Acne, known as Acne Vulgaris, is the most common skin condition in the United States and can affect any age group, including infants, children, adolescents, post-menopausal women, and adults. Acne can be a distressing concern regardless of age or gender, affecting an individual’s self-esteem. Acne occurring in adulthood can be quite surprising to the individual, but is common. During her fifteen years of practice at PSD, the most common skin condition that Dr. Holder has seen is acne. Patients most often refer to acne as red spots, bumps, pimples, zits, whiteheads, or blackheads. Acne can appear on many parts of the body beyond just the face. When it appears on the body, e.g. back, chest, neck, upper arms, and shoulders, it is referred to as folliculitis. Acne can present as papules, pustules, closed comedones, open comedones, or painful cysts.
The fundamental cause of acne is inflammation of the pilosebaceous gland, leading to the oversecretion of sebum, or oil. The inflammatory cascade is triggered by a bacteria programmed by genetics, the overproduction of androgens, and a buildup of dead cells in the pores.
All of these components lead to the clogging of pores. This can be genetically predisposed.
Dr. Holder approaches clogged pores, which cause acne, from a cosmetic angle. Her procedures, like Draino, unclog the pores and expedite the action of the medicine on the pores. Her treatment of choice, Fraxel laser, destroys the components of clogged pores and her aftercare regimen restores the skin. Other treatments include chemical peels of different strengths and depths – superficial, medium, or deep.
The absolutely best dermatologist I’ve ever been too. As someone who struggles with rosacea and various other skin/hair things, Dr. Holder has been a blessing and a life saver. She took the time to get to know me and when it came time for a routine, Dr. Holder sat with me and explained everything and offered to write out step by step instructions (that I also wrote) so I could ask questions and make sure I understand what was being prescribed. When I had some questions a few weeks later she took the time on a Saturday evening to answer them and help me find a pharmacist nearby, as I was out of town.
Walk don’t run, you won’t be disappointed! Your skin will thank you!
— Chelsea Levine