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Alison Collier Urges Women Who Have Had Breast Cancer to be on the Lookout for Melanoma Alison, a breast cancer survivor, shares the hopeful message that regular screenings for breast cancer and melanoma can "change everything"   Seven years ago, when love brought Cara Mia Dermatology Nurse Practitioner Alison Collier back to Colorado from New York, she had no idea her expertise in skin cancer and, soon after, her own courageous fight with breast cancer, would make her a powerful voice for a little-known but critical fact: …Women who have had either breast cancer or melanoma are at a higher risk of developing the other. Because of this, they should routinely screen for both. After a long-distance relationship with a Colorado native (now her husband), Alison, a Denver native, returned home and joined Cara Mia Dermatology. Today, she works from their Poplar Street and Ogden Street locations. Alison received her Bachelor of Science degree in nursing at the University of Colorado and her Master of Science degree in nursing at Columbia University in New York, followed by a rigorous two-year dermatology training program encompassing medical, cosmetic, and surgical dermatology, at a very busy practice in New York City. “I love dermatology because every day is different. The skin is not only the largest organ, it is the most visible, and one of the greatest indicators of your overall health.  Often, I know what my patient is dealing with as soon as I walk into the examination room.” She finds deep satisfaction in treating common and complex skin conditions in patients of all ages, from eczema in children to teenage acne to aging or sun-damaged skin in adults. Many conditions she treats require long-term management. She also diagnoses and helps treat skin cancer and has assisted in advanced Mohs surgery. A Survivor’s Story: Turning Pain into Purpose Three years ago, Alison was diagnosed with breast cancer. “It was shocking,” she says. “I had no symptoms and it was actually random that I found it. My gynecologist suggested genetic testing, and it turned out I carry the BRCA2 gene mutation, and my father is a carrier.” Tragically, her mother passed away from breast cancer the same year Alison was diagnosed.“Finding out I was positive for BRCA2 probably saved my life,” Alison reflects. “I was able to take immediate action and underwent a double mastectomy. Because it was found early, I didn’t need chemo or radiation. Early detection gave me that chance.” Now under close medical watch with regular ultrasounds, Alison is determined to help other women understand that breast cancer survivors and those at high risk for breast cancer face higher risks of developing melanoma as both can share genetic and environmental triggers. In fact, women who have, or have had, breast cancer will also have up to 2.5 times the risk of developing melanoma. Knowing her history, Alison is also on high watch for other cancers including pancreatic and ovarian cancer, as well as melanoma. She recommends that everyone over 18, especially those with a genetic or family history of breast cancer, schedule annual Total-Body Skin Cancer Exams. Those at high risk for breast cancer should start screening early, with mammograms beginning at age 30 (or even earlier depending on physician guidance). Alison’s grandmothers lived to104 and 98. Yet, one of her grandma’s sisters had breast cancer and her brother had pancreatic cancer. “You can’t take anything for granted. Make these vital screenings a part of your self-care routine. Prevention is power.” Living Fully and Giving Back Now healthy, Alison is thriving. She and her husband welcomed a child just six months after her surgery. They enjoy hiking, traveling, and spending time together. “I’m grateful every day,” she says. “I’ve seen what late-stage cancer looks like with my own mom. Catching mine early changed everything. That’s why I’m so passionate about helping others do the same.” She plans to start her own children’s skin exams at age 15, to instill lifelong awareness. Early Detection Saves Lives “Early detection and regular Total-Body Skin Cancer Exams are essential,” said Alison. “They’re quick and the few minutes it takes to complete them can change everything. As a breast cancer survivor and skin specialist, I know how vital early detection is. Annual Total-Body Skin Cancer Exams can literally save your life.” For more information, talk to your Dermatologist or dermatology clinician. 

Study Shows Younger Women Should Prioritize Breast Cancer Screenings Wellness Planning Should Also Include Total-Body Skin Cancer Exams and Other Screenings Emphasizing Early Detection Read the entire study  Have You Had Your Annual Total-Body Skin Cancer Exam?   Recent research reveals a concerning trend: breast cancer rates are rising, particularly among women under 50. While breast cancer remains most common in older women, this uptick among younger women signals the importance of earlier and more frequent screenings. A comprehensive study conducted recently by the American Cancer Society found that rates of breast cancer increased by 1 percent annually between 2012 and 2021, with a sharper increase among women in their 20s, 30s, and 40s. Breast cancer diagnosis in younger women can pose special challenges. Younger women often face delays in diagnosis and treatment, as the disease is not typically expected in this age group. For women in their 20s, 30s, and 40s, the incidence of breast cancer has climbed by 1.4 percent annually. Despite these alarming numbers, many younger women are unaware that breast cancer screenings should be part of their wellness plan. That’s why it’s crucial to prioritize screenings, and not just for breast cancer. Total-Body Skin Cancer Exams should also be a part of every woman’s routine health care. Skin cancer is the most common cancer in the United States, and early detection can be lifesaving. While people of all ages should undergo regular skin cancer screenings, it’s especially important for those at higher risk — individuals with a family history of skin cancer, those with numerous moles, or those who spend a lot of time in the sun. The Power of Early Detection Regular screenings, including mammograms and Total-Body Skin Cancer Exams, increase the chances of detecting cancer at its earliest and most treatable stages. The U.S. Preventive Services Task Force recently lowered the recommended starting age for mammograms from 50 to 40. Meanwhile, skin cancer screenings can start as early as your 20s or 30s if you're at average risk, and even earlier if you have higher risk factors. Both breast and skin cancer have better outcomes when caught early. For breast cancer, localized tumors—those that haven’t spread beyond the breast—have accounted for most of the recent increase in diagnoses. But these cancers, while alarming, are also more treatable than advanced-stage cancer. Similarly, with skin cancer, detecting melanoma early significantly improves survival rates. A Holistic Approach to Wellness Annual wellness screenings should be a key component of every woman’s health plan. Breast cancer screenings like mammograms are well-known, but annual skin cancer exams by a dermatologist are equally important. Given the rise in early-onset breast cancer and the prevalence of skin cancer, it’s essential to make both part of your annual wellness routine. Scheduling them at the same time can help ensure that you stay on top of your health. As the rates of early-onset cancers continue to rise, the importance of comprehensive screenings cannot be overstated. Prioritizing your health means taking proactive steps to detect any issues early. Stay vigilant, stay informed, and most importantly, stay proactive about your screenings. Early Detection Saves Lives! Schedule Your Annual Total-Body Skin Cancer Exam Today

Debunking Sunscreen Myths: What You Need To Know June 18, 2025This article has been excerpted. Read the entire article.  Ask about Our Dermatologist-Recommended Sunscreens At Advanced Dermatology and Cosmetic Surgery, we offer dermatologist-recommended sunscreens in our offices and in our online shop. Brands we carry include Proscriptix FX, EltaMD, Obagi, Revision Skincare, Skinbetter Science, and ZO Skin Health. Our clinicians can help you choose the sunscreen that’s best for your skin type, activity level, and personal preference. Sunscreen Safety Is Backed by Science The FDA rigorously regulates sunscreen to ensure it is safe, effective, and high-quality. All active ingredients used in U.S. sunscreens are either FDA-approved or recognized as GRASE (Generally Recognized as Safe and Effective). The FDA continues to monitor these products based on evolving scientific evidence. Sunscreen ingredients undergo more testing and scrutiny than most over-the-counter products. Sunscreen Types and Choosing the Right One Both physical and chemical sunscreens are safe and effective. Choose the one that fits your skin type and comfort level: Physical (Mineral) Sunscreen How it works: Sits on the skin’s surface and reflects UV rays. Best for: Sensitive skin. Look for: Zinc oxide or titanium dioxide. Chemical Sunscreen How it works: Absorbs into the skin and soaks up UV rays like a sponge. Best for: Those who prefer a lighter feel andno white residue. Look for: Avobenzone, Octisalate,Octocrylene, Homosalate, or Octinoxate. Still Have Questions? Speak with a board-certified dermatologist about creating a sun protection plan that works for you.

