Acne And Rosacea Specialist

Zand Dermatology

Dermatologist located in Mill Valley, Marin County, CA

Do you struggle to camouflage your acne flare-ups every time you want to leave the house? Have you tried countless face wash remedies but can't seem to get rid of your skin's redness? For the past 10 years, Dr. Sarv Zand has been helping patients with rosaea and and acne achieve and maintain healthy, glowing skin. At Zand Dermatology in Marin, patients visiting her office from Marin or the greater San Francisco Bay Area can take advantage of Dr. Zand's customized combinations of traditional prescription products and soothing botanical therapies, helping you feel confident in your skin again. Schedule an appointment online or call Zand Dermatology today.

Acne and Rosacea Q & A

What is acne? 

Acne is a chronic inflammatory skin condition that affects more than 60 million Americans annually. It involves your skin’s oil glands at the base of your hair follicles; when a gland becomes clogged, a pimple forms. If not handled properly, it can lead to permanent scarring. 

Chronic acne often leads to feelings of low self-worth and depression. According to the British Skin Foundation, 95% of acne sufferers state that acne impacts their daily lives, and 63% report that their confidence level suffers as a result of acne.

What are the causes of acne?

If your parents had severe acne, chances are you do too. Hormones, dead skin cells, and ingrown hairs also contribute. Bacteria, made up of dead skin and oil, often cause acne by blocking the hair follicles in your skin.

There are several types of acne, including:

  • Whiteheads
  • Blackheads
  • Cysts
  • Pustules
  • Nodules
  • Papules

Acne affects people of all races, genders, and ages. Acne typically develops around the onset of puberty and most commonly affects teenagers and young adults. But that doesn’t mean you can’t have an annoying breakout at the age of 55. Adult acne is reportedly on the rise.

How can I treat my acne effectively?

There are several acne treatments on the market today. Figuring out which one will work for you specifically can be a challenge.

Often, the underlying cause of acne is a food allergy or excess flour and sugar in your diet. Eliminating specific foods from your diet may improve your skin substantially.

Other times, hormonal changes and stress induce flare-ups so avoiding these triggers could help to resolve the problem as well.

Some providers often prescribe harsh medications and antibiotics to treat acne, but Dr. Zand recommends prescription topical treatments that she provides in-office. There’s no need to make an extra trip to the pharmacy.

Regardless of the treatment plan you choose, acne takes time to clear up. Set up an appointment with Dr. Zand today to discuss your treatment options.

What is rosacea?

Rosacea is a chronic, inflammatory skin disorder that can cause redness, swelling, and acne-like bumps on your skin. Anyone can suffer from rosacea, but it’s most common in fair-skinned individuals, often women, over 30.

Rosacea typically occurs on the nose and face, but in some cases can even be found on the scalp, ears, neck, or chest. If left untreated, rosacea often worsens with time.

What are the symptoms of rosacea?

Depending on the subtype of rosacea you are suffering from, your symptoms may vary, and many of them come and go in a series of flare-ups and remissions. The most common symptoms include:

  • Redness on the cheeks, nose, chin, or forehead
  • Small visible blood vessels on the face
  • Bumps or pimples on the face
  • Watery or irritated eyes

What causes rosacea?

Unfortunately, the real cause of rosacea is unknown, but it’s most likely a combination of environmental and hereditary factors. Numerous determinants can trigger rosacea, such as:

  • Spicy foods
  • Alcohol
  • Dairy
  • Sun exposure
  • Emotional stress
  • Intense exercise
  • Harsh weather

How is rosacea treated?

Since the cause of rosacea is widely unknown, there is not a cure. However, by identifying and avoiding the triggers that seem to aggravate your condition, rosacea can be much more manageable. According to the NRS, 96% of individuals suffering from rosacea said they saw a reduced number of flare-ups when they avoided factors they believed were triggers.

Since your symptoms differ depending on your rosacea's subtype, treatment varies from person to person. Dr. Zand will design a treatment plan that is tailored to your specific symptoms and needs. She often incorporates natural and botanical therapies that are effective and calming. She gladly answers any questions you might have and will help you choose the best regimen for you.

Remember, you are not alone. The sooner you make an appointment with Dr. Zand, the sooner you will want to show off your clearer complexion. Call or schedule an appointment online. We can’t wait to see you at our stunning waterfront office in southern Marin.


