Total Body Surgical Blog

Skin Cancer and you..Total Body Surgical Cosmetic Surgery

Posted by Jeff Swetnam, MD on Sun, Aug 25, 2013 @ 09:54 AM

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What does skin cancer have to do with you?  Quite a bit actually.  Skin cancers are the most common cancers and that is when compared to ALL other cancers.  There are 3.5 million skin cancers diagnosed each year and another 77,000 cases of melanoma.  The incidence of all types of skin cancer are on the rise for an unknown reason.  One can speculate however, i.e., tanning beds, less coverage of skin with modern fashion, changes in our atmosphere, etc., etc.  But nobody really knows why.

information on skin cancer

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As you can see from this graphic, this is a common problem.  Of course, there are several types of skin cancer that are common.  There are types that are not as common.  Then there are very rare types that are beyond the scope of this discussion.

Let's talk about the most common types first.  Basal cell carcinoma's are the most common types of skin cancer.  As the name suggests, this type of tumor arises from the basal layer of skin and is associated with UV or sun exposure.  This type of skin cancer comprises about 2.8 million of the 3.5 million skin cancers occurring in 2012.  These tumors very rarely spread to lymph nodes or other organ systems.  They start off small...

basal cell carcinoma are often ulcerated with raised edges.  Like a sore that never goes away.  They usually only spread locally and can become quite large if left alone...

large basal cell carcinoma  They can locally invade through bone and can require extensive surgery to remove.  It is therefore wise to seek advice while these lesions are small and easily removed.  We usually remove them surgically but they can also be removed by a Moh's procedure.  After complete removal the tumors rarely come back unless there are multiple areas involved (multi-focal tumors).  Also, the sun damage that caused the original tumor is also present on other exposed areas.  Therefore, once one is removed you must be diligent to identify and remove other tumors.

The second most common tumor, accounting for about 700,000 cases, is squamous cell carcinoma.  These tumors arise from the superficial layer of the skin and are also associated with sun exposure.  Squamous cell carcinomas involve the most superficial layer of skin.  They are usually scaley, thinner tumors in sun exposed areas.  Unlike basal cell cancers, these tumors can spread to lymph nodes in about 2-3% of cases.   This is why removal of these tumors early is a good thing.  squamous cell

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The big daddy of skin tumors is the melanoma.  It arises from the pigment cell in the skin called the melanocyte.  These tumors can be nasty.  About 70,000 of these tumors were diagnosed in the U.S. last year and it seems that it is on the rise.  Melanoma can spread about anywhere.  From the brain to the eye, spread of the disease is a tough problem.  These tumors can occur any place in the body that has pigment cells.melanomaThis picture is pretty classic for a nodular type melanoma, irregular, varied color, and a nodule.  They can, however, look like a normal mole.  Any pigmented lesion on the skin should be watched for change or increase in size.  Treating melanoma early is critical to survival and recovery.  Early treatment means less chance of spread to other places.

There you have it, a quick primer on common skin cancers you need to look out for.  Come see us for these problems and we can help.

918-786-7780 or 1-800-weight-o.

Topics: laser hair removal, Skin care, Breast Augmentation, cosmetic surgery, skin damage

New Skin!! Total Body Surgical Cosmetic and Vein Surgery

Posted by Jeff Swetnam, MD on Sun, Dec 04, 2011 @ 04:04 PM

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What can lasers do for your skin??  ALOT!!!!  As time goes on and the natural aging process of the skin occurs there are many changes that occur.  Ultraviolet light from the sun, pollutants in the air, pollutants in what we eat, the loss of collagen as we age, genetics, loss of fat,....and the list goes on and on.  All of these things lead to the aging of our skin causing spots, wrinkles, enlarged pores, and even skin cancers.

uv light

Here is a comparison of young and old skin...here you see how the age spots form, the outer layer thins, and fat is diminished.  On a smaller scale we would see collagen loss as well.

skin    What we see on the outside is this....

aging  How can laser treatment alter these changes??  There are a number of effects that a good laser treatment can cause making the skin look and feel younger.  Laser can tighten the skin by causing new collagen to form as the damage caused by the laser is healed.  The outer layer of skin (stratum corneum) is also thinned and made more organized by laser treatment making the skin look and feel smoother and softer.  Dark spots (age spots) or dark patches (melasma) are not only caused by sun damage but also are aggravated by hormonal changes.  When lasers are used carefully and these treatments are combined with targeted skin care and sun protection, these spots can usually be treated and removed.

Laser skin resurfacing today is safer, cheaper, and recovery times are significantly less than ever before.  At Total Body Surgical we use the Cutera Pearl laser.  This laser is unique for a number of reasons.  It is a wavelength that penetrates well into the skin but shortens recovery time.  We have the only pearl in the area.  It gives the same results as a CO2 laser but the recovery time is only around 4 days.  This means that you can wear makeup after about 4 days but will have some redness for a week or two. 

