What to Do if You Think You Have a Cancerous Mole

As we get older, our bodies change. Usually changes are just part of the aging process, but sometimes they can indicate serious health problems, like skin cancer. Fortunately, when discovered early, skin cancer is highly treatable. However, this also means that it’s important to regularly check yourself for possible skin cancer and to act as soon as possible if you notice something unusual.

Recognizing a Cancerous Moles

The first indicator of skin cancer is typically changes in the skin. This can be changes in the moles you already have or the development of what appears to be a new mole. Dermatologists recommend the ABCDEs test for screening one’s self for skin cancer in order to detect cancer as early as possible.

This test involves checking your moles for five different signs of skin cancer. If your moles show any of these signs, you may have skin cancer.

  • Asymmetry: If some part of the mole varies from the typical round shape of moles, the mole may be cancerous or precancerous.
  • Border: Benign moles have smooth, defined borders, but cancerous or precancerous moles may have uneven or unclear borders.
  • Color: While healthy moles are typically uniformly colored some shade of brown, cancerous moles are often inconsistently colored and may have red, white, or blue shades.
  • Diameter: Cancerous moles are typically larger than benign ones, which are usually smaller than a pencil eraser, about a quarter inch in diameter; but cancerous moles are often smaller than this when they are first detected.
  • Evolving: Benign moles typically remain the same throughout time, but cancerous or precancerous moles may be show change. If you’re not sure if your mole is changing or not, try regularly taking pictures so that you can compare its appearance over time.

If you notice any of these signs, contact a dermatologist who can examine your mole and determine if a biopsy is needed to test for skin cancer. If your doctor finds that you do have skin cancer, or a precancerous mole or growth, you will typically need to arrange for surgery to remove the cancer or precancer.

Mole Removal Surgery

The exact process of mole removal surgery is different for each patient, because each patient’s health and cancer growth is different, but most surgeries follow this basic pattern.

First, the patient is anesthetized, and then the actual removal occurs. Small cancer lesions typically require only a basic excision surgery. However, skin cancer can also reach deep into the skin without clear borders. If this is the case, surgeons typically use a surgical technique called Mohs micrographic surgery. This technique requires the removal of the cancer lesion and the surrounding tissue layer by layer, with each layer sent to the lab for testing for cancer cells. Layers continue to be removed until test results indicate that no more cancer cells are present.

Some patients, especially those with deeper cancer growths, may need reconstructive steps after their cancer is removed. All patients should plan on going back to their doctor later for additional tests to ensure that all traces of cancer are definitively gone.

Choosing the Right Surgeon for Your Procedure

When most people think of skin cancer removal they think of a dermatologist or oncologist; but for patients with facial skin cancer, a plastic surgeon is often the better choice. However, not just any plastic surgeon is qualified to perform skin cancer removal surgery. Patients should choose an experienced plastic surgeon who specializes in reconstructive facial plastic surgery.

Furthermore, it’s not just important to choose the right kind of doctor, it’s also important to choose the right individual doctor. Your surgeon is imperative in keeping you relaxed and confident during the process, from diagnosis to follow up, which can be very stressful for patients. Your surgeon should take the time to make sure you are comfortable and fully informed about the process.

Dr. William J. Binder

Skin cancer is a serious disease and you deserve the best possible surgeon to help you through the cancer removal process. If you’ve recently gotten a skin cancer diagnosis or are suspicious that you may have skin cancer, it’s better to act sooner rather than later. Contact Dr. Binder’s office today to schedule your consultation.


The Essentials of Revision Rhinoplasty

The nose is one of the more intricate and delicate parts of the body. It’s responsible for filtering, warming, and humidifying air before it gets to your lungs, not to mention our unique sense of smell. Part of what makes our nose so special is the fact that it is such a prominent component to our physical appearance.

It’s both the center of our face and crucial to our facial profile. Aesthetically, it contributes to the balance and proportions of our face that make us look the way we do. However, this doesn’t necessarily mean everyone is happy with theirs.


A rhinoplasty procedure helps to create a more symmetrical and well-balanced appearance by altering the shape and proportions of your nose. Part of what makes nose surgery so unique is its ability to both offer cosmetic solutions to those who desire an improved appearance, as well offering a solution to structural defects in the nose that can cause physical problems and difficulty breathing.

