SKIN CANCER

Every 2 or 3 weeks in my practice, I hear a variation of this story: "Dr. Swinehart, my aunt had a changing mole two years ago and showed it to someone else, who said that it was 'nothing.' A year later, she saw a dermatologist who diagnosed melanoma and removed it. However, it has now spread to her lungs and liver, and she is in the hospital receiving chemotherapy."

Obviously, in our practice, we try to prevent that from happening!

Ultraviolet light increases 4% for every 1,000 feet in altitude. Therefore, in Denver, we have approximately 20% more ultraviolet, and at 10,000 feet, we have 40% more. Add that to the outdoor lifestyle, reflection from the snow, and sand, and 300 days of sunshine per year, and our skin cancer rates are among the highest in the nation!

Most sun damage originates in childhood and becomes manifest (either as wrinkles or cancer) years or decades later. Sunscreens are important now, but you may not have used them as a child.

What do you look for in a spot on the skin? Any change may indicate trouble: Itching, bleeding, crusting, color change, enlargement, irritation, or even a "sixth sense" that something may be going on with one of your moles. Please do not take chances - have us examine them!


  What's Your Diagnosis: Benign or Malignant??
BASAL CELL CARCINOMAS
are often painless, pink bumps, sometimes with a shiny appearance and sometimes scaling or crusted. They can erode deeply into the skin.

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SQUAMOUS CELL CARCINOMAS
are thicker, scaly or warty growths in sun exposed areas. These can occasionally spread to other areas of the body.
ACTINIC KERATOSES(precancerous)
are the precursors to these tumors.

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MALIGNANT MELANOMAS
(malignant moles) can possess irregular borders or colors; only 20% come from pre-existing moles. These can be deadly if they spread.

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Answers at the bottom of the newsletter!

TREATMENT OF ACNE SCARS

Acne scars come in many shapes and sizes. Our treatment is tailored to each patient's own particular situation and consists of two basic concepts. First, one must "fill up the valleys" (sunken scars). Next, we need to "smooth down to mountains" (irregular skin surface).

Deep narrow fibrous scars ("large pores") are first removed. They are replaced by a tiny "punch graft" or smooth skin, taken from behind the ear. Punch Grafting
Before
After
Fibrous bands pulling down on sunken acne scars may be interrupted by SUBCISION, allowing them to become less deep. Then, a "filler" of the patient's own tissue is inserted underneath these scars to keep the bands from reattaching. Dermal Grafting
Before
After
The patient's own collagen or tissue can be processed and injected under some softer acne scars. Autologous Collagen
Before
After
The deepest soft scars can be raised with fat taken from the patient's body, and implanted underneath the scar. Fat Injection
Before
After
The skin surface can be smoothed with dermasanding, dermabrasion, or peeling. This area heals in a few days. Dermabrasion/Dermasanding
Before
After
Dry ice consists of the application of solid carbon dioxide mixed with acetone in order to gradually reduce the scars. These treatments are performed every 2 to 3 weeks in the office. There is no "recovery time" with this treatment. Dry Ice
Microdermabrasion consists of a stream of aluminum oxide crystals that gradually smooths the skin, cleans out the pores, treats acne, and helps to treat very fine lines and dark spots on the skin. There also is no "down time" with this procedure. Microdermabrasion

HAIR LOSS

If a genie could appear to any person (male or female) with thinning hair, perhaps one wish for nearly all would be for more hair! You take pride in your appearance, dress well, keep your house and car clean, and mow your lawn - so why make apologies about wanting more hair? We still have no identified the hair loss gene. However, hair loss does not seem to be from diet, stress, or wearing hats.
Female in 30s with Ludwig Type 2 Female Pattern Hair Loss
Results After 2 "Fill In" Micrograft Sessions
MEDICAL TREATMENT

Finasteride (Propecia®) and Dutasteride (under research) both block 5-alpha reductase, an enzyme that converts testosterone to Dihydrotestosterone. Dihydrotestosterone seems to be involved in increasing hair loss. These drugs, as well as Rogaine® (Minoxidil) must be taken forever in order to maintain what you have gained.
Female Patient With Severe Ludwig III Alopecia
Results After 2 Extensive Follicular Unit Sessions
FOLLICULAR UNIT TRANSPLANTATION

Hair follicles in the donor area (back of scalp) grow in little buddles of 1 to 4 hairs, called Follicular Units. These bundles each possess their own "genetic program" to go bald at a certain age (such as 40) or to live to be, say, 80 or 90. This genetic program is transfered with the hair follicles when they are moved to a bald area. Bald scalp is not "diseased skin" or "bad soil." These hair follicles will grow as long as they are destined to, regardless of where they are placed.
Male In 20's With Diffuse Alopecia
Results After 1,500 Follicular Units (2 Sessions)
WHAT IF I'M JUST STARTING TO THIN?

LUDWIG hair loss types I, II, and III in WOMEN, and thinning areas in MEN, can be successfully treated with Follicular Unit Transplantation. Tiny follicular unit micrografts are placed between the thinning hair, leaving the remaining hair undisturbed. The hair gradually appears fuller and thicker from the transplants, which grow for many years and can be permed, dyed, and styled. Also, unlike hairpieces or wigs, you only have to worry about the next haircut!
Male In 30's With Type 5 Male Pattern Baldness
Results After 2 Scalp Reductions and 4 Anterior Follicular Unit Sessions
HAIRLINES

New hairlines can be made nearly undetectable with hundreds of single hair grafts! Since these are taken from your own scalp, nearly all will grow for decades. You may see many sequential photographs at www.coloderm.com
Type 4 MPB and Prominent Plugs Placed Years Ago Along His Left Hairline
Repair Surgery and 4 Follicular Unit Sessions Giving Natural Hairline and Dense Hair in Anterior Crown

Insurances Accepted:
(Primarily PPO's)

AARP HUMANA
AETNA PRO INTERMOUNTAIN
AFFORDABLE MAILHANDLERS
ALLIANCE MEDICARE
AMALGAMATED TRANSIT MOUNTAIN MEDICAL
ANTHEM BLUE CROSS/ MUTUAL OF OMAHA
   BLUE SHIELD NATIONAL BENEFITS
CIGNA PPO NATIONAL GROUP LIFE
CARPENTERS AND MILLWRIGHTS ONE HEALTH
CARPET AND LINOLEUM PACIFICARE (PPO ONLY)
   WORKERS PHCN (PRIVATE HEALTH
COLORADO PIPE INDUSTRIES    CARE NETWORK) & PHCS
DENVER PUBLIC SCHOOLS SECURE HORIZONS PPO
DENVER GROCERS SHEET METAL WORKERS
  SLOANS LAKE PPO
DOUGLAS COUNTY SCHOOLS STATE FARM PPO
EMPLOYERS' HEALTH TEAMSTERS PPO
FIRST HEALTH TRAVELERS PPO
FORTIS UNITED HEALTH CARE PPO
GATES WAL-MART
GOLDEN RULE R.M. UFCW
GREAT WEST ...and others

Please inquire at (303)744-1202 about your plan!
Please have your referral in place (if needed) when you arrive at the office.)
*ACNE UPDATE*
Many treatments are available to clean your skin:

  • Dry Ice Cryotherapy
  • Microdermabrasion
  • Azelex®
  • Tazorac Gel®
  • Retin A®
  • Avita®
  • Regine Cosmetics®
  • Yvette Moisture Cream®
  • Topical Antibiotics
  • Oral Antibiotics/Periostat
  • Accutane®
  • ACNE SCAR TREATMENT
  • and Others