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Laser Tattoo Removal Atlanta Duluth Georgia GA | Laser Lights02.07.19

Performed at our Duluth, GA medical office, north of Atlanta.

Laser Lights Cosmetic Laser Center in Duluth, GA (suburb of Atlanta) offers lasertattoo removal of all colors including green, which is often the most difficult color to remove. Laser Lights laser tattoo removal equipment is FDA approved and safe for all skin types. Most tattoos can be removed within a few treatments depending on the color of the tattoo. Laser tattoo removal treatments are typically spaced 4-6 weeks apart, and the number of treatments necessary is determined by the amount, type, color, and depth of tattoo ink.

Tattoos are meant to be permanent, so removing them is difficult. Few guarantee complete removal, but there are several methods Laser Lights Cosmetic Laser Center employs that have proven effective. The degree of remaining color variations or blemishes depends upon tattoo size, location, the tattoo removal patients ability to heal, and how/ when the tattoo was applied. For example, a tattoo applied by a more experienced artist may be easier to remove since the pigment was evenly injected in the same level of the skin. New tattoos may also be more difficult to remove than old ones because tattoos tend to gradually fade naturally over time. Accurate laser treatment plans can only be devised once a patient undergoes a cosmetic laser consultation.

How does laser tattoo removal work if tattoos are meant to be permanent?Tattoos are permanent because an insoluble ink is injected into thedermis, or middle layer of the skin. This is why they remain visible and are not absorbed by the body.Laser tattoo removaluses wavelengths of light targeted toward the specific pigments in each tattoos ink which break the ink into tiny particles that the body can absorb. From there, the minuscule particles are disposed of through the bodys natural healing responses.

What are the risks or side effects of laser tattoo removal?With any laser procedure there is a rare chance of hypopigmentation or hyperpigmentation if pre- and post-treatment care instructions are not followed properly. Even less common procedure risks include blistering, infection, or scabbing. Individuals taking certain over-the-counter medications and supplements may experience bruising. Laser Lights Cosmetic Laser Centers providers are expertly trained, licensed, and experienced, making these rare side effects even more infrequent..

How much does laser tattoo removal cost?Atlanta laser tattoo removal pricingis dependent how many treatments are necessary to remove a tattoo. Many factors influence the number of treatments needed including the size of the treatment area, the colors in the tattoo, if the ink is layered, a persons skin tone, and among others.

How many treatments are necessary to remove my tattoo?As mentioned above, there are multiple factors that go into laser tattoo removal including the patients skin type, the location of the tattoo, the pigments in the tattoo, the size of the body art, if there is any scarring or tissue change, and if the tattoo is layered over another. These factors are all elements in theKirby-Desai Tattoo Removal Scale.

Who is a candidate for laser tattoo removal?IdealDuluth laser tattoo removalcandidates are individuals who are in generally good health with realistic expectations regarding the procedures outcomes. Although all skin tones and types can be treated at Laser Lights, those with fair skin and darker tattoos usually have the best results. Nonetheless, the majority of patients with tattoos benefit from laser tattoo removal.

What does laser tattoo removal feel like?The rapid pulses of laser energy used in laser tattoo removal feel different to each patient. Just as getting atattoois often uncomfortable, laser tattoo removal can cause some discomfort. To ease any uncomfortable sensations, your provider may recommend taking an acetaminophen pain reliever (as other pain relievers thin blood and cause bruising), or use a numbing cream before your treatment to make the procedure more tolerable.

Contact Laser Lightsoffice to schedule a tattoo removal cosmetic consultation. You can also email us atinfo@atlaserlights.com.

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Tattoo Removal Information – Do I have a Tattoo Infection …02.07.19

Experts estimate that about half of all people who get tattoos later regret their decision. In the past, these people had little recourse aside from expensive and painful invasive surgery. However, new laser removal techniques are helping people of all ages rid themselves of tattoos they no longer want on their bodies.

Free Tattoo Infection Lawsuit Evaluation: If you or a loved one developed a skin infection or other injury after getting a tattoo, you should contact our law firm immediately. You may be entitled to compensation by filing a lawsuit and we can help.

Tattoos are meant to be permanent, so removing them can be an extremely difficult process. Few dermatologic surgeons guarantee complete removal. However, there are a number of ways to remove tattoos that have proven to be considerably effective. The amount of remaining color and/or blemish depends on the size and location of the tattoo, as well as the individuals ability to heal. The exact degree of removal is difficult to predict because tattoo inks and dyes are unregulated and may contain any number of different ingredients.

Before lasers began being used in the late 1980s, tattoo removal involved one or more of the following painful, scar-inducing surgical techniques:

Although the above-listed procedures are still used in rare cases today, lasers have become the first-line treatment for tattoo removal because they offer a low risk, bloodless alternative with few potential side effects. Laser tattoo removals are performed on an outpatient basis in a single or series of visits.

