Tag Archive for: Dermatologist

As Summer comes to end a visit to your dermatologist is recommend. Having a whole body check is imperative for healthy skin. Skin cancer can be avoided and prevented and early detection is crucial.

Types of Skin Cancer

There are many types of skin cancer but the three we hear the most about are Basal cell carcinoma (BCC), Squamous cell carcinoma (SCC) and Melanoma. To the naked eye these can all look similar which is why it is imperative to see your Dermatologist once a year for a full body scan. If you notice something different or new on your body go see your doctor. All of these skin cancers can be cured or treated if detected early. SCC (in rare cases) and Melanoma more frequently can cause death if they grow and spread. Learn the symptoms and get checked. Most likely anything you find is in very early stages and is easily treatable. Knowledge is your greatest weapon.

1. Basal Cell Carcinoma

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  • Found in outer most layers of the skin
  • Can be disfiguring if allowed to grow
  • Very rarely metastasizes (spreads)
  •  Most common form of cancer

Symptoms/Warning Signs

  • Open sore that bleeds
  • Red patch (can be mistaken for rosacea)
  • Shiny bump
  • Pink growth-can be elevated with a depression in the middle
  • Scar like looking area that can be void of color and looks stretched and shiny

2. Squamous Cell Carcinoma

SCC 1

 

 

 

 

  • Found in upper layers of skin
  • Can cause disfigurement if allowed to grow
  • Can cause death if allowed to grow (although very rare)
  • Grow deeper into the skin than BCC
  • Usually found on face, ears, lips, neck and tops of the hands

Symptoms/Warning Signs

  • Thick and rough sore
  • Scaly red sore
  • Red patch/crusty/bleeds
  • Sore with irregular boarders and crust
  • Can be brown/darker than BCC
  • Can look like a wart
  • Can be elevated with depression in middle

3. Melanoma

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  • Caused by mutation of cells found in the pigment of moles and freckles.
  • DNA is mutated due to UV exposure or predisposition
  • Can cause death
  • Can return once treated
  • Can develop without having had over UV exposure or sunburn
  • Can spread fast

Symptoms/Warning Signs

  • Asymmetry
  • Changes in size or color(pigment) of an existing mole
  • Uneven boarders of a mole
  • Can be black in color or brown
  • Can be pink in color or multi-colored
  • Diameter can be large but not necessary
  • Cancer can show up in places we may not always think to check. Seeing your Dermatologist once a year can put your mind at ease and possibly save your life.

A few areas skin cancer can show up are the following:

  • Moles – look for change is size, color or shape
  • Nail beds
  • Scalp
  • Soles of feet
  • Palms of the hands

Protection and prevention are the greatest tools for staying healthy and skin cancer free. Always remember if something looks or feels different or abnormal see your Dermatologist.

Going into the Summer season there is so much to be excited about – longer days, BBQ’s, Sun, Sand and beach, but it’s also a time where we need to put skin protection on the top of our list. We sat down with Dr. G to understand what being “Sun Safe” really means and also learn about some post-sun skin tips from the king of reversing sun damage.

photo via @graymalin

What are your sun protection recommendations for someone dealing with rosacea?

“The sun is arguably the most common trigger for Rosacea. Rosacea suffers need to be particularly sun smart and practice what I like to call ‘Smart Sun Safety’ or SSS. SSS consists of the use of a physical sunscreen, containing Titanium or Zinc oxide, protective clothing (which includes a hat and sunglasses) and not being exposed to the sun during high-risk hours of the day. When choosing and SPF avoid ingredients such as phalates, sulfates, artificial fragrances, preservatives and mineral oil. A physical sunscreen is always better in my opinion than a chemical one. Chemical sunscreens, due to the nature of having to be absorbed into the skin, can interact and cause irritation, rashes or clogged pores. Dry mists or sprays may be more beneficial for Rosacea suffers as there is no rubbing of skin needed thus possibly aggravating skin and causing more redness and irritation. Post ‘sun care’ is very important for Rosacea suffers also. Look for calming ingredients such as green tea, red tea or chamomile, which target redness, inflammation and irritation while delivering a cooling sensation.”

Sun protection before make-up is one thing, but is it necessary to reapply SPF during the day?

“Reapplying sunscreen throughout the day is crucial to proper sun protection. When in direct sun (at the beach, pool or on a boat), sunscreen should be reapplied every 30-45 minutes. Sunscreen should always be reapplied after swimming even if you have on waterproof sunscreen. A physical sunscreen is always better than a chemical one. Chemical sunscreens, due to the nature of having to be absorbed into the skin, can interact and cause irritation rashes or clogged pores. Another downside to a chemical sunscreen is that the sun has to actually touch and reach the skin, whereas a physical sunscreen is blocking the UV rays from ever touching the skin.”

And if so, what are your recommendations for reapplying sun protection after make-up?

“A dry mist or spray will allow over and after makeup coverage without messing up makeup and adding bacteria from the fingers to the skin.”

Are there any products outside of an SPF that we should be using to prevent against harmful UVA/UVB rays? 

