When you come in for your skin cancer screening, you’ll receive an inspection of your skin by Dr. Schultz or his female partner, Debora Heslin PA., in a comfortable, private exam room. There won’t be any pain or needles! It’s quick and easy and takes about 10 minutes. You should start having these screenings done as early as your teen years. At that younger age, Dr. Schultz says, “you would receive a baseline exam so we know what normal moles you have. And in case they do change, we have a reference point for what they used to be.” The other great part of these screenings is that if you have no abnormal spots, moles or bumps, you’re told that immediately and don’t have to wait for results.
You may be feeling apprehensive about getting a skin cancer screening examination. As easy and effortless as a screening exam is, many people still put off these kinds of appointments because they are afraid of hearing bad results. But here’s the good news: if your results do come back abnormal, this is the easiest kind of cancer to cure if diagnosed and treated early. When Dr. Schultz examines your skin, he won’t just detect existing skin cancer (if there is any to be found), but he’ll be looking for precancerous moles and growths. Precancerous just means there is a higher likelihood of the benign growth or mole developing into cancer later on. If he finds those, they can be removed at this very early and harmless stage, thus getting ahead of what could be a much bigger problem down the line. In addition, he’ll be able to document what moles do exist on your skin so if they do change in the future, we’ll have a better way of tracking any changes and knowing if they should be removed.
If Dr. Schultz finds any precancerous or abnormal benign moles during your visit, he will give you the option to have him remove them at that time or if more convenient, at a subsequent visit. There’s no urgency to make a choice and the privilege of deciding how and when to remove any abnormalities is of course up to you. If he finds a cancerous growth, he will recommend removing it at that visit so it’s removed as soon as possible, and so you won’t have to anxiety over it waiting for a future visit. Once the abnormal growth is removed, it will be sent to a lab for testing and your results will be given to you in about four to five working days.
According to the American Academy of Dermatology, current estimates are that one in five Americans will develop skin cancer in their lifetime. That’s about 9,500 people being diagnosed with skin cancer every day. If these numbers seem high to you, that’s because they’ve actually been increasing over the years. Melanoma rates have doubled in the United States from 1982 to 2011. Although instances of all skin cancer are growing, basal cell and squamous cell carcinomas (two of the more common forms of skin cancer) and even melanoma are highly curable if detected and treated early . That’s why your yearly skin cancer screening is essential to keeping your skin, and your whole body, healthy.
If you have no irregular or abnormal growths or moles, then you only need to come in for a skin cancer screening once a year. Dr. Schultz says, “It’ll be easy for your screening to stay on your radar by making the appointment during the month of your birthday.” If you end up having any precancerous growths, Dr. Schultz suggests coming in twice a year. And if you have a history of any type of skin cancer, he says four times a year is the best skin cancer screening schedule for you.
While you’re in between your annual appointments, it’s a great idea to do at-home examinations to keep a check on your skin’s health. Dr. Schultz suggests that once a month, on the date of your birthday (so it’s again easy to remember!), you should do a complete examination. He says undressing and using a hand mirror is the easiest way to do a full body examination on yourself. You’re looking for any changes in moles that you can see. You can also ask your haircutter or stylist to check your scalp for anything that looks abnormal for those hard-to-see spots! The good news about these kinds of at-home examinations is that they’re incredibly effective. In fact, about half of melanomas are actually self-detected. Dr. Schultz explains, “If you can see a change, it’s what we call a gross change, not a subtle change. And that’s when you should tell your doctor. Remember: see something, say something.”
Dr. Schultz uses the ABCDE rule and encourages his patients to do the same when they’re performing their monthly self-examinations at home. This rule is an easy way to remember what you’re looking for and to note any changes you see. A stands for asymmetry. All normal moles should have an axis of symmetry. “In other words,” Dr. Schultz explains, “if you folded the mole in half, it would be the mirror image of itself on both sides.” B stands for border. Your moles should have regular and smooth borders without any notches or divots. C stands for color. Your moles should not be black or more than one color. D stands for diameter. Make sure when you’re checking your moles that they are no larger than a pencil eraser — about four to five millimeters in diameter. And finally, E stands for evolution. If you see any changes in your moles over time, tell your doctor right away.
The American Academy of Dermatology encourages everyone, of every skin tone, to protect their skin from the sun’s harmful UV rays. UV light is the most preventable risk factor for developing all skin cancers. Seeking shade, wearing protective clothing and using a sunscreen are all easy ways to help lower the risk of developing skin cancer from that UV light. Dr. Schultz suggests using a sunscreen with an SPF between 15 - 50, with UVA and UVB protection. Additionally, he recommends that you need to be consistently reapplying sunscreen every couple of hours that you’re outdoors. And, although Dr. Schultz will never tell you to not go out into the sun, he will most definitely tell you to not use tanning beds or sun lamps! These sources of artificial UV radiation are just as harmful to your skin as those coming from the sun. In fact, the Center for Disease Control quotes a study from the National Center for Biotechnology Information as showing an upwards of 400,000 cases of skin cancer in the U.S. each year have been attributed to indoor tanning beds. So steer clear.
