Skin Blog

Are you always trying to avoid your profile because of your double chin? Do you eat well and exercise but still can’t seem to shake it? Enter: Kybella®! Kybella® is a series of injections administered under the chin, destroying the fat cells. It’s a gradual process, so the body removes the fat cells over the course of a number of days to a few weeks. The kicker? The fat cells do not return!

Most people will need 2 to 4 treatments that are spaced 4-6 weeks apart. The number of vials of Kybella® a person needs per visit will also differ from person to person. Most people will need 2-4 vials per treatment, and with subsequent treatments will need less vials. This is because of the reduction of fat from the previous treatments. After your Kybella® treatment, it is normal to have some swelling, bruising, or numbness under your chin that may last for a few days.

Kybella® is first and only FDA approved treatment of its’ kind and was awarded the 2015 Allure Best of Beauty Breakthrough Award. The active ingredient in Kybella® is synthetic deoxycholic acid. Deoxycholic acid is a naturally occurring molecule in the body that helps with the breakdown and the absorption of dietary fat.  Since Kybella® causes the destruction of fat cells, those cells cannot store or accumulate fat once they are destroyed. Once you’ve reached your desired result, no further treatment is needed!

Are you ready to see if Kybella® is right for you? Give us a call to find out more at 210-255-8447 or visit

We all know that aging is an inevitable part of life, but that doesn’t mean we have to take it lying down! We can age gracefully and in our own time. We can’t delay it forever, but we can take steps to avoid pre-mature skin aging. Here’s how.

Protect your skin (aka sunscreen)

Back in 2013 it was proven that wearing sunscreen prevents wrinkles.  The catch? Daily use is necessary. The recommended SPF to use is SPF 30 or higher at least once a day, but more often if your skin is exposed to the sun for longer periods of time.[1] Researchers say that it’s never too late to start this regimen and see results.[2]

Apply facial moisturizer every day

Applying moisturizer after a wrinkle has already developed can help to lessen the appearance by absorbing the moisture and puffing up the skin, but this effect is only temporary. Daily moisturizer with collagen peptides and growth factors prevents wrinkles before they start.

Use self-tanner instead of tanning

So, if you’re having to avoid the sun how are you supposed to get a tan? Everyone wants that perfectly golden skin for the summer, but excessive exposure to the sun or tanning beds can cause pre-mature skin aging and poses a risk for skin cancer. To avoid this, but still have that perfectly golden tan, the FDA suggests that using a spray tanner or self-tanning moisturizer responsibly can be a safe and effective method.[3]

Avoid repetitive facial expressions

Wrinkles are a natural process of aging and naturally the way you move your face will eventually cause lines as you age. While there is no way to avoid this entirely, avoiding certain repetitive facial expressions can help pre-mature wrinkling. Frowning and squinting are the main repetitive facial expression to cause the skin to look aged.[4] To avoid squinting make sure to wear the appropriate eye wear you need and avoid excessive screen time.

Stop Smoking

If you smoke, you probably already know all of the negative consequences that can come from this habit. The risk of lung cancer, tooth decay, skin and nail yellowing the list goes on and on. A big thing on that list is also pre-mature skin aging. The repetitive motion of smoking the cigarette causes wrinkles around the mouth and smoking in general causes the skin to dry out, discolor and loose elasticity. The best advice we can give you is to just quit!

We all want to age gracefully in our own time, but it can be hard to find the right products and regimen for your skin. Book your cosmetic consultation today and the fee will apply to any product or treatment booked same day as consultation.  

There are many ways in which to treat your breakouts.

