Gryphon-Backed Water's Edge Dermatology Acquires Coast Dermatology

SAN FRANCISCO and PALM BEACH GARDENS, Fla., June 10, 2019 /PRNewswire/ -- Water's Edge Dermatology ("Water's Edge" or "the Company"), a leading provider of comprehensive dermatology services through 37 Florida locations, announced today that it has acquired a controlling interest in Coast Dermatology ("Coast"), a medical/cosmetic dermatology practice in Venice, Florida. Terms of the transaction were not disclosed.

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Dermatologist touches skin around a mole on woman's shoulder

First Monday in May is Melanoma Monday

Did you know that skin cancer is the most common cancer? Approximately 9,500 people in the U.S. are diagnosed with skin cancer every day. That means approximately one in five Americans develop skin cancer. While melanoma is not the most common type of skin cancer, it is the most dangerous. It is responsible for 10,000 American lives lost every year and is the second most common form of cancer in females ages 15 to 29. The good news is that skin cancer is also the most preventable cancer.

To raise awareness of melanoma and to encourage annual skin checks to help prevent skin cancer in general, the American Academy of Dermatology designates the first Monday in May as Melanoma Monday.

Who gets melanoma?

People of all colors and races get melanoma. Those with light skin who sunburn easily are at higher risk. If you have any of the following risk factors, you need to take extra caution in protecting your skin from the harmful rays of the sun:

  • History of sunburns
  • Family history of skin cancer
  • Exposure to X-rays
  • Use of tanning beds or sunlamps

What does melanoma look like?

Melanoma often develops in a mole or appears suddenly as a new dark spot on the skin. Be on the lookout for changes in moles, and if you see irregular edges or unusual colors in a mole, schedule a visit with your Water’s Edge Dermatology provider right away. Catching melanoma early (before it can spread) is key to stopping it. Even though melanoma can be deadly, survival rates can be greater than 90% when treated early.

Preventing melanoma

Tips to help prevent melanoma:

  • Wear broad-spectrum, water-resistant sunscreen with an SPF of 30 or more on exposed skin
  • Cover up with a hat and clothing
  • Stay in the shade when possible, especially 10am-4pm when the sun’s rays are the strongest
  • Protect children from sun exposure by playing in the shade, wearing protective clothing and applying sunscreen
  • Avoid tanning beds, which can cause skin cancer and wrinkling
  • Check your birthday suit on your birthday. If you notice any skin changes, skin growths or bleeding on your skin, see a Water’s Edge Dermatology practitioner immediately

In addition to doing self-exams on your birthday, May is a great month to schedule a skin check by a highly specialized skin care expert. At Water’s Edge Dermatology, our providers are experts in spotting melanoma and treating it early with procedures just right for each of our valued patients. Be safe and schedule your skin cancer check now.

Request an appointment with one of our skin care experts at Water’s Edge Dermatology.


Adult Dermatology: Changes in Aging Skin

We won’t stay young forever, but that doesn’t mean our skin can’t continue to look its best. Adult skin changes as it ages, and some of these changes are more obvious than others. The trick to keeping your skin looking healthy and young for longer is prevention. Your Water’s Edge adult dermatologist can help you stall some of the side effects of age. Here are the five most common effects of aging skin:

  1. Skin gets drier. Your skin produces fewer moisturizing oils as you age, so it’s important to protect your skin from losing moisture to wind, hot baths or the sun.
  2. Your skin begins to thin. Adult skin thins as you lose some of the fatty layer below your skin. Your skin cells regenerate more slowly and your collagen and elastin levels decrease as you age.
  3. Skin begins to sag. As your skin thins and you experience lymphatic drainage, gravity begins to pull on your skin. The decreasing levels of collagen and estrogen mean there is less structure for your skin as well.
  4. Age spots develop on exposed skin. Age spots are areas approximately the size of freckles. They are caused by melanin overproduction due to sun exposure.
  5. Wrinkles form and deepen. The most common causes of wrinkles are sun exposure, muscle and skin movement from facial expressions, slower skin cell regeneration and less collagen production. These are made more prominent by sagging skin.

