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WestDerm

A Surfer’s Guide to Avoiding Skin Cancer ðŸâ€ž

We know the sun feels good when you’re out hanging 10, but all that UV exposure adds up. A new Surfline story, featuring our very own, and super rad, dermatologist-slash-surfer Dr. Chris Carlin in San Clemente, paints a grim picture:
According to a 2015 study, surfers are three times more likely than the general population to get melanoma, the most serious form of skin cancer. That’s daunting news if you love nothing more than riding barrels, but never fear. You can take steps to protect your skin while you’re out on the waves. See what Dr. Carlin recommends below:
+ Reapply sunscreen: It might be hard to remember when you are out on the water, but you should reapply sunscreen every two hours for consistent sun protection. Dr. Carlin recommends using a sunscreen stick, a format that typically adheres well to wet skin.
+ Use a broad spectrum formula: Only broad-spectrum sunscreens ward off both UVA and UVB rays, defending your skin against sunburn and long-term damage. Dr. Carlin suggests that surfers use an SPF 50 formula.
+ Join the dawn patrol: The sun is harshest midday, when it is straight overhead. Surf in the early morning or late afternoon to spare your skin–and ride better waves. 
+ Research your surf destinations: Some popular surf spots, like Australia, offer little atmospheric protection from the sun. Read up on your surf spot before heading out so you can prepare.
For more of Dr. Carlin’s skin-saving wisdom, read the full story on Surfline. As always, if you have any questions about preventing skin cancer while surfing (or doing anything else outdoors), just make an appointment and we will talk you through it. Surf’s Up Ã°Å¸¤™
Yours in good health, 
Your Dermatology team

Toothpaste For Acne?

Desperate times call for desperate measures and it’s safe to say many of us have put toothpaste on a pimple a time or two. While it may, at times, seem effective…it’s actually doing a lot more harm than good.
Let’s start with the reason why toothpaste may (sometimes) work on acne bumps: Many toothpaste formulas contain ingredients that help decrease bacteria and oils, and can shrink the appearance of acne lesions temporarily. And after-all, toothpaste is great for your teeth so it must be okay for your skin, right? 
Wrong.
In an effort to clear your acne the right way things up, we enlisted Dr. Jacquelyn Levin to give us the low-down on this oft-practiced DIY trick.
“Many toothpaste formulas once contained a chemical called triclosan that could work to kill the bacteria that causes and worsens breakouts,” says Dr. Levin. However, she also notes that “products today no longer use triclosan in their toothpaste formulas and according to the U.S. Food and Drug Administration, some testing suggests that triclosan could negatively affect thyroid hormones. So even if you do find a toothpaste that still contains this chemical, using it on pimples may not be worth the risk.”
Yikes.
Some other ingredients commonly found in toothpaste, such as baking soda, alcohol, and hydrogen peroxide, are known to be drying, which could help temporarily reduce the appearance of your acne lesions. The menthol in toothpaste can even create a tingly feeling that may temporarily reduce pain and swelling. While that tingly sensation may make it seem like it’s working, who wants just a “temporary” solution? 
Sodium lauryl sulfate is another ingredient often found in toothpaste and it can dry up oily skin and also decreases bacteria counts. It, however, “is also a very infamous irritant. So much so that most skin care and hair care formulas don’t use this ingredient anymore,” warns Dr. Levin.
Yikes, again.
So while there may be some rationale for using toothpaste on acne lesions, we recommend sticking with medical-grade and dermatologist-recommended products that are formulated for the sole purpose of treating acne. We also have a variety of laser treatments that work great to clear acne — and help prevent it, as well. Win-win!
Overall, while using toothpaste and other at-home remedies found on Pinterest are tempting, it is safer and healthier to visit a dermatologist instead.
If you have any questions or concerns, we are here for you and sincerely want to help clear your skin the right way. 
Yours in good health, 
Your Dermatology Team