It’s this balance of cosmetic and function that makes the rhinoplasty procedure one of the most popular in the United States today. A successful rhinoplasty can help individuals who wish to alter the shape or position of their nostrils, reduce an enlarged nasal tip, get rid of unsightly bumps, or alter the width of their bridge.

Many patients wish to have the size of their nose reduced, in which case the appropriate amount of bone or cartilage is surgically removed, with the remainder being sculpted for symmetry. For physical problems, such as a deviated septum, a rhinoplasty can effectively straighten the nasal septum (the partition between the nostrils that separates the air chambers), allowing for drastically improved efficiency and ease of breathing.

While this all sounds well and good, unfortunately not all rhinoplasties are completed with satisfying results. Your nose may look differently than you were told it would or your surgery could’ve simply been ill-performed. Regrettably, surgeons with insufficient training and experience can produce undesirable outcomes that leave patients unhappy with their new appearance. Luckily, with advancements in cosmetic medicine, there is a solution to this.

Revision Rhinoplasty

The goal of a revision rhinoplasty is to repair and restore the original result an individual first desired when choosing to undergo corrective nose surgery. It’s not uncommon for patients to be unsatisfied with a “pinched” looking nose or one that is ultra-thin and artificial looking. Sometimes they only need slight adjustments, other times they require more significant alterations.

Either way, a revision rhinoplasty was created for this very reason. No surgeon can guarantee 100% satisfactory results every single time. This procedure allows patients to achieve this level of satisfaction by its uncanny ability to provide the finest of adjustments post-nose surgery.

During these surgeries, the structural integrity of your nose is reinforced and corrected, either for cosmetic purposes or to further improve the passage of air into the nose and lungs. Revision rhinoplasty has been on the rise over the last decade with about 10% of recipients who receive a regular rhinoplasty coming back for a revision.

With the state of medicine being where it is today, you should be able to receive the results you desire with great accuracy and excellent quality. This procedure aims to restore the structure of your nose, maintain its natural look, and correct any functional errors you may have. Done correctly, a revision rhinoplasty can reap the immeasurable benefits of enriched self-confidence and an improved physical appearance.

How to Get Started

Dr. Binder’s office in Beverly Hills is often considered the best option for correcting the most difficult problems in revision rhinoplasty. Our office is dedicated to establishing proper communication with prospective patients. Contact us today to  schedule a consultation for your revision rhinoplasty surgery in our Beverly Hills office.


The Practical and Aesthetic Benefits of Otoplasty

The ears are one of the most subconsciously noticed features of the face. Commonly, the eyes, nose, and smile are among the first things observed when meeting someone. However, the ears play a crucial part in the overall balance of your face, effectively framing the rest of your features. Misshaped ears can be the result of a couple sources. Injury, genetic predisposition, or a poorly-performed previous ear surgery can all leave you with ears lacking the position, shape, or proportion that you desire.

An otoplasty is unique in its ability to be performed at almost any age. Protruding ears can be the subject of teasing and bullying in children who feel self-conscious about how they look. Ear surgery is usually more effective the earlier it is performed. Taking advantage of still-developing cartilage helps guarantee longer lasting results by reshaping the still-flexible ear tissue.

Even mild distortions of the ears can be damaging to your self-esteem, no matter your age. Social situations, being able to wear your hair certain ways, and being photographed are all things you should never have to worry about doing. A successful otoplasty with Dr. Binder’s plastic surgery in Beverly Hills aims to make your life easier by shaping or sculpting your ears to better balance your face, restore self-confidence, and allow you to not think twice about taking part in common, daily activities.

The Procedure

Corrective ear surgery is performed under general anesthesia and usually takes no longer than two hours. For protruding ears, an incision is made behind the ear where cartilage is then sculpted and sutured to maintain the desired positioning.

Yet another special benefit to an otoplasty surgery is its ability to be combined with other cosmetic facial procedures. Many patients choose to include this in conjunction with rhinoplasties and facelifts. Although, most commonly, patients desire their ears to be “pinned back” to avoid protrusion, deformed or disproportionate ears can be reshaped or altered in size to better fit your face as a whole.

It is common to require a soft cast for the days following your procedure, but most post-surgical pain is minimal. The thin scar left from the incision is well hidden behind a natural crease of the ear.