Your skin is an indicator of your health, so keep it looking as good as you feel. Your adult dermatologist can treat dry and sagging skin, wrinkles and age spots. Make your appointment with a Water’s Edge dermatologist today and get serious medicine for your skin.


Adult Acne Treatment

Treating Adult Acne

Acne is frequently considered a skin disorder of adolescents and teens. Unfortunately, acne can affect adults in their 20s, 30s and beyond. Many factors can contribute to the appearance of acne, including hormones, disorders of the hair follicles and infections. While there is no cure for acne, there are many effective ways to control and treat adult acne.

Adult acne can be divided in two groups of patients. The common acne in children can also occur in an adult, which is known as acne vulgaris. Another form of adult acne is known as acne rosacea. Acne rosacea is commonly recognized by the inflammation and redness of the face, but most often lacks the appearance of blackheads or open comedones.

Acne can be controlled with over-the-counter products as well as prescription medications. Establishing a skin care regimen with a dermatology provider can be very helpful in treating acne. Many treatments are available, including cleansers, topical treatment, oral antibiotic therapy, oral isotretinoin courses and even blue light therapy.

Starting with a mild antibacterial cleanser or benzoyl peroxide wash twice daily keeps the face and body clean and keeps oil to a minimum. Do not scrub the face and body clean as friction can increase the acne lesions.

Prescription treatments available for acne can be topical creams, gels or solutions. The topical medications can include one or more medications. Topical medications should be used consistently and as prescribed by your provider for best results. Topical treatments can be drying, so it is important to speak with your provider about adding a moisturizer or decreasing the frequency of use if this occurs.

Oral antibiotics can be used to treat acne and acne rosacea in adult patients. Oral antibiotic therapy can be given for short-term or long-term treatments, depending on the response to treatment and the medication prescribed by your provider. Low dose, long-term antibiotic therapy is available and effective for many patients.

Oral isotretinoin is an option for severe acne. It was previously marketed under the name Accutane but is available now in generic forms. This particular medication is available if other oral medications have failed. Isotretinoin is closely monitored by a program called iPledge. Blood work is monitored each month by your provider. Two forms of birth control must be in place for female patients as this medication can cause birth defects if pregnancy occurs during the time period the medication is being administered. This medication is generally given for a course of four to six months.

The most important key to the management of acne is to be consistent with your use of medication. Consistency is important.

Finally, even acne prone skin needs sunscreen each day. Finding a sunscreen that is oil-free and non-comedogenic is important. Please visit a Water’s Edge office for EltaMD Shield, which is a zinc sunscreen that is lightweight, absorbs completely and is great for oily skin types.

 

References: Acne (n.d.) American Osteopathic College of Dermatology. Retrieved from aocd.org.


Top 5 Reasons to Consider Juvederm Voluma

Some signs of aging can begin to appear when women are in their mid-30s, such as cheeks losing volume or deepening under-eye circles. Fortunately, there are several ways to keep aging skin from detracting from your natural beauty, such as fillers like Juvederm Voluma. Here are the top five reasons why you should consider Juvederm Voluma when you decide to get a filler treatment.

  1. Restores fullness to your face by filling both fine and deep lines for a natural appearance.
  2. Diminishes any scars you may have accumulated over the years.
  3. Produces immediate results, meaning your face looks as youthful as you feel by the time you leave the office, and no downtime is required.
  4. Treatment is completed in one visit, so you don’t have to worry about scheduling multiple appointments.
  5. Results last for months, and when you combine certain fillers, your results can last between three months to a full year.

Juvederm is a smooth gel made from hyaluronic acid, which occurs in your skin naturally. Your Water’s Edge adult dermatologist can use the combination of Juvederm Voluma to smooth your skin and add volume and hydration. It is the latest facial filler option available and it is the only filler approved by the U.S. Food and Drug Administration.

Make an appointment with your Water’s Edge dermatologist for a consultation about your filler treatment today. You can like us on Facebook to find more tips about skin care and our serious medicine for your skin.


Dermatologist examining a mole on a patient's skin.

Top Reasons to See a Professional for Mole Removal

Moles are removed for several reasons, whether medical or cosmetic. If you find your skin mole unattractive, it causes irritation from rubbing against clothing or your dermatologist suspects cancer, removing your mole, or moles, is an option.

