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Upload: March 2, 2016


Skin Cancer Treatment with Mohs Surgery

Mohs surgery is one of the most effective procedures proven to treat skin cancer. Performed by specially-trained dermatologists around the world, this surgical technique is microscopically controlled to treat different forms of skin cancer. Mohs surgery is a treatment procedure developed by a general surgeon Frederic E. Mohs in 1938 and is known to have a cure rate of around 98% for the most common type of skin cancer, basal cell carcinoma. Also known as chemosurgery, Mohs surgery is one of the most effective treatments available to patients with cancers in difficult areas like the ear, nose and lips.

What Exactly is Mohs Surgery?

  • The procedure: Mohs surgery is a precise surgical procedure, which is controlled microscopically to eliminate the cancer containing skin cells. The procedure involves the removal of one or more layers of skin containing cancerous cells. The procedure ends once the dermatologist finds skin tissue without any cancerous cells. This procedure is precise in that can remove the cancerous skin layers without affecting the healthy tissue surrounding it. One advantage of Mohs surgery over the standard procedures it enables surgeons to verify that all the cancerous cells are removed.
  • Recovery: Mohs Surgery is usually an outpatient procedure, performed with local anesthesia. The recovery period may be anywhere between 2 weeks and 4 weeks, depending on the extent of the surgery and the stage of cancer being treated. After the surgery, your dermatologist may either stitch up the wound or leave it to heal naturally. Sometimes, healthy skin tissue from other parts of the body is used to reconstruct the part of the body where a lot of skin has been removed.

Interested in Learning More About Mohs Surgery? Contact Pacific Derm Center.

For more information about Mohs Surgery, contact our team of doctors today. We are located at two convenient locations in Seattle and Renton, Washington and can be reached directly at 206.859.5777. We look forward to hearing from you soon.


Common Signs Of Skin Cancer

Skin cancer is a serious but common disease. However, the good news is that it can be eliminated through various treatments. The success of the treatment depends on how early the cancer can be detected. The sooner it is detected, the higher is the success rate of the treatment. In order to detect skin cancer early, you must watch out for certain signs and symptoms.

Ignoring these signs can lead to the cancer spreading to other parts of the body, which can prove fatal. Statistics indicate that around 40 to 50 percent of light-skinned people will develop some form of skin cancer by the time they reach the age of 65. So, knowing the signs and symptoms of skin cancer can save your life.

Recognizing Skin Cancer

These are some of the signs and symptoms of possible skin cancer:

  • Roughness of the lower lips that lasts for a long duration can indicate Actinic Cheilitis, which is a precancerous condition. Other signs include swelling of the lips, lip lines that are prominent, and the disappearance of the area separating the lip and skin. Actinic Cheilitis eventually develops into squamous cell carcinoma, if ignored.
  • Formation of cone shaped growths on the skin can indicate squamous cell carcinoma. These growths are referred to as cutaneous horns and they grow out of a red base on the skin. They vary in size, but usually do not extend over a few millimeters length-wise. This is common in people who have fair skin and have been exposed to the sun a lot.
  • Moles can also indicate skin cancer. Though, most moles are harmless, harmful ones can be identified by their shape, size, or color. Cancerous moles are usually irregular in shape, large sized, and multi-colored. Another point to note is that, moles that develop during adulthood, can be cancerous.
  • Scaly patches on the head, neck and hands indicate Actinic Keratosis, which is a warning sign for skin cancer. They may develop into squamous cell skin cancer over a period of time.

Interested in Learning More About Preventing and Detecting Skin Cancer? Contact Pacific Dermatology & Cosmetic Center

For more information about skin cancer and its treatment, contact Pacific Dermatology & Cosmetic Center. We are located in Seattle and Renton and can be reached directly at 206.859.5777. We look forward to hearing from you soon.


Will Cosmetic Procedures Make You Happy?

In most cases, patients who plan on getting cosmetic surgery believe that it will improve the quality of their life and make them happier. While experts agree that patients are known to experience a boost in their self-esteem and self-confidence post-surgery, until recently there had yet to be any scientific documentation to official prove this is true. According to research information offered from experts, science now backs up this claim, declaring that cosmetic surgery can, in fact, make patients feel happier not only with how they look, but in other areas of their life as well.

Recent Research

A study conducted at two European Universities aimed to determine the long-term positive effects of plastic surgery and its effect on happiness. The studies were centered on the question "Does cosmetic surgery increase quality of life?" The researchers looked into facial surgeries specifically, and found that the majority of patients felt significantly better about themselves, their appearance, and experienced more happiness as a result of the surgery.

The Results

The researchers found that happiness increased in patients post-surgery because the boost in self-confidence and self-esteem they experienced from the physical modifications of the procedures. When the patient's self-image is improved, his or her quality of life is also improved, as the individual feels more confident in taking the steps needed for a happier life. The study also included those who had cosmetic surgery done, along with those who planned to have the surgery done, but decided not to. The patients who decided to go without the surgery did not experience the boost in happiness that those who had the surgery did.