A Par for the Course, but a Double Bogey for Skin Health ⛳

Even if your golf game is strong, your skin health might be hitting every bunker. That’s because golf courses are open spaces, often without much shade cover, and that means a lot of direct sunlight. Courses with water features are even riskier for both your golf game and your skin health. The water features can act like a mirror, reflecting the sun’s rays back at you and intensifying your exposure. In the short term, those sun rays can cause a nasty sunburn, and in the long term, they can cause wrinkles and even skin cancer. So, how can you keep your skin from turning red when you’re on the greens? We rounded up a few tips to help you firm your grip (get it?) on sun safety.
ðŸÅ’️‍â™â€šÃ¯¸ Seek out shade: If you’re choosing between a golf course with lots of mature, shade-giving trees and one without any, let your skin health be the deciding factor and go for the shadier course. If you can tee off in a shady area or a sunny one, then choose the former. Who knows—maybe swinging the club from a different position will be just what you need to get a hole in one!
ðŸÅ’️‍â™â€šÃ¯¸ Cover up: The more you can cover your body with tightly woven clothes, the less harmful UV light will reach your skin. If you really want to improve your sun-safety score, find some athletic clothing with a UPF rating. (UPF is just like SPF, but for clothing.) The Skin Cancer Foundation recommends a rating of 30 or above. 
ðŸÅ’️‍â™â€šÃ¯¸ Wear a hat and sunglasses: These easy-to-find accessories help to block the harmful UV rays that hit your eyes and face.
ðŸÅ’️‍â™â€šÃ¯¸ Golf during off-peak hours: Instead of getting in the golf cart when the sun is high, go during the early morning or at dusk. Your risk of sunburn is lower when the sun is lower. As a bonus, it may be cheaper to play in the morning or twilight!
ðŸÅ’️‍â™â€šÃ¯¸ Pile on sunscreen: We hope you’re wearing sunscreen every day because it’s the easiest and simplest way to lower your cancer risk. When you’re on the golf course, opt for a waterproof formula that will withstand your sweat. This way, sunscreen won’t go in your eyes while the ball is going in the 18th hole.
If you’re headed to the greens this summer, we hope you top your all-time high score and top your skin with sunscreen. For any questions you may have about skin health or sun safety, just make an appointment and we’ll share our insight. Good luck out there!
Yours in good health,
Your Glick Skin Institute Team

What Do Your Sunburns Mean?

First things first: there are two types of sunburns, both caused by UV Rays, and the deeper the burn, the more severe the damage.
First-degree burns: reddens the skin and feels painful, but only affects the outer layer of skin.
Second-degree burns: turn bright red and produce blisters, causing harm to the nerves and the deeper layer of skin.
✔️For people between the ages of 15 and 20: 1-4 sunburns increase Melanoma risk by about 60%
✔️ 5+ sunburns increase melanoma risk by 80%
To schedule a skin check, click HERE

How Many Times Have You Been Burned?

If you’ve ever had a sunburn, you know they’re sensitive and painful—unfortunately, that’s not the worst of it. Sunburns are a sign of skin damage, and over time, they increase your odds of skin cancer. For Skin Cancer Awareness Month, we’re helping you recognize the types of sunburns, understand the risks, and stop them before they start.
Types of sunburns:
  1. SILENT + DEADLY
  2. FIRST-DEGREE BURN
  3. SECOND-DEGREE BURN
One in five Americans will develop skin cancer by the age of 70 and is the MOST COMMON cancer in the United States. Research even suggests that regular sunscreen can in fact reduce melanoma risk.
Avoiding a sunburn is EASY AS wearing protective clothingand slathering on sunscreen.(Don’t forget, our favorite sunscreen brands are 20% off this month!)If you’re concerned about your sun sensitivity or you have any questionsabout skin damage, just make an appointment.

