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Face of San Francisco

Sun, Fun… and Melanoma in Marin

I like to listen to NPR on the way to and from the office, and I’m a proud supporter of KQED. Most of the time, the news is interesting but not immediately relevant to my work. But about a week ago, I heard a news brief about melanoma in the Bay Area (the press release can be found here: http://www.cpic.org/print/news-media/press-releases/2014/july-23-marin-melanoma-rates.aspx). Specifically, the report detailed a high and rising incidence of malignant melanoma among residents of Marin county. In fact, the incidence was 43% higher than in other Bay Area communities. And the burden in male patients was particularly high – second only to prostate cancer, the most common cancer in men nationwide.

The authors of the report mention some possible explanations. First, the increased occurrence of melanoma was largely limited to patients over 65 years of age. And since there is a large senior population in the County, and melanoma risk may increase with age, this makes sense. In addition, melanoma more often affects people with lighter skin, and the population in Marin also skews this way. Finally, as jealous San Franciscans may point out, there is a bit more sun in Marin County (particularly in the summer!) and therefore a wide variety of outdoor recreation. Ultraviolet radiation (UV) exposure in certain individuals and certain skin types leads to abnormal growth of the melanocytes – the cells that make our skin pigment – and causes melanoma. Hiking, golf, tennis, mountain biking, and certainly swimming or tanning, all come with large doses of sun.

So what do you do with this information? First, commit to using sun protection. This includes hats, sunglasses, avoiding long periods of direct exposure… and sunscreen. Please also take a closer look at the label on your sunscreen. In my practice, I recommend sunscreens that specifically protect from UVA and UVB, and I have a strong preference for products that contain a physical blocker and an SPF rating of at least 30. These sunscreens actually reflect the UV radiation away from the skin with tiny particles of zinc, titanium, or magnesium, rather than using chemicals to absorb the energy. Lastly, when you’re exercising or if you’re doing water sports, waterproof sunscreen is essential. Regardless of the type or brand, however, make sure to reapply regularly.

Below is a pre-op and immediate post-op photo of a melanoma resection in a young patient. To see more photos of facial reconstruction and other procedures, visit the gallery on our website and check out our Facebook page at www.facebook.com/SFPlasticSurgery. Lastly, and most importantly, DON’T FORGET THE SUNSCREEN!

5.0

Based on 19 reviews

Christina G.
I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!
Tk I.
I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!
Joey B.
I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.
Edward T.
Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.
Lisa C.
Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.
Cheryl H.
Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.
Jill P.
I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.
Arielle C.
Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.

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