Here are three patients I saw today, all with comedones to extract. In patient 2 I use very sharp serrated scissors. I use this instrument commonly on the eyelid or within the orbital rim of the eye. This is because in this area, there is no bone under the skin to press a comedone extractor […]

This patient is the same person who had the brown bumps, aka dermatosis papulosa nigra, on her cheeks and neck, removed with laser treatment with the Iriderm laser. She also came to see me for this bump on her forehead which is not painful, but the appearance really bothers her. It is very mobile, and […]

Two simple blackheads, extracted on one of my lovely patients. source

Many of you ask me to keep you updated on my patients, asking how they look after their surgeries. This gentleman had 3 cysts removed via punch excision, using a 4mm punch biopsy tool, about one month ago. This was a procedure done under local anesthesia, the cyst sac and internal contents were removed completely, […]

For medical education- NSFE. She fell on asphalt and developed a “traumatic tattoo” 12 yrs ago. She didn’t know that the area could be easily treated with the Tribeam laser which removes tattoos. She was so pleased to hear I could remove the tattoo easily in a couple minutes. This is when I really enjoy […]

For medical education- NSFE. I. Flat warts, aka verruca plana, are caused by a virus. They can be spread on the skin in a linear direction due to “Koebnerization”. In other words, they can be spread by shaving the legs or scratching the skin-this minor trauma to the skin can drag the virus from one […]

This patient has 3 blackheads that I extracted, with two of them under his right eye. I put a little numbing in the area, and this can often create a visible bruise in the area that is difficult to avoid, because this is the thinnest skin on the body, so it is pretty translucent and […]

This patient of mine came in for a total body skin check. During this examination, I noticed numerous blackheads on the back. Blackheads are open comedones, follicles/pores that have dilated and are filled with keratin/ skin cells. They can be extracted using a comedone extractor as you see here, but often when they are larger […]

For medical education- NSFE. This young beautiful woman has a probable lipoma on her forehead, which creates a noticeable bump. She is getting married soon, and would like to have it removed before her wedding. A lipoma is a benign collection of clonal fat cells (adipose cells), that can occur anywhere on the body, where […]

Initially, I thought these bumps lateral to this patient’s left eye were solar comedones due to their location and his history of chronic sun exposure. However, the bumps extracted were pearly, slightly firm tiny cysts, so I believe they were milia. Milia are very superficial cysts which commonly occur on the face, in particular around […]