Protecting Against Skin Cancer During the Winter Months

Preventing skin cancer requires a year round diligence, the UV rays don’t just disappear when snow hits the ground. Snow, strong gusty winds and lack of humidity all take a strong toll on the skin, so it’s important to protect and prevent as much sun damage as possible.

Ultra Violet Rays

No matter how many layers you pile on, UV rays can still impact your skin. Your face, neck and scalp bare the brunt of the winter rays so it’s important to not only cover them up to stay warm but to also coat them with an SPF of 30 or higher. Re-applying the SPF is crucial especially on areas like your ears, exposed scalp and eyelids. These are all very sensitive areas that aren’t typically over exposed to sun damage. When these areas burn, it burns badly.

Snow, strong winds, and low humidity can wear off sunscreen and reduce its effectiveness. It’s a good idea to take extra steps to make sure you’re keeping your skin cancer threat to a minimum. Here are some protection tips to use:

  • Use a moisturizing sunscreen with glycerin in it.
  • Don’t forget about missed spots! Lips, ears, eyelids, neck and hands. These areas age quickly and this will help prevent wrinkles and sunspots.
  • Always try to cover up when you can. Use goggles or glasses to protect your eyes from UV radiation and the skin around your eyes. Ski masks and face wear will protect your skin and keep you warm.

Florida Winter

We don’t see a lot of snow living in Southwest Florida and the temperature rarely drops below 65 degrees, but that doesn’t mean we don’t feel the winter effects on our skin. We still have to deal with a cooler temperature, indoor heating, less humidity and more wind. Adding in the necessary changes to your skincare routine is important as we head into the brunt of winter. You should consider speaking with your dermatologist and including special skin care treatments to help your skin adjust.

Properly Cleanse:

Depending on where you live in Florida, the humidity can still be high which can cause your skin to become oily and lead to clogged pores. Washing your face to remove impurities can help break down oil and dirt. Look for gentle cleansers that won’t strip your natural oil, such as Doctor Cyndi’s Pure Botanical Cleanser. Exfoliation can help remove the dead skin cells lurking in your pores. You can use scrubs, brushes or cloths. If your skin is dry during the winter months, exfoliation with a gentle cleanser is a great solution.


As the temperature drops and winds increase, skin becomes drier. This can cause a patchy dryness and rashes. A change in moisturizers or adding in a moisturizing step in your skin care routine can help. Oil based moisturizers, hydrating facials, and extra water intake can really make a difference. Non-comedogenic oils like almond, primrose and avocado can help balance your moisture levels without clogging pores.

For more information on how to prevent skin cancer during the winter months and tips from Yag-Howard Dermatology, contact us at 239-529-3376 or visit our website


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Dr. Cyndi Yag-Howard of Yag-Howard Dermatology Center Selected as Recipient of the Presidential Citation Award

Naples, Florida, December 5th, 2017 – Dr. Cyndi Yag-Howard of Yag-Howard Dermatology and Aesthetics Center ( in Naples, Florida has been awarded with the American Academy of Dermatology’s Presidential Citation Award. Dr. Cyndi Yag-Howard is a board-certified dermatologist in Southwest Florida with over two decades of experience providing patients with skin care detection and treatment, facial sculpting, and skin surgery.

Dr. Yag-Howard was nominated for the Presidential Citation Award by the American Academy of Dermatology’s President, Henry W. Lim, MD, FAAD. As President of the Academy, Henry W. LIM, MD has the privilege and opportunity to acknowledge and recognize individuals who have made a significant contribution to both the Academy and the specialty of dermatology

The board approved her nomination on November 4th, 2017, officially making her recipient of the Presidential Citation Award. Dr. Yag-Howard received this prestigious award for her significant contributions to both the Academy and the specialty of dermatology. A commemorative plaque reading, “In recognition of your leadership, dedication and contributions to our specialty by representing the American Academy of Dermatology Association to the American Medical Association” will be presented to Dr. Yag-Howard. Dr. Yag-Howard’s award reception will be recognized at many upcoming events, including the 2018 Stars of the Academy Awards Ceremony, the President’s Gala and the Annual Business Meeting. As a recipient of a Presidential Citation, her name will appear on the Academy’s 2018 Honors and Awards Kiosk.

