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    Surprising Items That Can Leave Dirt on Your Face

    Last updated 4 months ago

    You may be surprised to learn how many sources of dirt the skin of your face encounters every day. Dirt, dust, and oil can cause irritation of the skin, acne breakouts, and even thickening of the skin or premature aging. Talk to your dermatologist if you have questions or concerns about the right products and daily care routine for your skin.

    Your Hands
    The average person touches their face up to four times every hour. Your hands pick up dirt, allergens, viruses, and bacteria from every object you touch. All of these irritants are then transferred to your skin when you touch your face. Your fingers may also contain oil or perspiration that rub off on the skin of your face with each touch. All of these factors can lead to clogged pores and an increased risk of acne breakouts.

    Your Cell Phone
    Cell phones serve as intermediaries between the hands and the face, transferring dirt from the fingers to the cheeks during use. Your cell phone also accumulates oils from your skin when you hold it against your face. If you don’t clean off the surface of your phone after each use, dirt and dust are attracted to this oil and collect on the surface, waiting to contact your skin the next time you make a call.

    Your Towel
    Washing your face is an essential part of any skin care routine to remove accumulated dirt, oil, and perspiration. However, you may be nullifying all of your face-washing work if you are using a dirty towel to dry your skin after cleansing. Dry you towel completely between uses and switch to a fresh towel every few days to prevent the accumulation of dirt and bacteria.

    Advanced Dermatology & Cosmetic Surgery offers a variety of cosmetic dermatology services including chemical peels, laser skin rejuvenation, and facials. You can reach us by calling (866) 608-9531 to book an appointment with a board certified dermatologist at any one of our 50 locations. Visit our website to check out our current special offers

    Basal Cell Carcinoma - Not as insignificant as you may think (Part II)

    Last updated 4 months ago

    Basal Cell Carcinoma

    Not as insignificant as you may think

    (Part II)


    James A Solomon, MD PhD 

    Director Ameriderm Research, the Research Division of ADCS

    Basal Cell Carcinoma (BCC)  is the most common cancer for  adults in the US and Western Europe.   About 1/3 of these people will develop a BCC during their lifetime.   This may also be expressed as about 1 to 1.5  people /1000 population/ year.   This rate is about double that seen in the 1980s.   Typically they are small pearly nodules with a central ulcer; about 1/3 appear on the head and neck.  They grow slowly. For the most part BCCs are easy to treat and cure.     They may be removed surgically by a simple excision or Moh’s microscopically controlled surgery, electrodessication and curettage (burning/ scraping), or laser. 

    Although most BCC can be successfully treated there exists a group of  aggressive or advanced BCC (aBCC) in about 0.1% of the population.   Although 0.1 % sounds like a small number with the population of the US  at   ~ 317,000,000,  0.1%  would then be ~ 317,000 individuals.   Recently,  a prescription oral  medication has become available to  helps treat these aggressive BCCs.     

    Furthermore,  there are patients who present with multiple BCCs simultaneously.   About 25% of individuals who get one BCC will get a second one.  These individuals then are at even high risk to get a third, and so forth.   Soon the risk of getting another BCC in these people is greater than the risk of any getting their first BCC.   In addition, the timing between each subsequent BCC is typically less than the previous period until these patients start developing multiple lesions almost simultaneously.   They may have 6, 12 or even dozens of simultaneous lesions.     Typically all of the  BCC’s cannot be  removed at a given surgical session.   Thus, the surgeons may not be able to excise the lesions as quickly as they are coming.      

    Furthermore, there is a genetic disorder referred to as Basal Cell Nevus Syndrome ( BCNS) wherein these people develop several simultaneous BCCs as early as theirs teens and multiple by their early adult years.  They frequently spend much of their time have these tumors removed.     In addition to BCCs these individuals may present with tiny pits in their palms and soles, calcification of the falx cerebri, fused or bifid ribs,  coarse face, cleft lip, fused digits, abnormally shaped sternum, ovarian fibroma and neurological/brain tumors called medulloblastoma.    At this point, the only treatment available is for those BCNS patients with aBCC being the oral medication noted above. 

    CAS_CQIA By James A Solomon, MD PhD

    Last updated 4 months ago


     Complex Adaptive Systems approach


    Continuous Quality Improvement Assessments


    James A Solomon, MD PhD

    Director Ameriderm Research

    CAS_CQIA (Complex Adaptive Systems approach to Continuous Quality Improvement Assessments) If your disease seems to come and go without clear cut reasons and you seem to respond or not to respond to treatments without clear cut reasons, but you believe your problem is not unique and that others -somewhere out there - may have similar responses. Moreover, you may think that if you worked together with these people you could help each other avoid the pitfalls and pursue what works. Modern medicine has failed until recently to take on this approach to identify groups of individuals whose diseases respond similarly to their interactions with the world at large. Recently, CAS_CQIA has been the focus of a new approach in modern medicine to chronic diseases which utilizes high tech computer statistical array analyses of large groups of individuals to identify people who react in similar ways and use this knowledge to benefit these individuals.

    In order to develop these assessments knowing what people believe helps and hurts in association with other events is key. For example, a given treatment works unless there is significant stress at work but not at home, it is Spring not summer and the weather is unusually cold, tomato based foods were eaten 2 days earlier for lunch but not one day earlier for dinner, the multivitamins contained no minerals, and one drank only decaf-coffee - however if one drank decaf tea everything was fine. Try to explain this during a 15 minute visit to the doctor. Even if the doctor listened and heard what you said, there has been no formal system to enter this information to see if there was anyone else out there with the same reactions or even opposite reactions. Now there is so fire away.

