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Couture Dermatology and Plastic Surgery
Las Vegas, NV
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Practice website
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Aetna
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Cigna
Empire Blue Cross Blue Shield
Health Plan of Nevada
Coventry Health Care
Golden Rule Insurance Company
Sierra Health and Life Insurance Company, Inc.
United HealthCare Insurance Company
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Bio
http://couturemedical.com/
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Dermatology
Doctor Q&A
130 Answers
44 Agrees
The number of answers this doctor has agreed with.
A 33-year-old male asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Needs HIV test: It's impossible to say without examining the patient, and there are certainly a lot of reasons other than aids to have dark spots on the body. That b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Chronic rubbing?: Lichen simplex chronicus is a thickening of the skin caused by chronic rubbing or scratching. A fissure usually tends to be more painful than itchy, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
See your doctor: A painless blister, or chancre, can be the first sign of a syphilis infection. Please see your doctor as soon as possible, even if they go away.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Less likely: While you can get scabies on your face, it is less likely in an adult with a normal immune system. Scabies mites are typically in the web spaces oh th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A female asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Itching improving?: The itching should be improving. Symptomatic relief is the best indicator that it is improving. If you are still having problems, you may need to se... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 34-year-old female asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Massage, steroids: Massage is clinically proven to help break down scar tissue, so massage the scar for 15 minutes every night. In my practice, I also use monthly stero... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 16-year-old female asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Acne? Pityrosporum?: Clusters of red itchy bumps on your body could be acne, but it could also be pityrosporum folliculitis. Acne can be treated with any of the over the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Prenatal vitamins: You should already be on a prenatal vitamin. Your obgyn will monitor your bloodwork during your pregnancy and make recommendations if you require add... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Clear fluid?: Blisters are typically filled with clear fluid and have a very thin layer of skin covering them. Warts tend to be very firm and develop thicker layer... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Definitely: A boil causes such severe inflammation in the skin that it is not uncommon for the skin to remain swollen after the boil drains. Another possibility ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 49-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Cherry angiomas: It sounds like you're describing cherry angiomas. These are extremely common little collections of blood vessels that you get more of over time. They... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 29-year-old male asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
It can be.: It can be completely normal, especially if you have skin of color or are overweight. It may just be the result of chronic friction from walking, clot... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
No: Betnovate is a strong topical steroid that should not be used on the face for excessive periods of time. While the anti-inflammatory benefits will he... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
No symptoms: Some people may not be prone to exhibit symptoms with scabies or any other insect bite. Some people release more histamine in response to bite reacti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Yes: Waxing burns are usually superficial and tend to fade with time. If needed, you can use an over-the-counter or prescription fading cream that contain... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Not exactly.: Folliculitis typically appears like red pus bumps, with each bump forming over a hair follicle. Herpes is typically described as a crop or cluster of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Skin vs. slides: A dermatologist is trained in the clinical appearance of diseases related to the hair, skin, and nails. A dermatopathologist examines skin specimens ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
No: A little coffee should not impact your acne one way or another. Be sure you are drinking plenty of water and avoiding excessive dairy products. That... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 49-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Scratching?: Excessive scratching or rubbing can cause a mosquito bite to discolor further and look worse than it is. Try using an over the counter Hydrocortisone... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Clogged follicles: The ear has follicles just like skin on the face and other parts of the body. Pimples are caused by bacteria, oil, and clogged pores. It is relative... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Depends : Some benzoyl peroxide based washes are meant to be washed off. Cream and gel preparations are meant to be left on. The type of benzoyl peroxide dicta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 20-year-old male asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Tell your doctor: Hair loss is common after stopping or adjusting thyroid medicine. Please let your doctor know this is happening, as you may need to resume your thyroi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Could be cellulitis: Please see your doctor immediately. Often, patients who think they have a spider bite actually have a skin infection. Red streaks coming from the af... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Not really: Epiduo is a combination of benzoyl peroxide and adapalene. While it is an excellent choice for acne, and the Adapalene may slightly help to lighten d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
First web space: The skin between the thumb and pointer finger is called the first web space. The anatomic snuff box is the area between the thumb and the pointer fin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Yes: Eczema can cause lightening or darkening of the skin as it resolves, depending on your skin tone. True depigmentation of the skin as in vitiligo does... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
