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    • 27 SEP 17
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    Rosacea – Causes Triggers & Treatments

    Rosacea – Causes Triggers & Treatments

    Rosacea: Triggers and Treatments

    For many people, the changing of seasons is an exciting time, and we’re lucky here in the Piedmont Triad to live in an area where we get to experience all four seasons. After the cold temperatures of winter, it’s fun to look forward to the warmer days of summer and the outdoor activities that season brings. But then we’re just as glad to see the heat and humidity go and welcome the cool, crisp days of fall. Unfortunately for many people who suffer from rosacea, rather than bringing excitement, the changing seasons brings on feelings of dread. Sun, heat, dry air, or wind are all things that can be seasonal triggers for people with rosacea.

    What is Rosacea?
    Rosacea is a common skin disease, affecting about 16 million people in the United States, according to the National Rosacea Society. Rosacea is evidenced by a redness of the skin and visible blood vessels around the nose and cheeks, and can spread to the face and chin. Rosacea is most commonly seen in fair-skinned people ages 30-50, and affects women more than men.

    What Causes Rosacea?
    While it is not exactly clear what causes rosacea, it does seem to run in families. It is also thought to be caused by an overactive immune system, or a mite that lives on the nose and cheeks.

    Whatever the root cause, doctors have found that people with rosacea can be sensitive to certain triggers that might cause symptoms to worsen. Some common triggers include:
    Changing seasons and extreme temperatures
    Hot Drinks
    Spicy foods

    Treating Rosacea
    Here at Davie Dermatology and The Med Spa, we understand the struggles of dealing with rosacea. Many of our clients exhibit symptoms of one of the four types of rosacea, which means we are always alert to new research and treatments in this area.

    Managing symptoms of rosacea can include being aware of your own personal triggers, but there is more you can do. Some typical treatments include topical medicines, emollients and antibiotics. You can also explore the options of laser therapy or chemical peels. “One of the most popular and effective treatments I offer for rosacea patients is the Mandelic chemical peel,” said Jessica Shea, certified medical aesthetician, The Med Spa. Mandelic acid is known for its antibacterial properties, which can normalize acne-prone skin and reduce redness in rosacea prone skin.” In addition, Mandelic acid produces less discomfort than a traditional Glycolic peel, which makes it more appropriate for people with sensitive skin.

    Shea also recommends using the skin care line Avene, offered at The Med Spa, to help keep rosacea flare-ups under control. “The Avene products reduce inflammation and redness, and complement any prescription topicals.”

    If the fall and winter months have you dreading cold, dry air and planning to stay indoors rather than risk a flare up, call us today for a consultation. We can help you get on the road to clear skin and a healthy love of the outdoors.




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  • Posted by John Chandler on October 17, 2017, 3:31 pm

    I have suffered from rosacea on nose, cheeks and chin. Larger blood vessels in nose. I am a male at 65 years of age. I thought there was some type of laser treatment for this. Would like to know costs, as I am assuming my insurance will not pay. I am a registered patient with you all.

    Reply →
    • Posted by Jessica Shea on October 18, 2017, 12:33 pm
      in reply to John Chandler

      Thank you for your question. We do have a laser that treats the red vessels on the face. By treating them, it helps relieve some of the constant look of redness in the skin. It is considered cosmetic, so insurance does not cover it. My recommendation would be to schedule a complimentary consultation in the medspa to give you an accurate quote for that treatment and a customized treatment regimen for your Rosacea.

      Reply →

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Dr. Jaclyn Hess

Does the name Doctor Hess sound familiar? That is no coincidence. Dr. Jaclyn Hess, daughter of Dr. Suzanne Hess, has officially joined Davie Dermatology & The Med Spa! We could not be more excited to have someone we know and love joining our professional team! While she is new to Davie Dermatology & The Med Spa she is not new to being around patients or managing their skin care. New and current patients can feel confident in her experiences and level of expertise. It’s the same level of comfort and precision you’ve come to know and expect from our team over the years.

