Hugh Jackman: When Sunscreen Alone Will Not Keep The Skin Cancer Away

Hugh Jackman as of May of this year has had three skin cancers treated. He is realistic that he will have more.

Jackman, who plays Logan and Wolverine, wore a bandage on his nose after having a basal cell carcinoma removed last week. Basal cell carcinoma is a slow-growing form of skin cancer and Jackman was treated for the same disease last year.

He told The Associated Press: “I’m realistic about the future and it’s more than likely that I’ll have at least one more but probably many more, which is not uncommon for an Aussie particularly from English stock growing up in Australia where I don’t remember ever being told to put sunscreen on.”

Source: http://www.foxnews.com/entertainment/2014/05/13/hugh-jackman-expects-skin-cancer-will-return/

Don’t take it personally Hugh, my kids don’t listen much when I encourage their use of sunscreen. I am known to embarrass at baseball games, etc. :)

Jackman correctly attributes the skin cancer to sun exposure and his heritage. What is not mentioned in the Fox piece is that there are other preventative therapies for skin cancer useful in people who have had them already. When you have already had three skin cancers just wearing sunscreen is probably not enough to keep them from returning. Hopefully he is looking into some of the alternatives now.

Best Regards,

John Di Saia MD

Related:
Wanna See a Nodular Basal Cell Cancer?

, ,

Comments

Lingerie Choices for the Tummy Tuck / Lower Body Lift Patient

Sorry all…the source of the images went offline. :(

***

Over the years my tummy tuck patients have asked about a surgeon’s perspective on lingerie recommendations. To answer this at least in part, I went through the catalog of one of my blog advertisers and picked a few for your consideration. Comments follow each. Your incision type and personal taste will of course rule supreme here:

A Dr D Post TT Fav – Great raised sides to cover most of my tummy tuck and lower body lift incisions and inexpensive too.

Best Regards,

John Di Saia MD

Originally posted 2010-12-03 07:30:52.

, , , ,

Comments

Dr D’s “Trout Pout – Celebrity Fish Lip Fillers?”

Dr D’s Trout Pout Comedy Bit Mp3

Dr D pokes fun at the current practice of Lip Fillers and the tendencies of some celebrities to end up resembling fish after their placement.

Best Regards,

John Di Saia MD

Originally posted 2010-07-14 07:30:38.

, , ,

Comments

Boob Job Redo Video

Boob job redo surgery is certainly more difficult than first time cases. Looking over some of my older YouTube videos, there was a desire to fix some up a bit. I had this boob job redo video with a patient testimonial. This video is now new and improved with reduction of annoying music and re-arrangement of the elements. It tells the story better now.

The story in short was this very nice young woman had been operated by a local surgeon who reported himself as the “best of the best.” Sound familiar? He nevertheless ran into a complication and after three operations left her pretty deformed. He reported to her that “this was as good as it was going to get.” Then she found Dr D through a friend. This was not an easy case and her result is just as much due to my work as her persistence, faith and patience.

Best Regards,

John Di Saia MD

Originally posted 2012-09-20 07:30:14.

, , , , , ,

Comments

Tanning Salon Owners Mislead Clients

Many tanning salons are downplaying the health risks associated with indoor tanning while claiming that time in a tanning bed offers an array of health benefits, according to an investigative report from Democrats on the House Energy and Commerce Committee. Committee investigators, posing as fair-skinned teenage girls, called 300 tanning salons across the country, and found that 90% said that the use of tanning beds did not pose a health risk. When pressed about skin cancer risks, some salon employees said the link to indoor tanning was “hype” or “a big myth.”
Source: skinandallergynews.com/newsletter/the-skinny/singleview40946
/tanning-salons-mislead-teens-congressional-probe-
finds/4aaea3a6b8.html

Studies showing tanning bed use is associated with increased risk of skin cancer and even melanoma skin cancer are now plentiful. It is funny though to expect businesses outside of medicine to discuss risk much. Does it really surprise anyone that tanning salon management downplays the risk of the services they provide?

As far as I am concerned tanning salons are cancer traps. They should have warnings similar to those on cigarette packages proclaiming the absolute foolishness their patrons have in using their services. I will even donate to the hypothetical copy of such a statement:

“To our Clients,
While we appreciate your patronage please be advised that tanning beds have been associated with increased risk of skin cancer and premature aging. The money you are pouring into our pockets might be better spent on sunscreens and sun avoidance clothing. By using these facilities you have decided to go against your better interest and as such the ownership takes no responsibility for the cavernous wrinkles, cancer and even death you might receive in the bargain.
Thank you.”

Best Regards,

John Di Saia MD

Originally posted 2012-02-09 07:30:06.

,

Comments

Nasal Mohs Patient & The Politics of Doing The Right Thing

Recently I saw a patient with a small superficial basal cell cancer on the rim of her nose (the Nasal Ala.) She was referred by a dermatologist who had scheduled her for Mohs Surgery and wanted my help with reconstruction of the wound that would result from the Mohs surgery. I saw her before her Mohs surgery.

It is true that reconstruction in this area frequently leaves less than attractive results and that there are alternatives that might obviate her need for surgery namely topical chemotherapeutic creams. They only work for superficial disease which her biopsy indicated she had. I have used them before and they have worked pretty well but they do require a lot of follow-up visits.

At the risk of angering the local dermatologist I suggested that the patient speak with her about this possibility before her scheduled Mohs operation. It is true that that a surgeon working with his mind as opposed to with his hands makes less less money, but it is the right thing to do. The patient actually decided to have the Mohs surgery anyway.

I always wonder when I do these things if I am annoying the referring doctors and I may do so on occasion. The focus should be on what’s best for the patient, but business can distort that in some cases.

