ABOUT SKIN CANCER SCREENINGS
Although we offer many cosmetic dermatology treatments, Dr. Welsh and Dr. Hui Austin are also skilled and experienced medical dermatologists and can provide patients with comprehensive skin cancer screenings. According to the Skin Cancer Foundation, one in five Americans will develop skin cancer in their lifetime. The high prevalence of skin cancer makes regular skin cancer screenings a must, especially if a patient has a personal or family history of melanoma or other skin cancer. Early detection is key - giving the patient more treatment options and better outcomes.
There are four types of skin cancer that our San Francisco doctors are looking for during a skin cancer screening:
- The first is Actinic Keratoses (AK). AKs tend to form after the age of forty and on areas of the skin that have been exposed to sun - such as the head, neck, hands, and forearms. AKs appear as dry, scaly patches and are commonly called “pre cancers” because they have the potential to develop into Squamous Cell Carcinoma.
- Basal Cell Carcinoma (BCC) is the most common type of skin cancer. BCC can form anywhere on the body and may appear as a pink area or a flesh-colored or pearl-like bump. BCC needs to be treated because it has potential to grow into nerves and bones, causing damage and disfigurement.
- Squamous Cell Carcinoma (SCC) is the second most common form of skin cancer. Forming on skin that gets the most sun exposure, SCC appears as scaly patches, red firm bumps, and/or sores that heal and reopen. These too must be removed to prevent damage and disfigurement.
- The deadliest form of skin cancer is Melanoma. Melanoma develops suddenly as a dark spot on the skin. Our doctors look for the ABCDs to detect Melanoma A= asymmetry = border, C = color, D = diameter. According to the Skin Cancer Foundation, Melanoma accounts for only one percent of skin cancer cases, but the majority of skin cancer deaths. For this reason, Melanoma must be treated immediately following diagnosis.
Skin Cancer Screenings Reviews
"I've been going to Dr. Welsh for 10 years and have always been pleased with my experience in every way. Dr. Welsh caught the beginning of skin cancer on my face, which my primary was able to remove immediately. She and her staff are friendly, warm and attentive. (Yes, sometimes doctors do run behind...)I love Dr. Welsh and her staff more than they love skin!"- N.Z. / Yelp / Aug 23, 2011
"So practically overnight, I developed a bright red and very itchy scalp, neck and decollate. My skin was totally inflamed for seemingly no reason. Over a year and a half, I consulted 4 dermatologists in two states seeking a solution and an answer to what caused this. Between these doctors I had a scalp biopsy taken (needed a stitch), was given 3 topical creams, several oral meds, and even a peanut oil based solution to wear on my head, under a plastic cap - overnight for 2 weeks! Talk about annoying and messy. As a new San Franciscan, I made an appointment with Dr Hui for my annual skin check and asked her to take a look. She thought I was either allergic to hair dye or nail polish (allergic contact dermatitis). I was somewhat skeptical about the polish being the cause, I mean after all, how could polish on my nails affect my head? So instead I visited my hair salon to have a glob of hair dye put on my arm, under a bandage, for 48 hours. Thankfully, there was no reaction! So thinking that Dr Hui knows her stuff, I removed the polish on both my fingers and toes. The next day I had no irritation or redness. What a relief and what a simple solution - that no other physician had thought of! Thank you Dr Hui!"- M.B. / Yelp / Feb 07, 2016
"Dr Hui-Austin has made every person in my family better with her brilliant mind, out of the box approach to tough technical skin problems, anti-aging support and serious skin care. We left Stanford for her and never looked back. She is kind, gentle, supportive, inventive and compassionate. Me: 55, Ultherapy, skin cancer checks, Emsala for incontinence!!!!!! Daughter: 18, acne, skin checks, kybella for chin fat pocket inherited from father Son-21, cystic acne, terrible scarring on face and back Husband- skin tags and other issues We all love her! Thank you for everything!!"- K.W. / Yelp / Mar 11, 2019
"Dr. Hui-Austin is the loveliest doctor I've met in San Francisco. I'm a 90 year old transplant from New York, and Dr. Hui-Austin has successfully treated me for 2 Mohs surgeries, other cancer checks, skin lesions that wouldn't heal on my lower legs, scrapes and falls. The staff treats me with such respect. They help me to the examination room, speak loudly so I can hear and make me feel dignified even as I'm aging. Boy oh boy, am I glad I was recommended to her by another elderly acquaintance. Dr. Hui-Austin is just a good person and a great doctor."- H.W. / Yelp / Mar 11, 2019
"I have gone to Dr. Welsh for years for skin checks, and have been grateful for her thoroughness. I've had a couple of spots removed and certainly felt that there was professionalism and attentiveness, and I am glad I didn't have anything develop into a problem that was harder to cure. I've also had IPL done by both Katie and Jane. Again, very professional, but also friendly. I was impressed by the amount of information I was given to insure that I knew the risks of what I was doing, as well as what my skin reactions would be and after-care. I've been VERY pleased with the results. I love this office. I have found all of the people there to be extremely friendly and attentive- I'm not sure why all the negative comments about the staff. I've been going for over 5 years. Maybe you should forget emailing and just lift up the phone, that doesn't seem to be a good method of communication with them. Years of experience with this group makes me want to recommend them to anyone. I just went there yesterday, and was reminded of how much I like them. Added bonus- fairly inexpensive parking lot on the Geary side of the building."- J.L. / Yelp / Apr 02, 2011
WHAT TO EXPECT
If one of our board certified doctors does find a suspicious mole or spot on the skin, they will make a preliminary diagnosis. If the doctor believes the spot to be an AK, then cryotherapy using liquid nitrogen is typically sprayed on the lesion. In the week following the treatment, the spot may swell or blister, but ultimately the AK skin cells will shed. Sometimes a small white mark or scar remains in the area that was treated. If the doctor suspects BCC, SCC, or Melanoma, or another skin condition then the area will be biopsied. First the doctor will numb the area with an injection of lidocaine, then a small sample will be shaved off using a scalpel and sent to a pathologist for diagnosis. The office will receive pathology results within a week and will call you to share the diagnosis.
If the lesion does end up being a form of skin cancer, our office will refer the patient to a Mohs or skin cancer surgeon. We will make a copy of the patient’s insurance card and send this with the referral paperwork. The referral site will call the patient to schedule their surgery. Once the surgery is complete, our office will receive a report and follow up with the patient.
Bay Area Cosmetic Dermatology does not accept any insurance plans. We are not contracted with any insurance providers and require out-of-pocket payment for all skin cancer screenings and biopsies. We also do not take MediCal or Medicare, even if they are a secondary insurance provider. The lab that we send our biopsies to, however, does take insurance. We will send the patient’s insurance information to the lab with the biopsy. Please note that the lab charges a separate fee from our office for pathology services. The lab will contact you to collect payment for this service.
Following any excision of the skin, including biopsy, there is a risk of scarring. Our doctor’s do their best to minimize the appearance of scarring and take the smallest skin sample possible during biopsy. However, sometimes scarring still occurs. Luckily, we have lasers that can minimize the appearance of scars post excision.
PREVENTION IS KEY
Prevention and early detection is key when treating skin cancer. If you are due for a regular skin cancer screening, please call our office today. If you are already seeing one of our providers for cosmetic dermatology treatments, consider adding a skin cancer screening onto your next visit.