Dermatology and skin-related issues

Dr. Leslie Baumann

Dr. Leslie Baumann is the Director of the Baumann Cosmetic and Research Institute in Miami Beach. She founded the University of Miami Cosmetic Medicine and Research Institute in 1997 and was a Professor of Dermatology at the University of Miami, Miller School of Medicine for 12 years. She earned her medical degree from Baylor University in Houston, Texas, and completed her residency at the University of Miami, Miller School of Medicine in 1997.

Dr. Baumann authored Cosmetic Dermatology: Principles and Practice (McGraw-Hill 2002) which is the bestselling cosmetic dermatology textbook in the world. The new edition which published in April 2009 will be in 8 languages.

Over the last 8 years, Dr. Baumann has developed a new skin typing system consisting of 16 skin types that is described in her New York Times bestselling book The Skin Type Solution (Bantam Dell 2005). The Skin Type Solution is published in the US, UK, Australia, Brazil and soon China and Korea. Dr. Baumann is currently studying the role of genetics in determining skin type.

Dr. Baumann is involved in many clinical trials (including those on Botox, Dysport, Hylaform, Sculptra, Juvederm, and Tri-Luma) and lectures frequently throughout the world on cosmetic dermatological issues. She runs a training program for international dermatologists who are interested in expanding their cosmetic dermatology skills. She recently formed the Global Cosmetic Dermatology Alliance which consists of worldwide dermatology experts who meet annually and discuss new products and procedures.

She authors a twice weekly Yahoo Health blog at www.Skinguru.com that has over 3 million readers, and a twice monthly column in the Miami Herald. Visit her website at www.Skintypesolutions.com to sign up for free monthly newsletters on various skin concerns and procedures.

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Solutions to your skin-related issues

Most Recently Answered Questions

Questions 36 - 55 of 415 (Page 3 of 21)

Submitted by Karin Lingaas from Miami, FL

Q: I recently had cataract surgery and when the eye patch came off so did lots of my eye brows when the adhesive came off. I always had nice looking eye brows and now I look kind of naked. My question, will the brows eventually grow back, no matter what age, I still want to look nice. Thank you Dr. Baumann

Answered 02/24/11 14:54:59 by Dr. Leslie Baumann

A: They do grow back but you can speed up the process with Latisse.It works great for eye lashes and eye brows . It is a prescription so make sure you use as directed by your Dr.

Submitted by RR from Michigan

Q: I am using the ROC correcxion night cream for deep wrinkles and am getting red bumps which looks like tiny pimples. IS this an allergic reaction? WIll i then be allergic to RENOVA too? Please suggest some gentle retinol products. What about Garnier products? Are they gentle and give the desired results? I am in need of some wrinkle correctors because my skin looks bad. ALso i have a sensitive skin.

Answered 02/24/11 14:52:36 by Dr. Leslie Baumann

A: Hi RR - When trying to incorporate a Retinol / Retinoid into your skin care regimen it is vitally important that you know your skin type and that the other products your are using will work in tandem to achieve your goal. All products are not the same however , if you are allergic to a certain ingredient - that could be the problem as well. I suggest you take the questionnaire on skintypesolutions.com and then look at the various products that are recommended and keep in mind if a product is giving you a negative result - stop using it . I would also make an appt with a good board certified Cosmetic Dermatologist .

Submitted by Pam from Florida

Q: I was recently given Atralin gel .05% to treat sun damaged skin. I have heard that a side effect is dryness of the skin. Can you please recommend a good facial cleanser and moisturizer to go with this product that will minimize the amount of dryness/peeling?

Answered 02/24/11 14:42:36 by Dr. Leslie Baumann

A: Hi Pam , I prescribe Atralin to a lot of my patients . I do recommend that they start out slowly by using just a pea size for the entire face every 3rd night for 2 weeks . Then every other night for 2 weeks until you can reach the goal of every night. If it is drying you out, you can use a cleanser for hydration .CeraVe has a great cleanser for hydration as well as a moisturizer.

Submitted by Michelle Guinto from Santa Barbara

Q: Hi Dr. Baumann, Ihave been usiing tretnoin foe acne for 6 weeks ,but the only thing i noticed is that my pores are getting larger,i never got red or peeling or stinging,is this normal.

