1.Antiaging 11.Allergology
2.Mycology 12. Dermatooncology
3.Venereology 13.Skin Cancer Screening
4.Adult Dermatology 14.Skin Augmentation
5.Pediatric Dermatology 15.Botox
6.Geriatric Dermatology 16. Trichology
7.Dermatohistology 17.Chemical Peeling
8.Laser epilation 18. Aesthetic Dermatology
9.Skin Surgery 19.Laser Surgery
10.Cryosurgery 20.Mesotherapy
21.Dermatoscopy
Contact information:
Address
Petrou Tcirou 35, first floor, Ap 101
PO3117
Limassol,Cyprus
Tel: 99-481008
Email:stelios.minas@telederm.org
Information for a patients
Regular examination of the skin by both you and your doctor increases the chance of finding melanoma early. Most melanomas that appear in the skin can be seen by the naked eye. Usually, there is a long period of time when the tumor grows beneath the top layer of skin but does not grow into the deeper skin layers. This period of slow growth allows time for skin cancer to be found early. Skin cancer may be cured if the tumor is found before it spreads deeper. Monthly self-examination of the skin may help find changes that should be reported to a doctor. Regular skin checks by a doctor are important for people who have already had skin cancer.
If an area on the skin looks abnormal, a biopsy is usually done. The doctor will remove as much of the suspicious tissue as possible with a local excision. A pathologist then looks at the tissue under a microscope to check for cancer cells. Because it is sometimes difficult to tell if a skin growth is benign (not cancer) or malignant (cancer), you may want to have the biopsy sample checked by a second pathologist.
Mole Mapping…..
……a safe way for early detection of Malignant melanoma.
The video documentation of moles is a safe means of skin cancer prevention.
With the aid of a video camera the dermatologist creates a mole catalogue.
This helps localize every single mole of your body.
Moles at risk are photographed individually with digital dermatoscope.
The video documentation of moles give you certainty.
The images of your moles are stored on electronic media.
The dermatologist can accurately compare earlier images to the recent ones.
EVEN THE SMALLEST CHANGE WILL BE DETECTED!!!!!
ADVANTAGE:
1.Detection of the slightest skin change
2.Dgital documentation of moles.
3.Continious mole observation
Video documentation helps the dermatologist to make the right decision and take action before it is too late!
DETECTION OF NEW MOLES WITH BODY SCAN PRO!!!
Correct skin cancer prevention must include regular check ups to see if new moles have appeared.
Body scan pro is an expert system for automatic skin checks.
This method is recommented for patients with a large number of moles.
Follow-Up Patients
Head-to-toe skin examination by a BODY SCAN PRO against the baseline record of your skin, to check for the emergence of new moles
- Repeat Digital Dermoscopic (Subsurface) and Clinical Images of all previously imaged moles
- Digital Dermoscopic and Clinical Images of any new moles + accompanying history (e.g. patient concern)
- Patient education on sun protection and self examination, including a self-monitor kit, and a CD copy of your images (upon request)
- All imaged lesions are diagnosed by Dr Stelios Minas(includes serial monitoring - comparing your most recent images with those from your previous BODY SCAN PRO to identify any subtle changes that could indicate early skin cancer. Changes that could potentially go unnoticed during a consultation with no visual history).
Medical Dermatology
The Dermatology and skin cancer clinic specializes in the diagnosis and treatment of skin, hair and nail diseases. We provide our patients and their families with full-service, comprehensive dermatologic care. We want to help you get the best of what today's medicine has to offer. And you can count on us to provide you with a smile, compassionate care and help understanding your skin condition and treatment options.
Some of the more common medical conditions we treat include acne, rosacea, cysts, moles, eczema, skin cancer detection and treatment, warts, hair loss, scalp disorders, pigmented lesions, rashes, skin allergies, nail problems, underarm sweating, vitiligo, melasma, and childhood skin diseases. As part of our preventative care, we perform very comprehensive skin checks with recommendations for full skin photography on a case-by-case basis.
We also specialize in the surgical removal of skin cancers, cysts, fatty growths and unwanted moles.
Acne
Acne vulgaris (commonly called acne) is a skin disease caused by changes in the pilosebaceous units (skin structures consisting of a hair follicle and its associated sebaceous gland). Severe acne is inflammatory, but acne can also manifest in noninflammatory forms Acne lesions are commonly referred to as pimples, blemishes, spots, zits, or acne.
Acne is most common during adolescence, affecting more than 85% of teenagers, and frequently continues into adulthood. The cause in adolescence is generally an increase in male sex hormones, which people of all genders accrue during puberty. For most people, acne diminishes over time and tends to disappear—or at the very least decrease—after one reaches his or her early twenties. There is, however, no way to predict how long it will take to disappear entirely, and some individuals will continue to suffer well into their thirties, forties and beyond.
