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Cynthia Golomb, MD | Dermatology Boutique

Basal Cell Carcinoma Treatment: What You Need to Know

Basal Cell Carcinoma Treatment: What You Need to Know

· Skin Cancer · Comments Off on Basal Cell Carcinoma Treatment: What You Need to Know

What Causes Basal Cell Carcinoma?

The three most common types of skin cancer are basal cell carcinoma, melanoma and squamous cell carcinoma.  Basal cell is found on skin that receives lots of sun exposure, like your face, ears, neck and hands, but you can get it anywhere on your body.  It is a slow-growing cancer but can go deep even to the bone, destroying tissue as it goes.

Basal Cell Carcinoma on a man's back, near his shoulder.

The pen points to a basal cell carcinoma.

 

How Fast Does Basal Cell Carcinoma Grow? 

While generally slow growing, the spreading rate of basal cell carcinoma can vary depending on the health of your immune system.  It is not the deadliest of skin cancers, but if left untreated, it can be disfiguring.  This is because the lesion can grow deep into the skin.

basal cell carcionma on a man's forehead

The letter “A” and the circle mark basal cell carcinoma on this patient’s forehead.

 

When is Mohs Surgery Recommended?

If basal cell carcinoma is on your face, neck or hands, Mohs surgery is often advised due to the precision of removal and very high cure rate.  Depending on the tumor’s characteristics and size, it may be appropriate in other areas.

basal cell carcinoma on woman's ear

This is a basal cell carcinoma on a woman’s ear before her Moh’s surgery. After surgery, the site was closed with a skin graft.

 

With Mohs, the tumor is removed, and then more thin tissue samples are removed and examined under a microscope until no more cancerous cells are found.  This way, healthy skin is preserved.  Mohs surgery is named after the doctor who invented the method, Frederic E. Mohs, M.D.

Closing the surgical site will depend on how much tissue was removed.  This can range from letting it heal naturally, to stitches, to a skin graft or a skin flap.  Most basal cell carcinoma is cured with minor surgery.

Basal cell carcinomas can also be treated with destructive methods such as cryosurgery (freezing with liquid nitrogen) or curetting (scraping with a surgical instrument).  Unfortunately, the cure rate with these two methods is lower than with Mohs surgery.

Learn more about the signs and symptoms of basal cell carcinoma from the American Academy of Dermatology.

Call Dr. Golomb today for a skin cancer screening appointment at 855-465-6621.

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See A Trusted Dermatologist

Dr. Cynthia Golomb is widely considered one of the top dermatologists in Hallandale Beach.  She welcomes patients for skin cancer screening and treatment from Aventura, Sunny Isles Beach, North Miami Beach, Golden Beach, Pembroke Pines and Hollywood, Fl.  Dr. Golomb is triple board certified in Dermatology, Dermatopathology and Micrographic Dermatologic Surgery (Mohs).

Actinic Keratosis: What is it & How Can it be Treated?

· Skin Cancer · Comments Off on Actinic Keratosis: What is it & How Can it be Treated?

Actinic Keratoses are the most common skin precancer

Actinic Keratoses (AKs) generally appear after the age of 40 on people with fair skin, blue or green eyes, or those who freckle or burn in the sun.  AKs are also more common on people who live closer to the equator, regardless of skin type, as sun exposure is a significant factor in AK development.  If you have actinic keratoses, you are not alone.  Up to 58 million Americans have AKs.

photo of a man with an actinic keratosis on his forehead

actinic keratosis

You’ll find actinic keratoses on the face, back of hands, bald scalp, neck, shoulders and any other skin subjected to frequent sun exposure.  AKs can be tiny or larger than a quarter.  These scaly spots can sometimes itch or be sensitive to the touch.  In some cases, they can also bleed.  Generally, they are red but can appear pink or tan.  AKs can also grow into a protruding bump called a cutaneous horn, which can be painful, get caught on clothing and jewelry and even get infected.

About 10% of AKs progress to squamous cell carcinoma.   This type of cancer is very dangerous if left untreated, as it can spread to internal organs.

photo of an actinic keratosis on a hand

actinic keratosis

Treatment of Actinic Keratoses

We often treat AKs with cryosurgery (a pinpointed spray of liquid nitrogen or applied with a cotton-tipped swab).  I recently treated a female patient in her 50s who had an AK above her lip.  She complained that the scaly spot had cracked and was bleeding while she was eating.  It was raised and a little painful.  Days later, she was pleased to report that after I applied liquid nitrogen to it, the AK is now flat, the flakiness is gone, and there is no more bleeding.

