dermdialogue dermdialogue

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Melissa Troha, PA-C  👩🏻‍⚕️Board certified Dermatology Physician Assistant ☀️ Miami based

Spend less time in the shower shaving your legs and more time on your skin care routine 💁🏻‍♀️ Plus, who likes razor bumps or staring at that random patch of hair you missed anyway?

#laserhairremoval #gentlemaxpro #lasertreatment #lasers #readyforsummer #dermatology #cosmeticdermatology #skincare #skintips #antiaging #southflorida #miami #physicianassistant #dermpa

A little #mondaymotivation to spread some positive vibes! It takes practice to be kind especially when dealing with difficult people or situations. But at the end of the day, we get what we put out into the world. So if you want good vibes to come your way, send them out there✨! 📷 Repost @ipsy

#positivevibes #mondaymotivation #practicekindness #goodenergyonly #dermpa #quoteoftheday

Current SPF line up!

I’ll admit I’m a bit of a hoarder when it comes to sunscreen but I love trying different formulations to see what I like best. Physical sunscreens tend to be my favorites (zinc oxide or titanium dioxide). Here is what is in my current rotation:

@bluelizardsun baby. Chemical-free, safe for kids or anyone with sensitive skin. Extra points for turning pink when exposed to UV light!

@eltamdskincare UV aero. Good for reapplying after you have a good base sunscreen however be careful with sprays (we tend to miss a lot of spots). @neutrogena This is great for body. It is a bit thicker due to 100% zinc oxide so blend well! But a good budget option.

@eltamd UV elements, UV physical, and UV lip balm. Tinted or non tinted these are great for face and body. Don’t forget your lips!

@replenix sheer physical spray. Lightweight plus has antioxidants.

@colorescience science sunforgettable with 22.5% zinc oxide and titanium you get SPF 50 coverage in a convenient & easy to apply applicator.

At the end of the day, the best sunscreen is the one you actually use! So it’s important to find one that fits your needs and lifestyle. What are some of your favorite sunscreens?? #sunprotection #skincare #healthyskin #zincoxide #physicalsunscreen #eltamd #bluelizard #neutrogena #replenix #colorescience #antiaging #soflo #brickell #dermPA #dermatology #physicianassistant

I hear this all the time from patients concerned they need to get more sun or else they will become vitamin D deficient. That is simply not true! Here are some quick facts about vitamin D:
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🔹 Your body needs vitamin D to support bone growth and prevent conditions such as osteoporosis.
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🔹 Sources include sunlight (UVB rays), diet, and nutritional supplements.
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🔹 Food sources can include salmon, tuna, egg yolks, cheese, as well as vitamin D fortified foods (milk & orange juice).
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🔹 Wearing sunscreen will NOT lead to vitamin D deficiency since UVB rays will still still reach your skin. (Ex: SPF 30 will keep out 97% of UV rays still allowing some to penetrate your skin).
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Bottom line: Just 10-15 minutes of daily exposure will give you plenty of vitamin D! Also don’t forget about your diet or supplements if needed 👍🏼.
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#vitaminD #sunprotection #healthyskin #diet #nutrition #healthylifestyle #dermatology #sunscreen #SPF #physicianassistant #mythmonday #southflorida #skintips #antiaging #skincare #dermpa

A must in any skin routine, antioxidants play a major role in maintaining healthy skin by preventing the formation of free radicals. These cause cell damage leading to wrinkles, dark spots, & premature aging.
⠀⠀ Strawberries are a great source of vitamin C, which is a powerful antioxidant due to its ability to boost #collagen resulting in younger and healthier skin.
⠀⠀ In addition to your topical antioxidant, adding antioxidants-rich foods in your diet can reinforce your skin health too! Spotted these beauties at the farmers market this weekend and currently craving all the berries 🍓 ⠀⠀ ⠀⠀
#antioxidant #strawberries #vitaminC #farmersmarket #antiaging #collagen #skincare #health #diet #skintips #dermatology #healthyskin #physicianassistant #southflorida

Wide-brimmed hats are a must when you’re heading outside especially in #southflorida ☀️
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Not only do they keep your face, neck, shoulders, and ears protected but they can also be cute! This particular hat by @ericjavits has a UPF rating of 50 with its 4.5 inch brim which means it blocks out 98% of UVA/UVB rays. And we know know those lead to skin cancer, wrinkles, brown spots- need I say more? 🙅🏻‍♀️ Although not a replacement for your #sunscreen it can help with those places like the neck and ears where we forget to reapply. Other sun hat favorites include @coolibar and @sundayafternoons_hats. Hope everyone is enjoying their Sunday! ⠀⠀
#sunprotection #upf50 #sunhats #skincare #beachday #sunnysouthflorida #dermatology #physicianassistant #southflorida #miamibeach #sundayfunday #sunsoutbumpsout

