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A Patients Guide to Mohs Surgery

Approximately 1 in 5 Americans will develop skin cancer in their lifetime.

Basal cell and squamous cell are the two most common skin cancers accounting for more than 5 million diagnosed annually. Unfortunately, many of these people will experience skin cancer more than once in their lives. If skin cancer is caught early, it can be treated with great success, but if left untreated it can grow deeply within the tissues and potentially cause disfigurement. In rare cases, skin cancer can metastasize and grow into other organs within the surrounding area.

Although skin cancer can grow anywhere on the body, the most common area for these cancers to develop are the hands, face, ears, scalp, chest, and arms. Your best option for treatment is Mohs surgery.

What is Mohs Surgery?
Mohs surgery is a precise treatment used to microscopically detect the margins of a tumor, preventing excess tissue from being removed. During Mohs surgery your specially trained dermatologist will remove the tumor with minimal surrounding border, which is then sectioned, cryo-frozen, and stained for examination under a microscope. Each layer is removed with an extremely conservative, precise approach to making certain that the cancer cells are completely removed, as well as minimizing any extreme surgical cutting.

Being Mohs Fellowship Trained is critical
Mohs surgery by a fellowship-trained surgeon has the highest cure rate and lowest recurrence rate of all other skin cancer treatment options. The key difference is in the extensive training. Fellowship training is the key. While any dermatologist may offer to perform Mohs surgery, only Fellows of the American College of Mohs Surgery (ACMS) have undergone rigorous fellowship training. Mohs Surgery Fellows are chosen through a highly competitive selection process and are required to complete an intensive 1 or 2-year post-residency ACMS fellowship training program. Becoming a Fellow of the American College of Mohs Surgery is a qualification earned by less than 8% of all dermatologists nationwide.

Rebecca W. Lambert MD, one of the founding members of The Woodruff Institute, and Kathryn J. Russell MD are fellowship trained Mohs Surgeons. Under their care, you will receive the best outcome of removal and tissue preservation. Along with their expertise, the Woodruff Institute also is home to Jonathan E. Sonne MD, also a founding member of the Woodruff Institute and a fellowship trained and board certified Facial Plastic and Reconstructive surgeon. Our patients receive the precision of a Mohs Surgeon and the aesthetic expertise of a Facial Plastic Surgeon for the treatment of their skin cancers to give the best possible results.

Woodruff Institute for Dermatology & Cosmetic Surgery
At the Woodruff Institute for Dermatology & Cosmetic Surgery, our practitioners encourage all of patients to get their yearly skin examinations and to also perform at home exams, looking for any suspicious areas that potentially could be a sign of skin cancer.

The symptoms to look for in moles or lesions are outlined in this simple acronym, ABCDE:
A—Asymmetry
B—Border Irregularity
C—Color-Variegated or a Halo Effect
D—Diameter (>6 mm)
E—Evolving

In addition to the symptoms above, there are supplementary signs to look for, which include:
A—Amelanotic (Pink or Red Lesion)
B—Bleeding/Bump (Raised Lesion)
C—Color Uniformity
D—De Novo Development (A New Development <6mm) Our approach to skin cancer is proactive, preventive and prescriptive. With office locations in Naples, Bonita Springs, Estero and the Fort Myers areas, the Woodruff Institute for Dermatology & Cosmetic Surgery continuously educates the local community to avoid sun exposure and to always use effective sun protection. The best way to identify potential skin cancer is through annual full-body skin examinations with qualified medical professionals. Because it’s nearly impossible to look at your own skin in its entirety, and unfortunately skin cancers can hide from sight or be mistaken for harmless skin growths, it’s essential to see a dermatologist regularly.

To schedule your annual full body skin examination, call us at 239.498.DERM(3376) or click here to: Request an Appointment Online.
men

YES… Men get Botox & Fillers too!

According to a survey published in late 2016 by the American Society of Aesthetic Plastic Surgery, the proliferation of nonsurgical cosmetic procedures has increased demand for nonsurgical procedures for men by 44 percent since 2011.

Most popular among the injectables for men are Botox and hyaluronic acid fillers such as Restylane and Juvederm. Botox is the most used procedure, with more than 4 million injections counted in 2015.

