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Presentation by Dr. Mejia on Skin and Hair Health at Dr. Oz Event

This is the presentation that Dr. Mejia did at the Dr. Oz event at the Gardens Mall on skin and hair health.

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Presentation by Dr. Mejia on Skin and Hair Health at Dr. Oz Event

  1. 1. American Board of Dermatology American Board of Hair Restoration Surgery Fellow American Society for Mohs Surgery American Society for Lasers in Surgery and Medicine
  2. 2. WE’VE GOT YOU COVERED FROM HAIR TO TOE JJupiter Dermatology and Hair Restoration, Laser and Med Spa
  3. 3. A potentially deadly skin cancer arising from pigmented cells or other moles or freckles.
  4. 4. Firm Youthful Skin Epidermis Dermis Fat Healthy Collagen/ Elastin =
  5. 5. Firm Youthful Skin Epidermis Dermis Fat Healthy Collagen/ Elastin =
  6. 6.  Broad Spectrum UVA/UVB  SPF 30  Physical Sunblocks Titanium Dioxide, Zinc Oxide  Water resistant 40, 80 min No such thing as waterproof  Most importantly. Reapply every 2 hours Especially after swimming One you or your kids like Avoid aerosol sprays
  7. 7. #  Smoking increases MMP, matrix metalloproteinases  MMP degrade your collagen and Elastin  Leads to Premature aging and Wrinkling  Smokers have dry lackluster skin
  8. 8. AM. Topical Antioxidants Vitamin C, of the correct concentration and pH for skin absorption Resveratrol topically PM. Tretinoin (Retin A, Renova) Sunscreen: UVA rays cause wrinkling
  9. 9. Anyone
  10. 10. Higher Risk:  Fair skin  Blonde or red hair,  Blue eyes  Family History Maureen Reagan Bob Marley James Rebhorn Eva Cassidy
  11. 11.  Melanoma Manifests Differently in Children Than in Adults  Rare in children: 1 to 4 percent of all melanoma cases and just 3 percent of pediatric cancers.  Rising at rate of 1 to 4 percent per year.  Biggest risk factor: sunburns
  12. 12. Kids and Melanoma 4%
  13. 13. Protective Clothing Rash gaurds Solumbra or other UV clothing Wide Brimmed Hat Sunglasses
  14. 14. Latin verb  docēre [dɔˈkeːrɛ] 'to teach'
  15. 15. Before After Excision 1 cm Margins
  16. 16. 1 month Post Op Immediate Post Op Repair
  17. 17. GOOD BAD
  18. 18. GOOD BAD
  19. 19. GOOD BAD
  20. 20. 6 mm
  21. 21. GOOD
  22. 22. Venous Lake GOOD
  23. 23. Very common trunk Waxy verrucous Stuck on like silly putty on the wall GOOD
  24. 24. Palms, Soles , and Nails More Common in Asians, Blacks and Hispanics Delays in diagnosis worsen disease and prognosis
  25. 25. Patient A Patient B
  26. 26. Patient A Patient B
  27. 27. Men:  4.5 fold Women:  24-fold. In the US alone, 419,254 cases of skin cancer can be attributed to indoor tanning.  of This, 6,199 are melanomas The number of skin cancer cases due to tanning is higher than the number of lung cancer cases due to smoking
  28. 28.  Women:  Age 18-29,  76% associated with tanning bed use  Indoor Tanning  Melanomas 59-75% if tanning ≤ 35 years old  BCC/SCC  40-100% if tanning ≤ 25 years old  20 minutes tanning = 3 hours in the sun unprotected  Tanning beds are concentrated UVA or 3-6 times the amount of radiation given off by the sun  There is no UVB so you do not feel the burning rays
  29. 29. #
  30. 30. Avoid Peak Sunlight hours 10 am – 4 pm Shadow Rule: shadow smaller than you, caution Avoid reflective surfaces (water, snow, sand)
  31. 31. Sunglasses Long Sleeves Buff Guards Nose guards
  32. 32. “ I was told by my doctor I needed Mohs surgery for a basal cell on my face. I am afraid of surgery and pretty vain. What is Mohs? Do I really need it and how bad will I look afterwards.”
  33. 33. Breadloaf Vertical VS Horizontal Pie
  34. 34. 12 6 9 3 12 6 3 9
  35. 35. It’s Just a Pimple Doc
  36. 36. Maruchy 1 week after surgery Stitches in Place After Mohs Mohs Reconstruction
  37. 37. “My Hair is falling out like crazy and I don’t know what to do. I fear I will go bald. What can I do to stop it? What can I do to get my hair back? Desperate and Depressed in Palm Beach Gardens”
  38. 38. Good News!!! You will Not go Bald and Your Hair will Regrow
  39. 39. Losing all my hair Sheilas Story
  40. 40. Telogen Effluvium : Biggest Culprit