Physicians in Advanced Dermatology Residency Program Distinguish Themselves Dr. Charles Dunn and Dr. Chloe Fernandez Receive Prestigious National Recognitions Dr. Charles Dunn and Dr. Chloe Fernandez, residents in our KCU-GME Consortium / ADCS Orlando Dermatology Residency Program based at Advanced Dermatology and Cosmetic Surgery (ADCS) , have each received prestigious national recognitions. Dr. Dunn received the James Bernard, DO, FAOCD AOCD Foundation Residency Leadership Award from the American Osteopathic College of Dermatology. The award was given for maintaining the highest personal standards of honesty, fairness, consistency, and trust, displaying professionalism, and providing knowledge, skills, authority and encouragement to fellow physicians and staff. Dr. Fernandez, (also pictured in the article photo), received the 2024 Resident of Distinction Award™ from  dermMentors™. As one of their five top dermatology residents, she received a sponsorship to attend the 2024 Maui Derm Hawaii conference, held in Wailea Beach from January 22-26, 2024. While there she attended scientific sessions as well as networking and mentorship events with thought leaders in dermatology. Now in its 13th year, the dermMentors™ Resident of Distinction Award™ recognizes top residents in dermatology for their standout research and dedication to their field. The KCU-GME Consortium / ADCS Orlando Dermatology Residency Program, focuses on the training of physicians with a passion for Dermatology. The program prides itself on specializing in medical, surgical and cosmetic dermatology for conditions of the skin, hair and nails. We also specialize in skin cancer prevention, diagnosis and treatment, pediatric dermatology and non-surgical cosmetic dermatology procedures.  

North America Outlook Features Advanced Dermatology's Patient-Centered Care Success Story A Mission to Deliver the Highest Quality Patient Care and Experience in Dermatology and Aesthetic Services   As Published in North America OutlookCallam Waller & Lucy PilgrimPublished Jan 15 2024 A cornerstone of the company’s founding mission, Advanced Dermatology and Cosmetic Surgery utilizes a relationship-based care model between patient and clinician to deliver premier healthcare. THE POWER OF A PATIENT-CENTRIC APPROACH Over the last decade, the dermatology industry in North America has significantly grown. This stems from an increasing awareness of the importance of skin health, and as the global population ages, there is a correlative uptake in the need for dermatologic care.   In addition, people of all ages are aware of solutions that address skin issues as we get older, with more and more addressing those problems at a younger age. With increasing options, they want to turn to a trusted practice.  Looking to the next 10 years, the need for quality dermatologic care and advanced non-invasive aesthetic services continues to grow.  “The way we deliver this continues to evolve. Ongoing research has led to the development of new treatments and therapies to address skin issues more effectively,” opens Dr. Matt Leavitt, Founder and Executive Chairman of Advanced Dermatology and Cosmetic Surgery (Advanced Dermatology).  “Part of the company’s evolution is its focus on value-based care – we prioritize educating our patients to focus on prevention and early detection.”  The aesthetics dermatology sector is also increasingly sought after, particularly cosmetic procedures such as BOTOX® Cosmetic, dermal fillers, chemical peels, and laser and energy treatments, which have all seen steady growth in recent years.  However, there is a limited availability of practicing providers who can meet the increasing demand, especially in certain geographies. This is compounded by widespread labor shortages in healthcare.  Fortunately, Advanced Dermatology has a substantial portfolio, expansive presence, and significant manpower to cater to the increased patient requirements. As one of North America’s premier dermatology practices, the company operates across more than 150 offices in 14 states, with a comprehensive team of more than 400 clinicians and 2,000 total employees.    As such, Advanced Dermatology has a commitment that is instilled in each team member to provide the highest quality care in dermatology and aesthetic services. RELATIONSHIP-BASED CARE Advanced Dermatology was first established in 1989 by Dr. Leavitt, who envisioned becoming a leader in the field. From the company’s inception, he understood that the organization’s success would be built on making patient care and clinician excellence the primary pillars of its success.  From this, the practice’s mission was clear – to deliver the highest quality patient care and experience in dermatology and aesthetic services.   As a result, the company has become an industry leader in treating patients for common and complex skin, hair, and nail conditions, providing critical, advanced skin cancer treatments, and using some of the most sought-after therapies available to reduce the impacts of age and the environment.  “We offer a wide array of non-invasive and non-surgical cosmetic and anti-aging treatment options, which are on the cutting edge of clinical research. Meanwhile, our dermatopathology labs provide high-quality, advanced diagnostic services,” Dr. Leavitt details.  The key to Advanced Dermatology’s expertise is its patient-centered healthcare, built upon a state-of-the-art, relationship-based care model.  “By building and maintaining positive and collaborative relationships between patients, clinicians, and clinical staff, we improve the overall quality of care by concentrating on the patient’s unique needs and preferences,” he adds.  As part of the model, the practice likewise focuses on the patient experience and closely tracks patient satisfaction via quality metrics to ensure that it provides the best possible care.  To further this, Advanced Dermatology fosters and nurtures relationships with primary care physicians (PCPs), who provide education about skin health, chronic conditions, preventative measures, and the early detection of skin cancer. LEVERAGING LEADING PHYSICIANS In concordance with its relationship-based model, the company also has a physician-led focus, stemming from its founding mission in which it was built from the ground up with patients at the center. So much so, that today, Dr. Leavitt still serves as the Executive Chairman.  Consequently, Advanced Dermatology prides itself on being physician-led, as its Medical Executive Committee leaders play a critical role in the company, advocating for state-of-the-art patient care and clinician engagement.  The committee is led by Chief Medical Officer, Dr. Mark Kaufmann, and comprises both region-specific and service-specific leaders, including representatives for aesthetics services, pathology, and Mohs surgery, bringing to the table an abundance of knowledge and understanding.  “As a physician-led organization, our staff provide direction, oversight, focus, and leadership regarding all aspects of clinical services and make recommendations for initiatives to continuously improve quality,” Dr. Kaufmann highlights.    Furthermore, Advanced Dermatology’s management teams and regional operators are focused on providing administrative support for clinicians, which allows team members to dedicate their time and energy to delivering premier care.   To further its clinician expertise, the company is committed to providing continuous education opportunities for both clinicians and residents.    Both Dr. Leavitt and Dr. Kaufmann, as part of Advanced Dermatology, have partnered with Derm Squared, an industry-leading education platform. Together, the two companies host quarterly advanced therapeutics update events exclusive to Advanced Dermatology’s clinicians, where they can receive the most up-to-date clinical care education with world-class leaders and earn continuing medical education credits.   Additionally, Advanced Dermatology offers an Accreditation Council for Graduate Medical Education (ACGME) accredited dermatology residency program designed to provide the clinical experience, educational resources, and mentorship support that produces exceptional dermatologists who engage in the ethical and compassionate practice of medicine.  The company also offers a comprehensive Physician Assistant and Nurse Practitioner Training Program, which provides didactic, clinical, and procedural training. This includes direct patient care led by board-certified dermatologists in a supervised, structured environment, as well as sub-specialty training areas, such as Mohs surgery.  “We standardize baseline clinical competencies to help ensure the best possible patient care and experience. We have successfully graduated over 70 advanced practitioners who have gone on to work in our clinics across the organization,” Dr. Kaufmann tells us. BEST-IN-FIELD TECHNOLOGY More recently, Advanced Dermatology has focused on identifying and implementing technology solutions and automation to drive better patient care, lower costs, and a high return on investment.  The solutions include patient reminder automation, online booking, and web chat, which have improved patient communication and the overall experience. Moreover, the automation of faxes, voicemails, insurance verification, and calling campaigns, as well as call center artificial intelligence (AI), have streamlined clinical operations.   "We are set on keeping up with technology changes in healthcare. One example is the implementation of check in kiosks within our clinics for a more efficient process. “Our operations dashboard has transformed our ability to manage day-to-day operations, while our clinics hold high-level and detailed information that is consumable by all field-level teams,” CEO, Brian Griffin outlines.   Given the size of the practice, Advanced Dermatology has also centralized administrative tasks for back office and surgery scheduling.   The company’s technological expertise proved vital in response to the COVID-19 pandemic, becoming agile in providing telehealth across its practices, which allowed patients to consult with dermatologists remotely.   On top of this, Advanced Dermatology has recently pursued licensure to deliver virtual care in additional states, to meet and stay up to date with the needs of innovative, national care provider groups and accountable care organizations.   “With this ability to deliver care virtually across most of the country, we continue to pursue partnerships with retail health providers, accountable care organizations, payers, and risk-bearing providers to operate as the preferred dermatology network,” comments James Philbin, Chief Development Officer. “Our operations dashboard has transformed our ability to manage day-to-day operations, while our clinics hold high-level and detailed information that is consumable by all field-level teams” Brian Griffin, CEO, Advanced Dermatology and Cosmetic Surgery SUPPORTING STAFF AND THE COMMUNITY The company prides itself on caring deeply for both its team base and local communities. Regarding the former, it is laser-focused on employee engagement and retention.   “Employee satisfaction matters from day one, and we provide our teams with onboarding resources and comprehensive training to set them up for success,” Griffin affirms.    In support of its team, the company established the Advanced Dermatology Hardship to Hope Foundation, a 501(c)(3) charitable organization, to provide short-term financial assistance to employees and eligible dependents who encounter financial hardship due to an unanticipated crisis or catastrophic circumstances.    The foundation has already had a positive impact on hundreds of Advanced Dermatology employees, most recently assisting team members affected by Hurricane Ian, in which the charity paid $92,000 to grant recipients.   Regarding the company’s corporate citizenry, Advanced Dermatology also provides free skin cancer screenings in the local community and leads in-person and virtual events to educate people on the importance of skin cancer prevention and early detection.   Meanwhile, the practice is consistently identifying how cosmetic dermatology is evolving to ensure that it has the best approach to treat its patients. This is evidenced by its investment in the latest devices, including CoolPeel®, Venus Versa®, and Hydrafacial™, while expanding into new injectables. The practice offers a wide range of treatments and skincare products, including its proprietary Proscriptix® FX skin care and hair care line.    “We will continue to adapt as new treatments emerge and patient needs evolve. Our aesthetics clinical leadership team reviews our services portfolio, clinical standards, and practices, and identifies pre- and post-care regimens to improve outcomes,” Griffin says.   Advanced Dermatology also works with a multitude of healthcare and cosmetic companies to stay on top of the latest advances in both medical and cosmetic dermatology to ensure it is leveraging the latest research and clinical studies to identify advanced treatments and ensure the best patient outcomes.  Advanced Dermatology provides a holistic approach to skin health, addressing both medical and aesthetic concerns. Coupled with a patient-centric focus and best-in-field physicians, the company looks forward to greater success. ADVANCED DERMATOLOGY AND COSMETIC SURGERY PARTNERS FOR THIS ARTICLE SKNVBiofronteraGeorge Tiemann  MiMedXRevision Skincare