Social media is another reason more men are using cosmetic injectables. The American Academy of Facial Plastic and Reconstructive Surgeons reported social media makes everyone more aware of their flaws. “Whether you call it the ‘Kardashian Effect’ or ‘Selfie Mania,’ the influence of celebrities and social media on the public’s decisions to have facial cosmetic procedures is real and powerful,” the report said.

Although some men are being prodded by their more injection-experienced partners, many come of their own volition. Living in a youth-centered culture and often are competing with younger colleagues for jobs and business, men have become more aware they can improve their appearance.

Food Drive Winners

Thank you for making our February Food Drive a success!

The Woodruff Institute for Dermatology & Cosmetic Surgery would like to thank our supporters for helping make our February “Share the Love” Food Drive a success!

With donations from our supporters, we collected over 400 canned goods and non-perishable items for the Harry Chapin Food Bank to support local families in Lee and Collier Counties. We are thrilled with the generosity of our patients, friends and families. Thank you for helping us spread the love. Together, we can #EndHunger.

FM Expo

The Woodruff Institute supports healthy living in Bonita Springs & Fort Myers

The Woodruff Institute for Dermatology & Cosmetic Surgery participated at the Healthy Living Expo in Fort Myers on Saturday, March 18, 2017.

The expo showcased health care clinics as well as health and wellness products from the area. Dr. Hedy G. Setyadi and Ms. Jessica Gonzales spoke with attendees from the community about the medical, surgical, cosmetic and aesthetic services that we offer in our offices and handed out skin product samples. Exclusively for this special event only, registration for skin cancer screenings with Dr. Setyadi were offered to attendees. A basket of Elta MD products was raffled to a lucky attendee.

If you have further questions about skin cancer or treatment options, or to schedule a full body skin examination, please CONTACT US.

Gderm Cosmetic Fillers Image2

You don’t have to be LUCKY to have great skin!

Lucky you! The Woodruff Institute can help you save this month on younger looking skin.

Eliminate wrinkles with Botox
Brilliant Distinctions members save $50 off Botox.
Some restrictions apply.

Enjoy fuller, younger looking skin with Juvederm
$100 rebate on any Juvederm family filler (Juvederm Ultra/ Ultra Plus, Voluma XC or Volbella).
One rebate code per client. Not to be combined with other offers. While supplies last.

food

Eating Foods That Brighten and Tighten Your Skin

March is National Nutrition Month

Many of us have tried various pampering facial masks to get our skin glowing. Some of them have probably been made in our own kitchens with ingredients like yogurt, honey, lemon, and avocado, but there is only so much that a mask can do. Even better than a facial mask, or in addition to it, let’s focus on eating the specific foods that are going to get your skin illuminated from the inside out.

Below are 17 of the top foods that Dermatologists know help to purify, brighten and tighten your skin naturally.

• Green Tea – Full of antioxidants and polyphenols which fight free radicals. Also contains EGCG (Epigallocatechingallate), which flushes out toxins and speeds metabolism
• Turmeric – Powerful anti-inflammatory
• Avocado – Healthy fatty acids help to hydrate the skin
• Olive Oil – Contains heart-healthy fats and boosts the function of your thyroid, which regulates metabolism.
• Coconut Oil – A medium chain triglyceride that contains high levels of vitamin E, and has antifungal and antibacterial properties
• Fatty Fish – Omega 3 fatty acids which are incredibly important for your skin and brains health and vibrancy
• Bright vegetables (examples: red peppers, carrots, blue potatoes) – Contain high levels of antioxidants, carotenoids and vitamin C
• Leafy Greens – Full of vitamin K, which may help with arterial and kidney decalcification, as well as strong bones and teeth
• Berries – Antioxidant rich berries help to lower cholesterol, prevent gray hair, aid in weight loss and detoxification
• Cucumber – Helps to flush out water retention and hydrate the skin; contains vitamin k, b, copper, and potassium
• Greek Yogurt – Packed with vitamins and probiotics to help keep your skin clear
• Tomatoes – Contains lycopene, which helps to shield us from the sun’s harmful rays naturally
• Beets – Help to detoxify your skin through antioxidants, which create an anti-inflammatory effect
• Citrus – Loaded with vitamin C, which aids in the production of collagen
• Cruciferous Vegetables (examples: cauliflower, broccoli, and kale) – Promote collagen production through vitamin C, zinc and selenium
• Oysters – Selenium and zinc tighten the skin and improve elasticity
• Hot Peppers – Contain capsaicin, which increases metabolism by approximately 20-30% and keeps that rev going for hours after you’ve eaten them

