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American Board of Dermatology
American Board of Hair Restoration Surgery
Fellow American Society for Mohs Surgery
American Society for Lasers in Surgery and Medicine
WE’VE GOT YOU
COVERED FROM
HAIR TO TOE
JJupiter Dermatology and Hair Restoration, Laser and Med Spa
A potentially
deadly skin
cancer
arising from
pigmented
cells or other
moles or
freckles.
Firm Youthful Skin
Epidermis
Dermis
Fat
Healthy Collagen/ Elastin =
Firm Youthful Skin
Epidermis
Dermis
Fat
Healthy Collagen/ Elastin =
 Broad Spectrum UVA/UVB
 SPF 30
 Physical Sunblocks
Titanium Dioxide, Zinc Oxide
 Water resistant 40, 80 min
No such thing as waterproof
 Most importantly.
Reapply every 2 hours
Especially after swimming
One you or your kids like
Avoid aerosol sprays
#
 Smoking increases
MMP, matrix
metalloproteinases
 MMP degrade your
collagen and Elastin
 Leads to Premature
aging and Wrinkling
 Smokers have dry
lackluster skin
AM. Topical Antioxidants
Vitamin C, of the correct
concentration and pH for skin
absorption
Resveratrol topically
PM. Tretinoin (Retin A, Renova)
Sunscreen: UVA rays cause
wrinkling
Anyone
Higher Risk:
 Fair skin
 Blonde or red
hair,
 Blue eyes
 Family History
Maureen Reagan
Bob Marley
James Rebhorn
Eva Cassidy
 Melanoma Manifests Differently
in Children Than in Adults
 Rare in children: 1 to 4 percent of all melanoma
cases and just 3 percent of pediatric cancers.
 Rising at rate of 1 to 4 percent per year.
 Biggest risk factor: sunburns
Kids and Melanoma 4%
Protective Clothing
Rash gaurds
Solumbra or other UV
clothing
Wide Brimmed Hat
Sunglasses
Latin verb
 docēre [dɔˈkeːrɛ]
'to teach'
Before After Excision
1 cm Margins
1 month Post Op
Immediate Post
Op Repair
GOOD BAD
GOOD
BAD
GOOD BAD
6 mm
GOOD
Venous Lake
GOOD
Very common
trunk
Waxy verrucous
Stuck on like silly
putty on the wall
GOOD
Palms, Soles , and Nails
More Common in Asians, Blacks and
Hispanics
Delays in diagnosis worsen disease and
prognosis
Patient A Patient B
Patient A Patient B
Men:  4.5 fold
Women:  24-fold.
In the US alone,
419,254 cases of skin cancer can be
attributed to indoor tanning.
 of This, 6,199 are melanomas
The number of skin cancer cases due to
tanning is higher than the number of
lung cancer cases due to smoking
 Women:
 Age 18-29,
 76% associated with tanning bed use
 Indoor Tanning
 Melanomas 59-75% if tanning ≤ 35 years old
 BCC/SCC  40-100% if tanning ≤ 25 years old
 20 minutes tanning = 3 hours in the sun unprotected
 Tanning beds are concentrated UVA or 3-6 times the
amount of radiation given off by the sun
 There is no UVB so you do not feel the burning rays
#
Avoid Peak Sunlight hours
10 am – 4 pm
Shadow Rule: shadow
smaller than you, caution
Avoid reflective surfaces
(water, snow, sand)
Sunglasses
Long Sleeves
Buff Guards
Nose guards
“ I was told by my doctor I
needed Mohs surgery for a basal
cell on my face. I am afraid of
surgery and pretty vain. What is
Mohs? Do I really need it and
how bad will I look afterwards.”
Breadloaf Vertical VS Horizontal Pie
12
6
9
3
12
6
3
9
It’s Just a Pimple Doc
Maruchy
1 week after surgery
Stitches in Place
After Mohs
Mohs Reconstruction
“My Hair is falling out like
crazy and I don’t know what to
do. I fear I will go bald. What
can I do to stop it?
What can I do to get my hair
back? Desperate and Depressed
in Palm Beach Gardens”
Good News!!!
