En las noticias - Affiliated Dermatology

Video transcript: How to Clear Up Acne in Teens

Watch the source video on YouTube

[00:00:02] [Music]

[00:00:09] and affiliated dermatology talking about

[00:00:13] acne up we all hate it but coming up the

[00:00:16] doctor will break down what to look for

[00:00:17] and all right all new at 8:00 does teen

[00:00:23] acne mean better grades this is a

[00:00:26] question a recent study from Emory

[00:00:28] University asked and the results were

[00:00:30] kinda surprising yeah listen to this

[00:00:32] they found that teenagers who have acne

[00:00:34] all right often have higher grades in

[00:00:37] English math and science and then they

[00:00:40] earn more money later in life

[00:00:42] that's a silver-lining rate little

[00:00:45] encouragement that it's okay if your

[00:00:47] teen does suffer from acne there are a

[00:00:49] lot of options out there to help clean

[00:00:51] up their face and clean up their skin so

[00:00:53] Aaron T is live this morning at

[00:00:54] affiliated dermatology and Scottsdale

[00:00:58] explained this good morning guys yeah

[00:01:02] we're talking about acne we've all dealt

[00:01:05] with it most of us either as teens or

[00:01:07] even as adults and you mentioned that

[00:01:09] new study with Emory University showing

[00:01:11] a correlation with teens who have acne

[00:01:14] but also being great students and I want

[00:01:16] to bring in dr. man way to give us shed

[00:01:18] a little light on this situation tell us

[00:01:21] a little bit about there is there a

[00:01:22] correlation or what have you seen in

[00:01:24] teens that have acne and their

[00:01:25] personality yeah that's very interesting

[00:01:27] I've only recently heard about this

[00:01:29] study but it makes sense to me because a

[00:01:31] lot of my patients with pretty bad acne

[00:01:33] can be a little bit more introverted a

[00:01:35] little bit less social things like that

[00:01:37] so I mean it makes sense that they might

[00:01:39] spend a little bit more time studying in

[00:01:41] the books and really when you do improve

[00:01:44] a lot of these kids acne their

[00:01:46] confidence improves it can be really

[00:01:47] pretty life-changing as far as their

[00:01:49] social sphere goes that yeah it's pretty

[00:01:51] interesting study but there is a way to

[00:01:53] treat it we'll get to that in just a

[00:01:55] moment but first talk about are there

[00:01:57] different types of acne that we should

[00:01:58] be able to you know recognize yeah so

[00:02:01] the two main categories of acne that I

[00:02:04] really like to kind of educate patients

[00:02:05] on is mainly this inflammatory type of

[00:02:08] acne and like the more mild or non

[00:02:10] inflammatory type of acne and that being

[00:02:12] the inflammatory kind is gonna be more

[00:02:14] red angry tender like more of cystic

[00:02:17] nodules that sometimes people patients

[00:02:19] get that's a little bit more of a severe

[00:02:21] form that in my mind definitely means a

[00:02:23] lot more of a treatment in the office

[00:02:25] here and you know I being able to

[00:02:28] prescribe prescription products being

[00:02:30] able to get them under control the more

[00:02:31] mild type like blackheads and stuff like

[00:02:33] that can sometimes be just treated with

[00:02:36] the over-the-counter stuff okay and

[00:02:37] speaking of treatment let's go ahead and

[00:02:39] walk us through some of these different

[00:02:40] products that you have and what exactly

[00:02:42] they would be best for yeah so I just

[00:02:44] have like a couple of really good like

[00:02:46] gentle cleansers here I really like that

[00:02:47] survey product in particular it's just

[00:02:49] something hard not harsh or drying

[00:02:51] because a lot of the prescriptions and

[00:02:53] products that we do recommend can really

[00:02:54] irritate peel the skin cause a little

[00:02:56] bit of redness in which case you just

[00:02:59] want to use something gentle some you

[00:03:01] know in conjunction with that another

[00:03:02] one that I really like are these benzoyl

[00:03:04] peroxide ones it's pretty much more than

[00:03:06] the only two over-the-counter products

[00:03:08] that I usually recommend because it's

[00:03:09] pretty effective not as harsh for drying

[00:03:12] your irritative as some of the other

[00:03:13] stuff that's out there I can really

[00:03:15] benefit kids especially with which only

[00:03:17] like a mild case of acne what generally

[00:03:20] causes acne when we're talking about the

[00:03:22] more serious cases the inflammatory type

[00:03:25] I mean it's it's it's one it's a mix of

[00:03:26] genetics hormones is a big huge player

[00:03:30] when it comes to acne development stress

[00:03:32] can really flare people up of course and

[00:03:35] yeah just you want to be have a good

[00:03:38] skin care regimen you know it's you've

[00:03:40] only definitely cleanse your face at

[00:03:41] least twice a day and yeah avoid having

[00:03:45] like oil and sweat and dirt kind of sit

[00:03:47] on it for too long that can really

[00:03:48] exacerbate some people all right so

[00:03:51] speaking of stress parents out there you

[00:03:53] may want to lay off the teens sometimes

[00:03:55] because like you mentioned just briefly

[00:03:57] stress can cause this acne

[00:04:00] yeah and in particularly we China we

[00:04:02] kind of like to emphasize to parents

[00:04:04] maybe take a step back let the like the

[00:04:07] teen or the your child take like the the

[00:04:09] forefront of their care and really they

[00:04:13] tend to be a little bit more motivated

[00:04:14] whenever they don't feel like they're

[00:04:15] being constantly nagged and kind of like

[00:04:17] Oh what did you do this did you do this

[00:04:19] today whenever they feel like it's their

[00:04:22] responsibility and somebody they

[00:04:23] sometimes are doing

[00:04:24] a little bit better rather than like oh

[00:04:25] you got to watch my face again and that

[00:04:27] kind of stuff you know alright thank you

[00:04:29] so much doctor all right guys we'll send

[00:04:31] it back to you in the studio hey Aaron a

[00:04:33] we're all discussing like skin we all

[00:04:36] have kids right and tweens here soon

[00:04:38] what what great sunblock is good for a

[00:04:41] tween because a lot of those are for

[00:04:43] adults aren't they

[00:04:44] okay so they're wondering what type of

[00:04:47] sunblock sun protection is best for

[00:04:50] teens is there are in are there specific

[00:04:52] type kinds that are best for adults not

[00:04:54] specifically teens first adults in my

[00:04:56] mind but definitely all these products

[00:04:58] that we usually prescribed or recommend

[00:05:00] can cause sun light sensitivity more

[00:05:02] susceptibility to like sunburn and

[00:05:04] things like that so definitely at least

[00:05:06] want to have like a moisturizer on board

[00:05:07] with like an SPF of 30 or high or

[00:05:09] especially during the day

[00:05:11] I prefer chemical or mineral sunscreens

[00:05:14] the mineral ones are a little bit more

[00:05:16] able to block the Rays a little bit

[00:05:18] better but they tend to be a little bit

[00:05:20] more tinted and like kind of paste

[00:05:22] people out so anything as long as you

[00:05:24] know as long as the kid is willing to

[00:05:26] wear it in my mind is gonna be the best

[00:05:27] sunscreen for him all right the key

[00:05:29] there is just protection protect your

[00:05:31] skin but also think about switching up

[00:05:33] your skincare regimen in different

[00:05:35] seasons so with that I'll send it back

[00:05:37] to you guys Erin a thank you for that we

[00:05:40] are full at my house we're full-on into

[00:05:42] this well so Kennedy spends a lot of

[00:05:47] time well both the kids spent a lot of

[00:05:48] time outside because they're basically

[00:05:49] played baseball and softball so Kennedy

[00:05:52] uses Neutrogena but she also washes her

[00:05:55] face and uses a moisturizer now even at

[00:05:58] eleven twelve years old that's the Queen

[00:06:00] yes because there's she spent so much

[00:06:02] time outside so she uses CeraVe and well

[00:06:05] if you guys right and and the nice thing

[00:06:09] about survey is it's you know created by

[00:06:12] dermatologists but it's over-the-counter

[00:06:13] yeah it's not gonna be like you know

[00:06:16] going to Dillard's or Macy's out getting

[00:06:18] they're not a giant thing yeah

[00:06:20] fast the one that she that never touched

[00:06:22] the elta MD and I just went to need it's

[00:06:25] like the fourth dermatologist to

[00:06:26] recommend that one and tip or yeah I

[00:06:30] mean that one's a little bit pricier

[00:06:31] Walmart calm liver to you yeah no there

[00:06:40] was some good stuff on that table yeah

[00:06:41] the question if pimples will help you

[00:06:44] get paid later we just let them have

[00:06:52] there's something science their

[00:06:54] relationship not correlation right yeah

[00:06:57] they're more stressed because they're

[00:06:59] dealing with all that

Video transcript: Everything You Need to Know About Chemical Peels

Watch the source video on YouTube

[00:00:00] are you putting your best face forward

[00:00:03] if you are battling wrinkles blotchy sun

[00:00:07] damage skin there is a treatment

[00:00:08] restoring a youthful healthy looking

[00:00:10] glow here to tell us about this

[00:00:12] treatment is McKenzie Marvin she is a

[00:00:14] licensed aesthetician and certified

[00:00:16] laser tech from affiliated dermatology

[00:00:18] and these ladies that we're gonna see

[00:00:20] some befores and afters coming up here

[00:00:22] these are your patients these are women

[00:00:24] who come to see you and you love the

[00:00:26] chemical peel what is that so a chemical

[00:00:28] peel is an exfoliation process that we

[00:00:30] applied to the face and it just kind of

[00:00:32] helps break down the skin so it targets

[00:00:34] different layers of the skin correct

[00:00:36] every peel address is a different a

[00:00:37] different concern and a different kind

[00:00:40] of skin issue all right so they come to

[00:00:43] see you for that consultation first and

[00:00:45] the first patient we're gonna see she I

[00:00:47] think you told me she had a very intense

[00:00:48] chemical peels she did so that those

[00:00:51] people before that picture right there

[00:00:53] is one of our deepest peels that we

[00:00:55] offer at affiliated dermatology she had

[00:00:58] amazing results with that peel it was

[00:01:00] just really addressing you know wrinkles

[00:01:02] and pigmentation and all that and we

[00:01:04] want to warn people that's normal right

[00:01:06] yes so that is normal with this peel not

[00:01:09] every peel you're gonna get results like

[00:01:10] that you can peel with that one for up

[00:01:12] to seven days but normal peel sometimes

[00:01:14] you don't even peel and sometimes you

[00:01:16] can it really just depends on how your

[00:01:17] skin reacts so you want to remind folks

[00:01:18] don't be planning a wedding or anything

[00:01:21] special right before you get the

[00:01:22] chemical peel give yourself about a week

[00:01:24] right correct yeah just a little bit of

[00:01:26] downtime just to let you can air more on

[00:01:27] the safe side of not having the chance

[00:01:29] to be peeling on a special event right

[00:01:31] and you do when you wouldn't we leave

[00:01:33] your office you will give us all the

[00:01:34] things we need to do yes absolute to

[00:01:36] maintain and make sure that that skin

[00:01:38] peels off naturally and we and we're

[00:01:39] healthy yeah let's talk about some of

[00:01:41] the benefits the health benefits of a

[00:01:43] chemical peel what is it doing to the

[00:01:45] skin as far as improving it um so it

[00:01:48] really can you know change anything from

[00:01:50] fine lines wrinkles it really just

[00:01:52] breaks down the barrier of the skin it

[00:01:53] kind of helps rebuild the skin you know

[00:01:56] boost collagen and elastin kind of

[00:01:58] clears all the bacteria and just

[00:02:00] unhealthy things and that's the fine

[00:02:01] lines and wrinkles look at the

[00:02:02] difference how many chemical peels is

[00:02:04] this just one honestly that's probably

[00:02:06] about three I would say

[00:02:08] it really just varies on how your skin

[00:02:09] takes the peel it could you know I like

[00:02:11] to recommend a base of three to anybody

[00:02:14] and then we can go from there

[00:02:15] that's huge I mean that looks like

[00:02:16] surgery yeah and you said discoloration

[00:02:18] is another thing that it addresses

[00:02:19] correct yeah it really takes care of

[00:02:21] hyperpigmentation or if you even have

[00:02:24] you know hyper or hypo pigmentation so

[00:02:26] that would be brown or white spots on

[00:02:27] the skin and really just helps to

[00:02:29] correct that and balance the skin out

[00:02:30] who's a good candidate for a chemical

[00:02:32] peel

[00:02:32] you know what anybody can be a good

[00:02:34] candidate for chemical peels every time

[00:02:36] when you come in I would assess your

[00:02:37] skin and we would just kind of go over

[00:02:38] your concerns and we would just address

[00:02:40] just to make sure that you are a good

[00:02:41] candidate right because I mean we were

[00:02:43] looking at the face but you said we can

[00:02:44] also do this on the body this is for

[00:02:46] acne yes that is for acne and a little

[00:02:48] bit of hyperpigmentation really you know

[00:02:52] you just take you know each section of

[00:02:53] the body and you just address it and

[00:02:55] then you can apply a peel and it really

[00:02:56] just helps target all areas what about

[00:02:58] ethnicity does that matter

[00:02:59] that doesn't as long as you as long as

[00:03:01] we are more on the safe side we can

[00:03:03] always peel your skin right and

[00:03:06] depending on the condition of your skin

[00:03:07] you said and that of course you will

[00:03:08] assess that during the consultation yeah

[00:03:10] will depend on the type of chemical peel

[00:03:13] because we're gonna look at the first

[00:03:14] one which is our rejuvenizer IPS yes yes

[00:03:18] when you come in for consultation it

[00:03:20] just depends on the type of peel

[00:03:21] depending on your skin type and you're

[00:03:23] concerned that will air on more the side

[00:03:25] of which peel I juice and then the

[00:03:26] vitalize yes that one really address it

[00:03:29] address in this picture some breakouts

[00:03:33] blemishes and some hyperpigmentation a

[00:03:36] little bit of hyperpigmentation as well

[00:03:37] all right so it doesn't matter your skin

[00:03:38] type you can come and see the good folks

[00:03:40] that affiliate a dermatology they do it

[00:03:42] all all right thank you so much let's

[00:03:43] give you a special offer you will get

[00:03:45] 30% off a chemical peel package

[00:03:48] affiliated dermatology they have eight

[00:03:50] valley-wide locations call 602 seven

[00:03:52] seventy five five zero two six extension

[00:03:55] one one zero eight or you can visit the

[00:03:57] website AFF derm comm to book an

[00:04:00] appointment

Video transcript: The Secret to Improving the Tone and Texture of Your Skin

Watch the source video on YouTube

[00:00:01] could your face use a little TLC well

[00:00:05] there is a new treatment promising to

[00:00:07] dramatically improve the tone and the

[00:00:09] texture of your skin and help you

[00:00:11] instantly look younger here to tell us

[00:00:13] about a revolutionary solution to skin

[00:00:15] care this is Mackenzie Marvin she is a

[00:00:17] licensed aesthetician and certified

[00:00:19] laser tech from affiliated dermatology

[00:00:21] great to have you here it's called micro

[00:00:23] needling what is that so my grenouille

[00:00:26] is just a resurfacing treatment that is

[00:00:27] used to improve fine lines acne scarring

[00:00:30] and all those things I know you guys do

[00:00:32] something called the skin pin yes so

[00:00:34] we're looking at some video of that what

[00:00:35] makes this device so unique so the skin

[00:00:37] pen is the only FDA approved device just

[00:00:40] meaning that it's super that's proven

[00:00:41] that it's safe within the skin that it's

[00:00:43] not going to cross contaminate between

[00:00:44] clients and when you mean cross

[00:00:45] contaminate so what are you guys doing

[00:00:47] secure safe so each individual client

[00:00:50] gets disposable tools like the tip of

[00:00:53] the of the pen right there and each of

[00:00:55] each of them is just individual you know

[00:00:57] we take them out as we use for the

[00:00:59] client that's good people have concerns

[00:01:02] about that and that was you in the video

[00:01:04] yeah you're actually the technician in

[00:01:06] there doing this and they said there are

[00:01:07] so many benefits to micro needling

[00:01:10] correct so some benefits could be

[00:01:12] improving acne scarring stretch marks

[00:01:15] fine lines and wrinkles if you have

[00:01:18] redness in the skin or brown spots it

[00:01:20] really just helps lift all that stuff up

[00:01:22] and just resurface the skin for you yeah

[00:01:23] we're looking at some acne and you know

[00:01:25] when we're teenagers even though we

[00:01:27] don't like it we do have to deal with it

[00:01:30] but you all can deal with the scars that

[00:01:31] come with acne right yes so in this

[00:01:34] picture it's just addressing kind of

[00:01:36] like the redness and the Browns as you

[00:01:38] see in the after picture um it's really

[00:01:39] just lifted that up and kind of filled

[00:01:41] in the acne scarring with micro needling

[00:01:44] it boosts collagen and elastin

[00:01:45] so as we're needling it causes little

[00:01:48] channels in the skin and it just kind of

[00:01:49] builds that back up to fill in the holes

[00:01:51] and scarring how do you prep the skin

[00:01:53] because that is it a painful treatment

[00:01:55] so honestly we prep the skin we numb it

[00:01:56] for 30 minutes

[00:01:57] um so honestly most people feel nothing

[00:02:00] or you should feel nothing but sometimes

[00:02:02] you might feel like a little vibration

[00:02:04] but that's that's it and so obviously we

[00:02:06] were looking at folks who were dealing

[00:02:07] with the acne scars I said this who's a

[00:02:10] good candidate not someone currently

[00:02:11] with acne and someone who has

[00:02:13] currently has acne is on a good

[00:02:15] candidate that would be more along lines

[00:02:16] of a chemical peel you want to control

[00:02:18] everything first with chemical peels

[00:02:20] kind of cleans up the bacteria and then

[00:02:22] my community will be a good option

[00:02:23] alright you and you said also fine lines

[00:02:25] yeah yeah so I mean if you're if you're

[00:02:28] you know struggling with aging or and

[00:02:30] you kind of you know that kind of thing

[00:02:32] you can go in with micro needling and

[00:02:34] that'll help just diminish some of those

[00:02:36] lines just like smooth them out a little

[00:02:38] bit so they're not as you know as

[00:02:39] intense

[00:02:40] yeah I'm sure when adults come to see

[00:02:41] you they don't want to deal with acne

[00:02:43] scars from when they were teenagers

[00:02:45] right what should we be doing for our

[00:02:47] skin um as far as products go there's a

[00:02:50] lot of products in there that can aid

[00:02:51] and you just helping with fine lines and

[00:02:53] wrinkles or even acne scarring micro

[00:02:56] needling is a great treatment for even

[00:02:57] people that are aging or that have had

[00:03:00] acne and the thinkin when they were

[00:03:01] younger that are still dealing with

[00:03:02] scarring it just helps you know build

[00:03:04] that back out and nobody there's no age

[00:03:06] limit on micro needling whatsoever so

[00:03:08] that's good to know

[00:03:09] how often can we do micro needle every

[00:03:11] four weeks we started that's the minimum

[00:03:13] and then you can do them as you know as

[00:03:15] far out is you know every three months

[00:03:16] six months just really just depending on

[00:03:18] how you how you want to write and so and

[00:03:20] you guys deal with the entire face I

[00:03:22] mean this is just one of the treatments

[00:03:23] that you guys do it affiliated

[00:03:25] dermatology you're all about just making

[00:03:26] sure the skin looks amazing

[00:03:28] yes we we all we like to just make sure

[00:03:31] that we're you know constantly renewing

[00:03:33] this skin and just making the benefits

[00:03:34] of just you know your skin just look

[00:03:36] amazing all right multiple services

[00:03:37] let's give you a special offer this

[00:03:39] morning by two micro needling treatments

[00:03:41] and you will get one free that is a $350

[00:03:44] value affiliated dermatology they have

[00:03:47] eight Valley wide locations for your

[00:03:49] convenience

[00:03:50] call 602 seven seven five five zero two

[00:03:53] six extension one one zero eight or you

[00:03:56] can visit the website AFF derm comm to

[00:03:59] book an appointment

Video transcript: What To Do If You Feel a Pimple Coming

Watch the source video on YouTube

[00:00:01] Welcome back. Well, we want to put your face your best face. Okay, because it said beat face in there. I got what they were talking about. I was like, what? So we want to put your best face forward for the weekend, right? Dr. Andrew Newman here with us this morning. Thanks. Thank you for being here. I appreciate it. So we were talking about this earlier. It seems like when you have like one of those really big blemishes coming on, you can kind of feel it, right? Yeah. So what I mean, what should you do when you feel? Say you've got a big job interview, you've got a big date or something. You're just trying to, I want to tamp this thing down.

[00:00:31] before it's get started. Is there any way to do that?

[00:00:33] So what most people do, if they have a very important event,

[00:00:36] like a wedding, or you're going on like TV,

[00:00:39] you can go into the office and actually see one of us,

[00:00:42] and we can do some procedures, for example,

[00:00:44] a little injection of an anti-inflammatory right into it.

[00:00:48] That's not something that I advise for everyone

[00:00:50] just to go ahead and do.

[00:00:51] That's what you can know.

[00:00:52] It's an emergency procedure.

[00:00:54] Like you said, you're a bride and it's like right

[00:00:55] in the middle of you're right.

[00:00:56] It's not like every Friday.

[00:00:58] Like I'm going out on Friday night with the girls.

[00:00:59] Hey, Dr. Andrew, I don't advise that.

[00:01:01] I gotta see you.

[00:01:02] It's good to know that.

[00:01:03] You can do that.

[00:01:04] So on an everyday basis.

[00:01:05] You know, you just don't want to show up to work with a big white head on your face.

[00:01:08] Right.

[00:01:09] So for the most part, it's more about prevention than it is for treatment.

[00:01:12] When you see a pimple popping up, the best thing you can do is just do a gentle cleanser.

[00:01:17] You can do some cover up.

[00:01:18] Make sure it's non-comitogenic, meaning it's not going to cause more pimples to put it in the makeup.

[00:01:24] Well, how do you know, if that is?

[00:01:25] It should say that on the product.

[00:01:27] What about compresses, like cold or hot?

[00:01:30] Like, you know, I always read that it.

[00:01:31] It was like a hot compress to open up your pores.

[00:01:33] Either or might help.

[00:01:35] Okay.

[00:01:35] That can be tried too.

[00:01:36] I see you've got some stuff down here.

[00:01:38] What is this?

[00:01:38] So over here we have some gentle cleansers, and we have some examples of a product for makeup, and that's non-comitogenic.

[00:01:48] Okay, so that'll say that on the label.

[00:01:50] So let's say you've got something popping up, and you do have one of those whiteheads.

[00:01:53] And my wife is always on me.

[00:01:54] You're going to leave that to sitting there like that, but I don't want to pop it.

[00:01:56] You just cover it up a little bit.

[00:01:58] Exactly.

[00:01:59] And that's manmy enough, isn't it?

[00:02:00] Their skin looks pretty good.

[00:02:01] Can I got to do that?

[00:02:02] Yeah.

[00:02:03] I don't have a lot of them.

[00:02:04] And this is just like a, just regular phase.

[00:02:06] Very gentle cleanser.

[00:02:07] Right.

[00:02:08] It's not a harsh soap.

[00:02:09] Over the counter.

[00:02:10] I've seen this at like, you know, the store.

[00:02:11] You don't need to go see a dermatologist for that, although we do have that in our offices typically.

[00:02:15] Okay.

[00:02:16] What's this here?

[00:02:17] So these are some medicines that we typically use to treat acne.

[00:02:20] This one is actually over the counter, the panoxyl there.

[00:02:23] There's some other ones there that are prescription.

[00:02:25] And so these are just some examples of acne medicines that we use very, very, very,

[00:02:30] commonly. They work really well. They don't work overnight. And that's why it's so important

[00:02:35] to do a preventative approach for acne, because this is a month-to-month type of treatment, not

[00:02:41] you see a pimple and you treat it that day. So let me ask you, because I have a tween daughter,

[00:02:45] she's 12, and that is right around the age of puberty. What do you recommend for parents with

[00:02:51] children in that age group? Anything like something like this in the middle portion, or it's just

[00:02:55] regular i think all of these that we've discussed is important um you want to take a preventive

[00:03:01] approach with the gentle cleansers right you can come see a dermatologist if you want to get on a

[00:03:05] treatment regimen there's no age restriction on starting acne regimens by any means okay okay um

[00:03:11] we might use different medicines of course but there's no restriction what's this last one here

[00:03:17] so the last one we can't have a dermatology talk without talking about sunscreen it's just not

[00:03:21] going to happen right so this is a great sunscreen that will actually protect your skin from the

[00:03:27] sun while not causing more pimples so this is also non-comitogenic is a great example like i've heard

[00:03:35] there's like a titanium something or other oxide or something like there's an ingredient you should

[00:03:40] look for is that right so there is so titanium oxide this is a mineral sunscreen it's not

[00:03:46] a chemical sunscreen so it deflects the sun rays rather than absorb

[00:03:51] absorbing them.

[00:03:52] There's some advantages and disadvantages to these different types of sunscreens.

[00:03:57] I don't think in terms of acne it makes too much of a difference.

[00:04:01] So I think it is a good opportunity, and you just brought this up.

[00:04:03] I know I like to get out in the sun.

[00:04:05] I think a lot of people who move here to Arizona, we have so many people moving here, they

[00:04:08] want to be outdoors, they want to enjoy themselves.

[00:04:09] Sunscreens are important.

[00:04:11] I get checked out once a year, you know, you strip down, top to bottom.

[00:04:14] How important is that to have a dermatologist like you look at?

[00:04:17] Very important.

[00:04:18] We don't want people to be vampires and staying in all the, you know, every day.

[00:04:21] the year we want people to enjoy the quality of their life outside that's why we live here in

[00:04:25] arizona so coming in every year for a skin check can at least protect you in the long run

[00:04:32] from developing skin cancers if you do have one we'll take care of it early and maybe give you

[00:04:36] some peace right you know exactly what's going on you talk to somebody about it

[00:04:40] thank you great job you're good on tv how do people get a hold of you if they need to so we have

[00:04:45] i have business cards um and then also we have an office phone number are you on are you online somewhere

[00:04:50] So we are on online, absolutely, affiliated dermatology.

[00:04:53] And you can reach us via phone.

[00:04:56] You can reach us via even email and whatnot.

[00:04:59] Nice meeting you.

[00:05:00] Yeah, nice to meet you too.

[00:05:01] You have good skin.

[00:05:02] Oh, thank you.

[00:05:02] Yeah, look at it.

[00:05:03] Yeah.

Video transcript: How to Achieve Glowing Skin With HydraFacials

Watch the source video on YouTube

[00:00:00] the scorching Sun it can really damage

[00:00:03] our skin so hydration it is vital for

[00:00:07] healthy glowing limping skin and I'm not

[00:00:09] talking about just drinking water

[00:00:11] McKenzie Marvin she is a licensed

[00:00:13] aesthetician and certified laser tech

[00:00:15] from affiliated dermatology and she is

[00:00:17] here to help us achieve healthy skin

[00:00:19] great to have you here we were talking

[00:00:21] about this treatment it's called Hydra

[00:00:22] facial and it's almost quenching the

[00:00:24] thirst of our skin right absolutely so

[00:00:27] the Hydra facial is just infusing water

[00:00:29] into the skin and lots of hydration and

[00:00:31] oxidant and it's an what's in this water

[00:00:33] it's good stuff right yeah so a lot of

[00:00:35] antioxidants that's really gonna hydrate

[00:00:37] the skin and give your skin a nice plump

[00:00:39] all right so this is one of the

[00:00:40] treatments being done how long does the

[00:00:42] treatment take the treatment can take

[00:00:43] anywhere from 30 minutes to an hour just

[00:00:45] depending on the type of treatment that

[00:00:46] we're doing to tailor to your skin all

[00:00:48] right so we're gonna look at some

[00:00:49] before-and-afters because what I think

[00:00:50] is really cool is making sure you're the

[00:00:52] right kind of candidate for a Hydra

[00:00:54] facial who is a good candidate and how

[00:00:57] often should we be getting the stuff so

[00:00:59] every every 30 days and then for Hydra

[00:01:02] facial and you know any skin type any

[00:01:04] kind of skin condition is really perfect

[00:01:07] for this treatment it's tailored to

[00:01:09] anybody that's kneeing hydration or

[00:01:10] anybody that's wanting to clear up their

[00:01:12] skin with acne so this is an acne I mean

[00:01:14] look at the difference there yeah this

[00:01:16] is directly targeting all of those

[00:01:19] pimples correct so what it's doing is

[00:01:21] it's distracting all the oils out of the

[00:01:22] skin and all of the blemishes and the

[00:01:24] build-up and debris it's just kind of

[00:01:26] clearing the skin up to give it a nice

[00:01:27] balance feel for good products and all

[00:01:29] that stuff look at the difference there

[00:01:31] so even sun damage some damage fine

[00:01:33] lines wrinkles it takes care of all that

[00:01:35] stuff we have different boosters and

[00:01:37] things like that for the tree and how

[00:01:38] many treatments do we need before we

[00:01:40] start seeing some of the after-effects

[00:01:41] I'm you know what it just depends on

[00:01:43] your stand and what condition it's in it

[00:01:45] can range anywhere from you know one

[00:01:46] treatment if you're just wanting

[00:01:48] hydration or it could be a series of

[00:01:49] treatments just depending on what you're

[00:01:51] trying to achieve I mean it makes

[00:01:52] perfect sense we drink water right after

[00:01:54] water water needs to be you know put on

[00:01:57] our face as well and I want to I want to

[00:01:59] look at the benefits of this of the

[00:02:01] Hydra facial because you were saying

[00:02:02] it's extracting some of that then can

[00:02:05] you actually what what what what's

[00:02:08] coming out so in this video you see I'm

[00:02:11] just like kind of like

[00:02:12] muddy water what I call it that's just

[00:02:15] build-up makeup oil debris she actually

[00:02:18] had never had a facial before so this is

[00:02:20] kind of a video just showing that all of

[00:02:22] that stuff is just building up on your

[00:02:24] skin and you really need to just get it

[00:02:25] out right and you said it's good for all

[00:02:26] skin types so that helps correct so if

[00:02:29] you have dry skin if you've got oily

[00:02:31] skin if you're ethnic that it doesn't

[00:02:33] matter nope not at all and so the

[00:02:35] treatment what as you're getting it done

[00:02:37] what does it feel like um you know it

[00:02:38] feels kind of like a little bit of

[00:02:39] suction the there's a couple different

[00:02:42] tips that go across your skin some of

[00:02:43] them might feel a little bit more rough

[00:02:44] than the others but it's really just

[00:02:46] extracting things and it's infusing

[00:02:48] hydration into the skin and you're the

[00:02:49] one doing these treatments a lot of

[00:02:50] those were your page yes yes share with

[00:02:52] you um

[00:02:53] so afterwards they love the results that

[00:02:55] you can see instant results just with

[00:02:57] their how their skin looks it's glowing

[00:02:58] it just looks super illuminated it's

[00:03:00] amazing hell yeah we all want healthy

[00:03:02] glowing skin especially in the

[00:03:03] summertime right can you give us some

[00:03:04] additional tips on how we can achieve

[00:03:06] yeah absolutely so drinking a lot of

[00:03:08] water especially since you know we're in

[00:03:09] Arizona um making sure you're applying

[00:03:11] your SPF and just making sure using a

[00:03:13] lot of hyaluronic acid just to kind of

[00:03:15] keep the skin plump and renew your skin

[00:03:17] yes and get a hydro facial right and how

[00:03:19] many times we need it once a month you

[00:03:20] say um yeah once I'm okay alright let's

[00:03:22] give you a special offer maybe you are

[00:03:24] ready to hydrate your skin here is that

[00:03:26] special offer by one hydro facial get

[00:03:30] one 50% off to contact affiliated

[00:03:33] Dermatology's Scottsdale office that is

[00:03:35] where they offer the hydro facial please

[00:03:37] call 602 seven seven five five zero two

[00:03:40] six extension one one zero eight or you

[00:03:43] can jump online and visit the website

[00:03:45] AFF derm com

Video transcript: How to Eliminate Stubborn Fat with CoolSculpting

Watch the source video on YouTube

[00:00:00] Are you sick of hiding stubborn fat that just won't budge with diet and exercise?

[00:00:05] Well, if you are ready to say bye-bye to arm jiggle, jelly belly, and saddlebags,

[00:00:10] it all comes down to science.

[00:00:12] Certified cool sculpting provider, Riley Hartman from affiliated dermatology, is here to help.

[00:00:17] And cool scopting, it's been around such a long time.

[00:00:20] Why do you think it's so effective?

[00:00:22] The science is there.

[00:00:24] It works.

[00:00:24] It's been around actually 10 years.

[00:00:26] It's done all over the world.

[00:00:28] So it's tried.

[00:00:29] It's true.

[00:00:29] it's FDA cleared.

[00:00:31] I mean, it freezes and kills your fat cells.

[00:00:33] It's a permanent change to what's bothering you.

[00:00:35] So we're going to look at an animation of kind of how all of this is happening.

[00:00:38] So what is cool sculpting?

[00:00:40] And why do you feel that this particular treatment is so different than other fat reduction procedures?

[00:00:45] Some other procedures use radio frequencies and they use heat and that,

[00:00:49] you know, if you can't tolerate those temperatures, then you're not going to get the results you need.

[00:00:53] Whereas with cool sculpting, it's a very tolerable treatment.

[00:00:56] You might feel a little stinginess for a few minutes.

[00:00:58] for a few minutes initially when it first starts, but it's really easy to do.

[00:01:02] I've treated thousands and thousands of patients and, you know, you go back to real life afterwards,

[00:01:08] to be a mom, to going to work, to go to the gym, you know, whatever you need to get to your day.

[00:01:14] We asked you how many folks have you done and you said it's been thousands.

[00:01:18] And interestingly, you say that consultation when they first come in to see you, it is so critical.

[00:01:24] That's where you talk about your treatment plan, the applicators, right?

[00:01:27] Right?

[00:01:28] Exactly.

[00:01:29] Yeah.

[00:01:30] Everyone's individualized.

[00:01:31] What I would do on myself, on you, on the cameraman, if he's willing.

[00:01:34] They would all be different.

[00:01:36] Everyone's a different size, things like that.

[00:01:38] So people often ask me, how much is it going to be?

[00:01:41] How long does it take?

[00:01:42] I don't know until, honestly, I get my hot little hands on you, is what I always say.

[00:01:45] Yes.

[00:01:46] So really important.

[00:01:47] That's why consultations are free at affiliated dermatology for coal sculpting.

[00:01:50] It's so I can give you all the information and make sure it's exactly what's going to be for you.

[00:01:54] Can you walk us through the treatment?

[00:01:55] What can a patient expect at during this?

[00:01:57] experience? Well, we put the applicator on, we put a gel pad on first, that protects your skin

[00:02:02] from the colds, in case you're wondering why you don't get frostbite, that's why. And then it's going

[00:02:06] to bring on some cold, you're going to feel it. And then actually about after 8, 10 minutes,

[00:02:11] the nerves become anesthetized by the cold. So that's why you don't have discomfort like you

[00:02:16] would with, you know, heat-related, you know, fat-killing procedures, is that the nerves become

[00:02:21] anesthetized. You'd sit and watch Netflix. I literally feel cool sculpting is the original Netflix

[00:02:25] and show procedure.

[00:02:27] People bring books. They just kind of just go away. How long is a treatment?

[00:02:32] It kind of depends on how many areas. Again, that's, you know, it could be as quick as like an hour.

[00:02:36] So I've had people spend all day with me. Right. Because you can do multiple parts, body parts.

[00:02:41] Exactly. So let's look at some of those, some of those before and afters. And these results are not instant.

[00:02:47] Nope. No, no. It does take, you know, definitely a few weeks to sometimes be on to get that full end result, which again, I explain that that ever so important consultation.

[00:02:57] This is some, some love handles that have smoothed out nicely.

[00:03:00] Yeah.

[00:03:01] And will it continue well even, this is 13 weeks, but it'll go even past that a little bit?

[00:03:05] It can.

