{tag} meta name="google-site-verification" content="We3m_cgfA9n01syNhfn36BckqKB3V1Ur2vRNxP_3DXU" {/tag}

Skin Cancer (Working)


It is reported that more than 2 million cases of skin cancer occur in the United States each year. One in five Americans will get skin cancer in their lifetime. Every hour someone will die of melanoma in the United States. You can help prevent and detect skin cancer with the help of your dermatologist.


Understanding Skin Cancer Treatments

The goal in treating skin cancer is to completely remove the cancerous area, which can be achieved through different surgical procedures which include:

  • Mohs surgery involves saving the optimal amount of healthy skin while removing the cancerous area completely. Performing this procedure requires a dermatologist with exceptional skills and specialized additional training in Mohs surgery, such as Dr. Pennie. Because this method immediately verifies the complete removal of the cancerous tissue, Mohs surgery offers the highest success rate of all skin cancer treatments – up to 99%, according to the American College of Mohs Surgery. Learn more by reading Mohs Surgery FAQs.
  • Excision involves removing the skin cancer and an additional margin of skin, depending on the cancer type. The specimen is then sent to an outside laboratory to verify the entire skin cancer has been removed.
  • Curettage and electrodessication: This method may be appropriate for treating small basal cell and squamous cell skin cancers. It typically involves a scrapping and cauterizing technique to destroy the cancerous cells.


Sarasota Dermatologist Skin Cancer Immunotherapy Sarasota Dermatologist Treating Skin Cancer

Non-Surgical Skin Cancer Treatments

Surgery is not always the right treatment choice, such as when the patient’s health may preclude surgical options or additional treatment after surgery may be required. If skin cancer is detected early, surgery may not be needed. In such cases, one of the following treatments may be used:

  • Immunotherapy: If your dermatologists recommends this option, your own immune system will be used to treat the cancer. As part of immunotherapy, you will apply a prescription cream to your skin under the guidance of your dermatologist. The cream, Imiquimod, modifies the way in which your immune system responds.
  • Chemotherapy: For very thin, superficial skin cancers, your dermatologist may prescribe a topical chemotherapy. The medication is applied topically to the affected area and will destroy the abnormal skin cancer cells. New healthy skin will develop in the treated area once it has healed.
  • Photodynamic Therapy: To perform this procedure, your dermatologist will apply a photosensitive compound to the area of skin cancer. After the compound has been on your skin for a few hours, your dermatologist will have you expose that area to a special light, which destroys the cancer cells.
  • Radiation therapy: Radiation treatment is usually reserved for patients who have very large tumors and would be disfigured by surgery, or for patients who are unable to have surgery due to other health problems. This method typically requires up to 30 separate treatments over a period of weeks.
  • What is Skin Cancer?

    Skin cancer develops when damaged skin cells cannot repair themselves and begin to grow and divide uncontrollably, forming a tumor. Skin cancer generally develops in the outermost layer of skin, usually allowing detection in its early stages.

  • What Causes Skin Cancer?

    Skin cancer most frequently results from exposure to ultraviolet (UV) light, which harms the DNA with repeated exposure. In addition to repeated exposure to UV light outdoors, you are at increased risk of skin cancer if you:

    • Frequently use tanning beds
    • Regularly smoke cigarettes
    • Have a suppressed immune system, such as if you suffer from leukemia or are an organ transplant recipient, because your immune system cannot ward off cancerous cells as effectively as healthy individuals.
  • What are the Different Types of Skin Cancer?

    Basal Cell Carcinoma (BCC) – the most common form of skin cancer usually appears on sun-exposed areas (face, ears, scalp, upper trunk) and may look like a blemish that won’t heal or a shiny, pearly bump that does not go away. It may bleed if minor trauma occurs to that area. Alternatively, basal cell carcinoma my look like a rough, reddened patch. BCCs tends to grow slowly and rarely metastasizes.

    Squamous Cell Carcinoma (SCC) – the second most common type usually occurring in sun exposed areas but can develop anywhere on the body. They may arise from pre-cancerous lesions called actinic keratoses which are dry, scaly lesions. Typically they look like a red, crusted bump or rough scaly patch.

    Melanoma – the most lethal form of skin cancer because it can spread to the lymph system and internal organs. If often develops in an existing mole or a new mole. Typically they are brown to black lesions that have uneven borders, colors or surfaces. When they appear on sun-damaged skin such as the face, melanomas may look like a brown patch or unevenly colored freckle. Self skin checks are so important to detect changes in existing moles and to spot new ones.

