Blog        855-465-6621

Cynthia Golomb, MD | Dermatology Boutique

MD

Mohs Provides Higher Cure Rate for Skin Cancer

· Skin Cancer · Comments Off on Mohs Provides Higher Cure Rate for Skin Cancer

Immediately after Mohs surgery.

I performed Mohs surgery and then did a skin graft on this patient.  She had basal cell cancer on her ear.

Mohs surgery is a precise technique to remove skin cancers layer by layer resulting in a higher cure rate than standard excision or radiation therapy.

For example, basal cell carcinomas have a 97 to 99% cure rate.

Mohs also allows me to limit the size of removal and conserve normal skin to minimize scarring.  After removal, I treat the wound in a manner to promote good healing and preserve cosmetic results.

The Mohs procedure can be as short as one hour as in the case of this patient, or it can take several hours depending on the number of layers and type of repair, like a skin graft.  This patient’s skin graft took an additional hour.

This photo was taken 11 days after her Mohs surgery and skin graft.

I became very interested in Mohs during my residency and training at the University of Miami, and then later during my dermatopathology fellowship at Roger Williams Hospital at Boston University.  A dermatopathologist diagnoses skin disorders under a microscope.

Removing a tumor and examining the tissue immediately after removal was a natural for me because of my sub-specialty as a dermatopathologist.

Designed by Frederic E. Mohs, M.D., the surgery excises not only the visible tumor but also any “roots” that may have extended beneath the surface of the skin.

This procedure is most commonly used for the treatment of basal and squamous cell carcinomas, the two most common types of skin cancer, although it can also be used to treat melanoma and other types of cancer.

Mohs surgery is often recommended for recurring cancer because its results are so thorough.

My patient 3 1/2 months after Mohs and her skin graft. Her face mask is pulling the top of her ear forward in this photo.

It is ideal for treating cancer in cosmetically and functionally prominent areas such as the nose, eyelids, lips, hairline, ears, hands and feet.

Compared to other skin cancer treatments, Mohs surgery has a very high success rate. As I mentioned, basal cell carcinomas have a 97 to 99% cure rate, while squamous cell carcinomas are cured 94% of the time.

Fabulous Results After One CO2 CoolPeel Laser Treatment

· Lasers · Comments Off on Fabulous Results After One CO2 CoolPeel Laser Treatment

Bottom right: Day of treatment. Upper right: One day after treatment. Left: Five days after treatment.

 

Mylene just had her first CO2 CoolPeel laser treatment.  Here’s what she had to say:

“The large pores on my nose look so much better after just one treatment!  My acne scars are less noticeable and my skin is overall refreshed for the holidays.  My skin looks amazing!”

Technology that targets estrogen deficient skin

· Skin Care · Comments Off on Technology that targets estrogen deficient skin

With time I have noticed that my skin did not respond to treatments as well as it did in the past.  My moisturizer was not working as well and my laser treatments were not giving me the boost that I saw 5 years ago.

The reason for this is a decrease in hormones.  As estrogen decreased, my skin was losing collagen at an exponential rate.

For women like me, finally there is a scientific breakthrough that is very different than any other anti-aging skincare product.

Emepelle is not a hormone or hormone replacement.  Rather it’s a technology that targets estrogen deficient skin to restore the features of our skin before menopause.

After 3 weeks of using emepelle twice a day, my skin was more luminous, smoother and firmer.

I had mild irritation during the first few days that was easy to tolerate.  I thought of it as “out with the old.”  Within a few more days I was very happy to see the more youthful look and feel of my skin.

Emepelle is the first product that addresses the cause of accelerated aging seen in women like myself.  After my good experience with it, now I’m offering it to my patients. 

It is recommended for women with estrogen deficient skin—if you are perimenopausal, currently in menopause or you are postmenopausal.

Are you ready to JuvedermIt?

· Injectables · Comments Off on Are you ready to JuvedermIt?

My beautiful patient is in her early 20s.

I gave her the fuller lips she desired with Juvederm Ultra.

The after photo was taken immediately after injections.

Are you ready to #JuvedermIt ? 855-465-6621

 

 

 

 

And here’s her beautiful smile after treatment!

