The King of SKs
Conquering these “Age Spots” in a Busy Boca Practice
Seborrheic keratosis (SK) just might be the epidemic you’ve never heard of. Nearly half of all patients seeing dermatologists have SKs, according to a new national survey of dermatologists. *
But even that sizable stat is a low count for this dermatologist, whose practice is awash in spots. We’ll call him the “King of SKs” because he reigns over one of the most desirable retirement communities and is rated on Yelp as one of the best dermatologists in Florida.
With the majority of his day devoted to managing SKs, how does he spend his time? Calming fears. “So many patients are worried about them and want them gone,” says Dr. Fromowitz. On any given day Dr. Fromowitz may perform up to 25 full-body exams. Based on his exams, he gets to see the full scope of the SK picture: a hundred lesions plaguing one patient, four belly lesions tormenting a 40-year-old; black, “scary-looking” lesions, “ugly”, crumbly, fleshy ones, and everything in between.
Even when Dr. Fromowitz reassures patients that the spots are non-cancerous, it’s often not enough. A whopping two-thirds of Dr. Fromowitz’s patients can’t stand the sight of them and have them removed.
Why is Boca such an SK hot spot? “We service a big Medicare population,” he notes. Also, add in beaches, golf skirts, and Baby Boomers who don’t give in to old age. His mature patients care about their appearance and are extremely bothered by SKs and other age spots that come from the sun.
Dr. Fromowitz finds that his patients are a discriminating bunch, so they appreciate his careful approach to removing SKs. His preferred treatment method is cryosurgery, but “There’s always a risk of depigmentation (white marks) with cryosurgery,” he notes. That’s why I tell my patients I’d rather spray twice than be aggressive the first time around. It’s better to come back for a second visit, if necessary, in order to get the best possible cosmetic outcome,” he says.
Sage advice, indeed.
* Data on file, Aclaris Therapeutics, Inc.