Kidwell, Raymond Dr-Clovis Dermatology

Kidwell, Raymond Dr-Clovis Dermatology Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Kidwell, Raymond Dr-Clovis Dermatology, Dermatologist, 275 W. Herndon Avenue, Clovis, CA.

Specializing in acne, allergic skin reactions and PATCH testing, atopic dermatitis, biopsies, psoriasis, rashes, skin cancers prevention and detection, skin cancer surgery, and other skin issues

My fingernails are turning blue-could it be from minocycline?Yes. Minocycline-induced hyperpigmentation (MIH) is a cosme...
07/07/2026

My fingernails are turning blue-could it be from minocycline?
Yes. Minocycline-induced hyperpigmentation (MIH) is a cosmetically displeasing but medically harmless side effect of minocycline use. Minocycline can cause your skin, nails, gums, or even teeth to change color

Why does this happen?
Minocycline can form dark metabolites that deposit deep within the skin, or it can cause increased melanin (pigment) production. It is more likely to occur if you take the medication for a long time or in high cumulative doses

What are the different types of discoloration?
There are three main types of minocycline pigmentation:
Type I: Blue-black spots that appear at the site of old, healed acne or surgical scars
Type II: Blue-grey patches on normal, healthy skin, most commonly on your shins and forearms
Type III: A muddy-brown discoloration that is typically found on sun-exposed areas

Will the color go away if I stop taking the medication?
Sometimes. Discontinuing minocycline is the first step in treatment. For Types I and II, the discoloration often fades slowly over several months once the medication is stopped. However, Type III and severe cases can take years to fade, or may persist indefinitely

How can I prevent skin discoloration?
Always use a broad-spectrum sunscreen with an SPF of 30 or higher, as UV rays can worsen and trigger pigmentation.Wear protective clothing like hats and long sleeves when spending time outdoors. Speak to your doctor about alternative treatments if you are taking minocycline long-term and are worried about this side effect or are starting to notice pigmentation

Beetle Juice is used to get rid of Warts?Yes! Dermatology offices often utilize a chemical called cantharidin, which is...
07/07/2026

Beetle Juice is used to get rid of Warts?

Yes! Dermatology offices often utilize a chemical called cantharidin, which is often referred to as "Beetle Juice."

Can it be used in combination with other treatments?
Yes! It can be used in combination with Podophyllin, and/or salicylic acid

When is it used?
It can be used to treat stubborn or recalcitrant warts that don't respond well to liquid nitrogen

Is it painful?
Beetle juice is particularly valued because its application is much less painful than liquid nitrogen, making it a preferred option for children or patients sensitive to pain

Why is it called Beetle Juice?
Cantharidin is a natural extract from blister beetles

How does Beetle Juice work?
Cantharidin acts as a vesicant that triggers a controlled blister to form directly under the wart. This strategic blistering destroys the cellular adhesion holding the viral tissue together

Why is it used with Salicyclic Acid?
When paired with salicylic acid, which acts as a keratolytic agent to break down the tough, dead outer layers of the wart, Beetle Juice is though the be able to pe*****te deeper into the affected tissue.

Why is it used with Podophyllin?
Podophyllin is also frequently included in the blend as an antimitotic agent that prevents the rapid division of wart cells

Can I use it at home?
No-The application process how to be done by a doctor

How long does it take?
Application takes only a few minutes

How long is the chemical left on the wart?
Your doctor will paint the solution onto the wart and cover it with an adhesive dressing. After a specified period—typically between 4 to 24 hours depending on the doctor's instructions and the thickness of the skin—the patient washes the medication off at home

What happens after application?
Over the next few days, a blister develops, eventually causing the wart to lift and peel away from the healthy skin. Depending on the size and location of the wart, multiple treatment sessions spread a few weeks apart may be required

06/01/2026

Can Vitamins decrease my risk of skin cancer?
YES!
Recent studies on nicotinamide (a form of Vitamin B3) for skin cancer prevention show highly promising results for high-risk patients, particularly when supplementation is started early.

Key Findings:

A large retrospective study of over 33,000 patients revealed that taking 500 mg of nicotinamide twice daily after a first-ever skin cancer diagnosis reduced the risk of subsequent skin cancers by 54%.

Overall Efficacy: Across all patients with a history of skin cancer, the supplement was associated with an average 14% to 23% reduction in overall non-melanoma skin cancers (such as basal cell and squamous cell carcinomas).

How it Works: Nicotinamide is thought to help protect cells by repairing UV-induced DNA damage and boosting the skin's immune defenses.

Important Limitations: The greatest benefits are seen in individuals who have already had a skin cancer diagnosis. The supplement is less effective if started after a patient has already developed multiple skin cancers, and it does not replace the need for sunscreen.