[00:03:05] I have had patients come back and tell me between month four and six.

[00:03:09] They've noticed a difference improvement.

[00:03:10] And what about doing multiple areas the same day?

[00:03:13] You said we can do that.

[00:03:15] Yeah, we can absolutely do it.

[00:03:16] You know, whatever the patient schedule allows is what I'm going to work with just to get everything done.

[00:03:22] But yeah, all of our affiliated offices, we have two machines.

[00:03:25] So my little rain joke, so I can do twice as much fat.

[00:03:27] and half the time. Right, and you aren't certified. So this is something that you know very,

[00:03:31] very well. And I know you said a lot of people call you and say, I want to talk about pricing.

[00:03:35] I want to talk about financing options. And you offer all of that at affiliated dermatology.

[00:03:39] We do. We do. When you come in for the consultation, I will be able to lay out how long it's going

[00:03:44] to be, how much it's going to cost you, things like that. We do have interest-free financing

[00:03:49] as well. So it definitely makes it easier to kind of get where you want to be in life without

[00:03:54] having to put out too much right away. Because I'm sure a lot of people,

[00:03:57] People say I should have done this a lot sooner.

[00:03:59] And a big open house you guys have coming up.

[00:04:01] Yes, we have a wonderful aesthetic open house coming on Tuesday, August 20th,

[00:04:05] and it's going to involve our injector, our fabulous injector.

[00:04:09] Trish, that's been here, our fabulous esthetician, Kenzie that has been here and me.

[00:04:13] And then we're all just, anything you want to know, aesthetic, just drop in, come see us.

[00:04:17] And you guys do multiple services.

[00:04:19] I mean, we're talking cool sculpting today, but affiliated dermatology, head-to-to-toe beauty.

[00:04:23] Oh, gosh, yeah.

[00:04:23] I mean, it is a one-stop shop because you can come in and have.

[00:04:27] your derm needs taking care of, which, I mean, skin's the largest organ in the body.

[00:04:32] You need to take care of that.

[00:04:33] You can come get your injectables, your aesthetics, everything you need for that.

[00:04:37] Riley said you can spend the day with her, so why not?

[00:04:40] All right, let's give you a special offer.

[00:04:42] Receive a free consultation, plus up to $1,000 off of a cool sculpting treatment.

[00:04:49] Affiliated dermatology offers cool sculpting at their Gilbert and their Dea Valley offices.

[00:04:53] call 602-775, 5022, or visit aFFderm.com to book an appointment.

Video transcript: How to Achieve a Younger Look Without Having to Go Under The Knife

Watch the source video on YouTube

[00:00:00] okay let's face it aging stinks and as

[00:00:05] we get older our face undergoes changes

[00:00:07] in the skin the fat and the bone so if

[00:00:10] you are ready to restore volume and

[00:00:11] fullness in a natural-looking way you

[00:00:14] might need full face rejuvenation and

[00:00:16] Trish surely from affiliated dermatology

[00:00:18] she is here to tell you all about it and

[00:00:20] she's here to help us look amazing you

[00:00:22] look beautiful Susan thank you for being

[00:00:26] here and you can have so many services

[00:00:28] at affiliated dermatology one of them is

[00:00:31] full face rejuvenation what is that so

[00:00:34] full face rejuvenation is a combination

[00:00:36] of both Botox fillers and kybella I do

[00:00:39] like to do all three it just depends on

[00:00:41] the person and what they need in their

[00:00:43] age and stuff like that but I do like to

[00:00:45] combine them because it just gives a

[00:00:46] full-face natural rejuvenating right

[00:00:49] we're looking at some befores and afters

[00:00:51] that we will throughout this segment you

[00:00:53] see that initial consultation it's so

[00:00:55] critical because you kind of come come

[00:00:57] up with a plan absolutely absolutely so

[00:00:59] this lady this beautiful broad here in

[00:01:02] the photo she before you know was just

[00:01:04] she was complaining of she just lost a

[00:01:06] bunch of weight she was just tired all

[00:01:08] the time so she wanted a full face

[00:01:10] rejuvenation and we basically used

[00:01:12] filler in her cheeks her nasolabial

[00:01:14] folds and her marionette lines to kind

[00:01:16] of just smooth everything out and give

[00:01:18] her an overall revitalized youthful

[00:01:20] natural-looking appearance a

[00:01:22] naturalistic is the key here so what can

[00:01:24] a person expect during a treatment so

[00:01:26] during a treatment let's take Susan

[00:01:28] you're coming in to see me I you know I

[00:01:30] sit you down you kind of go over what's

[00:01:32] your complaints and then I kind of like

[00:01:34] to set up a game plan and then we kind

[00:01:35] of we can either do treatment that day

[00:01:37] which I absolutely love or we can set up

[00:01:39] a treatment for two weeks after it just

[00:01:41] depends on what you have going on in

[00:01:42] your life as well I do want to kit like

[00:01:44] stay away from doing anything two weeks

[00:01:46] prior to any big event so like pictures

[00:01:49] stuff like that you just need time to

[00:01:50] just let the inflammation and stuff go

[00:01:53] down alright so how long will these

[00:01:54] treatments last because they are pretty

[00:01:56] dramatic absolutely as we saw in the

[00:01:58] photo there that patient was we did

[00:02:02] cheek filler in her cheeks and just kind

[00:02:03] of lifted her up and give her just her

[00:02:05] apple bottom cheeks again that yep right

[00:02:08] there she's absolutely beautiful she

[00:02:10] lost a bunch of weight and then she just

[00:02:12] wanted those apple bottom cheeks

[00:02:13] like she had when she was young and we

[00:02:15] did that for her and she still looks

[00:02:17] herself

[00:02:17] that's what I love and you come but you

[00:02:19] come combine this with kybella

[00:02:21] absolutely why is that so critical so

[00:02:23] dream kybella with that treatment it

[00:02:26] basically just gives that jawline that

[00:02:28] preciseness that nice and like a jawline

[00:02:32] here we did Cabella with her this is

[00:02:33] after one treatment she wanted just that

[00:02:36] submental fat to be gone and just to

[00:02:38] give her that nice and chiseled darling

[00:02:40] like everybody wants nowadays it's super

[00:02:41] popular right now and you said it really

[00:02:43] complements what you're already getting

[00:02:45] done absolutely absolutely and when we

[00:02:47] didn't forget about you fellas

[00:02:48] you you you guys come in men come in all

[00:02:51] the time absolutely to receive a full

[00:02:53] face oh let's talk about who's a good

[00:02:55] candidate for a full so this is brotox'

[00:02:57] I love anybody like a male or female we

[00:03:02] do the same thing on both males and

[00:03:03] females usually we do brotox' on guys

[00:03:06] just to kind of help smooth out those

[00:03:07] lines not completely take them away but

[00:03:09] just make them nice and gentle and

[00:03:11] natural-looking right because I think

[00:03:13] it's perfect for a man or a woman to

[00:03:15] look themselves but look better

[00:03:16] absolutely we want to give you a special

[00:03:19] offer maybe it's time for you to get

[00:03:22] something done an affiliated dermatology

[00:03:23] they have a special offer for you this

[00:03:25] morning receive a complimentary

[00:03:27] consultation plus $100 off of two

[00:03:30] syringes of lip and dermal fillers plus

[00:03:34] $9.50 per unit of Botox affiliated

[00:03:37] dermatology they have eight valley-wide

[00:03:39] locations call 602 seven seven five five

[00:03:42] zero two six extension one one zero

[00:03:46] eight to book an appointment

[00:03:47] you can also ever request an appointment

[00:03:49] online at AFF derm com

Video transcript: 10 Summer Skin Issues and How to Prevent Them

Watch the source video on YouTube

[00:00:01] a sunburn might not be the only kind of

[00:00:04] skin problem that you can experience in

[00:00:06] the summer next we're gonna talk about

[00:00:08] how to take care of several other types

[00:00:10] of skin issues even ones that can be

[00:00:12] spread to the kids to kid if you're

[00:00:16] going to be heading out to the swimming

[00:00:17] pool wouldn't blame you this morning but

[00:00:19] make sure you're taking good care of

[00:00:21] your skin because while summer is a ton

[00:00:23] of fun until you're out too long and get

[00:00:26] sunburned or when you do again are out

[00:00:29] too long you get sunburned if you may

[00:00:31] not have realized that there are

[00:00:32] actually other things besides a sunburn

[00:00:34] that can really affect you so we've got

[00:00:36] a dermatologist Mitch Mitch manway

[00:00:39] joining us this morning to talk about

[00:00:40] some of the different ailments that can

[00:00:42] affect our skin good morning to you good

[00:00:44] morning to you thank you so much for

[00:00:46] having me the very first one I asked you

[00:00:48] for to pronounce egg because I cannot

[00:00:50] tell me what it's a little tough it's

[00:00:52] called molluscum okay and this is just

[00:00:54] actually it's kind of like a wart like

[00:00:56] virus that gets bred very easily from

[00:00:58] kids you know playing around the pool

[00:01:01] it's it's like a wart so it's like

[00:01:03] mainly skin-to-skin contact but however

[00:01:05] you can contaminate you know pool toys

[00:01:08] towels things like this that kids share

[00:01:10] back and forth they can spread this

[00:01:12] virus and it comes up as this type of

[00:01:14] like kind of flesh colored bumps these

[00:01:17] this rash that can kind of appear and

[00:01:20] anywhere on the skin it can kind of be

[00:01:22] irritating a little bit itchy mostly

[00:01:23] they kind of hang out and they're not so

[00:01:25] symptomatic for kids but it's extremely

[00:01:27] contagious so you just want to avoid

[00:01:29] sharing personal items things like pool

[00:01:31] toys towels things like that and then

[00:01:33] you always want to protect if you have

[00:01:35] the bumps from coming into contact with

[00:01:37] other kids by using like a waterproof

[00:01:39] bandage and is that something you just

[00:01:40] let you know go through its course or

[00:01:43] you can some some parents opted not to

[00:01:45] treat because it is like a war it's not

[00:01:47] gonna hurt anybody you know in the long

[00:01:49] run but whoever most parents do want to

[00:01:51] get rid of them sooner rather than later

[00:01:52] so they'll come into the office and

[00:01:54] obviously that's where we can give

[00:01:56] certain treatments okay even less

[00:01:58] pleasant yeast infections yes now

[00:02:00] there's some traditional type of yeast

[00:02:01] infections that we commonly hear about

[00:02:03] but ones they actually live on this skin

[00:02:05] okay

[00:02:05] so especially during summer months

[00:02:07] wherever people get like really hot and

[00:02:09] sweaty yeast really likes to live in

[00:02:11] that environment and it can kind of over

[00:02:13] grow

[00:02:14] we don't like to think about it but

[00:02:15] actually is on our skin normally okay I

[00:02:18] like day to day and sometimes you know

[00:02:20] during under these right conditions it

[00:02:21] can really over proliferate and you get

[00:02:23] like this lighter or darker patches of

[00:02:25] skin on usually on the chest or the

[00:02:27] trunk or the back and again something

[00:02:30] that you know not life-threatening not

[00:02:31] super harmful but something that you

[00:02:33] would want to come into the office and

[00:02:34] get treated with some sort of a knife

[00:02:35] fungal okay here in the desert dry skin

[00:02:37] yeah oh my god such a huge issue over

[00:02:40] here try skin all my patients they're

[00:02:42] always coming from other places and they

[00:02:44] don't realize that now they live in a

[00:02:46] special place where they really have to

[00:02:47] moisturize and that be if they came from

[00:02:50] anywhere anywhere you know humid it's

[00:02:53] terrible you know as far as moisturizers

[00:02:55] the unfortunate thing is I usually tell

[00:02:57] patients the thicker the greasy are the

[00:02:59] better oh interesting and everyone likes

[00:03:00] to use the pump bottles yeah

[00:03:02] unfortunately they're mostly water

[00:03:03] really not gonna help as well as

[00:03:05] something thick and there's something

[00:03:07] like a jar or a tube you know something

[00:03:10] that can really help kind of coat the

[00:03:12] skin and retain that moisture

[00:03:13] okay razor burn razor burn razor burn

[00:03:15] super common issue again you obviously

[00:03:17] want to cleanse before you shave any

[00:03:19] area soften the hairs you want to use a

[00:03:21] clean razor nothing that's been around

[00:03:24] for more than say like a week or two

[00:03:25] okay and then obviously you know use a

[00:03:28] high quality razor cleanse the area

[00:03:31] thoroughly and then moisturize your

[00:03:32] afterwards and that can usually help a

[00:03:34] lot of prevent against a lot of this

[00:03:36] razor burns okay okay thing doctor man

[00:03:39] way thank you so much don't appreciate

[00:03:41] the good advice

Video transcript: How to Protect Yourself from the Summer's Biggest Skin Concerns

Watch the source video on YouTube

[00:00:01] summer is here and that means we must

[00:00:04] take care of our skin sunburns they are

[00:00:06] one of the most and biggest Commons of

[00:00:09] skin issues in the state of Arizona but

[00:00:11] there are so many other common ones that

[00:00:13] you need to know about here to break

[00:00:14] down what to do to protect our skin

[00:00:16] during the summer months this is dr.

[00:00:17] Andrew Newman he is the chief

[00:00:19] dermatology resident at affiliated

[00:00:21] dermatology you said every day we need

[00:00:23] to be doing something to keep our skin

[00:00:25] safe yeah number one SPF 30 to 50

[00:00:29] sunscreen just to protect yourself from

[00:00:31] the Sun and and moisturize yeah and

[00:00:33] drink water yes so we have water out

[00:00:36] here we have a fantastic display I want

[00:00:38] to start with eczema that it what is

[00:00:40] eczema how do you treat it so eczema is

[00:00:43] one of the most common skin diseases

[00:00:45] that actually we see in our office and

[00:00:48] 10 to 20% of infants will have eczema

[00:00:51] it's something that most infants will

[00:00:55] grow out of by the time they have their

[00:00:57] 10th birthday but not all of them well

[00:00:59] their parents if they have asthma

[00:01:02] allergies or eczema the kids are more

[00:01:05] likely to have it as well it is partly

[00:01:07] hereditary all right and these are some

[00:01:09] products that you say well maybe kind of

[00:01:11] minimize some of that itching and that

[00:01:12] flaky skin mm-hmm

[00:01:13] exactly so these are dermatology trusted

[00:01:17] products that moisturize the skin which

[00:01:19] is by far the most important thing to do

[00:01:22] for treating eczema all right and these

[00:01:25] are the no nose exactly these are things

[00:01:28] we should not be doing in our home and

[00:01:30] putting on our skin right if you have

[00:01:31] that right fragrances are very

[00:01:34] irritating even the ones you don't put

[00:01:36] directly on your skin but the ones that

[00:01:38] are plugged into your wall so yeah

[00:01:41] they're very irritating the skin so you

[00:01:43] just want to avoid those it'll land on

[00:01:51] our skin all right let's talk about

[00:01:52] psoriasis what is psoriasis how is that

[00:01:55] different than eggs amah so psoriasis is

[00:01:57] actually a full-body disease even though

[00:02:00] we think of it as a skin disease it

[00:02:03] tends to affect joints it tends to

[00:02:06] affect the liver even in the heart it

[00:02:09] turns out that you have scaly thick

[00:02:11] plaques and patches

[00:02:12] is often on the scalp could be on the

[00:02:15] elbows could be on the knees and

[00:02:17] typically it's not something we cure but

[00:02:20] we manage it I'll control it all right

[00:02:23] so those were the different types of

[00:02:25] psoriasis howdy and you can treat it

[00:02:27] similar to the eczema similar there are

[00:02:31] different medicines in fact the last 10

[00:02:33] years or so there's been a huge just I

[00:02:38] guess adventure blow up of new

[00:02:41] treatments including injectables pills

[00:02:44] and even topicals everything is just

[00:02:46] completely new and exciting you guys you

[00:02:49] can help us with that all right so these

[00:02:50] are some of the other common skin

[00:02:52] conditions we can get in Arizona you saw

[00:02:54] in the tease people were itching and all

[00:02:56] of that you said there's some there's

[00:02:58] some common ones we can get just by

[00:02:59] going and enjoying a day at the lake

[00:03:01] yeah definitely so ponds lakes ocean if

[00:03:05] it's infested with a certain small

[00:03:06] parasite you can end up with what's

[00:03:09] called swimmers itch which is an itch

[00:03:12] after swimming hence the name and it's

[00:03:14] it's actually caused by the little

[00:03:16] parasites burrowing in your skin and you

[00:03:20] develop an allergic reaction to it which

[00:03:22] causes the itchiness so you want to just

[00:03:25] avoid any water contaminated with that

[00:03:28] of course so look for signs in the area

[00:03:31] okay yeah we hope with a little bit

[00:03:36] right and nonetheless you want to wash

[00:03:39] off with clean water afterwards okay

[00:03:41] what is margarita rash I love the

[00:03:43] display that you brought the way yeah so

[00:03:45] margarita rash is a fun one it's on you

[00:03:48] classically occurs after you make

[00:03:50] margaritas what happens is when lime

[00:03:53] juice will touch your skin and then you

[00:03:56] go into the Sun there's a chemical

[00:03:59] reaction that takes place on your skin

[00:04:00] with the sunlight and the lime juice and

[00:04:03] it causes a rash and so people that

[00:04:05] typically get this are people who are

[00:04:07] preparing salsas for the day or

[00:04:09] bartenders and so what you want to do is

[00:04:12] just avoid spilling lyons views on your

[00:04:15] skin and going out to the poolside in

[00:04:18] the glass not on our skin great

[00:04:20] information and you'll see the good

[00:04:21] folks that affiliated dermatology they

[00:04:23] can help you out if you come home with

[00:04:25] any sort of skin

[00:04:26] condition affiliated dermatology is

[00:04:28] offering 15% off over-the-counter skin

[00:04:31] care products they have eight Valley

[00:04:33] wide locations for your convenience

[00:04:35] call affiliated dermatology at 602 seven

[00:04:38] seventy five five zero two five or

[00:04:40] request an appointment online at AFF

[00:04:43] derm Calm

Video transcript: The Best Way to Treat Acne in Adults and Teens

Watch the source video on YouTube

[00:00:00] as whether you're a teenager or whether

[00:00:01] you're an adult off acne it can be quite

[00:00:03] embarrassing it's an embarrassing skin

[00:00:06] condition but there is help to prevent

[00:00:08] those breakouts here with acne treatment

[00:00:10] and prevention tips please welcome dr.

