Kristyna Lee,MD, MPH
Arlene Rogachefsky, MD

Lauren Cooper, M.D.

Cheryl Fialkoff, M.D.


By Affiliated Dermatologists
August 28, 2015
Category: Dermatology
Tags: Botox  

You have probably heard of botox. But do you know the science behind this incredible treatment?

What is Botox?
Botox is a brand name for commercialized, therapeutic botulinum toxin, hence the name. Botulinum toxin is a protein that can be found in naturally occurring bacteria. However, the Botox your dermatologists at Affiliated Dermatologist in Morristown, NJ, use is made in a Botoxlaboratory.

Toxin makes it sound dangerous. Is Botox harmful?
No! Botox, as used in dermatology (and many other medical contexts), is FDA-approved and very safe. If you are concerned, ask your dermatologists about Botox safety.

How does Botox treat wrinkles?
As you may know, one cause of wrinkles is repeated facial expressions. Over a lifetime, as you contract the same facial muscles over and over again in a pattern, those muscles can develop grooves or lines in that pattern. They start pulling at the skin covering them. At the same time, also because of age, that skin becomes less elastic, making it unable to spring back from the pulling muscles. The combined effect results in facial lines and grooves.

When your New Jersey dermatologists administer Botox, they inject it specifically into the grooved areas. The Botox will relax those facial muscles, which smooths out the skin, thus reducing the lines and wrinkles.

How does Botox relax muscles?
Your muscles have nerves going through them to control their actions. Botox prevents those nerves from telling the muscles to contract.

How does Botox affect nerves?
Your nerves send movement signals to muscles using chemical molecules called neurotransmitters. A neurotransmitter activates its receptor, like a key turning its lock. In particular, there is a neurotransmitter called acetylcholine, which has corresponding receptors on your muscles. When things are working normally, a nerve releases a dose of acetylcholine directly to a muscle, sending a chemical message telling that muscle to contract, and it does.

Botulinum toxin prevents acetylcholine from being released in the first place. Without acetylcholine to signal muscles to activate, the muscles never get the message that they should be contracting. Without nerves telling your muscles to contract, they'll remain relaxed. And with the muscles relaxed, they no longer form lines and grooves on your face.

Botox is a natural chemical, however, and will eventually be metabolized--broken down--by your body. That's why repeated treatments are needed to maintain results in the long term.

Ready to wipe the wrinkles from your face? Ask the NJ dermatologists at Affiliated Dermatologists & Dermatologic Surgeons, P.A about Botox. Call 973-267-0300 today ... and get ready to put your best face forward!

By Affiliated Dermatologists
July 07, 2015
Category: Dermatology
Tags: Eczema  

If you’ve been diagnosed with this itchy skin condition find out what you can do.

Eczema is a chronic skin condition that is reported to affect around 35 million Americans. If you are part of this statistic, find out more about this condition from  Affiliated Dermatologist in Morristown, and how you can effectively manage your symptoms.

What is eczema?

Eczema is a generalized term for any kind of inflammation of the skin, also referred to as dermatitis. Dermatitis causes an itchy red rash to appear just about anywhere on the body, but it most commonly appears on the elbows or backs of the knees. Eczema is usually diagnosed during childhood, but adults can also develop this condition.

What are the symptoms of eczema?

Everyone experiences different symptoms of eczema. The appearance and location of the rash can change. You may experience only minor symptoms, while others may have a more severe case. Those with eczema generally have sensitive and dry skin. You are also likely to experience itching. The itching may become so intense that a patient may even scratch their skin until it bleeds, which causes even more itching and inflammation. Here are some other common symptoms:

  • Scaly patches of skin
  • Inflamed, red skin
  • Leathery regions of skin
  • Oozing or crusting rash
  • Swollen areas
  • Dark patches of skin

How do you properly treat eczema?

While there is no cure for this skin condition, many symptoms of eczema are manageable with the right treatment. Proper skin care is critical to managing your symptoms. Here are some lifestyle changes you can make to treat your eczema:

Mild cleansers: Since mild skin care products won’t dry out your skin it’s always best to look for gentle washes, soaps and moisturizers. You can easily find these kinds of products at your local drugstore. Talk to your Dr. Lauren Cooper about what products would be ideal for your skin.

Take short baths/showers: Again, the last thing you want to do when you have eczema is dry out your skin, so avoid hot water and long showers or baths, which can strip your skin of necessary oils.

If you are looking for medications to help ease symptoms you can turn to over-the-counter hydrocortisone creams or antihistamines like Benadryl, which can help relieve itching and inflamed skin. Be aware that some of these medications can cause drowsiness.

If you find that these remedies aren’t helping your symptoms then it’s time to talk to  Dr. Lauren Cooper about prescription-strength cleansers and medications, as well as other treatments that could help alleviate your eczema symptoms. Call Affiliated Dermatologist in Morristown today to schedule an appointment with us.

By Affiliated Dermatologists
May 07, 2015
Category: Dermatology
Tags: Untagged

Spider VeinsLearn how minimally-invasive sclerotherapy clears your skin of spider veins.

