Frequently Asked Questions

Frequently Asked Questions

Below are answers to some of the most common questions we get asked regarding dermatological care and we hope that you will find this to be a helpful resource for any uncertainties that you might have.

Who performs the cosmetic procedures you offer at your office?

Other than chemical peels and hair removal procedures done by our aesthetician, all laser, sclerotherapy, and IPL procedures and all filler injections are performed by a board-certified dermatologistBotox injections are done by our fully-trained Nurse Practitioner, Nita Glover A.N.P.

I don’t like the wrinkles on my face. Do I need laser treatment or filler injections?

Some patients may actually need both treatments to achieve the best final results. Generally, lines that are the result of intrinsic aging (not from sun damage) such as deep nasolabial grooves or “marionette” lines on the chin respond best to filler injections. Sun damage or photoaging causes more diffuse and shallow lines that respond best to lasers such as the Fraxel.

Can creams remove my wrinkles?

While topical preparations containing tretinoin (Retin A), tazarotene (Avage), or glycolic acid may exfoliate and smooth the skin surface to reduce the appearance of wrinkles, they do not achieve a permanent effect on wrinkles because no change is made in the skin’s collagen understructure.

How do you treat unwanted spider veins on the legs or face?

Dr. McDaniel has had over 30 years’ experience performing sclerotherapy and feels that this procedure using policocanol as the sclerosant has no equal in the treatment of leg veins. The procedure causes minimal discomfort and gives much more predictable results and is much less expensive than either laser or IPL procedures. Unwanted facial veins and capillaries are treated in our office with Photoderm which is an IPL (intense pulsed light) device.

Do you consider Accutane to be safe to prescribe to patients with stubborn acne?

We consider Accutane and its generic equivalents to be completely safe in men and in women who are not pregnant. The risk of depression is vastly overstated and should never stop a patient who has severe acne from getting to benefit from it. A recent FDA-mandated program to monitor its use has made prescribing the medication more time-consuming, but we will continue prescribing it when indicated.

Should I have all my moles removed to prevent melanoma?

No one would ever benefit from having all their moles removed since melanoma is rare and scars from surgery would be unacceptable cosmetically. Since precancerous moles and melanomas usually come from severe sunburns in childhood, our recommendation is that every adult have his or her moles checked by a dermatologist so that any dysplastic (pre-cancerous) moles or melanomas can be detected.

Benign moles can be identified as such and these would need no treatment. Removal of dysplastic moles while they are still benign can make the greatest impact in prevention of melanomas. Also, the use of sunscreens in pre-teen children has been shown clearly in Australia to significantly reduce to incidence of melanomas in adulthood.