Dr. Yag-Howard commented upon news of being nominated for the award, “Thank you so very much for the honor of recommending me to receive a Presidential Citation Award.  I am extremely appreciative and humbled.”


About the American Academy of Dermatology


Founded in 1938, the American Academy of Dermatology is the largest and leading dermatology group in the United States with a membership of over 19,000. With a “Patients first” goal, the AAD’s mission is “Promoting leadership in dermatology and excellence in patient care through education, research and advocacy.” For more information, contact the Academy at (888) 462-DERM (3376) or


About Yag-Howard Dermatology and Aesthetics Center


Yag-Howard Dermatology and Aesthetics Center is the solo private practice of Dr. Yag-Howard. Located in Naples, Florida Yag-Howard Dermatology Center offers a variety of medical and cosmetic services including but not limited to: Skin Cancer Detection and Treatment, Skin Surgery, Laser Services, and Facial Sculpting. Dr. Yag-Howard offers top quality service backed by two decades of experience.

To learn more about Yag-Howard Dermatology Center, please visit or call (239)-529-3376.

Dr. Cyndi Yag-Howard Wins Dermatology Award, Excellence in Advocacy of Dermatology

Naples, Florida, October 4th, 2017 – Naples-based dermatology center, Yag-Howard Dermatology and Aesthetic Center ( announces that Founder, Dr. Cyndi Yag-Howard has received an award in Excellence in Advocacy of Dermatology. Dr. Yag-Howard received this award from The Florida Society of Dermatology and Dermatologic Surgery earlier this summer for her years of expert dedication to her specialties.

For 87 years, The Florida Society of Dermatology and Dermatologic Surgery has been recognizing esteemed doctors in the dermatology field. The mission of the Florida Society of Dermatology & Dermatologic Surgery is to “serve as an advocate for Florida dermatologists and their patients to promote excellence in dermatologic care, ensure the highest standards for dermatologic practice and medical education, and to enhance the quality and availability of dermatologic health care to all Floridians.”

Dr. Yag-Howard is a board-certified dermatologist and dermatologic surgeon who specializes in skin cancer surgery and facial aesthetics. Dr. Yag-Howard received her undergraduate degree from Duke University and her medical degree from the University of South Florida Morsani College of Medicine, where she did her residency in dermatology and served as Chief Resident. She is now a member of the volunteer clinical faculty at USF, and speaks about this honor.

“I am so proud to have been awarded Excellence in Advocacy of Dermatology by the Florida Society of Dermatology and Dermatologic Surgery. I am honored and humbled, and will continue to focus my practice on my loyal patients. Thank you to everyone who nominated and supported me,” she says.

About Yag-Howard Dermatology and Aesthetic Center

Yag-Howard Dermatology and Aesthetic Center is the solo private practice of Dr. Cyndi Yag-Howard. Located in Naples, Florida, Yag-Howard Dermatology Center offers a variety of medical and cosmetic services including, but not limited to: Skin Cancer Detection and Treatment, Skin Surgery, Laser Services, and Facial Sculpting. Dr. Cyndi Howard offers top quality service backed by two decades of experience.

To learn more about Yag-Howard Dermatology Center, please visit or call (239)-529-3376.

Do you have tips for patient comfort and satisfaction?

Topical-anesthetic and ice ease pain, as can vibrating devices that trick the nervous system into sensing a more pleasant sensation of vibration rather than pain associated with the procedure.  As for satisfaction, I must say that fillers are one of the most rewarding procedures I have ever had the pleasure of delivering because patient satisfaction is so high.  As happens regularly, when I hand patients a mirror and show them their sculpted face, they get tears in their eyes and say, “Oh my gosh, it’s me again!  Thank you!”  That’s patient satisfaction and physician satisfaction

Do your patients favor longer lasting products and do you use any permanent filler products?