Lasers began being developed for industrial uses in the 1960s. When scientists created lasers that emitted short flashes of light called pulses, medical use became possible. These types of lasers can effectively remove tattoos with a low risk of scarring. The type of laser used to remove a tattoo depends on what pigments and dyes were used to create the art: yellow and green are typically the most difficult to remove, while blue and black are usually the easiest. The 3 lasers developed specifically for tattoo removal use a technique called Q-switching, which refers to the lasers high-energy light pulses:

Unfortunately, both getting tattoos and having them removed can be quite painful, even with laser surgery. The impact of energy from laser light pulses has been described as the feeling of hot bacon grease on your skin or being snapped by a rubber band. Because black tattoo inks absorb all laser wavelengths, they are easiest to remove. Other colors such as green selectively absorb laser light, and can only be treated by selected lasers based on the dye color.

Side effects of laser tattoo removal may include:

The Product Liability Litigation Group at our law firm is an experienced team of trial lawyers that focus on the representation of plaintiffs in Tattoo Lawsuits. We are handling individual litigation nationwide and currently accepting new skin infection cases in all 50 states.

Free Tattoo Infection Lawsuit Evaluation: Again, if you or a loved one developed a skin infection or other injury after getting a tattoo, you should contact our law firm immediately. You may be entitled to compensation by filing a Tattoo Skin Infection Suit and we can help.

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Indy Laser – Laser Hair Removal Indianapolis – Laser Tattoo …02.07.19

Laser Sun Spot Removal

Hyperpigmentation is the darkening of areas of skin, caused by increased melanin. Melanin is a term used to describe groups of pigment. Concentrated melanin creates a darker skin tone; however, high UV radiation exposure is associated with an increased risk of skin conditions such as melanoma, or cancer of the skin.Hyperpigmentation is the term that describes sun spots, age spots, and liver spots. There are different types of pigmentation that occur on the skin of the body and face. They can be caused by sun damage, hormones, medication, trauma, skin diseases and also the natural aging process.

The customized treatment plan developed by Indy Laser will be determined at your Free Consultation! The nature and depth of the pigmentation is considered, as well as the skin type to determine the safest and most effective Pigmentation Removal method. Indy Lasers Sun Spot Removal is often combined with microdermabrasion, and chemical peels to obtain optimal results.

Laser Skin Tightening

At Indy Laser we offer a non-surgical facelift. Our lasers stimulate new collagen growth deep beneath the surface of the skin. Laser Skin Tightening reduces the appearance of wrinkles and loose skin for a smoother and more youthful appearance.

Laser Microdermabrasion

Microdermabrasion is a highly-effective and virtually painless technique to resurface the skin. It reveals the youthful and radiant complexion of the skin by stimulating the production of the new skin cells by using fine mineral crystals to exfoliate the outer keratin layer of the skin. Microdermabrasion is so gentle that there is no recovery period or discomfort. This treatment is most often performed on the skin of the face, neck, and chest.

DermaSweep Resurfacing

DermaSweep goes beyond microderm by exfoliating while simultaneously delivering a topical treatment. Our state of the art system uses 7 combinations of treatment tip sizes. This system cleans pores and increases blood flow, which encourages collagen formation. After this exfoliation, SkinFusions are applied to the skin. Results are noticed after just one treatment.

Chemical Peels

A chemical peel is used to improve the quality and texture of the skin on the face by causing dead skin to exfoliate off by applying a liquid solution. This treatment is recommended once every four to eight weeks. The treatment is finished in less than an hour.

During your free consultation a full skin analysis will be used to determine which type of chemical peel will be best for addressing your skin concerns.

Myofascial Release Therapeutic Massage

Fascia is three-dimensional connective tissue that supports our entire body. It should be fluid-like. Trauma, inflammation, disease, repetitive strain, as well as other influences can cause fascia to become solidified. If this happens, it results in pressure on nerves, muscles and accentuates overall pain.Fascia makes up approximately 80% of our bodies and surrounds all muscles, bones, and organs. Other types of massage therapy focus on muscles and bones that only make up about 20% of our tissue. Myofascial Release Therapy really works with the body.

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The Tattoo Runner Live long, Run on, Plant strong02.07.19

I was born andbred in the coastal town of Bundaberg, Queensland, growing up and living with Mum, Dad and my Sister. Throughout school, I enjoyed all sports and gave everything a crack, especially running.

Upon finishing high school, I was an exchange student in Finland and then completed a year touring Australia in a Youth for Christ band, performing outreach concerts to high school kids and churches. I then returned to Bundaberg for a year and married my love, Tegan. After this, we moved to Brisbane and lived, worked and made music for 5-6 years. I had dabbled a little in long distance running in the past, however it wasnt until around 2007 that I really took an interest in the long run. This was mainly inspired by my Dad, Stewy who had been running marathons and half marathons for close to 10years at that time. I completed my first marathon in Toowoomba at the end of 2007.

