American Board of Dermatology

American Board of Hair Restoration Surgery

Fellow American Society for Mohs Surgery American Society for Lasers in Surgery and Medicine

WE’VE GOT YOU

COVERED FROM

HAIR TO TOE

JJupiter Dermatology and Hair Restoration, Laser and Med Spa

A potentially deadly skin cancer arising from pigmented cells or other moles or freckles.

Firm Youthful Skin

Epidermis

Dermis

Fat

Healthy Collagen/ Elastin =

Firm Youthful Skin

Epidermis

Dermis

Fat

Healthy Collagen/ Elastin =

Broad Spectrum UVA/UVB

SPF 30

Physical Sunblocks

Titanium Dioxide, Zinc Oxide

Water resistant 40, 80 min

No such thing as waterproof

Most importantly.

Reapply every 2 hours

Especially after swimming

One you or your kids like

Avoid aerosol sprays

#

Smoking increases MMP, matrix metalloproteinases

MMP degrade your collagen and Elastin

Leads to Premature aging and Wrinkling

Smokers have dry lackluster skin

AM. Topical Antioxidants

Vitamin C, of the correct concentration and pH for skin absorption

Resveratrol topically

PM. Tretinoin (Retin A, Renova)

Sunscreen: UVA rays cause wrinkling

Anyone

Higher Risk:

Fair skin

Blonde or red

hair,

Blue eyes

Family History

Maureen Reagan

Bob Marley

James Rebhorn

Eva Cassidy

Melanoma Manifests Differently

in Children Than in Adults

Rare in children: 1 to 4 percent of all melanoma cases and just 3 percent of pediatric cancers.

Rising at rate of 1 to 4 percent per year.

Biggest risk factor: sunburns

Kids and Melanoma 4%

Protective Clothing

Rash gaurds

Solumbra or other UV clothing

Wide Brimmed Hat

Sunglasses

Latin verb

docēre [dɔˈkeːrɛ]

'to teach'

Before After Excision

1 cm Margins

1 month Post Op

Immediate Post

Op Repair

GOOD BAD

GOOD

BAD

GOOD BAD

6 mm

GOOD

Venous Lake

GOOD

Very common

trunk

Waxy verrucous

Stuck on like silly putty on the wall

GOOD

Palms, Soles , and Nails

More Common in Asians, Blacks and Hispanics

Delays in diagnosis worsen disease and prognosis

Patient A Patient B

Patient A Patient B

Men: 4.5 fold

Women: 24-fold.

In the US alone,

419,254 cases of skin cancer can be attributed to indoor tanning.

of This, 6,199 are melanomas

The number of skin cancer cases due to tanning is higher than the number of lung cancer cases due to smoking

Women: Age 18-29, 76% associated with tanning bed use

Indoor Tanning Melanomas 59-75% if tanning ≤ 35 years old BCC/SCC 40-100% if tanning ≤ 25 years old

20 minutes tanning = 3 hours in the sun unprotected Tanning beds are concentrated UVA or 3-6 times the

amount of radiation given off by the sun There is no UVB so you do not feel the burning rays

#

Avoid Peak Sunlight hours

10 am – 4 pm

Shadow Rule: shadow smaller than you, caution

Avoid reflective surfaces (water, snow, sand)

Sunglasses

Long Sleeves

Buff Guards

Nose guards

“ I was told by my doctor I needed Mohs surgery for a basal cell on my face. I am afraid of surgery and pretty vain. What is Mohs? Do I really need it and how bad will I look afterwards.”

Breadloaf Vertical VS Horizontal Pie

12

6

9

3

12

6

3

9

It’s Just a Pimple Doc

Maruchy

1 week after surgery

Stitches in Place

After Mohs

Mohs Reconstruction

“My Hair is falling out like

crazy and I don’t know what to

do. I fear I will go bald. What

can I do to stop it?

What can I do to get my hair

back? Desperate and Depressed

in Palm Beach Gardens”

Good News!!!