Are you having trouble getting your acne under control? Not sure why nothing seems to be working? If so, then it might be time to turn to Acne our San Antonio, TX, dermatologists Dr. Rebecca Kelso and Dr. Emily Fridlington for answers. There are many options out there to help you get your acne symptoms under control. Here are some options to consider,

At-Home Options

Whether you are using a commercial acne-fighting cleanser or a topical treatment it’s important to understand that there is no product that will get rid of acne overnight. It can take up to 12 weeks to see the product’s full effects, so give it time before deciding whether or not the product truly works for you. Some of the best over-the-counter products for targeting and eliminating acne will often contain:

  • Salicylic acid
  • Glycolic acid
  • Benzoyl peroxide
  • Sulfur
  • Retinol

Dermatologist-Recommended Acne Treatments

If you are having trouble getting your acne symptoms under control then this might be the time to turn to our San Antonio, TX, skin doctor for an evaluation. We will be able to figure out the most effective methods for reducing the frequency and severity of your breakouts.

Everyone’s skin reacts differently, so what works for one person may not work for another. This is why turning to a dermatologist is the best option if you are having trouble getting your acne under control.

Topical Treatments

If over-the-counter medications aren’t doing the trick then a dermatologist can prescribe stronger creams or ointments to apply to the skin. These topical treatments will often contain a stronger percentage of active acne-fighting ingredients such as retinoids, salicylic acid or benzoyl peroxide.


Taking oral antibiotics such as tetracycline could also be effective for reducing inflammation and killing the bacteria on the skin that are responsible for acne. Of course, oral antibiotics aren’t meant to be a long-term solution since patients can develop antibiotic resistance; therefore, oral antibiotics is often used in conjunction with retinoids or products containing benzoyl peroxide.

A dermatologist may also recommend laser therapy, chemical peels or a simple extraction for treating acne. The treatments we choose will depend on the type and severity of your acne.

Don’t let acne affect your appearance and your self-esteem. Turn to the skin care specialists at Alamo Heights Dermatology in San Antonio, TX, to find out how we can help you.

Living with acne is hard at any age, but especially for teenagers. Let’s face it, kids are mean! Pizza face, Zitty McPimpleson, Scar Face, the name calling alone can be hard to handle. As a parent it is important for you take notice in your teen’s appearance and social struggles. Their lives are hard enough as it is without having to worry about being the butt of someone’s acne joke. Take a look below to see what you could be doing to support your teen with acne.  

Tell them they are not alone in this! They are totally normal!   

It is very normal for teenagers to suffer through acne flare-ups. If your teen is suffering, let them know they are not alone in this! In fact, it is estimated that over 80% of people ages 11-30 have acne breakouts at some point. [1] It is important for your teen to know that you understand what they are going through. Many teens have that attitude that no one gets them, and no one could possibly know how they are feeling. It doesn’t have to be this way with their acne! Even if their peers aren’t going through it as bad as they are, everyone has their breakout days!

Try to reduce stress

As an adult it can be hard to relate to the stresses that teens go through on a daily basis. While they may not be working full time jobs or raising kids, teens have a ton of stress on them regularly and stress can be a very powerful acne trigger. If your teen is suffering from acne try to help them relax! Exams, romantic interests, friendships, extracurricular activities can all add up equaling one big ball of teenage angst. Try talking with them. See what is most stressful for them and what you can do to help them. Maybe even suggest a morning yoga routine together so you can both relax, you deserve it! 

Watch for signs of Depression

Physical appearance is very important in a teenager’s life. If they feel like they are different than everyone else, or if they are constantly made fun of, it is likely they will suffer from low self-esteem. The longer your teen is suffering from acne the more likely it is for this to occur. It is important for parents to notice these changes in behavior and be on the lookout for signs that point to depression

Give your teen the option of talking to the doctor alone.

Last, but certainly not least, take your teen to their dermatologist! A lot of times over the counter medications are not enough and medical intervention could work wonders for them. It is important for you to allow your teen the option of discussing their issues with the doctor alone. There may be some things they are not comfortable talking about in front of you, and that is perfectly normal. Giving your teen the freedom they need to talk openly may make all the difference for them. If your teen is suffering from acne schedule their appointment with Alamo Heights Dermatology today!



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