[00:00:13] Heidi Mullen she's from affiliated

[00:00:15] dermatology great to have you here it

[00:00:17] does in traumatic remote eyes a lot of

[00:00:20] people absolutely acne is the number one

[00:00:23] skin condition in the United States and

[00:00:25] actually affects 85% of teenagers

[00:00:28] unfortunately it can persist into

[00:00:30] adulthood especially in women absolutely

[00:00:33] so what is acne exactly so acne is

[00:00:36] clogging of the pores and basically it

[00:00:38] occurs in areas where we have a lot of

[00:00:41] oil glands so the face the superior

[00:00:44] chest the back in the shoulders are the

[00:00:46] common areas where we and there's

[00:00:48] different types of acne so you're

[00:00:49] battling you're trying to figure out

[00:00:51] what do I have what are those different

[00:00:52] types so mild forms of acne can be

[00:00:55] whiteheads or blackheads typically these

[00:00:58] don't scar unless we pick up these

[00:01:00] lesions right so we shouldn't pick

[00:01:01] absolutely not and then more severe acne

[00:01:04] can be in the forms of inflammatory

[00:01:06] papules pustules and even nodular cystic

[00:01:09] deep-seated lesions yes so we talked

[00:01:12] about you know waking up to is it what

[00:01:14] causes acne specifically in teams so

[00:01:16] acne is most commonly caused by hormones

[00:01:20] this is why it presents as teenagers

[00:01:23] because in puberty we have so many

[00:01:25] hormones that are increased especially

[00:01:27] testosterone which basically stimulates

[00:01:30] our oil glands to get larger produce

[00:01:32] more oil and plug the pores so another

[00:01:37] cause of acne is diet

[00:01:39] some studies have shown that skim milk

[00:01:42] as well as sugary foods can increase or

[00:01:45] exacerbate or even cause acne that's

[00:01:48] that's a lot about though so maybe take

[00:01:51] a note of what you know maybe you ate

[00:01:53] the day before if you wake up visit this

[00:01:56] is true but I will say that greasy foods

[00:01:59] haven't really been linked to acne so I

[00:02:01] know when I was a teenager I loved

[00:02:02] eating pizza and typically that hasn't

[00:02:05] been shown to cause any increases in act

[00:02:08] all right so dr. Mullen tell us how we

[00:02:09] can prevent acne are there things that

[00:02:11] we

[00:02:12] do each and every day absolutely and so

[00:02:14] that's the key doing something every

[00:02:16] single day following a routine so

[00:02:19] washing our face washing our face twice

[00:02:22] a day with a gentle cleanser and making

[00:02:24] sure that we wash our face after we've

[00:02:26] exercised or been in sports also using a

[00:02:31] gentle cleanser that doesn't cause acne

[00:02:33] using the fingertips to wash our face

[00:02:36] not an abrasive scrub brush or washcloth

[00:02:39] because those can irritate the skin yeah

[00:02:41] as well and staying away from products

[00:02:44] that have alcohol in them astringent

[00:02:46] toners mud scrub masks all of these can

[00:02:50] dry out the skin and increase redness so

[00:02:52] we should stay away from those things

[00:02:54] and never pick never pick and we're

[00:02:56] gonna repeat that a couple of times

[00:02:57] because it's those those items might

[00:03:00] sound luxurious but you're right if

[00:03:01] there's a lot of things like alcohol in

[00:03:03] them it can dry the skin you've brought

[00:03:04] some products because you said we all

[00:03:06] need to have these yeah in our daily

[00:03:08] routine to prevent breakouts

[00:03:09] so the common theme in treating acne is

[00:03:13] having a good face wash and one of the

[00:03:16] standards of care to treat acne is using

[00:03:19] a benzoyl peroxide product so we have

[00:03:22] here several types of benzoyl peroxide

[00:03:24] products face washes us leave on cream

[00:03:28] different concentrations of benzoyl

[00:03:30] peroxide and if that's too harsh on your

[00:03:32] skin you can use salicylic acid and

[00:03:34] adults should treat acne just like

[00:03:36] teenagers this is correct that's how I

[00:03:37] treat my patients in clinic all right

[00:03:39] and if you have scars we can go see you

[00:03:41] because you offer treatments there as

[00:03:42] well all right let's give you a special

[00:03:44] offer right now get 15% off select acne

[00:03:48] skin care products affiliated

[00:03:50] dermatology has eight Valley wide

[00:03:52] locations to clear your skin before

[00:03:54] school starts call affiliated

[00:03:56] dermatology at 602 seven seventy five

[00:03:58] five zero two five to book an

[00:04:01] appointment or to request an appointment

[00:04:02] you can do that online at AFF derm Calm

Video transcript: An Innovative Way to Treat Non-Melanoma Skin Cancer

Watch the source video on YouTube

[00:00:01] we love our sunshine here in Arizona but

[00:00:04] there are risks if we get too many rays

[00:00:07] skin cancer it is the most common of all

[00:00:09] cancers and it accounts for nearly half

[00:00:12] of all cancers here in the United States

[00:00:14] here to explain prevention and ways to

[00:00:16] treat skin cancer is dr. Christine Lin

[00:00:19] she's the chief of staff at affiliated

[00:00:20] dermatology great to have you here such

[00:00:23] an important topic as we are in these

[00:00:24] triple digits right now what is skin

[00:00:26] cancer and how can we prevent it skin

[00:00:29] cancer is the most common cancer in the

[00:00:32] United States more people are diagnosed

[00:00:35] with skin cancer than all other cancers

[00:00:37] combined one in five Americans will

[00:00:40] develop skin cancer sometime in their

[00:00:43] life a huge statistic one in five yes

[00:00:46] and well how can we prevent it what do

[00:00:47] we need to be doing daily the major

[00:00:49] cause of skin cancer is ultraviolet

[00:00:53] radiation exposure from the Sun so using

[00:00:57] some protection is the most important

[00:01:00] thing that includes using sunscreen

[00:01:03] wearing some protective clothing seeking

[00:01:06] shade and of course regular visits to

[00:01:09] your dermatologist for skin examination

[00:01:11] right and we and you said we need to do

[00:01:13] that regularly go in and get our whole

[00:01:15] body scanned yet make sure that we don't

[00:01:17] have any lesions you all at affiliated

[00:01:19] dermatology you offer what's called

[00:01:21] superficial radiation therapy or SRT

[00:01:24] what is that superficial radiation

[00:01:27] therapy is a non-surgical treatment

[00:01:30] option for non-melanoma skin cancers and

[00:01:34] that includes basal cell carcinoma and

[00:01:37] squamous cell carcinoma superficial

[00:01:40] radiation therapy works by delivering a

[00:01:43] calibrated precise dose to the skin

[00:01:46] surface it penetrates only skin deep

[00:01:49] so nearby tissue and underlying muscle

[00:01:53] and bone are not affected that's huge

[00:01:55] for patients absolutely and the

[00:01:58] wonderful thing is using superficial

[00:02:02] radiation therapy patients can avoid

[00:02:04] having anesthesia having any cutting or

[00:02:09] bleeding or risk of infection

[00:02:12] and they can continue to go about their

[00:02:15] active lifestyle without interruption

[00:02:17] right so those are the benefits for

[00:02:18] people who've had you know the

[00:02:20] alternative to this there's no downtime

[00:02:22] in this it sounds like you're just

[00:02:23] treating yes your cancer cells that's

[00:02:26] correct

[00:02:27] that's incredible all right so what kind

[00:02:29] of patient expect when they come there

[00:02:31] to affiliated dermatology

[00:02:32] what can they expect during a treatment

[00:02:34] so the treatment protocol will depend on

[00:02:37] the particular skin cancer and the size

[00:02:41] but the typical treatment course will

[00:02:44] involve several treatments a week for

[00:02:46] several weeks in a row and over the up

[00:02:49] here at a time the skin cancer cells

[00:02:52] will be slowly treated and slough off

[00:02:55] and the eventual result will be a just a

[00:03:00] very minimal scarring which is what

[00:03:02] we're looking at so this is a cancer

[00:03:04] patient who had skin cancer on the hand

[00:03:06] and and this is the treatment process

[00:03:08] look at the end there you can't that's

[00:03:10] correct

[00:03:11] so yes so this is a particular this

[00:03:14] particular skin cancer was a squamous

[00:03:17] cell carcinoma on the hand and on the

[00:03:19] hand after surgery we typically expect

[00:03:21] patients to have to really take it easy

[00:03:24] so that they don't pop their sutures and

[00:03:27] cause issues with the surgical site

[00:03:29] healing with SRT treatment this patient

[00:03:33] was able to continue with all their

[00:03:36] day-to-day activities and continue to

[00:03:38] play golf without any interruption and

[00:03:41] the end result as you can see there is

[00:03:44] very minimal scarring let's look at the

[00:03:46] leg another patient also look at you

[00:03:48] can't even see the lesion at all that's

[00:03:50] absolutely right

[00:03:51] in this particular case this particular

[00:03:53] skin cancer is on the lower extremity of

[00:03:56] an elderly woman who has poor

[00:03:59] circulation which usually means surgery

[00:04:02] would put them at risk for delayed wound

[00:04:05] healing and infection and treating it

[00:04:09] with SRT she was able to continue with

[00:04:13] her activities and treating the skin

[00:04:16] cancer cells slowly over time to leave

[00:04:19] with very minimal scarring Wow huge

[00:04:21] results thank you so much dr. Lynn let's

[00:04:23] give you some information affiliated

[00:04:25] dermatology is offering

[00:04:26] 15% off of their sunscreens to book your

[00:04:30] full body skin exam call affiliated

[00:04:32] dermatology at 602 seven seven five five

[00:04:36] zero two five or request an appointment

[00:04:38] online at AFF derm com

Video transcript: PRP for Hair Loss

Watch the source video on YouTube

[00:00:02] losing your locks it is a scary and

[00:00:05] humiliating experience hair loss it can

[00:00:08] impact both men and women but there is a

[00:00:10] treatment helping patients regain their

[00:00:12] confidence back Carmen Reyes she is a

[00:00:14] physician assistant with affiliated

[00:00:16] dermatology she is here along with Paul

[00:00:18] who recently received his hair loss

[00:00:20] treatment you're going to hear his

[00:00:21] journey in just a moment but first

[00:00:23] Carmen what causes hair loss there are

[00:00:25] many reasons for hair loss if it occurs

[00:00:28] suddenly with increased shedding then

[00:00:30] it's most likely due to illness

[00:00:32] medications diet hormonal changes if it

[00:00:35] occurs more gradually where you're

[00:00:37] noticing with each year you're losing

[00:00:39] your hair it's thinning out it's not

[00:00:40] growing back then the most common cause

[00:00:42] is hereditary hair loss it's also known

[00:00:45] as male or female pattern alopecia

[00:00:47] alright so PRP is one of the term that

[00:00:50] we hear a lot of an affiliated

[00:00:51] dermatology you guys do PRP restoration

[00:00:54] for hair loss what is that and how does

[00:00:56] it work

[00:00:56] yep PRP stands for platelet-rich plasma

[00:00:59] and it's a treatment natural

[00:01:03] non-surgical to reduce hair loss and to

[00:01:06] stimulate new hairs to grow it involves

[00:01:09] collecting a patient's blood and

[00:01:10] spinning it in a centrifuge where the

[00:01:14] blood will separate the plasma is

[00:01:17] collected the plasma contains tons of

[00:01:20] platelets these platelets secrete growth

[00:01:22] factors and the growth factors act on

[00:01:25] the hair follicles to keep the hairs

[00:01:27] that are there growing they stimulate

[00:01:29] new hairs to grow and they also thicken

[00:01:31] this the hair follicle the stem cells

[00:01:34] there so when you're growing back

[00:01:35] thicker hair all right so who's a good

[00:01:37] candidate for this because so we're now

[00:01:38] we're watching it go into the syringe

[00:01:40] after it's been out of the centrifuge so

[00:01:42] who's a good candidate yes so if you're

[00:01:45] noticing that your hair is thinning out

[00:01:47] it's not growing back you may see phases

[00:01:51] of baldness you've noticed hair loss

[00:01:53] like this and other family members and

[00:01:55] you don't have a history of scarring

[00:01:57] alopecia you may be a great candidate

[00:01:59] for this procedure alright so this is

[00:02:01] the treatment being done and and before

[00:02:03] I look at this Paul I want you to take a

[00:02:05] look at the screen and there's going to

[00:02:07] be an image that comes up which is you

[00:02:09] yes

[00:02:10] describe who you looked at in the mirror

[00:02:12] you were 35 years old in this photo yes

[00:02:15] so I I looked in the mirror I did not

[00:02:18] like what I was looking at I I was

[00:02:21] losing my hair I could notice it was

[00:02:24] thinning out and through family history

[00:02:27] I knew if I didn't do something about it

[00:02:29] I'd be alright you just talked about

[00:02:31] that Carmen hereditary link and so your

[00:02:33] father you said was balding and you

[00:02:35] wanted to do something about it describe

[00:02:37] the treatment the treatment was very

[00:02:40] simple they numb my head with some spray

[00:02:43] and I feel a little pressure and before

[00:02:46] you know what the procedure is done yeah

[00:02:48] so that was the video that we were just

[00:02:49] looking at of you getting the treatment

[00:02:51] done and that was a couple of years ago

[00:02:53] no you haven't we're gonna look at a

[00:02:55] before-and-after who are you today Paul

[00:02:57] how you feeling feeling great a lot of

[00:03:00] confidence and have my full full head so

[00:03:05] two years Carmen yes four before Paul

[00:03:07] saw this significant difference this is

[00:03:09] his natural hair absolutely all of his

[00:03:11] hair and once you start noticing results

[00:03:15] within three to four months because your

[00:03:17] hair grows in cycles we want to maintain

[00:03:19] your treatments by getting a treatment

[00:03:21] every three months so Paul's been

[00:03:23] getting these treatments for the past

[00:03:24] couple years he's had several and it's

[00:03:27] just wonderful it feels good so you swim

[00:03:29] you said you shampoo regularly or your

[00:03:31] stylist noticed it there my stylist

[00:03:33] noticed I probably have more products in

[00:03:36] my wife right now I love it and you're

[00:03:39] feeling good about yourself and you're

[00:03:41] stopping that hereditary link I'm so it

[00:03:43] the maintenance you said is fairly

[00:03:45] simple and you guys offer vitamins as

[00:03:47] well right exactly

[00:03:48] we recommend these vitamins from neutral

[00:03:50] it's a plant-based formula they're very

[00:03:53] high quality to kit they come in a male

[00:03:54] and female formulation because we know

[00:03:56] that men and women lose hair in

[00:03:57] different ways

[00:03:58] all right well Paul you look good I know

[00:04:00] your wife is very happy with the with

[00:04:02] all of this incredible hair that you

[00:04:04] have on your head if you are one of

[00:04:05] these folks you're losing your hair

[00:04:06] affiliated dermatology is offering you a

[00:04:09] complimentary consultation plus you're

[00:04:11] going to get 20% off treatment packages

[00:04:13] plus a two month supply of nutria fall

[00:04:16] hair vitamins affiliated dermatology

[00:04:19] there are eight valley-wide locations

[00:04:20] for your convenience call six or to

[00:04:22] seven

[00:04:23] five five zero two six extension one one

[00:04:27] zero eight or you can request an

[00:04:29] appointment online at AFF derm com

Video transcript: How Botox Offers a Solution to Excessive Sweating

Watch the source video on YouTube

[00:00:01] well sweating is a normal process

[00:00:04] preventing the body from overheating

[00:00:06] excessive sweating though or

[00:00:08] hyperhidrosis it's an embarrassing

[00:00:10] medical medical condition that could

[00:00:12] interfere with everyday activities like

[00:00:14] work and social life however many may

[00:00:16] not know that it is treatable here to

[00:00:18] tell us about a treatment is Carmen

[00:00:20] Reyes she's a physician assistant from

[00:00:22] affiliated dermatology and along with

[00:00:23] her is Caitlin who recently received the

[00:00:27] treatment thank you for both of you for

[00:00:29] being here so Carmen I want to start

[00:00:31] start with you what exactly is

[00:00:33] hyperhidrosis hyperhidrosis is a medical

[00:00:36] condition that causes the excessive

[00:00:38] sweating is typically localized to one

[00:00:40] or two areas of the body the most common

[00:00:42] area is the underarms but it can also

[00:00:44] affect the hands and the feet as well

[00:00:46] and you said it's like when you when we

[00:00:49] say excessive sweating we're talking

[00:00:50] like dripping right yes dripping from

[00:00:53] the areas Wow Wow what is the difference

[00:00:55] between sweating and having

[00:00:58] hyperhidrosis sweating is a normal

[00:01:01] process it prevents our bodies from

[00:01:02] overheating typically when it is warm

[00:01:05] outside when we're nervous when we're

[00:01:07] exercising hyperhidrosis is an increase

[00:01:09] in the amount of sweat and happens for

[00:01:11] no apparent reason

[00:01:12] Wow Wow now Caitlin you have this

[00:01:15] problem originally and you were telling

[00:01:18] me that it's very embarrassing what was

[00:01:20] going on what was your body doing so

[00:01:22] just normal day-to-day activity I would

[00:01:24] sweat for no apparent reason and you

[00:01:28] know I work with a lot of people and I

[00:01:29] reach over them all the time so anytime

[00:01:32] that that would be occurring you know

[00:01:33] it's extremely embarrassing yes I can

[00:01:36] only imagine and plus not to mention

[00:01:39] your clothes right it would have did it

[00:01:42] ruin your clothes yeah I probably could

[00:01:44] wear an outfit maybe one to two times

[00:01:45] and then I'd have to go shopping again

[00:01:47] okay can get expensive right yeah all

[00:01:51] right so so Caitlin went in for the

[00:01:53] treatment so explain what the treatment

[00:01:56] process is exactly Carmen absolutely

[00:01:59] Botox is used for treating hyperhidrosis

[00:02:02] okay and a tiny amount of Botox is

[00:02:05] injected under the skin under the on on

[00:02:07] the underarms okay

[00:02:09] did it hurt Caitlin it's a very very

[00:02:12] painless

[00:02:13] Wow new socks wasn't expecting you to go

[00:02:16] there alright so like Botox with you

[00:02:19] know normally we're used to hearing that

[00:02:20] you know where we get it in our faces

[00:02:22] how long do these treatments last is a

[00:02:24] typical like a Botox injection this

[00:02:27] treatment lasts six months or longer so

[00:02:30] it's typically a little longer than what

[00:02:31] you would see for cosmetic purposes okay

[00:02:33] so what happened Caitlin after you got

[00:02:36] the injection how long before you saw

[00:02:38] results in and tell me how you felt

[00:02:40] afterwards your confidence level so it

[00:02:42] took maybe four days I got the treatment

[00:02:46] on a Monday and then I noticed by Friday

[00:02:48] that I hadn't been sweating anymore yeah

[00:02:51] Wow so that must have been just so

[00:02:55] wonderful a feeling for you yeah

[00:02:57] absolutely

[00:02:59] does it I'm sure it gives you a little

[00:03:00] bit more confidence - yes yes a lot more

[00:03:03] and they can buy clothes and not have to

[00:03:05] go shopping again well that's good news

[00:03:09] as well who is really a good candidate I

[00:03:11] mean how do you know I guess you know

[00:03:13] all right

[00:03:14] anybody who has this condition really

[00:03:16] knows it's interfering with everyday

[00:03:18] activities if it happens on your hands

[00:03:21] or your feet it becomes difficult even

[00:03:23] shake hands with people and if you tried

[00:03:26] antiperspirant or prescription

[00:03:28] medications and they don't seem to be

[00:03:29] effective you may be the right candidate

[00:03:31] for Botox okay and how do you find out

[00:03:33] when somebody comes in you do in a

[00:03:35] consultation a series of questions you

[00:03:37] know be able to know absolutely I take

[00:03:39] him that detailed medical history okay

[00:03:41] my patients and then we will go on and

[00:03:43] talk about a treatment plan all right

[00:03:45] and the treatment is fairly quick I'm

[00:03:47] assuming it's just the series of

[00:03:49] injections and you're good it doesn't

[00:03:51] take very long and results are quick and

[00:03:53] they're dramatic yeah yeah life-changing

[00:03:56] Caitlin would you say yes absolutely

[00:03:58] good for you good for you all right well

[00:04:00] thank you for sharing that by the way

[00:04:02] that's in Carmen thank you for the

[00:04:03] information who knew right that this

[00:04:05] condition could be treated this is good

[00:04:07] news she also brought along a special

[00:04:09] offer they are doing complimentary

[00:04:11] consultations plus 20% off the treatment

[00:04:15] there you go affiliated dermatology they

[00:04:17] had they have eight valley-wide

[00:04:19] locations however Carmen's treatment is

[00:04:22] at the Scottsdale location is our right

[00:04:24] Carmen but you can call to make an

[00:04:25] appointment at six

[00:04:26] seven seven five five zero two six that

[00:04:29] extension one one zero eight you can

[00:04:32] learn more at AFF durm calm

Video transcript: How Botox & Filler Can Help You Achieve a Younger Look

Watch the source video on YouTube

[00:00:00] well sadly we have figured out there is

[00:00:03] no Fountain of Youth but thankfully

[00:00:06] there are plenty of treatments to help

[00:00:07] us instantly look younger

[00:00:10] Jamie Gatewood she is a nurse injector

[00:00:12] with affiliated dermatology she's here

[00:00:14] this morning to tell us about these

[00:00:16] treatments giving patients two romantic

[00:00:18] results the before and afters are pretty

[00:00:20] amazing good to have you here thank you

[00:00:21] for having me and so I the first

[00:00:23] question out of the gate what is the

[00:00:24] difference between Botox and fillers

[00:00:27] okay so Botox is fda-approved to relax

[00:00:29] certain muscles in our face so we

[00:00:31] constantly make facial expressions every

[00:00:33] single day for example when we raise our

[00:00:36] eyebrows that creates these lines across

[00:00:37] our foreheads and when we frown that

[00:00:39] creates these wrinkles in between our

[00:00:41] eyebrows that make us look angry and

[00:00:43] when we squint that creates the crow's

[00:00:45] feet or the lines around our eyes all

[00:00:47] right so we're looking now at what a

[00:00:49] what a lip filler looks like so that's

[00:00:52] different and what is that okay so let

[00:00:54] filler is fda-approved to add volume to

[00:00:57] where volume is lost so as we age we

[00:01:00] start to lose fat pads in our face they

[00:01:02] start to shrink and we also start to

[00:01:04] lose collagen so these changes in our

[00:01:06] face create halloween sagging and

[00:01:08] wrinkles in our face all right so this

[00:01:10] is the forehead that you were just

[00:01:12] talking about that is Botox

[00:01:13] that's Botox so this is relaxing it's

[00:01:16] relaxing that muscle so it doesn't act

[00:01:18] as rough as it normally does okay and

[00:01:21] it's not a lot cuz you brought an

[00:01:23] example right and what filler how much

[00:01:25] we need so often times people ask how

[00:01:27] much is an actual syringe a filler and

[00:01:30] it's 1/5 of a teaspoon that's tiny so

[00:01:33] I'm gonna this is the size of the needle

[00:01:35] and I'm actually gonna remove the needle

[00:01:37] so that I can squeeze this out faster so

[00:01:41] we can see just how much so it's not is

[00:01:43] this painful it's just treatment painful

[00:01:44] it's I would say it's minimal pain I

[00:01:47] mean no one's idea of fun is gained

[00:01:48] poked in the face but I would say it's

[00:01:50] very minimal and we have topical sprays

[00:01:54] and creams that minimize that pain even

[00:01:56] further okay so that's it that is it

[00:01:59] half in one syringe one syringe okay

[00:02:01] well that was a good example because you

[00:02:03] always wonder how many syringes well I

[00:02:05] made exactly now I want to talk about

[00:02:07] let me look at some more

[00:02:08] before-and-afters because now we've

[00:02:10] gotten the difference between a bit of

[00:02:11] filler and a Botox

[00:02:12] you'd explain this what is a lip flip is

[00:02:16] that what we're looking at here that is

[00:02:17] not what this is no this is the fillers

[00:02:20] yes that is fillers per map that was

[00:02:22] fillers used to relax the smokers lines

[00:02:25] with the lines around the mouth and then

[00:02:26] that is the little bit of remaining

[00:02:27] product in the actual lips to give a

[00:02:30] little bit of a plump all right so this

[00:02:31] one is the Botox that is Botox used to

[00:02:34] relax the muscles in between the

[00:02:36] eyebrows

[00:02:37] wow that is dramatic and this is one

[00:02:39] treatment that's one treatment that's

[00:02:42] amazing that's amazing now we're gonna

[00:02:44] do the lip flip because this is this is

[00:02:45] pretty cool what is this treatment so

[00:02:47] lip flip is a very quick Botox treatment

[00:02:50] that relaxes the muscles around the

[00:02:52] mouth and it helps roll or flip the lip

[00:02:55] outward giving it a fuller appearance

[00:02:57] without actually adding volume so it's

[00:03:00] fantastic for people who are not yet

[00:03:02] ready to commit to lip filler right so

[00:03:05] this is just giving you a more plump

[00:03:06] amore and this is you're doing at least

[00:03:08] yeah even so these are your patients I

[00:03:10] love that who's a good candidate for

[00:03:11] Botox or any of the fillers that were

[00:03:14] that we're seeing I would say good

[00:03:15] candidates range anywhere between mid

[00:03:18] 20s to mid 60's who are in general good

[00:03:22] health who have realistic expectations

[00:03:24] with these non-surgical treatments and

[00:03:26] who are not pregnant or breastfeeding I

[00:03:29] love that you said non-surgical because

[00:03:31] this is instant results right all right

[00:03:33] well come see her she's very

[00:03:34] knowledgeable in what she does thank you

[00:03:36] so much for having you we want to give

[00:03:39] you a great special offer this morning

[00:03:41] receive a complimentary consultation

[00:03:43] plus you're going to get $100 off of two

[00:03:46] syringes of filler plus $10 per unit on

[00:03:50] Botox affiliated dermatology has eight

[00:03:53] Valley wide locations called 602 seven

[00:03:56] seven five five zero two six extension

[00:03:59] one one zero eight now that extension is

[00:04:01] a direct line to the aesthetic

[00:04:03] scheduling so you're going to get that

[00:04:05] line versus going through the call

[00:04:06] center so you're going to get more

[00:04:07] immediate appointments and you can also

[00:04:09] visit the website AFF derm com

Video transcript: The Secret to Rejuvenated Skin this Summer

Watch the source video on YouTube

[00:00:01] is your skin looking dull and even maybe

[00:00:05] discolored and you wanted to look

[00:00:07] refreshed and vibrant

[00:00:08] well now you can by improving the

[00:00:10] overall health of your skin here to help

[00:00:13] is Mackenzie Marvin she's from

[00:00:14] affiliated dermatology great to have you

[00:00:16] here

[00:00:17] you love lebanon skin part of what you

[00:00:20] do you say that consultation is really

[00:00:22] important what kind of client expect you

[00:00:26] know for a consultation when they come

[00:00:28] in we just talk about the skin overall

[00:00:29] health of the skin kind of what they're

[00:00:31] expecting and what to look for

[00:00:32] throughout the treatments that they're

[00:00:34] wanting to get done and there's a

[00:00:35] treatment that you love it's called

[00:00:37] derma planing what is that so derma

[00:00:39] planing is a exploiting treatment of the

[00:00:42] skin that we offered affiliated

[00:00:43] dermatology that gets rid of peach fuzz

[00:00:46] and the outer layer of the skin and

[00:00:48] we're looking at the treatment being

[00:00:50] done right now how does it feel you know

[00:00:52] derma planing feels it's relatively

[00:00:54] painless you can feel a little bit of

[00:00:56] scratchiness but for the most part it's

[00:00:59] really relaxing and you can feel very

[00:01:00] calm so what are the benefits what's

[00:01:03] happening to the skin as you're doing

[00:01:04] this treatment so pretty much what it's

[00:01:07] doing is it's just removing the

[00:01:08] outermost layer of the skin and vellus

[00:01:10] hair just give your skin a really smooth

[00:01:12] appearance and so when we're finished

[00:01:14] you said it's instant result yes what is

[00:01:16] it gonna look like when we look in the

[00:01:18] matter you know what so my favorite part

[00:01:19] about this treatment is that you really

[00:01:20] can just look in the mirror and you see

[00:01:22] just glowy skin it's amazing we said

[00:01:24] women come to you a lot of times when

[00:01:26] they're gonna have a big weekend yes so

[00:01:28] I call it the weekend pick-me-up

[00:01:30] honestly it's my favorite because women

[00:01:33] can come in and get the treatment done

[00:01:35] and feel you know glowy and really

[00:01:38] really nice fresh skin after that right

[00:01:39] so it does it smooth out the skin yes it

[00:01:42] will it will and they'll help with

[00:01:43] complexion and as well what do you have

[00:01:45] acne so this treatment would not be

[00:01:47] geared towards acne patients however we

[00:01:49] have an amazing treatment that would be

[00:01:51] geared towards that and then this is

[00:01:52] something that you can then achieve and

[00:01:53] go through after we clear up acne and

[00:01:55] there's multiple modalities that you

[00:01:57] guys do at affiliated dermatology

[00:01:59] because in conjunction with

[00:02:00] dermaplaning-- you so you also offer

[00:02:02] skin masks yes so what is that so we

[00:02:05] have a we have a wide range of skin

[00:02:07] masks that we offer we have a couple

[00:02:09] that go into hydrating clarification

[00:02:13] rejuvenation and detoxification and so

[00:02:15] what are the benefits so you're

[00:02:16] obviously hydration is great for summer

[00:02:18] mm-hmm how often should we get a mask

[00:02:20] um you can get a mask every week if your

[00:02:22] skin is if your skin is feeling dull or

[00:02:25] you need just like a really nice lift

[00:02:26] you can get a mask and you can do that

[00:02:28] in conjunction with what's there my

[00:02:30] planning yeah my planning so how about

[00:02:32] derma planning how often should we get

[00:02:33] that time you can do derma planing i

[00:02:34] like to say every six weeks okay every

[00:02:36] six weeks and you'll you'll watch our

[00:02:38] skin as we're going through these

[00:02:39] treatments yes absolutely so you can

[00:02:41] come in periodically throughout that

[00:02:43] let's say you're gonna get a mask in

[00:02:45] between a derma planing you can get a

[00:02:46] mask and I will just keep on looking at

[00:02:48] your skin to get an idea of when a good

[00:02:50] time for the next treatment would be

[00:02:51] what do those what do those clients tell

[00:02:53] you when they're finished and you're

[00:02:55] finished with their treatment you know

[00:02:56] that's my favorite part honestly because

[00:02:58] they just look at their stand there like

[00:03:00] I didn't expect this like I didn't

[00:03:01] expect my skin to be this glowing it's

[00:03:04] it's really a good experience after we

[00:03:06] start when were younger or does it

[00:03:07] matter um you know I would say starting

[00:03:09] younger is always better you know and

[00:03:11] then you can just go throughout that

[00:03:13] that treatment time and just kind of

[00:03:15] gauge from there I would say it's

[00:03:16] perfect time to start because I get you

[00:03:17] bet you get a lot of folks who've never

[00:03:18] done anything for this absolutely hi

[00:03:21] Lily and dermaplaning is such a low

[00:03:23] tolerance treatment that it's that you

[00:03:25] can start at any age and just you know

[00:03:27] you get really good benefits from it all

[00:03:29] right thank you so much a great time to

[00:03:31] take care of your skin overall health

[00:03:32] that's what we're looking for here is a

[00:03:34] special offer for you buy two face masks

[00:03:37] and you're going to get one free or you

[00:03:39] can buy two derma planes and get one

[00:03:41] free as well affiliated dermatology they

[00:03:44] have eight valley-wide locations for

[00:03:46] your convenience to brick an appointment

[00:03:48] call 602 seven seven five five zero two

[00:03:51] six or visit the website AFF derm com

Video transcript: How CoolSculpting Can Help You Reach Your Body Goals

Watch the source video on YouTube

[00:00:01] well are you sick of wearing swimsuit

[00:00:04] cover-ups and oversized t-shirts to hide

[00:00:06] your body well don't let another summer

[00:00:09] pass you by without having that sexy

[00:00:11] body that you're after

[00:00:12] Riley Hartman she is a certified

[00:00:14] CoolSculpting provider with affiliated

[00:00:16] dermatology explaining to us this

[00:00:19] morning exactly what CoolSculpting is

[00:00:21] we've seen it of course you know

[00:00:23] advertised and the animation but but

[00:00:25] explain to viewers at home what is it

[00:00:26] doing what does it do into our body it

[00:00:28] is actually freezing and killing the fat

[00:00:31] cells so the fat that I'm after is that

[00:00:34] stubborn squeezable stuff love handles

[00:00:37] you know lower abdomens muffin tops

[00:00:40] things that show up in your bathing suit

[00:00:41] even some of that volume on the back as

[00:00:44] well I can freeze it I can reduce it

[00:00:47] down I can make you more curvaceous make

[00:00:48] it close fit better make you feel better

[00:00:50] okay well you haven't yet make me feel

[00:00:53] better my clothes fit better right so

[00:00:55] explain to us the process how it all

[00:00:57] works well you come in for a treatment

[00:01:00] I'm gonna put an applicator on you

[00:01:02] of course beforehand we'll put a gel pad

[00:01:04] to protect your skin from the cold the

[00:01:06] applicator is gonna be it's targeted

[00:01:09] specific temperatures they're gonna

[00:01:10] freeze and kill your fat cells and

[00:01:12] that's what we're seeing right now those

[00:01:13] are fats

[00:01:14] yeah those blue those blue ones are the

[00:01:16] ones that are you know freezing

[00:01:17] crystallizing and dying and then your

[00:01:19] body's gonna eliminate them naturally

[00:01:21] through everyone's favorite subjects wet

[00:01:24] feces and urine that's easy though it is

[00:01:28] it is you just you just go yeah okay so

[00:01:31] let's talk about some of the areas I

[00:01:33] mean the common areas you know those

[00:01:35] little love handles no muffin top areas

[00:01:38] right yeah about some all the areas that

[00:01:40] CoolSculpting really works on oh gosh um

[00:01:43] chin armpit chub back volume abdomen all

[00:01:49] over love handles you know lower hips

[00:01:53] outer thighs inner thighs inner knees I

[00:01:56] mean III pretty much from your chin to

[00:01:59] your knee I can get you okay it sounds

[00:02:02] like you can like you've been doing this

[00:02:04] a while so you guys are opening up some

[00:02:06] new locations tell us about that we are

[00:02:08] super excited to be in Gilbert now

[00:02:13] looking forward to freezing lots of fat

[00:02:14] out there everywhere

[00:02:16] this fat everywhere this fat everywhere

[00:02:18] we've been predominantly in the West

[00:02:20] Valley right now we have our Deer Valley

[00:02:23] location but super excited to meet

[00:02:26] everybody new at our Gilbert office on

[00:02:28] Higley that's awesome I don't want to

[00:02:30] show another little animation of this is

[00:02:32] the we see we love before and afters

[00:02:34] here and we love to see this is really

[00:02:36] just this is not for someone who's

[00:02:38] extremely overweight or has you know a

[00:02:41] lot of weight to lose right we're

[00:02:43] talking about specific problem areas yes

[00:02:46] yes I like to give my patients guidance

[00:02:49] if they have a little more weight than

[00:02:50] they should I encourage weight loss if

[00:02:53] they're within a certain window of their

[00:02:57] excuse me their ideal weight then

[00:02:59] sometimes we do a combination of I'm

[00:03:01] going to encourage the weight loss and

[00:03:02] the CoolSculpting as well so while

[00:03:04] they're reducing and keeping focused

[00:03:06] with the weight loss the CoolSculpting

[00:03:08] is reducing and they're kind of they're

[00:03:10] meeting in the middle when they get to

[00:03:12] their goal weight yeah yeah yeah that's

[00:03:14] a great idea actually

[00:03:15] and you brought along this device here

[00:03:18] and you had mentioned to me you can

[00:03:19] treat from the chin all the way down and

[00:03:21] the the size of the device you have

[00:03:24] different devices for different body

[00:03:25] parts yes this one right here is one of

[00:03:28] five applicators I work with to make a

[00:03:30] customized treatment plan for patients

[00:03:32] so everyone's shaped a little different

[00:03:35] we're all the same but we're all

[00:03:36] different yeah customized treatment plan

[00:03:38] that's what we like to hear thank you

[00:03:39] very much appreciate that she also

[00:03:41] brought along a special offer for you of

[00:03:43] course it's that consultation so

[00:03:45] important you'll receive a free

[00:03:46] consultation when you call plus 20% off

[00:03:49] a CoolSculpting session affiliated

[00:03:52] dermatology offers CoolSculpting at

[00:03:54] their Gilbert and Deer Valley locations

[00:03:57] here's how you book your appointment six

[00:03:59] zero two seven seven five five zero two

[00:04:01] two or visit 8ff derm com

Video transcript: Skin Care for Men's Health Month

Watch the source video on YouTube

[00:00:02] June it is designated as men's health month and for men in Arizona it's an especially

[00:00:08] good time to talk about skin cancer the most common form of cancer in the United States

[00:00:13] and ladies we know it is not always easy to get our guys in to see a doctor so here

[00:00:18] to help us is dr. Dustin Mullins from affiliated dermatology great to have you here

[00:00:23] I want to first start out talking about skin cancer and some of those common

[00:00:27] skin conditions that men face absolutely so skin cancer is the most common form of

[00:00:32] cancer in the United States by far and away.

[00:00:34] It actually tallies more than all our cancers combined.

[00:00:38] So it's a common cancer and we need to be conscientious and aware that it's something that

[00:00:44] we can prevent with appropriate precautions and prevention measures.

[00:00:49] That's right.

[00:00:50] And you were saying that skin conditions are very, very common in men.

[00:00:53] Absolutely.

[00:00:54] So for men, we do see that they have an increased risk of sun exposure, whether it's environmentally

[00:01:00] through their occupation or whether it's exposure to allergens, environmental factors that

[00:01:06] can exacerbate their skin conditions.

[00:01:08] Dry skin is a real common thing for all individuals out here in Arizona, especially the

[00:01:13] month of June.

[00:01:14] The month of June is actually the least humid month of all the months in the calendar year,

[00:01:20] so it's the time of year where the temperatures are rising and the humidity is low, so our

[00:01:24] skin gets dry.

[00:01:25] That's right, and we are of course hitting those excessive heat warnings already.

[00:01:29] The summer heat also leads to a lot of excessive sweating for men and I know you all offer

[00:01:33] a treatment for that.

[00:01:34] Yes, it does.

[00:01:35] So excessive sweating can sometimes be burdensome or it can disrupt their daily activities.

[00:01:40] And when it starts disrupting your daily activity, that's when we start to recommend intervening.

[00:01:45] Whether that's with an oral therapy, a topical, or we can also offer an injectable Botox

[00:01:51] into the axula under the arms where they have the sweating.

[00:01:54] What that does is it clamps down on the sweat glands, so they're no longer sweating inappropriately

[00:01:59] and it's no longer affecting their daily activity.

[00:02:01] And you said that's a quick treatment.

[00:02:02] It is a quick treatment.

[00:02:03] It's a safe and effective therapy for it.

[00:02:06] Sometimes patients see that as more ideal

[00:02:09] because it's not going to be something

[00:02:10] they're taking a pill and exposing their body

[00:02:13] through something systemically.

[00:02:14] It's easy.

[00:02:15] You come in for a treatment and that's it.

[00:02:17] Yeah, and those topicals can get cumbersome as well

[00:02:19] having you do that day after day.

[00:02:21] All right, Dr. Mullins, help us encourage our guys

[00:02:24] to get in to see you or a doctor for a skin check.

[00:02:27] So, you know, always try to encourage guys and women

[00:02:32] to come in and get their skin check.

[00:02:33] It's an important thing,

[00:02:34] but June's Men's Health Month,

[00:02:35] so we're gonna talk about guys.

[00:02:37] So ladies, try to get your man to come in

[00:02:39] and get a skin checked.

[00:02:41] It's a once a year, we recommend everybody

[00:02:43] gets a full body skin examination.

[00:02:45] That's where we look over,

[00:02:46] look for anything it looks abnormal.

[00:02:48] We might investigate it further with a biopsy

[00:02:50] if there's any concerning features,

[00:02:52] but it's a good idea to get a baseline.

[00:02:54] Therefore, we can monitor you

[00:02:55] over the next periodic of years,

[00:02:57] to make sure that we're keeping an eye on any changes

[00:03:00] and catching anything early.

[00:03:01] All right, and on a monthly basis,

[00:03:02] you were saying this to me, I love this.

[00:03:04] You said, okay, bear down and check your guy.

[00:03:07] Stand there and look over his body

[00:03:09] because we're looking for specific things.

[00:03:11] We're gonna show two examples.

[00:03:13] Let's start with non-cancerous lumps and lumps.

[00:03:17] Exactly, like you said, we recommend once a month,

[00:03:19] you and your partner can do a quick checkover,

[00:03:22] look for any new, concerning spots.

[00:03:24] So anything is rough, pink, and scaly,

[00:03:25] that's not healing, like you typically,

[00:03:27] You typically expect the pimple or a cut, say three to four weeks, it should be healed.

[00:03:31] Anything beyond that, then we start asking what could it be, could it be a skin cancer?

[00:03:35] If it's pigmented, so like this picture right here, so it can be dark brown, black, multiple

[00:03:40] colors.

[00:03:41] That's cancerous.

[00:03:42] So if it's got, this is right here is a melanoma.

[00:03:44] That's the most lethal form of skin cancers.

[00:03:46] That's going to more commonly affects men than women.

[00:03:50] So for guys, this is an important thing that we need to be aware of, that we're at higher

[00:03:54] risk than females for melanoma.

[00:03:56] we have a higher mortality with it when we do have a melanoma.

[00:04:00] Right, and so if we do notice a lesion or something on our body, immediately go in, correct?

[00:04:06] So what we recommend, anytime you have a new pigmented lesion, anything that's new, make

[00:04:09] note of that, we want you to bring that up on your next full body skin examination with your dermatologist.

[00:04:14] If there's anything that you believe is concerning about it, in any way, we recommend you come in for a spot check.

[00:04:20] So we take a peek at that, and we evaluate that and make sure that there's either something we need to be looking at further or do nothing and monitor.

[00:04:26] All right, so once a year, do that skin check.

[00:04:28] At least once a year, sometimes more frequent

[00:04:31] based on their history.

[00:04:32] If they've got a skin cancer, it might be more frequent

[00:04:35] or personal or family history.

[00:04:36] All right, Dr. Mullins is gonna come after you

[00:04:38] if you don't get in and get your skin checked, okay?

[00:04:40] All right, thank you so much, great advice.

[00:04:42] Here's a special offer for you this morning

[00:04:44] from affiliated dermatology.

[00:04:45] Receive 20% off a hyperhydrosis treatment

[00:04:49] for underarm sweat.

[00:04:50] Affiliated dermatology, they have eight

[00:04:53] valley wide locations for your convenience.

[00:04:55] To pick an appointment, call 602,

[00:04:56] 775, 5025, or you can visit the website, AFFDerm.com to book an appointment.

Video transcript: How to Detect & Prevent the Most Common of All Cancers

Watch the source video on YouTube

[00:00:01] May it is national skin cancer awareness month and living in sunny Arizona it puts us all at risk of developing skin cancer so when is the last time you had a skin cancer screening well here with the importance of screenings and prevention tips is Leah Shillanick she is a certified nurse practitioner with affiliated dermatology I'm pointing the finger I have to admit we're not very vigilant about that you know we're sun babies we're always in the sun so what is skin cancer what type of

[00:00:31] of skin cancer on there? So the skin cancer is really abnormal skin cells caused by

[00:00:37] damage from UV radiation coming from the sunlight or artificial light such as

[00:00:42] tanning beds. The main types of skin cancer would be like the non melanoma skin

[00:00:48] cancer. So basal cell carcinoma or squamous cell carcinoma. These tend to occur in

[00:00:54] sun-exposed areas. They're red scaly spots or maybe a sore or an ulcer that

[00:00:59] just doesn't want to heal. Are those dangerous?

[00:01:01] They can be locally to the skin and then rarely they can be quite aggressive.

[00:01:06] Okay, so the next type of skin cancer is.

[00:01:09] The big scary one.

[00:01:10] This is melanoma.

[00:01:12] These look like dark, scary spots and this is the most deadly type of skin cancer

[00:01:16] and the one we're always trying to catch early and ideally prevent.

[00:01:20] So if somebody's looking at this image right now and going, oh my goodness, I have that

[00:01:24] on my skin.

[00:01:25] We need to seek treatment right away.

[00:01:27] Right away.

[00:01:27] All right, so this is the best part.

[00:01:29] What does skin cancer look like?

[00:01:30] Let's give it the ABCs of skin cancer.

[00:01:32] So you may have heard a common mnemonic we give to our patients is the ABCDEs of skin cancer.

[00:01:38] And really, this is more focusing on melanoma.

[00:01:42] So A would be for asymmetry or a lesion or spot that just doesn't look the same on both sides.

[00:01:48] B would be border irregularities.

[00:01:51] So the edges are irregular or uneven.

[00:01:54] C would be for color.

[00:01:56] So anything dark black or that has multiple colors in it.

[00:01:59] D, diameter, so the size of it is bigger than the end of a pencil eraser.

[00:02:04] And then arguably the most important one would be E for evolving or anything that's changing

[00:02:09] in size, color, or shape over time.

[00:02:11] I love that, the A, B, C, D, E's of skin cancer, and again, it makes it simplified, but it's

[00:02:16] still very scary.

[00:02:17] Yes.

[00:02:18] So how can we prevent skin cancer?

[00:02:20] So really, when it comes to skin cancer, prevention is the key.

[00:02:24] It can be prevented, so really by being very diligent in

[00:02:29] your sun protection and sun avoidance measures.

[00:02:33] So we want to be making sure we're wearing

[00:02:36] daily sunscreen, which would be a 30 SPF or above,

[00:02:40] and you wanna make sure it's broad spectrum.

[00:02:42] So that would be something that covers for UVA.

[00:02:44] And we'll see that on the sunscreen?

[00:02:46] Yes, okay, okay.

[00:02:47] UVA, which would be aging rays,

[00:02:49] and it covers for UVB, the burning rays.

[00:02:52] And we also wanna be wearing sun protective clothing,

[00:02:55] so lightweight, long sleeve shirts, pants,

[00:02:59] Those broad-rimmed hats, sunglasses, and then making sure that we're just kind of seeking shade and trying to avoid those peak hours of 10 o'clock to 4 o'clock when the sun rays are at their strongest.

[00:03:11] And don't worry, you can still look fashionable and do sun protection.

[00:03:14] They have those great, you know, wide brim hats.

[00:03:16] I love them.

[00:03:17] They are perfect.

[00:03:18] You can be fashionable and still protect yourself.

[00:03:21] All right.

[00:03:21] So who needs a skin cancer screening?

[00:03:23] Because a lot of people may say, well, I don't need to do that.

[00:03:26] I don't lay out very often or I'm not in the sun.

[00:03:29] directly. Who needs a screening? We really recommend everybody get yearly full body skin

[00:03:34] examinations. We also encourage people to just be familiar with the skin they're in and know

[00:03:38] what their moles look like and kind of be monitoring for any changes on a monthly basis,

[00:03:42] but then coming in to get that professional screening once a year or more often if they have

[00:03:47] a personal history of skin cancer. And I know Leah, you guys at affiliated dermatology, you go to

[00:03:53] patients. You really want people to take control of their health. Yes, we want this service to be

[00:03:58] available to everyone. So if we have an older adult that's maybe at an assisted living or a

[00:04:02] retirement community that maybe finds it hard to make it into one of our offices, we will come to

[00:04:06] them. Yeah, she's a son watchdog. I'm telling you, she, you don't want to, you don't want to get

[00:04:10] her angry, because it's important. And if we have a mole or something we see that's a regular

[00:04:14] and we get it checked once, you said still follow up, right? Oh yes, yearly. We can be monitoring

[00:04:19] for changes in lesions. We can always do a biopsy or a check if it's something we're really

[00:04:24] concerned about. Great information. It's always a wonderful.

[00:04:28] Thank you so much. Okay, here's a special offer for all of you. Receive 15% off all sunscreens.

[00:04:34] Affiliated dermatology, they have eight valley-wide locations for your convenience. To book an appointment, please call 602-775-5025, or visit the website, AFFDerm.com slash TV-Skin-cancer.

Video transcript: Sunscreen Safety Tips

Watch the source video on YouTube

[00:00:02] You know you're supposed to use sunscreen, slather it on the kids, but are you applying

[00:00:07] it soon enough when you should be applying if you're planning a pool day?

[00:00:11] Dr. Heidi Mullen is joining us this morning. Thanks for waking up with us. Thank you for having

[00:00:16] me. So we're going to talk about sunscreen because everybody knows that they're supposed to

[00:00:20] slather it on, but I think everybody kind of gets it wrong somewhere. It is rare that you

[00:00:25] escape a weekend and don't have at least a couple of pink spots on you, right?

[00:00:28] This is true. So let's start with the very basic because sometimes when you

[00:00:31] you're shopping for them. Now there's all these buzzwords, chemical, mineral, it's like looking

[00:00:36] for organic stuff, you know? How do you know what the difference is and what you should be

[00:00:39] getting? So the difference between sunscreens is very simple. So with chemical sunscreen,

[00:00:45] you can think of it as a sponge. Basically, it's absorbing the sun's harmful rays

[00:00:50] versus mineral sunscreen acts like a barrier and deflects the sun's harmful rays. So is one

[00:00:58] better than the other? So basically, if you have sensitive,

[00:01:01] of skin, you probably want to reach for a mineral sunscreen.

[00:01:06] If you don't, then there are a variety of chemical sunscreens that come in so many different

[00:01:11] vehicles.

[00:01:12] There's probably one that works for your lifestyle.

[00:01:14] The other big one that people are always curious about SPF, how high should you be going?

[00:01:19] How low are you okay to go?

[00:01:21] How do we do?

[00:01:22] So when you're shopping for a sunscreen, you want to make sure that it is broad spectrum.

[00:01:28] So it covers both UVA and UVB rays because both of those can cause skin cancer.

[00:01:34] As far as SPF goes, you want an SBF of 30 or greater.

[00:01:38] An SBF of 30 will deflect or absorb 97% of the UVB rays.

[00:01:45] So don't go for the 15% just because you think you're trying to get a tan.

[00:01:49] So this is interesting.

[00:01:50] We asked this question in our newsroom a couple of minutes ago and everybody had a different

[00:01:55] answer.

[00:01:56] When are you supposed to put your sunscreen on before you head outside?

[00:01:59] How soon?

[00:02:00] Ideally, you would put sunscreen on about 15 minutes before you head outside.

[00:02:04] 15 minutes.

[00:02:05] And you want to make sure you're reapplying it throughout the day.

[00:02:08] So every two hours is ideal.

[00:02:11] And if you're out sweating or in the water, then you want to reapply more frequently.

[00:02:16] Now you had a really interesting thing for us that on top of using sunscreen, there are still

[00:02:22] ways that we can minimize our risk for skin cancer just with the vitamins that we take?

[00:02:27] That is correct. There are certain supplements that decrease your risk of skin cancer.

[00:02:31] So primarily there's niacinamide or vitamin B3. I sure did and taken every day this decreases your

[00:02:39] risk of skin cancer by 23%. Wow. There's another supplement called heliocare and that decreases

[00:02:46] your risk of skin cancer by 30%. That's significant. I mean if we're trying to do every

[00:02:52] everything that we can.

[00:02:54] And certainly here in the valley of the sun, I think we have to go the extra mile.

[00:02:57] Absolutely.

[00:02:58] We have the second highest rate of skin cancer diagnosis in the world here in Arizona.

[00:03:03] So it's so important to protect our sun.

[00:03:06] And lastly, you did say vitamin C is also beneficial.

[00:03:09] It sure is.

[00:03:10] Again, we live in the desert.

[00:03:11] The majority of us have really dry skin.

[00:03:14] And taking vitamin C every single day has shown to increase and improve moisture in your

[00:03:18] skin.

[00:03:19] Okay.

[00:03:20] So your body's natural lotions will come out on

[00:03:22] top of it and with those supplements and things you said they're easy to get.

[00:03:25] Absolutely.

[00:03:26] You can find them easily.

[00:03:27] Sure.

[00:03:28] Online at drugstores at your favorite grocery store.

[00:03:31] Excellent.

[00:03:32] If people have more follow-up questions for you, where can we find you?

[00:03:36] You can find me at affiliated dermatology.

[00:03:38] Okay, excellent.

[00:03:39] Heidi Mullen, thank you so much.

[00:03:41] We appreciate you waking up with us.

[00:03:43] Great tips.

[00:03:44] Put them to use people.

[00:03:46] We're back with more helping you wake up on this Sunday.

