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Moles and Melanoma

benign nevusMost moles are harmless. Changes in a mole’s size, shape, or color may be a sign that melanoma is developing. A normal mole is usually an evenly colored dark to light brown or tan spot on the skin. It can be either flat or raised. It can be round or oval. Moles are generally less than ¼ of an inch across. A mole can be present at birth, or appear during life. Moles can fade away in later years. New moles that appear after age 30 should be checked by a doctor.

Melanoma is the most dangerous type of skin Cancer. The most important warning sign for melanoma is a new spot on the skin or a spot that’s changing in size, shape, or color. Another important sign is a spot that looks different from all of the other spots on your skin. The ABCDE rule is another guide to the usual signs of melanoma. Some melanomas do not fit the rules described above, so it’s important to tell your doctor about any changes or new spots on the skin, or growths that look different from the rest of your moles.

Seborhheic Keratoses

OLYMPUS DIGITAL CAMERASeborrheic keratoses start as small, rough bumps. They slowly thicken and often develop a warty surface. They range in color from white to tan, brown or gray.  These common skin lesions can look threatening but are not cancerous and are easily treated.

Melanoma

Melanoma is the most dangerous type of skin Cancer. The most important warning sign for melanoma is a new spot on the skin or a spot that’s changing in size, shape, or color. Another important sign is a spot that looks different from all of the other spots on your skin. The ABCDE rule is another guide to the usual signs of melanoma. Some melanomas do not fit the rules described above, so it’s important to tell your doctor about any changes or new spots on the skin, or growths that look different from the rest of your moles.

Click here for a skin self-examination form from the American Academy of Dermatology. 

Actinic Keratosis

Actinic KeratosisActinic keratosis refers to small rough or scaly spots that usually they start on the face, ears, backs of the hands, and arms. They are caused by sun damage and can be easily treated to prevent progression to squamous cell carcinoma.

Squamous Cell Carcinomas

Squamous Cell CarcinomaSquamous cell carcinomas are superficial skin cancers that look like growing lumps, often with a rough, scaly, or crusted surface. They may also look like flat reddish patches in the skin that grow slowly.

Basal Cell Carcinomas

Basal Cell CarcinomaBasal cell carcinomas often look like flat, firm, pale areas or small, raised, pink or red, translucent, shiny, pearly bumps that may bleed after a minor injury. They may have one or more abnormal blood vessels, a lower area in their center. Large basal cell carcinomas may have oozing or crusted areas.

Acne

The treatment of acne should be tailored to an individual‘s expectations and tolerance of treatment.  We offer management ranging from topical therapy with peroxides, antibiotics and retinols (Retin A), to oral therapy with antibiotics, antifungals and hormonal therapy.  For our most difficult acne patients we can offer isotretinoin (Accutane), a medication that requires commitment and monitoring but can be completely curative. 

The challenges of successful acne therapy have taught us to coordinate care with aestheticians for adjunct services like microdermabrasion, and have expanded our interest in medical grade cosmetic lines and cosmetic dermatology.