At the end of 2007, I was successful in joining the Queensland Police Service, attended the Oxley Academy and was sworn in as a Police officer on the 25th of June, 2008. I was then posted back to Bundaberg, my old stomping ground. Upon returning to work and live in Bundaberg, I washeavily involved in the local community, promoting the Police Service, fitness and generally spreading my love for life through the town.

I had well and truly caught the running bug by this stage and enjoyed the discipline of training and racing. There was to be a slight hiccup along the way though, when in 2009, I found out I had a tumor on my pituitary gland (base of brain) and had to have major brain surgery. This hurdle was tackled one step at a time with my loving family. To get myself back on track, I aimed to and completed a half marathon at the Gold Coast only a couple of months after surgery. Another miracle after the tumour was that Tegan and I had our first child, Pria at the end of that year.

During the time living in Bundaberg, Iloved training with Dad and wanted to organize something big to try and make a difference. Dad had had Prostate Cancer a couple of years prior, so I decided to organize a fundraising run from Bundaberg to Brisbane and back again, thus the creation of Run Man Run. In September 2009, Dad and I ran the distance with our support crew in tow in 21 days, covering just over 500km each in that time.

After this event, my intrigue grew in relation to ultra marathons (any distance further than a standard 42.2km marathon), and particularly ultra trail running. Around this time, I also read Dean Karnazes book, Ultramarathon Man and I was IN! I then began training for and competing in these long long events. I regularly train between 100 200km per week. To date, I have competed in five half marathons, nine full marathons, and over 30 ultra marathons. These ultra events have ranged from 53km to 320k. Some of these have included Coast 2 Kosci, The North Face 100k, a self organised 200mile run to the Sunshine Coast, Glasshouse 100mile run (161km), Buffalo Stamped Grand Slam and over 100k on a track (numerous times) at Relay for Life. I have also completed the Gold Coast Marathon completely barefoot. I have been interviewed for newspapers, been featured in YouTube clips and am a regular guest on the Coach Jeff Podcast.

Upon taking up trail running, someone, somewhere called me The Tattoo Runner. This name caught on (for some reason or another?!) and has stuck ever since.

Another of my passions is a thirst for knowledge in relation to diet and improving my running and health through this channel. I have a growing concern for the welfare of animals and their upbringing. I currently fuel my adventures on a completely plant based diet.

At the start of 2013, I resigned from the Police and decided to explore life and chase the dream. Tegan and I also had our second daughter, Corle. I am now expanding my knowledge of health, nutrition, wellness, looking for more ways to love life and training more than ever. We are living in a beautiful little surfers shack at Bargara Beach, enjoying the sunshine, each others company and life in general. At the end of 2016 one of my long time dreams came true and we started our cafe, The Journey. In a laneway off Bauer St Bargara, that is generally where you will find me if I am not out running!

My addiction to long distance running has continued to flourish and the lure of seeing how far I can go continues to intrigue me. I also have a fascination with the bodys movement and experimenting with different footwear. I have massive goals for my running and desire to continue to push my bodies boundaries. I have many runs I dream of taking part in, both in Australia and Internationally. The continual search and striving for the limits of my endurance continues.

You can follow my blog here to keep up with my adventures, training and other things I am passionate about. You can also read more about my diet here and my achievements to date here. Thanks for reading and I hope you enjoy my tales of adventure and activism!

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Laser Tattoo Removal in New Jersey from The Dermatology Group02.06.19

Home | Cosmetic Dermatology | Laser Sunspot Removal & Tattoo Removal

Brown spots

Tattoos

Pigmented lesions

The Dermatology Group offers an advanced laser treatment for sun spot and tattoo removal. In New Jersey, men and women frequently choose this procedure to fade the appearance of unwanted tattoos, or to improve the look of brown spots or other pigmented lesions.

Our board-certified physicians welcome your questions regarding laser tattoo removal in New Jersey. If you have additional questions or would like to speak with one of our board-certified dermatologists, call (973) 571-2121.

Lasers have become an efficient method of tattoo and sun spot removal over the last several years. By targeting the skin with short bursts of intense light, the laser breaks the unwanted pigment into smaller particles, which are then eliminated naturally through normal body processes. A series of sessions (anywhere between 1 and 10) is normally required but will depend on the color and size of the area to be treated.

To ensure the most effective treatment, your tattoo or sun spot will be examined by a physician who will recommend the correct laser settings.