Video transcript: How to Prevent Skin Cancer

Watch the source video on YouTube

[00:00:00] [Music]

[00:00:03] sket Cancer Awareness Month and here to

[00:00:05] tell us how we can stay Sun safe is

[00:00:07] dermatology resident Heidi Mullen with

[00:00:10] affiliated dermatology good morning good

[00:00:13] morning thank you for having me this is

[00:00:15] such an important topic let's start off

[00:00:16] with ways that people can prevent skin

[00:00:18] cancer so I always get asked that

[00:00:21] question in the office and essentially

[00:00:23] the best thing that we can do to prevent

[00:00:26] skin cancer is use good sun protection

[00:00:29] so here in Arizona we have wonderful

[00:00:32] beautiful sunny days most of the time

[00:00:34] but we also have the second highest rate

[00:00:37] of skin cancer diagnosis in the world so

[00:00:40] with that being said we should all be

[00:00:42] practicing diligent sun protection that

[00:00:45] means wearing sunscreen using photo

[00:00:48] protective clothing wearing a

[00:00:50] broad-brimmed hat when we're outside and

[00:00:52] even taking some certain vitamin

[00:00:55] supplements alright now let's talk about

[00:00:57] preventing the different types of skin

[00:00:59] cancers there different prevention for

[00:01:01] different types so bottom line the best

[00:01:03] thing we can do to prevent skin cancer

[00:01:05] any skin cancer is wearing good sun

[00:01:10] protection so back to what I had

[00:01:13] mentioned using sunscreen photo

[00:01:16] protective clothing broad brimmed hats

[00:01:19] or even taking vitamin supplements now

[00:01:22] the most common non-melanoma skin cancer

[00:01:26] non melanoma yes is basal cell carcinoma

[00:01:30] and squamous cell carcinoma and these

[00:01:32] tend to occur on our face our ears our

[00:01:35] neck basically places that we've had

[00:01:38] chronic sun exposure where melanoma

[00:01:42] actually occurs on men most commonly on

[00:01:46] the back and on women most commonly on

[00:01:48] the legs interesting and that can be

[00:01:50] very dangerous obviously it sure can

[00:01:52] melanoma is the big scary skin cancer

[00:01:56] that dermatologists get very excited

[00:01:58] about because there's a genetic

[00:01:59] component to that so you really do want

[00:02:01] to know your family history if your

[00:02:04] parents had melanoma if your siblings

[00:02:07] had melanoma or your children had

[00:02:09] you're more at risk for getting a

[00:02:11] melanoma all right let's talk about some

[00:02:13] of your son's safety tips and some of

[00:02:14] the products that you brought along

[00:02:15] today all right so first of all

[00:02:17] sunscreen every single day every morning

[00:02:20] so we all brush our teeth in the morning

[00:02:22] and we should also be putting sunscreen

[00:02:24] on every morning you want a

[00:02:26] broad-spectrum sunscreen that's SPF 30

[00:02:29] or better

[00:02:30] so basically when I tell my patients to

[00:02:33] wear sunscreen many admit to me that

[00:02:35] they don't do it and when I asked them

[00:02:38] why they tend to tell me they think it's

[00:02:40] too greasy or they don't like the smell

[00:02:42] or they're afraid it's going to cause a

[00:02:44] rash or acne and so I always like to

[00:02:47] mention to patients that sunscreen has

[00:02:49] come quite a long way we have basically

[00:02:52] sunscreen powders this is a mineral

[00:02:55] sunscreen powder right here and as you

[00:02:57] can see it comes in a really elegant

[00:02:58] application and it's very portable got

[00:03:01] some color to it - it sure does and we

[00:03:04] also have sunscreen sprays that's very

[00:03:08] convenient again for reapplication and

[00:03:11] another way that we can protect

[00:03:14] ourselves is sunscreen Stix so these are

[00:03:16] all very portable and easy to basically

[00:03:19] incorporate into your routine even a

[00:03:21] vitamin that's correct so I am really

[00:03:24] into vitamins now there are some

[00:03:26] patients that just refuse to wear

[00:03:27] sunscreen

[00:03:28] they're not going to do it and

[00:03:29] essentially niacinamide has been shown

[00:03:32] to decrease your risk of skin cancer by

[00:03:34] 23% if it's taken every single day how

[00:03:37] can you detect skin cancer so skin

[00:03:39] cancer can be detected if you have a

[00:03:42] non-healing ulcer that just doesn't go

[00:03:45] away so if you're looking at your skin

[00:03:47] and you notice something that just seems

[00:03:49] like a wound but it doesn't go away you

[00:03:52] want to get that checked it's also a

[00:03:53] good idea to know your skin know the

[00:03:55] skin you're in you want to know what

[00:03:56] your sunspots look like you want to know

[00:03:59] what your moles look like so I always

[00:04:00] tell my patients to examine their skin

[00:04:02] at least once a month and if they see

[00:04:04] anything that's growing or changing to

[00:04:06] please come in and get a skin check in

[00:04:09] other than that how often should you

[00:04:10] have your skin examined by professionals

[00:04:12] so as I had mentioned here in Arizona we

[00:04:15] have the second highest rate of skin

[00:04:17] cancer diagnosis so with that being said

[00:04:19] I recommend we recommend that you get a

[00:04:22] son

[00:04:22] screaming exam once a year so that's a

[00:04:25] fullbodyik scant

[00:04:26] exam head to toe now if you've had a

[00:04:29] history of skin cancer then we want you

[00:04:31] to come in more frequently and you've

[00:04:33] got a special offer right now to to help

[00:04:34] people get into that sunscreen that is

[00:04:36] correct this month in skin cancer

[00:04:39] awareness month we are offering 15% off

[00:04:42] all of our sunscreens at our

[00:04:45] dispensaries at any of our locations all

[00:04:47] right thank you so much for being here

[00:04:48] today thank you

[00:04:49] and if you'd like more information about

[00:04:51] affiliated dermatology you can log on to

[00:04:53] their website f derm comm slash your

[00:04:57] life Arizona or you can call the number

[00:04:59] on your screen

Video transcript: Non-Surgical Skin Cancer Treatment

Watch the source video on YouTube

[00:00:01] stick with us there's a new cancer

[00:00:04] treatment that has hit the market now

[00:00:06] one Valley Hospital is using it to help

[00:00:09] those with skin cancer the most common

[00:00:17] of all cancers and it accounts for

[00:00:19] nearly half of all cancers in this

[00:00:21] country and now one dermatologist is

[00:00:23] hoping that new technology can help

[00:00:25] treat the cancer even more effectively

[00:00:27] without going under the knife ty Brennan

[00:00:30] with more know that one in five

[00:00:34] Americans will be diagnosed with skin

[00:00:36] cancer sometime in their lifetime the

[00:00:38] stats are scary there are more skin

[00:00:41] cancers diagnosed every year than all

[00:00:43] other cancers combined dr. Christine Lin

[00:00:45] with affiliated dermatology has been

[00:00:47] treating skin cancer patients her entire

[00:00:49] career but now she has a new tool to use

[00:00:55] that means her patients don't have to go

[00:00:57] under the knife it's called SRT or

[00:00:59] superficial radiation therapy this is

[00:01:02] where we've been doing the treatment

[00:01:05] right there superficial radiation

[00:01:07] therapy is wonderful because it is quick

[00:01:11] it is safe it's painless and it's proven

[00:01:14] effective it is it has a published cure

[00:01:17] rate of 95 to 98 percent SRT has been

[00:01:20] around for a long time but the

[00:01:22] technology now allows doctors to use it

[00:01:25] more effectively for Steve Ellison who

[00:01:27] has cancer on his nose surgery wasn't an

[00:01:30] option

[00:01:31] so SRT was a perfect fit

[00:01:36] great course of action completely

[00:01:38] painless funded me to come here and this

[00:01:41] I love the results just another way

[00:01:44] doctors are using technology to treat

[00:01:47] skin cancer ty Brennan fox10 news

Video transcript: How to Heal & Prevent Common Summer Skin Problems

Watch the source video on YouTube

[00:00:00] [Music]

[00:00:03] is Skin Cancer Awareness Month there are

[00:00:06] things you can do to protect your skin

[00:00:08] before these active summer months

[00:00:10] chief dermatology resident Dustin

[00:00:12] Mullins with affiliated dermatology is

[00:00:13] here with ways we can avoid skin

[00:00:15] problems this summer good to see you

[00:00:17] again welcome back having me back

[00:00:19] so what are some of the common skin

[00:00:20] problems that people are gonna see this

[00:00:22] summer so this summer one of the most

[00:00:23] common is obviously gonna be sunburn so

[00:00:25] sunburn is something that we can avoid

[00:00:27] if we use appropriate sun protective

[00:00:29] behavior so staying out of the peak

[00:00:31] hours between 10:00 and 2:00 wearing

[00:00:32] sunscreen SPF 30 this broad-spectrum

[00:00:35] applied every two to three hours and

[00:00:37] every time after we go into the ocean

[00:00:39] every time we dry off with our towel any

[00:00:41] time we do that we're gonna want to

[00:00:43] reapply that's gonna reduce the

[00:00:44] likelihood that they're gonna get a

[00:00:45] sunburn so that's probably the most

[00:00:47] common skin complaint that we have and

[00:00:49] one of the big issues is once we get

[00:00:52] that sunburn how do we take care of it

[00:00:53] yeah

[00:00:54] so that's a common question and with

[00:00:56] kids and adults and typically one of the

[00:00:58] best things you can do is you can use an

[00:01:00] over-the-counter anti-inflammatory an

[00:01:02] NSAID so like ibuprofen motrin Aleve

[00:01:05] these can reduce or lessen the severity

[00:01:08] of the inflammation that we get with

[00:01:10] that sunburn and they can improve our

[00:01:12] overall kind of tolerance of having that

[00:01:14] burn one of the things we were talking

[00:01:15] about too cuz let's face it kids are

[00:01:17] gonna be outside doing lemonade stands

[00:01:18] maybe you're having some you know

[00:01:21] cocktails by the pool or by the ocean

[00:01:23] and you might get like I've gotten

[00:01:26] before

[00:01:26] a margarita wrapped margarita right how

[00:01:28] does this happen

[00:01:29] so margarita rash is a real thing and so

[00:01:33] kids with lemonade stands working with

[00:01:35] lemons working with lime juice any any

[00:01:38] citrus and the citrus family as well as

[00:01:41] gardeners working with celery and right

[00:01:43] there we're looking at so what causes

[00:01:44] that and what shows so it's actually a

[00:01:46] chemical called a fury coumarin and

[00:01:48] that's a chemical that's in the lime

[00:01:50] juice it's in the lemon juice and when

[00:01:51] you come into contact with it it's

[00:01:53] absorbed by the skin

[00:01:54] so a few drips from that lemon juice

[00:01:56] that reaches our skin once you go

[00:01:58] outside and the ultraviolet light hits

[00:02:00] it causes that skin eruption is called a

[00:02:01] photo toxic skin eruption you know

[00:02:03] getting this bright red rash you could

[00:02:05] sting it could burn a little bit and

[00:02:06] sometimes we're gonna have be worried if

[00:02:09] that's on our hands we don't wait

[00:02:10] remember or call what we're doing

[00:02:12] this shows up can be very scary so one

[00:02:16] of the things we want to prevent is post

[00:02:17] inflammatory hyperpigmentation with that

[00:02:19] that's where you get this dark pigment

[00:02:21] after this thing kind of fades away it

[00:02:23] still sits around a little bit so what

[00:02:25] we want to do is give them a topical

[00:02:27] steroid as well as sometimes an oral

[00:02:28] steroid if it's severe enough okay so

[00:02:30] and that's really important but let's

[00:02:32] also talk about sunburn what are some

[00:02:34] ways that we can really prevent getting

[00:02:35] sunburned so again using the Sun

[00:02:38] protective behavior so avoiding the peak

[00:02:40] hours between 10:00 and 2:00 wearing

[00:02:42] some protective clothing a good SPF 30

[00:02:45] this broad-spectrum if somebody does get

[00:02:47] a sunburn like I said an NSAID and

[00:02:49] anti-inflammatory you can take that

[00:02:51] every six hours as directed by the

[00:02:53] bottle that's appropriate you can use

[00:02:55] vitamin DS been reported to reduce the

[00:02:58] flare or the inflammation with the

[00:02:59] sunburn so you get taken over the

[00:03:01] counter 500 IU's of vitamin D you could

[00:03:04] take that every six to eight hours as

[00:03:05] well those are two options that you

[00:03:07] could do sometimes we can also recommend

[00:03:09] that they can use some aloe vera

[00:03:10] sometimes that feels better so that just

[00:03:12] makes it feel better some relief and

[00:03:14] sometimes that's important too just

[00:03:16] giving them symptomatic relief from what

[00:03:18] they're experiencing tylenol is also an

[00:03:20] option as well as well as topical or

[00:03:22] oral steroids depending on the severity

[00:03:24] of it let's talk about though

[00:03:25] unfortunately you've seen these people

[00:03:27] walk around at the beach or around the

[00:03:28] pool Sun poisoning yeah how do we handle

[00:03:30] that and when do we know I mean this

[00:03:32] picture poisoning some poisoning is a

[00:03:35] significant risk and if you are

[00:03:38] experiencing any symptoms of

[00:03:39] lightheadedness if you're feeling like

[00:03:42] you're having a blistering sunburns you

[00:03:44] need to seek out medical help you need

[00:03:46] to see your dermatologist or your

[00:03:47] primary care physician you need to be

[00:03:49] evaluated sometimes you could have

[00:03:50] second-degree burns those are associated

[00:03:53] increase risk of infection scarring you

[00:03:55] want to make sure that you're getting

[00:03:56] seen you're being taken care of

[00:03:58] appropriately because that is a true

[00:03:59] risk and so basically to really avoid

[00:04:01] summer skin problems where that's SPF

[00:04:04] okay the Sun between those peak hours

[00:04:07] and really be sun safe and Sun smart

[00:04:10] yeah absolutely you need to preach it

[00:04:11] especially to your children you really

[00:04:13] want to teach them the good behaviors

[00:04:15] and it being becomes ingrained in their

[00:04:17] just natural daily habits but it's very

[00:04:19] important especially in the summertime

[00:04:21] when that sun's out all day and it's

[00:04:23] say all year round here in Arizona your

[00:04:25] special offer for our viewers tell me

[00:04:26] about this yes we actually have a

[00:04:28] special offer at the facility of

[00:04:30] Dermatology at our dispensary and we

[00:04:31] offer a 15% discount on all our

[00:04:33] sunscreens if they just call it six zero

[00:04:35] two seven seven five five zero two four

[00:04:37] they can call and get that great deal

[00:04:39] all right doctor a lot of great and

[00:04:40] useful information we appreciate you

[00:04:42] coming in and sharing it with us and if

[00:04:44] you want to learn more about affiliated

[00:04:45] dermatology you can log on to their

[00:04:47] website after comm slash your life

[00:04:50] Arizona or call the number on your

[00:04:52] screen

Video transcript: How Much SPF Do You Need in a Sunscreen? Is SPF 30 Enough?

Watch the source video on YouTube

[00:00:00] nowadays when you hit the pool or Beach

[00:00:02] you've gotta bring the sunscreen I mean

[00:00:04] at this point it's pretty much law or at

[00:00:06] least it should be but with hundreds of

[00:00:08] brands and styles of Sun blocking creams

[00:00:11] lotions and sprays I mean which one is

[00:00:13] right for you

[00:00:14] the UVA B's and C's of sunscreen are our

[00:00:17] featured story on the top of the list we

[00:00:22] all know sunscreen is a must year-round

[00:00:24] but which one is right for you dr.

[00:00:28] Christine Lin chief of staff at

[00:00:30] affiliated dermatology is schooling us

[00:00:32] on the three basic types of sunscreens

[00:00:34] chemical-based

[00:00:36] mineral based and hybrids slathering -

[00:00:40] the first spot on our list is the most

[00:00:42] common type chemical based sunscreen

[00:00:45] chemical sunscreen is an ingredient that

[00:00:48] is absorbed into your skin and it works

[00:00:52] by converting the energy that your your

[00:00:55] body receives from the ultraviolet rays

[00:00:58] into heat dr. Lin says that it blocks

[00:01:01] what are called UVB rays the kind that

[00:01:03] burn your skin but you need to apply 30

[00:01:06] minutes before you go out for the

[00:01:08] sunscreen to stay effective you need to

[00:01:11] be reapplying once every two hours we're

[00:01:15] getting physical with the next sunscreen

[00:01:17] on our list mineral based or physical

[00:01:20] sunscreen mineral based sunscreens

[00:01:22] generally includes one of two

[00:01:24] ingredients and zinc oxide and titanium

[00:01:26] dioxide while some of these leave a

[00:01:29] chalky residue they do work right away

[00:01:32] they're broad-spectrum

[00:01:33] so they can block out the ultraviolet

[00:01:37] rays in the UVA and UVB range the UVA

[00:01:40] rays are the kind that prematurely age

[00:01:42] your skin dr. Lin says a good way to

[00:01:45] remember this is UVA rays age and UVB

[00:01:49] rays burn

[00:01:52] we'll close out our class on sunscreen

[00:01:54] 101 with the best of both worlds

[00:01:57] hybrid sunscreen which is both chemical

[00:02:00] and physical the label will say

[00:02:02] broad-spectrum by combining a physical

[00:02:05] sunscreen with some of the chemical

[00:02:06] sunscreens the consumers are more

[00:02:08] assured of having broad-spectrum

[00:02:10] protection and longer-lasting protection

[00:02:13] and more water resistant protection dr.

[00:02:16] Lin says no matter what you choose that

[00:02:18] SPF 30 and above is a must and to use it

[00:02:22] often I urge everyone to make it a

[00:02:25] routine and a habit every morning to

[00:02:27] always put on some sunscreen before you

[00:02:30] head out the door regardless of whether

[00:02:32] you think you're gonna be out in the Sun

[00:02:34] for an extended period time or not

[00:02:36] keeping the Rays in check sunscreen 101

[00:02:40] is on the breakdown

[00:02:41] [Music]

Video transcript: Skin Cancer Prevention & Detection

Watch the source video on YouTube

[00:00:00] May is Skin Cancer Awareness Month and here to tell us why it's so important to have your skin checked regularly and what you need to look for is Chief Dermatology resident Dustin Mullins with affiliated Dermatology.

[00:00:12] Good morning. Welcome to the show. Good to see you.

[00:00:13] Good to see you. Thank you for having me.

[00:00:15] So a lot of people living here in the Valley of the Sun. This affects just about everyone here because we're exposed to so much sunlight. So what exactly is skin cancer?

[00:00:23] Skin cancer is in the simplest terms abnormal growth of the top layers of the skin. It's kind of.

[00:00:30] by change over time typically as a result of excessive sunlight and that causes

[00:00:37] uncontrolled growth of those top layers and as we are looking on the screen right

[00:00:41] now generally they are curable if caught early tell me about that that's true

[00:00:45] so if skin cancer is caught early it's more likely to be curative meaning if we

[00:00:49] catch it at the earlier stages it's typically going to be confined to the top

[00:00:53] layers of the skin that allows us to treat it with more cosmetically sensitive

[00:01:00] procedures and it's less invasive results in a more minimal scar and it's a better

[00:01:06] outcome overall what are some of the common types of skin cancers that you see

[00:01:10] so the most common types of skin cancer are basal cell carcinoma approximately

[00:01:15] four million people will be diagnosed with basal cell carcinoma this year

[00:01:18] the second most common type is squamous cell carcinoma approximately one

[00:01:22] million people will be diagnosed that this year in the United States and then

[00:01:26] the third most common is melanoma roughly 200,000 individuals will be

[00:01:30] diagnosed with that this year and of those about 10,000 will die from melanoma.

[00:01:36] Wow, that is staggering. So how and when can you get skin cancer? So skin cancer can

[00:01:42] happen in any age. We can see it in young and old. It's most commonly associated with

[00:01:47] older population because it's a result of cumulative sun exposure over time. And what that means

[00:01:52] is people that work outdoors, people with freckles, blonde hair, people that sunburn

[00:01:58] easily they're going to have higher risk of developing these sun-related

[00:02:01] changes over time which can result in a skin cancer and it's so important I

[00:02:07] think you know we need to all go see a dermatologist but we can also check

[00:02:10] ourselves regularly so what are some of the things that we should look for good

[00:02:14] question so there is a lot of opportunity to do self-checks we recommend you do

[00:02:18] it once a month you can do it with mirrors on your own or you can have your

[00:02:23] partner help you and assist looking for any new moles any areas that offend the

[00:02:27] A, B, C, D, C, E, criteria that we refer to commonly.

[00:02:31] That's if it's asymmetric, if it's borders are irregular, if they're not smooth, if they're

[00:02:36] jagged, if it's more than one color, greater than six millimeters in diameter, that's a pencil

[00:02:41] eraser, or if it's changing in any way.

[00:02:43] That's things that they should be looking for.

[00:02:45] If they identify any area on their body that offends those rules, they should make note of it.

[00:02:50] And on their next checkup with their dermatologist, they should bring attention to that

[00:02:54] so we can look at it further.

[00:02:56] Yes, exactly.

[00:02:57] So when should people go see it?

[00:02:59] Would you say be proactive and already start a relationship with your dermatologist so, you know, they can help you find things early?

[00:03:05] Absolutely.

[00:03:06] So generally, we recommend at least once a year, so annually, if you're in an area with high risk or increased ultraviolet light exposure.

[00:03:14] So here in Arizona, we have a little bit more exposure to UV light, so we're going to be at higher risk of developing skin cancers.

[00:03:21] Individuals with a history of skin cancer previously, they're going to typically be at least every year.

[00:03:27] more commonly every six months, an individual with a history of melanome will be seen every three months.

[00:03:33] And this is such important information. I've been dealing with skin cancer, so I go twice a year now to get checked.

[00:03:38] This affects just so many people and children put that sunscreen on, right? I mean, really you need to start your children early protecting their skin.

[00:03:44] So six months and older, we recommend using sunscreen. We always recommend sun avoidance, so seek shade whenever possible, avoid the peak hours between 10 and 2.

[00:03:53] SPF 30, broad-spectrum sunscreen applied every two to three hours is what we recommend.

[00:03:59] 30?

[00:04:00] Yes, SPF-30.

[00:04:01] So historically, it was SPF-15, but 30 is the recommendations currently that will prevent

[00:04:06] skin cancer development and sun damage and sun aging from occurring.

[00:04:11] Okay, there's just really important information.

[00:04:14] And you have a special offer to help people kind of protect themselves.

[00:04:17] Tell me about that.

[00:04:17] Absolutely.

[00:04:18] So currently at Affiliated Dermatology, we're offering to your viewers, a 15% off any

[00:04:23] sunscreen from our dispensary. They can call the number listed there at 602775 5024, and they can

[00:04:30] contact them and get the information to get that. Life-saving information. Doctor, thank you so much.

[00:04:35] We appreciate your time. Thank you for coming in. And if you want to learn more about affiliated

[00:04:39] dermatology, you can log on to their website afturm.com forward slash your life Arizona or call

[00:04:46] call the number on your screen.

Video transcript: Melanoma Awareness Month: Sun Safety & Sunscreen Tips

Watch the source video on YouTube

[00:00:01] we've got a bit of a rollercoaster

[00:00:02] weather as you've been tracking there

[00:00:04] for us a glimpse of those triple digits

[00:00:06] you know the rain for Mother's Day but

[00:00:08] regardless your skin needs to be top of

[00:00:10] mind doctor Dustin Mullins from

[00:00:12] affiliated dermatology is here this

[00:00:14] morning

[00:00:14] you know we also want to talk about the

[00:00:16] new FDA guidelines with sunscreen that

[00:00:18] just came out this last week walk us

[00:00:20] through some of that and some other

[00:00:21] things that you have here for us

[00:00:22] absolutely so recently FDA came out with

[00:00:26] some new standards for testing with

[00:00:28] sunscreen products treating them as

[00:00:31] basically a medication and it's going to

[00:00:34] require them to go through more

[00:00:35] extensive testing because the concern

[00:00:38] for systemic absorption so currently

[00:00:40] right now as it stands with the FDA

[00:00:42] there's only two mineral based

[00:00:43] sunscreens that they accept as generally

[00:00:46] safe and to use daily that's gonna be

[00:00:48] your zinc and titanium dioxide so those

[00:00:51] are mineral based sunscreen is not your

[00:00:52] chemical based the chemical based ones

[00:00:54] are typically what we associate with

[00:00:55] your sport sweat-resistant those ones

[00:00:58] are gonna need further testing to

[00:01:00] elucidate whether or not long-term use

[00:01:02] is associated with any increased risks

[00:01:04] and so for me as well as melanoma

[00:01:06] awareness month but it really needs to

[00:01:07] be top of mind all the time how often

[00:01:10] should people be putting on sunscreen

[00:01:12] and reapplying sunscreen good question

[00:01:15] so everyone should be reapplying

[00:01:17] sunscreen every two to three hours

[00:01:19] generally we recommend you use about a

[00:01:21] shot glass that's an ounce and you apply

[00:01:23] it to everywhere that's exposed

[00:01:25] including your arms hands face neck ears

[00:01:28] anything not covered by clothing and

[00:01:30] then you should also use safe Sun safety

[00:01:32] practices that Sun protective clothing

[00:01:34] this long sleeves that's going to be a

[00:01:36] wide-brimmed hat UV protective

[00:01:38] sunglasses you're going to want to avoid

[00:01:40] the peak hours between the hours of

[00:01:41] 10:00 and 4:00 typically we can

[00:01:44] sometimes we'll tell our patients if you

[00:01:45] can't see your shadow run that many the

[00:01:49] sun's at your peak hours and that's

[00:01:51] gonna be its most intense other things

[00:01:53] that we recommend is that you're just

[00:01:55] being very conscientious about their

[00:01:58] exposure trying to limit that as much as

[00:02:00] possible an SPF what should we be

[00:02:02] looking for on the number that's on the

[00:02:04] bottle as well so the FDA came out with

[00:02:06] their recommendation that it should be

[00:02:08] no more

[00:02:09] on the label bottle SPF of 60 that's the

[00:02:12] highest that they allow you to advertise

[00:02:14] now that's a new recommendation the

[00:02:16] minimum you need is an SPF of 30 but the

[00:02:19] key is it says broad-spectrum

[00:02:21] broad-spectrum means is going to block

[00:02:23] both types of ultraviolet light because

[00:02:25] there's two forms depending on the

[00:02:27] wavelength and they can cause skin

[00:02:29] cancer that's your UVB and Sun aging or

[00:02:32] damage to your skin that causes

[00:02:33] Discipline tation brown spots advanced

[00:02:36] acceleration of wrinkles all those

[00:02:38] things that we don't want that's your

[00:02:39] UVA so if it doesn't say broad-spectrum

[00:02:41] it's not going to protect you from both

[00:02:44] of those and you need a protection from

[00:02:45] both perfect and if people want to come

[00:02:47] to your dermatology where can they go

[00:02:49] for more information

[00:02:50] so affiliated dermatology we're the

[00:02:52] largest based private derm practice in

[00:02:54] the state Arizona we have comprehensive

[00:02:56] care running from aesthetics to general

[00:02:58] dermatology to skin cancer treatment

[00:03:00] including most procedures they can find

[00:03:03] us at WWF germ calm thank you so much

[00:03:06] dr. Dustin Mullins with affiliated

[00:03:07] dermatology joining us this morning a

[00:03:09] lot of great information and we'll be

[00:03:11] back after this short break

Video transcript: Mobile Dermatology Services for Seniors

Watch the source video on YouTube

[00:00:01] there's no shortage of sunshine living

[00:00:04] in Arizona

[00:00:05] sadly data shows one in five people will

[00:00:08] develop some type of skin cancer by the

[00:00:10] age of 70 so it is important to have

[00:00:13] skin checks regularly for signs of

[00:00:15] cancer or other conditions and here to

[00:00:17] explain how simple these checkups can be

[00:00:20] this is Leah show henyk she's a

[00:00:21] certified nurse practitioner with

[00:00:23] affiliated dermatology great to have you

[00:00:25] with us thanks for having me Susan you

[00:00:27] guys offer mobile dermatology how

[00:00:30] convenient is that what exactly is that

[00:00:32] so by mobile we really just mean I can

[00:00:35] come to you so I have everything I need

[00:00:36] here in this bag to do biopsies

[00:00:38] treatment of pre-cancers for seniors in

[00:00:41] retirement independent assisted living

[00:00:43] communities yeah cuz like we said those

[00:00:45] seniors it's tough for them sometimes to

[00:00:47] get to the doctor and things will come

[00:00:50] up and then they will not go see a

[00:00:52] doctor till it's too late oftentimes who

[00:00:53] benefits from this type of service we're

[00:00:56] really trying to improve access to care

[00:00:57] for seniors really those may be those

[00:00:59] people that don't drive and find it hard

[00:01:01] to get into the office and this is

[00:01:02] convenient for them or maybe there's

[00:01:04] physical or mental impairments that just

[00:01:06] really make it difficult or stressful

[00:01:08] for them or their caregivers to make it

[00:01:10] into one of our offices yeah and I'm

[00:01:11] sure once you get there it's such a

[00:01:12] great peace of mind because you were

[00:01:14] sharing with me sometimes folks have you

[00:01:16] may have a skin cancer diagnosis many

[00:01:18] many years earlier and then they just

[00:01:20] don't follow up correct yeah you get

[00:01:22] that you get the follow up yeah all

[00:01:24] right so everything is in this bag it's

[00:01:26] kind of like a bag of everything and

[00:01:28] tricks and all those amazing things when

[00:01:29] you get to a patient a senior patient

[00:01:31] what can you do for him or her so we can

[00:01:34] really do almost anything we can do in

[00:01:35] the office so I can do full body skin

[00:01:37] examinations biopsy anything that looks

[00:01:40] suspicious treat pre-cancers take a look

[00:01:43] at rashes provide prescriptions Wow

[00:01:45] right there right in the mobile like

[00:01:47] writing the mobile unit you said to me

[00:01:49] that one of the patients you had an

[00:01:51] experience recently where daughter

[00:01:53] called you what did she tell you yeah so

[00:01:55] she heard I was coming to her facility

[00:01:56] and she was really relieved because

[00:01:58] she'd been meaning to get her mom into

[00:01:59] the office and it'd just been kind of

[00:02:01] putting it off with prioritizing other

[00:02:03] health visits and so she asked me to see

[00:02:06] her mom when I was at that her mom's

[00:02:07] facility so I did and the daughter was

[00:02:10] able to stay at work and so I was able

[00:02:11] to treat a few of her pre-cancers

[00:02:13] they did biopsy a couple things and one

[00:02:15] actually came back as basal cell

[00:02:17] carcinoma that's the most common type of

[00:02:19] skin cancer so we were able to get her

[00:02:21] scheduled at one of our eight affiliated

[00:02:23] dermatology valley-wide offices so it

[00:02:25] was pretty convenient for her to get in

[00:02:27] get that skin cancer removed and then I

[00:02:29] was able to follow back up with her at

[00:02:30] her facility to remove her stitches so

[00:02:32] so you will come back out yeah what

[00:02:36] daughter did she call you back yeah they

[00:02:38] oh my gosh thank you they're so

[00:02:39] appreciative and I just love being able

[00:02:41] to provide that service for them

[00:02:43] absolutely and I like you named really

[00:02:45] important things daughter got to stay at

[00:02:47] work you found something very serious

[00:02:49] and you were able to get her where she

[00:02:51] needed to go describe affiliated

[00:02:53] dermatology talk about the team of

[00:02:55] doctors there oh

[00:02:56] we have many Mohs certified surgeons we

[00:03:00] have our own lab I met a couple of our

[00:03:02] larger offices we have our own

[00:03:03] dispensary have a great team behind me

[00:03:06] absolutely and Leah you're actually

[00:03:07] gonna get hurt you're gonna contact her

[00:03:09] we're gonna give that information in a

[00:03:10] bit but you're gonna actually come to us

[00:03:12] you're going to give us everything we

[00:03:14] need and then if you need to do a

[00:03:15] follow-up you can go into one of the the

[00:03:17] locations as well so how does it make

[00:03:19] you feel when you leave one of these

[00:03:20] senior centers and you've done such good

[00:03:22] work oh I just I just really love what I

[00:03:24] do to do noble work and so just being

[00:03:27] able to provide this really unmet need

[00:03:30] in our community it's just agree aren't

[00:03:32] they just adorable ears right they're so

[00:03:35] special and so precious and you're doing

[00:03:37] something you're saving lives possibly

[00:03:39] right yes because you said it could be

[00:03:40] if it was a more serious form it could

[00:03:42] be deadly

[00:03:42] correct melanoma yes as always what

[00:03:44] we're trying to prevent but those

[00:03:45] non-melanoma skin cancers can also

[00:03:47] progress to be pretty serious if you

[00:03:49] haven't had one recently you said we

[00:03:50] have to get a check-up so do that make a

[00:03:52] make an appointment thank you so much

[00:03:54] into dermatology they were located at

[00:03:56] 2:04 0-1 north 73rd Street Suite 230 in

[00:04:00] Scottsdale if you would like to book an

[00:04:02] appointment please call 602 seven

[00:04:04] seventy five five zero two three or you

[00:04:06] can visit AFF derm dot-com slash TV

Video transcript: Reshape Your Body with CoolSculpting

Watch the source video on YouTube

[00:00:01] well unfortunately there's no hiding a

[00:00:04] double chin a banana roll or a saddlebag

[00:00:07] or whatever you want to call them but if

[00:00:08] you're ready to get rid of that stubborn

[00:00:11] fat without surgery or downtime our next

[00:00:14] guest you know what she wants to help

[00:00:15] you do that this is Riley Hartman she is

[00:00:17] a certified CoolSculpting provider with

[00:00:20] affiliated dermatology hi Riley

[00:00:23] thanks for coming in today yeah you know

[00:00:25] we've been talking a lot about

[00:00:26] CoolSculpting it's you know it's been

[00:00:28] around for a couple years now but there

[00:00:30] are some people who you know still don't

[00:00:32] quite know if it's right right for them

[00:00:35] so how did explain really what it is I

[00:00:38] usually tell people it's it's for that

[00:00:41] stubborn fat no matter how hard you

[00:00:43] exercise you diet and just doesn't go

[00:00:46] away that's the stuff for me okay if

[00:00:49] it's squeezable it's freezable it's what

[00:00:51] I say it's good to come in for consult

[00:00:56] get assess if there's something I can't

[00:00:58] treat I'm gonna tell you why if there's

[00:00:59] something I can treat I'm gonna tell you

[00:01:00] what I can do for you I appreciate that

[00:01:02] and I know our viewers will too because

[00:01:04] you know what you just don't know

[00:01:05] anymore there's a lot of different

[00:01:07] options out there and and what let's

[00:01:10] let's take a look at the animation

[00:01:11] because people want to know what is it

[00:01:13] doing to our bodies well what it's doing

[00:01:15] is it's using controlled temperatures to

[00:01:18] freeze crystallize and kill those fat

[00:01:20] cells so they go away yeah your body

[00:01:22] doesn't wanna keep dead stuff so it's

[00:01:23] gonna get rid of it through lymphatic

[00:01:24] drainage which is you know sweat feces

[00:01:26] and urine which everybody wants to talk

[00:01:28] about right topic of conversation that's

[00:01:31] okay that's okay so your body just

[00:01:32] eliminates it all now how long does it

[00:01:35] take to see results because you were

[00:01:36] you're telling me that it can takes a

[00:01:38] little bit of time it's not instant

[00:01:41] oh yes it no no it takes about three or

[00:01:43] four months on average the thing I

[00:01:45] really really liked about it being you

[00:01:48] know like taking a little bit of time

[00:01:50] isn't let's just gonna just huh we all

[00:01:52] seen those people who lose 3040 pounds

[00:01:54] in a month rest great for them it's a

[00:01:56] little too fast in my opinion but then

[00:01:58] you get that saggy skin your skin's

[00:02:00] never in a hurry to heal it takes time

[00:02:02] so when that fat goes down gradually you

[00:02:05] know the skin adjusts with it so you

[00:02:06] tend not to have that saggy loose skin

[00:02:09] that's just gonna sit there forever okay

[00:02:11] really good point let's take a look

[00:02:12] some before-and-afters and this is these

[00:02:15] are certain areas of the body

[00:02:16] and tell us about the different areas

[00:02:19] that you can treat well I always say I

[00:02:21] can treat from chin to your knees and a

[00:02:24] whole bunch of stuff in between Wow so

[00:02:26] there's a lot of room there I can take

[00:02:28] ten different people and do ten

[00:02:29] different treatments because everyone's

[00:02:30] got different concerns they carry it a

[00:02:32] little differently so it really that's

[00:02:34] why I like to see people first give them

[00:02:36] all the information and then we'll make

[00:02:37] a decision together and what's gonna be

[00:02:39] best for them I think that is a great

[00:02:40] idea because what you really want to

[00:02:42] emphasize is that this isn't a

[00:02:44] weight-loss system or program or

[00:02:47] treatment is it no no it's not you need

[00:02:49] to be within an average amount of you

[00:02:52] know within your goal weights okay

[00:02:54] and just to target those stubborn areas

[00:02:56] because you know we all have them you

[00:02:58] exercise like crazy or you were born

[00:03:00] with that double chin that you never

[00:03:02] liked that that's what it's that's what

[00:03:04] it's meant for okay and can you can you

[00:03:06] remove these stubborn pockets of fat in

[00:03:09] just one treatment or does it take more

[00:03:10] than that some people can notice a

[00:03:13] result from one you know round or you

[00:03:16] know appointment coming in for treatment

[00:03:17] okay on average people will do it twice

[00:03:20] okay some people can do it beyond that

[00:03:22] to paying their expectation if you want

[00:03:23] to get rid of a little more and so in

[00:03:25] this special offer that you have you we

[00:03:27] call it a cycle does that mean an area

[00:03:29] yeah cycle area they're just

[00:03:31] interchangeable words depending you know

[00:03:34] who's talking about time so yeah so so

[00:03:36] when somebody comes in for that

[00:03:37] consultation you can point it out yeah I

[00:03:40] can tell them kind of how many areas

[00:03:41] they'll need to CoolSculpting has about

[00:03:43] five different applicators to treat

[00:03:46] certain areas okay so you know we can

[00:03:49] really customize it for everybody all

[00:03:51] right well let me give you that special

[00:03:52] offer it's from affiliated dermatology

[00:03:54] and you're going to get a free

[00:03:56] consultation she can sit down with you

[00:03:58] you come up with a treatment plan

[00:03:59] they're offering a buy one cycle or area

[00:04:02] of CoolSculpting and get one half off or

[00:04:06] get one half off the other treatment yes

[00:04:08] okay all right affiliated dermatology is

[00:04:11] located at one nine six four six North

[00:04:13] 27th Avenue as Suite 305 in Phoenix they

[00:04:17] have locations all across the valley but

[00:04:18] you're at the one at Deer Valley right

[00:04:20] okay or you can ask you can call six

[00:04:23] zero two seven seven five five zero two

[00:04:25] two or visit

[00:04:26] aff derm affiliated dermatology AFF derm

[00:04:31] calm / TV for that special offer

Video transcript: Superficial Radiation Therapy for Skin Cancer

Watch the source video on YouTube

[00:00:02] So, skin cancer year after year, it's

[00:00:04] the most diagnosed form of cancer.

