Category Archives: skin care

Sun Hygiene Activities

Consistent sun hygiene includes regular use of sunscreen or sunblock.

In a recent interview with I coined the term “sun hygiene” to specifically refer to those activities that are proven to help maintain your skin in healthy condition while outdoors. Dermatologists talk frequently about the ways to protect your skin from the damaging effects of ultraviolet radiation, and dentists talk frequently about the importance of good dental hygiene to maintain your teeth and gums in a healthy state. In essence, care of your skin needs to follow the same daily routine that you pursue for dental health. The care, when it comes to your skin, goes beyond just the use of sunscreen, which is critical, but involves a whole range of simple steps that will help your skin stay healthy and attractive throughout your life.

Here are five key steps to effective sun hygiene: Continue Reading »

Dermatologists recommend an annual total body skin examination as a means to identify skin cancer and melanoma at its earliest most treatble stage. While melanoma and skin cancer can be dangerous, the good news is that careful monitoring of your skin allows you to become better aware of the moles and skin growths so that abnormal lesions can be identified and changes in moles will be more apparent. While the majority of skin cancers are probably identified by the patient or partner (female spouses and partners are best at this in my opinion), there are often lesions that are not of concern to the patient but identified by the doctor as suspicious and therefore in need of biopsy or close monitoring.

The Total Body Skin Exam

When we say “TOTAL” we mean “TOTAL”. The proper exam is performed in a well lighted room with the aid of a magnifier if necessary. The doctor or other specially trained care provider should be systematic and study the skin from the scalp to the feet, including often ignored areas like the palms, soles and in between the toes. One patient told me his dermatologist did not want to examine his scalp because “he had too much hair”. Most balding men would view that as a good problem to have but its not an excuse to perform an inadequate exam. Scalp should be examined carefully ( in many people the scalp has received much sun over the years). Hair should be parted with fingers, a comb or even a hair dryer set on cool. Many people are surprised by how fast some doctors perform a full skin exam. In fact, skin examination is all about pattern recognition and at a first pass very concerning lesions do jump out. Closer exam of these lesions is then necessary. The length of the exam is less important than its completeness and your sense that it has been thorough. If you are wearing naill polish, you must return to have the doctor examine your nail area or make sure you do so yourself when the polish is removed. There has been a spate of new products and machines  that claim to systematically scan for moles and skin cancer. Most of these are just sophisticated digital imaging methods that serve as an aid to identify lesions of concern but are not in themselves diagnostic tools. For now the best computer for melanoma identification resides between the two ears of the dermatologist.

In addition to the annual full skin exam, people at high risk for skin cancer:

1. people with fair hair, fair skin or blue, grey or green eyes

2. people with a family history of skin cancer or melanoma

3. people who have had blistering sunburns in childhood

should all be seen a second time each year for examination of the high risk sun exposed areas. After that follow the recommendation of yoru dermatologist for a follow-up plan unique to your situation

Moles of concern include those that are greater than 6-7 mm (the size of a pencil erase); asymmetric (when folded over in your mind’s eye the halves don’t match); change in color including presence of black, red or white colors; irregular rather than smooth rounded borders; moles that itch or bleed and, perhaps most important, moles that you are concerned about. Very often patients will point out lesions that bother them thouh they can’t say why. I teach my residents that those must be biopsied. Patients have  a sixth sense about their body and this must be respected by the doctor.

As sure as the swallows return to Capistrano, and Springtime arrives patients flock to their dermatologists’ office seeking assurance about specific skin lesions and looking for guidance about just how much sun they can get during the coming summer months. Due to extensive public education, superb articles in monthly magazines, and the general prevalence of quality information on the Internet it would seem that there is no legitimate excuse to be unaware of the well proven, incontrovertible relationship between ultraviolet radiation from the sun and the development of skin cancer. Continue Reading »

Sun Smart Tips

  1. Apply sunscreen or sunblock with Sun Protection Factor of 15 or higher.
  2. Use broad-spectrum sunscreen, as listed on the label, to protect against ultraviolet B, the cancer causing rays, and ultraviolet A, the skin aging rays. Continue Reading »