Best Regards,

John Di Saia MD

Originally posted 2010-08-23 08:00:27.

, , , ,

Comments

Good Liposuction Results – Booty Refinement for You?

Good Liposuction Results can mean your future booty might be “refined.” 

Liposuction is a popular procedure and when performed judiciously it can have good long lasting results. As we have discussed before it is not immune to large weight fluctuations. For patients in a reasonable weight range (plus or minus a few pounds,) it performs well in the right hands. Despite that which you see featured elsewhere good butt liposuction is not a matter of removing more, but rather removing the right amount in the right patient the right way.

Here is a case I did about ten years ago on a woman with a bit of extra (her words) “junk in her trunk.” She was later to call this “good butt liposuction” herself . :) No laser or other high tech gizmo was used. She did have a short anesthetic in a surgery center and there were no complications.

 

Good Liposuction Results

Good Liposuction Results Orange County California

Realistic Thigh Liposuction Orange County California

The operation made things quite a bit better. She was pleased. It did not however make her into a “thin woman.” It made her into a “thinner woman.” That is “good liposuction results.” :) 

 

Best Regards,

John Di Saia MD

Originally posted 2013-02-22 07:30:52.

, , , ,

Comments

Reader Question: My Plastic Surgeon Doesn’t Care About Me! What Do I Do?

I got breast implants from a well known doctor, but now that I am having problems he doesn’t want to see me. Do I try to go to another doctor? When I call other doc offices for an appointment, they tell me to go back to the doctor who doesn’t care. What do I do?

Perhaps the only time you really know you have chosen the right doctor is when things are not going well. Many doctors who perform cosmetic work are not so great about after care and patients who are not happy are the hardest to resolve after surgery. Some docs therefore delegate this duty to others in their offices. If your doc handles a bad situation like this personally, he is really good. It doesn’t sound like you are in that position unfortunately.

You are best served by making it work with your current surgeon as he knows the most about your case. Try to sit down and in a very non-accusatory fashion lay out what you see as wrong with your result. If you can’t get to a reasonable place with your original surgeon, you will have to try to get a second opinion. As you have surmised, may docs may not want to be that second opinion doctor.

Having seen “problem cases” originally operated elsewhere over the years, I can understand why others docs may be hesitant to get involved. Most outside docs feel like the problems of other docs should be fixed by those other docs. Secondary surgery can be harder or relate to things that cannot be fixed. There is also the possibility that second opinion patients might be looking to get legal with their original surgeon. Any doctor may worry about getting involved in that. Time is money.

I do hope you are able to get the problem fixed to your satisfaction.

Best Regards,

John Di Saia MD

Originally posted 2011-08-04 07:30:57.

, , , ,

Comments

An Epiphany After A Chest Reconstruction

As some of you know, I split my time between cosmetic surgery and reconstructive efforts. Recently I operated on a nice man immediately after his cardiac bypass surgery. He had had previous surgery and radiation for a chest wall cancer and now needed a bypass for his heart. The cardiac surgeon wanted my help to provide some healthy tissue under the incision he would make in that previously irradiated territory. This would help ensure that despite the negative effects of that radiation therapy on his newly healing wound, it might actually heal.

I used a portion of muscle from the abdomen, the Rectus abdominus. These things can hurt quite a bit after this type of surgery so like I do in cosmetic tummy tuck surgery, I placed a marcaine pain pump at the end of the case to help reduce his post-operative pain and need for narcotics (from my part of the surgery anyway.)

After surgery I make it a point to scribble some codes (cpt and icd-9) for my billing gal on a face sheet. So I am looking through the Medicare cpt codes and came to realize why many non-cosmetic surgeons do not place marcaine pain pumps: there is no cpt code for their placement. Essentially placing a pain pump after surgery is not a paid service by Medicare. When Medicare does not pay for it, neither does commercial insurance. So that part of the surgery was free. Lucky me.

So when you awaken from your next operation and wonder why it hurts so much, it might be that the additional surgery that might have made things better for you is not a paid service. That is not good for your surgeon, but more importantly is not good for you.

Best Regards,

John Di Saia MD

Originally posted 2012-09-04 07:30:06.

, , , ,

Comments

Tummy Tuck and the Totally Flat Tummy

At an online forum, I responded to a post by a woman who had had tummy tuck surgery elsewhere (the famous Dr “X”) and was unhappy that her tummy was not “totally flat” afterward. She was asking whether this might represent fat that her doctor hadn’t removed. At this forum they refer to the after tummy tuck appearance as the “flatlands.” Kinda cute.

Tummy Tuck surgery results vary between surgeons and patients. The reasons for this are multiple:

(1) Different surgeons work with different techniques and spend more or less effort than others to get their best result.

(2) Some patient’s tissues stretch more after being placed upon tension than others. We see this over the weeks and months after an operation.

(3) Some people are more successful than others at pushing away from the buffet.

Is has been true for as long as there has been cosmetic surgery that the most important issue for a patient to comprehend relates to reasonable expectations.

Expecting “absolutes” in a world of “relatives” is an invitation to disappointment. “Totally flat” sounds great but might be off the charts for some patients. Some surgeons are going to make more of an effort to get you there though. And what is “Totally flat” for one patient might not be flat enough for another anyway. When plastic surgery doesn’t get you where you want to be there are several issues to address regarding the cause.

It is far more productive to look at degrees of improvement and focus your pre-op conversation on what you might be able to achieve. Picking the right surgical talent never hurts either. :)

Best Regards,

John Di Saia MD

Related:

Dr D’s Practice Web Site Tummy Tuck Section

Originally posted 2011-07-25 07:30:16.

, , ,

Comments