Adults with no previous severe medical conditions and who generally lead a healthy life style are ideal candidates for this procedure. For children, it is generally recommended that they be at least 5 years or older, in relatively good health, able to follow instructions well, and are cooperative. With any candidate, having a thorough understanding of what you wish to change and realistic expectations only makes your procedure more rewarding.

How to Get Started

Dr. Binder’s cosmetic surgery in Beverly Hills is often considered the best option for solutions regarding the otoplasty procedure. Our office is dedicated to establishing proper communication with prospective patients. Contact us today to schedule a consultation for your revision rhinoplasty surgery in our Beverly Hills office.


Facial Scar Removal: Getting Rid of Unwanted Scars

For the most part, a scar isn’t bad if it’s small or in a location that’s easy to conceal. But when it’s not, you may wonder if there’s a way to treat it, other than hiding it under your clothes, that will make it go away or at least change how it looks.

Here’s a look at some of the options available to you when it comes to reducing the appearance of those unwanted scars.

Scar Revision Surgery

Scar revision surgery is meant to minimize the scar so that it’s more consistent with your surrounding skin tone and texture.

Scars are visible signs that remain after a wound has healed. They are unavoidable results of injury or surgery, and their development can be unpredictable. Poor healing may contribute to scars that are obvious, unsightly or disfiguring.

Even a wound that heals well can result in a scar that affects your appearance. Scars may be raised or recessed; different in color or texture from surrounding healthy tissue; or particularly noticeable due to the size, shape, or location.

Although scar revision can provide a more pleasing cosmetic result or improve a scar that has healed poorly, a scar cannot be completely removed.

Scar revision treatments include:

  • Topical treatments—such as gels, tapes, or external compression can help in wound closure and healing, or to reduce the ability of skin to produce irregular pigment. These products may be used to treat existing surface scars and discoloration, and to aid in healing of scar revision procedures.
  • Injectable treatments—are often used to fill depressed or concave scars. Depending on the injectable substance used and your particular scar conditions, results may last from three months to several years. Therapy must be repeated to maintain results. One form of injection therapy uses steroidal-based compounds to reduce collagen formation and can alter the appearance, size, and texture of raised scar tissue.
  • Surface treatments—are most often used for cosmetic improvements of scars. These methods can soften surface irregularities and reduce uneven pigmentation. Surface treatments are a controlled means of either mechanically removing the top layers of skin or changing the nature of tissue.
    These treatment options include: dermabrasion (a mechanical polishing of the skin), laser or light therapy (causes changes to the surface of the skin that allow new, healthy skin to form at the scar site), chemical peel solutions (penetrate the skin’s surface to soften irregularities in texture and color), and skin bleaching agents (medications applied topically to lighten the skin).

Scar Removal: Home Remedies

The human body is capable of taking care of scars and they tend to get lighter with time, but there are some home remedies that you can try to speed up the healing process, including:

Aloe Vera—a natural scar removal remedy due to its anti-inflammatory and antibacterial properties. Apply aloe vera twice daily, but do not use on open wounds.

  1. Peel the outer green cover off an aloe vera leaf and scoop out the gel-like substance.
  2. Apply the gel on your scar and massage in circular motions.
  3. Leave it on for about 30 minutes, then wash it off.

Olive Oil—is rich in vitamin E and helps keep the skin soft and moisturized. Repeat either of these remedies several times a day until you get the desired result.

  • Apply some warm extra-virgin olive oil to the affected area and massage using small, circular motions. Wait 30 minutes, then wipe off the oil with a clean cloth. You can also leave the oil on your skin overnight.
  • Another option is to mix a little lavender oil in some extra-virgin olive oil, apply it on the affected area and massage gently for a few minutes. Leave it on for 20 to 30 minutes, then rinse it off with lukewarm water.

Lemon—can remove dead skin cells, promote the growth of new skin cells, and improve skin elasticity. Repeat this remedy once daily until the scar fades.

  1. Apply some lemon juice on the affected area.
  2. Wait 10 minutes, then rinse it off with warm water.

Honey—a natural moisturizer. Repeat this remedy daily before going to bed.

  1. Apply some honey over the scar, cover it with a bandage, and leave it on overnight.
  2. The next morning, wash it off with warm water.

Speak with Dr. Binder

If you decide that home remedies aren’t doing enough to fade your scars, then you should talk to Dr. Binder about the surgical scar removal options that might work best for you. With years of experience in his field, he as the expertise to help you make the right decision about how best to deal with your unwanted scars.