Are You Considering Cosmetic Surgery? Contact Pacific Dermatology And Cosmetic Center

For more information about any of the procedures we offer, contact the Pacific Dermatology and Cosmetic Center in Seattle and Renton. To schedule an appointment, please call 206-859-5777. We look forward to meeting you.


What To Do When You're Unhappy With Your Skin

Very few people are blessed with perfect skin. Although it's impossible to change genetics, it is possible to improve your skin's health with regular maintenance and good habits.

Diet

A healthy diet is an essential part of skin care that can't be ignored. A healthy diet filled with fruits and vegetables keeps skin healthy by giving it the minerals and nutrients it needs. Drinking plenty of water is also important and keeps skin hydrated and healthy.

Good Habits

Lifestyle habits have a huge impact on skin. Develop good habits and work to start eliminating the bad ones.

Use sunscreen.

    • The sun damages skin cells and is the leading cause of skin cancer. By using a sunscreen with at least SPF 30 protection, skin stays healthy and the risk of fine lines, wrinkles, and sun spots is reduced.

Quit smoking.

    • Smokers tend to have skin that is more likely to age quickly and develop wrinkles. By quitting smoking, skin can begin to rejuvenate and slow its aging process.

Get seven to eight hours of sleep.

    • A good night's sleep is necessary to help with cell and skin renewal. It helps skin look refreshed and awake.

Don't overuse products.

    The overuse of products leads to skin irritation and sensitivity. A good skin care regimen includes a cleanser, sunscreen, and moisturizer. In most cases, nothing more is needed.

Products

In some cases, certain products may be used to help improve skin's appearance. The most common are retinoids, which are only available via prescription. Retinoids help to unplug pores, reduce fine lines, boot collagen production, and reduce the visibility of brown spots and freckles.

Mind

The mind can do amazing things, and when it's stressed out all the time, it can become evident in the skin. When the mind is not healthy, neither is the skin and it often leads to breakouts and bad complexions. Meditation can help by not only calming the mind, but by making skin treatments more effective.

Want To Improve Your Skin? Contact Dr. Jennifer Reichel

For more information about skin care, contact the Pacific Dermatology and Cosmetic Center in Seattle and Renton. To schedule an appointment, please call 206-859-5777. We look forward to meeting you.


Understanding Psoriasis

Despite affecting an estimated 7.5 million Americans, psoriasis is still a widely misunderstood condition. It develops as a result of an autoimmune disorder and involves the rapid buildup of skin cells, leaving patients with red patches of skin with silvery scales, dry or cracked skin, itching or burning, crusting and more. This chronic condition affects patients of all ages, and can appear anywhere on the body. To help get a better understanding of this condition, take a look at some of the lesser-known facts about psoriasis.

Five Facts about Psoriasis

  1. Psoriasis is not contagious. As psoriasis can leave skin red, raised and scaly, many think that it is an infection they can "catch" if they come into contact with it. However, this condition is not contagious and cannot be spread through any form of contact.
  2. There is no cure for psoriasis While there is currently no cure available for this condition, there are a number of treatment options aimed at reducing or eliminating the symptoms that accompany it. These can include oral medication, light therapies, topical treatments or any combination of these options.
  3. There are several different types of psoriasis. There are five forms of psoriasis -- plaque psoriasis, guttate psoriasis, pustular psoriasis, inverse psoriasis and erythrodermic psoriasis. Each type can bring about their own set of symptoms, and patients may sometimes experience more than one form of psoriasis.
  4. Psoriasis can bring about additional conditions. Those living with psoriasis are at an increased risk for additional health concerns, known as comorbidities. These include psoriatic arthritis, cardiovascular disease, diabetes and more.
  5. The cause is unknown. While the majority of researchers agree that psoriasis develops due to the immune system being mistakenly triggered, there is currently no known cause for this condition. Triggers can include stress, skin injury, the effects of certain drugs, smoking and more.
  6. To Learn More about Psoriasis, Contact Dr. Jennifer Reichel Today.

    For more information psoriasis and the treatment options available, contact the Pacific Dermatology and Cosmetic Center in Seattle and Renton. To schedule an appointment, please call 206-859-5777. We look forward to meeting you.


Treatment for Broken Capillaries & Sun Damage

I am interested in treatment for broken capillaries and for sun damage. What are the treatment options? - A

Hi A,

There are a few different possible lasers to treat broken capillaries - if we are trying to treat pigment too (along with the capillaries), then we might want to consider the Intense Pulse Light Device. This (IPL) is great for treating red and brown discoloration. It may improve texture a bit, but not super significantly. There is also the Fraxel Dual laser - this will treat lines, texture, and pigment, but not redness.

Then there is the question of maintenance - which we can discuss when you come in - it will include possible topical medications/creams to apply at home, and maybe ongoing chemical peels every 3 to 4 months.

I would love to see you for a consultation. Please call 206-859-5777. Make sure to mention RealSelf as the $80 consult fee is then waived.