Dr. Charlie Dunn Gives His Expert View on What Teen Skincare Should Be A Dermatologist's Guide to Teen Skincare Featured on TLC.com September 6, 2024This article has been excerpted. Read the entire article.    Like everything with teenagers, their skin can be unpredictable. Changing hormones, hygiene, and beauty regimens, nutrition, genetics, and other factors can all have an impact on the health of their skin. Recently, Dr. Charlie Dunn of Advanced Dermatology and Cosmetic Surgery answered questions posed by TLC.com about why it's never too early for tweens and teens to start caring for their skin. Dr. Dunn is a Dermatologist in our Port Orange and Deland - W Plymouth Ave locations What makes teen skincare different than adult skincare? "While adult skincare is typically catered toward dullness and aging, teen skincare is geared toward cleansing and managing conditions like acne and dry or oily skin. Teen skincare is often gentler as well, since the products used in adult skincare can be harsher which is damaging for teen's skin barrier." What is a good routine for tweens/teens to have? "Skincare is personal and one person's routine may not work for another. I typically recommend a simple, gentle skincare routine for common problems that plague teens' skin.  It's important to begin skincare routines with a face cleanser. For teens, especially those with oily and acne-prone skin, a face cleanser cleans the skin and clears pores that may be clogged. Clogged pores, when left untreated, can eventually cause the skin to become irritated and inflamed. I recommend teens use a face cleanser in the morning and at night. After washing their face, teens should pat their skin dry and use a moisturizer. Moisturizers hydrate and calm the skin and are integral in fighting dry skin and reducing premature aging. Like cleansers, there are moisturizers available for every skin type. Lastly, I recommend sunscreen for every skincare routine, not just for teenagers. Sunscreen is influential in protecting against harmful UV rays and can help to protect the skin's barrier and limit the risk of wrinkles or sunspots. Teens can use sunscreen after applying moisturizer or purchase moisturizers that include sunscreen. Today, many makeup brands even include sunscreen in their products. Regardless of how it is used, sunscreen is an important step in skincare routines to help slow aging and improve overall skin health. Face cleanser, moisturizer, and sunscreen are the three products needed for an effective skincare routine. From there, teens can begin to incorporate other products that may treat their specific skin concerns." Teens/tweens these days are really into a more is better approach buying up all the serums at Sephora and trying anything a beauty influencer tells them. Is more always better? Can using anti-aging when young have a negative impact? "No, more is not better. Teens should try not to overuse treatments, as that can clog pores and lead to inflamed and irritated skin. Harsh anti-aging products, such as retinoids, should not be used by teens as they can damage the skin’s barrier and cause breakouts, inflammation or dryness." Are there products or brands you WOULD recommend buying? Should they be child/teen specific?  "Teens don't need to use child/teen-specific products, if the products they are using are gentle. I recommend determining your teen's skin type (dry, oily, combination or acne-prone) and purchasing products that are compatible with and designed to treat their skin's condition. I recommend a gentle cleanser, moisturizer and sunscreen." From there, teens can begin to incorporate other products that may treat their specific skin type. Acne gels, for example, are beneficial in treating painful or inflamed acne spots, as the gel works to target clogged pores and acne-causing bacteria. These gels can help to reduce inflammation and exfoliate dead skin cells. Popular acne treatments often include salicylic acid or benzoyl peroxide. These products can cause dry skin so it's important to moisturize while using them. For teenagers with dry skin, niacinamide is a serum that boosts the skin's appearance, making it appear plumper and more hydrated. Vitamin C can be a great product for teens with dark spots or dull skin, as it helps to brighten the skin's barrier. Teenage-hood is obviously a popular time for hormones to be changing and with that skin. How often should teens revisit their skincare routine? "Teens should prioritize consistency in their skincare routines as that will help them achieve their best results. Should their skin continue to react poorly to their routine, they can slowly incorporate new products into their routine. I don't recommend trying an entirely new skincare routine at once though as that can cause breakouts. If the teen is not having any luck managing their skin, I recommend visiting a board-certified dermatologist who can help properly diagnose the skin and offer a more personalized skincare routine or treatment."  About Dr. Dunn: Dr. Dunn graduated #1 in his class at Wake Forest School of Medicine where he also served as class president. While there he became a junior inductee into the Alpha Omega Alpha and Gold Humanism Honor Societies; and was selected for the prestigious Leonard Tow Humanism in Medicine, Robert Perz Leadership, and WFSM Faculty Top Student awards - the only student ever to receive all three during medical school. After completing a pediatric residency at the Naval Medical Center Portsmouth, Dr. Dunn served in the U.S. Air Force Medical Corps as a pediatrician and pediatric hospitalist. He served as medical director for the Department of Pediatrics at the 673rd Medical Group Joint Base Elmendorf-Richardson in Alaska and was recognized as a Top 10 Primary Care Provider and "Pediatrician of the Year" in 2021 by the Uniformed Services and American Academy of Pediatrics. After leaving the service, Dr. Dunn pursued a dermatology residency at KCU/ADCS Orlando where he served as Chief Resident. Since then, he has received numerous awards from the American Academy of Dermatology, Florida Academy of Dermatology, and Florida Society for Dermatologic Surgeons for his work in artificial intelligence, public health, camp medicine for kids with medical needs, medical dermatology, surgical dermatology, and Mohs micrographic surgery. For more information, talk to Dr. Dunn, or your Advanced Dermatology and Cosmetic Surgery skincare specialists today. 