Check Yourself Out

May is Skin Cancer Awareness Month, and we have a favorite way to honor the occasion…GETTING SKIN CHECKS!
As a company, we’ve encouraged every single one of our doctors and staff to get their skin checked, and now we’re asking you to take the same painless step to protect your skin.
DID YOU KNOW? A 15-minute skin check could save your life. Early detection leads to prevention.
Lower your risk and wear sunscreen every day. We’re offering our recommended brands at 20% OFF!
Schedule today!

Are Sunscreen Chemicals Dangerous? ☀️☠️

Since CNN published a news story about sunscreen earlier this month, there’s been a lot of buzz in the media and we have been receiving a ton of questions. In a nutshell, the story says that the four main chemicals used in chemical sunscreens—avobenzone, oxybenzone, ecamsule, and octocrylene—require more research before the FDA can label them “safe and effective.” The story also summarizes a new study showing that these chemicals absorb into the bloodstream at high levels, which has triggered a government safety investigation. 
That all sounds pretty scary, but rest assured that in reality, sun protection isn’t as risky as it may seem. There’s no conclusive proof that sunscreen chemicals harm the body after they are absorbed.
“These ingredients have been used for decades without any reported internal side effects in humans,” says Dr. Jessica Riley, a dermatologist at our Encinitas and San Clemente clinics. Plus, the participants in the research study applied about twice as much sunscreen as people do in the real world, so the results they saw probably wouldn’t resemble those of a regular sunscreen user. 
On the other hand, these chemicals haven’t been deemed innocent, either. “For a long time, no one thought that smoking was bad for you until it was scientifically proven,” says Dr. Riley. To be as safe as possible, use physical sunscreen, the kind that relies on zinc or titanium dioxide to deflect the sun’s rays. Dr. Riley always recommends that pregnant women and children use these kinds of sunscreens, which (as an added bonus) are the most effective.
Better yet, depend on something other than sunscreen for your main source of protection. “The first line of sun defense should be protective clothing, hats, and sunglasses, and sunscreen should be the last line,” says Dr. Riley.
The important thing is that you don’t let stories like these scare you away from sunscreen altogether. UV rays are inarguably dangerous and, unlike sunscreen, are proven to cause skin cancer, which is the most common cancer in the US. Choose a method of sun protection that feels right for you and stick to it! If you have any questions about how to keep your skin safe, from the sun or anything else, just make an appointment and we will talk you through it.
We even sell recommended sunscreen brands in our clinic (at 20% off this month!). See you in the sunscreen aisle!

The 10-minute, non-invasive melanoma test 🚫✂️

Getting a skin spot checked is easy and painless, but some patients have to endure a little discomfort if their spot looks suspicious. That’s because, to check for skin cancer, our dermatologists have typically had to cut away a small skin sample, which makes some patients anxious. Thanks to a new technology, all that’s changing. We’re proud to use the new Pigmented Lesion Assay (PLA) test, which takes just minutes and doesn’t require any cutting of the skin.
The test takes skin cell samples with four adhesive patches, each one roughly the size of a quarter, which then go to a lab. The PLA rules out melanoma with 99% accuracy, and better yet, makes a lot of formerly routine surgeries unnecessary.
Best of all, it could lead to improved long-terms outcomes for melanoma sufferers. Using the PLA means that dermatologists can direct more time and resources toward patients with malignant growths, and the PLA removes a psychological barrier to getting tested in the first place. Early-stage melanoma is far more treatable than late-stage, so the decision to get tested early could save a life.
“The DermTech Adhesive Skin technology really has been a game-changer in my clinical dermatology practice,” says Dr. Stacey Tompkins in our La Jolla office. “I now can offer my patients the latest, cutting-edge tests to help determine if a mole is at risk for being or turning into a malignant melanoma. With four simple tape applications to the mole, the DermTech assay can tell us if a pigmented lesion is at low, moderate or high risk for being malignant by looking at certain high risk genetic markers. There is no cutting of the skin involved. This is such a tremendous boon for patients, as we can now assess a pigmented growth without having to cut the patient to obtain tissue. Many of my patients have been biopsied traditionally so many times, they are thrilled now to have this option.”
With the PLA, getting precise, cell-level data is as easy as a DNA ancestry kit, but in our case, we’re getting information to protect patients’ lives.
Dr. Brook Brouha recently had a young female patient with a mildly suspicious lesion on the back of her neck. “Given the age of the patient I’m not sure I would have done an invasive biopsy on this lesion. Since I have the non-invasive PLA test in my office, I chose to do that first. The test came back highly suggestive of Melanoma… Having the PLA gave me an additional option to obtain objective information to guide my clinical treatment decision!”
If you think you might be a candidate for the test, or if you have a child or needle-phobic person in the family, just make an appointment with one of our board-certified dermatologists. We’ll get you answers as quickly and painlessly as possible.

