Q: How often should I get my skin checked?

A: The American Academy of Dermatology recommends that individuals be checked annually. In instances where there is a personal history of skin cancer (basal cell carcinoma, squamous cell carcinoma, or malignant melanoma), it is strongly advisable to be checked more frequently such as every six months. More frequent checks are also suggested for those who have a history of precancers (actinic keratoses) and multiple abnormal moles (dysplastic nevi). In the instance that a patient finds a changing, bleeding or new growth, it is necessary to schedule an appointment as soon as possible to have the lesion evaluated.

Q: Can I check my own skin? What should I look out for?

A: Yes! Early detection and removal of a skin cancer offer the best chance for a cure. I have patients do a periodic self-examination once every month or two. It is important to get familiar with one's own skin, pattern of moles, freckles, etc. You should watch for any changes in number, size, shape and color of moles. The first step is to examine the front and back of your body in a mirror in a well lit room. Then examine the right and left sides with arms raised. Bend your elbows and carefully look at your forearms, the back of your upper arms and palms. Next, look at the back of your legs and feet, soles and spaces between toes. Examine the back of your neck and scalp with a hand mirror. Finally, check your back, buttocks and groin area with a hand mirror. Consult a dermatologist promptly if any changes are noted. It is quite helpful to get assistance from a spouse or partner in performing skin self exams. I inform patients that this type of exam is not a substitute for a skin check performed by a dermatology health care provider.

Q: How common is skin cancer? What are the risk factors?

Q: What should I do if I get sunburn?

A: The key is not to get a sunburn in the first place! But in the instance of where it is too late: apply cool compresses (ice packs or cool water), Apply an aloe based gel. This not only soothes the skin, but also cools it down and moisturizes it as well. Over the counter hydrocortisone cream works well also. I sometimes recommend taking an aspirin or non-steroidal anti-inflammatory medication (like ibuprofen) if there are no known health risks or allergies known to the patient. If there are blisters, or the patient feels physically ill, it is advisable to seek medical attention as soon as possible. Excessive sun exposure, especially sunburn is the most important preventable cause of melanoma. So my advice is not to get sunburn in the first place. It not only hurts, it can be linked to the development of a potentially lethal form of skin cancer.