The Dermatology Group uses the Cutera Enlighten III Picosecond laser for tattoo and sun spot removal. Enlighten III combines multiple wavelengths (1064 nm, 532 nm and 670 nm) and picosecond + nanosecond pulse durations (750/660 ps + 2 ns) in a single platform for the treatment of unwanted multicolor tattoos, epidermal and dermal pigment, and skin revitalization across all skin types.

During your treatment, you will be provided with protective eyewear to shield your eyes from the laser energy. A topical or local anesthetic may be requested prior to treatment for enhanced comfort. A hand piece is placed against the skin as the laser emits short pulses of light. Sometimes a slight stinging sensation or light “snap” against the skin is felt during the procedure, but this is not usually uncomfortable. This process may take a few minutes to 1 hour, depending on the area treated.

Superficial sun spots on the face, hands and body generally fade away within a few weeks after a single treatment session. “Caf au lait” spots, large moles, and lesions with deeper pigment often take several sessions to disappear completely. Most tattoo colors can be effectively treated; however, blue or green ink is often less responsive to the laser light.

The treated areas typically develop mild crusting or bruising that diminishes within 1 2 weeks. You may be given an anti-bacterial ointment or bandage to protect the skin while it heals. It’s best to avoid sun exposure, if possible, because the skin will be photosensitive.

With the MedLite ND: YAG laser used by the professionals at The Dermatology Group, laser tattoo removal is very safe. The MedLite laser poses little risk for scarring because of its ability to selectively target tattoo and skin pigments without harming nearby tissues. Additionally, all laser tattoo and spot removal procedures are overseen by one of our board-certified physicians to ensure that your procedure is performed accurately.

Additional laser procedures available from The Dermatology Group include laser vein removal and laser skin resurfacing. These treatments can improve the appearance of broken capillaries and varicose veins, as well as lessen the look of lines and wrinkles.

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25 Mesmerizing Tattoo Designs For Women – designpress.com02.05.19

Tattoo Designs for Women ought to have a more feminine touch than tattoos for men. Most of the time, women tattoos are in the shape of Butterflies, Flowers, Stars, Dolphins, Hearts, Fairies, Zodiac symbols or anything that brings an aura and beauty with it. Women tattoos are typically more dainty and no where near as bold as tattoos for men. However, women arent restricted to only getting small tattoos with thin lines. Instead, they can get bold tattoos, as well. Women with tattoos are more accepted today than they were in the past. It all depends on the woman and what she wants. Also, how well you can pull off a particular tattoo design is heavily based on your body type.

Check out these Charming concepts of Tattoo Designs for Women that will surely soothe your eyes. Chances are, you will maybe even find a design that you would like to have on your own body. If not, maybe youll get some inspiration to alter one of the designs that you find below and make your own custom piece. Either way, check out these beautiful tattoo designs for women below and some creativity will certainly spark in your mind. Enjoy the list below and feel free to leave a comment!

More Information on Tattoos

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More Information on Hula girl tattoo on Ribs

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abc

More Information on Cross tattoo

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More Information on Lotus tattoo

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So, did you find any tattoo designs that you like from the list above? Chances are that you probably did. As you can see, some of the tattoos are small and dainty with slender lines, while some of them were bold tattoos with thick lines. Therefore, women dont have to follow certain guidelines when it comes to getting tattoos. Instead, you should get something that you truly enjoy and wont mind looking at for the rest of your life.

If you like this article, you might be interested in some of our other articles on Lower Back Tattoos, Tribal Tattoos For Men, Bible Verse Tattoos, and Praying Hands Tattoos.

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Bad Habits Tattoos | Tattoo Shop in Fort Lauderdale02.05.19

Do you live in the Fort Lauderdale area and are starting to feel that oh-so-familiar itch to get some more ink? Then you will certainly want to get your work done at the best tattoo shop in Fort Lauderdale: Bad Habits Tattoos. Our citys premier tattoo studio is brought to you by lead artist and owner Amaury Ramirez and backed up by a team of ink specialists to bring you the perfect skin art of your dreams.

We also specialize in a variety of different styles! Whether you are looking for black and gray pieces, dot work, unwanted tat cover-ups, Japanese, Polynesian, portraits or even watercolor tattoos, WE GOT YOU! As a matter of fact, even if you dont want any new ink but are looking to get rid of an old piece, we also have a state-of-the-art laser tattoo removal procedure that you can schedule at your convenience to make your unwanted tattoo disappear.

If youre looking for the best Fort Lauderdale tattoo artists, dont hesitate to contact Amaury or the team here at Bad Habits Tattoos to schedule your next piece. We can be reached by phone at 954.2804.220 or through email at bhtattoos11@gmail.com

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Nemean lion – Wikipedia02.04.19

The Nemean lion (; Greek: [1] Nemos ln; Latin: Leo Nemeaeus) was a vicious monster in Greek mythology that lived at Nemea. It was eventually killed by Heracles. It could not be killed with mortals’ weapons because its golden fur was impervious to attack. Its claws were sharper than mortals’ swords and could cut through any armor.