Detroit 4 News Anchor Shares Skin Cancer Journey Under the Care of Dr. Steven Grekin Drew Features Dr. Steven Grekin and Mohs Surgeon Dr. Michael Whitworth in Broadcast on the Prevention, Early Detection and Advanced Treatments of Skin Cancer  Detroit’s Channel 4 News Anchor Karen Drew has been very open in sharing with her viewers her recent journey with basal cell carcinoma, one of the most common forms of skin cancer. Drew is the anchor of Local 4 News First at 4, and is also an award-winning investigative reporter. “I want to share how I detected the cancer,” said Drew, who found a mark on her cheek that concerned her. “It was a dry, flaky spot that started to bleed sometimes when I washed my face. That may not seem like much, but my dad died from melanoma, so I’ve been going in for yearly checkups and carefully examining every mark and mole on my skin, worried it might happen to me.” I went to my dermatologist, Dr. Steven Grekin, Founder of Grekin Skin Institute which is part of Advanced Dermatology and Cosmetic Surgery, to get it checked out. A small biopsy was taken and it came back as basal cell carcinoma, the most common form of skin cancer. One in five people in the U.S. will get skin cancer in their lifetime, making it cancer’s most common type. “There are roughly 3.6 million cases diagnosed annually, so what I was dealing with wasn’t unique, but I’m sharing my story as a reminder for everyone to get their skin checked,” said Drew. “Not all basal cell carcinomas have the same appearance. They can appear as an open sore, a shiny bump, a reddish patch or irritated area, or maybe a scar-like area that is flat white or yellow in color. “Dr. Michael Whitworth was my surgeon for Mohs Surgery, a fairly fast in-office procedure where they numb your skin, mark the spot and remove thin layers, one layer at a time. The doctor then examines the layer under the microscope to make sure all the cancer is gone,” said Drew. Mohs is a highly effective treatment often used to remove skin cancer in visible or sensitive areas including the face. For Drew, it took two skin layer removals to remove all the cancer. “Bandaged up, the doctor told me to come back in six days to get the stitches out. Back at work, I have a lesson and a story to share: use 30+ SPF sunblock, reapply, limit sun exposure and get your skin checked.” Five days after her surgery, the great news is that Drew was “doing alright, and the cancer is gone.”

Newsweek's Best Dermatologists 2023 Ranking Features Six Advanced Dermatology Doctors Newsweek's Best Dermatologists 2023 Ranking Features Six Advanced Dermatology Doctors Advanced Dermatology is excited to announce that Newsweek and research firm Statista have named six of our own doctors to this year’s ranking of America’s Best Dermatologists, and one to this year's ranking of the nation's best Cosmetic Dermatologists. They include Savina Aneja, MD, who practices in our Advanced Dermatology Aesthetic Center in Winter Park, FL, and from two other Metro Orlando locations, Nathan Bibliowicz, DO, who practices in Clermont and The Villages, FL, Adam Leavitt, MD, who practices from three locations in Central Florida, Jere Mammino, DO, FAAD, FAOCD, who is our Director of Medical Education and practices in Oviedo, FL, Rajiv Nathoo, MD, who also practices in Oviedo, and Bill Steffes, MD, who practices in DeLand and Windermere, FL. The ranking recognizes the leading 175 medical dermatologists and top 150 cosmetic dermatologists. According to Newsweek's Global Editor in Chief Nancy Cooper, “Dermatologists are crucial in maintaining skin health, diagnosing and managing various skin conditions and promoting overall well-being. "Advancements in technology and research continue to shape the field of dermatology. New treatment modalities, diagnostic tools and an understanding of skin biology contribute to improved patient care and outcomes. Dermatologists work collaboratively with other healthcare professionals, such as primary care physicians, oncologists, plastic surgeons, and rheumatologists, to provide comprehensive care for patients with dermatological conditions. "Dermatology is vital in promoting good health, treating skin conditions and helping individuals feel confident and comfortable in their skin." Newsweek and Statista surveyed more than 2,200 dermatologists and other skin care professionals and identified what they consider to be the top 325 dermatologists in the 20 most populous U.S. states.

Dr. Sherry Maragh Interviewed by DC News Now About Basal Cell Carcinoma Dr. Sherry Maragh Talks to DC News Now About Basal Cell Carcinoma Following President Joe Biden's Skin Cancer Removal by: Cory James Posted: Mar 7, 2023 / 08:53 AM ESTUpdated: Mar 7, 2023 / 08:53 AM EST DC Times Now read the full article and watch the video , Dr. Sherry Maragh of Maragh Dermatology, part of Advanced Dermatology and Cosmetic Surgery with offices in Ashburn and Warrenton, VA, and Rockville, MD, was recently interviewed by DC Times Now about basal cell carcinoma (BCC). This most common form of skin cancer made global news recently when it was announced that in March 2023, President Joe Biden had a cancerous lesion removed from his chest, and that his wife Jill had had two skin cancer lesions removed earlier this year. In fact, one in five people in the U.S. will develop skin cancer in their lifetime, making it the most common form of cancer overall. Dr. Maragh has performed more than 5000 skin cancer surgeries with cosmetic reconstruction, and is recognized as a leader and expert in the field by both her peers and patients. When first developing, BCC often looks like a pink bump, similar to a pimple, but it doesn’t go away. It can also appear like a waxy bump, a flat and scar-like area, or a bleeding or scabbing sore that heals but keeps returning. With time, you may see spider veins in the growth. In the interview, Dr. Maragh talks about BCC, and the fact that it is the most common form of skin cancer. Because it is directly linked to sun exposure, one of the best ways to protect against it is to use sunscreen that is at least 30 SPF every time you go outdoors, and to reapply it every two hours. Protective clothing, including a wide brimmed hat, and staying out of the sun during peak hours are important as well. She also stresses the importance of early detection with an annual Total-Body Skin Cancer Exam by a dermatology professional. In addition to being a board-certified Dermatologist, Dr. Maragh is a Fellowship trained Mohs Micrographic Skin Cancer Surgeon. Dr. Maragh received her training at the prestigious Mayo Clinic Department of Dermatology and Dermatologic Surgery in Rochester, Minnesota. She then completed a highly competitive surgical fellowship training in Mohs micrographic skin cancer surgery with advanced facial reconstruction and minimally invasive cosmetic surgery.  She is a fellow of the American Academy of Cosmetic Surgery, and is also a fellow of the American Academy of Dermatology, the American Society of Dermatologic Surgery and the American College of Mohs Surgery.  For more information, talk to your Advanced Dermatology and Cosmetic Surgery acne specialists today. 