Laser resurfacing can make a huge difference in acne scarring too.  Smoothing them and helping pigment changes they can cause. 

So if you want to get rid of age spots, melasma, acne scarring, or just tighten the skin up to look younger, come see us at Total Body Surgical.  We can get you started on the new you in 2012.  Now laser treatments are as cheap as $800....much cheaper than the big city.....schedule today!!   918-786-7780...cosmetic consultations always complimentary...

Don't forget our specials too!!

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Topics: laser hair removal, Laser treatments with fractional lasers and pearl, Liposuction, Skin care, hair removal, laser treatment, cosmetic surgery, skin damage, Obagi skin care line, lap band statistics

The A, B, C's of skin care By Jeff Swetnam, MD Cosmetic Surgery

Posted by Jeff Swetnam, MD on Mon, Apr 18, 2011 @ 10:06 AM

The next few weeks I will be covering, in this blog, my philosophy and approach to common skin problems.  I hope this will be helpful to some of you. As a cosmetic surgeon, we see these problems commonly.

For a good laugh with a little ring of truth. 

http://youtu.be/byTMPyzq7O8

What are the causes of skin damage, pigment issues and other skin problems?  The answer to that question is fairly complex.  We do know some of the answers but certainly do not know them all.  First of all.....exposure.

Have you ever seen a new car that was wrecked and then left out in the elements???  Over time, the paint becomes dull, faded, and if you rub it, it comes off on your finger.  This is called oxidation.  The same thing happens to our skin over time.  Elements in the air.... pollutants, and sun work on the skin from the outside making it less youthful.  The other factor that works on the skin is what we put IN our body.  To use the car analogy, if water gets into the metal under the paint, you get rust from the inside.

So, all analogies aside, our skin is effected by exposure and what we eat.  There are 3 or 4 main problems that people complain about related to their skin:  First is wrinkles...these are caused by the skin adapting, over time, to motion of the underlying muscle.  Add this to the aging process where our bodies produce less collagen (the substance that gives our skin strength) and less elastin (the substance that gives our skin elastic qualities).  This process goes on even when we remove all of the other variables unfortunately and actually has been proven to start in the late 20's age group which is not considered old to me.  These wrinkles are very predictable.  They occur between the eyes (the elevens), around the eyes (crows feet), across the forehead, and around the mouth.  They are created by frowning, squinting, pursing the lips, and elevating the brow.  The second problem people complain about are pigment issues....brown and red "spots".  These are caused by changes in pigment production and areas of blood vessel changes in the skin, usually related to UV (sun) exposure.  The third problem is "sagging" of the skin.  This is again related to loss of collagen and skin elasticity but is contributed to by loss of underlying support structures, i.e. facial fat.  The fourth problem people complain of is the developement of "lesions" or rough areas that may or may not be pre-cancerous.

In the next blogs I plan to cover these issues one by one and give you some ideas on how to deal with them.

Come see us at INTEGRIS Total Body Surgical for your skin care concearns.

Remember to check out our Breast augmentation and hair removal specials too!!!

http://www.totalbodysurgical.net/breast-aumentationact-now/Default.aspx?utm_campaign=Grand-on-GRAND&utm_source

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Topics: Skin care, obagi, Botox, pigment problems, skin damage, total body surgical

About Laser Skin Resurfacing and the Pearl.

Posted by Jeff Swetnam, MD on Mon, Feb 28, 2011 @ 12:42 PM

Does this look and sound familiar??????  BE HONEST!

At Integris Total Body Surgical we see the results of sun exposure (over exposure) all of the time.  When we are young, we all perceive ourselves as indestructable and cover ourselves in oil while baking in the sun.  Today, with tanning beds, there is no winter break from exposure and it seems that I see damage at earlier ages than ever before.  Good skin care is the start of the healing process with retinols and or hydroquinone.  To really get a jump start on healing, we recommend laser skin resurfacing.  The machine we recommend is the Pearl 2700nm laser.  This laser treats abnormal pigments in the skin along with fine lines and wrinkles that go along with sun exposure and the normal process of aging.  The procedure is done in the office with minimal discomfort and the recovery time is only 3-4 days.  The skin after is opalescent, very soft, and looks healthier.  Over the next several months your skin will thicken with new collagen.

Treatments can be repeated at intervals and results can be maintained by chemical peels or repeat treatment.

Check out what The Doctors said.....

Everyone knows THESE guys don't lie!!! Our pricing on Pearl treatments and for packages if multiple treatments are needed or desired are VERY competitive. Cosmetic and skin consultations are always Complimentary. SOOOOOO what are you waiting for? Call us today and we will evaluate your skin and come up with a plan! 918-786-7780

Topics: Pearl, skin damage, pigment, wrinkles, laser, sun spots