Magan Medical Clinic, Dermatology
We provide quality dermatology care with compassion. Our specialty is medical dermatology, including:
If you have hair thinning or psoriasis, Dr. Chiang possesses special expertise. He completed fellowships in both fields at University of California, San Francisco where he saw a wide spectrum of patients (including the most severe), performed clinical trials, and published research.
We take pleasure in serving our community including Covina, West Covina, San Dimas, Rancho Cucamonga, Baldwin Park, Azusa, Glendora, Upland, El Monte, Duarte, Monrovia, Arcadia, La Puente, and Diamond Bar.
Same day appointments often available. No referral is necessary for PPO insurance plans. Please call (626) 331-6411. We look forward to serving you!
"What’s New in..."
A monthly column by Dr. Chiang
What’s New in Wound Healing
There has been increased interest in using topical solutions, specifically a beta blocker called timolol to improve wound healing. Specifically, Dr. Kirsner, a wound care expert, has published several cases where applying roughly 1 drop every 2 cm along the wound edge dramatically reduced the wound size. The average improvement was 78.2% after 7 weeks of treatment. While this was not complete resolution nor was it quick, it was a clear improvement. Prior studies have showed that beta blockers block catecholamines which may play a role in chronic wounds.
This is of course in addition to the many other treatments needed to improve healing including keeping the area clean, reducing swelling, treating any infection that may be present, stopping any smoking, losing weight if needed, and treating any diabetes or high blood pressure that exists. Note that a general dermatology office does not have all the tools necessary for curing the most severe chronic wounds such as skin grafts (either from the patient or human skin cultures) and advanced dressing materials (foams, hydrocolloids, hydrogels). Another caveat is that, in my experience, insurance almost never covers home wound care supplies which can be quite expensive. Even the timolol solution may not be covered. Last, for wounds that your primary care doctor thinks is not doing well, a wound care center may be appropriate for many patients, especially the most severe.
For most wounds, primary care is the first appointment to make. However, if your wound needs additional evaluation, I look forward to seeing you. Please make an appointment for a dermatology consultation at (626) 331-6411.
Charles Chiang, MD, FAAD
- Jesitus J. Wound healing – Diverse tools and technique advances. Dermatology Times 2015
For archives, click here.