[00:00:07] Doctors are expecting new cases to go up

[00:00:10] dramatically this year, too. Coming up

[00:00:12] right after the break, we're going to

[00:00:13] tell you about a non-invasive treatment.

[00:00:16] It has no downtime, no cutting, and it

[00:00:19] has a 95% cure rate. That story is

[00:00:23] coming up next. It's 6:22. Good morning.

[00:00:27] Welcome back, everybody. So, more people

[00:00:29] have skin cancer than any other cancer,

[00:00:32] which is scary, and the numbers just

[00:00:33] keep going up.

[00:00:35] Especially in our state, cuz we just get

[00:00:36] so much sun. In fact, experts say more

[00:00:38] than 3 and 1/2 million cases are

[00:00:40] diagnosed every year. And experts say a

[00:00:43] lot of the increase that they're seeing

[00:00:44] is coming from the baby boomer

[00:00:46] population. There though is some new

[00:00:48] technology out there that's going to

[00:00:50] help patients treat that cancer. We're

[00:00:53] talking about non-melanoma cancer

[00:00:55] without surgery. It's called superficial

[00:00:57] radiation therapy, and it's a great

[00:00:59] alternative to surgery. You have no

[00:01:02] cutting and no downtime.

[00:01:05] It is a wonderful alternative. Um it is

[00:01:07] quick. It is safe.

[00:01:10] It is painless, and it is proven

[00:01:13] effective.

[00:01:15] So, this delivers x-ray energy directly

[00:01:18] and precisely to the cancer uh without

[00:01:21] affecting any of the nearby tissue. And

[00:01:22] it's really good for areas that would

[00:01:24] otherwise be hard to treat or that would

[00:01:26] leave a big scar. Like he's having it

[00:01:28] done on his scalp or maybe on your nose.

[00:01:30] Uh the best part, this technique has a

[00:01:32] 95%

[00:01:35] cure rate. But, still be sure you're

[00:01:37] using sunscreen.

[00:01:38] that is great though, the technology.

[00:01:40] Nice option.

Video transcript: Protecting Your Skin From the Sun

Watch the source video on YouTube

[00:00:02] so we are looking ahead e to our first

[00:00:06] nine days of the year it's also festival

[00:00:08] season so people have been out and about

[00:00:10] a lot more so what better time to remind

[00:00:13] you about protecting your skin so

[00:00:14] joining us this morning doctor Dustin

[00:00:16] Mullins from affiliated dermatology

[00:00:18] thanks so much for being here with us

[00:00:20] okay so you've got some tips when it

[00:00:22] comes to picking sunscreen because when

[00:00:24] you first step into the store to go you

[00:00:26] know ray up your supply there are so

[00:00:28] many choices right now so let's start

[00:00:31] with something really basic what is the

[00:00:33] difference between sunblock and

[00:00:34] sunscreen it's a good question actually

[00:00:36] sunblock is an old term we used to use

[00:00:39] is no longer accepted by the FDA we just

[00:00:42] use the term sunscreen historically

[00:00:44] sunblock meant a physical blocker it

[00:00:46] physically blocked the sunlight from

[00:00:48] hitting the skin okay those tend to be

[00:00:50] what we think of as mineral based

[00:00:52] sunscreen so zinc oxide or titanium

[00:00:54] dioxide related so you just say zinc and

[00:00:57] I can remember when we used to actually

[00:00:58] put like that neon zinc on her face it's

[00:01:01] basically blocking the Sun you can see

[00:01:03] that white piece they've improved the

[00:01:05] vehicles that they put the chemical in

[00:01:07] and that's allowed it to be a lot more

[00:01:09] elegant to apply those to the face no

[00:01:11] longer that white piece yeah definitely

[00:01:14] and there are a lot of ways now we

[00:01:15] talked about where it's you can put it

[00:01:17] on before you put on your makeup for

[00:01:18] women it's in your makeup you mentioned

[00:01:20] a lot of chemicals though different

[00:01:21] things different ingredients that are in

[00:01:24] there what should we be looking for

[00:01:25] because I know there are even some

[00:01:27] places that have like Hawaii has

[00:01:29] restrictions now on what you can use it

[00:01:31] by absolutely so Hawaii's recently had a

[00:01:33] band placed on Octonauts a by January

[00:01:37] 2021 as well as the Florida Keys so it

[00:01:42] creates a peroxide so it's Octonauts

[00:01:44] it's a chemical base Sun blocker okay so

[00:01:47] chemical based sunscreens are gonna work

[00:01:49] a little bit different than the physical

[00:01:50] blockers like zinc and titanium those

[00:01:52] are mineral base the chemical base are

[00:01:54] gonna absorb the sun's energy and

[00:01:56] they're gonna transmit it or reflect it

[00:01:58] at a lower energy wavelength okay that's

[00:02:00] gonna allow your body not to absorb

[00:02:03] those high ultraviolet light damaging

[00:02:05] rays chemical based sunscreens tend to

[00:02:08] be a little bit more irritating they can

[00:02:10] cause you know individuals with

[00:02:12] sensitive skin to have

[00:02:14] application so we tend to avoid those

[00:02:16] with kids children people that are going

[00:02:18] to be outside they're gonna be sweating

[00:02:20] they don't want to get these chemicals

[00:02:21] in their eyes should it save

[00:02:23] mineral-based then on it a mineral

[00:02:25] sunscreen

[00:02:25] sometimes these sunscreens will just

[00:02:27] come out on the label and say mineral

[00:02:28] base you want to look for in the active

[00:02:30] ingredients is zinc or titanium makes

[00:02:32] the very best it's a broad spectrum it's

[00:02:35] gonna block both the Rays UVA and UVB

[00:02:37] the ones that cause sun aging UVA and

[00:02:41] skin cancer UVB actually you want to be

[00:02:43] broad spectrum that's zinc that's gonna

[00:02:45] be a broad spectrum mineral based

[00:02:47] sunscreen now of course one of the

[00:02:48] questions that people have every time

[00:02:50] does the SPF matter is there a

[00:02:53] difference if I get the 15 versus the 50

[00:02:55] SPF is really confusing and they've

[00:02:58] tried a tremendous amount to really

[00:03:01] improve on our awareness and

[00:03:03] understanding of what it means

[00:03:04] so the SPF level in essence is the

[00:03:07] duration that we're allowed to be

[00:03:09] outside before we get a sunburn okay

[00:03:11] so especially we're gonna go sit by the

[00:03:13] pool the higher the better then so you

[00:03:15] want a minimum SPF of 30 that's gonna be

[00:03:18] the level that you need to prevent from

[00:03:20] the skin cancer causing rays the UVB and

[00:03:23] the UVA Sun aging rays that cause

[00:03:25] wrinkles discipling mentation dark

[00:03:27] sunspots things like that and then

[00:03:29] finally you've got some other just fun

[00:03:31] things that you can add never hurts to

[00:03:33] add to the layers of protection so this

[00:03:35] is a really good alternative if you're

[00:03:37] gonna be outdoors for more than two

[00:03:38] hours because we recommend you to

[00:03:40] reapply these sunscreens every two hours

[00:03:42] that's not conducive to what they're

[00:03:44] gonna be doing if they're hiking if

[00:03:45] they're gonna be golfing sometimes these

[00:03:47] are tremendously you know really

[00:03:50] effective options for them well this is

[00:03:53] nice like a sleeve it's light it's not

[00:03:55] too hot

[00:03:56] absolutely you can't forget your eyes

[00:03:58] you detect them as much as your skin

[00:03:59] your eyes can be damaged by the

[00:04:01] ultraviolet light so you need a good

[00:04:03] ultraviolet protecting sunglass lens so

[00:04:06] darker lenses are a little bit better

[00:04:07] for the real bright days yeah use a

[00:04:09] lighter lens for the days a little bit

[00:04:11] darker so you can still have visibility

[00:04:13] but absolutely you want a good pair of

[00:04:15] sunglasses out here in Arizona okay so

[00:04:17] if you haven't already built the habit

[00:04:19] which you really should have but now is

[00:04:20] definitely go time all great tips to get

[00:04:23] us started as we head back and restock

[00:04:25] our supply thank you so much

[00:04:27] all of the tips

Video transcript: Dry Skin Tips

Watch the source video on YouTube

[00:00:02] Well, welcome back folks. Is your skin awfully dry this time of year? I know I am in that boat right now. It can happen even in the desert winter. So we brought in dermatologist Andrew Newman. He is here with what we can do and what we shouldn't do. So we're going to start with one of the no-nows and we need to lay off the scrubs. And I was just bragging about how I make this scrub at home. I'm so proud of myself. Why don't we like to do that this time of year? It can be very irritating for the skin in general. And the more irritation to the skin, the drier and more inflamed it's going to get.

[00:00:32] You just don't want that.

[00:00:33] Same thing.

[00:00:34] Hot showers, limit them, right?

[00:00:35] Hot showers.

[00:00:36] It feels so good, especially for the aches in the morning.

[00:00:39] But lukewarm water is better in terms of keeping your skin hydrated and not stripping those really good

[00:00:46] natural oils from the skin.

[00:00:48] So you've got some options here.

[00:00:49] Water is key, right?

[00:00:50] Is that going to keep us feeling moisturized?

[00:00:54] Yeah, the good A2O, pretty simple.

[00:00:57] I think the key thing is that simple is everything.

[00:01:00] Less and more water.

[00:01:02] If you hydrate your insides, you're going to hydrate your outsides, simply put.

[00:01:06] And then what about SPF?

[00:01:07] Because I always think, oh, this time of the year, I don't need SPF because, you know, it's 70 degrees out.

[00:01:11] But that's not the case.

[00:01:12] The UV rays that can damage your skin are always out year round.

[00:01:16] And so this is not just makeup.

[00:01:19] There's actually some SPF in there.

[00:01:21] There's some protective stuff in here that you can apply to your skin and be protected from the sun.

[00:01:27] So this is a fantastic item here.

[00:01:29] And we know a lot of people, obviously, if you're not sick, you're trying to

[00:01:32] avoid being sick, but sometimes too much hand sanitizer can make a skin pretty dry, right?

[00:01:37] Sure, exactly. So we're all trying to stay away from the colds and the flus, and really this stuff

[00:01:44] is going to be drying your skin out even more. There's alcohols in there. It's not something

[00:01:51] you want to be doing excessively, that's for sure. Let's talk about some, you know, pretty inexpensive

[00:01:55] moisturizers and things that we can buy just at the drugstore. I know I love satafil, and you've got

[00:02:00] some other options here. Yeah, so we want trusted brands. It's not that these are the only ones

[00:02:06] out there that can do the job for moistizing your skin, but setafil, vana cream, syruvi,

[00:02:13] Avino, these are great brands that have been around for a while and we use them daily in the office.

[00:02:18] And so we trust those brands. What you want to stay away from are any products that actually

[00:02:24] have fragrances in them. I know. We want to smell good, but they're going to be very irritating to the

[00:02:30] skin. Okay, some good advice this morning. We appreciate it so much. Again, Dr. Andrew Newman

[00:02:34] with affiliated dermatology. They've got seven different locations in the valley and he says he's

[00:02:38] usually at four of them. So can you be in four places at one time? You managed it to get. I wish I

[00:02:42] could. You roam around a lot. Thanks so much. Good advice this morning. So you get some set of

[00:02:46] Phil on your next trip to Target or Walmart or wherever we're going to be. We're going to take a quick

[00:02:50] break and we're good morning in Arizona coming up.

Video transcript: Earlobe Rejuvenation with Dermal Fillers

Watch the source video on YouTube

[00:00:01] getting Botox it's really common these

[00:00:04] days but would you get Botox for your

[00:00:07] ears okay so as we get older some of our

[00:00:17] features may not look the way we'd like

[00:00:21] them to look yeah you can get a lot of

[00:00:23] things done to fix that it's pretty

[00:00:24] common for women to fight aging with

[00:00:26] Botox or other fillers and believe it or

[00:00:29] not this does include our earlobes I

[00:00:32] called I know it's called earlobe

[00:00:37] rejuvenation or a lobe lift and the

[00:00:39] folks that affiliated dermatology say

[00:00:41] they're actually getting quite a few

[00:00:42] people in every week to have this done

[00:00:45] anyone who is unhappy with the

[00:00:47] appearance of their ears either because

[00:00:49] the earring is pulling down on the ear

[00:00:52] the earlobe is stretched or someone who

[00:00:54] has those excessive wrinkles or lines or

[00:00:56] the earlobes look a little flat or

[00:00:58] deflated you can see the piercing side

[00:01:00] and it has been stretched so what I'm

[00:01:02] gonna do is go around that piercing site

[00:01:04] with a little bit of filler kind of

[00:01:06] create some volume okay so this

[00:01:08] procedure takes just a few minutes and

[00:01:10] the results are almost immediate even

[00:01:12] better the patient we talked with says

[00:01:14] you really don't even feel anything

[00:01:16] nothing compared to like having your

[00:01:18] ears pierced or nothing compared with

[00:01:20] having your lips injected as you should

[00:01:23] or your ears pierced but I don't feel a

[00:01:25] thing she should feel the gentle flow of

[00:01:27] the filler and it shouldn't be

[00:01:29] uncomfortable

[00:01:31] you don't feel that all right she says

[00:01:34] sudden exposure and age can cause

[00:01:36] excessive lines and wrinkles in our

[00:01:39] earlobes heavy earrings you know a lot

[00:01:40] of people wore those in the 80s that can

[00:01:43] lead to an elongated piercing sight and

[00:01:45] then the earrings will tip forward they

[00:01:46] don't stay the way you want them to stay

[00:01:48] the filler lasts up to a year is a

[00:01:50] little pricey it starts at $500 starts

[00:01:52] at $500 they design and plan

[00:01:54] specifically for you so it could go up

[00:01:56] from there so something to consider if

[00:01:58] you have you know she said her earrings

[00:02:01] just kept falling forward so she wanted

[00:02:02] to have this done so if you're not doing

[00:02:04] it for the hold piercing what else would

[00:02:08] you be using cosmetic reasons just if

[00:02:10] your if your ears if you were having

[00:02:12] fillers done in other places and you

[00:02:15] feel like your ears don't match

[00:02:16] necessarily if they've had that sun

[00:02:18] exposure those wrinkles and you wanted

[00:02:19] to look better this is an option for ya

[00:02:21] if you don't like your wrinkled ears you

[00:02:24] can straight there's a fix for that

Video transcript: Importance of Skin and Breast Exams

Watch the source video on YouTube

[00:00:01] 8230 morning taking action for your

[00:00:04] health they're talking about the risks

[00:00:05] of breast and skin cancers dr. Genevieve

[00:00:08] a ignosi Asst with affiliated

[00:00:10] dermatology wants you to think of exams

[00:00:13] for both cancers simultaneously here she

[00:00:15] says there's even more evidence now that

[00:00:17] the cancers are in fact associated

[00:00:19] studies have demonstrated that breast

[00:00:22] cancer survivors have an increased risk

[00:00:24] of about 16% for melanoma and conversely

[00:00:29] melanoma survivors have about an 11%

[00:00:31] increase in risk for breast cancer

[00:00:34] so she's recommending annual checkups

[00:00:37] reminding you to use sunscreen every day

[00:00:39] and finally check your own skin every

[00:00:41] month she says you know at best

[00:00:43] if something's off she says go to the

[00:00:45] doctor get checked out immediately

Video transcript: Breast Cancer Screenings: Valley Doctor Wants Skin Exams Included

Watch the source video on YouTube

[00:00:01] October is Breast Cancer Awareness Month

[00:00:03] and with the attention being focused on

[00:00:05] detection and prevention one local

[00:00:07] dermatologist is hoping the same goes

[00:00:09] for skin checks

[00:00:10] studies have shown there is an increased

[00:00:13] risk for survivors developing melanoma

[00:00:15] Fox 10's Danielle Miller joins us live

[00:00:18] to explain this connection interesting

[00:00:21] John and Christina it absolutely is now

[00:00:24] the International Journal of cancer

[00:00:25] saying that breast cancer survivors are

[00:00:28] 16% more likely to develop melanoma than

[00:00:32] a woman who may not have had breast

[00:00:33] cancer now this local dermatologist is

[00:00:36] hoping that women make it a habit to

[00:00:38] schedule that full-body exam when they

[00:00:40] do schedule those mammograms dr.

[00:00:44] Christine Lin with affiliated

[00:00:46] dermatology is hoping to raise awareness

[00:00:48] for skin checks especially for breast

[00:00:51] cancer survivors she says these

[00:00:53] survivors are at higher risk for

[00:00:54] developing melanoma for breast cancer

[00:00:57] survivors that are over the age of 45

[00:00:59] they have a 12 percent increased risk

[00:01:03] for developing melanoma and that risk

[00:01:05] is 38% for breast cancer survivors that

[00:01:09] are under the age of 45 Charlotte shaft

[00:01:12] knows the dangers all too well she was

[00:01:15] diagnosed with breast cancer in April

[00:01:16] she had five tumors in her right breast

[00:01:19] soon after she had a bilateral

[00:01:21] mastectomy and shortly after that she

[00:01:24] luckily got her skin checked I actually

[00:01:27] came in and had five moles biopsied and

[00:01:32] two of them came back as I believe it's

[00:01:35] precancerous dr. Lin says these moles

[00:01:38] could have turned into melanoma if it

[00:01:40] wouldn't have been for early detection

[00:01:41] and although they don't know the direct

[00:01:44] melanoma breast cancer linked it could

[00:01:47] be underlying genetic mutations it could

[00:01:51] be environmental factors it could be

[00:01:53] behavioral factors the numbers are just

[00:01:57] too high to risk it you need to get your

[00:02:00] skin checked if you're going to get a

[00:02:01] mammogram you got to get your skin

[00:02:02] checked too it doesn't matter what

[00:02:04] pigment your skin is there can be a mole

[00:02:07] that could turn into something and it's

[00:02:09] better to be safe than sorry

[00:02:13] definitely some good advice there now

[00:02:15] dr. Lin is saying that even if you have

[00:02:17] not had breast cancer it's definitely

[00:02:19] still a good idea to get your skin

[00:02:21] checked once a year

Video transcript: Psoriasis Awareness with Dr. Mitchell Manway & CBS 5

Watch the source video on YouTube

[00:00:01] coming up psoriasis is a common skin

[00:00:05] condition that a lot of people suffer

[00:00:07] from but you don't have to because

[00:00:09] coming up next I got a look at some

[00:00:10] things that can help you cope that's

[00:00:13] coming up so if you're like a lot of

[00:00:21] people you may feel more joint pain as

[00:00:23] you get older but it may not be what you

[00:00:25] think yeah it could certainly be

[00:00:27] arthritis but it might actually be

[00:00:29] something that's under diagnosed in

[00:00:31] older adults do people misinterpret that

[00:00:34] it's just being like normal aging you

[00:00:36] know joint pain old age rsco arthritis

[00:00:38] kind of thing as opposed to psoriatic

[00:00:40] arthritis so that's dr. Mitchell manway

[00:00:43] he says psoriasis is often under

[00:00:46] diagnosed in older adults because like

[00:00:48] you said it just feels like normal joint

[00:00:50] pain and it doesn't often show up as

[00:00:52] those flood Reiki red flaky patches of

[00:00:54] skin that we normally see with psoriasis

[00:00:57] what they'll get is this kind of dry

[00:01:00] kind of scaly red kind of silvery type

[00:01:03] of appearance to their skin so that's

[00:01:07] what people normally see but again if

[00:01:09] you have that joint pain that's kind of

[00:01:11] unexplained maybe go get it checked out

[00:01:13] he says about 4% of the population

[00:01:15] suffers from psoriasis it is not

[00:01:17] contagious so if you see somebody with

[00:01:19] it there's no need to be afraid of that

[00:01:20] but you are more likely to get it if

[00:01:22] members of your family had it also if

[00:01:25] you suffer from that unusual joint pain

[00:01:26] he says just go have it checked out

[00:01:28] because if you're you know won't be

[00:01:29] taking painkillers or anything else if

[00:01:31] you can just treat your psoriasis

[00:01:33] another way and I guess you don't really

[00:01:34] associate pain with a skin condition

[00:01:36] yeah you don't see you think it's your

[00:01:38] joints but it can flare it's an

[00:01:40] autoimmune situation so it's all

[00:01:41] throughout yeah let's go to information

Video transcript: The Truth About Beauty Sleep with Dr. Newman & CBS 5

Watch the source video on YouTube

[00:00:01] Is beauty sleep a real thing? Have you ever asked you that question?

[00:00:04] Doctors are saying yes.

[00:00:06] A new study found sleep deprived people feel lonelier and are less inclined to engage with others.

[00:00:12] Researchers found sleep loss interfered with the parts of the brain that normally encourage social interaction.

[00:00:18] So we all know sleep makes us feel better, but can it help us look better or even younger?

[00:00:23] Doctors say absolutely.

[00:00:26] So beauty sleep is a real thing.

[00:00:29] And when we start to lose sleep, we do notice some significant changes, typically undesirable changes in our appearance.

[00:00:37] So that's Dr. Andrew Newman. He's from affiliated dermatology.

[00:00:41] He says the more sleep we get, the younger we will look.

[00:00:44] When we lose sleep, he says, we end up with bloodshot eyes.

[00:00:47] Maybe that purple halo around our eyes, it may even look like you have black eyes sometimes.

[00:00:52] He says this is because the veins in our eyelids become more pronounced when we do not get enough rest.

[00:00:57] So to make matters worse, when we're tired, we tend to be more grumpy, and it shows.

[00:01:03] So your eyebrows come together and make an uncomfortable squint.

[00:01:07] This facial expression is really unwelcome.

[00:01:11] So all that stuff happens just because you're not getting enough sleep.

[00:01:15] Nobody wants frown lines and wrinkles, so be sure you get your rest.

[00:01:19] Coming up in our 6 o'clock hour, things you can do to fake it till you make it

[00:01:23] when it comes to looking like you're getting enough rest.

Video transcript: Summer Skin Safety with CBS 5 & Affiliated Dermatology's Dr. Mullens

Watch the source video on YouTube

[00:00:01] still ahead temperatures are up and so

[00:00:04] are the number of calls to Valley

[00:00:05] dermatologist so we can tell you what

[00:00:07] you need to know about keeping your skin

[00:00:09] safe in this weather so last week we

[00:00:14] broke several heat records here in the

[00:00:16] valley and as the temperature rises so

[00:00:19] did the calls to the doctor I find this

[00:00:20] very interesting in dr. this is the time

[00:00:23] of year when dermatologists say they see

[00:00:24] more and more people who have questions

[00:00:26] about their skin especially in this

[00:00:28] crazy heat that we've been having as any

[00:00:31] doctor would tell you sunscreen is a

[00:00:33] must not just in the summer but

[00:00:34] year-round really affiliated dermatology

[00:00:38] it's been around for about 15 years

[00:00:39] several offices here in the valley and

[00:00:41] doctors there say they've seen an uptick

[00:00:44] in patients and they do make it a point

[00:00:46] this is pretty cool they try to get in

[00:00:49] every single customer who calls in and

[00:00:51] tries to get an appointment so there's

[00:00:52] no waiting a couple of months they try

[00:00:54] to get you in if you have issues or just

[00:00:56] questions so if you like to spend your

[00:00:58] days outdoors maybe you golf maybe you

[00:01:00] hike you got to listen to this the adult

[00:01:04] population if they're gonna be outside

[00:01:06] and they're gonna be doing things

[00:01:07] outdoors I think the most important

[00:01:10] thing is to have sunscreen but also to

[00:01:12] seek shade whenever possible not them

[00:01:14] more than any other population but

[00:01:16] they're gonna be the ones that are going

[00:01:17] to be outdoors for the most part you

[00:01:19] know during the peak hours of the day

[00:01:20] that younger population for the most

[00:01:22] part will be working yeah so it's cool

[00:01:24] that you don't have to work you spend

[00:01:26] more times out more time outdoors maybe

[00:01:28] with the grandkids but they say you got

[00:01:30] to be extra extra careful so coming up

[00:01:32] in our next hour if you want to make

[00:01:33] sure you're staying on top of monitoring

[00:01:35] your skin the doctor is going to explain

[00:01:38] the abcdes of melanoma and melanoma is

[00:01:43] the deadliest yeah and in Arizona we

[00:01:46] don't we I think we have a higher

[00:01:47] instance of it obviously because we have

[00:01:49] 300 and some days yeah it's not

[00:01:51] something you really think about it's

[00:01:52] not top of mine but it should be alright

[00:01:54] about an hour ago we talked about how

[00:01:55] Valley dermatologists tend to get more

[00:01:57] calls during the summer months a person

[00:01:59] it's so hot people are curious or maybe

[00:02:02] they see something funny a mole or

[00:02:03] something that just doesn't look normal

[00:02:05] but how do you know when you need to go

[00:02:08] see a doctor for something I talked to

[00:02:10] dr. Dustin Mullen he's at affiliated

[00:02:12] dermatology and he

[00:02:13] the abcdes of melanoma so the a stands

[00:02:19] for asymmetry the B is the border is it

[00:02:21] smooth or is it irregular the C is color

[00:02:24] color of irrigation so is it more than

[00:02:26] one color typically a moles brown or tan

[00:02:29] or dark brown or maybe even black but

[00:02:31] it's starting to have two colors two

[00:02:32] tones of any sort then that's another

[00:02:34] feature we want them to come in and get

[00:02:36] it looked at the D is diameter pretty

[00:02:38] simple six millimeters that's a pencil

[00:02:40] erasers diameter then the e of the ABCD

[00:02:43] ease of melanoma is evolution is it

[00:02:45] changing in any way if it's changing at

[00:02:47] all if it's outgrowing or outpacing any

[00:02:50] of your moles growth so it's growing

[00:02:51] faster or different in any way we want

[00:02:54] them to come in and get it looked at so

[00:02:56] to find out more about signs something

[00:02:58] is wrong taking care of your skin in

[00:03:00] this heat a lot of the information is on

[00:03:02] their website but we do have a link to

[00:03:04] theirs on ours az family com so be

[00:03:07] careful out there wear your sunscreen

[00:03:08] that get checked very important yeah get

[00:03:10] checked as much as you would your

[00:03:11] regular checkup this way

Video transcript: Summer Skin Dangers with Affiliated Dermatology & 12 News

Watch the source video on YouTube

[00:00:06] Margarita's should give you more than a

[00:00:08] hangover the three skin dangers you need

[00:00:11] to look out for this summer summer skin

[00:00:13] dangers the three conditions to be aware

[00:00:15] of as temperatures heat up and we're not

[00:00:17] just talking about sunburns it's the

[00:00:20] first day of summer as Jimmy told you

[00:00:22] but that also means an increase in

[00:00:24] potential skin conditions that can cause

[00:00:26] concern yeah I actually spoke to one

[00:00:28] local dermatologist about the top skin

[00:00:30] problems that you can actually prevent

[00:00:31] some of them may surprise you

[00:00:34] margaritas can cause a hangover which we

[00:00:36] all know it can also cause a rash you

[00:00:38] heard it right dr. Andrew Newman with

[00:00:41] affiliated dermatology says the lime

[00:00:43] juice contains agents that can trigger a

[00:00:46] rough reaction you may spill the lime

[00:00:49] juice on your hand all of a sudden you

[00:00:51] go out into the Sun for a while and you

[00:00:52] will actually see a quite red even

[00:00:55] purple blistering rash potentially he

[00:00:57] says bartenders tend to be exposed to

[00:01:00] this kind of thing regularly and in

[00:01:02] order to prevent it wash your hands

[00:01:04] thoroughly after contact or simply avoid

[00:01:07] those foods and drinks while in the

[00:01:09] sunshine next on the list molluscum

[00:01:12] contagiosum it's harder to say than to

[00:01:14] contract but good to be mindful of

[00:01:16] nonetheless like the name implies is

[00:01:18] very contagious it's a condition that we

[00:01:21] usually see in kids and it's a it's

[00:01:23] caused by a virus it looks kind of like

[00:01:25] a wart like rash and it could be

[00:01:27] anywhere on the skin he says the small

[00:01:29] raised bumps are typically round and

[00:01:32] flesh tone and can easily inflame and

[00:01:34] become itchy you're a parent you know

[00:01:36] your child is gonna go hang out with

[00:01:38] their friends you can put a couple tight

[00:01:40] Pantages little band-aids over those

[00:01:42] areas just to make sure you're not

[00:01:43] spreading it to their friends rounding

[00:01:45] out the top 3 in this segment what's

[00:01:47] known as hot tub rash not something

[00:01:50] you'd worry about in the summertime but

[00:01:52] as dr. Newman explains it's not just

[00:01:54] jacuzzis you're taking your wrist

[00:01:56] certainly you can only do so much if you

[00:01:58] don't know exactly who's taking care of

[00:02:00] that pool he says certain bacteria are

[00:02:03] living in the water that can cause itchy

[00:02:05] acne like bumps all over your body and

[00:02:08] that sanitary swimming pools need

[00:02:10] certain cleaners basically these items

[00:02:14] will

[00:02:14] I'll help you to maintain good quality

[00:02:16] water in your pool or your Jacuzzi dr.

[00:02:19] Neumann notes that cortisone cream

[00:02:21] typically helps with the redness and

[00:02:23] irritation if you've been in a public

[00:02:25] pool or hot tub which obviously a lot of

[00:02:28] people are doing as they visit hotels so

[00:02:30] just be mindful that next week we'll

[00:02:35] have more from dr. Newman about how to

[00:02:37] get that healthy glow without getting

[00:02:39] the Sun damaged so I know a lot of

[00:02:41] people spending time in the sunshine

[00:02:42] here in Arizona I prefer just to get the

[00:02:44] burn right that's just yeah

[00:02:47] turn it to a tv-- yellow out no don't do

[00:02:49] that

Video transcript: Melanoma Monday with Dr. Mullens & 12 News

Watch the source video on YouTube

[00:00:01] it is melanoma Monday we are telling you

[00:00:04] some of the best ways to protect your

[00:00:06] skin from the sun's harmful rays that

[00:00:09] you might not be thinking of coming up

[00:00:10] in just a few minutes today is melanoma

[00:00:13] Monday a day dedicated to raising

[00:00:15] awareness about the most dangerous form

[00:00:17] of skin cancer it's a critically

[00:00:19] important topic for Arizonans who enjoy

[00:00:21] the sunlight nearly every day of the

[00:00:23] year

[00:00:23] team 12s genoise is live this morning

[00:00:25] with a dermatologist letting us know

[00:00:27] what we need to know as temperatures

[00:00:29] continue to heat up good morning Jen

[00:00:33] yeah you got a good morning to you guys

[00:00:35] we're live here at a park I know a lot

[00:00:37] of little kiddos are gonna be getting

[00:00:38] outside enjoying the Sun and this

[00:00:40] morning I want to bring on dr. Dustin

[00:00:42] Mullins here here with affiliated

[00:00:44] dermatology let's go ahead and start out

[00:00:46] first tell us the difference between a

[00:00:47] good mole and a bad mole to put it very

[00:00:49] plainly absolutely so good mole versus

[00:00:51] bad mole so what's the difference so

[00:00:54] good mole will have certain features

[00:00:55] that we're looking for and bad mole will

[00:00:58] have features that we're also trying to

[00:01:00] look for so what we apply is the abcdes

[00:01:02] of melanoma for melanoma Monday we're

[00:01:05] gonna run through those so is it

[00:01:07] asymmetric so if I cut it down the

[00:01:09] middle is a mirror image of itself this

[00:01:11] normal mole good mole is a mirror image

[00:01:13] of itself if you look over here this is

[00:01:15] a melanoma this is not a mirror image of

[00:01:17] itself is asymmetric so that offends the

[00:01:19] a of the abcdes

[00:01:21] if you go down the the spectrum B is the

[00:01:24] border is it irregular or is it smooth

[00:01:26] so is it jagged or smooth this is nice

[00:01:28] and smooth and the normal versus jagged

[00:01:30] in the melanoma the C stands for color

[00:01:32] variation is it more than one color is

[00:01:34] it dark black and brown is it blue and

[00:01:37] brown so more than one color that's

[00:01:39] going to be a Finch that rule we're

[00:01:41] going to want to see if for for that as

[00:01:43] well D is diameter is it greater than

[00:01:45] six millimeters so can I stick a pencil

[00:01:47] eraser over it if I can stick a pencil

[00:01:48] eraser over it generally speaking that's

[00:01:50] a reassuring feature and eat evolution

[00:01:53] is evolving in any way is there any

[00:01:55] change to that mole all right so really

[00:01:57] important to make sure you're getting

[00:01:59] checked with your dermatologist let's

[00:02:00] move on to sunglasses we need them so

[00:02:02] badly because you can also get eye

[00:02:04] cancer which is crazy to be melanoma

[00:02:06] behind the eye yeah so melanoma can't

[00:02:08] occur in the eye we have pigment in the

[00:02:10] back of the eye and therefore were at

[00:02:13] risk of melanoma in that location you

[00:02:15] need to have a good pair of eye

[00:02:16] protection especially here in Arizona so

[00:02:18] you need some UV 100% protection

[00:02:20] sunglasses you ran those every day all

[00:02:22] right thank you and then my last

[00:02:24] question is going to be that chemicals

[00:02:26] in sunscreen I'm always looking for that

[00:02:28] for my kids I want to keep them

[00:02:29] protected but I want to make sure I'm

[00:02:30] putting good sunscreen on them so what

[00:02:33] do you recommend for families anyone

[00:02:35] wearing sunscreen good question I always

[00:02:37] recommend natural products mineral base

[00:02:39] so I like zinc oxide and titanium

[00:02:41] dioxide those are going to be your

[00:02:43] broad-spectrum mineral base so they're

[00:02:45] physical blockers they're not

[00:02:46] Mikal blockers the chemicals that we

[00:02:48] have in some of our sunscreens are going

[00:02:49] to block the sunlight using chemical

[00:02:51] dispersion so we need to be careful with

[00:02:53] those and the application of those

[00:02:55] especially in these spray sunscreens

[00:02:56] when we're spraying those in a closed

[00:02:58] unventilated room or potentially

[00:03:00] inhaling those chemicals and we don't

[00:03:02] know currently at this time whether or

[00:03:04] not there's potential long-term effects

[00:03:06] of that so make sure if you are spraying

[00:03:08] them with a sunscreen it's in a

[00:03:09] well-ventilated open room all right you

[00:03:12] got it guys thank you so much for

[00:03:13] joining us live this morning we have a

[00:03:15] lot more clothing you can wear if you're

[00:03:17] outside wide-brimmed hats so important

[00:03:19] if you're not going to put sunscreen on

[00:03:21] your ears plus SPF 30 to 50 make sure

[00:03:24] you're reapplying every two to three

[00:03:26] hours EMA impulse Jen I'm one of those

[00:03:30] moms that does a spray with my kids

[00:03:32] because lathering and on them is so

[00:03:35] difficult for me so that's good to

[00:03:37] remember you got to be in the open area

[00:03:39] if you're looking for more tips look no

[00:03:40] further than the Today Show they're also

[00:03:42] trying to raise awareness about melanoma

[00:03:44] this morning they're gonna try to break

[00:03:45] the Guinness world record for most

[00:03:47] people simultaneously applying sunscreen

[00:03:49] can they do it you can see it at 7 a.m.

