presentation by dr. mejia on skin and hair health at dr. oz event
DESCRIPTION
This is the presentation that Dr. Mejia did at the Dr. Oz event at the Gardens Mall on skin and hair health.TRANSCRIPT
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