  • How is Skin Cancer Treated?

    There is a wide range of skin cancer treatments available. Your provider will discuss the appropriate treatment based on several factors including but not limited to:

    • The type of skin cancer
    • The location of skin cancer on your body
    • If it is an aggressive form and if it is deep and/or has spread to surrounding tissues or to other parts of the body
    • Your physical health
  • Who Gets Skin Cancer?

    • Skin cancer is more likely in those with fair skin, light colored eyes, blonde or red hair and those who tend to freckle or sunburn. However, anyone of any skin color can develop skin cancer.
    • A family history of skin cancer increases your risk.
  • How Can I Prevent Skin Cancer?

    • Wear a sunblock of at least SPF 30 year-round to sun-exposed skin. Make sure your sunblock protects against both UVA and UVB light, the most harmful rays of the sun.
    • Wear protective clothing such as a wide-brimmed hat, UV protective shirt and sunglasses; seek shade and avoid the sun during “peak hours” of 10 a.m. to 4 p.m. when the sun's rays are the strongest.
    • Reapply your sunblock every 2 hours when outdoors and more frequently if you’ve been sweating or swimming.
    • Self-check and familiarize yourself with your skin with monthly self-skin exams. Be aware of changes in the size, shape and color or your moles and let your dermatologist know of any lesions that are tender, bleeding, itching or not healing after 2-3 weeks.
    • Do no use UV tanning beds. Self tanning lotions are a safer way to get a tanned look.

Continue reading

Botox Treatments (NEW)

Botox & Dysport

BOTOX® (onabotulinumtoxinA) Cosmetic has been evaluated and approved by the FDA to help make moderate to severe lines look better in adults. It works by preventing the release of acetylcholine, preventing contraction of the muscle cells, therefore improving the appearance of fine lines and wrinkles around the eyes, forehead, glabella, and more. Results occur in 2-3 days, lasting 3-4 months.


botox treatmenet by a sarasota deratologist

Botox Can Be Used For:

  • Frown lines or worry lines
  • Periorbital wrinkles or Crow’s feet
  • Brow lift
  • Drooping mouth corners
  • Brow asymmetry
  • Lip wrinkles
  • Platysma stranding or “neck banding”
  • Chest wrinkles
  • Bunny lines
  • Masseter hypertrophy or softening of the jaw line
  • Horizontal creases on the forehead
  • Hyperhidrosis or severe sweating of the underarms, palms or feet

What is Botox?

BotoxCosmetic is an injectable treatment used for the rejuvenation of the skin. It is a naturally purified protein that relaxes the muscles of facial expression giving you a smooth, relaxed and youthful look. The procedure is quick, very well tolerated and results typically last for three to four months. Botox is a purified protein found in nature. It is a neuromodulator. What that means is that Botox blocks the attachment of the neuro- transmitting chemicals that are released by nerves at the neuromuscular junction to make a muscle move. As a result, the impulse from the nerve to the muscle is blocked. The clinical result is a decrease in the movement of the muscle and that causes a decrease in the wrinkling of the skin overlying that muscle. Botox is not a filler, but is often used in conjunction with fillers to reshape the face. Botox relaxes and fillers fill. This is an important difference.

botox treatment by a licensed dermatologist botox treatmenet by a sarasota deratologist
  • Where is Botox Used?

    Botox is FDA approved for treatment of frown (glabellar) lines between the brows. Being FDA approved means Botox has been studied and found to be both safe as well as effective. Dermatologists often use Botox for other “off-label” uses as well. Botox improves not just frown lines, but also crow’s feet and forehead lines.

    Botox can be used to achieve a chemical, non-surgical brow lift when certain muscles are injected. Botox can improve jaw line definition when injected into a neck muscle called the platysma. Botox can also be safely used to decrease excessive sweating of the hands or under the arms from medical conditions such as hyperhidrosis, or cosmetically for special, but stressful, situations like weddings.

  • Who Can Get Botox?

    Botox is commonly used in a wide age range of patients aged from 18-65. Patients over 65 can use Botox, but loose skin overlying the muscles makes the improvement less dramatic. Botox effects usually last 4 months, but over time a cumulative benefit can be seen in younger patients.

  • Who Performs Botox?