9 Facial Skin Health Tips for Winter

Living in LA in the winter months is basically the same as living there in the summertime. At least where your skin is concerned. Most people tend to think that once the sun goes away a little, they can stop protecting their skin from the sun’s harmful rays. But the truth is that the sun never really goes away.

Winter skin care is just as important as summer skin care. Here are some tips on how you can properly look after your facial skin this winter, so that you can stay looking young and radiant.

9 Tips for Healthy Winter Skin

  1. Cleansing—is an important routine to be followed all throughout the year. In the winter time, you can limit the number of times you wash your face from three times to two times. You can also alternatively cleanse your face with cold milk and cotton balls to cut down on the excessive dryness.
  2. Scrubbing—avoid daily scrubbing as it may cause severe abrasion and make skin even drier. Try using a mild exfoliating scrub once or twice a week. You can also enhance your scrubbing experience by adding the following ingredients to make your innovative fruit scrub:
    1. 2 tbsp. mashed ripe banana
    2. 2 tbsp. of a mashed apple
    3. 1 tbsp. honey
    4. 2 dollops of your mild scrubMix all and go for gentle clockwise and counter-clockwise finer movements to scrub your face for two minutes; while washing off with warm water, ensure you pat dry with a soft towel.
  3. Toning—is a must for all those who have aging and sagging skin concerns. Otherwise you can leave your pores open in winter for more oil secretion.
  4. Moisturizing—is important for all skin types, not just those with very dry and flaky skin. You can indulge in natural moisturizing by using warm almond and extra virgin olive oil, and use it as a night massage routine. Alternatively, you can mix the oil with your normal cold cream and lotion, too.
  5. Face packs—there are hundreds of ingredients in your kitchen that can be highly effective to make your skin become soft and supple in the winter season. Here are a few that you can make use of:
    1. Avocado face pack—use mashed ripe avocado on face for about 10-15 minutes before washing off with warm water. Apply a light moisturizer instead of toner.
    2. Banana face mask—take 4 to 5 tbsp. of mashed ripe banana and massage it on the face. Wash off after 10 minutes then massage your face with honey, in circular motions, for that extra moisturizing feel. Do so for at least 10 minutes before applying toner.
    3. Butter milk pack—use malai or fresh butter milk with a pinch of turmeric, letting it sit on the face for about 10 minutes, and then wash off with lukewarm water.
    4. Aloe Vera—can be used on the face as a moisturizer. It is the perfect way to relieve your face from dryness, while enhancing the texture by making it softer.
  6. Keep hydrated—don’t forget that your skin needs hydration from the inside, out. A little warm water with lemon can be very refreshing and hydrating at the same time. Eating foods high in water content can also help hydrate your skin. Try watermelon, cantaloupe, apples, oranges, kiwi, and watery veggies like celery, tomatoes, cucumbers, zucchini, and carrots.
  7. Sunscreen—isn’t just for the summertime. Winter sun—combined with snow glare—can still damaged your skin. Try applying a broad-spectrum sunscreen to your face about 30 minutes before going outside. Reapply frequently if you stay outside for a long time.
  8. Hook up the humidifier—central heating systems blast hot dry air throughout the home and office. Humidifiers get more moisture in the air, which helps prevent your skin from drying out. Place several small humidifiers throughout your home so that they can help disperse moisture more evenly.
  9. Ban super hot baths—the intense heat of a hot shower or bath actually breaks down the lipid barriers in the skin, which can lead to a loss of moisture. A lukewarm bath with oatmeal or baking soda can help relieve skin that is so dry it has become itchy.

Seek a Specialist

If you find that your skin isn’t looking the way that you want this winter, then you should consider seeking help from a professional. Book an appointment with Dr. Binder, so that he can help you figure out what surgical or non-surgical facial routine might work best for you.


The Aesthetic and Health-Related Benefits of Blepharoplasty

It is evident that plastic surgery and cosmetic procedures have aesthetic benefits, but many of these procedures can have impacts on the health of patients, as well. One such procedure is blepharoplasty.

Blepharoplasty, also called eyelid surgery or an eye lift, is a procedure that removes excess skin by removing and relocating soft tissue surrounding the eyes, including fat and even muscle, in order to improve the appearance or resolve health issues. This is a serious procedure that can involve major changes to the eye area, but recovering from the procedure is relatively easy and usually only takes one to two weeks.