Instead of freezing each AK with liquid nitrogen, there is another treatment option:  photodynamic therapy, also known as blue light therapy.  A recent study compared light therapy to cryotherapy and found that those who had the light treatment were 14% more likely to have their lesions eliminated.  Because AKs are considered pre-cancerous, blue light therapy is covered by Medicare.

Early diagnosis and treatment of AKs are vital because of their potential to progress into skin cancer.  One study has shown that most invasive squamous cell carcinomas originate from AKs.

Call Dr. Golomb today for a skin cancer screening appointment at 855-465-6621.

Dr. Golomb is widely considered one of the top dermatologists in Hallandale Beach.  She welcomes patients for skin cancer screening and treatment from Aventura, Sunny Isles Beach, North Miami Beach, Golden Beach, Pembroke Pines and Hollywood, Fl.  Dr. Golomb is triple board certified in Dermatology, Dermatopathology and Micrographic Dermatologic Surgery (Mohs).

 

Venous Lake on Lip

· Lasers · Comments Off on Venous Lake on Lip

The cause of a venous lake is unknown, but if you have one on your lip you just want it gone!  It is a soft macule or papule, usually blue or purple in color, and it often appears on the lip.  It is a harmless growth and does not require treatment.

Photo of a patient with venous lake on her lipphoto of patient after venous lake on lip was destroyed with vascular laser

It can be destroyed in a number of ways, but I chose a vascular laser:  the Excel V.  My patient has an excellent result.  The “after” photo is a little more than two weeks after treatment.

My patient granted Dermatology Boutique permission to post her photos on Dr. Golomb’s social media and patient communications. I am grateful that she allowed me to share her photos to help others.

 

 

Dr. Golomb is widely considered one of the best dermatologists in Hallandale Beach and regularly welcomes patients for Botox treatments from Aventura, Sunny Isles Beach, North Miami Beach, Golden Beach, Pembroke Pines, and Hollywood, Fl.

Daxxify

· Toxin (Botox, Daxxify, Dysport, Jeuveau and Xeomin) · Comments Off on Daxxify

before and after photos of a woman who was treated with Daxxify


Now you can soften your frown lines and wrinkles for twice as long with the newest toxin on the market:  Daxxify.  On average, results last 6 months and on some patients, up to 9 months. It’s the first and only peptide-powered frown line treatment.

I am so grateful to have been selected as one of the first sites to receive Daxxify.  So far I have treated over 20 patients.  I am getting exceptional positive feedback like, “the best results I ever achieved.”

And, 93% of toxin-experienced patients prefer Daxxify.

 

Dr. Golomb is widely considered one of the best dermatologists in Hallandale Beach and regularly welcomes patients for Botox treatments from Aventura, Sunny Isles Beach, North Miami Beach, Golden Beach, Pembroke Pines, and Hollywood, Fl.

Hair Serum Increases Beard Coverage

· Hair Loss Treatment · Comments Off on Hair Serum Increases Beard Coverage

photos from clinical study demonstrating increased hair coverage in beard

A new hair serum I’m carrying in the office can also be used to increase beard coverage in men. It’s called 150k Hair Follicle Serum by DefenAge.

A new clinical study shows that the Defensin-containing serum caused a significant improvement in beard coverage. Study participants experienced an increase in visible beard density up to 36% after 3 months of using the serum.

Defensins are the difference in DefenAge Skincare.  Defensins are anti-aging molecules that naturally awaken dormant cells.

Dr. Golomb is widely considered one of the best dermatologists in Hallandale Beach and regularly welcomes patients seeking treatment for hair loss from Aventura, Sunny Isles Beach, North Miami Beach, Golden Beach, Pembroke Pines, and Hollywood, Fl.

Facial Rejuvenation

· Fillers · Comments Off on Facial Rejuvenation

A male patient before and after Sculptra injections - showing facial rejuvenation.

Sculptra is a biostimulatory filler – it stimulates your body to produce collagen and elastin in the area it is injected.

This reinforces your skin’s inner structure that has been lost over time and restores facial volume.

Made of poly-L-lactic acid, Sculptra can last up to two years – much longer than hyaluronic acid fillers.

I’m offering two Sculptra packages through Dec. 9th:

  • Purchase 2 vials for $1450 and receive a free area of Dysport (up to 50 units)

Or

  • Purchase 4 vials for $2750 and receive 1 free Restylane filler

All injections administered at Dermatology Boutique by Dr. Golomb. These specials cannot be combined with Cherry Financing.

Learn more about Sculptra.

Dr. Golomb is widely considered one of the best dermatologists in Hallandale Beach and regularly welcomes patients for facial rejuvenation with filler from Aventura, Sunny Isles Beach, North Miami Beach, Golden Beach, Pembroke Pines, and Hollywood, Fl.