No: Bacitracin is only one ingredient in neosporin. Neosporin is a topical antibiotic that contains neomycin, bacitracin, and polymyxin b. As long as yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
See your doctor: While vaseline can help soothe scabs in your nose, you may require an actual treatment in order to get rid of them. Many people carry staph aureus ba... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Topical steroids?: Stretch marks occur when the skin grows or changes so fast that it cannot maintain the integrity of the underlying skin. Collagen bundles can be stret... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Please see a doctor: Lots of things can cause a bump in the nail. Some reasons are more benign, like warts, fungus, and nail trauma. Other causes can be more serious, inc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Neither: Shea butter is an excellent moisturizer, but it neither lightens nor darkens the skin.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
No: Fucidin cream is a topical antibiotic that treats numerous topical (except for pseudomonal) infections. It contains sodium fusidate. As far as I am aw... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A female asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Miconazole: You can try over the counter prescriptions with miconazole. If the ringworm is in the scalp it is going to require prescription medication to treat.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 30-year-old male asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Please see your derm: It could be female pattern alopecia, but it could also be related to an underlying medical problem. In a young woman, it is necessary to rule out iro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Will moisturize only: The gold standard for lightening dark marks is hydroquinone. You can purchase fading creams that contain 2-3% hydroquinone without a prescription (amb... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 27-year-old male asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Saw palmetto: The best herbal treatments for male pattern baldness are saw palmetto and swertia japonica. In male pattern baldness, DHT attacks and kills susceptibl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 50-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Maybe normal: It's completely normal to lose 50-100 hairs per day. It may seem like a lot, until you realize that there are over 100,000 strands of hair on your hea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4k viewsReviewed >2 years ago
A 30-year-old male asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Maybe flat warts?: It sounds like you may be describing flat warts. Flat warts are caused by the wart virus and produce very small, flesh colored bumps in the affected ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 30-year-old female asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Fading creams: The gold standard for lightening dark marks is hydroquinone. You can purchase fading creams that contain 2-3% hydroquinone without a prescription (amb... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Toothpaste is drying: Toothpaste is well established as a home remedy for acne. Unfortunately, other than being drying for active pimples, it is not particularly helpful. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
At least 8 weeks: When using any topical medication for acne, it takes at least 8 weeks to see the optimal efficacy of the medication. In my opinion, it is best to use... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Please stop picking!: If picking at your skin is a nervous habit, give your hands something else to do. I like the squeezable stress balls you can purchase at the dollar st... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 31-year-old female asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Get a blood test: It's hard to say if you had a false positive because it is so early. While most hpts are pretty accurate, some will be inaccurate early on. Since you ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.5k viewsAnswered >2 years ago
A 22-year-old male asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Yes: Have both of your breasts developed normally? There is a condition known as poland's syndrome where one breast (and in severe cases, the underlying pe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Yes: It sounds like you are describing a yeast infection. Try over the counter Miconazole preparations. If you are still having symptoms, be sure to see ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Can start very early: Body odor, aka bromhidrosis, is caused by several components of the skin flora, most commonly corynebacterium, propionibacteria, and staph aureus. If... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 37-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Keratosis pilaris?: If you are talking about numerous asymptomatic, firm red bumps on the outsides of your arms, then it sounds like you are describing keratosis pillars.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
It can.: If this is your primary outbreak of herpes, it could cause a significant amount of tenderness and swelling. Please see your dermatologist for correct... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 32-year-old member asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
See your doctor: Please see your doctor, as there is an endless list of possibilities regarding a red rash on your hand. It could be hand eczema, dishydrotic eczema, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Candace Spannanswered
Dermatology 23 years experience
Lipomas: It sounds like you're describing lipomas. Lipomas are benign, usually asymptomatic, flesh colored nodules that are made up of fat. They can be surgic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
154
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Spann is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Spann is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! This is very helpful because I been using it on my face for quite sometime and was wondering why my face was getting worse.
HealthTap member
This made me feel good. Thanks! Thanks a lot for your help. It helped me a lot and I am now very comfortable. The credit is all yours.
HealthTap member
Thank you, your answer was very helpful! Wow.Definately does not sound like a simple dandruff issue.Thank you!
Education & Training
Medical/Graduate school
Meharry Medical College School of Medicine, TN
Graduated 2000MD
Residency
COLUMBIA HOSPITAL- St. Luke's-Roosevelt
Awards
patients choice award of 2012
2011 Compassionate Doctor Award
2010 Compassionate Doctor Award
Affiliations
University Medical Center Las Vegas
Summerlin Hospital Medical Center
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