Aesthetic Benefits of Blepharoplasty

Cosmetic blepharoplasty is most often thought of as an age-reversing and revitalizing procedure. This procedure reduces under eye bags, sagging upper lids, and puffiness surrounding the eyes. This opens up the appearance of the eyes and gives a more alert, awake, and youthful appearance. It can also sometimes remove wrinkles and creases resulting from bags, sagging, and puffiness, and can remove or minimize the appearance of dark circles under the eyes. However, blepharoplasty cannot remove crow’s feet or improve the appearance of dark circles that are due to thin skin or hyperpigmentation of the skin.

Cosmetic eyelid surgery can be performed alongside other procedures for a more comprehensive revitalization or to address aesthetic issues that blepharoplasty alone cannot resolve. Crow’s feet and other types of wrinkles can be addressed with lifts, such as face lifts and brow lifts, or injected dermal fillers, such as Botox. Skin resurfacing treatments, injected dermal fillers, and custom facial implants and reconstruction can be used to improve the appearance of dark circles due to hyperpigmentation and fill in shadowy hollows under the eyes.

Health Benefits of Blepharoplasty

People don’t typically think of plastic surgery as having health benefits, and blepharoplasty is typically performed for cosmetic reasons. However, blepharoplasty, like many plastic surgery procedures, has health benefits, as well. These benefits extend to both the mental and physical health of patients.

Patients seeking eyelid surgery for health reasons can also have the appearance of the eye area improved at the same time, and may be eligible to have insurance cover the cost of the procedure.

Mental Health Benefits

Many plastic surgeries can benefit patients’ mental health by improving their self-confidence, and eyelid surgery is no exception. Not all patients will see improved self-esteem from plastic surgery, but patients who are highly dissatisfied with a particular aspect of their appearance that can be addressed by the procedure and have realistic expectations can greatly benefit.

People with high self-esteem are less likely to experience mental health issues, such as eating disorders, anxiety, and depression, among others. They are also more likely to have socially healthy and fulfilling lives. They are able to foster healthier relationships, are more comfortable expressing themselves, and form healthy and realistic expectations for themselves and those around them.

Physical Health Benefits

The improvements to mental health can have implications for physical health, as well. Eating disorders take a toll on the body, weakening tissue and making the person more prone to illness. People with high self-esteem are also more likely to take care of themselves, such as by pursuing a healthy exercise routine and making other healthy choices.

However, these are not the only ways that blepharoplasty can improve the physical health of patients. Many people have excess sagging of the upper lid that leads to obstruction of the upper portion of their field of vision. This can be the result of aging, physical trauma, or illness. Eyelid surgery can help correct this vision obstruction by eliminating the excess skin and displaced tissue, clearing the field of vision.

Dr. William J. Binder

Dr. William J. Binder is an experienced plastic surgeon based out of Los Angeles and is considered one of the world’s best plastic surgeons. He is double board certified, extensively published (largely in peer reviewed publications), and has 10 patents on medical devices and pharmaceuticals.

Whatever your reason for choosing blepharoplasty, you deserve the best possible surgeon. Contact Dr. Binder’s office today to schedule your consultation with one of the best.


Skin Pigmentation Changes: What are the Causes?

Throughout our lives, everything about our bodies changes, including our skin pigmentation. Often this just means an aesthetic difference, but other times changes can be indicative of deeper health problems. Read more to find out what may be causing the change in your skin tone.


The sun is the most well known cause of changes in pigmentation and the sun’s effects are experienced by almost everyone. In the short term, the sun gives a gorgeous tan and cute freckles, but the long term effects are less satisfactory. Sun exposure can cause the development of dark spots and keratosis, which can develop into skin cancer. As 80% of instances of skin cancer appear on the face, head or neck, skin cancer has serious implications for both your health and your appearance.

Skin Damage

Skin damage is another cause of changes in pigmentation that is almost universally experienced. Scraps, cuts, infections, blisters, and burns can all cause a lack of pigmentation. This decreased pigmentation is typically temporary, but may take a long time to heal and can even be permanent, such as with scars. Taking proper care of a wound while it heals, no matter the size, can make a huge difference in minimizing and even preventing changes in pigmentation.