Thank you again.
Jennifer Reichel MD
Director, Pacific Dermatology & Cosmetic Center
www.pacificdermcenter.com 

11011 Meridian Avenue N Suite 102
Seattle WA 98133
phone: 206-859-5777
fax: 206-859-5776


Top Treatments for Under Eye Problems

Dark circles, wrinkles, and under eye bags are among the biggest cosmetic concerns for patients. These under eye problems often make individuals appear older, sad and tired. For those who wish to correct these under eye problems, there is a variety of treatment options available that range from special eye creams all the way to a more aggressive approach, such as cosmetic eyelid surgery. To follow is a brief look into the treatment options available to combat under eye problems.

Non-Invasive Under Eye Treatments

Dermal Fillers like JUVÉDERM® and Restylane® can restore volume in the face that has been lost due to aging. Using dermal fillers under the eye is considered difficult, it is important patients select a skilled board-certified dermatologist for these injections to ensure the best results. Dermal fillers are often comprised of a chemical naturally occurring in the body-- hyaluronic acid. Because dermal fillers are made from a natural substance, the chances of an allergic reaction are essentially removed. Additionally, hyaluronic acid injections can be reversed, or lessened if in the rare event a patient is dissatisfied with the results.

An even more natural approach to restoring volume in the face, especially the under eye area, are autologous fat transfer injections. Fat is removed from one area of the patient's body and then injected beneath the eyes. Autologous fat transfer injections provide for the most pliable material to achieve the best results. Fat injections may be permanent, but often last up to two years for most patients.

Surgical Correction for Under Eye Problems

A surgical procedure called lower lid blepharoplasty removes excess skin and fat from the lower lids. This procedure can soften or eliminate wrinkles and puffiness. This procedure can be combined with laser treatments that can lighten skin pigmentation to remove dark circles.

Interested in Correcting Your Under Eye Problems? Contact Dr. Reichel.

For more information about under eye treatments by a board-certified cosmetic dermatologist, contact Pacific Dermatology and Cosmetic Center in Seatlle and Renton. To schedule an appointment please call 206-859-5777. We look forward to meeting you.


Types of Skin Cancer: What You Need to Know

Skin cancer involves the uncontrolled growth of cancer cells in the skin. Left untreated, these cells can spread to other tissues and organs, including the lymph nodes and bone. Read on for more information about the three main types of skin cancer and their treatments.

     

  • Basal Cell Carcinoma. Basal cells make up the lowest layer of the skin. Cancer of these cells is known as basal cell carcinoma. Basal cell carcinoma is most common on the head or neck and looks like raised, waxy pink bumps. This type of cancer is extremely common, but is slow growing and hardly ever spreads beyond the tumor site.
  • Squamous Cell Carcinoma. Squamous cells reside in the middle layer of the skin. Cancer of these cells, called squamous cell carcinoma, appears as red, scaly, and rough lesions on the hands, head, neck, lips, or ears. It is typically more aggressive than basal cell carcinoma.
  • Melanoma. Melanoma occurs in the skin cells that create pigment. It is far more dangerous than the other two types of skin cancer, but is less common. This type of cancer creates abnormal moles or lesions. Dermatologists look for the ABCDE signs of melanoma, which include asymmetrical shape, border irregularities, color, diameter and evolution of the mole.

Treatments for Skin Cancer

The treatments for skin cancer that PD&CC offer vary based on the type of cancer and its severity.

  • Mohs Microscopic Surgery. According to the Skin Cancer Foundation, Mohs surgery is the most effective method for treating basal cell carcinoma and squamous cell carcinomas. It is also used for certain types of melanoma. A Mohs surgeon uses a scalpel or curette to remove the tumor with a very thin layer of tissue around it. This layer is then immediately checked under a microscope. If the cancer is still present in the surrounding tissue, the procedure is repeated until the last layer viewed under the microscope is free of cancer.
  • Excisional Surgery. A dermatologist uses a scalpel to remove the entire growth and a surrounding border. The tissue is then sent to a laboratory to verify that all cancer cells have been removed.
  • Curette and Electrodissection. The tumor is scraped off with a curette and a needle sends electrical currents into the skin to destroy any remaining tumor.

Contact the Pacific Dermatology & Cosmetic Center for More Information about Skin Cancer

If you suspect you have skin cancer, contact the Pacific Dermatology & Cosmetic Center immediately. Our offices are located in Seattle, and we can be reached at (206)859-5777.


Acne Scarring

Hi there Victoria.

Thank you for sending in a consultation request about treating acne scarring on your cheeks.

Acne Scarring affects so many people. I would love to be able to tell you that there a magic bullet that will cure scars - especially acne scars - since they affect so many people. Even I have dealt with them (on my temples). Maybe some day we will be able to completely erase them - with each decade (THAT'S A LOT OF TIME) we have improved options to help smooth acne scars.

I would love to see you in consultation to look at your skin and make a plan tailored just for you. There are many different safe and effective treatment options. We have treated so many patients in the past 12 years (1000's). I always sit down and talk with every patient in consultation to discuss what is right for you as an individual and to address your specific concerns and options.

Please call 206-859-5777 to make a cosmetic consultation appointment. I can also have my receptionist, Melissa, call you to book an appointment.

Thank you for your inquiry - please remember to say you found us on Realself, as the $80 consultation fee is then waived.

Thanks again.

Dr. Reichel
Jennifer Reichel MD
Director, Pacific Dermatology & Cosmetic Center


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