Exosomes rejuvenate and regenerate the skin

· Exosomes · Comments Off on Exosomes rejuvenate and regenerate the skin

Photo of woman and graphic shows how benefits of exosomes increase with each treatment.

 

I use exosomes as an alternative to PRP.  Exosomes rejuvenate and regenerate the skin, just like PRP.  But, unlike PRP, no blood draw is required.

Exosomes are derived from stem cells and have beneficial healing properties that are especially useful after a heavy laser treatment or microneedling with radio frequency. The exosomes accelerate healing time, calm the skin and reduce redness.

This article from Allure Magazine is a good primer on exosomes.

 

Dr. Golomb is widely considered one of the best dermatologists in Hallandale Beach and regularly welcomes patients for PRP treatments from Aventura, Sunny Isles Beach, North Miami Beach, Golden Beach, Pembroke Pines, and Hollywood, Fl.

Botox Cosmetic Day

· Toxin (Botox, Daxxify, Dysport, Jeuveau and Xeomin) · Comments Off on Botox Cosmetic Day

promo describing botox cosmetic day 11.16.22 $50 gift card and buy one get one free

 

Mark your calendar—#BotoxCosmetic Day is coming!

Don’t miss your limited-time offer to buy one $50 gift card and get one free.

It’s happening Nov. 16th at 12 p.m. Eastern, and it’s exclusive to Alle members.

Not a Member? Join Alle now—the official loyalty program of BOTOX® Cosmetic.

 

Here’s how you can get ready:

Step 1: Set a reminder: BOTOX® Cosmetic Day is Nov. 16 at 12 p.m. Eastern.

Step 2: Before BOTOX® Cosmetic Day, join Alle by visiting Alle.com to be eligible to purchase the BOGO gift card offer.

Step 3: Purchase the offer on Nov. 16 starting at 12 p.m. Eastern at https://alle.com/botoxcosmeticday

Step 4: Book your appointment to redeem your gift cards.

 

You also can earn DOUBLE POINTS in Alle when you get treated Nov. 16 – 30!

 

Dr. Golomb is widely considered one of the best dermatologists in Hallandale Beach and regularly welcomes patients for Botox treatments from Aventura, Sunny Isles Beach, North Miami Beach, Golden Beach, Pembroke Pines, and Hollywood, Fl.

BBL HERO: Before and After

· BBL light therapy · Comments Off on BBL HERO: Before and After

BBL is the most powerful intense pulsed light device approved by the FDA.

A BBL HERO light treatment goes after all the signs of aging skin and sun damage:  dark spots, spider veins and redness, and irregular texture.

photo of reddness on neck eliminated by two BBL treatments

After two treatments. Photo courtesy of James Wire, MD.

 

before and after photos of brown spots on hands eliminated by BBL treatment

Nine months after three treatments. Photo courtesy of Jody Levine, MD.

BBL HERO works on most skin types.  It’s comfortable, gentle and a very quick procedure because the BBL HERO handpiece covers more skin area.

Most patients see improvement after just one treatment.

Use a Trusted Doctor For Your BBL HERO Rejuvenation

Call 855-465-6621 to make your appointment to regenerate and restore with no downtime.

To learn more, read about photo rejuvenation here, or watch my videos about the BBL HERO.

Before and after photos of brown spots on side of face eliminated by BBL treatment

Three weeks after one treatment. Photo courtesy of Teresa Mann, MD.

 

Before and after photos of spider veins on face eliminated by BBL treatment.

One month after three treatments. Photo courtesy of Robyn Siperstein, MD.

Dr. Cynthia Golomb is a board certified dermatologist, Mohs surgeon and dermatopathologist.  Dr. Golomb has practiced general and cosmetic dermatology for over 20 years.

Dr. Golomb regularly welcomes patients from Aventura, Sunny Isles Beach, North Miami Beach, Pembroke Pines, Hallandale Beach and Hollywood, Florida, for treatments to address the signs of aging skin.  Request a consultation today by calling 855-465-6621 to schedule your appointment.

20% Off Sun Protective Clothing

· Skin Cancer · Comments Off on 20% Off Sun Protective Clothing

BloqUV is a North Miami company that offers sun protective clothing and is giving my patients a 20% discount. I am impressed with the softness of the fabric and how it wicks away moisture. I love the variety of fashionable styles in lots of vibrant colors.

I am not affiliated with the company, nor do I receive any compensation. I do believe sun protective clothing is an important part of protecting yourself from the damaging rays of the sun. In addition to sunscreen, wear protective UPF clothing, a hat and seek out shade, especially from 10 a.m. to 4 p.m.

Go to bloquv.com and enter this code: DERMBOUTIQUE20 to save 20% on your purchase. You may use this code three times. Shipping is free on orders over $100.

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