This is a skincare system that’s clinically proven to correct hyper pigmentation, skin tone, fine lines and wrinkles. It also enhances procedure results and helps to prevent future skin damage. Transform the quality of the skin by lightening, tightening, firming and turning skin cells over on a daily basis.
Clear FX
Clear FX is a brightening cream specially formulated with Arbutin and anti-oxidants to enhance even skin tone for all skin types. Does not contain Hydroquinone.
Exfoderm®
Exfoderm contains phytic acid which is gentler than AHAs. It helps with keratolytic and exfoliating activity. It also helps enhance the activity of hydroquinine and tretinoin. Exfoderm is indicated for dry, thin, or sensitive skin and is to be applied in the morning. Apply Exfoderm evenly over entire face avoiding the eyelid area.
Nu-Derm Blender
Obagi Nu-Derm Blender contains a specific formulation of 4% hydroquinone and an activating base that is suitable to mix with tretinoin to complement tretinoin activity and provide blending along with stimulation. Blender must be mixed with tretinoin in specified proportions and used following the application of Clear.
 Sunscreen protection without the use of sensitizing chemical sunscreens and formulated with zinc oxide and titanium dioxide.
- Non-comedongenic
- Total broad spectrum protection – blocks UVA and UVB rays
- Free of PABA, cinnamates, and benzophenones
- Light, elegant, transparent formula
- Easy to spread
- Free of preservatives
 Formula 3 is an effective topical anti-fungal for the treatment of fungus of the toenails.
- Odorless
- Will not stain
- Absorbed in seconds
- Requires no drying time
- Residue free – no removal or cleaning required by patient
- Will not blacken the nail
- Conditions the nail & skin
 Light, Non-greasy moisturizer for sensitive skin
 From treatment of skin conditions such as eczema, psoriasis and rosacea to removal of warts, moles and other lesions to the diagnosis and treatment of skin cancer along with cosmetic services such as BOTOX®, peels and fillers, NaperBrook Dermatology provides a full range of general, surgical and cosmetic dermatological services so you can enjoy the healthy youthful skin you deserve.
Dr. Chittineni recommends yearly skin cancer screenings for all of her patients. A skin cancer screening is a visual inspection of your skin to evaluate for possible skin cancer. For a comprehensive exam it is recommended the entire body be evaluated but ultimately it is up to the patient how much they want examined. Patients should not wear make-up during the screening or should not have used sunless tanners two weeks prior to the screening.
Skin cancer is the most common type of cancer in this country. About one million Americans develop skin cancer each year. There are many types of skin cancer. The two most common types are basal cell cancer and squamous cell cancer. These are sometimes called non melanoma skin cancer. Although skin cancer can occur anywhere but most often these occur on sun exposed areas.
If Dr. Chittineni finds a suspicious lesion she will recommend a biopsy for diagnosis.
Dr. Chittineni recommends a yearly total body mole evaluation for all her patients. For a comprehensive mole exam it is recommended the entire body be evaluated but ultimately it is up to the patient how much they want examined. Patients should not wear make-up during the screening or should not have used sunless tanners two weeks prior to the screening.
Moles may range from normal, atypical or dysplastic, to melanoma (an uncommon deadly skin cancer).
Moles are usually checked for the ABCDE rules:
- Asymmetry
- Border irregularity or jagged edges
- Color variation within a mole or an “Ugly Duckling” mole
- Diameter: Moles larger than 6 mm raise a red flag
- Evolution: Changes to a mole or a lesion. Anything that bleeds, ulcerates, comes and goes, is persistent, or is red and scaly. Symptomatic changes to a lesion including itching, burning, or pain should also be evaluated.
If Dr. Chittineni finds a suspicious lesion she will recommend a biopsy for diagnosis.
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 Acne Vulgaris is a chronic inflammatory disease that consists of blackheads, whiteheads, pimples, and even deep cysts that occur on the face, neck, back, chest, shoulders, and upper arms. Acne usually begins at puberty but it is not limited to a certain age group. In fact some may even have acne into their 40’s or 50’s. Acne is usually treated with topical medications, cleansers, oral antibiotics, and chemical peels. In severe or recalcitrant cases our center prescribes Isotretinoin (). Isotretinoin therapy is monitored by monthly blood work and the course generally lasts 20-24 weeks.
