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General Dermatology


Acne is the term used to describe blackheads, whiteheads, pimples or any clogged pores that occur on the face or body. Most acne problems occur during the adolescent years, but it can sometimes occur before or even after the teenage years.

There are a number of oral and topical medications available to treat mild to moderate acne. Topical treatments consist of creams, lotions and gels. Topical antibiotics include erythromycin, clindamycin, and sulfa drugs. Topical methods are very effective because the medicine is applied directly to the skin. Oral Medicines can be beneficial when acne is affecting multiple areas of the body.

Acne is an aggravating and sometimes embarrassing skin condition that affects people of every age, gender, and race. Very few skin conditions are as troublesome and disturbing. The scientific name for acne is acne vulgaris. Acne typically develops on plainly visible areas of the body, such as the face, neck, chest and back.

Patients with moderately severe acne can benefit from a new approach called photodynamic therapy. These treatments can be used alongside conventional treatments, independently or combined together to achieve the optimum results. One option is the BLU-U® Blue Light Photodynamic Therapy Illuminator with Levulan®. We can combine the Harmony® Advanced Fluorescence Technology System and the BLU-U® Blue Light Photodynamic Therapy Illuminator with Levulan® to enhance the results of both systems.

Depending on the patient’s condition, Dr. Stiefler may recommend a single treatment or a combination of treatments.

Alopecia (Hair Loss/Baldness)

Alopecia is the medical term for hair loss or baldness. According to the American Medical Association, people most commonly experience androgenetic alopecia, common baldness or male pattern baldness. Androgenetic alopecia is hereditary. Typically, 25 % of men experience this condition before the age of 30; while 2/3 of all men experience androgenetic alopecia before the age of 60. Androgenetic alopecia is less common and extreme among women. Older adults can develop androgenetic alopecia. However rather than becoming completely bald, their hair becomes thin.

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Using a pulsed-dye laser, we can safely and effectively treat port-wine stains. The success of treatment depends on the location of the birthmark and the age at which treatment begins. Most birthmarks appear significantly lighter following multiple treatments. Prior to treatment, topical or local anesthesia can be applied to minimize any discomfort.


Blistering Disorders

A blister is a raised fluid-filled bump. Blisters can form on the hands and feet, due to rubbing and pressure. They can form on the feet after wearing uncomfortable shoes or shoes that do not fit properly. Blisters can form on the hands if gloves are not worn when shoveling or using a hammer. A blister smaller than 0.5 centimeters is called a vesicle. A blister greater than 0.5 centimeters is called a bulla. Treatment varies depending on what caused the blister and the severity of it. In some cases, creams may be effective.

Blood Vessel Disorders

Some blood vessel disorders develop due to the overproduction of blood vessel cells. For instance, hemangioma, which usually appears almost immediately following birth, goes through a period of rapid cell growth.

Other blood vessel disorders develop due to vascular malformations, which are in essence errors in development that occur between the 4th and 10th week of pregnancy. The majority of vascular malformations, such as port-wine stains (birthmarks), are present at birth, although they may appear years later.


Dermatitis is an inflammation of the skin. There are different types of dermatitis, including seborrheic dermatitis and atopic dermatitis (eczema). Even though this skin disorder can have many causes and occur in many forms, the same symptoms typically occur, including inflammation, redness, swelling, and itching, as well as some blistering and oozing.

Fungal Infections

Fungal infections typically cause a rash to develop. Although many conditions can cause a rash, rashes caused by fungal infections have distinct characteristics.

It is very common for children and teenagers to experience a fungal infection, but they can occur in people of all ages. They can develop anywhere on the body (nails, hair or skin) and produce a wide range of symptoms.

  • Nails Fungal Infections – causes thick, discolored nails
  • Hair Fungal Infections – causes bald patches on the infected area (scalp or beard)
  • Skin – causes red, itchy, scaly patches on the infected area that may blister

Usually, medication, either topical or oral is prescribed to treat the rash.