[00:03:52] right after 12:00 today

Video transcript: 12 News: Melanoma Monday & Skin Cancer Awareness with Dr. Mullens

Watch the source video on YouTube

[00:00:01] on this melanoma Monday we are talking

[00:00:04] ways to protect your skin from the Sun

[00:00:06] the very strong sun rays that you might

[00:00:09] not think of coming up here in just a

[00:00:11] few minutes Monday it's a day dedicated

[00:00:18] to raising awareness of that condition

[00:00:21] yeah hey good morning the most dangerous

[00:00:23] form of skin cancer it's especially

[00:00:25] important with this extreme heat Steve

[00:00:27] Jobs genoise live with the dermatologist

[00:00:29] this morning with exactly what we need

[00:00:32] to know Jen these are such good things

[00:00:34] and great reminders especially with the

[00:00:36] weather getting hot again Paul saying

[00:00:38] that he likes to take his shirt off when

[00:00:40] it's that's not true I don't I try to

[00:00:42] keep sunscreen lotion in my car but I

[00:00:44] often forget to put it in there and then

[00:00:48] therefore put it on all right Jen so

[00:00:50] what do you got for us oh okay so I was

[00:00:54] gonna save this for the six o'clock but

[00:00:56] cut Paul he just brought it up he said I

[00:00:59] leave the sunscreen in my car and we

[00:01:02] were just talking about this this is

[00:01:04] doctor Dustin Mullen so what do you have

[00:01:06] to say about leaving the sunscreen your

[00:01:07] car I learned this this morning Paul I

[00:01:09] didn't know either so here we go I would

[00:01:11] say to Paul please don't

[00:01:13] sunscreen leaving it in the car out here

[00:01:16] in Arizona puts the sunscreen at risk of

[00:01:18] being exposed to extreme heat any time

[00:01:22] sunscreens exposed to temperatures

[00:01:23] approximately 100 degrees Fahrenheit it

[00:01:26] can become inert or inactive so you

[00:01:28] could be applying a sunscreen that

[00:01:30] basically is just a cream that's not

[00:01:32] protecting you from the Sun and you may

[00:01:34] be noticing that you're burning now even

[00:01:37] though you're applying sunscreen so

[00:01:39] absolutely a must you cannot leave that

[00:01:41] sunscreen in the vehicle cannot leave it

[00:01:43] in any areas where it'll be exposed to

[00:01:45] extreme temperatures see I never knew

[00:01:46] that I know we have a lot of people who

[00:01:48] golf out here who swim I mean you're out

[00:01:50] at the playground with the kids we were

[00:01:51] outside all the time with about 300 days

[00:01:53] of sunshine every year so where do you

[00:01:55] recommend what are better options for

[00:01:57] leaving that sunscreen around make sure

[00:01:59] we still have it with us

[00:02:00] so obviously you can leave the the

[00:02:02] sunscreen at home but you can take some

[00:02:04] handhelds with you as well I have some

[00:02:05] great samples golf bag you can take

[00:02:12] put them in the vehicle for the day

[00:02:13] there are some good carry options that

[00:02:15] you can take with you okay and then

[00:02:17] let's talk about now like hats because I

[00:02:19] was just asking you a couple minutes ago

[00:02:21] - I always wear a baseball hat I mean

[00:02:22] especially on the weekends I don't want

[00:02:23] to mess of doing my hair so what do you

[00:02:25] have to say about the baseball hats and

[00:02:26] what are some better options there

[00:02:28] basically I like I like if you're

[00:02:30] wearing a hat versus nothing but ideally

[00:02:33] you'd wear a hat with a three-inch

[00:02:35] circumferential coverage around the head

[00:02:37] and that will protect your ears neck

[00:02:39] forehead nose to a degree and that will

[00:02:42] give you a little bit of extended

[00:02:43] coverage but a baseball cap is good

[00:02:44] you'll still need to apply sunscreen to

[00:02:46] the ears the neck because those will

[00:02:48] still be exposed but I like these wide

[00:02:50] brim tats these are two good examples

[00:02:51] here some other options that we may have

[00:02:54] though would be these long sleeves that

[00:02:56] are SPF protecting yeah I like this

[00:02:58] because you're out in the Sun a lot and

[00:03:00] you're like man I don't want to wear

[00:03:01] long sleeves it's so darn hot but

[00:03:02] actually if you cover yourself up if

[00:03:04] it's lightweight it helps you keep cool

[00:03:05] so talk about these wear these might be

[00:03:08] good for people to use them so those are

[00:03:09] actually a fantastic option for

[00:03:11] individuals they're going to be outside

[00:03:12] for longer than two to three hours as

[00:03:15] you know you have to reapply sunscreen

[00:03:16] every two to three hours and sometimes

[00:03:18] sometimes that's not conducive to what

[00:03:20] you're doing this is an excellent option

[00:03:22] for people golfing out here that's a big

[00:03:24] thing you can wear that golfing those

[00:03:26] are a particular pair that I use that do

[00:03:28] not make me overheat

[00:03:30] I do not notice any difference in my

[00:03:32] temperature or having to cool down and

[00:03:34] they're a fantastic option to protect

[00:03:36] your skin from the Sun all right dr.

[00:03:38] Mullins thank you so much for joining us

[00:03:39] live we're gonna be back here at 6 a.m.

[00:03:41] we're gonna show you what a good mole

[00:03:43] looks like as opposed to one that might

[00:03:45] have some cancer associated with it plus

[00:03:48] give you some other options for blocking

[00:03:50] the Sun that you might not have already

[00:03:52] thought of and as like sometimes you

[00:03:54] know you look at those pictures I think

[00:03:55] makes your skin crawl a little bit but

[00:03:56] it's such good information we got to

[00:03:58] know this stuff I like starting my

[00:03:59] Monday mornings being reminded that I'm

[00:04:01] doing everything wrong the Today Show is

[00:04:04] also trying to raise awareness about

[00:04:05] melanoma this morning they'll try to

[00:04:07] break the Guinness world record for the

[00:04:08] most people simultaneously applying

[00:04:11] sunscreen what sounds like riveting

[00:04:13] television yeah I love it

[00:04:14] only on the Today Show right after 12:00

[00:04:16] today

Video transcript: Affiliated Dermatology - The Valley's Largest Private Practice

Watch the source video on YouTube

[00:00:01] we are experts in skincare and we offer

[00:00:04] a plethora and comprehensive skincare

[00:00:07] for our patients we have aesthetics and

[00:00:10] cosmetics as well as an allergy division

[00:00:12] we have nine most skin cancer surgeons

[00:00:14] at the most of any practice in the state

[00:00:16] of Arizona and for board-certified

[00:00:18] dramatic pathologists we have the

[00:00:20] founder of the Arizona Skin Cancer

[00:00:22] Foundation in our group and that allows

[00:00:24] us to treat skin cancer better than

[00:00:27] anyone else in the valley we have a

[00:00:29] strong community impact with skin cancer

[00:00:31] screenings and education throughout the

[00:00:32] community and we care about our patients

[00:00:34] in our population

Video transcript: 054 Affiliated Dermatology with Dr. Dustin Mullens : Ahwatukee Uncensored with Howard Farran

Watch the source video on YouTube

[00:00:00] [Music]