Happy You Year. Seven Resolutions for More Radiant Skin. Happy YOU Year. Seven Resolutions for More Radiant Skin. A new year is always a great opportunity to begin anew. Here are seven resolutions to make some changes that will help you achieve the glowing, radiant skin you desire. 1. Visit your Dermatologist Make a resolution to have your skin checked by one of Advanced Dermatology’s Dermatologists at least once a year and be certain to request your Annual Total-Body Skin Cancer Examsm. Our professionals can help you detect or treat common skin conditions like psoriasis, eczema, and acne – often while they are still minor, and before they become larger problems. They can also identify non-melanoma and melanoma skin cancers, which are often easily treatable and curable when detected early. Our cosmetic and aesthetic team can offer expert advice to help you achieve and maintain healthier, younger-looking, more glowing skin. 2. Don’t Go Out Without Your Sunscreen Baby, it may be cold outside, but that’s no reason to let your bottle of sunscreen hibernate for the winter. The cold doesn’t block the sun’s UVA (aging) and UVB (burning) rays, which can do as much damage to your skin against the backdrop of a snowy ski slope as they do at the beach. Be sure to use a broad-spectrum sunscreen with an SPF of 30 or higher. 3. Exfoliate More Try to exfoliate and moisturize your skin even more at this time of year. Getting rid of dead skin cells which can make your skin look dull can make room for fresh new skin. Our online shop has some great products designed to rejuvenate your skin. 4. Try to De-Stress Your Life The stress of paying for holiday bills, settling back into a work routine, or just planning for a new year ahead, can send your body’s stress hormones into overdrive; and that can greatly affect your skin, making it even more sensitive to external irritants. Look at ways to de-stress this year and to develop effective stress-coping strategies. Think about what relaxes you, whether it’s meditation, taking time to read a good book, exercising , picking up an old hobby or interacting with others. 5. Improve Your Diet Not only does eating healthier improve your waistline, it improves your skin. Look for delicious fruits and vegetables rich in antioxidants and vitamins. In addition, drinking too much alcohol can cause the vessels in your skin to dilate, which greatly increases the blood flow near your skin’s surface. As a result, you may develop an uneven, red complexion. Look for healthier ways to enjoy yourself and make your skin happy! 6. If You Smoke, Quit. Smoking is destructive to your skin, causes premature aging, and can thin your skin. It depletes Vitamin C and increases the risk of lung and other forms of cancer. The nicotine found in cigarettes can cause blood vessels to swell, and result in the thinning of skin. In addition to several other negative effects, smoking depletes Vitamin C from the body, which is necessary to keep your skin hydrated. Do yourself a favor this year and try to quit smoking. Not only will it help your skin remain healthier, over time it will also reduce your risk of developing lung cancer. 7. Treat Yourself to a Beauty Consultation with Our Cosmetic/Aesthetic Team We offer revitalizing treatments for your face and body including BOTOX®, fillers, Hydrafacial® skin, hair, lip and eye treatments, dermaplaning, microneedling, medical facials, chemical peels and laser therapies. Book an appointment online to talk with a member of our cosmetic dermatology team. Or visit our Online Dermatology Shop for dermatologist-recommended sunscreen, skin and hair care products.

Tami King Fights Breast Cancer and Raises Awareness About its Link to Melanoma, in an Epic Battle Worthy of a Queen Tamara King shares the important message of a breast cancer/melanoma link and the importance of early detection Although Tami King may have ties to “royalty” in name only, her fierce battle with breast cancer, waged with unparalleled grace and grit, have made her the “queen” of many, many hearts. Tami, who has worked for Advanced Dermatology and Cosmetic Surgery for six years, and is the location supervisor of offices in Islamorada and Marathon, is one of an estimated 300,000 women diagnosed with breast cancer each year. “Working with the nation’s premier dermatology practice, what I’ve learned is that women who have had breast cancer also have up to a 2.5 times greater risk of developing melanoma, skin cancer’s deadliest form,” said Tami. Spreading that message has become her passion professionally and personally. Tami’s Battle Begins Tami went in for her regular mammogram in July 2021. “They found a mass and I was referred for an ultrasound and other follow-up testing, as well as a breast biopsy. “I learned I had Triple-negative, BRCA-positive breast cancer, the same as my maternal aunt.” Having worked in a cancer center in Ohio, she knew that diagnosis was bad. Genetic counseling revealed this hereditary form of breast cancer likely ran in her family, and she shared the news with her sister. Fortunately, her sister does not have the gene. Tami had to wait five months between her biopsy and surgery. She underwent a double mastectomy the week of Christmas and was hospitalized twice for various complications. “I was supposed to start chemo in February, but I couldn’t because of the antibiotics I was on. Through all of this, I worked. I needed that. I even brought my IV pole to work.” Eventually she was able to start chemo. “You gain weight and your hair falls out, and that sucks,” said Tami. “But the support I received from everyone was amazing. My husband, brother-in-law, son, my husband’s fishermen friends, even a friend of ours who is an electrical engineer working in Egypt, shaved their heads to show me their love and support.” Tami felt a “cloud in her brain” lifted when her chemo was finally completed. She has had to work with a pain specialist to deal with her bone pain and takes medications to keep her blood count high enough. “We live in paradise down here. Since everyone knows what I’ve been going through, and since our practice has been talking about the breast cancer/melanoma link on a national basis, I’ve seen patients, friends, and people I don’t even know coming in for their Total-Body Skin Cancer Exams. “Everybody is susceptible to skin cancer – whether it’s a basal or squamous cell carcinoma or melanoma,” said Tami. “Unless you’re a hobbit staying in your house you’re exposed to the sun. It can cause skin cancers from the top of your head to your toes, even behind your ears. Bob Marley died of melanoma because he got skin cancer between his toes.” Tami faces more treatment and surgeries in the future. Breast cancer and melanoma Facebook support groups have helped her, and she is currently part of the melanoma warrior’s support group, melanoma women’s support group and the South Florida breast cancer support groups. “Because I work for Advanced Dermatology and Cosmetic Surgery, if I’m asked a question that has to do with skin cancers or melanoma, I can ask my providers for information, or help schedule an appointment for the person asking the questions. To me, talking about what’s happening is therapeutic. A lot of people see the chemo scarf on my head and are afraid to ask questions. I don’t mind talking about it.” How does Tami cope with the pain, the fear, the ‘what next’ and the ‘what ifs’? “You can’t just stop. You have to push through it. At the end of the year, I should have my new breasts, my hair should be growing back, and I should be able to say, I conquered!” Tami wishes every time doctors prescribed mammograms, they would also recommend annual Total-Body Skin Cancer Exams with a dermatologist. “I get my skin cancer exams every six months, now.” Early Detection and Prevention Saves Lives Both breast cancer and melanoma survivors should be vigilant and take extra preventive and early detection measures to reduce their risk of developing a second cancer. Melanoma risks can be reduced by avoiding tanning beds and excessive sun exposure. If you plan to be in the sun or in reflective areas (water or snow), cover up with a hat and dark, dry, tightly-woven clothing. Special UPF-rated clothing, clothing which protects against UV rays, is also available. Sunglasses that block both UVA and UVB rays will help protect the eyes and delicate skin around the eyes. For exposed skin, use a broad-spectrum sunscreen of SPF30 or above that blocks UVA/UVB. Apply sunscreen frequently and liberally and follow the product’s instructions. Lifestyle changes like quitting smoking, maintaining a healthy weight, exercising and minimizing alcohol intake can help reduce breast cancer risk. To detect breast cancer early, women over 40 should get yearly mammograms and all women should conduct monthly breast self exams. See Something Suspicious? Check it Out. Moles or other growths that are asymmetric, have irregular borders, vary in color, are larger than a pencil eraser, or those that are changing in size or shape, bleeding or itching should be checked by a dermatology specialist. Know the ABCDEs of melanoma: A is for Asymmetry    B is for Border Irregularity C is for Color D is for Diameter E is for Evolving  And Take it From a King… “If you want to live as long as the Queen did, take care of yourself and your skin and have all your testing,” said Tami. If you haven’t had your annual Total-Body Skin Cancer Exam, schedule one today, at 866-400-3376 (DERM).   Throughout the month of October, Advanced Dermatology and Cosmetic Surgery is offering free skin cancer screenings to women who have or have had breast cancer . Go to AdvancedDerm.com/Pink or call 844-987-3376.*Call for available locations and to schedule your skin cancer screening. Limited availability. This preventive skin cancer screening is not tied to the provision of any additional services or purchase of goods.  

