Shingles is a viral infection caused by the same virus that causes chicken pox.  Anyone who has had chicken pox can develop shingles.  The virus remains dormant (inactive) in certain nerve cells of the body, and when it reactivates it causes zoster (shingles).  About 20% of those people who have had chicken pox will get shingles. Most people only get it once.

It is not clear what makes the virus reactivate or awaken. A temporary weakness in immunity may cause the virus to multiply and move along nerve fibers toward the skin.  Although children can get shingles, it is more common in people over the age of 50.  Illness, trauma, and stress may also trigger shingles.

Symptoms: First, there may be burning, itching, tingling or extreme sensitivity in one area of the skin usually limited to one side of the body.  This may be present for one to three days before a red rash appears at that site.  There may also be a fever or headache. The rash soon turns into groups of blisters. The blisters generally last for two to three weeks.  The blisters start out clear but then look yellow or bloody before they crust over (scab) and disappear.  It is unusual to have pain without blisters, or blisters without pain.

Complications: Post-herpetic neuralgia is pain, numbness, itching, and tingling which lasts long after the rash clears. Post-herpetic neuralgia can continue after the skin has healed, or can last for months.  It is more common in older people.  The use of medication in the early stages of shingles may help prevent this complication. 

A bacterial infection of the blisters can occur and can delay healing.  If pain and redness increase or reappear you should return to the dermatologist.  Antibiotic treatment may be needed.  An infection in association with shingles lesions can lead to scarring if not appropriately treated in a timely manner.

Is Shingles Contagious?  Shingles are much less contagious than chicken pox.  Persons with shingles can transmit the virus if blisters are broken.  Newborns or those with decreases immunity are at the highest risk for contracting chicken pox from someone who has shingles. .

Treatment: Shingles usually clear on their own in a few weeks and seldom recur. Pain relievers and cool compresses are helpful in drying the blisters.  If diagnosed early, oral anti-viral drugs can be prescribed to decrease both viral shedding and the duration of skin lesions.  They are routinely prescribed for severe cases of shingles, cases with eye involvement and for those with decreased immunity.  The earlier the treatment  is started the better. 

If you suspect you have shingles, contact our office to get an appointment as soon as possible. (480)-785-7546

Put your best face forward


Acne is the most common skin condition in the United States. All teenagers get some degree of acne. An estimated 30% of adults can also have acne. Dermatologists know that letting acne runs its course is not always the best advice.

Here's why:

  • Many effective treatments are available.
  • Treating acne often boosts a person’s self-esteem.
  •  Without treatment, dark spots and permanent scars can appear on the skin as acne clears.

First, the facts: breakouts are brought on by biological factors like genetics and hormones, which can put oil-producing glands in overdrive and cause dead cells and bacteria to build up beneath the skin's surface. Topical and oral medications can be used on their own or combined to increase effectiveness. Topical treatment for acne includes creams, lotions, gels, and solutions. This does not mean that every acne treatment works for everyone who has acne. But it does mean that virtually every case of acne can be controlled.  Dermatologist grade chemical peels and  blue light therapy are other options to consider when trying get acne under control. These can both be done in the dermatologists office and some insurance plans may cover these treatments.

Benefits of a Dermatologist’s Help
Getting the acne under control has benefits. It reduces the risk of scarring. The longer the acne persists, the more likely it is to cause scarring. Gaining control over acne also can improve one’s quality of life. Research shows that older adults report more negative effects on their quality of life from acne than do younger people.

If over-the-counter acne treatments and good skin care have failed to clear the acne, do not get discouraged. Seeing a dermatologist can give you peace of mind. The lesions may not be acne. Other skin conditions resemble acne. A dermatologist can tell. If acne is the problem, different medication may be required. Make an appointment with us today and get started putting your best face forward.


Dermal Fillers


The last decade has seen tremendous growth, not only in the number of FDA-approved products, but also in the number of patients seeking these treatments. Approximately 2 million soft tissue filler procedures were performed in the United States in 2012 by both physicians and nurse injectors.  Hyaluronic acid (HA) is the most frequently used agent in the United States (87% of all soft tissue filler procedures), (Hyaluronic acid also known as hyaluronan or hyaluronate, is a carbohydrate, more specifically a  mucopolysaccharide occurring naturally throughout the human body.) There has been a 38% increase in its popularity since 2004. In fact, HA has become the most commonly used filler worldwide. Not all injectables are created equal, however, and no filler is ideal, nor can a single filler meet every patient's wishes and expectations.

Derma fillers help to diminish facial lines and restore volume and fullness in the face. As we age, our faces naturally lose subcutaneous fat. The facial muscles are then working closer to the skin surface, so smile lines and crow’s feet become more apparent.The facial skin also stretches a bit, adding to this loss of facial volume. Other factors that affect the facial skin include sun exposure, heredity, and lifestyle.

Derma fillers can be used to:

  • Plump thin lips
  • Enhance shallow contours
  • Soften facial creases and wrinkles

Derma fillers can be very helpful in those with early signs of aging.

Here at Arizona Premier Dermatology the fillers we specialize in are Juvederm Ultra XC, Juvederm Ultra Plus XC, Juvederm Voluma, and Restylane Silk.

Juvederm Ultra XC is used for mild to moderate lines an folds.  The results last up to 1 year.

Juvederm Ultra Plus XC is for moderate to severe lines and folds.  Results vary, but typically last 1 year.

Juvederm Voluma is for subcutaneous, deep injection areas.  Voluma can last up to 24 months.

Restylane Silk is new to the market.  This product is used to plump the tiny lines around the mouth. 

In a consultation with one of our providers we can address your expectations help you explore which treatment options are best for you.


INNOpen is a fractional micro-needling device that works to tighten, lift and rejuvenate the skin. It is effective in reducing fine lines and wrinkles, stretch marks, surgical and acne scars. INNOpen uses multiple needles that vertically pierce the skin. This creates micro-injuries to the skin, stimulating new collagen production. The automatic vibrating function of the INNOpen also increases absorption of products, while reducing pain and discomfort.

Unlike dermal rollers, INNOpen causes significantly less trauma and skin damage. Treatments are far more comfortable by comparison enabling safer and more effective skin rejuvenation.


Restylane Silk is the first and only product specifically designed to treat the lips and lines around the mouth. Many patients want to address the wrinkles in the lip and the vertical "barcode" lines that appear around the mouth with age, but want a natural look without the extra volume. Restylane Silk not only helps smooth wrinkles and lines, but also softly restores lip shape and enhances definition without over-plumping.





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