#ExpertInjector

#dermatologyboutique

#miamidermatologist

#skindoctor

#skincare

 

Patient review of antioxidant ampoules

· Skin Care · Comments Off on Patient review of antioxidant ampoules

One of my patients was telling me about the good results she got from one of the ISDIN products we carry:  ISDIN Flavo-C Ultraglican.  Since she also had suggestions about how to use that product, that she learned by trial and error, I asked her to write a review and share her tips for using the Vitamin C ampoules.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

When Dr. Golomb recommended I try the ISDIN Flavo-C Ultraglican ampoules I jumped at the chance.  I’ve been reading about the benefits of Vitamin C serums for years but never made it part of my skincare routine.

I have very fair skin and I’ve read that layering an antioxidant like Vitamin C under your sunscreen provides extra protection from sun damage that causes wrinkles or crepey skin.  Another Vitamin C benefit I was interested in was to stop more dark, pigmented spots from appearing on my face.

My research also indicated the problem with Vitamin C is that it is unstable when exposed to light and air.  The delivery method of this product ensures that isn’t an issue.  You get a box of 30 dark glass ampoules.  You use ½ of an ampoule once a day, emptying the ampoule completely within 24 hours.

When you open an ampoule and apply it to your face the first thing you’ll notice is a light, floral fragrance that dissipates quickly.  I love the smell.  It’s like a little pick me up in the morning.  The product is not greasy and easily absorbs into the skin as you massage it into your face, neck and chest.  The first thing I started to notice after using the product is that my skin looks and feels smoother.  My brown spots are less noticeable too.  I’ve been using the product for four months.

So now that I’m a Vitamin C serum convert, I will admit that this particular product is a little more work to use than others.  Here are my tips for not wasting a drop.

  • There are directions in four languages on the inside of the lid of the box. I ended up highlighting my language so I could find them the next time I needed to refer to them.
  • The instructions say to shake the ampoule before you break off the neck (and tap the tip after shaking to move the product down into the ampoule). I always forget to shake it before opening!  When you shake the ampoule the serum becomes cloudy showing the ingredients are mixed.  If you forget to shake the ampoule before removing the tip, you can gently put your finger over the opening and shake.  Be careful, it is cut glass, but it is scored to break so it is not jagged.  You can also gently shake the serum when the applicator tube is on the ampoule.
  • Find a tall plastic cap (around one inch in diameter) to store the ampoule that’s currently in use in an upright position. I use the cap from hair mousse.  This keeps the ampoule from tipping over and the applicator tube from falling off and all your precious serum from ending up on the bathroom counter!
  • After you’ve used the applicator tube a few times on new ampoules, the product will collect inside it and make it slippery. Clean the base of the applicator tube with a cotton swab before inserting it onto a new ampoule to get a secure fit.  Putting a few drops of alcohol into the applicator once in a while will clean it nicely.
  • When placing the applicator on a new ampoule, remove the cap from the applicator first so the air pressure doesn’t pop the applicator off of the ampoule.

This product, like many other Vitamin C serums, includes a form of Vitamin E (Tocopherol) that increases the potency.  Vitamin E is also an antioxidant that helps to prevent sun damage from UV rays.  It softens the skin and smooths the appearance of wrinkles.  Additionally, it is a preservative for the other oils in the serum.

I’ve learned that both Vitamins C and E reduce skin inflammation, which I appreciate because I have rosacea.

Best of Beauty Breakthrough Award

· Skin Care · Comments Off on Best of Beauty Breakthrough Award

SkinBetter’s Alto Defense Serum™ just won Allure Magazine’s 2017 Best of Beauty Breakthrough Award.

It protects against environmental stressors and future signs of aging.

Alto Defense Serum also works to reduce redness and to improve skin tone/luminosity.

We carry many of SkinBetter’s science-based products and we’d be pleased to match you up with the one that is right for you!

Treatments for Acne Scars

· Acne · Comments Off on Treatments for Acne Scars

There are many treatments for acne scars. The American Academy of Dermatology suggests answering these questions before you seek treatment:

  • Do I often wish that I could get rid of my acne scars??
  • Do I feel that my scars limit my opportunities to date, get a job, advance my career, or perform well in school??
  • Am I less social now than before I had acne scars?

The organization has information online for you to learn more about the various treatments for scars, as well as advice for preventing them. When you’re ready to discuss treatment of your acne scars, give me a call 855-465-6621.

asc1 asc2 asc3 asc4 asc5 asc6 asc7