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Skin


Looking in the Mirror

How do we slow down the visual effects of the aging process that affect our face? Wear and tear become more pronounced and the ever-present gravity tugs at us and it shows in our face most noticeably. The mirror talks to us. It is not necessarily the ‘youthful look’ that we regret slipping away, it is often the changes in our face we do not like to see happening. Dr. Gene Moor can address these changes and use his excellent skills to help you feel better about your stage in life. Not all patients need to start off with the face lift: individual procedures like eyelid surgery, neck lift, brow lift may be all that is necessary to address your particular concern.

He will recommend non invasive treatments (Botox, Fillers, Skin Refreshing and Resurfacing as well as Laser)..

Dr. Gene Moor will guide you in the choice of non-surgical rejuvenation treatments and advise you when surgical procedures will give you the best results. There are many techniques that can help push back the clock of time that we at ALABAMA PLASTIC SURGERY are well familiar with.
These procedures are a first line of defense against the inevitable changes that we experience. Later these non-invasive procedures gradually lose their primary effectiveness and we will turn to secondary anti-age related surgical procedures. It may be time for a Blepharoplasty, Neck lift, Facelift, Brow lift, and even Rhinoplasty.

There is no one operation that can be considered the definitive procedure. Dr. Gene Moor will analyze your face and neck and evaluate which technique is best for you. The trend is towards less aggressive, less invasive techniques with shorter scars, less down time and easier recovery periods. The Short Scar Macs lift is a preferred technique by Dr. Gene Moor for this purpose. This procedure is not for everyone and the more traditional facelift may be the better choice for those patients.

Dr. Gene Moor at ALABAMA PLASTIC SURGERY in Birmingham, Alabama 35223 will help you make these decisions after he has analyzed your face at your consultation.

Please visit specific procedures and learn more about facial plastic surgery at ALABAMA PLASTIC SURGERY in Birmingham, Alabama 35223

Pushing Back Time

Dr. Moor uses a wide array of Non-Surgical Skin Treatments for facial skin rejuvenation:

Botox®

Botox® (Botulinum Toxin A) is derived from clostridium botulinum. It has been used for many decades for pain and contractures in burn victims and later for eye muscle spasms. It is now FDA approved for the treatment of wrinkles. Dr. M. Eugene Moor was one of the first physicians in Birmingham to use Botox for the treatment of migraine headaches about 15 years ago. It is the most popular cosmetic procedure done in the world today and it is best to have a plastic surgeon inject it in order to achieve excellent results. Botox relaxes the specific muscle injected and is commonly used in the forehead, brow, around the eye and the mouth. The effect of Botox lasts 4 months and can last 6 months or longer with repeated injections.

Dysport® and Xeomin® are similar products that also produce a relaxing effect on the muscle injected.

Juvederm®

Juvederm® is a hyaluronic acid dermal filler for deep wrinkles. Dr. Moor also uses it to restore volume in the lips and nasal labial folds. Hyaluronic acid occurs naturally in the body and therefore unlike collagen, does not require allergy testing. The results are immediate and may last up to 9 months or more.

Juvederm Voluma®

Juvederm Voluma® is an FDA-approved filler to correct age-related volume loss in the mid-face. It creates a smoother contour and a fuller and more youthful appearance. It lasts up to 2 years.

Restylane®

Restylane® is a dermal, injectable filler of hyaluronic acid that Dr. Gene Moor uses to smooth out wrinkles and add volume to the lips. Restylane® is biodegradable and therefore lasts up to 6 months.

Radiesse®

Radiesse® is a synthetic calcium hydroxylapatite injectable implant. It is a mineral-like compound found naturally in the human bone. Radiesse® provides an immediate lift, replenishes lost volume and continues to work by stimulating the body to produce its own collagen. Radiesse® is considered a subdermal and volumizing filler for correction of moderate to severe facial wrinkles, such as nasolabial folds. The results last up to 2 years.

Chemical Peel

Dr. Moor uses different concentrations of Trichloroacetic acid (TCA) peels to improve and smooth the texture of the facial skin by lifting off the outer layer of skin. After treatment, the skin will have a pinkish tinge and some light crusting for 2-3 days. This is easily treated with moisturizer. Your skin will look softer and younger.

Laser

With laser resurfacing Dr. Moor removes the fine lines and tightens the skin. The most dramatic results are achieved when applied to aged and sun-damaged skin when a medium depth chemical peel will not reach adequate depth of treatment and does not produce the desired optimal improvement. This more involved procedure produces excellent results.

Skin Cancer

Dr. Gene Moor has vast experience in the diagnosis and treatment of skin cancer.  Skin cancer treatment usually requires surgery to remove the growth.  There are three primary types of skin cancers: Basal Cell, Squamous Cell, and Melanoma.  The individual treatment and follow-up care may be very different.  At your consultation, Dr. Moor will discuss your treatment options, surgical and non-surgical, and recommend a treatment and follow-up plan.  Any surgical procedure will result in a scar.  Dr. Moor is well experienced in the maximum camouflage of his scars, and rearranging skin to cover the excised lesion without dramatically changing your appearance.  Patients are referred to Dr. Moor because the excision and reconstruction can be quite involved, complicated, and require more than one reconstructive procedure. 