06/01/2026

Are there medications I can use to decrease my acne?
YES!
Current recommended treatments for acne:

1. Topical Treatments (First-Line Therapy)

Retinoids: Vitamin A derivatives (e.g., tretinoin, adapalene, tazarotene) unclog pores and prevent future breakouts.

Antimicrobials: Benzoyl peroxide kills bacteria, while topical antibiotics (like clindamycin) reduce inflammation. They are rarely used alone to prevent antibiotic resistance.

Clascoterone (Winlevi): A topical cream that targets hormonal causes of acne in both males and females.

2. Oral Medications

Oral Antibiotics: Used for moderate to severe inflammatory acne (e.g., doxycycline or minocycline) to quickly reduce bacteria.

Isotretinoin: (formerly known as Accutane) provides long-term clearance.

3. Hormonal Therapies

For adult females or those with hormonally-driven breakouts:

Oral Contraceptives: Birth control pills that balance hormones.

Spironolactone: An oral medication that reduces oil production and blocks androgen hormones

06/01/2026

Are there treatments for hyperpigmentation?
YES!
Dermatology treatments for hyperpigmentation are typically tiered, starting with preventative care and topical products, and escalating to medical-grade procedures for deeper or stubborn pigmentation. Optimal results often require combining therapies and strictly avoiding sun exposure.

1. Preventative Care (Non-Negotiable)

Sunscreen: Daily application of broad-spectrum SPF 30+ is the foundational requirement for preventing melanin production and stopping discoloration from worsening.

Sun Avoidance: Wearing wide-brimmed hats and avoiding peak sun hours.

2. Topical Treatments

Retinoids: Prescription Tretinoin or over-the-counter retinol increase cell turnover, helping shed pigmented cells and fade dark spots.

Hydroquinone (HQ): A powerful, gold-standard skin-lightening agent that inhibits the enzyme responsible for melanin production. It is often used in cycles to prevent side effects.

Alternative Brighteners: For sensitive skin or skin-of-color, dermatologists often recommend tranexamic acid (TXA), or kojic acid.

Antioxidants: Vitamin C and niacinamide are used to brighten skin and protect it from environmental damage that can trigger pigmentation.

3. In-Office Medical Procedures

Chemical Peels: Medical-grade acids (such as glycolic, lactic, or trichloroacetic acid) strip away the damaged outer layers of skin to stimulate new, evenly toned cell growth.

Microneedling: Creates microscopic injuries in the skin to boost cell renewal

06/01/2026

Can Hormonal Replacement Therapy make me look younger?
YES!
Current dermatologic research shows that Menopausal Hormone Therapy (MHT) or Hormonal Replacement Therarpy (HRT) can improve skin elasticity, hydration, and thickness by boosting collagen production.

The Impact of Menopause: Women lose roughly 30% of their skin collagen in the first five years after menopause. Declining estrogen also causes noticeable decreases in elastin and hyaluronic acid, leading to thinner, drier, and more lax skin.

Systemic MHT/HRT Effects: Systemic hormone therapies (like estrogen gels and oral therapies) show clinical evidence of increased skin thickness, improved biological elasticity, and boosted collagen.

The Rise of Topical Estrogens: Small clinical trials and dermatologic reviews indicate that low-dose, off-label topical estrogen creams (such as estriol or estradiol) are increasingly used to stimulate fibroblasts and increase epidermal thickness, while minimizing systemic hormone exposure.

Synergistic Aesthetic Treatments: Recent evidence suggests that combining hormonal approaches with conventional aesthetic procedures (like chemical peels, tretinoin, and/or microneedling) further enhances collagen remodeling and overall skin texture

12/13/2023

Can blood pressure pills increase your chance of skin cancer? A recent study showed that a type of pills used to control high blood pressure (hypertension) can increase the formation of precancerous skin lesions. If you are taking a calcium channel blocker and have a history of skin cancers or multiple pre skin cancers, it may be prudent to be switched to a different type of blood pressure pill. Here is an article about the recent study:
https://medicaldialogues.in/dermatology/news/use-of-calcium-channel-blockers-tied-to-more-severe-actinic-keratosis-on-face-and-scalp-study-121370

10/10/2023

I'm giving a health lecture this thursday "How to Live a Long and Healthy Life." All welcome

09/06/2023

Have you heard of "Barbie Botox?"
Apparently there is a wave of women, typically younger, asking for Botox to be injected into their neck muscles to mimic Barbie, played by Margot Robbie in the blockbuster movie

This procedure is also known as "Trap Tox". It is when Botox in injected into the muscles of the upper back/neck to reduce migraines and neck/shoulder pain

Injecting into this area for cosmetic purposes is non FDA approved, and would be classified as an "off-label use"

Address

275 W. Herndon Avenue
Clovis, CA
93612

Opening Hours

Monday 8am - 5pm
Tuesday 8am - 5pm
Thursday 8am - 5pm
Friday 8am - 5pm

Telephone

+15592979520

Website

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