Dr. Badia Featured in Dermatology Times Talking About the Rise of Adult Acne in Women October 4, 2022Sandra Fyfe Dermatology Times, Dermatology Times, October 2022 (Vol. 43. No. 10), Volume 43, Issue 10This article has been excerpted. Read the entire article.  Anais Aurora Badia, DO, an adult and pediatric dermatologist and founder of the Florida Skin Center, now part of Advanced Dermatology and Cosmetic Surgery in Fort Myers and Lehigh Acres, Florida, spoke with Dermatology Times® on the increasing rates of adult acne and how to treat it. actors Contributing to Adult Acne Dr. Badia said that adult acne and adolescent acne share similar causes and that acne is mostly caused by sebum production, inflammation, and bacteria. “Stress, hormones and diet can increase inflammation,” she said. “When our stress levels rise, we produce higher levels of acne-causing androgens, which can stimulate oil glands and hair follicles that contribute to acne.” In addition to stress—which has been considerably higher these past few years due to the pandemic — Dr. Badia said that masks worn to protect against COVID-19 increased acne rates because they trap dirt and bacteria on the skin, which contributes to an increase of the acne-causing bacteria Propionibacterium acnes. Dr. Badia also noted gender differences in acne prevalence. “Increased hormone levels contribute to acne in both men and women. However, the types of hormones causing acne are different for each,” she explained. “Women tend to see more fluctuations in hormones than men due to medications, menstrual cycles, and menopause,” which is why women get more acne than men. Diet also plays a role in developing acne. “Some small studies have shown a link between dairy consumption causing an increased risk for acne,” Dr. Badia said. “Other studies have linked high glycemic index foods to acne [because] these foods spike our blood sugars rapidly, causing inflammation, which in turn leads to an increase in acne.” Dr. Badia added that skin and hair products can also cause acne. She said that dermatologists should advise patients to read labels and look for products that say noncomedogenic or oil free. “It is also important they be advised to use products with physical sunscreens, such as zinc oxide or titanium dioxide,” she said. Treatments Dr. Badia noted that each patient should be treated based on their individual needs and concerns. She noted that acne therapies have come a long way, and that there are some novel new treatments now available that can be safe for men and women. She added that topical retinoids continue to be “the gold standard in acne treatment” and that “many new formulations...have come out recently with age indications as young as nine years old.” Acne Prevention: Patient Guidance In the article, Dr. Badia made the following recommendations for adult patients: • Protect their skin by using a daily SPF with zinc oxide and by not actively tanning. • Clean their faces daily with a gentle cleanser. • Avoid products that contain alcohol, harsh exfoliants, and astringents that can irritate the skin and make acne worse. • Avoid popping or picking acne lesions because this could lead to more acne and scarring. For more information, talk to your Advanced Dermatology and Cosmetic Surgery acne specialists today. 

Colorado 9News's Kathy Sabine Shares Her Skin Cancer Story MICHAEL ROBERTS Reprinted from Westword® During her early years in television news, Kathy Sabine's physical gifts were both a blessing and a curse. Quickly labeled one of Denver's most beautiful people, the 9News weather forecaster had to work twice as hard to prove that she's also a talented meteorologist. During Sabine's 35-years-and-counting broadcasting career, including nearly three decades in the Denver market, her scientific skills have definitely been accepted as a given. But it was still a surprise to many of her fans when Sabine eagerly used her various social media platforms to share sometimes gruesome photos of her face following recent surgeries for skin cancer. Sabine acknowledges that the images can be startling: "My eye was black and swollen shut and I looked like a monster," she says with a laugh. "Part of my nose was missing. I looked like the Bride of Frankenstein." Still, she didn't hesitate to put pics of her ordeal on view to allow viewers to track her progress. "I've always wanted to be real with people," she says. "And if this saves one person, who cares about vanity?" A lover of the outdoors (horses are some of her most frequent companions), Sabine stresses that "I am diligent about sunscreen. I put multiple layers on my face because of what I do for a living, I wear hats on the beach or when I'm riding, and I'm always putting sunscreen on my kids. I've tried to protect my skin and my family's skin." Still, she continues, "I grew up at elevation" — she's originally from the Lake Tahoe, NV, area — "and I don’t know if my parents were great about remembering to apply sunscreen back in the day. It was a different time.  And because of the altitude in Colorado, we are at the epicenter of skin cancer. The odds of it happening here are so much higher than a lot of other places." Nonetheless, she adds, "I never thought it would happen to me. I've never had skin cancer, never had pre-cancer, never had to have anything burned off — and I've had my skin checked every six months to a year." Indeed, her May visit to see Dr. Leslie Capin, whom she describes as "the best dermatologist in the state and perhaps the country," was occasioned not because of cancer concerns, but because she had questions about thinning hair. But since she was in the office, "I showed them an age spot on my nose that I had checked several months earlier. And on the outer edge of the age spot, something I couldn't see, was where she found the cancer. We caught it by accident." Capin scheduled what's known as a punch biopsy on the spot for May 26 for Sabine, the same day as her son's eighth-grade continuation ceremony; a photo from that day shows a small mark on her nose.  Then, a few days later, Sabine learned that the analysis confirmed she had skin cancer — not melanoma, the deadliest form of the disease, but a basal cell-squamous hybrid. Because of the location of the cancer, Sabine was scheduled for two operations on July 8 — one a Mohs procedure to remove the troubling area and then plastic surgery to reconstruct her nose using cartilage from her ear And the discovery of another squamous on her forehead added even more complications to an already challenging sequence of events. "The technology today is amazing," Sabine stresses. "Mohs doctors say skin cancer is like an iceberg: You may see the tip of the iceberg, but what lies beneath can be so much bigger, deeper and more extensive. So when they do a Mohs procedure, you lay there for an hour or so — go under the microscope. And if your margins are clear of cancer, they do a really cool cosmetic procedure and sew you up. But in my case, it took three cuts. They took one cut, put it under the microscope, and went back again to do another. That's why there was a big hole on the side of my nose. Then they saw another spot near my eyes and found another cancer cell — and that meant they had to do another Mohs procedure. Then they took me over to the hospital and the plastic surgeon met me there. That surgery went on for hours as well, because with so much of my nose gone and the other cancer they found, they had to come up with a whole new plan for me." Eventually, the medical team, which included Dr. David Archibald and Dr. Alison Basak, managed to excise all of the cancer — and Sabine is eternally grateful for their efforts. "All of them are amazing," she says. Because of the surgeries, Sabine had to take time off from 9News just weeks after she'd announced that she would no longer appear on the station's 10 p.m. newscasts, where she'd been an extremely popular staple for 18 years. She emphasizes that her decision to focus on the 4 p.m. and 5 p.m. weeknight programs had nothing to do with her diagnosis. "They were totally unrelated," she says. "But I'm so happy that I decided to stay. Everyone at the station has been wonderful — and, of course, there are the health benefits." About a week and a half after the surgeries, Sabine notes that "the swelling is really coming down and I'm feeling so much better. I haven't had to use any pain medication for four or five days — and it was my ear, where they took the cartilage, that was the most painful when they took out the bolts they'd put in and some of the stitches. But I have very minimal pain anywhere now." More plastic surgery could be in the offing, depending on how her nose heals — and no matter what, she notes, there's the possibility that her appearance could be subtly altered. But with luck, she'll be cleared for everyday activities, and a return to the airwaves, following a doctor's appointment at the end of the month. Upon her arrival back at 9News, Sabine would love to put together a public-service announcement, a news report or perhaps both about the importance of regular skin examinations. "It's a quick doctor visit," she points out. "You're literally in there for fifteen or twenty minutes. It's so easy, and it can save your life — and we've got great dermatologists in this state. We have the best here." In the meantime, Sabine has been absolutely floored by the comments she's received on Facebook, Twitter and Instagram from people wishing her well, in addition to Coloradans sharing their own stories about skin cancer. "I've been crying a lot this last week," she acknowledges. "They tell me the anesthesia is why I've been so emotional. We didn't think this would be a big deal, and it's turned out to be a really big deal. But the tears come more from the responses I've been getting. Everyone has been so supportive and loving, and it's so humbling to have that connection and that sense of community at a time when you feel so isolated and alone and just want to hide in your house and not see anyone. I can't even tell you how incredible it's been to be a part of that." She adds that "getting the word out about this is so important. People know me because I'm on TV, and sometimes they don't think I'm a real person and I have this perfect life. But I'm a human being like everyone else, and really scary things can happen. And because I have this platform, I want to do everything I can to help other people."