There are several at-home and “natural” treatment options available, but these can cause complications if not performed correctly. Let’s talk about the top five reasons to have your skin mole treatment performed by your dermatologist.

  1. If your mole might be cancerous, or pre-cancerous, your dermatologist can help you begin treatments to prevent the spread of skin cancer. A dermatologist can have a sample of your mole tested when removing it, which cannot be done with at-home treatments.
  2. Your mole could grow back. Shaving or treating your skin mole at home may not completely remove the mole. If your mole does grow back, that is a possible sign of melanoma, for which you should be treated by a dermatologist.
  3. You could leave scars on your skin. Especially on the face, it is important to have moles treated properly to avoid unnecessary scarring.
  4. The treatment site could get infected. A dermatologist can prevent infection from occurring by correctly preparing your skin for the mole treatment and by properly treating and closing the wound.
  5. Mole removal creams can leave pits in your skin. Some skin mole removal creams are corrosive and can cause damage to healthy skin if used incorrectly. If you want to try this method, it is recommended you discuss it with your dermatologist to minimize potential side effects.

Your Water’s Edge dermatologist can effectively remove your skin moles with one of two skin mole treatments: surgical excision or surgical shaving, both of which can be performed in-office. Make an appointment to discuss your skin mole treatment with your Water’s Edge dermatologist.


How to Give Yourself a Skin Mole Exam

You frequently hear dermatologists and skin cancer experts talk about the importance of regularly examining your skin, but do you know the best way to check yourself? Your skin moles should remain fairly constant, but here are the steps to find any new or changed moles.

Skin Mole Self-Examination

  1. Start with your face, ears, scalp and neck. Use a hand mirror to see the back of your neck and a comb to part your hair to make this easier. Or, ask friend to help check your scalp.
  2. Stand in front of the mirror and look at the front and back of your body. Remember to raise your arms to look at your sides.
  3. Next, look at your hands and arms. Carefully examine your fingernails, palms and elbows, and look at your arms from all directions.
  4. Look at your legs from all angles using your mirror. Remember to check swimsuit areas for moles as well.
  5. Sit down and examine the bottoms and tops of your feet, your toenails and the spaces between your toes.
  6. Finally, take notes about your skin’s appearance and mark the dates of your skin mole exam. This will help you identify changes in your moles in the future.

Most of the moles you find likely developed when you were young, and you will continue developing skin moles until the age of 40. Most moles are harmless, but checking your skin regularly will help you track any changes and alert you to seek mole treatment if necessary.

If you find any suspicious or new moles, make an appointment with your Water’s Edge dermatologist to learn if you need skin mole treatment.


Graphic about skin infections

When it Comes to Staph Infections, Prevention is the Key

Different varieties of Staphylococcus aureus bacteria, commonly called "staph," exist.  “Staph infections” are common and a term I remember hearing since I was a child; so this is not something new.  Staph bacteria are normally found on the skin and in the nose of about one-third of the population. The bacteria are generally harmless unless they enter the body through a cut or other wound, and even then they usually cause only minor skin problems in healthy people.  However, Methicillin-Resistant Staphylococcus Aureus (MRSA) is different.  MRSA infections are caused by a strain of staph bacteria that's become resistant to the antibiotics commonly used to treat ordinary staph infections.

Most MRSA infections occur in people with questionable immune function who have been in hospitals or other healthcare settings, such as nursing homes and dialysis centers. When it occurs in these settings, it's known as healthcare-associated MRSA (HA-MRSA). HA-MRSA infections typically are associated with invasive procedures or devices, such as surgeries, intravenous tubing or artificial joints.

Another type of MRSA infection occurs in the wider community — among healthy people. This form, community-associated MRSA (CA-MRSA), often begins as a painful skin boil. It's spread by skin-to-skin contact. At-risk populations include groups such as high school wrestlers, child care workers and people who live in crowded conditions.