You will Not go Bald
and Your Hair will
Regrow
Losing all my hair
Sheilas Story
Telogen Effluvium : Biggest Culprit
Normal Hair Cycle
90% Anagen
2- 5 years
Hair
grows
Thick
Hair
roots
degenerating
Growth
stops
Old hair
falls out,
new hair
regrows
Anagen Catagen Telogen Early Anagen
10% Telogen 3 months
shedding phase
Telogen Effluvium : 3months cycle
 Stress, death, loss of loved ones, jobs
 Post Partum Pregnancy
 Illness, fevers, Antibiotics
 Thyroid or hormone imbalances
 Crash Diets, Drugs
 Oral contraceptive pill withdrawal
 Surgical Operations, Anesthesia
 95% resolve 12 months
Alopecia Areata
Take ten minutes out of your
day to release stress
Meditate
Yoga
Exercise
Sleep better today for more
beautiful skin and hair
Sleep deprivation causes
stress on the body which
can aggravate your hair,
skin and nail conditions
Sleep on your back to avoid
sleep lines or use satin
pillows to alleviate the
pressure on the face
Restoring a thicker fuller hairline
and temples
Before Hair Transplant
Before After
Jupiter Dermatology and Hair Restoration
World Class Hair Restoration for Men and Women
Ricardo Mejia M.D.
Before After
Before After
Jupiter Dermatology and Hair Restoration
World Class Hair Restoration for Men and Women
Ricardo Mejia M.D.
Before After
Before Hair Transplantation After Hair Transplant
Hair Loss from Brow Lift Camouflaged after 1
Procedure
COSMETIC SURGERY SCAR
Propecia or Finasteride
 9 out of 10 respond
 Low incidence of sexual
side effects
 Effects are reversible
 No permanent side
effects in my practice
 Men: 1 mg daily or
 5mg ¼ tab daily
 Women: 2.5 mg
daily(off label)
Topical Treatments
PRP: Platelet Rich Plasma
concentrated blood plasma
approximately five times the number of platelets
found in normal circulating blood.
contains the growth factors that aid in wound
healing.
? amplify the body’s naturally occurring wound
healing mechanism.??
? stimulate the stem cells of the newly transplanted
hair follicles??
? stimulate the growth of follicles??
? reverse hair miniaturization seen in androgenetic
alopecia and even preventing hair loss.??
Bimatoprost, a glaucoma treatment
Hair restorations surgeons have been
experimenting and reports sound
promising .
 Expensive
May make hairs grow faster and longer
and prolong the growth phase.
Low Level Laser Therapy
30 min 3x a week
 LED diodes with pure red light at 633-670nm
 Hypothesized to stimulate epidermal stem cells in
the hair follicle
 Increase cell metabolism
 The health of blood vessels in the scalp for
thicker, supple & more durable hair
 Stimulate the sebaceous glands for silkier-looking
hair
Final Skin Care
Tips for Healthy
Skin
 If your skin feels dry , moisturize
 Apply to damp skin, wait for it to be absorbed
then apply a second layer
 Using one with an exfoliant like lactic acid
softens skin and sloughs off flakes
 Condition hair after every shampoo
#8.
Eat well and get good nutrition
 Vitamin A supplementation may reduce melanoma risk
 Selenium garlic, brown rice, whole grains, eggs, seafood and
Brazil nuts) internal/external-200microg/d 1996 JAMA study
may reduce skin cancer risks
 Low fat diet associated with decrease in Actinic keratosis
 Vitamin E (vegetable oils, nuts, seeds, olives, spinach, and
asparagus) is shown to reduce the development of UV light-
induced tumors in animals- internal/external-~400-800IU/d
 Omega-3 FAs/Alpha-Lipoic Acid, (oils of nuts, seeds {flax!},
cold water, deep sea fish salmon sardines) is a more powerful
antioxidant, 100xs more potent than either vitamin C or E
 vitamin D Level: if low, may increase the risk for
the development of breast and colon cancer and may
also accelerate the growth of melanoma
#
 Lines around the eyes (crows feet) happen from
repeated motions (squinting, smiling) as well as
sun damage that causes permanent grooves in
the skin
 Easy fix: Large, dark, UV protective sunglasses
 Botox & Dysport will prevent the movements
that causes wrinkles
Get a Total Body Skin Exam yearly
WE’VE GOT YOU
COVERED FROM
HAIR TO TOE
JJupiter Dermatology and Hair Restoration, Laser and Med Spa
Ricardo Mejia MD Ashley Hess PA-C
Jupiterderm.com/DrOzEvent

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Presentation by Dr. Mejia on Skin and Hair Health at Dr. Oz Event

  • 1. American Board of Dermatology American Board of Hair Restoration Surgery Fellow American Society for Mohs Surgery American Society for Lasers in Surgery and Medicine
  • 2. WE’VE GOT YOU COVERED FROM HAIR TO TOE JJupiter Dermatology and Hair Restoration, Laser and Med Spa
  • 3.