  • "I am so thankful for all Lexi and the Zand Dermatology Team has done for me. Not only did my skin condition and appearance improve but so did my confidence and self-acceptance. At first I thought nothing would be able to help me with my "problem", but here I am, only halfway through the journey of curing my acne and I already look and feel 100% better! I have been a patient here for about 5 months already and I couldn't be happier for choosing Dr Zand and Team to help me with my terrible acne and acne scars. "

    Erika F, Yelp

    "I came to Lexi with questions about hormonal acne, the occasional breakout popping up every month. She set me up with their custom treatment, a custom face wash, serum of sorts, and a moisturizer, and without fail, I have perfectly clear skin now, all month long. It was like magic! Pesky chin spots are gone forever! Whatever they perfected in those little bottles works wonders. Lexi is thorough, attentive, gentle, and furthermore goes the extra mile to really uncover what is needed for *you* specifically. "

    Ania K, Yelp

  • "I came to Dr. Zand with dreadful hormonal acne that started in my 26th year out of nowhere, and I was beyond desperate. She is truly deserving of 100 stars out of 5. Not only did she completely cure my acne with an array of 3 inexpensive products, but she is the most compassionate, kind, and truly caring doctor I have ever met-- along with being amazingly intelligent. I have 100% confidence in her, and have already been back for other skin issues. "

    Christina F, Yelp

    "So, so happy with my results sticking to Dr. Zand's topical treatment protocol for hormonal acne. Went in a month ago and already am seeing great results. I highly, highly recommend Dr. Zand and her team! Such a lovely environment; everyone is really warm, friendly, and helpful. :)"

    Erica A, Yelp

  • "Dr. Zand is the best, she is so lovely! A real perfectionist and a first class Doctor. She fixed my acne scarring with injections and it looks amazing! I thank my lucky stars everyday that I found her! I would recommend her in a minute."

    Brenda S, Yelp

    "My daughter started to develop worse acne which was starting to upset her. I recommended that we find a dermatologist. Found Zand on Yelp. They recommended a prescriptive face wash that resolved her acne within weeks. The cost was very reasonable. Very pleased."

    Rob R, Yelp

  • "Dr. Zand is simply the best! She's brilliant at ascertaining the problem and finding the appropriate solution. I had an awful acne outbreak that wouldn't go away for months and she prescribed a treatment that got rid of my problem within one week. Added to which she's incredibly warm and genuine, a lovely person, and everyone in her office is as well! I can't recommend her highly enough!"

    Greg Z, Yelp

    "Dr. Zand is amazing! As a patient with acne, I have had a lot of doctors that are insistent that certain products or regimes will work without asking me. Dr. Zand was very kind and engaging and asked me what I felt most comfortable with. She also has the best prescription products ever! They saved my skin"

    Sarah L, Yelp

  • "Dr. Zand has been my dermatologist for many years. She is thorough, patient, kind and thoughtful. Not to mention absolutely brilliant and extremely personable! She always answers my questions and incorporates natural treatment options that are research-based. I am most grateful for Dr. Zand for treating my stubborn adult acne which is now completely cured. She presented me with various treatment options and we worked together to decide on the treatment plan that would be best for me. Her plan was creative, incorporating several treatment modalities (topical treatments, oral treatments, and laser) and even addressed scarring. My skin has never looked better - people are shocked when I tell them I once had severe acne."

    Sophie G, Yelp

Detailed List of Services

  • Medical + Surgical:

    • Meticulous scalp-to-toe full skin examinations
    • Early skin cancer detection and ongoing surveillance
    • Comprehensive mole checks using dermoscopy
    • Mole mapping / total body photography
    • Surgical treatments for melanoma, BCC, and SCC
    • Minimally-invasive treatments for skin cancers
    • Mohs micrographic surgery for facial skin cancers
    • General dermatology including acne, rosacea, rashes, eczema, dermatitis, warts, skin allergies
    • Holistic and integrative dermatology
    • Surgical removal of moles, lipomas, growths
    • Detailed education provided about your skin findings and treatment options

    • Cosmetic Consultation to identify goals, maximize results within your budget, and help restore confidence in your appearance
    • Neuromodulators (Botox, Dysport, Xeomin) to reduce frown lines, forehead lines, and crows feet – extremely natural approach that maintains movement but without making lines
    • Aesthetic fillers (Juvederm, Restylane) to soften smile lines, dark circles under the eyes, acne scars
    • Voluma and Radiesse for mid-face and temple recontouring
    • Lip enhancement – subtle plumping, absolutely no “duck lips” 
    • Hand rejuvenation to fill volume loss and erase sun spots
    • Ear lobe repair
    • Removal of sunspots, skin tags, angiomas (red bumps)
    • Sclerotherapy for spider veins on the legs