I love to keep this in the shower to exfoliate once a week. This scrub has bamboo particles as well as a clay base that gets warm when it hits water (exothermic reaction if you were wondering 😂). It helps remove dead skin cells, and cleans pores, leaving it nice and smooth!
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Great for acne-prone skin, oily skin, anti-aging, and patients with keratosis pilaris (rough bumps on the arms). Just use caution if you have sensitive skin and use sparingly!
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#exfoliation #replenix #acne #oilyskin #healthyskin #clearskin #dermatology #skintips #antiaging #physicianassistant #beauty #dermPA

Time to stop stressing about underarm sweat and odor- summer will be here before we know it! @miradry is a safe and permanent solution 🚫💦
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Science💥 miraDry uses thermal energy to target and eliminate sweat and odor glands.
Treatment ⏰ About one hour.
Downtime❓Most patients return to work the next day. Common side effects are swelling, soreness, and numbness. Recommend avoiding heavy exercise for 2-3 days.
Results 💦 Reduction in sweat is immediate! Most patients need 1-2 treatments and many never wear deodorant again (including me!)
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☎️ 305-279-6060
💌 Meltpac@miamidermlaser.com
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#miraDry #sweatstopshere #miradryfresh #hyperhidrosis #nosweat #stayfresh #byebyesweat #confidence #results #nosweatnostress #hyperhidrosis #stopsweating #miamiflorida #southmiami #kendallflorida

One of my pet peeves for sure! This has caused me to spend more time than I would like to admit googling promo codes. Or adding to cart until I get free shipping. Who else can relate? 😂 .
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📸: @newbeauty
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#freeshippingallday #skincareproducts #skintips #skincareaddict #beauty #healthyskin #dermatology #antiaging #physicianassistant

Onycholysis or separation of the nail plate from the nail bed can be associated with many disorders but frequently seen with gel manicures like in this patient 💅🏻
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Trauma from manicures or the ingredients in nail products such as formaldehyde or acetone can weaken the nail bed or cause an allergic reaction. I love my manicures just as much as the next person, but taking a break occasionally is important to keep your nails healthy! ⠀⠀
Other healthy nail tips include wearing broad-spectrum sunscreen on your hands (or SPF 🧤) during the curing process, avoiding pushing back your cuticles too much, or trying to chip your nail polish yourself (easier said than done 🤦🏻‍♀️)
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Another alternative to traditional nail polish is Dr.'s Remedy. These products do not contain formaldehyde, formaldehyde resin, toluene, camphor or pthalates or DBP 👍🏼 #manicures #gelnailpolish #naildisorders #onycholysis #healthynails #dermatology #skincare #drsremedy #nailtips #physicianassistant #dermpa

While I can’t get Botox 💉 or use my usual nighttime retinoid to prevent wrinkles for a while 😢 there are still some great products that are safe to use during pregnancy! Here is my current anti-aging line up.
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✔️Sunscreen- physical all the way! Especially true during pregnancy since chemicals such as oxybenzone are absorbed in the skin so it is best to avoid. ✔️Glycolic acid- helps exfoliate dead skin cells, brightens and tones the skin. I use this cleanser a few times a week and alternate with another gentle cleanser. Safe to use products should contain less than 10% concentration. ✔️Triple Lipid Restore- ceramides help with my drier skin these days!
✔️Alastin skin nectar- helps build collagen and elastin. ✔️Vitamin C- antioxidant that fights free radicals that lead to aging. CE Ferulic is one of my favorites!
✔️Azelaic acid- anti-inflammatory medication (this one is prescription strength) which helps with my rosacea. Also added benefit of fading discoloration (which I haven’t seen so far 🤞🏼) ⠀⠀
Skincare routine will vary depending on your skin type (if you have oily, acne-prone skin etc). So it is best to check with your dermatology provider what’s safe to use before buying any new products! 🛍
#skincare #antiaging #pregnancy #glycolicacid #mineralsunscreen #vitaminC #antioxidant #moisturizer #cleansers #skinceuticals #alastin #eltamd #azelaicacid #rosacea #healthyskin #physicianassistant #dermatology

Excited to share that this July we will be welcoming a baby girl! 🎀
Can’t wait to meet this tiny human growing inside me (which has taken up most of my energy & is why I’ve been MIA lately). Ready for this next chapter! 🥰
#20weeks #pregnancy #physicianassistant #skincare #cosmetics #womeninmedicine

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