Hair And Nail Disorders

Hair grows on human skin in various textures, colors, and density. Each hair grows from a follicle. Muscles, oil glands (sebaceous glands), and nerves extend from the follicle into the dermis. The skin is constantly shedding dead skin cells and growing new ones. A variety of factors can interfere with this cycle of renewal and disposal, which can cause several disorders.

Moles (Nevi)

Moles, or nevi are the most common growths in humans. Moles can be present at birth or form throughout life, and can appear anywhere on the skin, in various sizes and shapes. They develop and change throughout childhood and in pregnancy. Moles are made up of melanocytes, skin cells that produce melanin (dark pigment). Some types of moles can potentially become cancerous.

It is estimated that most people have up to 40 moles on his/her body. Moles can be different shapes, sizes and colors. Some appear brown, tan, pink or similar to the person’s natural skin tone. Others may be raised (comound nevi), while others are flat (junctional nevi). Generally, most moles are either oval or round shape and no bigger than a pencil eraser.

Some people may be born with moles, while others may develop throughout life, usually before the age of 40.

Newborn Skin

During the first week or so of life, a newborn’s skin is usually smooth and soft, with a greasy coating. In Caucasian babies, at birth, the skin has a reddish-purple color that rapidly changes to pink. However, their hands and feet may stay purple longer.

Newborns can experience a variety of skin disorders during their first weeks of life. Most of these issues typically resolve on their own. Being familiar with and understanding the symptoms of these disorders is essential because it enables one to distinguish minor skin problems from potentially critical ones. Skin care products are available in Grand Junction, Colorado.

Pediatric Dermatology

Types of Skin Conditions in Newborns

The following skin conditions are some of the normal physiological characteristics in newborns.


Milia is a skin condition that affects up to 50 percent of all newborns. Milia occurs when the skin begins to retain oils from the hair follicles and old skin cells causing tiny white bumps to form under the surface of the facial skin. This skin condition generally occurs during the first month of life and usually disappears as quickly as it developed.

Epstein’s Pearls

Epstein’s pearls are like milia except for it develops in the mouth. More than two-thirds of infants will develop small white or yellowish bumps in their mouth (on the hard palate and/or gums). Generally, they will suddenly disappear within one month.

Sebaceous Gland Hyperplasia

Sebaceous gland hyperplasia is the body’s natural response to maternal hormones that were present during pregnancy. They appear as yellow, shiny bumps on the face as a result of inflamed oil glands.

Acne Neonatorum

The oil glands of a newborn are still very sensitive to the affects of the maternal hormones being presented with during pregnancy. This sensitivity could lead to a number of different skin conditions, such as baby acne. The exact cause is still unknown, but it normally appears at 2 months of age and disappears usually without treatment.


Psoriasis is an inherited, chronic skin disorder characterized by:

  • Red patches of skin covered with silvery scales
  • Dry, cracked skin that can bleed
  • Itching, burning or soreness
  • Thickened, pitted or ridged nails
  • Joints that are swollen and stiff

About 2% of the population has psoriasis, and it commonly develops on the elbows, knees, lower back, scalp and genital area. Some people develop psoriasis on their feet and hands. Psoriasis can occur at any age.

The affects of psoriasis happen in cycles becoming worse than other times. These periods of worse symptoms are called a “flare”. During this flare periods, symptoms can be uncomfortable and possibly painful, as well as causing your skin to appear disfigured.

Psoriasis can make sleeping very difficult at times, as well as make daily day-to-day tasks like dish washing more challenging. If left untreated, the scaly appearance of psoriasis can cause embarrassment that may lead to anxiety or depression.

There are five different types of psoriasis. We encourage you to learn more about each type and the symptoms of each by clicking the more information button below.


Rashes are characterized by mild redness, small red bumps, and in severe cases, redness, swelling and blisters. They can develop due to irritation, disease, or in response to an allergic or non-allergic reaction to foods, plants, chemicals, insects or other environmental factors.

