The Freeman

Skin REPUBLIC

- BY JENNIFER TOLEDO-TAN. M.D. Dr Tan is a diplomate of Philippine Dermatolog­ical Society (PDS). She is affiliated with Perpetual Succour Hospital. For other informatio­n on PDS, check http:// www.pds.org.ph/. If you have any questions or concerns please t

Dear Dr. Jen, I have flabby upper arms and thighs. My internist said that I am not a good candidate for liposuctio­n due to my diabetes. Is there another way to slim down my limbs that will not put my health at risk?

Giselle

Dear Giselle, There are many FDA approved, non-invasive ways to shape your body. The most popular are Radiofrequ­ency and Infrared (Apollo, Thermage, Titan, etc). These lasers firm up the skin by restoring firmness in the area treated. As expected, the results are not as drastic as liposuctio­n but it will help to a highly satisfacto­ry degree. The wonderful thing about faceliftin­g and body-contouring lasers is the absence of surgery. Also, it is cheaper than going about it surgically plus there is no recovery time required. However, there are two things to be mindful of. First thing to ask is what machine your dermatolog­ist is using. You can even go so far as to ask how much the machine is. Chances are the cheaper machines probably are not as well made, meaning higher risk for side effects and less than optimum results. More importantl­y, research about the dermatolog­ist (not cosmetolog­ist) doing the procedure and make sure they are certified and properly trained. Good luck and hope you enjoy the benefits of nonsurgica­l skin tightening soon!

Dear Dr. Jen, My mother was diagnosed to have skin cancer (basal cell carcinoma) in the US which was removed from her face. She is fine now, however, I am anxious about getting skin cancer too. My question is: am I at risk too and how often should I have my skin checked for cancer?

Amy

Dear Amy, I am very sorry to hear about your mom's condition but I am glad it was treated appropriat­ely. Basal cell carcinoma is one of the most common skin cancers in the world. It is a very "polite" skin cancer because it does not metastasiz­e and is very treatable simply by removing it.

To answer your question, yes, you are at risk to a certain degree, especially if you have Caucasian ancestry. But what is more influentia­l in developing basal cell carcinoma is chronic sun exposure. If you grew up being constantly outdoors or at the beach, then that would put you at a risk. Be suspicious of early signs of skin cancer such as non-healing wounds, reddish patch on the face that does not respond to medicine, and elevated growth with rolled borders. You can have an over all skin check yearly to document your moles and other suspicious-looking lesions. This will only take 10 minutes of your time every year but will put your mind at ease. You can check the PDS (Philippine Dermatolog­ical Society) website for a dermatolog­ist nearest you who can give you a thorough check for skin cancers. Don't forget to slather on the sunblock so you prevent putting yourself at risk!

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