Today, lions are not part of the Greek fauna. The Asiatic lion subspecies formerly ranged in southeastern Europe. According to Herodotus, lion populations were extant in Ancient Greece, until around 100 BC when they became extinct.[2]

The lion is usually considered to have been the offspring of Typhon[3] (or Orthrus)[4] and Echidna; it is also said to have fallen from the moon as the offspring of Zeus and Selene, or alternatively born of the Chimera. The Nemean lion was sent to Nemea in the Peloponnesus to terrorize the city.

The first of Heracles’ twelve labours, set by King Eurystheus (his cousin), was to slay the Nemean lion.

Heracles wandered the area until he came to the town of Cleonae. There he met a boy who said that if Heracles slew the Nemean lion and returned alive within 30 days, the town would sacrifice a lion to Zeus; but if he did not return within 30 days or he died, the boy would sacrifice himself to Zeus.[3] Another version claims that he met Molorchos, a shepherd who had lost his son to the lion, saying that if he came back within 30 days, a ram would be sacrificed to Zeus. If he did not return within 30 days, it would be sacrificed to the dead Heracles as a mourning offering.

While searching for the lion, Heracles fetched some arrows to use against it, not knowing that its golden fur was impenetrable; when he found the lion and shot at it with his bow, he discovered the fur’s protective property when the arrow bounced harmlessly off the creature’s thigh. After some time, Heracles made the lion return to his cave. The cave had two entrances, one of which Heracles blocked; he then entered the other. In those dark and close quarters, Heracles stunned the beast with his club. During the fight the lion bit off one of his fingers. He shot arrows at it, eventually shooting it in the unarmoured mouth.

After slaying the lion, he tried to skin it with a knife from his belt, but failed. He then tried sharpening the knife with a stone and even tried with the stone itself. Finally, Athena, noticing the hero’s plight, told Heracles to use one of the lion’s own claws to skin the pelt.

When he returned on the thirtieth day carrying the carcass of the lion on his shoulders, King Eurystheus was amazed and terrified. Eurystheus forbade him ever again to enter the city; in the future he was to display the fruits of his labours outside the city gates. Eurystheus warned him that the tasks set for him would become increasingly difficult. He then sent Heracles off to complete his next quest, which was to destroy the Lernaean hydra.

The Nemean lion’s coat was impervious to the elements and all but the most powerful weapons. Others say that Heracles’ armour was, in fact, the hide of the lion of Cithaeron.

According to some authors, Heracles was helped in this labour by an Earth-born serpent, which followed him to Thebes and settled down in Aulis. It was later identified as the water snake which devoured the sparrows and was turned into stone in the prophecy about the Trojan War.[5]

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Melanoma Causes, Types, Symptoms & Treatment02.04.19

Melanoma Symptoms and Signs

Melanoma is a type of skin cancer that forms in pigment-forming cells (melanocytes). (A mole, or melanocytic nevus, is a benign tumor of these pigment-forming cells.) Melanoma is the most serious type of skin cancer. Rarely, melanomas can be found in other areas of the body that contain pigment-forming cells, including the eye, the tissues around the brain and spinal cord, or the digestive tract. Melanomas of the skin produce changes in the appearance of the skin, but these changes can sometimes be seen with other skin conditions. The characteristic symptoms include a change in an existing mole or new mole with asymmetric borders, uneven coloring, increasing size, scaling, or itching. Melanomas are typically not painful. It is always important to seek medical advice when you develop a new pigmented spot on the skin or have a mole that is growing or changing.

What is melanoma?

Melanoma is a cancer that develops in melanocytes, the pigment cells present in the skin. It can be more serious than the other forms of skin cancer because of a tendency to spread to other parts of the body (metastasize) and cause serious illness and death. About 50,000 new cases of melanoma are diagnosed in the United States every year.

Because most melanomas occur on the skin where they can be seen, patients or their spouses are often the first to detect suspicious tumors. Early detection and diagnosis are crucial. Caught early, most melanomas can be cured with relatively minor surgery.

This article is written from the standpoint of the patient. In other words, instead of describing the disease in exhaustive detail, the article focuses on answering the questions: “How do I know if I have melanoma?” and “Should I be checked for it?”

Guideline # 1: Nobody can conclusively diagnose him- or herself. If someone sees a spot that looks as though it is new or changing, he or she should show it to a doctor. When it comes to spots on the skin, it is always better to be safe than sorry.

Everybody gets spots on their skin. The older we are, the more spots we have. Most of these spots are benign. That means they are neither cancerous nor on the way to becoming cancerous. These may include freckles, benign moles, collections of blood vessels called cherry angiomas, or raised, irregular, pigmented bumps on the skin called seborrheic keratoses.