Be wary of duration claims made by filler manufacturers.  The data can be deceiving, with studies often done on patients receiving very large dosages of fillers or receiving interval fillers prior to the end of the study.  And most manufacturers state that their fillers last “up to” a certain amount of time.  In my experience, fillers rarely last as long as manufacturers state they can last.  A simple rule of thumb that I tell my patients is that fillers tend to last a shorter amount of time in patients who are very active or have a high metabolism, whereas patients with a more sedate lifestyle or slower metabolism may enjoy greater longevity from their fillers.

Do you have favorite generic product choices per facial locations?

Poly-L-lactic acid:

Overall facial volume loss

Pre-auricular and mandibular angle volume loss

Temporal wasting

Calcium hydroylappatite:

Zygomatic arch lifting

Melolabial fold and marionette line fill

Chin expansion

Hyaluronic acid:

Infraorbital sculpting

Lip volumization

Lateral lip commissure lift

Zygomatic arch lift

Polymethyl methacrylate:

I do not use

Where is the highest yield filler location for each age group – <40, <60, <80 ?

Great question.  And the answer is not necessarily the same for all individuals within an age group.  However, I would say that individuals in the under 40 age group are most concerned with their lips and desire more volume. People in their 40s tend to be concerned with their nasolabial folds and marionette lines.  People in their 50s complain of the prominent sulcus under their eyes and looking tired.  People in their 60s complain of the jowl and neck areas in addition to the complaints that they had in their earlier years.  People in their 70s and 80s begin to complain of the crepe paper and saggy appearance of their skin in addition to the complaints of earlier years.  I have several patients in their 90s who continue to get fillers and look remarkable.


Interestingly, patients very often come in complaining of a specific area of concern and think that filling in that one area will solve their issue of concern.  However, the solution to correcting their concern often lies in “fixing” an entirely different area.  For instance, patients often say that they do not like the folds around their mouths and they want me to fill them in.  When I show them in the mirror that the real issue lies with the volume loss in their cheeks, and I demonstrate how lifting their cheeks dramatically improves the melolabial and marionette folds for a natural appearing look, they are surprised and thrilled with the restoration of their long-lost cheek volume.  Blunting the melolabial fold is not a natural look—even children have melolabial sulci, and filling inn just that area gives patients a bottom-heavy, unnatural, often ape-like look that must be avoided.


Other areas that patients usually do not focus on, but that offer a huge bang for the buck, are the temples, lips and chin.  Temporal wasting is common, and filling in that area makes the patient look healthier while reducing the appearance of the crow’s feet.  The lips, which wrinkle as they age due to lost volume, get a fold that parallels the lower vermillion border.  They also get flat so that they lose definition.  Filling the vermillion border and the lower lip fold immediately erases years from the lips and improves the appearance of the entire face.  The chin is one of my favorite places to fill.  As the chin recedes due to bony structure loss over time, chin skin dimples.  Filling in the chin not only smoothes the dimpling (as aided by neurotoxins) but also lessen the appearance of the marionette lines.


The greatest compliment I regularly receive is, “I’m all yours.  I leave it up to you to decide what I need because I know that you are the artist.”

Have your product choice and technique changed over the past few years?


When fillers first came out, they were made of animal-based collagen and required allergy testing. Then came hyaluronic acid and other non-animal-based fillers that required no allergy testing, so the procedure could be done the same day as the consult and, depending on the filler, results were usually immediate.

At first, I tended to stick with using just the hyaluronic acid fillers because of their extreme safety profile. I always knew in the back of my mind that they could be “removed” within minutes via enzymatic breakdown using hyaluronidase if the patient did not like the outcome or in the rare instance of vascular occlusion.

Over the past decade, I have greatly expanded the fillers choices that I make for several reasons. First, after doing thousands of fillers, I never had a patient ever want to remove filler after it was injected, so the worry about a patient changing his/her mind about the filler has been non-existent. Second, different fillers “fill” different niches. When a patient has a heavy cheek and needs a lift of the zygomatic arch, fillers with a higher G’, such as calcium hydroxylappatite, are ideal. Likewise, when a patient has extreme volume loss, poly-L-lactic acid, unlike any other filler product on the market, provides natural looking overall volume over the course of several weeks. Hyaluronic acid fillers remain my first choice for infraorbital and lip sculpting, and can be used in the right circumstance for overall facial sculpting as well.

I find that I often combine fillers of different types in order