Because Dr. Schultz and the team have an incredible breadth of experience and his practice is committed to performing thorough examinations, we often are able to detect abnormalities earlier than other offices who just haven’t done as many exams as we have done. We do thousands of examinations every year and these screenings make up about 25 percent of our practice. It takes time and lots of experience to do the effective measurements and thorough documentations we take pride in. We’re aggressive in removing things that look abnormal or precancerous because your skin is the only organ in your body where you can make a huge impact on whether or not you get cancer. All you have to do is show up for your exam and as long as your doctor does the same kind of exam we do here, most skin cancers can be either prevented by being picked up early in the precancerous stage or in the earliest stage of cancer if it has already transformed into a skin cancer. Dr. Schultz says, “I will never tell patients to not go into the sun. Instead, I teach them how to protect themselves in the sun by using effective sunscreen and how to use it effectively, and to stay on schedule with their screening exams so they can enjoy a healthy, vibrant life.”
When you come in for your appointment, other than doing your own monthly checks at home, there’s nothing for you to prepare. Your full body examination performed by Dr. Schultz or his female partner (your choice, of course) will be done promptly in a professional setting and should only take about ten minutes. If you have anything abnormal to remove, it may be removed during the appointment and you should get your results back from the lab in four to five days. It’s as simple as that and after your appointment you can go right back to life!
I've been seeing Dr. Schultz for the last 8 years and during that time, I've recommended him to countless friends for both cosmetic and medical dermatologic help. I trust him completely both diagnostically and aesthetically. When I had shingles, he was wonderful, incredibly supportive and kind. And when I eased into doing more cosmetic dermatology, he was– and continues to be– patient, careful and cautious. He listens to concerns and really hears what your goal outcome is and works with you to make it happen. I wanted to maintain a natural look while keeping my skin looking fresh and that's just what he's done for me. I always leave his office feeling prettier and well-cared for! If you have a medical concern or something about your skin you want to upgrade, you can't do better than Dr. Schultz and his wonderful team. And the products are amazing as well!
- Laura B.
Dr. Schultz is the most thorough and good natured dermatologist I have ever seen. I have been a patient of his for more than 20 years. He has taught me everything I know about the value of taking care of my skin, a gift that keeps on giving. He also takes the time to listen to me, to see me as an individual and doesn't treat my needs as a one size fits all doctor. I really appreciate his kindness, patience and expertise. I absolutely love his product line and have definitely reaped the rewards from using it, especially his glycolic peel pads and moisturizer, which I can't live without. My skin feels softer, smoother, appears more translucent and actually looks younger! Dr. Schultz helped me to see beyond the lines and wrinkles, although he so good at helping to keep those at bay while maintaining a very natural appearance. His staff is outstanding. They make you feel welcome, like family, from the moment you walk through the door. Angela, Monika, Deborah and all of the support staff are extraordinary at what they do. Thank you Dr. Schultz and everyone at Park Ave Skincare. You're the best!
- Laura M.
Dr. Schultz has truly transformed my skin, so much so that I can confidently leave the house without wearing makeup now. During my first meeting with Dr. Schultz, he intently listened to my skin concerns, we discussed what my goals were, and he explained pragmatically what treatments and products he recommended for me. I truly appreciate his fantastic bedside manner and conservative approach. I am a perfectionist in every aspect of my life, including my skin, and Dr. Schultz understood this and was committed to helping me achieve every skin goal I had. The entire staff is just so fantastic and friendly, from reception to the PAs. They make you feel welcome and extremely comfortable, which to me is very important when visiting any doctor’s office. As someone who works too much and never gets enough sleep, my skin was looking very dull and lifeless. My skin is now full of life again and has an incredible glow to it which I have never had before. And I owe it all to the incredible Dr. Schultz.
- Kelly D.
My partnership with Dr Schultz began more than 30 years ago. As a generous friend, advisor, skilled surgeon, and superb cosmetic diagnostician, he has enabled me to look my best. He has kept me abreast of the most sophisticated procedures and in so doing, has maximized my appearance, always guided by what will be most beneficial for me. He is someone I go to for advice and care and his staff is another manifestation of this care. I don’t know many patients who can say this, and I feel fortunate to be among them.
- Ellen R.
In the four years that I've been a patient of Dr. Schultz, my acne-prone skin has gone from constant breakouts to smooth and clear. These days, I feel confident and comfortable enough in my skin to wear minimal makeup, if any—which I never would have done in years past. Dr. Schultz and his warm, friendly staff always go above and beyond; he takes the time to listen, talk with me, and create the best plan for my skin. It's clear he has my best interests in mind, and I trust him wholeheartedly. I would highly recommend him to friends, family, and frankly, anyone who asks.
- Deanna P.
Each session with Dr. Schultz is a mini education in skin care. He approaches each patient as a unique individual with different needs. I’m Asian and he’s explained to me how that impacts treatment in a clear manner that a layperson can understand. At each examination, Dr. Schultz recites detailed notes to his staff which he then refers back to at each future appointment, adjusting and tweaking treatment plans when necessary. Over the past two years I’ve seen a remarkable improvement in my blemishes and overall complexion and wholeheartedly recommend Dr. Schultz to anyone looking to enhance their appearance.
- Sherry G.
I have been a patient of Dr. Schultz for many years, and I continue to be amazed at his medical approach, patience, and professionalism. He takes the time to listen to my health concerns, explains how and why he would like to issue a treatment in a way that I understand , answers all of my questions, and all of his procedures and painless and thorough. Dr. Schultz is very attentive, results-oriented, and extremely knowledgeable. He follows up and is committed to my health and satisfaction. The Park Avenue Skincare is a calm environment and the staff are all very friendly, warm, and respectful. It's easy to get appointments at a time that works for me and they are always on time and considerate. I think so highly of Dr. Schultz and his practice that I sent my mom to him, and continue to go to his office even though my life is based in midtown west! I have great confidence in the care that Dr. Schultz gives.
- Katrina A.
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