Answered 02/08/11 11:35:06 by Dr. Leslie Baumann

A: It sounds like you have resistant skin which is great because you can use strong doses of Retin A . Talk to your Dermatologist to see if you can go stronger. You may possibly want to see if you need an antibacterial cream as well like Acanya .

Submitted by Sabiha from UAE

Q: Dr. Baumann, My skin is OSPT with Rosacea flushing. Under control with the Finecea and Metrol Gel. Now wanna target eye area. I started using 'DDF Erase Eye Gel' and every third day i use 'ROC Correxion eye cream with Retinol' under and around eye area. Is this ok to brighten up and fine lines etc. Please, thank you for your response.Ingredients of DDF eye gel is: WATER, POLYACRYLAMIDE (AND) C13-14 ISOPARAFFIN (AND) LAURETH-7, SODIUM HYALURONATE, PROPYLENE GLYCOL, POLYSORBATE 80, KOJIC DIPALMITATE, DIMETHYL ISOSORBIDE, PHYTONADIONE (VITAMIN K), SODIUM PCA, SODIUM ASCORBYL PHOSPHATE (VITAMIN C), DISODIUM EDTA, SODIUM METABISULFITE, CITRIC ACID, YEAST BETA-GLUCAN, CAMELLIA JAPONICA (JAPANESE GREEN TEA) LEAF EXTRACT, AESCULUS HIPPOCASTANUM (HORSE CHESTNUT) SEED EXTRACT, CHAMOMILLA RECUTITA (MATRICARIA) FLOWER EXTRACT, SUPER OXIDE DISMUTASE, BIOFLAVONOIDS, METHYLPARABEN, DMDM HYDANTOIN, PHENOXYETHANOL, PROPYLPARABEN, FRAGRANCE.

Answered 02/08/11 11:31:29 by Dr. Leslie Baumann

A: Propylene Glycol , Vitamin C , Citric Acid stick out right away. These ingredients can be irritating for anyone with Rosacea. Parabens and certain fragrances can also be an issue . I love Combray and La Roche Posay has great a line for Rosacea patients.

Submitted by Lisa from Hosuton, TX

Q: Hi Dr. Baumann. I would like to know whether you have heard about Arbonne products and what is your opinion on their products. Thanks Lisa

Answered 02/08/11 11:09:50 by Dr. Leslie Baumann

A: What I look for in any skin care product is ingredients that have been clinically proven to achieve the claims by the manufacturer. I have heard of Arbonne but I can not find a list of ingredients to give an opinion.

Submitted by Addison from Sherman oaks, ca

Q: Hi Dr. I was prescribed clobex and atralin today from my dermatoligist for my scalp condition. I was wondering if it is save to combined both of those on my scalp and what could the side effects be? Also I though atralin was only suppose to Be used to get rid of facial acne. Please let me know your thoughts. Thanks a million, Addison

Answered 02/08/11 10:45:47 by Dr. Leslie Baumann

A: I would hope that Clobex would be for your scalp and Atralin for your face. Side effects could be peeling, redness or itching . If you experience any of these call your DR. As for Atralin , please start slow by using a pea size amount for the entire face every other night for 2 weeks.

Submitted by Rhonda from KY

Q: I feel very fortunate to find out about your dermatology practice and book by searching on internet for treatment for stretch marks. My son (20yr old) has red/purple marks on arms from bodybuilding..just developed this year. How does he use Retin-A in conjunction with Glycolic acid products (and which ones), or is that what you would recommend? I have started using tretinoin .25% for face/fine wrinkles, is that the strength you would recommend? Rhonda

Answered 01/31/11 10:35:35 by Dr. Leslie Baumann

A: Hi Rhonda - Your son should see a Dermatologist in regards to the discolorations. If he is using a Retin-A product he would want to use it in the PM and the Glycolic product in the AM . For you , if your Dr felt that a .25% Retinoid was best for you , then use it for a month and then ask to go stronger.

Submitted by Juna'Frazier from indianaoplis ind

Q: is it o.k to use lustra-af and ziana together

Answered 01/31/11 10:31:52 by Dr. Leslie Baumann

A: I would not recommend together. Use the Lustra - AF in the AM as it has a sunscreen and Ziana in the evening aftre cleansing.