Calling North Carolina home, Dr. Hess grew up in Clemmons. She graduated from the University of North Carolina at Chapel Hill with Bachelor of Arts in Exercise and Sport Science.  She then spent a year performing clinical research in Charlotte, North Carolina. Following in her parents’ footsteps she pursued a career in medicine and returned to Chapel Hill, where she earned her medical degree from the University of North Carolina School of Medicine. From there, she completed her Internal Medicine internship at New Hanover Regional Medical Center in Wilmington, and then completed her Dermatology residency at the Medical College of Georgia in Augusta, where she also served as Chief Resident.

Dr. Hess and her husband, Joe, are excited to return back to the Winston-Salem area. They are the proud parents of their daughter Clara, who was born in 2018. At home they love to spend time outdoors walking with their daughter and cockapoo, Martin.

Dr. Suzanne P. Hess

“It has been an honor and privilege to serve many people over the years since opening Davie Dermatology in 1991.  I value the relationships with my patients and their families, cherishing the opportunity to be a part of their healthcare team.  My father, a former Family Practitioner, was my role model and instilled in me a passion for providing patient care to the best of my ability while maintaining a personable and friendly manner.   I give thanks to God for the people I work with, those we care for, and the blessings bestowed upon us!”

Dr. Suzanne P. Hess is a native of Mars Hill, NC and graduated from Mars Hill College Magna Cum Laude in 1981 with a Bachelor of Science in Chemistry. She earned her Doctor of Medicine from East Carolina University School of Medicine in 1985 and was a member of Alpha Omega Alpha, the Medical Honor Society. Dr. Hess completed her Internal Medicine residency with honors at the University of Missouri in Kansas City and became board certified in 1988. She completed her Dermatology residency at Wake Forest University School of Medicine in 1991,where she also served as Chief Resident.

Dr. Hess opened Davie Dermatology in 1991. She is board certified in Dermatology and a:

Dr. Hess has been involved with numerous youth mission trips, local mission projects, and the Carolina Honduras Medical mission team. She is also a member of Clemmons United Methodist Church, teaches Sunday School, and is a certified Stephen’s Minister.

Dr. Hess and her husband, Mark, live in Clemmons.  Mark is a native of Lexington, NC and retired physician from  Wake Forest Health Science Department of Emergency Medicine. They are the proud parents of three grown children ~ Jaclyn, Hannah, and Justin.

Dr. Tracie C. Bryson

Dr. Tracie C. Bryson was born and raised in Winston-Salem, NC. She graduated from the University of North Carolina at Charlotte with honors in Biology and a minor in history. She then attended East Carolina University School of Medicine where she graduated in 1998 in the top of her class and was a member of AOA Medical Honor Society. She completed an internship in Internal Medicine at Pitt County Memorial Hospital in Greenville, NC. She then moved to St. Louis, Missouri to complete three years as a Dermatology resident at Saint Louis University Hospital. During her final year of residency, she was honored as Chief Resident.

She is board certified in Dermatology and a:

She joined Davie Dermatology on July 5, 2002.

Dr. Bryson lives in Clemmons with her husband, David, and her two children. When she’s not working, you may find her at church or at the ballfield. She’s active in her church teaching Sunday School and volunteering for various activities. She enjoys being at the ballfield to cheer on her son in baseball and daughter in softball. She coaches a cheerleading squad for the UPWARD basketball league teaching young ladies chants, cheers, and dances that she can’t help doing herself!  When at home she spends time outdoors in her flower and vegetable garden or playing corn hole.

Dr. Kelly L. Barham

Dr. Kelly L. Barham is a native of Greensboro, NC. She graduated Cum Laude with a Bachelor of Science in Biology and Minor in Art History, from Wake Forest University in 1997. Since she decided to go to medical school late in her undergraduate years at Wake Forest, she finished her pre-medical education at the University of North Carolina at Chapel Hill. Then in 2003, she received her Doctor of Medicine from Wake Forest University School of Medicine, graduating in the top of her class. She was honored as only one of four medical students from her graduating class to be elected into Alpha Omega Alpha Medical Honor Society as a junior medical student. Dr. Barham also received the “Excellence in Dermatology” award from the medical school as a senior medical student.