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  • 6. A potentially deadly skin cancer arising from pigmented cells or other moles or freckles.
  • 9.  Broad Spectrum UVA/UVB  SPF 30  Physical Sunblocks Titanium Dioxide, Zinc Oxide  Water resistant 40, 80 min No such thing as waterproof  Most importantly. Reapply every 2 hours Especially after swimming One you or your kids like Avoid aerosol sprays
  • 10. #  Smoking increases MMP, matrix metalloproteinases  MMP degrade your collagen and Elastin  Leads to Premature aging and Wrinkling  Smokers have dry lackluster skin
  • 11. AM. Topical Antioxidants Vitamin C, of the correct concentration and pH for skin absorption Resveratrol topically PM. Tretinoin (Retin A, Renova) Sunscreen: UVA rays cause wrinkling
  • 12.
  • 14. Higher Risk:  Fair skin  Blonde or red hair,  Blue eyes  Family History Maureen Reagan Bob Marley James Rebhorn Eva Cassidy
  • 15.  Melanoma Manifests Differently in Children Than in Adults  Rare in children: 1 to 4 percent of all melanoma cases and just 3 percent of pediatric cancers.  Rising at rate of 1 to 4 percent per year.  Biggest risk factor: sunburns
  • 17. Protective Clothing Rash gaurds Solumbra or other UV clothing Wide Brimmed Hat Sunglasses
  • 18.
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  • 20. Latin verb  docēre [dɔˈkeːrɛ] 'to teach'
  • 21.
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  • 24. 1 month Post Op Immediate Post Op Repair
  • 25.
  • 29. 6 mm
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  • 35. GOOD
  • 36.
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  • 43. Very common trunk Waxy verrucous Stuck on like silly putty on the wall GOOD
  • 44.
  • 45. Palms, Soles , and Nails More Common in Asians, Blacks and Hispanics Delays in diagnosis worsen disease and prognosis
  • 48.
  • 49.
  • 50. Men:  4.5 fold Women:  24-fold. In the US alone, 419,254 cases of skin cancer can be attributed to indoor tanning.  of This, 6,199 are melanomas The number of skin cancer cases due to tanning is higher than the number of lung cancer cases due to smoking
  • 51.  Women:  Age 18-29,  76% associated with tanning bed use  Indoor Tanning  Melanomas 59-75% if tanning ≤ 35 years old  BCC/SCC  40-100% if tanning ≤ 25 years old  20 minutes tanning = 3 hours in the sun unprotected  Tanning beds are concentrated UVA or 3-6 times the amount of radiation given off by the sun  There is no UVB so you do not feel the burning rays
  • 52. #
  • 53. Avoid Peak Sunlight hours 10 am – 4 pm Shadow Rule: shadow smaller than you, caution Avoid reflective surfaces (water, snow, sand)
  • 55.
  • 56. “ I was told by my doctor I needed Mohs surgery for a basal cell on my face. I am afraid of surgery and pretty vain. What is Mohs? Do I really need it and how bad will I look afterwards.”
  • 57.
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  • 59. Breadloaf Vertical VS Horizontal Pie
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  • 66. It’s Just a Pimple Doc
  • 67.