Guideline # 2: The vast majority of moles (melanocytic nevi) stay as moles and do not turn into anything else. Most melanomas do not arise in preexisting moles. For that reason, having all of one’s moles removed to “prevent melanoma” does not make sense.

Some people are born with moles (the medical name is “nevus,” plural “nevi”). Almost everyone develops them, starting in childhood. On average, people have about 25 moles, though some have fewer and others many more. Moles may be flat or raised, and they may range in color from tan to light brown to black. Moles may lose their color and end up flesh colored. It is unusual to develop new pigmented moles after age 35.

What does melanoma look like? What are melanoma symptoms and signs?

Guideline # 3: A changing spot may be a problem, but not every change means cancer. A mole may appear and then get bigger or become raised but still be only a mole. It is normal for many moles to start flat and dark, become raised and dark, and then later lose much of their color. This process takes many years.

Most public-health information about melanoma stresses the so-called ABCDEs:

These guidelines are somewhat helpful, but the problem is that many normal moles and other benign lesions of the skin are not perfectly symmetrical in their shape or color. Many spots, which seem to have one or more of the ABCDEs, are in fact just ordinary moles and not melanomas. Additionally, some melanomas do not fit this description but may still be spotted by a primary care physician or dermatologist. Not all melanomas have color or are raised on the skin. Amelanotic melanomas have little or no color may be confused with traumatized benign nevi or basal cell carcinoma. Desmoplastic melanoma may appear to be a thickened area of skin like a scar. As a rule, melanoma is not painful unless traumatized. They sometimes itch, but this has no diagnostic or prognostic importance.

What if the skin changes are rapid or dramatic?

Guideline # 4: The more rapid and dramatic the change, the less serious the problem.

When changes such as pain, swelling, or even bleeding come on rapidly, within a day or two, they are likely to be caused by minor trauma, often a kind one doesn’t remember (like scratching the spot while sleeping). If a spot changes rapidly and then goes back to the way it was within a couple of weeks, or falls off altogether, it is not likely to represent anything serious. Nevertheless, this would be a good time to say once again: Nobody can diagnose him- or herself. If one sees a spot that looks as though it is new or changing, show it to a doctor. If one see a spot that doesn’t look like one’s other spots, it should be evaluated.

What are the causes and risk factors for melanoma?

Guideline # 5: Individual sunburns do raise one’s risk of melanoma. However, slow daily sun exposure, even without burning, may also substantially raise someone’s risk of skin cancer.

Factors that raise one’s risk for melanoma include the following:

The presence of close (first-degree) family with melanoma is a high risk factor, although looking at all cases of melanoma, only 10% of cases run in families.

Having a history of other sun-induced skin cancers, such as the much more common basal cell or squamous cell carcinomas, indirectly raises one’s risk of melanoma because they are markers of long-term sun exposure. The basic cell type is different, however, and a basal cell or squamous cell carcinoma cannot “turn into melanoma” or vice versa.

How can people estimate their level of risk for melanoma?

The best way to know one’s risk level is to have a dermatologist perform a full body examination. That way one will find out whether the spots one has are moles and, if so, whether they are abnormal in the medical sense.

The medical term for such moles is atypical. This is a somewhat confusing term, because among other things the criteria for defining it are not clear, and it’s not certain that an atypical mole is necessarily precancerous. Patients who have lots of “atypical moles” (more than 24) do have a higher risk for developing melanoma but not necessarily within one of their existing funny-looking moles. It may be a challenge to find the “baby melanoma” in the middle of a back full of large, dark, or irregular moles. If someone has such moles, a doctor will recommend regular surveillance and may recommend biopsy of the most unusual or worrisome looking moles.

Sometimes, one learns at a routine skin evaluation that one does not necessarily need annual routine checkups. In other situations, a doctor may recommend regular checks at 6-month or yearly intervals.

What are the types of melanoma?

The main types of melanoma are as follows:

There are also other rarer forms of melanoma that may occur, for example, under the nails (subungual), on the palms and soles (acral lentiginous), uveal or choroidal (ocular), oral or other mucosal areas such as the vulva or penis, or sometimes even inside the body such as the brain.

What tests do health care professionals use to diagnose melanoma?

Most doctors diagnose melanoma by examining the spot causing concern and doing a biopsy. A skin biopsy refers to removing all or part of the skin spot under local anesthesia and sending the specimen to a pathologist for analysis. A small shave or punch biopsy which may be adequate for the diagnosis of other types of skin cancer is not the best for melanoma. To diagnose melanoma, the best biopsy is one that removes the entire extent of the visible tumor. Fine-needle aspiration may have a role in evaluating a swollen lymph node or a liver nodule but is not appropriate for the initial diagnosis of a suspicious skin lesion.