Esterson Dermatology Joins the Advanced Dermatology and Cosmetic Surgery Family Advanced Dermatology and Cosmetic Surgery, one of the country’s leading dermatology practices, announces the acquisition of Esterson Dermatology located in Pikesville, Maryland. The acquisition of the practice, led by Dr. Faith Esterson, marks the 160th location for Advanced Dermatology as it continues to expand nationwide. For over 30 years, Dr. Esterson has changed lives through her exceptional dermatological care, treating each patient like family. A board-certified dermatologist and fellow of the American Academy of Dermatology, Dr. Esterson graduated magna cum laude with departmental honors from University of California Los Angeles (UCLA), receiving her bachelor’s degree in biology. After graduating medical school at University of California San Diego School of Medicine, she completed her internal medicine internship at University of Washington School of Medicine. Dr. Esterson finished her dermatology residency at the prestigious UCLA Division of Dermatology. She went on to serve the greater Baltimore area by starting her own practice, Esterson Dermatology. “As we continue to expand our presence in the greater Baltimore area, we are delighted to have Dr. Esterson, Certified Physician Assistant Lauren Dewlin, Certified Physician Assistant Shevonne Chude and their team join Advanced Dermatology,” said Advanced Dermatology CEO Brian Griffin. “The addition of Esterson Dermatology enables us to reach more patients in the area with our high standards of dermatologic care. They have earned a great reputation for providing an outstanding patient experience.” Renowned for her expertise in diagnosing and treating skin disease, Dr. Esterson identifies and corrects skincare issues thoroughly and expeditiously. Patients and colleagues also tout Dr. Esterson’s masterful cosmetic injection techniques, which help her deliver high-end results with minimal discomfort for her patients. “Dr. Esterson’s attention to detail, exceptional care for her patients, and methodical treatment plans completely align with our mission,” said Advanced Dermatology Founder and Executive Chairman Dr. Matt Leavitt. “We couldn’t be more excited to have her and her team as part of our practice.” “Advanced Dermatology is a world-class organization and with their operations support and extensive resources, we will be able to completely focus on caring for our patients,” said Dr. Esterson. “I am honored to join the Advanced Dermatology family and further enhance our patient services as we continue to serve our community.” Dr. Esterson is a five-time recipient of the Greater Baltimore Top 10 Dermatology Specialist and a recipient of the Best of Pikesville award. She considers her patients’ confidence and good dermatological health her greatest achievements. To learn more about Advanced Dermatology or to inquire about opportunities to partner with us, visit www.advancedderm.com.

Newsweek and Statista Rank Four of Our Physicians Among America's Best Medical Dermatologists 2022 Advanced Dermatology is excited to announce that Newsweek and research firm Statista have named four of our own doctors to this year’s ranking of America’s Best Dermatologists. They include our Founder and Executive Chairman Matt Leavitt, DO, FAOCD, Adam Leavitt, MD, who practices in Central Florida, Rajiv Nathoo, MD, who practices in Oviedo, Florida, and Alexandra Grob, DO, who practices in St. Petersburg, Florida. According to the article in Newsweek, “Americans think a lot about how to take care of their skin and have a plenty of choices about how to do it. People with common problems like acne, for instance, have a huge number of possible doctors and treatments available to them. “Meanwhile the U.S. population is getting older and increasingly conscious of not only the cosmetic toll of aging, but also the long-term health risks of sun damage.” Newsweek and Statista surveyed more than 2,200 dermatologists and other skin care professionals and identified what they consider to be the top 275 dermatologists in the 20 most populous U.S. states.

Dr. Leslie Capin Spotlights Importance of Skin Cancer Checks in Channel 2 Interview Board Certified Dermatologist Dr. Leslie Capin, founder of Dermatology Associates of Colorado (with offices in Englewood, Castle Rock, and Aurora), was recently featured in a health segment on Colorado's very own Channel 2, addressing the importance of prevention and the early detection of skin cancer in saving lives. Dr. Capin, who is also a member of the Advanced Dermatology and Cosmetic Surgery Medical Executive Committee, was interviewed by reporter Dan Daru following an introduction by Anchor Chris Parente, who confided on air that he'd recently had two suspicious spots removed from his own face. In response to questions about preventing skin cancer, Dr. Capin recommends using sunscreen with a minimum SPF of 30, which creates a physical block, seeking shade as often as possible, especially between 11 a.m. and 1 p.m., and wearing long sleeves, long pants and a broad-brimmed hat when in the sun for prolonged periods of time. She also stressed the importance of getting an an annual total-body skin cancer exam and performing self exams as well to check for any moles or spots that are changing. In response to questions about Coloradoans' sun exposure, Dr. Capin responded that Colorado is a "healthy state" and people spend a lot of time outdoors. "Because of our high altitude, we're at high risk," she stated. "I've seen malignant melanoma as young as eight years old." The lighter you are, blue eyes, blonde or red hair, the more prone to skin cancer you may be, but people with skin of all colors are susceptible. Daru requested his skin cancer exam, and recounted a phrase he'd heard: "Get naked and save a life!" To see the entire segment, click here.

Lisa Nyanda-Manola, MD Answers Questions About Skin Cancer for Dermatology Advisor Lisa Nyanda-Manola, MD, double board certified in dermatology and pediatrics, was interviewed by Heidi W. Moore of Dermatology Advisor in May about her experience with skin cancer within her practice. She answered a series of questions related to Protection, Prevention and the incidence of skin cancer, including skin cancer in those with skin of color. Dr. Nyanda specializes in pediatric, general, and cosmetic dermatology; she practices at both the New Port Richey and Spring Hill locations of Advanced Dermatology and Cosmetic Surgery in Florida. She is a fellow of the American Academy of Dermatology and the American Academy of Pediatrics. May is Skin Cancer Awareness Month, and despite skin cancer being one of the most preventable cancers—although also the most common—there are still some knowledge gaps that need to be addressed.1  Of particular interest is the rising rate of skin cancer among patients with skin of color. Indeed, in the past two decades, melanoma diagnoses among Hispanic patients have risen 20%.  Not only have the rates among the Hispanic population risen but a diagnosis of melanoma is more likely to be fatal.1 Q. What are the most common misconceptions about sun protection that you encounter in your patients? How do you address them?  A. The biggest misconception about sun protection is that most patients feel that they don’t need to use sunscreen because they don’t plan to be out in the sun for a prolonged amount of time. In addition, another misconception that I hear frequently is that patients with darker skin think that they don’t need to use sunscreen because they don’t get skin cancers.  I address these misconceptions by counseling the patients that they are still at risk for skin cancer due to the accumulation of sun damage that occurs over time. I encourage them to use sun-protective measures such as hats, sunglasses, and photoprotective UV clothing. I also remind them about the importance of reapplying sunscreen every 2 to 3 hours. Q. Have you found that patients’ attitudes or practices have changed in the past few years, and if so, how so?  A. Yes, I have found that patients’ attitudes have changed due to the fact they are more aware of the risks of sun exposure and the risk associated with skin cancer development. Most patients are also receptive to the idea of photo protection.  Q. Do most of your patients think they are doing a good job of protecting themselves from sun damage? Are they, in reality?  A. Most patients believe that they are already doing a good job with photo protection. They conclude that wearing a hat or applying sunscreen once daily is going to be enough to provide adequate photo protection. Unfortunately, these are not sufficient to provide the necessary protection that our patients need. I advise them that instead of wearing a baseball cap to rather wear a wide brim hat for better protection. In addition, I encourage patients to re-apply sunscreen every 2 to 3 hours. Q. Are there issues unique to your demographic or area that you routinely address? Universal issues? A. The issues unique to the demographic area is that we live in Florida. We have continuous exposure to sun due the climate being mostly hot and humid. Most of these patients are involved in outdoor activities which can increase their risk for skin cancer. Q. Describe your practice’s involvement with patients with skin of color. To what do you ascribe the recent finding that in the past 2 decades, melanoma diagnoses among Hispanic patients has risen 20%1?  A. The practice’s involvement with patients with skin of color has been focused on total body skin examinations. These exams encompass a comprehensive evaluation that allows for the inspection of areas that could easily be overlooked such as the scalp or the bottom of the feet. I believe that since there has been an increased awareness and encouragement of patients of color to seek dermatological evaluations as we have been able to improve their early diagnosis. Q. In what area is the biggest need for education among those with skin of color?  A.  biggest area needed for the education for patients with skin of color is the importance of having a full body skin examination yearly to evaluate for the possibility of skin cancer. Most patients with skin of color may have the misconception that they cannot get skin cancer and therefore do not go in for skin evaluations. Another misconception commonly encountered in this population is the reluctance to use sunscreen or other photo protective measures.  Q. What are the biggest challenges in preventing skin cancers in patients with skin of color? A. The biggest challenge is that patients with skin of color may not seek dermatological care, and therefore they are less likely to have a skin evaluation. This leads to a delay in the diagnosis and treatment of their skin cancers. Q. Any other precautions you suggest to your patients?  A. The strongest precaution that I suggest to patients is using broad-spectrum sunscreen SPF 30+ or greater. I encourage them to reapply sunscreen every 2 to 3 hours for the maximum level of protection. I also encourage patients to seek shade structures to avoid prolonged sun exposure. In addition, I encourage them to use wide brim hats, sunglasses, and UV protective clothing. Reference Perez MI. Hispanic Doesn’t Mean Immune to Skin Cancer. Skin Cancer Foundation. October 14, 2020. Accessed May 19, 2022. https://www.skincancer.org/blog/hispanic-doesnt-mean-immune-to-skin-cancer/  