[00:00:06] it's just a huge honor for me today to

[00:00:08] be podcast interviewing dr. Dustin

[00:00:10] Mullins a dermatologist

[00:00:12] he's with affiliated dermatology he

[00:00:15] began his residency training at

[00:00:17] affiliated dermatology in July of 2016

[00:00:19] he received his undergraduate degree in

[00:00:21] biology from Coastal Carolina University

[00:00:23] in Conway South Carolina dr. Mullins

[00:00:26] received his Doctor degree from Edward

[00:00:28] via college of osteopathic medicine

[00:00:31] Carolina campus following graduation he

[00:00:34] complete his internship training at Ohio

[00:00:36] Health

[00:00:36] Oh blessed his hospital in Athens Ohio

[00:00:38] his professional membership included

[00:00:41] american osteopathic college of

[00:00:43] dermatology and Sigma Sigma Phi Honor

[00:00:45] Society

[00:00:46] dr. Mullins will be training with

[00:00:47] affiliated dermatology for the next two

[00:00:49] years and I thought my gosh of all the

[00:00:52] diseases I just would imagine since

[00:00:55] we're in the desert don't we have more

[00:00:56] skin cancer here than in say North

[00:00:58] Dakota

[00:00:59] absolutely we do actually skin cancer is

[00:01:02] most common here in Arizona comparative

[00:01:05] to the other states in the United States

[00:01:07] mostly because of the snowbirds coming

[00:01:10] here to the United States down to

[00:01:12] Arizona during the winter months in the

[00:01:15] north so we are average population ages

[00:01:18] and of the the ripe age for skin cancer

[00:01:21] that 50 to 80 years old we're starting

[00:01:24] to see a lot of these skin cancers crop

[00:01:25] up the Sun related skin cancers so it is

[00:01:28] it's it's much more common here in

[00:01:30] Arizona second highest incidence we're

[00:01:31] second only to Australia for melanoma so

[00:01:34] we tend to actually follow a lot of the

[00:01:37] Australian skin cancer guidelines for

[00:01:39] some of the practice that we and

[00:01:41] recommendations that we have for

[00:01:42] patients okay so this is all wood tsuki

[00:01:45] uncensored so I don't want to ask any

[00:01:46] easy questions I want to get straight to

[00:01:49] the controversy Lou and I hear chair

[00:01:51] side for 30 years yeah so I hear that

[00:01:54] you see this chart of skin cancer going

[00:01:58] up mm-hmm while you see the chart of

[00:02:01] using sun protection factors cream going

[00:02:04] up right like when I was a kid I was

[00:02:07] born in 62 mm-hmm you're probably

[00:02:09] thinking I was more than 32 I'm not

[00:02:11] six-two there was no such thing as

[00:02:14] sunscreen in fact it was obviously you'd

[00:02:15] put you put baby oil on eyes right here

[00:02:19] but here's the other part of what

[00:02:20] confuses the normal person is not a

[00:02:24] dormant dermatology yeah they say well

[00:02:27] you know if I put on a bunch of

[00:02:29] sunscreen

[00:02:30] I can go float the the river for four

[00:02:32] hours I can go golf for four hours but

[00:02:35] if I didn't use sunscreen and I'm Irish

[00:02:38] I couldn't do it between 11:00 and 4:00

[00:02:41] I'd have to I have to do my hike on

[00:02:43] South Mountain at 6:00 in the morning

[00:02:44] but with so so it kind of looks like and

[00:02:48] I had a really smart engineer he's like

[00:02:51] 80 years old telling me this big lecture

[00:02:53] on he goes I think they got it all wrong

[00:02:55] the more sunscreen they put on then they

[00:02:58] go out in the wrong time without

[00:03:00] sunscreen they wouldn't go out in the

[00:03:02] wrong time and if sunscreen prevented

[00:03:04] Sun cancer then why is it Gorda so I

[00:03:06] hate to unload all that as your initial

[00:03:08] question you're probably gonna cancel

[00:03:10] just walk out right now no um do you

[00:03:13] capture a lot of like the history that

[00:03:15] we've moved from and to over the past

[00:03:18] few decades but getting to just

[00:03:20] sunscreen in general and sunscreen use I

[00:03:23] agree wait back in the day and when I

[00:03:25] say the day 70s even in the early 80s a

[00:03:28] lot of the sunscreen that we even had

[00:03:30] wasn't really worth a dork back then it

[00:03:32] wasn't a dork wasn't that dork yeah

[00:03:36] wasn't that great don't kick yourself in

[00:03:39] the button I tell us a lot of the

[00:03:40] patients the people is saying you know I

[00:03:42] kind of grew up on the coast of

[00:03:44] California and I have him now say

[00:03:46] they're 70 years old and they're saying

[00:03:48] I had a ton of son history and you know

[00:03:50] I'm kind of embarrassed about it well

[00:03:52] the people that were applying sunscreen

[00:03:54] at that time it wasn't that fantastic

[00:03:56] either so they didn't really have too

[00:03:59] much of a leg up on them at that time

[00:04:01] now it's really improved we've had a lot

[00:04:04] of improvement since then and it's still

[00:04:06] improving but the risk with sunscreen we

[00:04:10] do know that yes you do see a trend of

[00:04:13] skin cancer incidence is increasing

[00:04:14] across the board in the United States

[00:04:16] for your non-melanoma skin cancers and

[00:04:19] melanoma which is scary it's very scary

[00:04:22] when you're looking at the looking

[00:04:24] by the numbers we're talking skin cancer

[00:04:26] alone is more common than any other

[00:04:30] cancer combined all other cancers you

[00:04:32] combine them it does not equal the total

[00:04:35] number of skin cancers so that's crazy

[00:04:37] it is crazy and what is the actual

[00:04:40] number of skin cancers it occurs in the

[00:04:42] United States we don't know the exact

[00:04:44] number we have an estimate we believe a

[00:04:47] million basal cells will occur over the

[00:04:50] year you know that's an estimate because

[00:04:53] there's no mandated reporting on these

[00:04:56] non-melanoma skin cancers now melanoma

[00:04:59] skin cancers yeah we have a little bit

[00:05:01] more of a specific idea of the number of

[00:05:04] melanomas diagnosed we're talking 2050

[00:05:07] melanomas will be diagnosed in the state

[00:05:10] of Arizona this year we know that those

[00:05:12] are reported that's your melanoma that's

[00:05:15] the one that kind of makes the the

[00:05:17] pupils dilate when we see those in the

[00:05:19] office when it comes through under

[00:05:21] pathology because that can carry a much

[00:05:23] more higher mortality so it's usually a

[00:05:26] little bit more complex and it's a

[00:05:28] little bit more scary for the patient

[00:05:30] and the provider to go through but the

[00:05:31] non melanoma the one that's related to

[00:05:34] that we call basal cell basal cell and

[00:05:36] squamous cell that's the number one in

[00:05:38] two skin cancer or space so cell number

[00:05:40] one basal cells don't want languish

[00:05:41] number two blame is number two and you

[00:05:43] call those two you know any melanoma

[00:05:45] skin cancers look long nm SC

[00:05:48] non-melanoma skin cancers and what those

[00:05:51] comprised of is a cumulative sun

[00:05:54] exposure is what makes you at risk for

[00:05:57] those skin cancers when I mean then I

[00:05:58] mean decades I mean 20 30 years of being

[00:06:02] outside say guy that works out signed

[00:06:04] outdoors say he's a construction worker

[00:06:07] over a 30 year period so he starts at 18

[00:06:10] I'm seeing him at 50 he's starting to

[00:06:12] get just the actinic or the pre skin

[00:06:14] cancers that would precede these skin

[00:06:16] cancers it takes decades typically to

[00:06:19] accumulate the skin damage from the Sun

[00:06:22] aging in skin cancer causing rays to

[00:06:25] start building these skin cancers so

[00:06:27] where do we see them Sun exposed areas

[00:06:29] will see them on the arms face neck ears

[00:06:32] nose lips eyelids areas like that back

[00:06:35] to the hands you know much less

[00:06:37] come to see these although it can't

[00:06:39] happen on the trunk thighs but usually

[00:06:41] it's on these sun-exposed areas now we

[00:06:44] can't see it on the shoulders you know

[00:06:45] in the underneath on the V of the neck

[00:06:47] and the chest those do get some Sun as

[00:06:50] well but that's typically where you see

[00:06:52] those those Sun exposed areas and those

[00:06:54] are the ones that are most calling here

[00:06:55] and here is hona because the

[00:06:58] non-melanoma

[00:06:59] yeah the non-melanoma skin cancer skin

[00:07:01] cancers so when I thought we talked

[00:07:03] about our population in Arizona our two

[00:07:06] key you know in the greater area we're

[00:07:09] really looking at people that are seeing

[00:07:11] a lot of those types of skin cancers so

[00:07:13] when we have people walk in through the

[00:07:14] door and we're doing our skin cancer

[00:07:16] screenings where we're checking every

[00:07:18] area on their body looking for any

[00:07:20] atypical abnormal appearing spots or

[00:07:22] lesions those are the ones that were

[00:07:24] really typically seeing is the most

[00:07:26] commonly much more common than melanoma

[00:07:28] but those aren't as lethal not as lethal

[00:07:30] we say lethal we're meaning it obviously

[00:07:33] can kill you but also we kind of use

[00:07:36] that term generally speaking for

[00:07:38] something that can metastasize meaning

[00:07:40] spread from say the arm to a different

[00:07:42] location Euler to the skin elsewhere or

[00:07:45] internally to an organ so metastasizing

[00:07:48] melanoma is much more likely to do that

[00:07:50] it can you know very common to go to the

[00:07:53] brain is a common place for to

[00:07:54] metastasize for melanoma

[00:07:56] that's scary I'm safe well President

[00:07:58] Carter right so Jimmy Carter he had the

[00:08:01] he had the metastases to the brain but

[00:08:03] they've got some fantastic new

[00:08:05] medications that are actually able to

[00:08:07] treat and sometimes melt away some of

[00:08:10] those metastases and that worked for him

[00:08:13] but for the non-melanoma skin cancers we

[00:08:16] don't generally see metastasis or spread

[00:08:19] elsewhere it just grows locally and that

[00:08:21] can make it easier to treat but it

[00:08:24] sometimes can be very difficult

[00:08:25] depending on the location so when I said

[00:08:29] that these are the non melanomas are

[00:08:30] gonna be on Sun exposed areas we're

[00:08:33] talking those we're talking here we're

[00:08:34] talking lips eyelids and boy that can be

[00:08:38] disfiguring if somebody gets a skin

[00:08:39] cancer on their eyelid or their ear or

[00:08:42] their nose and you're talking about

[00:08:45] treating that surgically removing that

[00:08:47] that can really

[00:08:48] leave the individual disfigured

[00:08:50] depending on how big and aggressive that

[00:08:53] local tumor was well now these non

[00:08:55] melanomas may not metastasize but they

[00:08:58] will grow locally and over time left

[00:09:01] untreated or neglected or time talking

[00:09:03] years I can continue to grow and maybe

[00:09:07] get a little bit deeper in the local

[00:09:09] tissue so your end up your your final

[00:09:12] defect after you've cut it out and

[00:09:13] remove all the cancer cells could be

[00:09:16] larger if you leave it untreated and

[00:09:19] then to close that up is a difficult

[00:09:21] task for any surgeon and there's

[00:09:24] actually been a special field called

[00:09:25] Mo's or scheme Mohs micrographic skin

[00:09:28] cancer surgery Mohs surgery is the term

[00:09:31] that we use it's actually an eponym

[00:09:32] named after a guy named Frederick Mo's

[00:09:35] and he's an individual that created this

[00:09:37] type of surgery for skin cancers and

[00:09:40] specifically speaking for cosmetic areas

[00:09:43] face hands genitalia areas like that

[00:09:47] where you do not want to leave the

[00:09:48] individual disfigured that can be life

[00:09:50] changing and so what you have are these

[00:09:53] individuals that are kind of not a step

[00:09:55] above but they have extra training above

[00:09:56] a dermatologists usually fellowship

[00:09:58] trainer Society trained meaning where

[00:10:00] they've acquired the total cumulative

[00:10:02] precipitation or expert level of skills

[00:10:08] and what they do is they cut out real

[00:10:10] time you come in with this skin cancer

[00:10:12] Sam than those and though going out and

[00:10:14] they'll chase the margin of just the

[00:10:16] abnormal skin cancer cells just chase

[00:10:18] around it traditionally we'd take a wide

[00:10:20] excision out and we know with 99%

[00:10:23] probability we'd capture all the UH

[00:10:24] normal cells with taking that nice

[00:10:26] ellipse outside of it with the margin we

[00:10:28] know by just odds that we'll capture all

[00:10:30] the abnormal cells now with this most

[00:10:33] micro-graphic skin cancer surgery what

[00:10:35] they do is they just dance right around

[00:10:37] the outside margin of the abnormal cells

[00:10:39] they cut that out they put it on a slide

[00:10:42] they have a specialist called a hysto

[00:10:44] path tech wow that patient is there on

[00:10:46] the table they take that tissue they go

[00:10:48] played it on a slide which takes a

[00:10:50] special technique that they do and then

[00:10:53] the the Mohs surgeon at that time will

[00:10:55] take the slide back and look at it under

[00:10:56] a microscope and when they look at it

[00:10:58] under a microscope they'll have their

[00:11:00] coordinates of north-south east-west

[00:11:02] basically looking they sometimes think

[00:11:04] of it like a clock 12 6 3 and 9 and

[00:11:07] they'll know based off of those margins

[00:11:09] if they have all clear margins meaning

[00:11:12] there's no skin cancer cells on the

[00:11:13] outside and at the base and when they

[00:11:16] get to that point then they can close

[00:11:18] the patient up not until then do they

[00:11:20] stop

[00:11:21] so saying at 3 o'clock position they see

[00:11:23] just a little tumor cell right at the

[00:11:25] periphery so what they'll do is they'll

[00:11:27] go to the 3 o'clock position on that

[00:11:29] patient and then they'll just chase

[00:11:30] right around the 3 o'clock position and

[00:11:32] they'll just try to capture just that

[00:11:34] area because everything else is clear so

[00:11:36] wouldn't it make sense to take another

[00:11:38] big cut

[00:11:38] they'll just chase the 3 o'clock and

[00:11:40] then they'll go and do the same process

[00:11:42] again they'll put it on the slide

[00:11:43] they'll go back and look at Interscope

[00:11:45] and then they'll see if they got it all

[00:11:47] cleared at the 3 o'clock if they have it

[00:11:49] all cleared then then they can close it

[00:11:51] up now that's one part of their

[00:11:53] specialization where they can cut it out

[00:11:55] and they can look at it under scope and

[00:11:57] make the diagnosis of clear or not clear

[00:11:59] and then go back and take more that's

[00:12:01] one part the other part is the kind of

[00:12:04] the art of being a Mohs surgeon and

[00:12:07] that's where they actually have to close

[00:12:08] it up and when you have to close it up

[00:12:10] on one of these locations like the face

[00:12:11] boy you have to be really good at what

[00:12:13] you're doing because you want it to look

[00:12:15] like you were never there or ideally as

[00:12:18] close as possible to like you're never

[00:12:20] there so a lot of times what they'll do

[00:12:22] is they'll use different types of flaps

[00:12:23] and grafts and closures and rotations to

[00:12:27] actually mimic the normal skin folds

[00:12:29] that we have and just normal skin so it

[00:12:32] looks like it's in the normal creases

[00:12:33] maybe along the eyes or along the you

[00:12:36] know the peering nasal folds and it'll

[00:12:38] just look like it was our natural

[00:12:39] creases so unless I look at somebody my

[00:12:41] eye doesn't get drawn to something that

[00:12:43] looks kind of geometric like some other

[00:12:45] closures you might get on other

[00:12:47] locations it may look more natural you

[00:12:49] know that's a profession or a

[00:12:51] specialization within dermatology that

[00:12:54] was created which i think is kind of

[00:12:56] fascinating that field was created out

[00:12:58] of the need you know and that's a nun

[00:13:00] it's a relatively speaking it's a newer

[00:13:02] field in dermatology because of the need

[00:13:06] for it you know this is where skin

[00:13:08] cancer is becoming so much more common

[00:13:10] like you're talking about we're living

[00:13:12] longer

[00:13:13] we ever have before so these things that

[00:13:15] are cumulative related to sun exposure

[00:13:18] they're going to become more and more

[00:13:19] common as we live longer and you know it

[00:13:23] becomes a question of what's the most

[00:13:25] cost effective what's the most

[00:13:27] cosmetically you know pleasing what's

[00:13:30] the most curative most surgery generally

[00:13:33] speaking for these non-melanoma skin

[00:13:34] cancers is superior in terms of cure a

[00:13:36] we're talking 98 to 99 and a half

[00:13:39] percent cure rate with basal cell and

[00:13:41] squamous cell you know there's no 100%

[00:13:42] in medicine as you know but wait you're

[00:13:45] saying based on squiggly yeah it gets

[00:13:47] melanoma not melanoma so everything

[00:13:49] you've been talking about so far has

[00:13:50] been about non melanoma melanoma no and

[00:13:54] and that's baby cell by yourself so

[00:13:57] you're saying the sir 5-year survival

[00:13:58] rate is what if we can get curate is 98

[00:14:01] to 99 a half depending on the surgeon so

[00:14:04] then so then it's twin sister yeah is

[00:14:08] melanoma yeah yeah the the it's so

[00:14:11] melanoma we don't there's only melanoma

[00:14:15] in situ in a certain kind of stage and

[00:14:17] or at least severity of the melanoma

[00:14:20] what we consider doing what's called a

[00:14:21] slo-moes which is a hybrid of Mohs

[00:14:24] surgery whenever we're taking the tissue

[00:14:27] and putting it on a slide to look at

[00:14:29] under a microscope the type of

[00:14:31] processing that that tissue undergoes is

[00:14:34] only good or ideal for these non

[00:14:37] pigmented lesions whenever you try to do

[00:14:40] that to Malena sites which a melanoma

[00:14:43] arises from it doesn't plate correctly

[00:14:46] and it doesn't allow you to

[00:14:48] appropriately visualize the cells and

[00:14:51] that's why it's not an ideal treatment

[00:14:55] option for melanoma in general but

[00:14:58] there's what's called a slo-moes

[00:14:59] procedure where we do the normal

[00:15:02] processing which takes up to a few days

[00:15:04] to process and put it on a slide and

[00:15:07] half dramatic pathologists review it and

[00:15:09] then at that time we cut it out we'll do

[00:15:12] that process and the patient will have a

[00:15:14] bandage over that wound site that's not

[00:15:16] closed yet but they'll go through the

[00:15:18] same process as before where they check

[00:15:20] the margins the deep-end peripheral

[00:15:22] margins and then once we know that it's

[00:15:24] all cleared we'll bring this in the

[00:15:25] patient

[00:15:26] and then we'll close it up that's

[00:15:28] because of the way that the tissue has

[00:15:30] to be processed for it but what's the

[00:15:32] fight will survival rate on a melanoma

[00:15:34] so the melanoma generally speaking so if

[00:15:37] it's a your melt your first stage

[00:15:39] melanoma your melanoma in situ s it

[00:15:41] could be 99% stage woot Li and that's

[00:15:44] typically treated with what we call wide

[00:15:46] local excision and there's a five

[00:15:48] centimeter margin so it's a pretty good

[00:15:50] sized margin you're talking on both

[00:15:52] sides of the actual defect so they're by

[00:15:55] centimeter centimeter five centimeter

[00:15:58] margin they're gonna get a 5 inches 2.54

[00:16:01] 2.54 centimeters per inch yes so it's

[00:16:04] gonna be able to are gonna have a large

[00:16:06] egg cut absolutely so so what do they go

[00:16:08] with stage one two three and four cities

[00:16:10] one two three and four so stage one you

[00:16:12] said it's ninety nine you get to ninety

[00:16:15] nine percent if you take if you have in

[00:16:17] a wide local excision it's done with a

[00:16:19] five centimeter margin it can be up to

[00:16:21] ninety nine percent cure rate so that's

[00:16:24] what's - boy it drops down to like

[00:16:26] eighty seven percent and then it even

[00:16:28] drops down much further than that you're

[00:16:30] talking page three it's down to like the

[00:16:32] 50s and then down below that it's even

[00:16:34] it's even lower I think it's like 25 to

[00:16:37] 30 so so the so the point is skin cancer

[00:16:42] you got to get checked regularly I mean

[00:16:45] you don't you don't want to sit there

[00:16:46] and say well I haven't checked in five

[00:16:48] years man and they say why and you say

[00:16:50] cuz my tanning salon insurance didn't

[00:16:52] pay for it how often should you get

[00:16:56] checked and should you get checked more

[00:16:58] regularly when you're 55 like me versus

[00:17:00] 25 like Ryan good question so skin

[00:17:05] checks we base those off of the patient

[00:17:09] meaning risk factors for the patient so

[00:17:12] age is one of them where we kind of look

[00:17:14] at that and you know throughout the

[00:17:16] United States we kind of agree that

[00:17:18] anybody over 50 it should be getting a

[00:17:20] skin check at least once a year now in

[00:17:23] the geographic regions where there's a

[00:17:25] high UV index such as you know Arizona

[00:17:28] now a two key we recommend that younger

[00:17:31] individuals come in and get a baseline

[00:17:32] it's a very good idea to get a baseline

[00:17:34] because you could have kids that are

[00:17:37] getting sun exposure you know

[00:17:38] 300-plus days of Sun a year here you

[00:17:41] compare that to somebody in Pennsylvania

[00:17:43] say or Kansas you were born in

[00:17:45] Pennsylvania

[00:17:46] yeah absolutely so we're talking like

[00:17:47] maybe days of Sun so do you think

[00:17:49] Arizona from where you were born in

[00:17:51] Pennsylvania which is pretty North yeah

[00:17:53] so do you think we have like twice as

[00:17:56] much as Philadelphia or is it just like

[00:17:57] maybe oh yeah absolutely so we're

[00:18:00] talking in terms of days of sun exposure

[00:18:03] dad talk 300-plus here and now turkey

[00:18:06] versus I mean you could you're

[00:18:08] stretching it yeah you're stretching 90

[00:18:10] to 150 and then you're talking most of

[00:18:13] those months you know from October to

[00:18:15] march in say Philadelphia PA they're

[00:18:18] gonna be wearing long sleeves yeah if we

[00:18:20] lived in Philly not only would we have

[00:18:22] the skin cancer we would have won the

[00:18:24] Superbowl one that we'd be Superbowl

[00:18:25] chant oh my god I think they're on a

[00:18:27] stage I don't know about that but a yes

[00:18:31] that that puts us at a risk just by

[00:18:34] birth if you're from Arizona you know

[00:18:36] you're kind of behind the 8-ball so to

[00:18:39] speak with that in regards but there's

[00:18:41] other factors that we look at risk

[00:18:43] factors redheads redheads in now two key

[00:18:46] years oh no they're gonna be 13 times

[00:18:48] greater risk of melanoma than an average

[00:18:51] person in the population so redhead just

[00:18:53] and those would be pretty much all Irish

[00:18:56] and Scottish yeah and a mix of the above

[00:18:59] you know what's funny about here I've

[00:19:01] I've lectured to dentists in 50

[00:19:03] countries yeah

[00:19:04] most creams are you go to Vietnam

[00:19:05] they're all Vietnamese you know Korea

[00:19:08] they're all crazy you go to Japan

[00:19:09] they're all Japanese even like Poland

[00:19:11] they're all bullets you come to America

[00:19:13] no one even knows what they are is the

[00:19:15] most a mutt nation anyone here and

[00:19:18] everybody is a much and that's what

[00:19:20] makes it difficult for a lot of our

[00:19:22] studies the United States exatly sin

[00:19:25] comparing them to say a Denmark study

[00:19:28] because it might not reflect what we're

[00:19:31] seeing a day to day in our offices but

[00:19:33] we do know individual risk factors

[00:19:36] redheads freckles blond hair blue eyes

[00:19:40] those are all gonna be high risk so me

[00:19:42] personally for you so blue eyes right

[00:19:46] there off the bat I'm looking at you you

[00:19:47] know blue eyes you're gonna be high risk

[00:19:49] factor

[00:19:50] threatened you think for skin cancer how

[00:19:51] many times

[00:19:52] we'd have to go through the risk of

[00:19:55] family history of skin cancer or

[00:19:57] personal sun exposure have you used a

[00:19:59] tanning bed before how many burns have

[00:20:01] you had you know there's all these

[00:20:04] things you know occupation of your

[00:20:05] dentist I've been indoors but then on

[00:20:07] the other end of that deal so many

[00:20:10] people I've had Sony african-american

[00:20:13] friends and patients say yeah I don't

[00:20:15] don't worry about that I'm like dude Bob

[00:20:16] Marley died of skin cancer and they're

[00:20:19] like no he didn't google it yeah so been

[00:20:22] shocked some kids and I were to keep Bob

[00:20:24] Marley had a yet a melanoma on his big

[00:20:27] toe yeah

[00:20:29] and he used to play soccer without shoes

[00:20:31] and he thought it was an old soccer

[00:20:32] injury so he had this black spot

[00:20:35] underneath this toenail and the thing

[00:20:37] kind of just never went away never he

[00:20:39] thought it was an injury from soccer and

[00:20:40] that's what killed him you're absolutely

[00:20:42] right

[00:20:42] yeah I've told little african-american

[00:20:44] boys my practice is tall and they're

[00:20:46] like no melanoma can happen in the eye

[00:20:50] we have pigmented cells in the back and

[00:20:52] the retina so we have pigmented

[00:20:54] epithelium in the in the retina it can

[00:20:57] happen underneath the fingernails so in

[00:20:59] african-americans but I wanted a little

[00:21:01] comment I want to go back to one thing

[00:21:02] so when you were talking abou cell and

[00:21:04] squamous cell yeah it's not only was all

[00:21:06] the sun expose area so so you're early

[00:21:08] so you you actually believe in sunscreen

[00:21:11] oh so to get to the point where

[00:21:14] sunscreen a shirt on yeah are putting on

[00:21:18] so yeah I guess it you know I did leave

[00:21:20] that out the sunscreens I am a huge

[00:21:24] believer in huge believer in sunscreens

[00:21:27] absolutely now and this century protect

[00:21:30] not just basal and squamous but also

[00:21:32] melanoma yes absolutely so then so then

[00:21:34] you're saying that the melanomas would

[00:21:36] be more likely to occur in the same area

[00:21:39] interestingly that's the confusing

[00:21:41] conundrum with melanoma there are some

[00:21:44] melanomas depending on the type because

[00:21:47] we have different subtypes of melanoma

[00:21:49] like a subungual on the hands or an acro

[00:21:52] melanoma we have a lent ego malignant

[00:21:54] melanoma usually slow growing on the Sun

[00:21:57] exposed areas like the face superficial

[00:22:00] spreading melanomas you can see those on

[00:22:02] the trucks in the back in the butt and

[00:22:04] the thighs

[00:22:05] and those locations where sometimes we

[00:22:08] see them most commonly aren't Sun

[00:22:09] exposed areas but now that we have

[00:22:12] genetic profiling and mapping we can see

[00:22:15] that what we call UV signature mutations

[00:22:18] in the melanomas that are related to UV

[00:22:21] exposure but they're not the sole driver

[00:22:23] of the melanoma it's an accumulation of

[00:22:26] mutations and sunlight can contribute to

[00:22:29] acquiring more mutations being more

[00:22:32] likely to go aberrant and become a

[00:22:34] melanoma but there's genetics that play

[00:22:37] a role in this as well we know there are

[00:22:38] certain genes that can be related to

[00:22:40] high risk of melanoma and ski cancer in

[00:22:42] general but that's a fantastic point

[00:22:45] that you made so yeah sometimes we'll

[00:22:47] get young individuals coming in anybody

[00:22:49] really if we're pulling an abnormal mole

[00:22:52] or we call dysplastic nevus it might be

[00:22:55] on their back and then I say well you

[00:22:58] know I really haven't had a whole lot of

[00:22:59] sun exposure there can you explain that

[00:23:01] it's a combination genetics if you have

[00:23:05] over a hundred moles over a hundred

[00:23:07] moles we'll put you at a higher risk if

[00:23:09] it's greater than two centimeters or

[00:23:10] twenty millimeters that could put you at

[00:23:12] a higher risk there's different things

[00:23:14] that could be inherent within that they

[00:23:17] could place you at a higher risk

[00:23:18] now sunscreens oh you bet you there's

[00:23:21] some better sunscreens than that out

[00:23:24] there it can really vary on the SPF

[00:23:27] level the minimum level of SPF that you

[00:23:30] need to prevent skin cancer and the kind

[00:23:32] of the Sun aging races SPF of 30

[00:23:35] now there's also too much of a good

[00:23:38] thing and we know that and we're

[00:23:40] actually learning that right now what

[00:23:42] we're learning is you know some patients

[00:23:44] will ask me why would I get an SPF 100

[00:23:48] if 30 is all I need to prevent skin

[00:23:50] cancer well the way that it's

[00:23:52] recommended per you know square or cubic

[00:23:55] inch or centimeter squared of area to

[00:23:59] apply it's actually a pretty thick layer

[00:24:01] not a lot of people like putting a thick

[00:24:03] layer of sunscreen on and when you're

[00:24:05] applying a SPF 30 and like we generally

[00:24:08] do 99% of the population actually only

[00:24:10] one a night actually only one out of ten

[00:24:13] people wear sunscreen

[00:24:14] so we're saying many one out of ten so 9

[00:24:17] 10

[00:24:18] percent worse yeah in general and a lot

[00:24:20] of those studies that they pull that

[00:24:22] from is actually a lot of females that

[00:24:24] wear in their makeup yeah so it's not a

[00:24:28] lot of people wear sunscreen so you're a

[00:24:31] big believer in sunscreen and now SPF 30

[00:24:34] to 50 s generally what I recommend I

[00:24:37] like SPF 50 now for people that are

[00:24:40] higher risk for people that like

[00:24:42] applying it very thin which a lot of us

[00:24:44] do that's where the benefit comes from

[00:24:46] by buying or purchasing an SPF 75 or an

[00:24:50] 80 because it's gonna allow you to apply

[00:24:52] a thinner ill-behaved more like an SPF

[00:24:55] few brands earlier um good question

[00:24:58] actually some brands are better than

[00:25:00] others but sunscreens can really vary on

[00:25:03] price and it's more expensive does not

[00:25:06] always mean better

[00:25:08] Neutrogena in general makes some really

[00:25:10] good products that are also affordable

[00:25:13] so when you're talking you got kids

[00:25:15] and what is your Trina that's a brand

[00:25:18] yeah Neutrogena is a brand there and

[00:25:20] they have a sheer zinc as an SPF 50 and

[00:25:23] there's a ranking system that we kind of

[00:25:27] know of that where they look at the

[00:25:29] chemicals that are in the sunscreen

[00:25:30] because you can have a chemical based

[00:25:32] sunscreen which basically takes the UV

[00:25:35] rays and absorbs that and diffracts and

[00:25:38] deflects the the energy so it doesn't

[00:25:40] reach the skin in the cells and cause

[00:25:42] genetic mutations and damage and aging

[00:25:44] and risk of skin cancer so that's a

[00:25:47] chemical blocker and you also have a

[00:25:49] physical blocker your physical blockers

[00:25:51] are what we really favor but a lot of

[00:25:53] the patients can not d'like historically

[00:25:56] because that's what we associate with

[00:25:57] the white paste on the nose on the the

[00:25:59] guy that the lifeguard at the beach

[00:26:00] because it's a zinc oxide or titanium

[00:26:03] dioxide I like zinc oxide based

[00:26:05] sunscreen is better that's going to

[00:26:07] provide what we call broad-spectrum

[00:26:09] there's two types of UV rays that we try

[00:26:12] to protect from the UVA and UVB and

[00:26:14] broad-spectrum means that it blocks both

[00:26:17] of those your zinc oxide base sunscreens

[00:26:20] are called a basically they're natural

[00:26:23] so it's going to be a natural blocker

[00:26:24] and it's a physical blocker so zinc may

[00:26:27] a Neutrogena makes a zinc sheer zinc it

[00:26:30] goes on dry

[00:26:31] and you're gonna put your makeup on

[00:26:32] overtop if you're a female wanting to

[00:26:34] put makeup on and your your moisturizer

[00:26:37] it's very easy it's a little bit more

[00:26:39] elegant so to speak and they kind of

[00:26:41] make these nanoparticles with them now

[00:26:43] that's one of the technologies that we

[00:26:45] have where it makes it a little bit more

[00:26:46] pulverized where they're able to apply

[00:26:47] it it's not just white paste it's a lot

[00:26:50] smaller there's a lot more tolerable for

[00:26:52] people to use day to day they can use

[00:26:54] that so I favor the zinc based titanium

[00:26:57] docked / zinc / titanium dioxide but

[00:27:00] I'll take the physical blockers over the

[00:27:01] chemical blockers any day of the week so

[00:27:04] what do you think's better a blocker or

[00:27:08] avoiding certain hours of the day so the

[00:27:11] but the most important thing is to

[00:27:15] always be wearing sunscreen no matter

[00:27:17] the time the day it's important to have

[00:27:19] sunscreen on especially if we know we're

[00:27:20] gonna be outside sun exposure starts

[00:27:24] when you walk outside to your car to go

[00:27:26] to work while you're driving to work we

[00:27:29] get a tremendous amount of Sun through

[00:27:31] the left side of our driver side window

[00:27:33] that's why we see some skin cancer on is

[00:27:35] one the face is more common on the left

[00:27:37] side so it's a it's certainly we're

[00:27:40] getting that exposure from getting out

[00:27:41] of our car going to work going to lunch

[00:27:43] those times so we're getting it

[00:27:45] throughout the day the worst parts

[00:27:46] you're absolutely right

[00:27:48] typically between 10:00 and 2:00 or even

[00:27:50] out here 10 + 3 10 + 4 is our peak hours

[00:27:54] and usually we say if you can if you

[00:27:57] can't see your shadow run that means the

[00:27:59] Sun right above you if that speak or

[00:28:02] that yeah that's a great one that's just

[00:28:05] kind of you know you always seek shade

[00:28:07] but I kind of I like where you're going

[00:28:10] with this it you know in terms of is

[00:28:12] there a better option than sunscreen I

[00:28:15] think sometimes there is a really great

[00:28:18] alternative to sunscreen depending on

[00:28:21] the function or the activity that you're

[00:28:24] doing a lot of hikers we're not going

[00:28:27] hiking for just two to three hours

[00:28:28] you're recommended to reapply sunscreen

[00:28:30] every two to three hours now what if I'm

[00:28:33] hiking in it's our three do I want to

[00:28:35] sit down and just lather up again do I

[00:28:38] want to get that out and go through that

[00:28:39] whole process well ideally if you didn't

[00:28:42] have anything nor

[00:28:43] yeah I'd recommend that but what we have

[00:28:46] now is you can we talk about some

[00:28:48] protective clothing and some protective

[00:28:50] clothing actually is just clothing is

[00:28:52] any clothing in general is going to be

[00:28:54] some protective now there are certain

[00:28:56] colors that are gonna be better like

[00:28:58] your your Reds your black your dark

[00:29:00] colors are gonna be a little bit more

[00:29:02] protective the ones are gonna have less

[00:29:04] they're gonna be more of a thread count

[00:29:07] higher thread count tighter weave of the

[00:29:10] actual threads that's gonna be more

[00:29:11] protective and now we actually rank

[00:29:13] clothing on how well it protects you

[00:29:15] from the Sun it's called UPF ultraviolet

[00:29:18] protective factor and basically that's

[00:29:22] just a fraction of the amount of UV

[00:29:24] light that's able to penetrate the

[00:29:26] clothing and reach the skin so a UPF of

[00:29:28] 50 means one fiftieth of the UV rays can

[00:29:31] reach the skin through that clothing so

[00:29:33] you wear huang's sleeve clothes which

[00:29:35] you can get some really nice light

[00:29:37] breathable clothing it's long-sleeve

[00:29:39] I wear it myself golfing I golf out here

[00:29:42] and it can get hot out here and you can

[00:29:44] get long sleeves you can wear pants and

[00:29:46] that's some protective ya that's not you

[00:29:49] know you want to have sunscreen on if

[00:29:51] you're wearing that Sun protective

[00:29:52] clothing Y brimmed hat we typically

[00:29:54] recommend a three-inch hat all the way

[00:29:56] around protects the ears protects the

[00:29:59] face that gives but is that only between

[00:30:01] 10 and 3 no anytime the day any time of

[00:30:03] the day the Sun protective clothing is

[00:30:05] fantastic then ok so again all the to

[00:30:08] ginzan certain oh yeah by the way you're

[00:30:10] an amazing he has no nose that no

[00:30:13] PowerPoint is like he's like Beethoven

[00:30:15] on a piano well then but then my

[00:30:20] patients are hearing exactly the

[00:30:22] opposite formation saying well you need

[00:30:24] to go out and get 10 minutes and you

[00:30:27] should be eating your lunch outside as

[00:30:30] you need melatonin you need vitamin D

[00:30:33] absolutely and they're saying that the

[00:30:35] typical person who wears our clothes to

[00:30:39] work if they sit out side through their

[00:30:41] whole lunch hour they won't get enough

[00:30:43] mm-hmm but if they were in their

[00:30:44] backyard and they could strip down there

[00:30:47] yeah it's five minutes on each side so

[00:30:50] huh so that's very just so that's very

[00:30:53] opposite information it is and you

[00:30:57] some of the most intelligent people I've

[00:30:59] ever met in my life believe in that and

[00:31:03] not dermatologists but historically some

[00:31:06] dermatologists did believe that Sun was

[00:31:08] good and to a degree a little bit of Sun

[00:31:10] is good five to ten minutes

[00:31:12] over say just the arms is quite enough

[00:31:15] to get your daily vitamin D actually

[00:31:17] most of our vitamin D comes from our

[00:31:19] diet but really absolutely and we'll

[00:31:22] have our greens a lot of our greens we

[00:31:24] get a lot of our vitamin D through that

[00:31:25] our foliage so a lot of vitamin D is

[00:31:28] dietary but the sun exposure can help

[00:31:32] with a little bit of an additional type

[00:31:34] of vitamin D that we can make when you

[00:31:37] say greens are good what type of green

[00:31:38] candy are you talking about yeah

[00:31:41] just any any greens on when you're on

[00:31:43] Easter egg hunt get the green yellow

[00:31:47] yeah no so the vitamin DS and greens

[00:31:50] yeah yeah so look so a lot of your diet

[00:31:53] you can you get most of your vitamin D

[00:31:56] so then the other one be the only one

[00:31:58] that you have to get from the Sun then

[00:32:00] would be just melatonin melanin so the

[00:32:04] Sun like yeah melatonin he actually does

[00:32:05] play a role in so the melatonin like

[00:32:07] with sleep our sleep cycle a lot of it

[00:32:11] is based off of seeing natural light um

[00:32:14] and that means how we're gonna feel if

[00:32:17] we're seeing a little bit if we're

[00:32:19] seeing less sunlight we're not gonna

[00:32:21] feel as good overall our general sense

[00:32:24] of well-being might be lower

[00:32:26] that's what a lot of us in the North

[00:32:27] known as seasonal affective disorder

[00:32:29] they Seattle yeah so you go where you

[00:32:33] don't see the Sun for four or five

[00:32:34] months you're gonna start feeling down

[00:32:36] you're not gonna feel great you don't

[00:32:38] like it so my Dennis friends in Alaska

[00:32:39] say if you live above that what is it

[00:32:42] the 35th or the yeah whatever latitude

[00:32:45] yeah and like north of Fairbanks and

[00:32:48] Brooke range we're in the winter it'll

[00:32:50] go completely dark for like three or

[00:32:52] four month that that has an effect on

[00:32:54] and they said that the the alcoholism

[00:32:57] rate like doubles or Jumbo's I go for

[00:33:00] like 15 percent that there is something

[00:33:03] you're gonna do and they say what did

[00:33:05] you do and they go

[00:33:06] I bought 20 cases of vodka and went and

[00:33:08] slept my trailer for three months yeah

[00:33:10] it's it's zero degrees out and there's

[00:33:13] no light like it so it does have a roll

[00:33:15] and sunlight from the time that we get

[00:33:18] up the within that timeline of us seeing

[00:33:21] natural light outside that has an effect

[00:33:23] on arousal you know activity just being

[00:33:26] a wakefulness

[00:33:27] so it has sunlight and in light in

[00:33:30] general it has a lot of positives I

[00:33:32] don't want people to turn into a vampire

[00:33:35] and never go outside but I want that was

[00:33:38] my next question do vampires never die I

[00:33:42] don't know I may be my favorite

[00:33:45] character is every vampire movie

[00:33:48] sunlight this sunlight those close that

[00:33:52] close onion I don't know our garlic here

[00:33:54] whatever it is so so you say so then

[00:33:59] what's your final professional

[00:34:00] recommendation about if they think I

[00:34:03] need 10-15 minutes online every day for

[00:34:06] I'd say item indi and melatonin so the

[00:34:10] Sun exposed areas outside of direct

[00:34:12] sunlight is plenty enough if you're

[00:34:14] somebody that has a sensitivity to

[00:34:16] sunlight we're at five minutes that you

[00:34:19] could start seeing any type of redness

[00:34:21] or anything like that the five minutes

[00:34:23] is it that's enough for you but it's not

[00:34:25] absolute must like I said we get most of

[00:34:28] our Ataman deed from the diet but I

[00:34:30] think a little bit of natural sunlight

[00:34:32] just a little bit five to ten minutes of

[00:34:34] those Sun exposed areas just the arms

[00:34:36] face oh and add some more urban legend

[00:34:39] questions yeah you know again these are

[00:34:41] real patients asking real let's try to

[00:34:44] answer oh yeah help me my best that

[00:34:46] bachelor's have a higher mortality rate

[00:34:49] from skin cancer from melanomas because

[00:34:53] they don't have a lover who noticed a

[00:34:56] spot on their back for instance I have

[00:34:58] two dentist friends who are legends one

[00:35:01] was in Ohio where you went to school and

[00:35:03] one was in San Diego and and the guy in

[00:35:05] San Diego I think he was one of the

[00:35:07] first dentists ever in the world that

[00:35:08] reached to placing 30,000 implants and

[00:35:12] he was a Polish and it was right in the

[00:35:15] middle of his back yeah and he said

[00:35:17] whenever I was around another human I

[00:35:20] had a shirt on yeah

[00:35:21] both guys had to say they're both

[00:35:22] bachelor men no one ever saw their back

[00:35:25] both of them wondered if I would have

[00:35:27] been married do you think my spouse

[00:35:29] would have said hey there's something on

[00:35:31] your back

[00:35:31] so Mike what my specific question being

[00:35:33] single does that put being single yeah

[00:35:36] have a higher mortality rate because you

[00:35:38] don't have a lover noticing something

[00:35:40] you know in theory that makes sense I

[00:35:44] don't know the specific I don't know the

[00:35:46] true numbers on that but in theory that

[00:35:48] makes sense thinking about it we

[00:35:50] recommend that spouses in couples they

[00:35:53] do skin checks on each other we

[00:35:55] recommend it you know monthly you we

[00:35:58] teach patients what to look for you know

[00:36:00] we have what we call the ABC DS ease of

[00:36:03] melanoma I don't know if you've ever

[00:36:04] heard that if you know I have so the

[00:36:06] abcdes a melanoma or something that we

[00:36:09] tell patients to look for a stands for

[00:36:12] asymmetry so if I can cut it down the

[00:36:14] middle is it a mirror image of itself

[00:36:16] and whenever something offends any of

[00:36:18] these rules of the abcdes that's when we

[00:36:21] say we want you to make note of that I

[00:36:22] want you to come in and let us know

[00:36:24] where you saw that and when I get that's

[00:36:27] the most natural thing because

[00:36:29] everything is sandwiched right at pine

[00:36:31] tree a Christmas tree hmm

[00:36:34] two hands two feet I think I think when

[00:36:38] someone's like nose dv2 laughter I think

[00:36:42] asymmetry yeah is for some reason I just

[00:36:45] think humans pick up asymmetry we do

[00:36:47] that we do so that's it that's

[00:36:50] absolutely one of the things that we

[00:36:51] look for because generally speaking if

[00:36:53] we're thinking it could be a melanoma

[00:36:56] that asymmetry means if it went from

[00:36:58] something perfectly symmetrical perfect

[00:37:00] circle and that was starting to get

[00:37:02] maybe a little bit almost like a Mickey

[00:37:03] Mouse ear over on the side of that

[00:37:05] perfect circle that means that there's

[00:37:07] activity that's occurring at that area

[00:37:10] maybe that two o'clock position

[00:37:11] well is that activity normal what does

[00:37:14] it make sense that all sudden you're

[00:37:15] getting this new activity that's

[00:37:16] sprouting out on its own it's not

[00:37:19] growing as a whole kind of progressing

[00:37:21] in a natural evolution with itself

[00:37:23] you're starting to see a little bit

[00:37:25] maybe increased activity there and that

[00:37:27] kind of brings me to the next part of

[00:37:29] that ABCD is the

[00:37:30] the border so is the border nice and

[00:37:33] smooth or is it kind of irregular does

[00:37:35] it have almost finger like projections

[00:37:36] or is it jagged is it not a nice smooth

[00:37:40] contour border usually whenever you see

[00:37:42] a muddled or are kind of a jagged border

[00:37:46] that means that there is some activity

[00:37:48] that's a little bit bad or atypical

[00:37:50] that's another feature we look for not

[00:37:53] only is it submit asymmetric or is it

[00:37:55] symmetric is it does it have a smooth or

[00:37:57] jagged border I like smooth I don't like

[00:38:00] the jagged so that's another thing we

[00:38:02] look for C is color color of irrigation

[00:38:04] so what I mean by that is is it more

[00:38:07] than one color is it you know brown and

[00:38:10] black is it brown and white is it brown

[00:38:12] and blue brown and red multi toned these

[00:38:16] are things that would be suggestive of

[00:38:18] potential risk for melanoma you want a

[00:38:21] one color I want a homogeneous I want a

[00:38:23] nice one color no nothing once you look

[00:38:26] if you look close enough is one perfect

[00:38:28] color but I'm saying grossly from the

[00:38:31] knee from the eye and the naked eye

[00:38:32] looking at it generally speaking that it

[00:38:35] looked like it's homogeneous or one tone

[00:38:37] but once you get up close enough to

[00:38:39] anything you can see multiple colors of

[00:38:41] course or at least tones of that color

[00:38:43] but I'm talking is that brown and black

[00:38:46] is it that tan and brown is it teen and

[00:38:49] blue teen and white is there multiple

[00:38:51] colors within that lesion or maybe a new

[00:38:53] color within it you know these are

[00:38:56] things that we're looking for the D as

[00:38:59] diameter so diameter of six millimeters

[00:39:02] or greater so size so six six centimeter

[00:39:06] six millimeter o six millimeter um a

[00:39:08] sense racer a pencil every five four

[00:39:11] millimeters is an inch 2.54 centimeters

[00:39:15] is an inch 2.54 centimeters yeah so six

[00:39:19] millimeters so it's just over half as a

[00:39:22] centimeter where it's a pencil eraser

[00:39:24] essentially so if I could take that

[00:39:25] pencil eraser stick it over them that

[00:39:28] pigment is spot in general that's a

[00:39:30] reassuring feature not a guarantee so

[00:39:33] you have you can cover it up with a

[00:39:35] pencil right basically seven millimeters

[00:39:37] that would be good

[00:39:38] absolutely but if you put your don't

[00:39:41] even think they sell erasers you know

[00:39:45] anybody use a pencil you're giving away

[00:39:47] that you're an old man yeah so so but

[00:39:51] your ballpoint pen that's it's just that

[00:39:53] you know to give some people because

[00:39:55] some sometimes they'll say well you know

[00:39:56] when I'm doing a quick look what is six

[00:39:59] millimeter and it's generally it's

[00:40:00] basically a pencil eraser diameter I

[00:40:02] mean again it not I guarantee but if

[00:40:05] it's greater than that oh I want to hear

[00:40:07] about it the e ABCDE is evolution is it

[00:40:13] changing in any way you know is it a

[00:40:15] mole that you've had that's changing in

[00:40:17] any way is it evolving if it's changing

[00:40:19] at all I want to know about it so those

[00:40:21] are the self checks that I have a

[00:40:23] patient do and I want them to look for

[00:40:26] all those and they apply it so they see

[00:40:27] a pigments by okay does that look like

[00:40:30] it's symmetric does the border look

[00:40:32] smooth or jagged is it one color is it

[00:40:34] six millimeters or less and has it

[00:40:36] changed at all I wanted to look at all

[00:40:38] those sometimes change if it's kind of

[00:40:41] equal to all the other change it's it's

[00:40:43] growing but maybe it's growing in

[00:40:45] proportion to everything else more of a

[00:40:46] restoring feature some people say some

[00:40:49] people wonder well what do you got like

[00:40:51] a mole yeah or a skin-tight would it

[00:40:53] just be smarter just to cut that off is

[00:40:55] that if you're born with a mold and some

[00:40:58] people will have three or four of them

[00:41:00] are there are they higher risk or that

[00:41:02] is that would it make sense just to cut

[00:41:05] that thing out and prevent any

[00:41:06] possibility no the the you know we think

[00:41:10] we kind of look at the morbidity

[00:41:12] associated with just taking out just a

[00:41:15] mole in general versus allowing them to

[00:41:18] sit and monitoring them now if there's

[00:41:21] any of these features that we see that

[00:41:24] we mentioned there or any other

[00:41:26] historical features from just a patient

[00:41:29] reporting or risk factors of previous

[00:41:32] skin cancers or risks may be through

[00:41:34] medications or medical history then we