    Dr. Pennie and staff perform Botox injections on their patients. It is imperative that Botox procedures are performed by a qualified provider with experience in cosmetic injectibles. This is the best way to safely ensure a great outcome and make sure you receive the best possible results without complications.

  • What is Dysport?

    Dysport (abobotulinumtoxinA) has been evaluated and approved by the FDA to help make moderate to severe lines look better in adults. It works by preventing the release of acetylcholine, preventing contraction of the muscle cells therefore improving the appearance of fine lines and wrinkles around the eyes, forehead, glabella, and more. Results in 2-3 days, lasting 3-4 months.

Continue reading

ACNE (Working)


Acne is a medical condition that affects 40 to 50 million Americans, making it the most common skin disorder for teenagers and adults. About 85 percent of people will have acne at some point in their lives, and by mid-teens, 40 percent of people will have acne or acne scarring.


  • What Causes Acne?

    • First, excess sebum production (oily secretions of sebaceous glands)
    • Second, plugging of hair follicles (or pores)
    • Third, bacteria known as P. acnes
  • Do Hormones Influence Acne?

    • Yes, outbreaks are seen in times of hormonal changes
    • Neonatal period
    • Adolescence
    • Around menses for women
  • What Things Can Make Acne Worse - Diet? Stress? Sweating?

    • Stress can worsen the condition – it increases sebum production, which clogs hair follicles.
    • Sweating can cause an outbreak similar to acne caused by a yeast called pityrosporum folliculitis. This is a normal yeast that starts to overgrow in hair follicles.
    • Diet can affect the condition. High glycemic diets (sugar, carbohydrates) and dairy products can make outbreaks worse.
  • What About Over-the-Counter Treatments - Do These Work?

    • The active ingredient in many over-the-counter treatments is benzoyl peroxide, which kills P. acnes bacteria. For mild cases, benzoyl peroxide alone may be effective. For more severe cases, benzoyl peroxide can be combined with prescription treatments such as retinoid cream (retin-A) and/or topical antibiotics.
    • Another good over-the-counter treatment to use is a salicylic acid cleanser or cream. This helps unclog pores.
  • What Are the Side Effects With Treatment?

    • Many of the topical treatments can cause dryness and irritation. The goal is to kill the bacteria and decrease sebum, but if this is overdone then you get dryness and irritation. Often you need to start treatments slowly, 2-3 times a week and increase slowly.
    • Those who require courses of oral antibiotics may experience stomach upset. Fortunately, we have new slow-release formulations that allow us to use lower doses with less stomach irritation.
  • Are There Any Ways to Prevent Acne?

    • Wash your face daily with a mild cleanser. Rough scrubs or harsh cleansers can make outbreaks worse by causing more inflammation.
    • Use oil-free non-comedogenic makeup and skin products. These are formulated so they will not clog pores.
    • Eat a low carbohydrate diet. A diet high in sugar and carbohydrates causes spikes in blood glucose that can worsen symptoms.

Continue reading

Forever Young BBL Lasers (Working)

Light (BBL™)

Treatment for skin conditions associated with aging, active lifestyles and sun damage. BBL broadband light energy allows your physician to precisely treat fine wrinkles, age and sun spots, small facial veins, and several other skin blemishes.


How does BBL work?

The light energy delivered by the BBL will gently heat up the upper layers of your skin. The heat absorbed by the targeted areas will stimulate your skin cells to generate new collagen. This will help restore your skin to its natural beauty, blending its natural colors and making it smoother, vibrant and younger-looking. In addition, the light energy will target and eliminate many of the fine vessels that cause redness and the unwanted melanin responsible for brown lesions.

Forever Young BBL Logo Forever Young BBL Laser

What to Expect

The procedure is gentle, non-invasive and safe. There should be minimal discomfort, however, this varies from patient to patient and depends on the intensity of the treatment.

Before treatment, a cold gel is usually applied to the areas to be treated and patients wear protective eyewear. During treatment, we gently apply the smooth, glass surface of the BBL handpiece to the skin. Light is delivered to the skin surface in precise pulses across the treatment area. Patients often describe a stinging sensation, like the snapping of a rubber band, in the treated areas. Your procedure may take a few minutes to half an hour, depending on the size of the area to be treated and the type of procedure performed.

  • What Will BBL Treatment Do?

    BBL broadband light technology utilizes the power of pulsed light to deliver excellent results in photorejuvenation therapy. By selecting the appropriate wavelength or filter, your physician will be able to treat a broad range of skin conditions caused by skin aging and sun exposure. Your skin will be smoother, more vibrant and it will have a more youthful appearance as a result.