There are so many healthy foods that are great for your skin, brain, bones, hair, heart and spirit, but the items above are some of the main super-foods that made the list this time around. It’s important to remember to eat natural, whole foods for the majority of your diet. In doing so, your skin will have a beautiful luminosity and you’ll be healthier for it overall.

bill pay 2

Online Bill Pay is Here!

The Woodruff Institute is pleased to announce our NEW secure online bill pay option. See how easy it is! Pay your bill here.

Traditional Payment Methods
You can still pay your bill by phone or standard mail. To pay your bill by phone, call The Woodruff Institute at (239) 498-DERM(3376) and press Option 4. You can also mail your payment to the address listed on your statement.

HA intensifier

NEW Anti-aging Serum from Skinceuticals

H.A. Intensifier

A multi-functional corrective serum to help amplify skin’s hyaluronic acid levels

H.A. Intensifier is a multi-beneficial corrective serum proven to amplify skin’s hyaluronic acid levels. This unique formulation contains a high concentration of pure hyaluronic acid, proxylane™, and botanical extracts of licorice root and purple rice to support skin’s hyaluronic acid levels and deliver surface hydration, helping improve the visible appearance of firmness, smoothness, and facial plumpness.

BENEFITS

1. Amplifies skin’s hyaluronic acid levels by 30%
2. Reduces the look of crow’s feet, nasolabial folds (parenthesis around the mouth or laugh lines), and marionette lines (lines from the corners of the mouth down to chin) for smoother, firmer skin
3. Delivers long lasting hydration to visibly improve skin’s texture
4. Unique serum-gel texture format creates a smooth canvas on skin
5. Paraben- and dye-free, ideal for all skin types

SCIENCE

Hyaluronic acid naturally occurs in the skin and plays an important role in maintaining moisture. This essential molecule however has a short lifecycle in skin, with 30%-50% degrading every 24 hours. With age, the skin’s ability to produce hyaluronic acid decreases. Production starts to decline in the 20s and this decline accelerates in the 40s. Decreased production rapid degradation of hyaluronic acid contribute to signs of aging, including decreased firmness, less facial plumpness, and rough texture.

While hyaluronic acid is a powerful hydrator, the size of the hyaluronic acid molecules are too large for optimal skin absorption. H.A. Intensifier uniquely combines surface-hydrating hyaluronic acid with 10% proxylane™ and an optimal concentration of licorice and purple rice extracts to support skin’s hyaluronic acid levels.

In a 12-week clincial study, H.A. Intensifier significantly improved the appearance of key aging indicators:
23% improvement in plumpness
9% decrease in sagginess
11% improvement in firmness
13% improvement in elasticity
18% improvement in texture

HOW TO USE

Once or twice daily, apply 4-6 drops to the palm of the hand and dab onto forehead, cheeks, chin, and neck. Blend the product into skin. If using in the morning, apply after a SkinCeuticals vitamin C antioxidant serum and before a SkinCeuticals sunscreen. If using with a retinol at night, apply after retinol.

Skinceuticals Rewards members… earn double points with the purchase of a NEW H.A. Intensifier.

Cutis Mar Juvederm Volbella 011

Introducing Juvederm Volbella XC for Lips & Lines

Something subtle that’s proven to last!

Some women may wish to add subtle volume to their lips; others may want to soften the appearance of the vertical lines above them. Lines such as these are often caused by factors such as sun exposure or repeated muscle movement.

Fortunately, there’s JUVEDERM VOLBELLA XC– the first and only FDA-approved filler proven to increase lip fullness and soften the appearance of vertical lip lines for up to 1 year.

JUVEDERM VOLBELLA XC may be right for you if:

You would like to add subtle volume to your lips

You would like to soften the appearance of your vertical lip lines

You want natural-looking, long-lasting results

Ask us if JUVEDERM VOLBELLA XC is right for you!