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So You Have an Appointment With Your Dermatologist, Ladies: What Are You Going to Wear?

So ladies, you’re going to the dermatologist.

We all know that going to the dermatologist can be a humbling experience. It’s not always the type of appointment you look forward to, especially when you know you might have to take off your clothes, wrap yourself in a thin paper gown and sit in a cool room staring at four walls while waiting for the doctor. And you know you’re waiting for the doctor to come and look at your body… the same body you’ve been meaning to get on that treadmill since last month… or last year. But you took care of the things you can control – you took care to shower and shave your legs, and wear nice (yet conservative) but especially clean and hole-free underwear. You’ve done your hair and put on your makeup and all the other things that we generally do before we go out the door to the public.

As a dermatologist and a female, ladies, I’m going to lay it on the line with some great tips for your next visit. While all your efforts to shave, shower, and wear clean underpants are much appreciated, they probably matter most because they make you feel more comfortable, which is extremely important. I would like to give you some tips that will be very helpful in getting the most out of your next visit to the dermatologist. Some of these may surprise you.

1. Do not wear any face makeup! This is probably the hardest one to swallow. It doesn’t matter if you’re seeing the dermatologist for acne or a skin cancer checkup. Makeup is meant to cover things up. It covers red spots, brown spots, acne, dark circles under the eyes. It also covers skin cancers, pre-skin cancers, abnormal moles and acne. I could go on and on, but the point is, it covers yours skin- tHe very thing that you are at your dermatologist to check. Most dermatologists will ask you to remove your makeup because if your dermatologist can’t see it, she can’t treat it. Of course, it will happen that you will have to come to your appointment with make-up on, for example, if you come from work. In that case, be prepared to take it off and take your makeup with you if you need to reapply after your appointment.

2. Take off your nail polish. Another tough one. I know pedicures aren’t cheap, so the thought of taking off your polish before your appointment isn’t necessarily appealing. However, the nails can talk a lot, not only about the skin, but also about other problems that could occur inside. You can also develop skin cancer under your nails or cuticles. Melanoma in those areas can appear as a very subtle streak of color on a nail. Such things will be missing if you cover your nails with polish. So remember, ladies, take off the polish.

3. Do not apply lotions to the skin before your appointment. You may not want anyone to see your dry skin, but we can take it- and we can treat it. Lotion can change the way a lesion appears in its natural state, making it difficult to diagnose. Oh, and while I’m thinking about it, since we women usually apply lotion on freshly shaved legs, I just want to tell you that it’s okay if you forget to shave shave. It doesn’t bother us at all. After all, dermatologists are specialists in skin, nails and hair!

4. Let your hair down and be prepared to mess it up a bit. A full body exam includes the scalp and you can’t see the scalp without tossing the hair a little. It also makes it difficult to see the scalp through hair that is stiff with hairspray.

5. Be prepared to fully undress. Some of you may feel a little uncomfortable with this, but remember, skin is everywhere. This includes under your bra, on your breasts, on your buttocks, between your buttocks and on the pubic area. Despite the fact that those areas may not have seen the sun as much as the skin on your arms and legs, you are just as likely to develop melanoma skin cancer in those areas as you are any other area. And while your dermatologist most likely won’t put you in stirrups for a regular skin exam, you should consider taking off your underwear so he/she can check those areas. If it makes you uncomfortable, you can always ask for the doctor’s assistant to be in the room during your exam. If the thought of getting completely undressed makes you uncomfortable, consider wearing that thong you purposely left in the drawer. I can’t tell you how many times a patient has apologized to me for wearing a thong because they considered it inappropriate at the doctor’s office. Believe it or not, it shows more skin and skin is what your dermatologist looks at for unwanted lesions.

6. Consider leaving your jewelry at home. This one is pretty self-explanatory. You’d be surprised what a watch or a large necklace can hide.

7. Don’t worry about not getting on that treadmill. Your dermatologist sees big people, small people, short people, tall people, young people, old people. We have seen every shape and curve that exists or that you can imagine, multiple times a day. So if you are self-conscious, put your fear aside. Your dermatologist only looks at your skin and focuses on finding troublesome areas, none of us judge your body, shape or size. Our concern is your health, not your physique.

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