After receiving her M.D. degree, Dr. Barham completed one year of internal medicine residency at the Moses H. Cone Memorial Hospital in Greensboro. Following her internal medicine internship, she then completed three years of dermatology residency at Wake Forest University Baptist Medical Center. Dr. Barham has participated in basic science research at both Wake Forest University and UNC-Chapel Hill.

She is board certified in Dermatology and a:

She has published articles on

She also co-authored a chapter on vasculitis in a prestigious dermatology textbook and reviewed articles for publication for a dermatology journal.

Dr. Barham joined Davie Dermatology on August 1, 2007. Dr. Barham lives in Winston-Salem with her husband and 2 sons.  When not practicing medicine, she works at her other job as “mom”.  She can often be found exercising at the Y, shuttling her children around to their various activities, or walking her dog.  She also enjoys cooking and traveling.  

Kelly Crawford, PA-C

Kelly Crawford, PA-C is a native of Hominy Valley, NC, a small mountain community just outside of Asheville and graduated Magna Cum Laude with a Bachelor of Science in Biology from Mars Hill College in 2001. She then joined the Wake Forest University School of Medicine Physician Assistant (PA) Program, where she graduated in 2003. During her years in PA school, she fell in love with the field of dermatology.

Once she received her PA degree, she knew that field was her calling. She got her foot in the door in Asheville, where she practiced under the direction of a Mohs surgeon. There she gained experience and expertise in general and surgical dermatology by first assisting with Mohs surgery layer harvest and assisting with and performing reconstruction post-Mohs. During her time there, she also regularly performed laser surgery, and became proficient in skin rejuvenation by utilizing ALA Photodynamic Therapy, TCA, and Glycolic Acid chemical peels.

After she married, she relocated to the Winston Salem area, where she continued to practice in the field of dermatology. It was here that she had the opportunity to become proficient in cosmetic treatments such as Botox and filler substances, as well as utilize TCA chemical peeling for photorejuvenation and actinic keratosis treatment. She continued to perform laser surgery and see general dermatology patients as well.

In August 2009, she joined Davie Dermatology, where she continues her effort to provide compassionate and effective care to patients. Her interests are surgical and cosmetic dermatology where she continues to perform skin cancer surgical treatment and cosmetic treatments such as Botox, filler, laser and chemical peels. She is known for always being genuinely upbeat and smiling around the office!

Mrs. Crawford is certified by the National Commission of Certification of Physician Assistants and a member of:

Kelly lives with her husband and son in Lewisville on the family farm. When she is not working, she enjoys hiking, camping, and fishing with her family, as well as cooking and gardening. She is a member of Reynolda Presbyterian Church where she is involved in the music ministry. She also travels back to the Asheville area often to spend time with more of her family.

Carol Grabow, PA-C

Carol Grabow, PA-C (formerly Carol Farroch) is an Ohio native and received her undergraduate degree in Psychology from Bowling Green State University in 1987. She moved to North Carolina in 1988, initially serving as a mental health counselor while pursuing a Master’s Degree in Counseling at UNC-Greensboro. It was during her internship with the Cancer Patient Support Program at Baptist Hospital, that Carol realized her desire to practice medicine.

She transitioned from the mental health field and entered a clinical associate program through Moses Cone Hospital where she worked as a nursing assistant while gaining additional training as an EKG, respiratory, and phlebotomy technician. It was this setting that provided her clinical experience for the Physician Assistant profession. Carol graduated with honors from the Wake Forest University Physician Assistant Program in 1999 and has worked in Dermatology since then with several dermatologists who contributed to her medical and cosmetic foundation.

She joined Davie Dermatology in October, 2013, and loves being part of a medical team that is dedicated to excellent and compassionate patient care. Carol practices general dermatology and performs skin cancer screenings. She has special interest and training in cosmetic procedures and has been performing botulinum toxin injections and sclerotherapy since 2003 and soft tissue filler injections since 2004. She has extensive experience with advanced botulinum toxin injection techniques, particularly those in the lower face and neck.    Carol’s philosophy is to “match the treatment to the problem” and often combines botulinum toxins with fillers to achieve facial harmony.