If you've noticed a network of tiny yet conspicuous purple veins beginning to crop up on your legs, you are likely dealing with spider veins. This common circulatory condition tends to make those who have it a little hesitant to wear shorts or a swimsuit in the summer. Fortunately, Affiliated Dermatologists of Morristown, NJ offers a cosmetic procedure called sclerotherapy - to clear away the cobwebs, so to speak.

What are spider veins?

Spider veins, or telangiectasias, are stretched blood vessels close to the surface of the skin. They are so named because of their resemblance to the tangle of a spider's web. They can be red, purple, blue or a combination of colors, and typically form on the thighs and lower legs. Anyone can get spider veins, but it is known to be a hereditary condition. They are also much more common in people who have careers that require them to stand for long periods of time. Spider veins are not typically painful or harmful, but they can be a source of embarrassment when warm weather arrives and the legs are bare.

How does sclerotherapy work?

Sclerotherapy was first developed in the 1920's, and although the technology is being advanced all the time, the technique remains a time-tested standard. Your Morristown dermatologist injects a solution that collapses the affected veins. Once the vein has broken down, it will fade and become much less noticeable. The treated area may be wrapped with compression material afterwards. It may take a few weeks and several treatment sessions before the veins fade completely. This procedure requires no anesthesia or downtime.

Don't let spider veins keep you from enjoying summer fashions and activities. Call to make an appointment with one of the qualified physicians at Affiliated Dermatologists today!

By Affiliated Dermatologists
February 27, 2015
Category: Dermatology
Tags: Botox  

BotoxYour face is active all day as you show emotions and facial expressions. It's hard to keep a straight face when you consider all the wrinkles this causes over time!

Are you tired of those lines etched into your face? At Affiliated Dermatologists, you can experience a youthful renewal of your skin with Botox®, the FDA-approved solution for all unwanted creases and lines.

How Does Botox Work?

Botox blocks acetylcholine (the chemical responsible for the muscle contractions that bring wrinkles) from being released under your skin. But while Botox has been found to be effective for minimizing the appearance of wrinkles in faces across America, many people are concerned about Botox because they think it can:

  • permanently paralyze facial muscles, leaving you with a "stone-face"
  • become less effective over time (meaning you'll have to spend more money on higher dosages to achieve the same results)
  • potentially lead to other unwanted and unforeseen side effects

However, because each Botox treatment can last for as long as six months before losing its effectiveness, using Botox often enough to permanently paralyze your facial muscles would require taking significantly more Botox than is safely prescribed. Plus, because only one Botox treatment is necessary for six months of a youthful look, the thought that this might be enough to make your facial muscles desensitized to its effects is highly unlikely and even more unfounded.

Instead, each injection trains facial muscles to relax (rather than forget how to work altogether), providing the most effective way for maintaining your youth and keeping you proud of every smile you give from now on!

For more information on Botox therapy and why it's one of the safest and most effective options for a more youthful face, give the offices of Affiliated Dermatologists a call today. Call us at 973-267-0300 for lasting dermatology solutions right here in New Jersey!

By Affiliated Dermatologists & Dermatologic Surgeons, P.A.
January 02, 2015
Category: Dermatology
Tags: Botox  

BotoxYou’ve surely heard about Botox, even if all you really know about it is that celebrities and other famous reality TV stars have been known to receive injections (and sometimes overdo it on the number of treatments they receive). But what do you really know about Botox? And do you know that it’s an incredibly safe cosmetic procedure that’s available to everyone—not just television and movie stars?

What is Botox?

Botox is a diluted form of botulism toxin, and it’s held various uses in medicine for about thirty-five years now. In recent years, it’s been held as one of the most effective methods for softening wrinkles around the eyes and on the forehead. In mere minutes, Botox can virtually eliminate the presence of crow’s feet. In terms of riskiness, it’s been rated the safest of cosmetic injections currently on the market. In the history of its use, very few cases of minor bruising post-injection have occurred.

Why You Should Consider Botox

If you’re not convinced about the benefits of Botox by now, keep reading. Botox has been used to minimize migraine pain, and reduce the occurrence of migraines altogether. Medical professionals believe the drug relaxes muscles and blocks the sensory nerves that send pain messages to the brain, thus making nerves less sensitive to migraine pain. For the same reasons, Botox has also been successfully employed to treat pain from arthritis.

Botox has also been proven to shrink the production of sweat from various sweat glands (on the face and in the armpits). While this might seem like an unusual side effect to some, there are actually many people suffering from an overproduction in their sweat glands who would greatly benefit from Botox treatments.

To learn more about Botox and dermatology in our New Jersey offices of Morristown, Succasunna, Liberty Corner or Somerville, call today!

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Questions or Comments?
We encourage you to contact us whenever you have an interest about our services.

Affiliated Dermatologists & Dermatologic Surgeons, P.A.

Questions or Comments?
We encourage you to contact us whenever you
have an interest about our services.

Morristown Office
182 South Street, Suite 1
Morristown, NJ 07960
(973) 267-0300
Fax: (973) 984-2670

Mt. Arlington Office
400 Valley Road, Suite 100
Mt. Arlington, NJ 07856
Fax: (973)-398-7518

Liberty Corner Office
14 Church Street
Liberty Corner, NJ 07938
(973) 267-0300
Fax: (908) 604-8544

Bridgewater Office
1200 Route 22 East
Bridgewater, NJ 08807
(973) 267-0300
Fax: 908-704-7333