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Author: Arlo Miller, MD, PhD

Home / Articles posted by Arlo Miller, MD, PhD
Posted on February 8, 2024
Anti-aging, Laser, Men, Prevention

The Secret Formula Ever wonder what I personally do to take care of my skin?  It really comes down to 3 things: Sunscreen - Do this to protect your collagen from Ultraviolet radiation Tretinoin (Retin-A) - Use this to help your body generate new collagen Halo - Do this to get rid of the damaged collagen that your body struggles to get rid of by itself. The Basics Sunscreen Fundamentally, the only reason our skin ever really "ages" is because of ultraviolet radiation.  The fact is that our epidermis is replaced every month or so by new cells produced from underlying stem cells.  So,...

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Posted on March 4, 2018
Products, Scams

I just got back from the Annual American Academy of Dermatology Meeting.  It’s an exceedingly large conference that brings thousands of dermatologists from around the world together.  Always learn new things, but its also a conference that is permeated by industry peddling drugs and devices, many of which are complete crap.  So, I’m going to start something I’m calling the Dermatologic Darwin Awards.  These are my nominations for the most ridiculous new products brought to market.  By now, everyone is aware of runaway drug prices.  Drugs for skin conditions have been a prime target for price abuses and games.  I’m going...

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Posted on November 12, 2015
Anti-aging, Cosmetic, Laser

What is the HALO Pro Laser? The HALO Pro is something called a hybrid fractional laser that can be used to restore the skin to a more youthful state and to treat acne scars.  It is the latest development in a technological journey that started in the 1990s with CO2 resurfacing lasers. The idea of resurfacing was simple then.  If you had skin with lots of fine lines, wrinkles and brown spots that was generally just beaten up by the sun, you could get rid of all those signs of aging by vaporizing the top layers and letting it heal in with nice...

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Posted on December 2, 2014
Infections, Kids

  Mollusc-who? Molluscum contagiosum.  I actually had to google it myself to make sure I spelled it correctly-the name is that much of a mouthful. Molluscum is one of the most common pediatric infections there is, certainly the most common pediatric infection seen by dermatologists. Hardly a week goes by that we don't treat a child with molluscum-some days we see 3 or 4 kids with it - yet no one seems to have heard about it.  It seems to be pretty much off the radar at mommy groups, PEPS, and other forums for parents. What is Molluscum? Mulloscum is a very common viral infection...

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Posted on November 3, 2014
Dry Skin

Feel like that cat? This is the time of year that we see lots and lots of people coming in with itchy skin. The bottom line is that dry skin itches, and dry skin is hands-down the biggest cause of itching.  So where does this dryness come from and what can you do about it? It's rained for 27 days in a row, how can I have dry skin? Sure, everything outside is soggy. Wet grass, wet leaves, wet everything. Everything just seems soggy right now. I take my little dog out for a walk and she comes in soggy too. But, 20...

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Posted on September 23, 2014
Bugs

[caption id="attachment_3989" align="alignright" width="200"] Scabies Mite[/caption] Many people who are itchy experience a crawling sensation and wonder if they have bugs under their skin. While lots of insects like mosquitoes, fleas, spiders, and mites seem to take great delight in biting us, there are very, very few bugs that can actually live under our skin, and even more fortunately, very few of these bugs can be found in North America. There are some very exotic ones from other parts of the world, but I've personally only seen one patient with one of these exotic infections. North American Skin Parasites Scabies Scabies mites live out...

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Posted on July 9, 2014
Melanoma, Prevention, Scams, Skin Cancer, Sunscreen, Tanning

Have you seen this article by Paul Fassa that has been all over Facebook about skin cancer and sunscreen? When you see things like this do you ever become curious and wonder if its true?  In this case, I couldn't resist. Is there really some new piece of research out there that turns everything I know about skin cancer and sunscreen on its head? In my world, this would be a big deal. So I took a look at the article and the actual research article it purports to cite: joim12251.  The study involved following about 30,000 Swedish women, recruited from 1990-1992. ...

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Posted on April 1, 2014
Skin Cancer, Sunscreen, Tanning

With summer just around the corner in Seattle, this is a great time of the year to start thinking about sun protection. Everyone knows that you should go to the tanning parlor and get a good base tan before you go on vacation to someplace sunny, because then you won't get burned on vacation. And everyone knows that it's OK to tan as much as you want, even every day, just as long as you don't get burned. And of course, tanning is by far the most effective way to get Vitamin D. With all of this good news about...

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Posted on November 25, 2013
Prevention, Skin Cancer, Sunscreen

Ever wonder if you should worry about skin cancer since it rains in Seattle all the time? Have you heard that tanning beds are a safe, effective way to get Vitamin D? Procrastinating about having a funny spot checked out because it can always be cut off at any time anyway? Still using Coppertone SPF8? Common skin cancer myths are dispelled, giving you information that can help save you from getting basal cell carcinoma, squamous cell carcinoma, or melanoma....

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