You will Not go Bald and Your Hair will

Regrow

Losing all my hair Sheilas Story

Telogen Effluvium : Biggest Culprit

Normal Hair Cycle

90% Anagen

2- 5 years

Hair grows Thick

Hair roots

degenerating

Growth stops

Old hair falls out, new hair regrows

Anagen Catagen Telogen Early Anagen

10% Telogen 3 months

shedding phase

Telogen Effluvium : 3months cycle

Stress, death, loss of loved ones, jobs

Post Partum Pregnancy

Illness, fevers, Antibiotics

Thyroid or hormone imbalances

Crash Diets, Drugs

Oral contraceptive pill withdrawal

Surgical Operations, Anesthesia

95% resolve 12 months

Alopecia Areata

Take ten minutes out of your day to release stress

Meditate

Yoga

Exercise

Sleep better today for more beautiful skin and hair

Sleep deprivation causes stress on the body which can aggravate your hair, skin and nail conditions

Sleep on your back to avoid sleep lines or use satin pillows to alleviate the pressure on the face

Restoring a thicker fuller hairline and temples

Before Hair Transplant

Before After

Jupiter Dermatology and Hair Restoration World Class Hair Restoration for Men and Women

Ricardo Mejia M.D.

Before After

Before After

Jupiter Dermatology and Hair Restoration World Class Hair Restoration for Men and Women

Ricardo Mejia M.D.

Before After

Before Hair Transplantation After Hair Transplant

Hair Loss from Brow Lift Camouflaged after 1

Procedure

COSMETIC SURGERY SCAR

Propecia or Finasteride

9 out of 10 respond

Low incidence of sexual side effects

Effects are reversible

No permanent side effects in my practice

Men: 1 mg daily or

5mg ¼ tab daily

Women: 2.5 mg daily(off label)

Topical Treatments

PRP: Platelet Rich Plasma

concentrated blood plasma

approximately five times the number of platelets found in normal circulating blood.

contains the growth factors that aid in wound healing.

? amplify the body’s naturally occurring wound healing mechanism.??

? stimulate the stem cells of the newly transplanted hair follicles??

? stimulate the growth of follicles??

? reverse hair miniaturization seen in androgenetic alopecia and even preventing hair loss.??

Bimatoprost, a glaucoma treatment

Hair restorations surgeons have been experimenting and reports sound promising .

Expensive

May make hairs grow faster and longer and prolong the growth phase.

Low Level Laser Therapy

30 min 3x a week

LED diodes with pure red light at 633-670nm

Hypothesized to stimulate epidermal stem cells in

the hair follicle

Increase cell metabolism

The health of blood vessels in the scalp for

thicker, supple & more durable hair

Stimulate the sebaceous glands for silkier-looking

hair

Final Skin Care Tips for Healthy Skin

If your skin feels dry , moisturize

Apply to damp skin, wait for it to be absorbed then apply a second layer

Using one with an exfoliant like lactic acid softens skin and sloughs off flakes

Condition hair after every shampoo

#8. Eat well and get good nutrition

Vitamin A supplementation may reduce melanoma risk

Selenium garlic, brown rice, whole grains, eggs, seafood and Brazil nuts) internal/external-200microg/d 1996 JAMA study may reduce skin cancer risks

Low fat diet associated with decrease in Actinic keratosis

Vitamin E (vegetable oils, nuts, seeds, olives, spinach, and asparagus) is shown to reduce the development of UV light- induced tumors in animals- internal/external-~400-800IU/d

Omega-3 FAs/Alpha-Lipoic Acid, (oils of nuts, seeds {flax!}, cold water, deep sea fish salmon sardines) is a more powerful antioxidant, 100xs more potent than either vitamin C or E

vitamin D Level: if low, may increase the risk for

the development of breast and colon cancer and may also accelerate the growth of melanoma

#

Lines around the eyes (crows feet) happen from repeated motions (squinting, smiling) as well as sun damage that causes permanent grooves in the skin

Easy fix: Large, dark, UV protective sunglasses

Botox & Dysport will prevent the movements that causes wrinkles

Get a Total Body Skin Exam yearly

WE’VE GOT YOU

COVERED FROM

HAIR TO TOE

JJupiter Dermatology and Hair Restoration, Laser and Med Spa

Ricardo Mejia MD Ashley Hess PA-C

Jupiterderm.com/DrOzEvent