Submitted by Trina from Houston

Q: Hi Dr. Baumann! I have been using Tazorac for more than a year. My question is it better to use Tri-Luma every six months instead of Tazorac and start using Tazorac after using Tri-Luma for 3 months? I don't have any brown spots on my face. Does Tri-Luma handles face wrinkles better than Tazorac? Thanks

Answered 01/31/11 10:24:59 by Dr. Leslie Baumann

A: When using Tri Luma you want to use it for 3 months then take a break for a month . You can use Tazorac for that month . Then go back to the Tri Luma for 3 mos again. Your skin becomes used to the Hydroquinone and stops working. That is the reason for the break.

Submitted by Anna from Mexico City

Q: I'm from India. This is my first time outside of India in winter. The place I'm from is very warm. My skin is combination skin I think. In India, I used to break out a little on my chin and forehead. But, in this Mexican winter, I'm having very rough dry skin on my cheeks and around my lips. The skin seems to be shrunk and breaking out and is red all the time. I used 2 creams for dry skin without any help. Please advise.

Answered 01/31/11 10:20:37 by Dr. Leslie Baumann

A: It sounds like you need a cream to protect your skin barrier. I love Atopalm . You can purchase it online . I also like Philosophy Hope in a Jar . As for the breaking out , use Benzoyl Peroxide to prevent and Salicylic Acid to treat.

Submitted by jessica from grand junction co

Q: I am 30 yrs old and have spent to much time in my youth in the sun without sunscreen.I have brown spots on my face they appeared after my first pregnancy and never went away.my question is can I make my own spot corrective cream from extracts like kojic acid and licorice root and bearberry extract? if I can find them at local health food store.if I could mix them myself what cuncaction would you say to mix? If not what do you kmow about folk remmedy apple cider vinegar for age spot?

Answered 01/31/11 10:16:39 by Dr. Leslie Baumann

A: When you are dealing with the skin on your face , you dont want to experiment. You can use Kojic Acid if it is a product for your face. The same with licorice root , however,only if these products are skin care products. I really like Specific Beauty Skin Brightening Serum, it is affordable and the results are great .

Submitted by Deborah Uhl from Killeen Texas

Q: I have a 12 year old son that has extremely dry skin on his face, especially his cheeks. It is rough, appears bumpy and his skin is actually discolored in some areas due to this dryness. He also has alopecia universalis but we have never encountered anything this bad. I have Philosophy Hope in a Jar, Rareminerals Face Cream and Aquaphor. I know it is hard to get a boy to maintain a skincare routine. He cleanses with Cerave and I have had him use my Clarisonic with the sensitive brush. I am at a loss here on what to use to control this dryness and I am hesitant to spend a lot on products knowing his use might be spotty. Also, he does not have acne. Thanks!

Answered 01/31/11 10:11:03 by Dr. Leslie Baumann

A: Deborah I would have him see his Dr or Dermatologist. They will put on the right path as to what products are best for him . I would not use the Clarisonic on him as it may be too irritating. Hope everything works out !

Submitted by helen savage from va bch, va

Q: when i ust renova or retin a product, what do i do about the skin peeling? also, does atralin have the same effect as renova, for wrinkles? thank you,

Answered 01/31/11 09:57:28 by Dr. Leslie Baumann

A: When you first start using Retin A you should always start off slow. Every 3rd night for 2 weeks , then every other night for another 2 weeks and then every night. You can also soothe the process by using a serum with anti-inflammatory ingredients like Green Tea, Feverfew , Grape Seed Oil Extract , Soy . All Retinoids are great for fine lines and wrinkles .

Submitted by Linda Vater from Oklahoma City, Oklahoma

Q: I am an OSNW with rosacea and know that you have recommended using the Replenix line in the past. I'm attracted to it because, I believe this is correct, it contains both an antioxidant and retinol in one product (I am currently using them separately). Which Replenix product/strength would you recommend? Should it be used over or under metrogel in the evening? Thank you.

Answered 01/31/11 09:54:13 by Dr. Leslie Baumann

A: I love Replenix Retinol 2x and 5x . It has green tea and caffeine to soothe irritated skin. You can use it after the Metrogel , however make sure your Rosacea is not so severe that Retinols may be too harsh for you . Another Replenix product that is great is their 3 in 1 Cream, its fantastic !

