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Eczema

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Close-up of a woman's neck showing visible platysmal bands before treatment.

Eczema, also known as atopic dermatitis, is a chronic skin condition that causes inflammation, intense itching, dryness, and irritation. It can develop at any age, though it is most common in childhood and can persist into adulthood. While eczema has no permanent cure, effective treatment strategies can help manage flare-ups and maintain healthier skin.

At Metropolis Dermatology in Costa Mesa, CA, we offer personalized eczema treatments to help reduce symptoms, strengthen the skin barrier, and improve overall skin health.

What is Eczema?

Eczema results from a combination of genetic, immune system, and environmental factors. Individuals with eczema often have a weakened skin barrier, making it harder to retain moisture and protect against irritants.

Eczema can develop anywhere on the body, but it most often appears in areas where the skin bends or flexes. The location of eczema may shift depending on age:

  • Infants and Young Children: Eczema frequently shows up on the cheeks, outer elbows, and knees. It can also affect the face, scalp, arms, and legs.
  • Older Children and Adults: Eczema is commonly found on the hands, feet, arms, and behind the knees. It may also appear on the neck, ankles, and even the lips.

 

Causes

  • Allergens: Dust mites, pet dander, pollen, and mold can cause irritation.
  • Irritants: Harsh soaps, detergents, fragrances, and rough fabrics can aggravate symptoms.
  • Climate & Weather: Cold, dry air or excessive heat and humidity can worsen symptoms.
  • Stress: Emotional stress can weaken the immune system, triggering breakouts.
  • Genetics: Those with a family history of eczema, asthma, or allergies are more prone to the condition.

 

Symptoms

Eczema symptoms vary in severity and location, but common signs include:

  • Persistent Itching: Often severe, leading to excessive scratching that worsens inflammation.
  • Redness & Swelling: Affected areas appear inflamed, swollen, and irritated.
  • Dry, Scaly Patches: Skin may become rough, flaky, and prone to cracking.
  • Oozing or Cracking: In severe cases, skin may develop open sores, crusting, or infections.

 

Treatment Options for Eczema

While eczema cannot be cured, advanced treatments can effectively control symptoms and prevent flare-ups. At Metropolis Dermatology in Costa Mesa, we develop customized treatment plans based on individual skin needs.

 

Common Eczema Treatment Approaches

  • Medical-Grade Skincare: Strengthen and hydrate your skin with dermatologist-recommended products designed to calm irritation and support your skin barrier.
  • Topical & Oral Medications: Prescription creams, ointments, and oral medications help reduce inflammation, control itching, and prevent flare-ups.
  • Phototherapy (Excimer Laser): Targeted narrowband UVB light therapy can reduce inflammation and improve eczema symptoms with minimal side effects. The Excimer Laser is especially effective for localized eczema that hasn’t responded to topical treatments.
  • Cortisone Shots: For severe flare-ups, corticosteroid injections provide rapid relief by reducing swelling, redness, and itching. This treatment is ideal for stubborn or widespread eczema that needs immediate intervention.
  • Lifestyle & Allergen Management: Identifying triggers like stress, allergens, and environmental factors can help prevent and minimize eczema outbreaks.

The right combination of topical treatments, skincare routines, and lifestyle adjustments can help effectively manage eczema and prevent frequent flare-ups.

Side-by-side comparison of a woman's neck before and after platysmal band injections.

FAQs

Can eczema be cured?

There is no permanent cure, but proper treatment and management can significantly reduce symptoms.

Is eczema contagious?

No, eczema is not contagious and cannot be transmitted from person to person.

Does stress make eczema worse?

Yes, emotional stress is a known trigger and can lead to flare-ups in many individuals.

How often should I moisturize my skin?

Applying a fragrance-free moisturizer at least twice daily is essential to keep the skin hydrated and prevent irritation.

Can diet affect eczema symptoms?

Some individuals may experience flare-ups related to certain foods, such as dairy, gluten, or processed ingredients, but this varies from person to person.

Hear from

Real Patients
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Sabin Rich
October 13, 2026
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Always the best experience in this office ! The office is super nice and clean and Dr. Higgins and her staff are always so sweet and helpful! I won’t go anywhere else ever !
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Cece
October 13, 2026
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Dr. Ann Collier was so nice and very thorough with her assessment! I recommend for sure!
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Ryan Alevy
October 7, 2026
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Julia is not just one of the best physicians I’ve ever had, but she’s also a kind, thoughtful, and patient human being (which we love because sometimes going to the doctor is scary!) I had some basil cell carcinoma and Julia found it, biopsied, and recommended me to another amazing physician (Dr. Jenny Hu) who removed it alongside her team. It’s easy to not mind a medical experience when it’s normal or “everything is fine,” but when inevitably stuff sometimes isn’t, you want to have somebody like Julia in your court. I’m so grateful for the comfort I feel when I go in for visits; it’s night and day when compared to some less than optimal experiences I’ve had in other offices! Also, the team at the office, billing, communication, scheduling- it’s all super streamlined and smooth. Thank you for everything!
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Schedule Your Consultation Today!

If you’re looking for expert eczema care, our team at Metropolis Dermatology in Costa Mesa, CA is here to help. We offer advanced, science-backed treatments to help soothe irritated skin, reduce flare-ups, and strengthen your skin’s natural defenses. Call us to schedule a consultation today and start your journey to healthier skin!

 

 

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