Understanding Skin Cancer

Skin cancer is the most common form of cancer in the United States, affecting millions of people each year. It occurs when the skin's cells grow uncontrollably, forming malignant tumors.The three main types arise in the upper layer of skin called the epidermis. The three main types of skin cancer are:

  1. Basal Cell Carcinoma (BCC): The most common type of skin cancer, BCC arises from the basal cells (bottom layer) in the epidermis. It typically appears as a pearly or waxy smooth bump, a flat lesion, or a sore that doesn't heal and often has a fine spider vein next to or on it. BCC is usually slow-growing and very rarely spreads to other parts of the body but can cause significant local damage if not treated.
  2. Squamous Cell Carcinoma (SCC): SCC develops from the squamous cells (upper layers) in the skin and is the second most common type of skin cancer. It often presents as a red, scaly patch, a firm bump, or a sore that heals and then reopens. SCC can be more aggressive than BCC and has the potential to spread to other organs if left untreated.
  3. Melanoma: Melanoma is the most dangerous form of skin cancer, originating in the melanocytes, the cells that produce pigment, located in the bottom of the epidermis. It can develop in existing moles or appear as a new, unusual-looking brown, black or multicolored growth. It can be flat or raised like a nodule and usually is irregularly shaped and has an uneven border. Melanoma is known for its ability to spread quickly to other parts of the body, making early detection and treatment crucial.

Causes and Risk Factors for Skin Cancer

The primary cause of skin cancer is ultraviolet (UV) radiation from the sun or tanning beds. Prolonged exposure to UV rays can damage the DNA in skin cells, leading to mutations and the development of cancerous growths. Other risk factors include:

  • Fair skin, light hair, and blue or green eyes
  • A history of strong sunburns or excessive sun exposure
  • A family history of skin cancer
  • The presence of numerous moles or atypical moles
  • A weakened immune system
  • Previous radiation therapy

Diagnosis and Screening of Skin Cancer

Early detection is key to successful treatment outcomes for skin cancer. At Park Avenue Skin Care, we offer comprehensive skin cancer screenings and diagnostic services. Our dermatologists perform thorough skin examinations, looking for any suspicious moles or lesions. If a concerning spot is found, we may perform a biopsy to determine if it is pre-cancerous (still benign but not normal and already showing signs of a greater chance of developing into a cancer) or in fact already cancerous. We utilize advanced imaging technologies and diagnostic tools to accurately diagnose and evaluate the cancer, allowing us to develop an effective treatment plan.

Treatment Options for Skin Cancer

The treatment of skin cancer depends on the type, location, and stage of the cancer, as well as the patient's overall health. At Park Avenue Skin Care, we offer a range of treatment options tailored to each patient's needs:

  1. Surgical Excision: This procedure involves removing the cancerous tissue along with a margin of healthy skin. It is commonly used for all three common types and is almost always curative when the cancer is detected early.
  2. Mohs Surgery: Mohs surgery is a specialized technique used to treat certain types of skin cancer, particularly those in sensitive areas or with a high risk of recurrence. During the procedure, layers of skin are removed and immediately examined under a microscope until no cancer cells remain, preserving as much healthy tissue as possible.
  3. Cryotherapy: Cryotherapy involves freezing the cancerous cells with liquid nitrogen, effectively destroying them. It is typically used for small, superficial skin cancers or precancerous lesions.
  4. Topical Treatments: For certain superficial skin cancers, topical medications such as imiquimod or 5-fluorouracil can be applied to the skin to destroy cancerous cells.
  5. Radiation Therapy: In cases where surgery is not an option, or for patients with large or deeply invasive tumors, radiation therapy may be used to target and kill cancer cells.
  6. Targeted Therapy and Immunotherapy: For advanced melanoma or other skin cancers that have spread, targeted therapy and immunotherapy can help the immune system fight the cancer or target specific cancer cell mutations.

Preventive Care and Education

Preventing skin cancer starts with protecting your skin from UV exposure. We offer educational resources and guidance on sun safety, including the use of sunscreen, protective clothing, and avoiding peak sun hours. Regular professional skin checks (“Total Skin Examination”) as well as self-examinations are crucial for early detection and prevention.

The Park Avenue Difference

At Park Avenue Skin Care, we are committed to providing personalized care for each patient. Our team of dermatologists work closely with you to develop a customized treatment plan that addresses your specific needs and concerns. We understand the importance of both physical and emotional support during treatment, and we strive to create a compassionate and supportive environment for all our patients.

Patient Reviews

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! He 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 him, 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 he 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. He 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, he 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 him 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. He 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 him 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 he gives.

- Katrina A.

Frequently Asked Questions

  • What are the signs of skin cancer?

    Signs of skin cancer include new or changing moles, lesions that don't Read More

  • How can I reduce my risk of developing skin cancer?

    To reduce your risk, limit sun exposure, use broad-spectrum sunscreen with an Read More

  • Is skin cancer curable?

    Almost all types of skin cancer can be effectively treated, especially when Read More

  • Who is most at risk for skin cancer?

    People with fair skin, a history of sunburns, a history of sun Read More

  • What should I do if I suspect I have skin cancer?

    If you notice any suspicious changes in your skin, schedule an appointment Read More

Rejuvenate Your Skin

Make your skin care a priority with leading-dermatologist and New York Magazine’s “Top Doctor”: Dr. Neal Schultz.

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