The face and upper neck are the most commonly affected, but the chest, back and shoulders may have acne as well. The upper arms can also have acne, but lesions found there are often keratosis pilaris, not acne. Typical acne lesions are comedones, inflammatory papules, pustules and nodules. Some of the large nodules were previously called "cysts" and the term nodulocystic has been used to describe severe cases of inflammatory acne.
Aside from scarring, its main effects are psychological, such as reduced self-esteem and, according to at least one study, depression or suicide. Acne usually appears during adolescence, when people already tend to be most socially insecure. Early and aggressive treatment is therefore advocated by some to lessen the overall impact to individuals.
Rosacea
Rosacea is a common but often misunderstood condition that is estimated to affect over 45 million people worldwide. It affects mostly caucasians of mainly north-western European descent, and has been nicknamed the 'curse of the Celts' by some in Britain and Ireland, but can also affect people of other ethnicities. It begins as erythema (flushing and redness) on the central face and across the cheeks, nose, or forehead but can also less commonly affect the neck, chest, ears, and scalp.[1] As rosacea progresses, other symptoms can develop such as semi-permanent erythema, telangiectasia (dilation of superficial blood vessels on the face), red domed papules (small bumps) and pustules, red gritty eyes, burning and stinging sensations, and in some advanced cases, a red lobulated nose (rhinophyma). The disorder can be confused with, and co-exist with acne vulgaris and/or seborrhoeic dermatitis. Rosacea affects both sexes, but is almost three times more common in women, and has a peak age of onset between 30 and 60. The presence of rash on the scalp or ears suggests a different or co-existing diagnosis as rosacea is primarily a facial diagnosis, although it may occasionally appear on the scalp or ears.
Moles & Birthmarks
Known as nevi (singular ''nevus''), moles and other birthmarks are benign pigmented spots or patches of skin that range in color from tan, brown and black (moles) to red, pink or purple (vascular nevi, such as strawberry hemangiomas or port wine stains). Though most birthmarks are harmless, they may develop into cancer(Melanoma). Moles exhibiting any of the following warning signs should be examined by a professional immediately:
Larger than six millimeters -
Itches or bleeds -
Rapidly changes in color, size or shape -
Has multiple colors -
Is located where it can't be easily monitored, such as on the scalp –
High risk group: Skin cancer(Melanoma) concerns everyone,but some have a higher risk than others:
1.Patients with many pigmented lesion(The more,the higher the risk!)
2.Pigmented lesion larger than 1 cm.
3.One or more melanoma in your family
4.One or more melanoma within your own medical history
5.Severe sunburns especially during childhood or adolescence.
Skin Cancers
Skin cancer is the most prevalent of all cancers. Its main cause is over exposure to sunlight, especially sunburn. Family history is also an important risk factor. In the treatment of any skin cancers, early detection and removal is the best defence. The majority of skin cancers are preventable. As the sun is the main culprit, the most effective protection is sun avoidance. Skin cancer is a benign and malignant growth on the skin which can have many causes. The most common skin cancers are basal cell cancer, squamous cell cancer, and melanoma. Skin cancer generally develops in the epidermis (the outermost layer of skin), so a tumor is usually clearly visible. This makes most skin cancers detectable in the early stages. There are three common types of skin cancer, each of which is named after the type of skin cell from which it arises.
1. Basal Cell Carcinoma:
BCC is the most common form. The most common nodular type of BCC appears as a slowly-growing shiny white, pink or discoloured bump, most often on the face or neck. The superficial type of BCC presents as one or more irregular red scaly patches growing on the trunk or limbs.
BCC may invade into deeper tissues but does not spread to other parts of the body. Multiple BCCs are common.
2. Squamous Cell Carcinoma:
SCC is a common form of skin cancer typically found on the ear, face, lips, hands or lower legs. Invasive SCC usually grows within a solar keratosis (scaly spots due to sun damage) and presents as a tender scaly or ulcerated lump. The preinvasive phase, SCC in situ (often called Bowen's disease), characteristically presents with one or more dry or crusted red or brown patches.
Invasive SCC needs to be attended to promptly as there is a risk of secondary spread.
3. Melanoma:
The most serious form of skin cancer. Melanoma may suddenly appear without warning but it may also begin in, or near, a mole or other dark spot in the skin. For that reason it is important that we know the location and appearance of the moles on our bodies so any change will be noticed. Melanoma can spread very quickly and once it penetrates below the surface of the skin, it becomes quite deadly. That is why it is important to detect melanoma early so that you can remove it whilst it is at its thinnest and least deadly stage.