In addition to sun exposure and skin damage, there are a several disorders that can cause changes in the pigmentation of the skin, either permanently or temporarily. In some cases the condition causes no greater problem than the changes in the color of the skin, but in others changes in skin color could indicate a deeper health problem. Contact a doctor if you experience any unusual, unexpected, or unexplained changes in the pigmentation of your skin.

Just like some ailments can cause changes in the skin, so can some treatments, such as certain antibiotics, antiarrhythmics, and antimalarial drugs, which can all cause hyperpigmentation.


Melasma, also sometimes called chloasma, is a common cause of hyperpigmentation in pregnant women that is caused by the changes in hormone levels associated with pregnancy. Melasma is characterized by the development of brown splotches on the skin, particularly in the facial area. For some women these spots fade after pregnancy, but for other the change in pigmentation is permanent. Men can also experience Melasma, though it is much less common for men than women. The condition can be treated with prescription creams or cosmetic treatments. Sun exposure can worsen this condition, so those who experience it should exercise extra caution to protect themselves from the sun.

Addison’s Disease

Addison’s disease, a disorder characterized by underactivity of the adrenal gland, is a rare but possible cause of hyperpigmentation. This disease is a serious health condition that can lead to impaired kidney function and dangerously low blood pressure, but with treatment most people with Addison’s disease are able to live a normal life. Addison’s disease affects only 1 in 100,000 people, but can affect men or women of any age. One side effect of Addison’s disease is the development of dark splotches and freckles. These can appear anywhere on the body, including the gums, but are most common on places that get frequent sun exposure, like the face and hands.


Vitiligo is distinct from the other disorders discussed here in that it causes hypopigmentation, or the loss of pigmentation, rather than hyperpigmentation. Vitiligo causes white patches to appear across the body, including on the face, due to damage to the pigment producing cells. Vitiligo cannot be cured, but the spots can be treated with laser treatments and corticosteroid creams.

Correcting Pigmentation Changes

Changes in skin color can be frustrating and visually unappealing, even if they aren’t associated with a larger issue. Fortunately, a cosmetic surgeon skilled in cosmetic skin treatments can help to minimize or even eliminate the appearance of discoloration.

Dr. William J. Binder is located in Los Angeles, but is one of the world’s leading plastic surgeons. He has the skill and resources to not only evaluate and treat your pigmentation changes, but to make the process as easy and stress-free as possible. If you’re sick of living with skin discoloration, contact Dr. Binder’s office today to schedule your consultation.


Dealing with Cancerous Moles

Do you have any suspicious moles that you’ve been secretly fretting about? Are you worried that your mole might be cancerous?

Since most skin cancers start in irregular spots, it is important that you check your skin every few months. Here’s what you should be looking for to determine whether or not your moles may be cancerous.

Types of Moles and How They Look

  • Normal mole—is a harmless spot that develops in childhood and later in life and can be found anywhere. Typically, normal moles are smaller than a pencil eraser, and are round and symmetrical with smooth borders and an even color.
  • Dysplastic nevus—is a type of mole that looks different from a common mole. It can have a mixture of several colors, from pink to dark brown, and is usually flat with a smooth, slightly scaly, or pebbly surface, with an irregular edge that may fade into the surrounding skin.
  • Actinic keratosis—is a common precancerous growth often found on your scalp, face, hands, or forearms. They are a rough, flesh-toned pink or red patch that may be itchy or scaly. Actinic keratosis should be removed because five to 10 percent of them can become cancerous.
  • Basal cell carcinoma—is caused by sun damage and typically found on the face. It normally appears as a pinkish or reddish patch that may bleed or scab. This type of cancer is easy to treat if caught early.
  • Squamous cell carcinoma—this type of cancer often appears on the body, legs, or hands and is curable if caught early. It appears as a thick growth that can peel and bleed and may have an irregular shaped border.
  • Melanoma—this serious form of cancer can spread quickly, but is curable if caught early. Alert your doctor if you see a dark, irregularly shaped growth with an uneven reddish-brown, brown, or black coloring.

What is Melanoma?

Melanoma is a type of skin cancer that begins in melanocytes. It is potentially dangerous because it can invade nearby tissues and spread to other parts of the body, such as the lung, liver, bone, or brain. Since most melanocytes are in the skin, melanoma can occur on any skin surface. It can develop from a common mole or dysplastic nevus, and it can develop in an area of apparently normal skin. In addition, melanoma can also develop in the eye, the digestive tract, and other areas of the body.