Rashes can develop on the entire body, or be confined to specific areas. They can remain for a short time or recur. They can be contagious. Rashes are typically not dangerous, but should always be examined by a doctor. Over-the-counter products should not be used without consulting a doctor. Medicines can be prescribed to relieve associated symptoms and help the rash to heal more quickly.

If the rash occurs because of an allergy, treatment focuses on determining the allergen and avoiding it. Antihistamines or corticosteroids can also effectively treat rashes caused by an allergy.


Rosacea is a chronic skin and eye condition. Symptoms include redness and pimples in the early stages and thickened skin and sometimes an enlarged nose in the advanced stages. People with this condition experience frequent facial flushing, accompanied by swelling or burning. Although doctors are still exploring the cause for this condition, it is clear that the blood vessels in afflicted people dilate far more easily than normal, which stimulates many of the symptoms. When rosacea affects the eyes, people experience dryness, itching, burning sensations and swelling in and around their eyes. Some also complain of light sensitivity and blurred vision. In most cases, outbreaks of rosacea occur around the facial areas. Many doctors believe that heat exposure, strenuous exercise, stress, alcohol consumption and spicy foods may all contribute to increased redness.

Rosacea has no cure, but a variety of treatments are available. Treatments are intended to control outbreaks and they are also intended to improve physical appearance. Antibiotics are generally used to regulate the condition. Laser surgery or electro-surgery options are available for more severe cases.

Skin Anatomy

The skin is the ultimate vessel for the human body. It receives and transports, accepts and expels; all according to the body’s needs. It is a container, defender, regulator, breather, feeler, and adaptor. But, as strong as it is, the skin requires attention and maintenance in order to function properly. Without such TLC, the skin can break down, thus making it and the body easily susceptible to disease and injury. Skin care products are available in Grand Junction, Colorado.

Skin Cancer

Skin cancer is now the most common form of cancer. Anyone can be diagnosed with skin cancer at any age. It develops due to an unrestrained growth and division of skin cells. Skin cancer is generally categorized as one of two types, melanoma or non-melanoma. Doctors link these forms of cancer to overexposure to the sun. Both types can be deadly. There are four types of melanoma and two common types of non-melanoma.

When skin cells begin to grow abnormally, skin cancer may occur. Skin cancer is usually easy to detect because they mostly develop on sun-exposed, visible parts of the outer skin, such as the arms, legs, face, head and hands.

There are different types of skin cancer:

  • Basal cell carcinoma (BCC) accounts for 80%-85% of all skin cancers. BCC derives from the lowest part of the epidermis.
  • Squamous cell carcinoma (SCC) accounts for approximately 10% of all skin cancers. SCC develops in the top layers of the skin.
  • Melanoma accounts for 5% of all skin cancers and derives from melanocytes skin cells. While less common, melanomas are the most dangerous type of skin cancer and the leading cause of death from skin disease.

Viral infections

Viral infections typically cause skin lesions and rashes. Rashes normally go away when the infection clears up. This is a common pattern in children. Is some cases, the virus lies dormant and reactivates, sometimes years later. A chronic infection is also possible. Viruses can infect the skin by direct inoculation, by local spread, or by systemic infection.


Warts, or verrucae are benign growths on the skin or mucous membranes. They are not dangerous to your health or cancerous and usually fade away on their own over time. Removing the warts will keep them from spreading, but they can come back.

Warts are skin growths that are caused by the human papillomavirus (HPV). They are very common and contagious, and tend to be more common among children.

Warts can be described by their location and/or appearance:

  • Common warts appear mostly on the hands, but can occur anywhere on dry skin and may appear in clusters.
  • Plantar warts are found on the sole of the feet and can become painful as the weight of the body pushes them deeper into the foot.
  • Flat warts can develop on the face or legs. They are usually very small making them hard to see.

Although very common, most people who are exposed to the wart virus (HPV) do not develop warts because their body’s immune system attacks the HPV viruses before it can begin a growth.

Fees subject to change without notice. Fees are based on customized needs.

These services are available at Le MedSpa and are performed by highly trained Technicians and Medical Aestheticians. 

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  • Colorado Medical Society

  • Colorado Dermatologic Society