Warts
A wart (also known as verruca) is generally a small, rough tumor, typically on hands and feet but often other locations, that can resemble a cauliflower or a solid blister. Warts are common, and are caused by a viral infection, specifically by the human papillomavirus (HPV) and are contagious when in contact with the skin of an infected person. It is also possible to get warts from using towels or other objects used by an infected person. They typically disappear after a few months but can last for years and can recur.
BOTOX or botulinum toxin type A, is a protein commonly used to reduce or eliminate the appearance of facial wrinkles. It is injected under the skin into areas surrounding the eyes, forehead and mouth to smooth crow's feet, frown and worry lines, and lines on the neck.
BOTOX injections block nerve impulses, weakening muscles to relax wrinkles and give the face a rejuvenated look. BOTOX may also be useful for migraine headaches, excessive sweating, and eye and neck muscle spasms.
Chemical Peels
Chemical peels remove damaged outer layers of skin on the face to smooth texture, reduce scarring, and remove blemishes and pre-cancerous growths to produce healthy, glowing skin. There are three types of chemical peels, ranging from mild to strong - alphahydroxy acids (AHAs), tricholoroacetic acid (TCA) and phenol - and formula strengths are tailored to each patient. Peels can be combined with other procedures such as facelifts for a younger look.
Skin Fillers for Wrinkles (facial augmentation)
Facial augmentation is done for reconstructive or cosmetic purposes. It has become increasingly popular for the ‘normal’ everyday person to seek facial augmentation to remove or improve existing acne scars and facial lines or to enhance a specific facial area.
Over the years many filling (implant) agents have been developed. However, the search is still on for the ideal facial implant material. The ideal product should have the following properties:
- physiologically acceptable: incorporates itself with the body's tissues
- free of complications or side effects
- permanent: does not degrade with time
- easy to use: simple and quick procedure, e.g. injectable.
What are facial implants used for?
Facial implants can be used in reconstructions for areas that may have been scarred or altered by trauma. This may be done in conjunction with minor or major plastic surgery. The other increasing use of facial implants is in cosmetic surgery where patients seek these treatments to improve their appearance.
They are mainly used for the removal or improvement of scars caused by acne, correction of facial (wrinkle) lines, and enhancement or filling in
of certain specific facial features such as the lips or chin.
Facial lines and features that can be corrected using implants
- Frown lines (glabellar lines)
- Smoke's lines (perioral lines)
- Marionette lines (oral commissures)
- Worry lines (forehead lines)
- Crow's feet (periorbital lines)
- Deep smile lines (nasolabial furrows)
- Smile lines (nasolabial lines)
- Cheek depressions
- Lip enhancement
- Witch's chin (chin augmentation)
- Acne scars
- Facial scars
What products are available?
There are numerous implant substances that add bulk to tissue. Manufacturers of these products will claim theirs to have certain advantages over others. The decision as to which you should use will depend on what you are trying to achieve and on the expert advice of your dermatologist. Each has their place and specific uses in facial augmentation. See individual implant types for specific details regarding use.
Implant type Product names
Fat grafting
Collagen Zyderm, Zyplast, Alloderm, CosmoDerm, CosmoPlast
Hyaluronic acid Cristal,perfect,Restylane,
Hydroxyapatite Hydroxyapatite (HA), Coralline Hydroxyapatite (CH)
Silicone Popular manufacturers include Implantech, Allied Biomedical, Advanced Bio-Technologies, Inamed Aesthetics Expanded polytetrafluoroethylene (ePTFE) Gore-Tex, SoftForm
Polyethylene Medpor
Polymethyl methacrylate (PMMA) Artecoll, MetaCrill
Hydrophilic polyacrylamide Hydrogel, HPG, Argiform, Bioformacryl, DermaLive, Aquamid
Of the implant types described above, the following are injectable augmentation products:
- Collagen (excluding Alloderm®)
- Hyaluronic acid
- Polymethyl-methacrylate (PMMA)
- Hydrophilic polyacrylamide gel
These products provide facial augmentation with less downtime. Collagen and hyaluronic acid provide only a temporary solution as they are reabsorbed into the body over time; top-up treatments are necessary to maintain the desired correction. PMMA and hydrophilic polyacrylamide gel are recent additions of injectable augmentation products and claim to give more permanent results.
Are there any side effects from using facial implants?
All facial implants currently used have some side effects that preclude them from being the ideal
agent. Some of the side effects and complications that may occur include:
- allergic reactions
- bleeding and bruising
- non-allergic inflammatory reactions
- numbness
- infections
- movement or extrusion of implant