  • What Areas Can Be Treated?

    Any area of your body can be treated. The most common areas are those most exposed to the damaging effects of sunlight. The most popular treatments are for the face, neck, back of the hands, chest and shoulders.

  • How Long Will it Take To Recover?

    This is a non-invasive and gentle procedure with virtually no downtime. In most cases, you will be able to return to work, apply makeup, and resume most of your activities right away. You may have some redness and swelling for a day and flaking for one week.

  • What Will My Treatment Consist of?

    Our physicians in a consultation determine a BBL treatment plan for each new patient, accounting for the number and severity of skin conditions being treated, as well as skin type. On average, three treatments are recommended, scheduled at one-month intervals. Each session usually lasts about 20 minutes, with patients returning to normal activity immediately afterward.

  • What Will I Look Like Immediately After BBL Treatment?

    BBL treatments are designed to provide little downtime. Your face may appear red or flushed, which usually fades within a few hours. Individuals with significant pigmentation may notice that brown areas become temporarily darker and peeling off over the next week. Makeup may be applied immediately after your treatment, so you can return to your daily activities. By performing microdermabrasion or dermaplaning between sessions, recovery may be enhanced and results may be improved.

    Rarely, some individuals develop “purpura” or bruising. Although uncommon, this sometimes occurs in individuals with a very prominent red component. This is painless and typically fades in about 5-10 days. Any bruising may be covered with makeup.

    Individuals with prominent brown or red color may develop slight temporary swelling for a few days, especially if being treated around the eyes.

  • How Do I Care For My Skin After the Treatment?

    It is important to follow your physician’s instructions. We will recommend skincare products and provide instructions on how to use them. These will minimize your risk of irritation or redness and ensure the shortest healing time.

    Following treatment, ice may be applied to the treated area if desired.

    Medications containing aspirin or anti-inflammatories (Aspirin, Motrin, Advil, Ibuprofen, etc.) should be avoided for a couple of days before and after BBL treatment.

    Strenuous exercise and contact sports should be avoided for a few days.

    Alcohol intake should be limited. This will help to reduce the risk of trauma and bruising.

    Within weeks, your treated skin will feel smoother, fine wrinkles and pores will be less noticeable, and sunspots or uneven pigmentation will fade. Results depend on your condition, the number of treatments, and the area treated. Your physician will provide you with complete information about the post-treatment care and results.

    You will be sensitive to sunlight and you must avoid direct sun exposure until fully healed. Sun tanning and tanning beds should be avoided for one month before and after each BBL session. A broad-spectrum sunblock with zinc oxide and/or titanium dioxide as the primary ingredients should be used on a daily basis.

Forever Young BBL Laser

Continue reading

Excel V Laser Treatment (Working)

Excel V
Laser Treatment

Excel V treatments are customized based on your skin concern. The laser targets the vessels and/or pigmented skin, eliminating them and allowing the skin to return to its natural color and tone.


What is Excel V?

Excel V is a powerful precise laser treatment that combines two different wavelengths, making it one of the most versatile and effective lasers available. It is used to treat many different skin issues, the most common being rosacea, facial and leg veins, telangiectasia, acne scars, pigmentation and warts. The treatment is customized based on your skin concern. The laser targets the vessels and or pigmented skin, eliminating them and allowing the skin to return to its natural color and tone. Typically, only 1-2 treatments are needed to see desired results. Treatments last anywhere from 15-45 minutes depending on the area being treated. The treatment is best described as feeling like a hot rubber snap. There is minimal downtime associated with this treatment, allowing patients to return to their normal routine immediately. 

Conditions Treated with Excel V:

  • Rosacea
  • Telangiectasia
  • Leg veins
  • Facial veins (red and blue)
  • Venous lake (purple lesions on lips)
  • Diffuse redness of the face, neck, and chest
  • Poikiloderma
  • Scars and keloids
  • Sebaceous hyperplasia (dilated oil glands)
  • Port wine stain
  • Hemangiomas
  • Cherry angioma
  • Warts

Continue reading


3355 Clark Road #101
Sarasota, Florida 34231

Phone: 941.921.4131
Fax: 941.921.4173


699 S. Indiana Ave
Englewood, FL 34223

Phone: 941.474.8811
Fax: 941.473.0058

© Copyright 2022
Paradise Dermatology
An Affiliate of Premier Dermatology, LLC