  41. 41. Normal Hair Cycle 90% Anagen 2- 5 years Hair grows Thick Hair roots degenerating Growth stops Old hair falls out, new hair regrows Anagen Catagen Telogen Early Anagen 10% Telogen 3 months shedding phase
  42. 42. Telogen Effluvium : 3months cycle  Stress, death, loss of loved ones, jobs  Post Partum Pregnancy  Illness, fevers, Antibiotics  Thyroid or hormone imbalances  Crash Diets, Drugs  Oral contraceptive pill withdrawal  Surgical Operations, Anesthesia  95% resolve 12 months
  43. 43. Alopecia Areata
  44. 44. Take ten minutes out of your day to release stress Meditate Yoga Exercise
  45. 45. Sleep better today for more beautiful skin and hair Sleep deprivation causes stress on the body which can aggravate your hair, skin and nail conditions Sleep on your back to avoid sleep lines or use satin pillows to alleviate the pressure on the face
  46. 46. Restoring a thicker fuller hairline and temples
  47. 47. Before Hair Transplant
  48. 48. Before After Jupiter Dermatology and Hair Restoration World Class Hair Restoration for Men and Women Ricardo Mejia M.D.
  49. 49. Before After
  50. 50. Before After
  51. 51. Jupiter Dermatology and Hair Restoration World Class Hair Restoration for Men and Women Ricardo Mejia M.D. Before After
  52. 52. Before Hair Transplantation After Hair Transplant Hair Loss from Brow Lift Camouflaged after 1 Procedure COSMETIC SURGERY SCAR
  53. 53. Propecia or Finasteride  9 out of 10 respond  Low incidence of sexual side effects  Effects are reversible  No permanent side effects in my practice  Men: 1 mg daily or  5mg ¼ tab daily  Women: 2.5 mg daily(off label)
  54. 54. Topical Treatments
  55. 55. PRP: Platelet Rich Plasma concentrated blood plasma approximately five times the number of platelets found in normal circulating blood. contains the growth factors that aid in wound healing. ? amplify the body’s naturally occurring wound healing mechanism.?? ? stimulate the stem cells of the newly transplanted hair follicles?? ? stimulate the growth of follicles?? ? reverse hair miniaturization seen in androgenetic alopecia and even preventing hair loss.??
  56. 56. Bimatoprost, a glaucoma treatment Hair restorations surgeons have been experimenting and reports sound promising .  Expensive May make hairs grow faster and longer and prolong the growth phase.
  57. 57. Low Level Laser Therapy 30 min 3x a week  LED diodes with pure red light at 633-670nm  Hypothesized to stimulate epidermal stem cells in the hair follicle  Increase cell metabolism  The health of blood vessels in the scalp for thicker, supple & more durable hair  Stimulate the sebaceous glands for silkier-looking hair
  58. 58. Final Skin Care Tips for Healthy Skin
  59. 59.  If your skin feels dry , moisturize  Apply to damp skin, wait for it to be absorbed then apply a second layer  Using one with an exfoliant like lactic acid softens skin and sloughs off flakes  Condition hair after every shampoo
  60. 60. #8. Eat well and get good nutrition  Vitamin A supplementation may reduce melanoma risk  Selenium garlic, brown rice, whole grains, eggs, seafood and Brazil nuts) internal/external-200microg/d 1996 JAMA study may reduce skin cancer risks  Low fat diet associated with decrease in Actinic keratosis  Vitamin E (vegetable oils, nuts, seeds, olives, spinach, and asparagus) is shown to reduce the development of UV light- induced tumors in animals- internal/external-~400-800IU/d  Omega-3 FAs/Alpha-Lipoic Acid, (oils of nuts, seeds {flax!}, cold water, deep sea fish salmon sardines) is a more powerful antioxidant, 100xs more potent than either vitamin C or E  vitamin D Level: if low, may increase the risk for the development of breast and colon cancer and may also accelerate the growth of melanoma
  61. 61. #  Lines around the eyes (crows feet) happen from repeated motions (squinting, smiling) as well as sun damage that causes permanent grooves in the skin  Easy fix: Large, dark, UV protective sunglasses  Botox & Dysport will prevent the movements that causes wrinkles
  62. 62. Get a Total Body Skin Exam yearly
  63. 63. WE’VE GOT YOU COVERED FROM HAIR TO TOE JJupiter Dermatology and Hair Restoration, Laser and Med Spa Ricardo Mejia MD Ashley Hess PA-C