[00:41:37] may biopsy it and if it came back

[00:41:39] abnormal a typical then we may recommend

[00:41:43] that we get that removed or excised and

[00:41:46] what that is is not only treatment of

[00:41:48] the typical Nev iron mole

[00:41:50] but it also you can think of them as a

[00:41:53] prevention of the potential to go down a

[00:41:55] path to evolving into a melanoma so just

[00:41:59] at face value anymore just to exercise

[00:42:03] it is not a recommendation we have we do

[00:42:06] recommend that you get any mole you know

[00:42:08] if you have moles at all if you're

[00:42:09] concerned or questioning them at all you

[00:42:12] come in and let us look at them at the

[00:42:14] dermatology office and by the way tell

[00:42:16] them what it is you know we're 40th

[00:42:17] Street is I mean it starts up at Corpus

[00:42:19] Christi goes down past Fry's at railroad

[00:42:22] then you go down to Chandler and there's

[00:42:24] Safeway and fries and then you keep

[00:42:26] going towards Pecos halfway between

[00:42:29] Chandler and Pecos is the medical bill

[00:42:32] Boeing so you just turn there they're

[00:42:34] right in there I hope all my questions

[00:42:36] on a noise I don't I mean I'm 55 so I've

[00:42:39] heard a lot next question

[00:42:41] practicing Arizona 30 years I can't tell

[00:42:43] you how many times I heard this it'll be

[00:42:45] like a 70 80 90 year old woman golfer it

[00:42:48] all the Tukey lakes and she'll say we

[00:42:51] know I don't have to wear a skin cancer

[00:42:53] because it's the burns you got when you

[00:42:55] were 10 yeah 30 40 years later killed

[00:42:59] you when you were 50 so I've made it

[00:43:02] mask that though now that I'm 70 years

[00:43:05] old if I got too much radiation now it

[00:43:08] wouldn't be cancer I was 110 actually 70

[00:43:11] years old in the 70s is the most common

[00:43:14] time for melanoma but this but is that

[00:43:16] true though but when she's 70 and gets a

[00:43:19] melanoma was that from a bad burn when

[00:43:22] she was in a bikini at 20 so beautiful

[00:43:26] point remember earlier I was saying

[00:43:28] melanoma was kind of the oddball because

[00:43:32] we see a lot of those arise not a lot of

[00:43:35] them arise in areas where we generally

[00:43:37] don't have exposed skin chest back but

[00:43:41] size areas were we're saying now that's

[00:43:44] it I can't totally be related to just

[00:43:47] Sun correct but what do we throw the way

[00:43:50] we've tried to explain why we see this

[00:43:53] occurring is we think of the guy or the

[00:43:56] girl that lives in will say Pennsylvania

[00:43:59] again it's springtime its April we had

[00:44:02] our first couple weeks of nice Sun

[00:44:04] what does the guy do goes out on the

[00:44:06] lawn takes shirt off mows the lawn gets

[00:44:09] a nice burn what does the lady do maybe

[00:44:11] she goes and lays out in the Sun get

[00:44:13] some nice burn on the thighs and then

[00:44:14] you start looking at the numbers of the

[00:44:16] most common locations anatomically

[00:44:18] speaking for melanomas for guy-girl you

[00:44:21] start saying okay well back chest neck

[00:44:24] scalp guys these thighs but back admin

[00:44:29] females you start wondering is there

[00:44:32] association with those few sun exposures

[00:44:35] that aren't commonly exposed areas but

[00:44:38] when they do get exposed they might get

[00:44:40] a little bit of a burn there and that's

[00:44:42] what we do think is actually occurring

[00:44:44] so it is those rare or less common times

[00:44:47] that they get exposed but they get a

[00:44:49] little bit of a burn they're not

[00:44:51] necessarily when they're 10 but we think

[00:44:53] it's just those few bad burns on areas

[00:44:55] they aren't generally so you're saying

[00:44:57] then that the woman should be mowing the

[00:45:00] lawn and the guys should be laying in

[00:45:02] the lawn chair drink that's all I think

[00:45:05] we should be yeah so back back to risk

[00:45:09] factors again and and come on guys you

[00:45:12] just you just got to get checked every

[00:45:15] year I mean they're right there I think

[00:45:16] I think the good point

[00:45:18] out here like with the say the

[00:45:20] seven-year-old golfer I go off all the

[00:45:22] time I love being outside I go I've been

[00:45:25] in the Ala - Gary - the baseball fields

[00:45:27] with the 19 year old baseball players we

[00:45:30] come down here with Pop Warner football

[00:45:31] we get involved the community but a lot

[00:45:33] of people we're outside that's why we're

[00:45:35] here in Arizona it's a beautiful place

[00:45:37] we get to be outdoors and active which I

[00:45:40] love people being healthy and active but

[00:45:42] with that I get a certain subset of

[00:45:44] people even feeling members I can relate

[00:45:47] to where they think that may be a little

[00:45:50] fearful or hesitant to go into a

[00:45:52] dermatologist maybe because they have

[00:45:54] this some of the skin changes of being

[00:45:57] outside and having poor Sun behavior

[00:45:59] habits don't let that keep you from

[00:46:01] coming in if you have a tan or a burner

[00:46:03] and then like that you're the person

[00:46:05] that we want to see in there you're the

[00:46:07] person nobody's like you fell bad I mean

[00:46:09] you're basically a summary the five

[00:46:10] people you spend

[00:46:11] the most time with and if you spending a

[00:46:13] lot of time with someone that makes you

[00:46:14] feel bad or is toxic the number one

[00:46:16] thing you need to do in your life is get

[00:46:17] that person out of your life and if you

[00:46:18] go to a doctor and and look what when I

[00:46:21] was little all the OB GYN German mm-hm

[00:46:25] and all the women said they didn't

[00:46:26] listen to him now I'm a half a century

[00:46:29] later all your OBGYNs are women and in

[00:46:33] fact when the I mean think about that

[00:46:35] from the culture I mean they'd say you

[00:46:37] know when you say well I'm having

[00:46:39] post-traumatic depression from have my

[00:46:42] baby and you know they'd say quit being

[00:46:43] hysterical yeah hysteria Greek for

[00:46:46] uterus

[00:46:47] yeah that's saying thinking like a

[00:46:49] uterus yeah postpartum blues yeah so so

[00:46:52] everyone knows half a century ago all

[00:46:55] the doctors were male and the women so

[00:46:58] they didn't listen so if you go to your

[00:47:00] doctor and you don't feel like you can

[00:47:01] talk about anything no matter how

[00:47:03] personal private and sometimes if you're

[00:47:05] there and you want to ask private

[00:47:07] question but you're an exam room the

[00:47:09] doors open say hey shut the door and and

[00:47:11] if the assistants there and you say I

[00:47:13] don't want to even ask you this for an

[00:47:15] assistant you're in charge you're the

[00:47:17] customer you go anywhere you want if you

[00:47:18] say I don't even want to talk to you in

[00:47:20] the exam room I just want to go to the

[00:47:22] your private office yep

[00:47:25] you know just you're in control yeah or

[00:47:28] maybe they may call me they said I'd

[00:47:30] really like to talk to the doctor if I

[00:47:32] could maybe I don't I don't want this

[00:47:34] message really it could I could I talk

[00:47:36] to them personally I think you know for

[00:47:39] our group affiliated dermatology what

[00:47:42] attracted me to come to this group and

[00:47:44] work with them was it's a family based

[00:47:47] community-based group and we're talking

[00:47:50] everybody's got kids we we go out as the

[00:47:52] community we get involved we offer free

[00:47:55] education to the school system how many

[00:47:58] kids you have

[00:47:58] me I don't have any kids yet

[00:48:02] Brian give this to Jesus award my gosh

[00:48:06] you know a lot of people in Ottawa

[00:48:08] chicken by the way if you're listening

[00:48:10] on YouTube subscribe to our youtube

[00:48:12] channel youtube.com forward slash our to

[00:48:15] the uncensored but remember we're on

[00:48:17] iTunes so the shows really taking off

[00:48:20] because a lot of people have an hour

[00:48:21] commute to work and that's my other

[00:48:24] question what if it's not convenient

[00:48:27] I live in our to key but I don't want to

[00:48:28] go to your alma to key location I'd

[00:48:30] rather go see on my lunch break

[00:48:33] where were your other five low souls are

[00:48:35] this a great question and like I said

[00:48:37] we're such a huge presence in the local

[00:48:41] communities we really do have a nice

[00:48:43] spread of locations to make it more

[00:48:45] convenient to the patient we have a

[00:48:47] location in Gilbert off south higly we

[00:48:50] have a location Laura Scottsdale right

[00:48:52] across from the Thompson peak on our

[00:48:54] health hospital in the gray Hawk Medical

[00:48:56] Center building that's a North 73rd

[00:48:58] Street up there and we have a location

[00:49:00] in Deer Valley across from learn or

[00:49:01] healthier alien hospital so that's an

[00:49:03] easy time so sorry I've lived here for

[00:49:05] 30 years that's ours Deer Valley so the

[00:49:08] Deer Valley Hospital is off it's off the

[00:49:10] 101 it's on exit I believe 23 off the

[00:49:14] 101 is right there on your left so real

[00:49:17] North Phoenix North Phoenix exactly yeah

[00:49:19] over toward like pinnacle High School

[00:49:21] over that way that's where that hot that

[00:49:24] they would not believe what all what two

[00:49:25] key recluse I am there's no I mean the

[00:49:29] only time I leave all the two key is to

[00:49:30] go to the area now to Kibo and there's a

[00:49:32] tiara but in a small town in Wichita

[00:49:35] Kansas mm-hmm this is 85,000 people this

[00:49:38] is a good this is this would be when you

[00:49:41] have everything you need that this would

[00:49:43] be the third largest town in Kansas yeah

[00:49:45] when everything you need within a

[00:49:47] certain distance you know why go

[00:49:49] elsewhere

[00:49:49] so you got all with two key you got

[00:49:51] Gilbert you got North Scottsdale you got

[00:49:53] North Phoenix

[00:49:54] yeah we have one an anthem which is

[00:49:56] north on the 17 on the way two flags now

[00:49:59] exactly so that's probably I'd say off

[00:50:02] the 101 17 actually it's about 10 12

[00:50:06] miles you know a lot of people call

[00:50:07] anthem north Ottawa to key north ala to

[00:50:10] I mean they really do I can see why they

[00:50:12] would I love

[00:50:13] anthem anthem is such a cool little

[00:50:16] community a kind of it I see a lot of

[00:50:18] similarities down with two key and

[00:50:20] anthem I'll see a lot of families there

[00:50:22] and anthem it's actually is it was just

[00:50:24] a booming place right before the the

[00:50:26] bubble you know for the bubble pop but

[00:50:28] it but you know those real estate

[00:50:30] bubbles they up and down they're always

[00:50:32] gonna happen yeah I know it's it's it's

[00:50:35] a great place but the fact that Bill

[00:50:36] Gates that one of the richest man I mean

[00:50:41] it goes between Bill Gates and Jeff

[00:50:43] Bezos depending on what Microsoft stops

[00:50:45] yeah right

[00:50:46] so like Amazon stocks I taped like 10

[00:50:49] percent in the last few weeks so now

[00:50:50] four percent last Friday yeah so I know

[00:50:53] I just read that out bills back to

[00:50:54] number one but he just bought twenty

[00:50:56] thousand acres of land I heard about

[00:50:58] that off the side of that and then

[00:51:00] they're gonna build the interstate

[00:51:02] straight from here to Vegas which so

[00:51:07] hantum will be back but it's a beautiful

[00:51:09] city it is what's your 600 locations and

[00:51:11] surprise surprises me yeah well it you

[00:51:16] know that's a nice girl I had a patient

[00:51:18] once she put on her her eyeliner it was

[00:51:21] too high and she looked surprised did

[00:51:23] she well was she surprised me so so

[00:51:28] surprises is west of Sun City or yeah

[00:51:33] north of sunset yeah I believe it's West

[00:51:35] in maybe a little north west about where

[00:51:38] gates bought that deal really it it

[00:51:40] makes sense Lee I said there's old

[00:51:42] there's a lot of land out there but is

[00:51:43] it is booming it's growing you know you

[00:51:45] know this is this whole areas of them I

[00:51:47] mean Google's had the whole world Google

[00:51:50] chose Phoenix for their driverless car

[00:51:52] program mm-hmm Bill Gates could have

[00:51:54] gotten anywhere he wanted to and he

[00:51:55] wants to build a high-tech Center out

[00:51:57] there and what my dentist friends are

[00:52:00] telling me and and Silicon Valley is

[00:52:04] that you can't even get an employee

[00:52:06] because if I hired you even paid you a

[00:52:09] gazillion dollars you can't afford to

[00:52:11] buy anything you can't afford to live

[00:52:13] there no taxes are ridiculous this is

[00:52:16] nice a real estate this part of the

[00:52:19] country is everybody's in you know I

[00:52:21] heard you actually you hold you can't

[00:52:22] get them they're so difficult in San

[00:52:24] Francisco right now

[00:52:25] everybody everybody's leaving and

[00:52:28] they're coming to places like when I

[00:52:30] went to these are two stories of

[00:52:33] visiting dentist Fred's one time

[00:52:36] Manhattan mm-hmm he told me what he paid

[00:52:38] for his rent and we went in this

[00:52:40] hundred-year-old building went up this

[00:52:41] crazy little elevator water box right

[00:52:44] shoe box yeah one little window and I'm

[00:52:47] like I need you could be that could be a

[00:52:50] mortgage on a mansion I was at in the

[00:52:52] same thing in San Francisco the the guy

[00:52:54] it was so small as I there's like three

[00:52:56] people and they were on air mattresses I

[00:52:59] worked at Cornell Columbia Hospital in

[00:53:01] New York City and when I was there I

[00:53:03] split with a guy who's a NY dental it

[00:53:07] was a ridiculous price and it was yeah

[00:53:10] it was air mattress sighs you know place

[00:53:14] to stay and this is gonna be the next

[00:53:17] Silicon Valley I think it is and the

[00:53:19] nice thing is is it's such an newer

[00:53:22] development everything's being planned

[00:53:25] so well you know if you look at whenever

[00:53:27] we have maybe the waste management golf

[00:53:29] tournament or another big event where

[00:53:32] you bring in a million people over a

[00:53:33] three four-day period and you see you

[00:53:37] might see a little bit more congestion

[00:53:38] but you don't see where everything's

[00:53:40] just shut down and the you can't drive

[00:53:43] we're able to accommodate it but you're

[00:53:45] a little person we're not a boston wife

[00:53:47] it is just that you just talked about

[00:53:49] that waste management yeah Joe what's

[00:53:51] the biggest event that tracks the most

[00:53:54] people in Arizona the horse show

[00:53:56] the horse show yeah no one ever gets it

[00:53:59] though is it that what is it

[00:54:01] it's the NASCAR is it you're kidding me

[00:54:03] I mean I mean you're I met one day

[00:54:06] what's that old total though we had over

[00:54:09] seven or 50,000 in the golf tournament

[00:54:10] right yeah that NASCAR event I mean

[00:54:14] that's a religion yeah yeah what's that

[00:54:16] wouldn't I think Burning Man out in the

[00:54:18] middle of the desert

[00:54:19] whatever it was Burning Man I know I

[00:54:21] know uh yeah

[00:54:22] and I mean it's it's insane I mean

[00:54:24] people drive here yeah absolutely

[00:54:27] I mean I've gone out there for you're

[00:54:29] you're born raised Philadelphia I I

[00:54:31] remember seeing three green RVs but had

[00:54:36] Philadelphia Eagles on them there yeah

[00:54:38] and they're out there charcoal and all

[00:54:40] that sudden I said you did not drive

[00:54:42] that from Philadelphia they go oh yes we

[00:54:44] did if we bid for a car race yeah

[00:54:46] absolutely

[00:54:47] yeah it can be so but by the way we're

[00:54:49] in Philadelphia were you born so I was

[00:54:51] actually outside of that so actually the

[00:54:53] county is what people might have says to

[00:54:55] Cameron County was the location it's

[00:54:57] more North Central PA camera can I and

[00:54:59] then you went to college in Ohio Coastal

[00:55:02] Carolina I went down there actually

[00:55:03] originally went to South Carolina yeah

[00:55:05] what city there so that's a Myrtle Beach

[00:55:07] oh my god y'all that's so was there more

[00:55:10] golf courses in Myrtle Beach or square

[00:55:12] mile there are more golf courses in

[00:55:15] Myrtle Beach than anywhere else in the

[00:55:16] world so so Philadelphia to Myrtle Beach

[00:55:20] and then college and then admitted

[00:55:23] college there and then I did med school

[00:55:25] in the Upstate of South Carolina and

[00:55:27] then I went to high university and

[00:55:29] worked at that hospital all worked in

[00:55:30] the hospital and then came out here to

[00:55:32] Arizona well I mean it's not every day

[00:55:35] you meet someone that's lived in five

[00:55:37] different states yeah by way of

[00:55:39] everywhere so it looks like so are you

[00:55:43] glad you're here how long yes oh you've

[00:55:46] been here almost two years now every now

[00:55:49] and then I do have to pinch myself

[00:55:50] because I'm in a just a having great

[00:55:54] people safe community you know it's a

[00:55:57] stable community good education system

[00:55:59] it's only getting better very affluent

[00:56:01] there's a tremendous opportunity to

[00:56:04] really plant some roots get a family

[00:56:07] have kids and really sell down this is

[00:56:09] the ideal place and I love the outdoors

[00:56:11] you know golfing is one of my passions

[00:56:13] that I have I got a girl recruited for

[00:56:16] golf their coastal actually Dustin

[00:56:19] Johnson was on the golf team when I was

[00:56:21] getting recruited for golf yes it

[00:56:23] doesn't Johnson number one golfer in the

[00:56:25] world right now he was going to that

[00:56:26] school at the time so he's a big golf

[00:56:29] school so what do you like more

[00:56:31] you're a wrestler yeah you're Russell

[00:56:33] your goal you compare it anything to

[00:56:35] wrestle it it's gonna be tough to see

[00:56:37] arrest is so difficult but what was more

[00:56:39] maybe more of a life lesson type of

[00:56:42] sport wrestling hands down because of

[00:56:45] the the the mental stamina that you had

[00:56:48] to have to match the physical component

[00:56:51] of it was unparalleled but golf was just

[00:56:54] too enjoyable you know what I could not

[00:56:56] have been a dentist if I wasn't on the

[00:56:58] wrestling team

[00:56:59] I'm telling you everything's easy

[00:57:00] wrestling why did you lose a tooth

[00:57:02] wrestling and know this true story so

[00:57:04] heavy so Iike moment I was born in 62

[00:57:07] when I was 72 my dad bought this new

[00:57:10] franchise that nobody heard of because

[00:57:12] that's what enfranchise were wrong yeah

[00:57:14] and the franchise were rolling out

[00:57:15] because the federal government was

[00:57:16] building these interstates mm-hmm and

[00:57:18] before there were interstates nobody

[00:57:20] really was they born raised reared and

[00:57:23] died and never went out or miles away

[00:57:25] from yep so then people would walk out

[00:57:27] and they'd see this interstate in Kansas

[00:57:29] I say well that'll take you all the way

[00:57:30] to Disneyland yeah so that's why I

[00:57:33] started moving then when they got to the

[00:57:34] next town they wanted something familiar

[00:57:36] because you wouldn't know what Joe's Bar

[00:57:38] and Grill was mm-hmm so my dad bought a

[00:57:41] franchise probably never heard of it

[00:57:42] Sonic drive-in and I haven't heard of it

[00:57:45] and and he was expanding those out and I

[00:57:50] think he he got up to nine and all the

[00:57:53] franchise my dad got so mad at me that I

[00:57:56] wouldn't drop out of high school cuz he

[00:57:58] wanted to put me in a friendly business

[00:58:00] in half he want to be a put go to

[00:58:02] Abilene Kansas Kearney Nebraska

[00:58:05] Childress Texas and he's like why are

[00:58:08] you in school this is stupid and they

[00:58:11] need like it might sell to be like

[00:58:12] algebra yeah yeah yeah this is stupid

[00:58:15] when I wanted to wrestle and you

[00:58:18] couldn't wrestle unless not only in

[00:58:20] school but you had to have noted mom

[00:58:22] gonna meet angry a two point yeah yeah

[00:58:25] so I always stayed in school to Russell

[00:58:29] Wow and then and then my dad lived next

[00:58:32] door to a dentist and I would go to work

[00:58:35] with my dad and he'd make a cheeseburger

[00:58:37] to french fry yeah and I go to work with

[00:58:39] Kenny Anderson and he'd take an x-ray of

[00:58:42] a tooth and work on it with his hands

[00:58:44] and

[00:58:44] - surgery on a tooth and I just was in

[00:58:47] the world I said I said I love you

[00:58:49] Kimmy Anderson but I don't want to make

[00:58:51] french fries and angries my wife so I

[00:58:53] the bottom line is and then I see that

[00:58:56] today because I mean let's just keep it

[00:58:58] real there are a lot of businesses

[00:59:00] whether they be yard maintenance

[00:59:03] landscaping land where the father is

[00:59:07] putting a ton of pressure on those kids

[00:59:09] look I need a higher Dan I can pay you

[00:59:11] $20 cash an hour under the table you

[00:59:15] could buy a nice car why are you going

[00:59:17] to Desert Vista mm-hmm I need some one

[00:59:20] hand right I got someone called in here

[00:59:22] I got kid I got kids set at me every

[00:59:24] time one of my dad's workers called

[00:59:26] you're paying for scoring on I could be

[00:59:27] paying you could be making money Yeah

[00:59:29] right

[00:59:30] it's it's two different kind of two

[00:59:34] different world you know it is right

[00:59:35] what would you tell that kid a desert

[00:59:37] visser Mountain point whose dad Sam

[00:59:40] dude I compete one of where we install

[00:59:42] sheetrock yeah we install roofs we

[00:59:44] didn't land maintenance I I've done

[00:59:47] those jobs myself those were my winter

[00:59:49] jobs when I'd be in on school break I'd

[00:59:51] do I did construction where I you know

[00:59:54] hauled around all the heavy stuff in

[00:59:55] this crap and cleaned up and I've had

[00:59:58] friends they went and worked with their

[00:59:59] dads and my dad was a logger and he

[01:00:01] worked with his dad that logged a logger

[01:00:03] yeah in Philadelphia

[01:00:05] yeah I've nor sent like really I said

[01:00:06] we're a little bit out outside so yeah

[01:00:09] absolutely Spa pew lated county in the

[01:00:12] state ninety seven a half percent

[01:00:13] forested so if that's my dad did that

[01:00:15] and he was you know he was pushed into

[01:00:18] it like you said where he wasn't allowed

[01:00:20] to do sports it was you know that going

[01:00:22] to the family business you need to help

[01:00:23] contribute to the family to provide but

[01:00:26] I would say you know one that is a

[01:00:29] unique unique and special thing for a

[01:00:33] son to work with a father in any job I

[01:00:37] think that's something that I would

[01:00:39] absolutely cherish and I would respect

[01:00:42] anybody that went into that and chose to

[01:00:43] the ex I think that's a special thing

[01:00:44] not many people have the opportunity to

[01:00:46] do if they want to do that if the kid

[01:00:49] wants to do that but if they think that

[01:00:52] there's something else that they're

[01:00:53] passionate about

[01:00:54] well then I think they'll any father at

[01:00:57] least I would hope would

[01:00:58] want their kid or you know son or

[01:01:00] daughter to pursue what makes them me

[01:01:02] I'm passionate and what's one maybe get

[01:01:05] them up every morning so if it's

[01:01:06] something other than that and that is

[01:01:08] one thing that's not a bad thing for if

[01:01:10] they you know that's it there's times

[01:01:11] that your parents will get mad at you

[01:01:13] that might not be a bad one for them to

[01:01:15] be married if they do they'll they'll

[01:01:17] probably get over it you know one of the

[01:01:19] luckiest things about my life is I've

[01:01:22] never worked a day in my life because

[01:01:24] Alma all through from age 10 to 20 when

[01:01:27] I went to work a sauna guys with my dad

[01:01:29] mm-hmm I got free hamburgers and

[01:01:31] cheeseburgers yeah and those car offs

[01:01:32] were gorgeous you know so I mean that

[01:01:34] was like going you know that versus

[01:01:36] staying at home and then but I'm so glad

[01:01:39] I followed the learning experience right

[01:01:42] so like you got to see you if your dad

[01:01:43] I'm sure the management and kind of

[01:01:47] running things in knowing how that all

[01:01:49] works and if you saw that at from 10 to

[01:01:52] 20 you're probably 30 years ahead of

[01:01:54] kids your age you know people that don't

[01:01:56] learn a lot of life lesson a lot of

[01:01:59] lessons on how that all that business

[01:02:01] and all that works

[01:02:02] boy that is a great opportunity if you

[01:02:04] do have a parent that's in a business

[01:02:05] yeah I think that's a benefit of going

[01:02:07] in when you're young or at least being

[01:02:09] exposed to that stuff I'm a shy I'm

[01:02:11] sorry Saldana I saw that with when

[01:02:14] Dennis got out of school if they grew up

[01:02:15] on a Kansas farm and mom was sitting at

[01:02:18] the kitchen table with the calculator

[01:02:19] doing all the bills while Dad was riding

[01:02:22] a tractor when they opened up their

[01:02:23] dough then officer affine but if their

[01:02:26] dad and mom were both employees and went

[01:02:28] to work 8:00 to 5:00 mm-hmm they were at

[01:02:30] a serious disadvantage but I can't

[01:02:33] believe we went way over an hour I could

[01:02:35] talk to you for 40 days 40 nights you

[01:02:38] know that your website is a ffs derm com

[01:02:42] yeah AFF really ated dermatologist

[01:02:45] oleander calm so what's that

[01:02:48] so affiliated has to F so AFF derm for

[01:02:53] dermatology I'm trying to give you this

[01:02:54] as a Manama cry so it's AFF for

[01:02:56] affiliated then derm for dermatology

[01:02:59] calm absolutely you got six locations

[01:03:02] they they're killing it in Ahwatukee

[01:03:03] they're in Gilbert North Scottsdale Deer

[01:03:07] Valley anthem surprise my final question

[01:03:09] is before we started to show your

[01:03:11] that the people in our Tookie were ten

[01:03:14] times nicer than the people in Gilbert

[01:03:16] North Scottsdale Deer Valley anthem and

[01:03:18] surprised why do you think that is I

[01:03:20] think it is because they they have

[01:03:22] there's always smiling I think it's the

[01:03:24] dentists hey Saracen man thank you so

[01:03:30] much really thanks for your item thank

[01:03:32] you buddy

Video transcript: Health Futures - Taking Stock in You with Dr. Dustin Mullens & Dr. Andrew Newman

Watch the source video on YouTube

[00:00:00] [Music]

[00:00:06] it's time for health futures with

[00:00:09] Cypress Home Care solutions

[00:00:11] Bob Roth this is Arizona's only show

[00:00:15] dedicated to providing you with expert

[00:00:18] advice on how to live a longer healthier

[00:00:21] and happier life to learn more call 602

[00:00:26] 260 for 800 nine that's 602 260 for 800

[00:00:33] nine now here's your host Bob one good

[00:00:38] afternoon you're listening to health

[00:00:41] futures and I'm your host Bob Roth and

[00:00:43] it must be Friday and if you are just

[00:00:47] tuning in for the very very first time

[00:00:49] our show is about how our older adult

[00:00:51] population can live a healthier happier

[00:00:53] life and how do we do this we bring

[00:00:55] extraordinary guests and today is no

[00:00:57] different I want to jump into this

[00:00:59] because our entire segment today is

[00:01:02] talking about skin cancer and

[00:01:04] dermatology and everything associated

[00:01:06] with the skin and for those that don't

[00:01:09] know this it's the biggest organ in the

[00:01:11] body the skin the epidermis and how do I

[00:01:15] do this I I'm bringing two phenomenal

[00:01:18] guests here on the show right now and

[00:01:20] then later on I'm gonna bring another

[00:01:22] doctor on dr. Patel but today right now

[00:01:25] I want to introduce to you dr. Dustin

[00:01:27] Mullins welcome to the show thank you

[00:01:30] for having me and I've got dr. Andrew

[00:01:32] Newman Bob Roth yeah well it's good to

[00:01:36] have you and if you guys are both okay

[00:01:38] can I refer to you as Dustin absolutely

[00:01:40] and you as Andrew certainly perfect well

[00:01:43] we live here in the valley of the Sun

[00:01:44] and the Sun does wonders for us to get

[00:01:48] vitamin D and I know that's something

[00:01:51] that my doctor tells me I don't get

[00:01:52] enough of so I do a little bit of

[00:01:54] supplements but at the same time it has

[00:01:57] a lot of harmful damaging

[00:02:01] characteristics to the Sun so you know I

[00:02:03] want to talk about skin cancer

[00:02:06] preventing yourself from getting cancer

[00:02:09] and you guys are with affiliated

[00:02:12] dermatology you guys are surgeons so you

[00:02:15] see a lot of the stuff that's going out

[00:02:17] there so I'm gonna

[00:02:18] toss the baton over to you Dustin tell

[00:02:20] me tell me what's going on out there

[00:02:21] okay so to answer your question in

[00:02:25] regards to skin cancer prevention you

[00:02:27] know for skin cancer prevention this is

[00:02:29] a lifelong strategy and it begins in

[00:02:32] childhood and that starts with having

[00:02:34] some protective clothing avoiding the

[00:02:37] Sun of the peak hours of the day that's

[00:02:39] typically between 10 and 2 o'clock in

[00:02:41] the afternoon we typically say if you

[00:02:44] can if you can't see your shadow then

[00:02:46] run that usually means the sun's at its

[00:02:48] high point and that's when it's

[00:02:49] strongest

[00:02:50] wearing sunscreen with an SPF 30 or

[00:02:53] greater it's a broad spectrum coverage

[00:02:55] that's going to protect from the Sun

[00:02:57] aging and skin cancer causing rays Kyle

[00:03:00] called UVA and UVB and getting their

[00:03:03] annual skin examinations in that Arizona

[00:03:07] area we have a greater risk of skin

[00:03:10] cancer do the higher UV index our

[00:03:12] geographic location places us at a

[00:03:14] higher risk and therefore we typically

[00:03:17] recommend that individuals beginning

[00:03:18] getting their skin examinations at a

[00:03:20] much younger age so the prevention

[00:03:23] starts early that's with your skin

[00:03:25] checks your skin prevention Sun

[00:03:27] protective behaviors and education you

[00:03:30] know I didn't say this at the top of the

[00:03:33] show but these fine surgeons are here

[00:03:36] with me today and there are going to be

[00:03:38] with me again next Wednesday so on

[00:03:42] Wednesday the 25th from 1 to 2 o'clock

[00:03:45] at the JCC that's the Valley of the Sun

[00:03:48] Jewish Community Center we're gonna have

[00:03:51] a panel and our focus is on skin cancer

[00:03:55] and really talking about some of the

[00:03:57] elements that we're going to talk about

[00:03:58] today so when you get a chance if you're

[00:04:01] interested in this at all go to vos and

[00:04:06] that's v as in Victor Valley the Sun vos

[00:04:08] JCC org forward slash skin and sign up

[00:04:12] for this great symposium that we're

[00:04:15] gonna have on the air and it's free too

[00:04:19] so that you know I want to toss it over

[00:04:23] to

[00:04:24] now Andrew tell me a little bit about

[00:04:27] what you guys are actually seeing I know

[00:04:29] from a prevention standpoint you bring

[00:04:32] up some great points Dustin I mean you

[00:04:34] know the middle of the day if you can't

[00:04:36] see your shadow is the worst and it's

[00:04:38] covering up but I are you seeing skin

[00:04:41] cancers and older adults young adults

[00:04:44] children what are you seeing out there

[00:04:46] so and that's a great question um so in

[00:04:49] in general we see a lot of skin rashes

[00:04:52] psoriasis and whatnot but because we're

[00:04:54] in Arizona here we see a ton of skin

[00:04:57] cancer so we see melanomas non-melanoma

[00:05:02] skin cancers just to give you an idea of

[00:05:04] numbers I mean we are seeing about a

[00:05:06] melanoma a day if not every other day

[00:05:09] non-melanoma skin cancer is even more

[00:05:12] common on who's getting these things so

[00:05:16] yeah you're more likely to get these

[00:05:19] things as you get older you have more

[00:05:21] cumulative sun exposure but that does

[00:05:24] not necessitate you know your skin

[00:05:27] cancers you do not have to be over the

[00:05:30] age of 30 40 50 60 to get skin cancers

[00:05:32] we have younger people than that getting

[00:05:34] melanomas and if you've been living in a

[00:05:37] high uva/uvb index for a while like born

[00:05:42] and raised in Arizona you are more

[00:05:44] likely to get a skin cancer and your

[00:05:46] younger age is like 20 years old even 30

[00:05:48] years old it's not uncommon so what are

[00:05:52] the things we can do to prevent you

[00:05:54] talked about ustin you also talked about

[00:05:57] SPF now now I do know and I've learned

[00:06:01] this that Beyond SPF 30 the difference

[00:06:05] is very marginal so 30 I mean some

[00:06:08] people are out there with SPF 50 SPF 100

[00:06:12] and you know this stuff costs a lot of

[00:06:14] money yes it does but but thirty should

[00:06:16] be more than adequate right that's a

[00:06:18] good point that you make and we're to

[00:06:20] tell you the truth were still learning

[00:06:22] in regards to what's the most optimal

[00:06:24] SPF level we know what the minimum must

[00:06:27] be to prevent skin cancer and that's a

[00:06:29] SPF of 30 however we do not know if we

[00:06:33] go beyond SPF 50 if really there's any

[00:06:35] benefit SPF 15 or

[00:06:38] greater than SPF 50 I should say we

[00:06:40] believe has potential harmful effects

[00:06:43] beyond the benefit that we're receiving

[00:06:45] from the skin cancer prevention with

[00:06:47] that SPF level so in general we

[00:06:50] recommend between the SPF 30 and 50 I

[00:06:52] always recommend purchasing the one

[00:06:55] that's going to be the friendliest to

[00:06:57] the the piggy bank

[00:06:58] so to speak and I like to use things

[00:07:00] such as Neutrogena products which tend

[00:07:03] to run a little bit more cost friendly

[00:07:05] but you're right they can be very

[00:07:06] expensive and we keep that in mind with

[00:07:09] any of our recommendations for our

[00:07:10] patients but there are some tremendously

[00:07:13] good and affordable options that are out

[00:07:16] there in the SPF 30 to 50 range above

[00:07:19] that we tend to stay away from

[00:07:20] recommending that due to the potential

[00:07:22] harmful effects that may cause right

[00:07:24] that's good to know so from a frequency

[00:07:27] standpoint I mean how common is skin

[00:07:30] cancer good question so in the Arizona

[00:07:33] melanoma in 2017 we had roughly 2150

[00:07:38] diagnosed he's a melanoma that's not

[00:07:40] including the pre melanoma melanoma in

[00:07:43] situ we will call it in those numbers I

[00:07:46] would guesstimate or in the ranges of

[00:07:48] 4000 so we are seeing a significant

[00:07:51] amount and how bad is melanoma because I

[00:07:54] hear some horrible things to give you an

[00:07:56] idea breast cancer and I think we had

[00:07:58] around 5,000 diagnoses last year in

[00:08:00] Arizona

[00:08:00] so melanoma is right behind it in terms

[00:08:03] of the number of people being diagnosed

[00:08:04] with it and the difficulty with melanoma

[00:08:07] is a lot of time this is a pigmented

[00:08:09] lesion or it could be a pigment without

[00:08:11] any pigment in it it could be pink but

[00:08:13] typically it's dark black multiple

[00:08:15] multiple colors a little brown in it and

[00:08:18] it'll be your regular board and it will

[00:08:20] be growing or just look different than

[00:08:22] their typical mole but it can occur on a

[00:08:24] location that's not exposed to the Sun

[00:08:26] so we do see some Sun related mutations

[00:08:30] in the DNA and the genetic material of

[00:08:32] that melanoma when we sample it however

[00:08:34] there are some mutations that are just

[00:08:36] by random air just a heritable defect

[00:08:40] that puts them at risk it could be size

[00:08:42] of the mole that they were born with if

[00:08:44] it's greater than 2 centimeters it's

[00:08:46] going to be at a greater risk just in

[00:08:47] its size alone if they have over 100 and

[00:08:49] why are moles that's gonna place them at

[00:08:51] a greater risk just by probability but

[00:08:53] these things can occur on the butt and

[00:08:55] the back again thighs irritable foot -

[00:08:58] absolutely

[00:08:59] less than 5% do occur on the poorer

[00:09:02] planner and under the nails generally

[00:09:05] that's going to be in your more

[00:09:07] pigmented individuals so we tend to

[00:09:10] place them in skin Fitzpatrick type so

[00:09:12] all of town and greater but that's still

[00:09:15] very rare and their difficulty with

[00:09:16] those in general are we don't make the

[00:09:19] diagnosis till late because these

[00:09:21] pigmented lesions like Bob Marley he's a

[00:09:23] classic example he thought he had an

[00:09:25] injury from soccer on his big toe that

[00:09:27] was an old soccer injury he actually

[00:09:29] died from melanoma Wow know that

[00:09:33] absolutely there's a little food for

[00:09:34] thought so so we're talking about

[00:09:37] melanoma and we're getting ready to

[00:09:38] round down our first segment all right

[00:09:40] so you bring up Bob Marley yeah so I

[00:09:42] want to talk about skin color I mean you

[00:09:45] know you know Lily white Caucasian

[00:09:47] versus african-american or islander

[00:09:50] brown skin you know is their

[00:09:54] susceptibility redheads in Scottsdale

[00:09:56] Arizona are 13 times greater risk of

[00:09:58] melanoma than the average person so 13

[00:10:01] times 13 times greater risk of melanoma

[00:10:03] if you're a redhead freckles blue hair

[00:10:06] are blue eyes blonde hair you got a

[00:10:09] family history these are all going to

[00:10:11] place your risk even greater they're at

[00:10:13] risk for the general individual in the

[00:10:15] population it's one out of four will

[00:10:17] have a skin cancer in their lifetime but

[00:10:18] if you have those risk factors and it's

[00:10:20] going to place you into a greater risk

[00:10:22] all right so we're getting taken out by

[00:10:25] believed a little bit Zepplin thank us I

[00:10:27] appreciate it I want to talk a little

[00:10:29] bit more about who is susceptible to

[00:10:31] this you've been listening to how

[00:10:32] future's taking stocking you we're

[00:10:34] talking about skin cancer I've got dr.

[00:10:36] Andrew Newman here and dr. Dustin Moens

[00:10:39] we'll be right back

[00:10:42] [Music]

[00:10:54] now back to health future news taking

[00:10:58] stock in you if you have questions about

[00:11:01] your own or your loved ones future

[00:11:03] health care call 602 260 for 800 nine

[00:11:08] now here's your host Cyprus home care

[00:11:12] solutions Bob Roth welcome back you're

[00:11:16] listening to health futures I'm your

[00:11:17] host Bob Roth we're on our second

[00:11:19] segment so if you missed our first

[00:11:20] segment go up to Cyprus home care calm

[00:11:22] on the top you'll see a media button

[00:11:25] click on that and the third button down

[00:11:27] will lead you to the radio shows we've

[00:11:29] been on the air for now on our fifth

[00:11:30] year we've done about 200 shows and

[00:11:32] you'll be able to hear this first

[00:11:34] segment and obviously the rest of our

[00:11:36] show so I only got these two doctors

[00:11:39] here with me for this last segment so

[00:11:41] doctor Mullins and doctor dr. Newman I

[00:11:45] want to talk to you more about how to

[00:11:48] prevent this and I think what I know

[00:11:51] what little bit I know is screening

[00:11:54] right it's full-body screen so tell me

[00:11:56] about when you should be doing this how

[00:11:58] do you do this right so screen is

[00:12:01] essential by screening your skin we're

[00:12:04] not going to be preventing those skin

[00:12:07] cancers from occurring what we will be

[00:12:09] doing is catching them early if you do

[00:12:11] have one that is essential if we catch

[00:12:14] them early we can take them out we can

[00:12:16] essentially get rid of this opportunity

[00:12:20] for these skin cancers to become

[00:12:22] something more than you want them to be

[00:12:23] they are very dangerous when they get

[00:12:25] aggressive and grow deeper into your

[00:12:27] skin we get them early boom we're out

[00:12:29] good don't have to worry that's key

[00:12:32] so screening is key come on in at any

[00:12:35] age it doesn't matter if you're 5 it

[00:12:38] doesn't matter it 467 we have kids

[00:12:40] coming in we have adults coming in

[00:12:43] teenagers coming in and it's important

[00:12:46] because everyone can get skin cancer

[00:12:47] there's no age requirement I kind of

[00:12:51] piggyback on top of that so with what

[00:12:54] dr. Newman was saying there or we tend

[00:12:57] to catch skin cancers at an earlier

[00:13:00] stage if they're coming in for their you

[00:13:02] know yearly or semi-annually full-body

[00:13:04] when we see somebody that doesn't have a

[00:13:06] skin cancer well what would be the

[00:13:08] benefit

[00:13:08] of doing a screening it allows us to

[00:13:10] have the opportunity to kind of assess

[00:13:12] their skin behavior habits what we're

[00:13:14] seeing in terms of their sun exposure

[00:13:16] from we're seeing on an exam sometimes

[00:13:19] we're seeing some signs and evidence of

[00:13:21] significant sun exposure and we may know

[00:13:24] that to be able to place them in a

[00:13:25] higher risk category and we need to give

[00:13:28] them some good education education so

[00:13:30] key in terms of prevention and changing

[00:13:33] the behavior of the patient that's where

[00:13:36] the true benefit comes in not only

[00:13:38] making sure that there's nothing there

[00:13:40] that needs to be addressed but also

[00:13:42] giving them education to be able to go

[00:13:44] out there and prevent these skin cancers

[00:13:45] from occurring or being less likely to

[00:13:48] occur down the road and it's it's

[00:13:50] interesting because you said at the end

[00:13:52] of the first segment you know the

[00:13:53] population typically one in four so 25%

[00:13:57] are gonna have some type of skin cancer

[00:13:59] and we know that people that are

[00:14:02] redheads and have lots of freckles

[00:14:04] yeah thirteen times more likely to have

[00:14:07] some type of skin cancer issue so you

[00:14:11] know screening is vital if you fit in

[00:14:14] that demographic you know I haven't

[00:14:16] really talked about your practice it's

[00:14:18] called affiliated dermatology and if you

[00:14:20] want to learn more about it go to AFF

[00:14:23] and that's Frank Frank alpha Frank Frank

[00:14:27] derm comm and you guys have six

[00:14:29] locations here in the valley and every

[00:14:31] one of those you could do scrying right

[00:14:33] mm-hmm exactly we have a strong

[00:14:35] community impact in involvement with our

[00:14:39] groups were very skin cancer driven in

[00:14:42] terms of what our specialization in

[00:14:45] terms of the providers within the group

[00:14:47] like to treat and manage but we do also

[00:14:50] have the founder of the Arizona Skin

[00:14:52] Cancer Foundation in our group as well

[00:14:54] Wow so we truly from the top down have

[00:14:57] the mindset and the interest really

[00:15:00] aggressively manage and treat skin

[00:15:04] cancer and try to really educate our

[00:15:06] community with involvement in school

[00:15:08] systems community events doing these

[00:15:10] screenings as a way of showing that we

[00:15:13] care about the community we want them to

[00:15:15] have the the best skin we wanted to

[00:15:17] enjoy the Sun but do it appropriately

[00:15:19] and

[00:15:20] with good protection habits you know

[00:15:23] talking about screaming and and I talked

[00:15:25] about it the first segment we have a big

[00:15:27] event happening next week it's on

[00:15:29] Wednesday April 25th from 1:00 to 2:30

[00:15:32] at the Valley of the Sun JCCC that's

[00:15:34] over there on North Scottsdale Road one

[00:15:36] two seven zero one North Scottsdale Road

[00:15:39] if you want to sign up its vos JCC org

[00:15:43] that's Valley of the Sun JCC org vos JCC

[00:15:47] org forward slash skin or call them at

[00:15:49] four eight oh four eight one seven zero

[00:15:51] two four it's a free event and I

[00:15:54] understand that you guys gonna be doing

[00:15:55] free screening right that's right

[00:15:57] completely free we're gonna be looking

[00:15:59] at the the skin that's exposed we're not

[00:16:01] gonna be taking off your shirt and pants

[00:16:03] so don't feel afraid of anything like

[00:16:05] that you're gonna be what if you want to

[00:16:07] take off your shirt you know they said

[00:16:11] don't they say get naked fifteen minutes

[00:16:13] a day in the Sun right so exactly right

[00:16:16] we're gonna do it the JCC no I'm just

[00:16:19] kidding but you'll do it you know feel

[00:16:20] free screening so if somebody has

[00:16:22] something that looks maybe abnormal on

[00:16:24] their neck on their head on their face

[00:16:26] on their arm or foot they they can share

[00:16:28] that with you exactly yeah no I that is

[00:16:32] awesome again that's at the Valley asan

[00:16:34] JCC and you can call for a tow for eight

[00:16:37] one seven zero two four and to learn

[00:16:39] more about affiliated dermatology I gave

[00:16:42] out their website but you can call them

[00:16:43] at four eight oh five five six zero four

[00:16:47] four six so really talking about health

[00:16:49] and you know one of the things that I

[00:16:51] got a chance to talk to you Dustin and

[00:16:54] you Andrew beforehand I told you about a

[00:16:56] friend that had some surgery and you

[00:16:58] know what's interesting was one of the

[00:16:59] things that I should share with you that

[00:17:01] I had a little bit of knowledge on is

[00:17:02] that so much is dependent upon the

[00:17:05] person in terms of how they heal from

[00:17:06] the surgery but one of the things he did

[00:17:08] share with me and Andrew I think it was

[00:17:10] you saying that if you were smoker that

[00:17:13] you know that could pose even more

[00:17:15] problems for healing and certainly you

[00:17:18] know I have a lot of doctors here on the

[00:17:19] show and you know we always talk about

[00:17:21] eating right you know exercise getting

[00:17:24] sleep I think and I could be wrong on

[00:17:27] this I think that all is the same thing

[00:17:30] for skin health correct oh for sure yeah

[00:17:32] so I mean you're over

[00:17:34] held from mine down is going to affect

[00:17:38] your skin if you are stressed out your

[00:17:40] psoriasis will flare if you have a car

[00:17:43] accident you can actually get some

[00:17:44] eczema flare you are smoking you can

[00:17:48] have worse outcomes with surgery your

[00:17:52] habits affect your skin your mind

[00:17:55] affects your skin and I think that's

[00:17:56] great that you brought that up because I

[00:17:58] think we're so focused on organs you

[00:18:02] know and only this tissue is going to

[00:18:06] affect this tissue in itself but doctors

[00:18:08] are now starting to look at everything

[00:18:09] on a whole and I think we're starting to

[00:18:12] really appreciate that and that's good

[00:18:13] that you bring that up oh absolutely and

[00:18:15] you know I I just noticed Andrew you

[00:18:18] just finished your second bottle of

[00:18:19] water so water is got to be a very vital

[00:18:22] part to the skin yeah absolutely I mean

[00:18:24] if you're dehydrated your skin is gonna

[00:18:26] be dehydrated you're gonna be dry this

[00:18:28] is the desert this is a place for

[00:18:30] lizards and used to be a place for

[00:18:34] dinosaurs exactly so if you want to fit

[00:18:39] in with them you know don't drink your

[00:18:41] water but otherwise you know get your

[00:18:43] get your water going you know as we wrap

[00:18:45] up the show I want to be able to at

[00:18:48] least give you guys the opportunity to

[00:18:50] share some final thoughts before we

[00:18:52] bring dr. Patel on finals final thoughts

[00:18:56] Andrew you know what is what what are

[00:18:58] your you know what is your message to

[00:19:00] our listening audience as it relates to

[00:19:01] skin health and preventing skin cancer I

[00:19:03] mean I think a really important thing is

[00:19:06] that Melissa our patients they come into

[00:19:09] our office with one concern but we

[00:19:11] actually are concerned about something

[00:19:12] else and that's something to have been

[00:19:14] said because there are things that you

[00:19:18] may not know are on you that need to be

[00:19:21] addressed and so please do take it

[00:19:24] seriously there is importance to looking

[00:19:28] at your skin and come on in and we were

[00:19:30] so happy to take care of you and look at

[00:19:32] your skin so it's not a there's not a

[00:19:34] whole lot involved it's ice example and

[00:19:38] looking how about you Dustin absolutely

[00:19:40] I think the biggest thing I could always

[00:19:42] recommend people out there that are

[00:19:44] listening that haven't seen a

[00:19:45] dermatologist or it's been

[00:19:47] long time don't be afraid to go in and

[00:19:50] see a dermatologist if you have a lot of

[00:19:52] sun exposure or you have a big suntan

[00:19:54] don't be afraid to come in you're a

[00:19:57] patient that we want to see we can help

[00:19:58] you we understand that you're going to

[00:20:00] be outside and active we want people to

[00:20:02] be active and enjoy the outdoors we will

[00:20:05] manage your skin come in the door we'll

[00:20:07] take excellent care of it

[00:20:09] prevention protection and early early

[00:20:12] detection is really really important

[00:20:15] again I'm gonna plug this event JCC

[00:20:18] Friday or Wednesday April 25th from 1:00

[00:20:21] to 2:30 it's free you get free screening

[00:20:25] call for a tow for eight one seven zero

[00:20:27] two four it's halftime here at health

[00:20:30] futures thank you doctor Mullins

[00:20:33] thank thank you very much dr. Newman

[00:20:34] thank you today make make it a great day

[00:20:37] guys