Dermatology Times Podcast Includes Great Points on Sun-Protective Clothing The Right Clothing Can Help You Keep Your Skin Safer in the Sun  Dermatology Times®, recently highlighted several key pearls on sun protective clothing. In an interview with Zoe Diana Draelos, MD, an adjunct assistant professor of dermatology at Duke University School of Medicine in Durham, North Carolina, and chief medical editor of Dermatology Times®,  interviewer John Desitus asked for details on sun protective clothing, including how much it costs (it doesn't need to break the bank), how to test how much protection clothing is actually providing, and why a broad-brimmed hat (not a baseball cap), is one of the most important pieces of sun protection. To hear the entire segment, click here. 

Advanced Dermatology's Dr. Savina Aneja Discusses Importance of Melanoma Awareness on Dermatology Times Podcast Melanoma Prevention and Early Detection all Year 'Round are Key to Survival says Dr. Aneja on Dermatology Times Podcast Melanoma is one of the three most common cancers we see in our practice and it is the type of skin cancer that tends to be the most aggressive, said Advanced Dermatology's own Dr. Savina Aneja, on a recent podcast for  Dermatology Times. Dr. Aneja, who practices in our offices in Lake Nona, Baldwin Park and our Aesthetics Institute in Winter Park, talked about how melanoma can spread to lymph nodes and distant organs. And while an early-stage melanoma is highly treatable, those found at later stage melanomas are associated with a significant reduction in long-term survival. Listen to this podcast which talks about why its important to raise awareness through initiatives such as Melanoma Monday and Skin Cancer Awareness Month, and why the knowledge gained through those outreaches is crucial to keep this important information top-of-mind all year 'round. Prevention and Early Detection Save Lives! To hear the entire segment, click here. 

Advanced Dermatology and Cosmetic Surgery Dermatology Residency Program is Focus of Article in Dermatology Advisor Heidi W. MooreDermatology Advisor A unique residency program in Florida offers opportunities not available to all, thanks to its funding structure and requirements. The path to becoming a dermatologist is a long one — undergraduate school followed by medical school, residency, and certification by the American Board of Dermatology. Although most aspiring dermatologists follow the same route, a unique residency program in Florida offers opportunities not available to all, thanks to its funding structure and requirements. Advanced Dermatology and Cosmetic Surgery (ADCS) is a physician-led dermatology clinic with more than 155 locations nationwide, making it the largest owner-operator of dermatology practices in the country. Their clinical research division allows them to provide “support for some of the latest clinical drug and device trials for FDA approval.”1 The ADCS medical team has more than 300 board-certified dermatologists and plastic surgeons, Fellowship-trained Mohs surgeons, mid-level providers, and aestheticians. ADCS also offers a residency program based at their Central Florida location; currently there are nine clinicians participating, representing three residents in each year of the 3-year program. What is unique about the residency program is that it’s self-funded, that is, ADCS does not receive any funding from Medicare or hospitals as do most other programs. The school also mandates that residents do community service or international service as part of the program. As explained to us by Jere J. Mammino, DO, FAAD, FAOCD who serves as program director at KCU-GMEC/Orlando Dermatology Residency Program, the self-funding nature of the program allows the program to accept residents from diverse backgrounds. Another benefit of the program’s funding structure is that, he continued, “Currently in the US, Medicare funds almost all residency programs. However, Medicare will only fund a resident once. Several years ago, we trained a resident who had previously completed an internal medicine residency. Currently, we have a resident who completed a pediatrics residency. These residents have greatly enriched our program with their additional training.” Although the program is self-funded, the school must still must abide by all the rules and regulations mandated by ACGME [Accreditation Council for Graduate Medical Education], the official certifying body for post-graduate training, he concluded. We spoke with Charles Dunn, MD, the physician who had already completed a residency in pediatrics before enrolling in the ADCS dermatology program. He describes his experiences and provides insights into the program. Charles Dunn, MD From my perspective, the program is a traditional community-based residency program in every sense of the word. In my opinion, it is simply an amazing one that emphasizes community service, surgical excellence, diversity, and academic quality at the highest level.  My path to dermatology was not traditional. I was a board-certified pediatrician in the US Air Force, actually selected as the USAF “Pediatrician of the Year” while serving in Alaska, when I discovered a passion for the field of dermatology. Having been through residency once (Pediatrics, Naval Medical Center Portsmouth, graduated 2017), I had a somewhat refined perspective on what was important to me for the program I was looking to select to launch my Dermatology journey. I have an amazing wife and 2 beautiful children who were deeply invested in this process as well. We were fortunate to have the opportunity to visit programs all over the country and, at each one, the four criteria we most passionately investigated were the Program’s Location, Culture, Leadership, and Opportunity.  1. Location­­: Probably self-explanatory, but we wanted to love the area we lived in. Central Florida was not a hard sell for us and our time this last year has only confirmed this to be a wonderful decision. My wife loves where we live. Our kids are receiving an incredible education, learning to surf on the weekends, playing on sports teams that I have the privilege to coach, and have been to theme parks a dizzying number of times. You won’t love the program if you don’t love the area.  2. Culture: There are several components to “culture,” and it is probably one of the hardest of these categories to quantify. For me, the spirit of culture begins and ends with the degree of joy you see in the daily interactions. The culture here is one of encouragement, enjoyment, and friendship. There is a universal drive to succeed and see those around you succeed. The program does a fantastic job of surrounding you with amazing people who want to do their best and that makes you want to do your best. On potentially a deeper level, the culture here is one where there is no fear of admitting that you may not know the answer to something. I believe this is both unique and powerful. When you feel comfortable enough to admit weakness and those admissions are met with a collective supportive effort to improve, that is a culture that profoundly promotes long-lasting clinical learning and excellence in the practice of medicine.  3. Leadership: The leadership of this program, in my opinion, is unparalleled and an area where this residency shines. In any program, the relationships you have with the faculty are instrumental in sharpening you and honing your trajectory. The faculty, clinic staff, and program support are deeply invested in us — not only as students — but as people. They model excellence. There is no shortage of role models here. What is more, they listen to us. Feedback is truly incorporated on a 360-degree spectrum. The relationship between leadership and residents is highly valued.  4. Opportunity: One of my favorite aspects of this program is what feels like the limitless opportunities offered. I have yet to come to program leadership requesting support for an educational opportunity and been told “no.” We are provided one-on-one mentoring from top-tier dermatologists and educators in the field with extensive access to practice the breadth of surgical, cosmetic, and medical procedures a practicing dermatologist utilizes. Surgical, complex dermatology, pediatric, pathology, research, presenting experiences are abundant, community service opportunities feel unlimited and international and medical outreach programs serving the underserved are both encouraged and available. What is more, the program has graduated some fantastic dermatologists. I am inspired by this legacy and confident that I will have the tools to effectively serve any community I come to when I graduate.  I hope this helps give at least a vision of why I believe this to be a fantastic program. It truly fulfills every need that I personally had for a fulfilling, engaging, and meaningful residency. I feel so blessed to be a part of this family and I love talking about it. I think of this residency as a true “hidden gem.”   Reference About ADCS. Orlando Dermatology Residence Program. Accessed April 27, 2022. http://orlandodermresidency.com/about/