  • 68. Maruchy 1 week after surgery Stitches in Place After Mohs Mohs Reconstruction
  • 69. “My Hair is falling out like crazy and I don’t know what to do. I fear I will go bald. What can I do to stop it? What can I do to get my hair back? Desperate and Depressed in Palm Beach Gardens”
  • 70. Good News!!! You will Not go Bald and Your Hair will Regrow
  • 71. Losing all my hair Sheilas Story
  • 72. Telogen Effluvium : Biggest Culprit
  • 73. Normal Hair Cycle 90% Anagen 2- 5 years Hair grows Thick Hair roots degenerating Growth stops Old hair falls out, new hair regrows Anagen Catagen Telogen Early Anagen 10% Telogen 3 months shedding phase
  • 74. Telogen Effluvium : 3months cycle  Stress, death, loss of loved ones, jobs  Post Partum Pregnancy  Illness, fevers, Antibiotics  Thyroid or hormone imbalances  Crash Diets, Drugs  Oral contraceptive pill withdrawal  Surgical Operations, Anesthesia  95% resolve 12 months
  • 76. Take ten minutes out of your day to release stress Meditate Yoga Exercise
  • 77. Sleep better today for more beautiful skin and hair Sleep deprivation causes stress on the body which can aggravate your hair, skin and nail conditions Sleep on your back to avoid sleep lines or use satin pillows to alleviate the pressure on the face
  • 78. Restoring a thicker fuller hairline and temples
  • 80. Before After Jupiter Dermatology and Hair Restoration World Class Hair Restoration for Men and Women Ricardo Mejia M.D.
  • 83. Jupiter Dermatology and Hair Restoration World Class Hair Restoration for Men and Women Ricardo Mejia M.D. Before After
  • 84. Before Hair Transplantation After Hair Transplant Hair Loss from Brow Lift Camouflaged after 1 Procedure COSMETIC SURGERY SCAR
  • 85. Propecia or Finasteride  9 out of 10 respond  Low incidence of sexual side effects  Effects are reversible  No permanent side effects in my practice  Men: 1 mg daily or  5mg ¼ tab daily  Women: 2.5 mg daily(off label)
  • 87. PRP: Platelet Rich Plasma concentrated blood plasma approximately five times the number of platelets found in normal circulating blood. contains the growth factors that aid in wound healing. ? amplify the body’s naturally occurring wound healing mechanism.?? ? stimulate the stem cells of the newly transplanted hair follicles?? ? stimulate the growth of follicles?? ? reverse hair miniaturization seen in androgenetic alopecia and even preventing hair loss.??
  • 88. Bimatoprost, a glaucoma treatment Hair restorations surgeons have been experimenting and reports sound promising .  Expensive May make hairs grow faster and longer and prolong the growth phase.
  • 89. Low Level Laser Therapy 30 min 3x a week  LED diodes with pure red light at 633-670nm  Hypothesized to stimulate epidermal stem cells in the hair follicle  Increase cell metabolism  The health of blood vessels in the scalp for thicker, supple & more durable hair  Stimulate the sebaceous glands for silkier-looking hair
  • 90. Final Skin Care Tips for Healthy Skin
  • 91.  If your skin feels dry , moisturize  Apply to damp skin, wait for it to be absorbed then apply a second layer  Using one with an exfoliant like lactic acid softens skin and sloughs off flakes  Condition hair after every shampoo
  • 92. #8. Eat well and get good nutrition  Vitamin A supplementation may reduce melanoma risk  Selenium garlic, brown rice, whole grains, eggs, seafood and Brazil nuts) internal/external-200microg/d 1996 JAMA study may reduce skin cancer risks  Low fat diet associated with decrease in Actinic keratosis  Vitamin E (vegetable oils, nuts, seeds, olives, spinach, and asparagus) is shown to reduce the development of UV light- induced tumors in animals- internal/external-~400-800IU/d  Omega-3 FAs/Alpha-Lipoic Acid, (oils of nuts, seeds {flax!}, cold water, deep sea fish salmon sardines) is a more powerful antioxidant, 100xs more potent than either vitamin C or E  vitamin D Level: if low, may increase the risk for the development of breast and colon cancer and may also accelerate the growth of melanoma
  • 93. #  Lines around the eyes (crows feet) happen from repeated motions (squinting, smiling) as well as sun damage that causes permanent grooves in the skin  Easy fix: Large, dark, UV protective sunglasses  Botox & Dysport will prevent the movements that causes wrinkles
  • 94. Get a Total Body Skin Exam yearly
  • 95. WE’VE GOT YOU COVERED FROM HAIR TO TOE JJupiter Dermatology and Hair Restoration, Laser and Med Spa Ricardo Mejia MD Ashley Hess PA-C Jupiterderm.com/DrOzEvent