Often the first signs of melanoma are a change in the shape, color, size, or feel of an existing mole. Melanoma may also appear as a new colored area on the skin.

The early features of melanoma are:

  • Asymmetry—the shape of one half does not match the other half.
  • Border is irregular—the edges are often ragged, notched, or blurred in outline. The pigment may spread into surrounding skin.
  • Color that is uneven—shades of black, brown, and tan may be present. Areas of white, gray, red, pink, or blue may also be seen.
  • Diameter—there is a change in size, usually an increase. Melanomas can be tiny, but most are larger than ¼ inch wide.
  • Evolving—the mole has changed over the past few weeks or months.

Melanomas can vary greatly in how they look. While many will show all of the above features, some may only show one or two of the above features.

Screening and Prevention

The only way to diagnose melanoma is to remove tissue and check it for cancer cells. Your doctor will remove all or part of the skin that looks abnormal. Usually, this procedure only takes a few minutes and can be done in a doctor’s office, clinic, or hospital. The sample will be sent to a lab and a pathologist will look at the tissue under a microscope to check for melanoma.

If you want to help prevent melanoma, then you need to be sun smart. Here are some tips on how you can be sun smart:

  • Spend time in the shade between 11am and 3pm
  • Wear a T-shirt, hat, and sunglasses
  • Use sunscreen with at least SPF 15 (the higher the better), with good UVA protection (the more stars the better)
  • Avoid sunbeds as they are not a safe alternative to tanning outdoors (the intensity of the UV rays can be 10-15 times higher than that of the midday sun)

You may be more at risk of developing skin cancer if you have:

  • Fair skin
  • Lots of moles and freckles
  • Red or fair hair
  • Had skin cancer before
  • A family history of skin cancer

Getting Your Moles Checked

If you are worried about any mole that you have, then you should schedule an appointment with Dr. Binder. The best way to ensure that you don’t have skin cancer or that you are diagnosed early enough to treat skin cancer, is to have your suspicious moles checked out and, if necessary, removed by a qualified doctor.


What is a Multi-Level Facelift?

Life goes on. It’s a common saying that’s often overused in times of strife or when accepting something outside of our control. However trite it may sound, it’s true when concerning the aging process, we can’t control it. However, that doesn’t mean it’s completely out of our hands. Or rather, in the hands of someone like Dr. Binder.

Years and years of research and procedures have led to tremendous strides in technology along with higher quality results in the facial rejuvenation and cosmetic surgery industry. The multi-level approach to facial surgery is one that provides a personalized procedure to those with specific desires for particular areas of the face.

Facelift Surgery

As we all know, aging is a completely natural and inevitable process. The loss of both superficial and deeper adipose fat tissue is what causes the undesirable sagging of skin, development of deep wrinkles, and thinning of the lips. These results of the aging process can be accelerated by factors such as over-exposure to the sun or drug/alcohol use.

Considering aging is so universal, it’s no wonder some people might be inclined to restore some of the elasticity and youthfulness to their face. This is the primary goal of a facelift procedure. Drooping jowls or eyebrows, bags under the eyes, wrinkles, or a sagging neck are all common areas patients have successfully improved with facelift surgery.

Where old facelift procedures would “pull” the skin tight around the face in an effort to forcibly smooth out wrinkles, this grew ineffective and often resulted in an artificially sleek looking face. This is because of the now-outdated focus on only surface level skin. With newer technology and practices, contemporary facelifts focus on deeper tissues in the face and aim to achieve a longer-lasting and more natural result.

The Multi-Level Approach

The multi-level approach to a face-lifting surgery is a relatively recent approach to the cosmetic surgery industry. No single patient is the same and no single patient should be treated as such. That’s why Dr. Binder and his team adopted this highly-personalized method of surgery. Where one patient may desire a full-scale face and neck lift, another may only require a neck liposuction, double chin correction, or eyelid fat removal. This customizable technique of administering treatment is an ideal way to effectively deliver individualized results for everybody.