    Vegan diets play an interesting role for which there is some scientific basis. Patients report relief from vegan diets. Some studies suggest that the basis of improvement is through immunosuppression secondary to malnutrition from vegan diets. There may be a better explanation. Calf, not human, is the reagent used to test for ANA (anti-nuclear antibodies) which is used to confirm the presence of antihuman antibody. Be that as it may, it also shows the patients make antibody to beef nucleic acids. In addition, rabbit is the reagent for several other auto-antibodies to nucleic acids. Although there is minimal data showing calf dna in circulation in humans, studies with rabbits shows individuals who eat rabbit in conjunction with a low fibre diet may have segments of rabbit DNA in circulation. Thus, in theory SLE patients who do react to rabbit reagent targets may have circulating antibodies against rabbit DNA which will react in this scenario. One can extrapolate to a similar scenario with beef DNA. Thus, avoiding ingesting these may help

    This becomes a bit complicated through those who eat a high fibre diets may not have circulating DNA and thus not improve, those whose Vegan diet is poorly nutritional may improve due to the inability to develop an adequate immune response or worsen due to catabolism (eating oneself) to replace the loss of food thus releasing DNA. Furthermore, the term non-dairy just means lack of milk fat. Only the term 'parve' means lack of any milk products. There is little published concerning the assessment of the nutritional status of people following various Vegan diets. Thus, to unravel this issue will take a significant imput from patients who follow the diet to elucidate these issues and see which do and which do not contribute to improvement over ? periods of time.

    Are there scenarios which seem to help or seem to hurt. If a form is developed using CAS_CQIA to assess patients with psoriasis, alopecia areata,  or lupus  what questions or issues to be addressed would you want to be included in the process?  Are there scenarios which seem to help or seem to hurt. If a form is developed using CAS_CQIA what questions or issues to be addressed would you want to be included in the processAre there scenarios which seem to help or seem to hurt. If a form is developed using CAS_CQIA what questions or issues to be addressed would you want to be included in the processAre there scenarios which seem to help or seem to hurt. If a form is developed using CAS_CQIA what questions or issues to be addressed would you want to be included in the processAre there scenarios which seem to help or seem to hurt. If a form is developed using CAS_CQIA what questions or issues to be addressed would you want to be included in the process Are there scenarios which seem to help or seem to hurt. If a form is developed using CAS_CQIA what questions or issues to be addressed would you want to be included in the process

    Avoiding Winter Skin Woes

    Last updated 4 months ago

    Chilly winter weather brings with it a number of unique skin care concerns. Dry air can cause irritation, redness, acne breakouts, and flare-ups of skin conditions such as eczema and psoriasis. Protecting your skin from the frosty weather will help you look and feel your best this winter season.

    Moisturize Often
    As the temperature drops, it’s time to trade in your lighter summer skin care products for moisture-rich wintertime options. You should also plan to moisturize more often—apply moisturizer both in the morning and at night to fend off the effects of dry wintertime air. If you find that your skin feels dry after bathing, apply moisturizing oil before you step into the shower, then smooth on your regular moisturizer after you’re dry. The best moisturizer options for winter are products that contain lactic acid or salicylic acid, which remove dead skin cells while nourishing the fresher skin beneath.

    Exfoliate Regularly
    A regular regimen of exfoliation will help keep your skin looking and feeling fresh. Exfoliation can also reduce signs of skin damage caused by the summer sun. Use an exfoliating wash every few days to remove dead or damaged skin cells and prevent rough skin. You can also use an exfoliating pad or loofah with your regular moisturizing soap. Don’t exfoliate every day, however, or you can irritate rather than invigorate your skin

    Wear Sunscreen
    Although the long, sunny days of summer are gone, UV rays continue to damage the skin in winter. Wear sunscreen every day, even if you will only be outside briefly. Make sure your sunscreen is rated SPF 15 or greater. If you plan to spend an hour or more outdoors in the snow and cold, apply a sunscreen with SPF 30 or more.

    You can maintain beautiful, healthy skin this winter with the help of your dermatologist at Advanced Dermatology & Cosmetic Surgery. Schedule your next appointment with us by calling (866) 608-9531 or filling out our convenient web contact form. Take a glance through our blog for more information about skin care and preventing common seasonal problems.

    Preparing Your Skin For the Holiday Season

    Last updated 4 months ago

    As you prepare for the holiday season, it’s important to remember that your skin needs wintertime preparation as well. Choose a rich moisturizer that contains glycerin, sorbitol, or alpha-hydroxy acid to keep your skin from drying out in the chilly air. Consider adding a product such as retinol to your regular skin care routine to reduce the effects of the summer sun and improve your skin’s tone and texture. If you suffer from psoriasis, eczema, or other skin conditions, schedule a checkup with your dermatologist to discuss any wintertime concerns and what to do if you experience a flare-up. Because many skin conditions are exacerbated by the stress of the holiday season, take some time each night to unwind and relax. You’ll enjoy your holiday celebrations even more when you look and feel refreshed!

    Are you interested in learning how you can look your best this holiday season? Call Advanced Dermatology & Cosmetic Surgery at (866) 608-9531 to schedule an appointment at any one of our 50 Florida locations. You can learn more about maintaining healthy skin all year long on our blog.

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