The visible skin of the skin lesion can be deceiving.  What is visible on the skin surface, often only represents a small portion of the entire skin cancer.  Beneath the skin surface, the cancer cells can cover a much larger area with no discernable borders.  In these cases, specialized techniques, Moh's and frozen sections, are utilized to preserve as much skin as possible.  The skin cancer is removed and microscopically examined by the pathologist before closure to ensure that all cancer cells are removed.  If we don't have "clear margins," Dr. Moor will continue meticulously removing more tissue, until cancer-free margins are obtained.  Immediately after the clear margins are achieved, the wound is not left open to "heal on its own," but Dr. Moor starts the reconstructive process and closes the wound.  The reconstruction may be a direct closure, a local flap, or a skin graft.  Dr. Moor tries to place the suture line in the natural creases and curves of the face, trying to minimize the appearance of the scar.  At your consultation, Dr. Moor will discuss with you the different treatment options you have.  With certain pre-cancerous lesions, he may suggest treatment with ointment.  Dr. Moor always takes into consideration your general health, the risks of surgery, and potential complications.  He may suggest radiation therapy as the primary mode of treatment.  Not all skin cancers act the same and additional post-operative treatment and close follow-up may be necessary.  Melanoma is a very dangerous skin cancer and should be followed regularly.  It is entirely possible that the factors that were in place and caused your skin cancer in the first place will generate new skin cancers in the same region.  Early detection is the key to curing skin cancer.  It is important that you perform self-examinations, schedule annual skin cancer screenings, and practice good sun protection.  Once you have a skin cancer, you are at a higher risk of developing more skin cancers and keep in mind that skin cancers can recur. For a more comprehensive consultation on skin cancer treatment, please consult Dr. Gene Moor at ALABAMA PLASTIC SURGERY in Birmingham, Alabama at 205-871-2002.

The primary cause of skin cancer is the over-exposure to sunlight, especially when a history of sunburn and blistering is present.  Most skin cancers develop and are the result of a cumulative effect of over 20 years of sun exposure.  Avoidance of the sun and sunscreen are the best ways to prevent skin cancer. 

The American Cancer Society suggests that everyone use a sunscreen daily, year round in any weather.  It should be applied one half hour before going outside giving the skin time to absorb it.  Sunscreen should be reapplied every two hours.  It is important that the sunscreen included broad spectrum protection (UVA and UVB) and is SPF 30 or above.  An SPF 30 protects against 97% UVB and SPF 50 protects 98% UVB.  There are other physical, environmental, and genetic factors that contribute to skin cancer.  New research indicates that adequate blood levels of Vitamin D offer protection against skin cancer and that conversely, low levels of Vitamin D increase the chances of getting skin cancer.  Patients with Melanoma who have low levels of Vitamin D are thought to have poorer outcomes.

Once the lesion, or mole, has fully developed, it normally remains of the same, shape, and color for many years.  Beware of the lesion that has a sudden or continuous change in size, color, or shape, or is itching or bleeding.  This lesion needs to be evaluated. 

The main skin cancer types are Basal Cell carcinoma, Squamous cell carcinoma and Malignant Melanoma.  Basal Cell carcinoma of the skin appears as a small, fleshy bump or nodule on the head, neck, or hands, and the lesions may appear flatter on the trunk.  People with Basal Cell lesions frequently have light hair, light color eyes, and a light complexion.  These tumors do not spread quickly.  In fact, they may take years to reach 0.5 inch in diameter.  Squamous Cell carcinoma may appear as nodular or red scaly patches found on the rim of the ear, face, nose, lips, mouth, or hands.  The cure rate of both Basal Cell and Squamous cell  is over 95% when properly treated early.  Yearly 70,000 new cases are diagnosed with 87% cure if the cancer is detected early.  Younger patients will have an even more virulent Melanoma.  Melanoma is described as a pigmented, (ABCD rule) asymmetrical lesion with an irregular border.  The color is not uniform with shades of tan, brown, and/or black with a reddish, blue-white tint, and it is about the size of an eraser head, greater than 6mm.  Dr. Moor has extensive experience with Melanoma, and he will discuss your treatment options. 

Early detection is the key to curing skin cancer.  Self-examination is a must.  Any lesion that has changed in size, color, or appearance should be evaluated.  Dr. Moor will be happy to evaluate any suspicious lesion(s) you may have.  For a more comprehensive consultation on skin cancer treatment contact Dr. Gene Moor at ALABAMA PLASTIC SURGERY, in Mountain Brook, Alabama (205) 871-2002.