It is no longer recommended to do large batteries of screening tests on patients with thin, uncomplicated melanoma excisions, but patients who have had thicker tumors diagnosed or who already have signs and symptoms of metastatic melanoma may be recommended to have MRIs, PET scans, CT scans, chest X-rays, or other X-rays of bones when there is a concern of metastasis, blood tests of liver, and any other studies that will assist in staging (determining the extent of spread of the tumor).

The biopsy report may show any of the following:

Some doctors are skilled in a clinical technique called epiluminescence microscopy (also called dermatoscopy or dermoscopy). They may use a variety of instruments to evaluate the pigment and blood vessel pattern of a mole without having to remove it. Sometimes the findings support the diagnosis of possible melanoma, and at other times, the findings are reassuring that the spot is nothing to worry about. The standard for a conclusive diagnosis, however, remains a pathologic examination of a skin biopsy.

What are melanoma treatment options?

In general, early localized melanoma is treated by surgery alone. Doctors have learned that surgery does not need to be as extensive as was thought years ago. When treating many early melanomas, for instance, surgeons only remove 1 centimeter (less than inch) of the normal tissue surrounding the melanoma. Deeper and more advanced cancers may need more extensive surgery.

Depending on various considerations (tumor thickness, body location, age, etc.), the removal of nearby lymph nodes may be recommended. For advanced disease, such as when the melanoma has spread to other parts of the body, treatments like immunotherapy or chemotherapy are sometimes recommended. Many of these treatments are still experimental and, for that reason, their use may be limited to patients willing to participate in a research study.

An Internet search will name a variety of home remedies and natural products for the treatment of skin cancers, including melanoma. These include the usual topical and systemic antioxidants and naturopathic immune stimulators. There is no scientific data supporting any of these, and their use may lead to unnecessary delay in better established treatments, possibly with tragic results.

How do doctors determine the staging and prognosis (outlook) of a melanoma?

The most useful criterion for determining prognosis is tumor thickness. Tumor thickness is measured in fractions of millimeters and is called the Breslow’s depth. The thinner the melanoma, the better the prognosis. Any spread to lymph nodes or other body locations dramatically worsens the prognosis. Thin melanomas, those measuring less than 0.8 millimeters, have excellent cure rates, generally with local surgery alone. For thicker melanomas, the prognosis is guarded.

Melanoma is staged according to thickness, ulceration, lymph node involvement, and the presence of distant metastasis. The staging of a cancer refers to the extent to which it has spread at the time of diagnosis, and staging is used to determine the appropriate treatment. Stages 1 and 2 are confined to the skin only and are treated with surgical removal with the size of margins of normal skin to be removed determined by the thickness of the melanoma. Stage 3 refers to a melanoma that has spread locally or through the usual lymphatic drainage. Stage 4 refers to distant metastases to other organs, generally by spread through the bloodstream.

What is recurrent melanoma?

Recurrent melanoma refers to a recurrence of tumor at the site of removal of a previous tumor, such as in, around, or under the surgical scar. It may also refer to the appearance of metastatic melanoma in other body sites such as skin, lymph nodes, brain, or liver after the initial tumor has already been treated. Recurrence is most likely to occur within the first five years, but new tumors felt to be recurrences may show up decades later. Sometimes it is difficult to distinguish recurrences from new primary tumors.

What is metastatic melanoma?

Metastatic melanoma is melanoma that has spread beyond its original site in the skin to distant tissue sites. There are several types of metastatic melanoma. There may be spread through the lymphatic system to local lymph nodes. This may show up as swollen lymph glands (usually painless) or as a string of skin tumors along a lymphatic chain. Melanoma may also spread through the bloodstream (hematogenous spread), where it may appear in one or more distant sites, such as the lungs, liver, brain, remote skin locations, or any other body location.

What are the signs of symptoms of metastatic melanoma?

Signs and symptoms depend upon the site of metastasis and the amount of tumor there. Metastases to the brain may first appear as headaches, unusual numbness in the arms and legs, or seizures. Spread to the liver may be first identified by abnormal blood tests of liver function long before the patient has jaundice, a swollen liver, or any other signs of liver failure. Spread to the kidneys may cause pain and blood in the urine. Spread to the lungs may cause shortness of breath, other trouble breathing, chest pain, and continued cough. Spread to bones may cause bone pain or broken bones called pathologic fractures. A very high tumor burden may lead to fatigue, weight loss, weakness and, in rare cases, the release of so much melanin into the circulation that the patient may develop brown or black urine and have their skin turn a diffuse slate-gray color. The appearance of multiple blue-gray nodules (hard bumps) in the skin of a melanoma patient may indicate widespread melanoma metastases to remote skin sites.

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What are the treatments for metastatic melanoma?