Staph skin infections, including MRSA, generally start as small red bumps that resemble pimples or boils.  It is not uncommon for the patient to suspect a spider bite. These can quickly turn into deep, painful abscesses that require surgical draining.  In most situations, the bacteria remain confined to the skin. But in the case of the HA-MRSA, they can also burrow deep into the body, causing potentially life-threatening infections in bones, joints, surgical wounds, the bloodstream, heart valves and lungs.

Antibiotic Resistance:

MRSA is the result of decades of unnecessary antibiotic use.  For years, antibiotics have been prescribed for colds, flu and other viral infections that don't respond to these drugs.  Even when antibiotics are used appropriately, they contribute to the rise of drug-resistant bacteria in part because they don't destroy every germ they target. In addition, patients who do not take their entire course of antibiotics also play a role in the emergence of these resistant strains.  Bacteria live on an evolutionary fast track, so germs that survive treatment with one antibiotic soon learn to resist others.

Because hospital and community strains of MRSA generally occur in different settings, the risk factors for the two strains differ.

Risk factors for HA-MRSA:

  • Being hospitalized. MRSA remains a concern in hospitals, where it can attack those most vulnerable — older adults and people with weakened immune systems.
  • Having an invasive medical device. Medical tubing — such as intravenous lines or urinary catheters — can provide a pathway for MRSA to travel into your body.
  • Residing in a long-term care facility.  MRSA is prevalent in nursing homes.  Carriers of MRSA have the ability to spread it, even if they're not sick themselves.

Risk factors for CA-MRSA:

  • Participating in contact sports.  MRSA can spread easily through cuts and abrasions and skin-to-skin contact.
  • Living in crowded or unsanitary conditions. Outbreaks of MRSA have occurred in military training camps, child care centers and jails.
  • Men having sex with men.  Homosexual men have a higher risk of developing MRSA infections.

When to see a Healthcare Professional:

Keep an eye on minor skin problems — pimples, insect bites, cuts and scrapes — especially in children.  If wounds become infected, seek medical care.  Do not attempt to treat an MRSA infection yourself.  You could worsen it or spread it to others.

What You Can Do:

Create a list that includes:

  • Detailed descriptions of your symptoms
  • Information about medical problems you've had
  • Information about the medical problems of your parents or siblings
  • All the medications and dietary supplements you take
  • Questions you want to ask the doctor

What to Expect During Your Visit:

During your physical exam, your doctor will closely examine any skin lesions you may have.  He or she might take a sample of tissue or liquid from the lesions for testing.

Both healthcare-associated and community-associated strains of MRSA still respond to certain antibiotics. In some cases, antibiotics may not be necessary. For example, your doctor, NP or PA may choose to drain a superficial abscess caused by MRSA rather than treat the infection with drugs.

Preventing HA-MRSA:

In the hospital, people who are infected or colonized with MRSA often are placed in isolation as a precaution to prevent the spread of MRSA. Visitors and healthcare workers caring for people in isolation may be required to wear protective garments and must follow strict hand hygiene procedures. Contaminated surfaces and laundry items should be properly disinfected.

Preventing CA-MRSA:

Wash your hands. Careful hand-washing remains your best defense against germs. Scrub hands briskly for at least 15 seconds, then dry them with a disposable towel and use another towel to turn off the faucet. Carry a small bottle of hand sanitizer for times when you don't have access to soap and water.

Keep wounds covered. Keep cuts and abrasions clean and covered with sterile, dry bandages until they heal. The pus from infected sores may contain MRSA, and keeping wounds covered will help keep the bacteria from spreading.

Keep personal items personal. Avoid sharing personal items such as towels, sheets, razors, clothing and athletic equipment. MRSA spreads on contaminated objects as well as through direct contact.

Shower after athletic games or practices. Shower immediately after each game or practice. Use soap and water. Don't share towels.

Sanitize linens. If you have a cut or sore, wash towels and bed linens in a washing machine set to the hottest water setting (with added bleach, if possible) and dry them in a hot dryer. Wash gym and athletic clothes after each wearing.

Most patients have come to know and often fear the term MRSA.  However, when these infections are encountered the general community, in patients who are otherwise healthy, there is little to fear.  Your healthcare provider will know exactly how to manage your condition and you are sure to recover without complication.  Even so, it is still good behavior to practice the sound preventive measures we discussed above.