The different facelift procedures are:

  • Vertical Midface Lift – Lifts the deep fat tissues, primarily of the jowls, and aims to prevent the unnatural “mask-like” look.
  • Under the Chin Neck Lift – The Bidirectional Neck Lift takes muscle from underneath the chin and repositions it upward, creating a better contoured muscular sling. Results are long-lasting.
  • Submental Neck Lift – Reinforces the platysmal muscle that is responsible for bands over the front of the neck.
  • Neck Lipo – This procedure is aimed at younger patients with an excess of fat around the neck and a substantial amount of skin elasticity.
  • Subperiosteal Midface Lift – Designed for younger patients who desire elevated cheeks. Produces nearly-invisible scars just above the hairline.

When considering such a permanent change with a procedure such as a facelift, it is critical that your treatment and care are personalized specifically for your needs and your needs alone. Along with the state of the art advancements in the plastic surgery space, a multi-level approach ensures you achieve not only facial rejuvenation, but the facial rejuvenation that is right for you.

Find out more about Dr. Binder’s cutting-edge procedures and quality care by contacting us today.


Open vs. Closed Rhinoplasty

Rhinoplasty is the third most common plastic surgery procedure in the United States, with 217,979 rhinoplasty surgeries performed in 2015, accounting for about 13 percent of the year’s plastic surgery procedures. Rhinoplasty can be used to resolve health problems and aesthetic problems through both revision rhinoplasty surgery and the initial rhinoplasty procedure. There are two major rhinoplasty techniques, open rhinoplasty and closed rhinoplasty.

About Open Rhinoplasty

Open rhinoplasty involves an incision made in the columella (the delicate tissue that separates the nostrils) to allow for greater access to the tissue throughout the nose. The open technique is easier for the surgeon to perform as it allows for greater visibility of the nasal tissue during the procedure. Open rhinoplasty also allows for more dramatic revision of the nose.

The open technique can lead to greater and more visible scarring than the closed technique. Recovery after rhinoplasty using the open technique can be more unpredictable and prone to complications than recovery after rhinoplasty using the closed technique, but can also be less traumatic because the technique gives the surgeon more room to work and requires less modification to other internal nasal structures.

About Closed Rhinoplasty

Closed rhinoplasty is performed entirely inside the nose without interfering with the columella. An internal procedure prevents visible scars. The closed rhinoplasty technique requires a surgeon with more experience and precision than its counterpart, the open technique.

The closed rhinoplasty technique results in minimal scarring, which is inside the nose and therefore not visible, but is also limited in the scope of the revisions it can achieve. Recovery after closed rhinoplasty can be easier and more predictable than recovery following rhinoplasty using the open technique, but can also be more traumatic if a surgeon is indelicate or tries to make revisions that are too significant.

Is Open or Closed Rhinoplasty Best for Me?

Each rhinoplasty candidate is unique, so it’s impossible to make a blanket statement about which rhinoplasty technique is better for all patients. Closed rhinoplasty is typically preferred because of the easier recovery process and the minimal, hidden scars, but there are numerous situations in which an open technique may be better for the patient.

Because it allows for significant revision, those seeking dramatic change or who need dramatic reconstruction may prefer open rhinoplasty. A skilled plastic surgeon can still minimize scar tissue and the appearance of scars following an open rhinoplasty. On the other hand, those seeking only slight revisions or revisions concentrated to the bridge of the nose with no or minor revisions desired for the tip of the nose may prefer the subtle changes of the closed rhinoplasty technique.

Choosing the Right Plastic Surgeon for Your Rhinoplasty

Your plastic surgeon can determine which technique is best for your rhinoplasty procedure during your consultation. It’s important to clearly communicate what you want from your rhinoplasty surgery and share your complete health history, including dental history, with your plastic surgeon so that they can choose the best technique for your health and goals.

It is therefore essential that you choose the right plastic surgeon for your rhinoplasty procedure in particular so that you can be confident in your results. A plastic surgeon who is skilled and experienced, especially in rhinoplasty, is the difference between glamorous plastic surgery results and a plastic surgery horror story. If possible, patients should seek out a plastic surgeon who specializes in facial plastic surgeries like rhinoplasty.

Dr. William J. Binder

Dr. William J. Binder is a facial plastic surgery specialist with over three decades of experience with facial plastic surgery. He is double board certified and has 10 U.S. and global patents on medical and surgical devices and pharmaceuticals and is extensively published across various medical journals.

If you want your rhinoplasty, whether open or closed, performed by one of the world’s leading facial plastic surgeons, contact Dr. Binder’s office today to schedule your consultation.

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