Feb
It sounds like you are describing dermatosis papulosa nigra, a benign, inherited condition where tiny, dark, sometimes rough raised “moles” grow on the face and neck. Although it is inherited it does not start to appear in most people until their 30’s. It is usually seen in patients with Caribbean or African heritage. If there is one or two in particular that are easily irritated because of collars or necklaces, then insurance will allow and cover the removal. If you have many and they are not irritated, you should do the Iridex 532 laser. It has a small and precise spot size and is very safe on darker skin. In fact, I have been using this technology since 1998. I am on my 3rd updated version of this technology. I have never seen a scar or discoloration in my practice using this laser.
It is hard for me to answer this specific to you because every situation is unique. Some people do well with blue veins if I use the Excel V long pulsed 1064 laser. It is the first laser that I have felt worth purchasing for my practice to treat leg veins. I do, however, feel that in most patients, I try foam sclerotherapy with Asclera before using the laser. It is the technique I find the best for vessels that are blue on the legs. The nice thing about the Lupo Center is that you have options!
That is not just a simple, but an easy question to answer as well. Sclerotherapy is more effective, less painful and more cost-effective (less expensive over a course of treatments) than any laser device on the market. Don’t let that little needle dissuade you. You will barely feel it and the new sclerosant, Asclera, does not burn upon injection.
Our mission at the Lupo Center is to provide patients with innovative, effective, and ethical care to make each person look and feel their personal best. To fulfill our goal, we provide state-of-the-art medical, surgical, and cosmetic treatments to all patients.
Board-certified dermatologist and clinical professor of dermatology Mary P. Lupo, MD, has been a leader in the field of non-surgical rejuvenation since 1983. She travels internationally to teach her innovative techniques, and her reputation brings in patients from around the country. She started the first formal residency training program for injectables and peels in 1983 at Tulane Medical School and served as past president of the Women’s Dermatologic Society, adjunct professor of dermatology at Tulane, and a founder of Cosmetic Boot Camp. Dr. Lupo holds membership in many prestigious dermatology associations, participates in clinical trials for the approval of new drugs and devices, and acts as an advisor for numerous aesthetic-minded companies.
Dr. Lupo was recently recognized as a trailblazer for women in dermatology and for her dedication to educating dermatology residents and fellows.
She has also received the following awards:
Dr. Lupo has authored over 90 published articles and book chapters and has spoken on various dermatological topics at nearly 480 national and international meetings and seminars.