Why does our skin age? 👵👴

Your skin probably doesn’t look the same as it did 15 years ago. (If it does, please share your secrets!) Both your DNA and external factors, like UV exposure, diet, exercise and your favorite sleeping position, determine how you age. As the years pass, the skin tends to get looser, dryer, and less even-looking for everyone.
 
Now for the good news—you can keep up a youthful look with smart daily choices and non-invasive procedures. Keep scrolling to read about some of the most common signs of aging and how you can turn them around.
Sun Exposure: ☀️
THE CAUSE: Daily sun exposure
THE RESULT: UV rays break down collagen and elastin, which form the flexible tissue under the skin’s surface. When that connective tissue breaks down, the skin gets weaker and less elastic, and that’s a recipe for sagging and wrinkles. Making matters worse, UV rays also damage skin at a DNA level which can leave dark spots and cause the development of skin cancer.
THE FIX:  Sunscreen with an SPF of 30+ limits your UV exposure and prevents sun damage before it starts. We sell dermatologist-recommended brands in all our offices! If you’re already seeing sun damage, chemical peels  or a variety of lasers including IPL photofacials can help reverse it with minimal downtime.
Facial Expressions: 😑
THE CAUSE: Repetitive facial expressions and your chosen sleeping position
THE RESULT: As the skin ages, it naturally grows less flexible. When it folds or creases—maybe because you’re smiling, frowning, or resting against a pillow—it eventually stops snapping back as easily. Over time, those folds and creases become permanent.
THE FIX: Botox, Dysport, Xeomin, or the new Jeuveau relaxes facial muscles, keeping them from bunching skin together and creating creases. That relaxed appearance smooths existing wrinkles and helps prevent new ones from forming.
Loss of Collagen: 🌊
THE CAUSE:  Natural loss of collagen and hyaluronic acid
THE RESULT:  When your skin ages, it holds less of these substances, resulting in a drier texture and a thinned out look.
THE FIX: Dermal fillers like Restylane or Juvederm family or Belotero can re-infuse the skin with hyaluronic acid, which leads to a firmer and smoother appearance.
Want to get closer to the fountain of youth? If you’re searching for the best anti-aging strategy for you, we’re here to help. Make an appointment and we’ll keep your skin looking its best for years to come. 
Yours in good health (and good looks),
The Glick Skin Institute Team

Save Money On Botox

You’re Invited to Botox Day! Ã°Å¸’‰
WHEN Ã°Å¸â€œâ€¦: Thursday, May 16, 2019
WHERE Ã°Å¸â€œ: Glick Skin Institute, 4060 4th Ave Suite 415, San Diego, CA 92103
WHAT Ã¢â€œ:
+ 30 Botox units $50 off
+ 40 Botox units $75 off
+ 20% off All SkinMedica Products this day only
+ Special Raffle for Botox Day only!
+ Bring a friend that is new to Glick Skin Institute- $25 for patient and $25 for friend
+ Download the Brilliant Distinction app and sign up prior to your appointment to enjoy your first $10 coupon to be used at the Botox appointment.
+ Our special Allergan representative will be available to answer any questions you have on products, Brilliant Distinctions, or treatments.
Call to RSVP today: (619) 313-6022
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