Carol is certified by the National Commission of Certification of Physician Assistants and is a member of:

She was married in 2015 and lives with her husband in Winston Salem. She has two stepchildren and extended family in Greensboro, Charlotte, and Michigan. Carol enjoys singing, traveling, golfing, DIY projects, and spending time with family and friends.

Stefanie Alvis, PA-C

Stefanie Alvis is a native of Maryland but moved at a young age to southwestern Virginia. There she obtained her undergraduate degree from Bluefield College, majoring in Biology and Health Sciences. Knowing she wanted to pursue a career in Dermatology, she received her Master of Science as a Physician Assistant from Mountain State University in Beckley, West Virginia, graduating with honors. She scored in the top three percent of the country on her Physician Assistant National Certifying Exam.   

Stefanie joined Davie Dermatology in 2014, after practicing medical and cosmetic dermatology for three years in southwestern Virginia and southern West Virginia. She has a passion for medical dermatology and specializes in treating diseases of the hair, skin, and nails. She performs skin cancer screenings and treats cancerous and precancerous lesions.   

Stefanie is certified by the National Commission of Certification of Physician Assistants and is a member of:

Stefanie has lived in Winston Salem for two years and plans on spending the rest of her life in the area. Outside of work, she enjoys spending time with her family and giving back to the community. She likes yoga and running outdoors. She’s fond of traveling, but loves to return home.

Stefanie appreciates the blessing of being able to do a job you love while surrounded by people that encourage and support you. She believes the staff at Davie Dermatology is like a family, and above all they value the relationships they share with one another and with their patients.

Debra Sizemore, PA-C

Debra Copeland Sizemore has been a practicing Physician Assistant in the Winston Salem area for 28 years. She holds degrees from Emory and Henry College and her Physician Assistant degree is from Bowman Gray-Wake Forest. She spent her early medical career in Internal Medicine and Rehabilitative Medicine and has spent the last 16 years in Dermatology. She has practiced with focus on general Dermatology as well as cosmetic procedures. She has almost 8000 hours of laser experience in techniques for resolution of unwanted hair, vascular lesions, unwanted pigmentation, leg veins, and photo-rejuvenation.

She is certified by the National Commission on Certification of Physician Assistants and is a member of the Society of Dermatology Physician Assistants.

She recently joined Davie Dermatology in September 2015 and is excited about expanding her skills with a more varied array of laser modalities and rejuvenation procedures such as Sublative and Sublime. She also cherishes her relationship with patients and has been rated in the past with highest patient satisfaction ratings.

Debra and her husband, Patrick, enjoy sailing and travel and have a sailboat at Smith Mountain Lake. They recently returned from a chartered sailing trip to the British Virgin Islands. She cherishes her family and grandchildren and participating in their activities. Debra feels everyone can improve and embellish their appearance with today’s techniques and modalities and is committed, not only to promoting healthy skin and treatment, but also the enhancement that cosmetic procedures render to patients.

Jessica Shea – Certified Medical Aesthetician

Jessica has been a licensed aesthetician for over 14 years working with plastic surgeons and dermatologists. Specializing in medical aesthetics, she is trained for the treatment of aging skin, acne skin, rosacea/sensitive skin, and preventive skin care for teens. She is certified in laser for the treatment of hair removal, pigmentation irregularities, vascular, skin tightening, and tattoo removal. She is also certified in micro-needling, permanent make-up, medical grade chemical peels, and microdermabrasion.

Jessica has a passion for delivering results and educating her patients. She believes it’s the combination of therapies, professional in office treatments and home care that give patients the most success. Her extensive training in medical grade skincare and ingredients play a big part when determining the best treatment plan for each individual.

Jessica lives in Clemmons with her husband and children. She enjoys running, yoga, cooking, hiking, and anything outdoors with her family. She believes living a happy successful life is about maintaining balance, wellness, and having mindfulness.