Submitted by vicky norfolk from East yorkshire/england

Q: hi i'm a 31 year old who was diagnosed with having mild rosacea on my nose 2 weeks ago i am currently on antibiotics but since taking the antibiotics have developed 2 nodule on either side of my nose really worried about this is this normal part of rosacea and will the antibiotics clear this up in time?

Answered 01/31/11 09:47:00 by Dr. Leslie Baumann

A: The antibiotics may be playing a role with the Nodules. I would call back your Dermatologist and let them know what's happening . Rosacea can be manageable with the right treatments.

Submitted by IRWIN DRESNER from SYOSSET, NEW YORK

Q: HI,I AM A KOREA WAR VETERAN. SINCE MY WIFE PASSED AWAY LAST OCTOBER I NOTICE THAT MY FACE HAS BROKEN OUT AND IT HAS FINE WRINKLES AND AGE SPOTS. I WANT TO START DATE AGAIN AND I WOULD LIKE TO LOOK BETTER. I DO 3 MILES A DAY, EAT VERY HEALTHY BUT I HAVE BAD DEPRESSION WHEN I SEE MYSELF IN THE MIRROR. BEFORE MY WIFE DIED MY FACE HAD ALMOST NO WRINKLES. THERE WAS SOME SUN SPOTS ON MY HANDS BUT I DID NOT NOTICE THESE FINE WRINKLES. LIKE I SAID I AM VERY LONELY AND NEED A COMPANION. I BELONG TO 3 VETERANS ORGANIZATIONS AND DO THERE COMPUTER WORK. BY THE WAY I WAS MANAGER OF ELECTRONICS R&D FOR QUANTRONIX CORPORATION. I WORKED WITH DR. GORDON GOULD WHO WON THE PATERN ON THE LASER. YOU CAN SEE MORE ABOUT ME ON MY FACEBOOK PAGE. I ALSO INVENTED THE CAR REMOTE STARTER IN 1957. IF YOU LOOK AT MY PICTURES ON MY FACEBOOK PAGE YOU WILL SEE THAT AND MANY OTHER NEWSPAPER ARTICLES ON ME. PLEASE REPLY. THANK YOU AND HAVE A GREAT WEEKEND. SINCERELY IRWIN DRESNER PLEASE REPLY

Answered 01/04/11 12:41:42 by Dr. Leslie Baumann

A: I am sorry about the passing of your wife. Stress can play a huge factor on the condition of our skin. Breakouts and those lines that were once faded can become more prominent. Take my quiz on skintypesolutions.com and there you will see products that are best suited for you . I wish you all the best in the new year !

Submitted by Gigi from Miami, Fl

Q: Good Morning Dra. Baumann, Lately I've been noticing white spots all my front head, I've heard that its because of the sun. How can I come back to my normal color. It is really bothering me and doesn't look good. Thank you.

Answered 01/04/11 12:37:43 by Dr. Leslie Baumann

A: If you have been a sun worshipper for a very long time , you may have stripped your skin of its melanin. I would see a Dermatologist so they he/she can give a proper diagnosis.

Submitted by Linda Vater from Oklahoma City, Oklahoma

Q: I have read and lauded your book to many friends. I am an OSNW with rosacea that is under control with Oracea and Metrogel. I have even been able to introduce SkinMedica's Retinol Complex at night, which I apply under jajoba oil. I have been applying metrogel in the morning under C E Ferulic with sunscreen on top. Is this the appropriate order of the morning regimen? I am wondering if I should be taking an oral antioxidant supplement. My skin, though it still gets pink, looks pretty durn good for a 54 year old and I want it to stay that way. Any other suggestions?

Answered 01/04/11 12:35:35 by Dr. Leslie Baumann

A: The C E Ferulic may be causing the pink as it is very strong . Try using an antioxidant w/green tea , grape seed oil extract or feverfew instead for a week. See if that takes away the pink . Other than that , everything looks great . Oral supplements I like are Omega 3 Fatty Acids , Resveratrol and Vitamin C.

Submitted by stephanie from waterloo, ON Canada

Q: hi I have been using tretinoin (Retisol A) for a long time but recently, I tried the upper lid areas. Very disastrous results, very very puffy, scary and red. Should I persist? is it normal? thanks

Answered 01/04/11 12:18:01 by Dr. Leslie Baumann

A: No do not persist !!! The eye lid area is too sensitive .

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