Historically, metastatic and recurrent melanoma have been poorly responsive to chemotherapy. Immunotherapy, in which the body’s own immune system is energized to fight the tumor, has been a focus of research for decades. A variety of newer medications target different points in the pathways of melanoma cell growth and spread. While the most appropriate use of these medications is still being defined, the best treatment for melanoma remains complete surgical excision while it is still small, thin, and has not yet had a chance to spread.

Initial therapies to stimulate the immune system to help contain metastatic melanoma included infusions of interferon-alpha and interleukin-2 (both parts of the immune response to cancer and infection), and a few patients have responded to these therapies. There has, however, been an explosion recently in the approval of a number of targeted therapies that act on specific stages in the cell cycle, especially those of abnormal cells, and affect those growth processes of the tumor cells. Drugs that inhibit the kinase enzymes such as MEK, which is necessary for cell reproduction, include cobimetinib (Cotellic) and trametinib (Mekinist). Others target the signals for cell growth from abnormal BRAF genes and the enzymes they drive. Such medications in this family include dabrafenib (Tafinlar), vemurafenib (Zelboraf), and nivolumab (Opdivo). Pembrolizumab (Keytruda) blocks the tumor’s ability to inhibit T cell activity. Ipilimumab (Yervoy) works directly on the T-lymphocyte pathway to activate the immune system. Many of these medications are now being used in combination to get better therapeutic effects than they would by themselves. All of these medications have significant side effects, including some that are life-threatening, and are indicated only for stage 3 tumors to try to prevent recurrence and spread and stage 4 metastatic tumors that are no longer amenable to surgery.

What are the survival rates for metastatic melanoma?

Survival rates for melanoma, especially for metastatic melanoma, vary widely according to many factors, including the patient’s age, overall health, location of the tumor, particular findings on the examination of the biopsy, and of course the depth and stage of the tumor. Survival statistics are generally based on five-year survival rates rather than raw cure rates. Much of the success reported for the targeted therapies focuses on disease-free time because in many cases the actual five-year survival is not affected. It is hoped that combination therapy discussed above will change that.

What methods are available to help prevent melanoma?

What research is being done on melanoma?

Research in melanoma is headed in three directions: prevention, more precise diagnosis, and better treatment for advanced disease.

Where can people get more information about melanoma?

Medically Reviewed on 3/19/2018

References

Chae, Young Kwang, Michael S. Oh, and Francis J. Giles. “Molecular Biomarkers of Primary and Acquired Resistance to T-Cell-Mediated Immunotherapy in Cancer: Landscape, Clinical Implications, and Future Directions.” The Oncologist (2017): 1-12.

Mayer, J.E., S.M. Swetter, T. Fu, and A.C. Geller. “Screening, early detection, education, and trends for melanoma: current status (2007-2013) and future directions: Part I. Epidemiology, high-risk groups, clinical strategies, and diagnostic technology.” J Am Acad Dermatol 71.4 Oct. 2014: 599.e1-599.e12; quiz 610, 599.e12.

Mayer, J.E., S.M. Swetter, T. Fu, and A.C. Geller. “Screening, early detection, education, and trends for melanoma: current status (2007-2013) and future directions: Part II. Screening, education, and future directions.”J Am Acad Dermatol 71.4 Oct. 2014: 611.e1-611.e10; quiz 621-2.

Schadendorf, Dirk, et al. “Melanoma.” Nature Reviews: Disease Primers 1 (2015): 1-20.

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Tattoo Nightmares – Tattoo.com02.04.19

Im not one to evoke fear in people, but there are a few tattoo nightmare situations you should be cautious of if you are in the process of selecting a tattoo artist or a permanent design.

The following tattoo nightmares are real. They actually CAN happen.

Make sure you check the shop, ensure the safety of the place and the use of autoclaves and new needles, verify artist licensing and certificates, and then follow your professional tattoo artists aftercare instructions with due diligence. Should you find yourself in pain, or if you feel dizzy, sick, feverish, and have an oozing tattoo, seek immediate medical treatment.Skin infections can be life-threatening once they enter the bloodstream.

Do not pick such a highly sensitive area for your first tattoo. Instead, experience the joy of getting inked somewhere more tolerable the first time around. Good spots for a first tattoo include calves, upper arms, and upper thighs.

Its bad enough you cant get her outta your life. From now on, every girl you date will want to know who Lila is, and if youll get her name tattooed instead. (Youll be arguing about this every night.)Not good for the black book, my friends. Avoid name tattoos, unless youre going to love Lila, for like, ever. Or only date people named Lila.

Images courtesy Bryan Childs and Monster Ink

Published on August 22, 2014, byJodie Michalak

Tattoo Nightmares was last modified: November 21st, 2017 by Kellie Gray

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Tattoo Nightmares – Tattoo.com

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