The Skin Cancer Foundation Journal

MAY 2014

The 2012 edition of The Skin Cancer Foundation Journal features medically reviewed, reader-friendly articles such as tanning, the increasing incidence of skin cancer diagnoses among young women, & the prevalence of melanoma among white males over 50.

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21 2 3 4 CASE #3: SUN DAMAGE OF THE CHEEKS, CAUSING DEEP FURROWS AND WRINKLES An 80-year-old white female, with a history of skin cancer on the nose, was bothered by the deep wrinkles on her cheeks [left]. When she tried to cover them with makeup, she complained that they only looked worse. She did not want to have surgery (a facelift) or accept the risks of general anesthesia. After a topical anesthetic cream was applied, an ablative CO 2 laser was used in a single 30-minute session to treat the deep lines and wrinkles on her cheeks. One month later, her skin appears smooth and the wrinkles are vastly improved [right]. In the future, she will need to use a moisturizer with an SPF of 30+ to protect her face from the sun. CASE #4: SUN DAMAGE OF THE FACE, CAUSING AN OVERALL RUDDY AND AGED APPEARANCE A 67-year-old male with a fair complexion, light hair, and blue eyes worked outdoors his entire life. He had numerous precancer- ous spots on the face, in addition to ruddiness, broken blood vessels, and fne lines [left]. A combination of hyaluronic acid fllers, Botox ® to the forehead, and photodynamic therapy using aminolevulinic acid and a pulsed dye laser in a single one-hour session was performed to "zap" his precancerous rough spots and his broken blood vessels. One month later, his skin appears less blotchy and red, more uniform in color, smoother and tighter in texture [right]. He must be diligent in the future to wear a hat and sunglasses and apply SPF 30+ sunscreen. ute session. She applied petrolatum ointment (Aquaphor ® ) to the pink zone around her mouth for 10 days to keep the area moist and supple during healing. One month later, the skin appears smooth and the wrinkles and yellow bumps have disappeared [right]. To maintain her rejuvenated appearance, she must be diligent in daily use of sunscreen. Conclusion C hronic exposure to the sun damages and ages the skin. Fortunately, many treatment options are available, de- pending on the extent of photodamage and the desire of the individual patient. Combination therapy, which includes the use of lasers, chemical peels, fllers, injectable neuromodu lators (Botox ® ), and topical treatments, provides the most beneft to patients. Sun protection, including use of shade, clothing, hats, sunglasses, and daily sunscreen, is an essential component of any photoaging treatment regimen. CASE #2: SUN DAMAGE AROUND THE MOUTH, CAUSING "SOLAR ELASTOSIS," I.E., WRINKLES AND YELLOW BUMPS An 86-year-old white female, who never smoked, but bathed in the sun, was very self-conscious about the "lipstick bleed lines" around her mouth and the yellow bumps on her chin, which gave her a sal- low complexion [left]. Hyaluronic acid fller and fractional CO 2 laser resurfacing were used to treat the skin around her mouth in a single 20-min- Photos provided by Dr. Deborah S. Sarnoff, MD References available on p.95

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