Rosacea or “Adult Acne” is a common skin condition that is estimated to affect over 45 million people worldwide. It begins as flushing and redness of the central face and across the cheeks, nose or forehead but it can also less commonly affect the neck and chest. As rosacea progresses, other symptoms can develop such as persistent redness , dilated superficial blood vessels, small bumps and pustules, red irritated eyes, and in some advanced cases a red lobulated nose (rhinophyma). Various topical and oral medications are used to treat rosacea.
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Eczema includes certain inflamed red, scaly skin conditions including atopic dermatitis, allergic contact dermatitis, seborrheic dermatitis. Eczema can be itchy, red, scaly, and in some cases ooze. Treatment usually consists of topical cortisone, emollients, and in severe cases oral antibiotics.
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 Psoriasis is an immune mediated disease which can affect the skin, nails, and joints. It usually causes thick red scaly rashes that can affect any part of the body including the genitals and scalp. Psoriasis is not contagious and cannot be passed along from person to person.
This disorder is a chronic recurring condition which varies in severity from minor localized patches to complete body coverage. Ten to fifteen percent of the people with psoriasis have joint involvement.
Treatment of psoriasis is based on the extent and severity of the disease. Treatment options include topical medications, phototherapy, oral medications, and FDA approved injectable biologic therapy such as ® or .
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Warts are benign growths caused by the human papilloma virus (HPV). Even though the warts appear deep, seeming to have “roots”, they however infect the uppermost layer of the skin. Spread of warts is often indirect such as walking barefoot. Peak incidence of infection occurs in young children and teens but warts can be seen at any age.
Molluscum Contagiosum are benign growths caused by a pox virus. Three groups are primarily infected- young children (MOST COMMON), sexually active adults, and immune-suppressed individuals (HIV, cancer, etc.) Spread of molluscum is more direct usually skin to skin. Frequent touching or picking may spread both warts and molluscum.
There are NO SIMPLE CURES for warts and molluscum because they are viruses. These viruses may resolve spontaneously but may take several months to several years. Since they can spread to others and other parts of the body it is recommended that these be treated.
At Naperbrook Dermatology we offer many treatment options including topical and surgical options.
 Treatment for skin cancer and precancerous growths depends on the type and stage of the disease, the size and place of the growth, and your general health and medical history. In most cases, the aim of treatment is to remove or destroy the cancer completely. Different treatment options include cryosurgery, electrodessication and curettage, and excision.
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Dr. Chittineni will examine the lesion(s) and discuss various treatment options as well as the risks of scarring with each individual.
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Dr. Chittineni will evaluate the number and type of lesions the patient has. Based on the extent of the disease treatment options will include prescription topical medications, oral medications, topical cantherone, immunotherapy, curettage, cryosurgery, and/or rarely excision.
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 Botox is a physician administered injection for mild to severe facial wrinkles on the forehead and crows feet. Injection of Botox is the most common non surgical cosmetic procedure performed in the United States. Botox works by reducing the contractions of muscles that cause persistent lines that have developed over time. Botox may also be used for excessive underarm sweating. Treatment with Botox usually lasts 4-6 months.
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 Dermatologic surgeons have been using Glycolic Acid and Salicylic Acid peels for the last 25 years. These mild and moderate peels are called refreshing peels because they improve the quality of the skin without altering its normal architecture. Chemical peels remove the dead skin cells on the surface that lead to a dull complexion. This stimulates new skin cells to come to the surface which can make your skin appear healthier and younger. The Chemical peels can help correct sun damage, flatten mild scarring, remove superficial rhytides (wrinkles), improve acne, and improve discoloration. Recommended treatments are every 4 weeks depending on the skin type.
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- Fillers
- Laser treatment for facial veins/photofacials
- Microdermabrasion
- Phototherapy
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