“The use of potent anti-oxidants have been proven to fight against free-radical damage (from UVA/UVB rays and environmental stressors) that break down skin cells and cause premature aging. Using a potent-packed anti-oxidant rich daily serum is equally as important as SPF to ensure that you are protecting the skin on multiple levels.”

What are three routine related things people should do/no do before visiting a clinic for a treatment – specifically to reverse sun damage (pigmentation/dehydration)? And why? (ie: are there ingredients they should avoid, medications, drinking water etc.)

Do not exfoliate, use peels or Retinoid type products the night before or morning of the facial, especially if you tend to be sensitive. A reputable spa will usually request paperwork be filled out listing any medications being taken or applied topically. The aesthetician should ask you if you’re taking medications or using Retin-A or retinoid products. Since Retinoids are aggressive they do not mix well with ingredients like Glycolic and Vitamin C to name a few. Some skin types can handle it but most will be irritated, so why take the chance.

Why is exfoliation important for maintaining healthy, youthful skin?

Exfoliation is extremely important. The removal of dead skin cells will make skin look younger, tighter and absorb treatment products better.”

What does ‘un-exfoliated’ skin look like?

“I always use the example of an unpeeled onion. Before an onion is peeled or skin is exfoliated it appears dry, crackly, dull and lackluster. Un-exfoliated skin can look rough, uneven and have dark spots, as there is a build up of dead skin cells, dirt and bacteria.”

What are some mistakes people make when it comes to exfoliating?

“Over exfoliation is a common mistake people tend to make. Over exfoliation can occur from overuse (too many days in a row), too harsh of an acid for specific skin types (sensitive skin does better with Lactic acid as opposed to Glycolic), scrubbing too hard, or mixing too many exfoliation ingredients at once (don’t scrub and peel together). Over exfoliation can also happen if skin is already dry, sunburned, wind burned or during seasonal changes.”

What are your top recommendations for exfoliating at home?  

Exfoliate skin two to three times a week, unless you suffer from rosacea or eczema. Depending on the season and climate, exfoliation can be increased or decreased. Both physical and chemical exfoliation is recommended but never on the same day. Rosacea and Eczema suffers should use chemical exfoliators and gentle gel based cleansers.”

What is the best way to treat a sun burn? 

“While skin is still damp, use a gentle moisturizing lotion (but not petroleum or oil-based ointments, which may trap the heat and make the burn worse). Repeat to keep burned or peeling skin moist over the next few days. The use of an anti-inflammatory serum is also recommended – look for ingredients like aloe vera, red/green/black tea and Vitamin E as it helps to soothe aggravated skin and reduce redness.”

What is one surprising complexion cures you’ve learned on the job?

“I’ve been in practice for over 40 years and one cure I always recommend and go back to is a cold compress. Cold compresses relieve issues related to sunburn, bug bites, redness, itchiness, inflammation and can be made anywhere. Sometimes simple and natural is the best.”

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The skin under the eyes is quite different from the rest of your face, and as you age, it reveals aging signs up to 20 percent faster than the rest of your face (yes, scary!). That’s because of a whole confluence of disheartening factors. The skin here is extremely thin, with the lowest elasticity, firmness, and oil production, the worst barrier function (i.e. limited absorption of actives and poor protection from environmental stressors) and , and often times develops the deepest wrinkles. Here’s what you need to know and practice with your eye treatments through the decades.

20’s – Prevention (and late night recovery repair)

Woke up looking as rough as you feel? 20’s are a decade of work hard, play hard.

Treatment: In need of a quick fix to telltale signs of overindulgence and under-sleeping, like puffiness and dark circles, look for eye creams that contain anti-inflammatory fighting ingredients like Vitamin K, Arnica, Caffeine and/or soothing tea extracts.

30’s – The first signs

We begin to see some signs of aging in the early 30’s. These changes include hyperpigmentation or”dark circles” around the eyes. Additionally, we may begin to see some fine lines and textural changes around the eye area due to the thinness of the skin.

Treatment: Antioxidant and anti-inflammatory creams containing vitamin A, C and E can also help to ward off free-radicals and give an extra boost to collagen production (hello enhanced plumpness to the skin). By building collagen the treatments help to minimize the appearance of dark circles that are in-part caused by blood vessels close to the surface of aging, thinner skin and reduce inflammation around the eye area.

40’s – Age is here to stay

Throughout the 40’s, dark circles may become more prominent, along with more visible lines. Even after getting ample sleep (8 hours), your eyes are giving you that “tired look” even when they feel fresh; we’ve all been there!

Treatment: Retinol creams or for those who can tolerate them, gentle prescription-strength retinoids can be helpful. These creams help to increase cell turnover thereby minimizing dark-circles and textural changes. They also can help stimulate collagen production thereby preventing volume loss down the road.

50’s +- Soften Wrinkles

Say no more…

Treatment: In addition to continuing to use products that contain retinol, anti-oxidants and skin rejuvenating properties, peptide-based eye creams often present an effective alternative (especially if you have sensitive skin) if you’re looking for a way to avoid dermal fillers or plastic surgery. Peptides are designed to provide collagen-boosters (say goodbye to those stubborn fine lines) to your skin and improve circulation, so you can often expect reduced darkness and an increase in skin plumpness and elasticity.