Dr. Thomas Adrian, MD

Board Certified in Dermatology

7 Yrs experience
Verified Practitioner

Languages spoken

  • English

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3 skill endorsements

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Location

Center for Laser Surgery

3301 New Mexico Ave. NW, Ste. 240, Washington, District Of Columbia

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FAQ

Female, age 23, incredibly fair - do I have rosacea?

Rosacea is a genetic predisposition to develop extraneous superficial blood vessels in which results in a spectrum of manifestations including background facial redness, flushing and blushing, and inflammatory rosacea consisting of papules and pustules. This does not appear to be post inflammatory erythema of acne as that fades with time once acne is treated and typically would not be associated with flushing and blushing. Your subtype of rosacea is likely erythemato-telangiectatic. The most effective treatment for ET Rosacea is with vascular lasers such as the Pulsed Dye Laser. I would recommend consulting with a Fellowship Trained Dermatologist who has experience treating Rosacea with Vascular Lasers to develop a treatment plan to address your concerns.

Scars from Pulsed Dye? Looking for opinions about possible causes/treatments

I would recommend consulting with a Dermatologist to give you an honest assessment of your scars. While it is difficult to tell if those were present or not prior to your procedures atrophic scarring can be a result of KTP laser treatment with inadequate cooling. It is highly unlikely the pulsed dye laser caused these scars in my opinion. While Fraxel can be used to improve nearly all types of scars there are several procedures (Phenol CROSS, Subcision, etc) that are specifically tailored to certain types of scars. I would find a Fellowship Trained Dermatologist who specializes in scars to provide you with an appropriate treatment plan to best address your specific concerns.

What Type of Doctor Should I See for Thinning Hair?

While surgical correction is a method for treating hair loss, 'hair transplant surgery' is not a diagnosis of the root cause of your hair thinning. Dermatologists are trained experts in the various causes of hair loss, including hormone imbalances, autoimmune conditions, and other 'organic' causes of hair loss, many of which can be corrected far easier than hair transplant surgery or simply injecting PRP into the scalp, which seems to be the new, expensive, and favorite treatment performed by non-dermatologists for the blanket diagnosis of 'hair loss'.

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