Skin Cancer Screenings - Total Body Skin Exams

The Importance of Total Body Skin Exams (TBSEs)

Total Body Skin Exams (TBSEs) are a vital component of skin health and an essential tool in the early detection of skin cancer. This thorough examination is conducted by a dermatologist, who carefully evaluates every inch of your skin, from the scalp to the soles of your feet, to identify any irregularities or changes that may signal the presence of skin cancer or other skin conditions.

During a TBSE, the dermatologist will inspect all areas of the skin, including those not typically exposed to sunlight, such as the scalp, behind the ears, between the toes, and even under the nails. These areas are often overlooked in self-examinations but can be common sites for skin cancer to develop. The dermatologist may use a dermatoscope, a handheld device that provides a magnified view of the skin, allowing for a more detailed examination of moles, lesions, and other skin features.

TBSEs are particularly important for individuals at higher risk of skin cancer, including those with a history of excessive sun exposure, a family history of skin cancer, fair skin, or a large number of moles. However, even those without obvious risk factors should consider regular skin exams, as skin cancer can affect anyone, regardless of skin type or lifestyle.

One of the key benefits of a TBSE is the ability to detect skin cancer at its earliest stages when it is most treatable. Early-stage skin cancers, such as melanoma, basal cell carcinoma, and squamous cell carcinoma, are often easier to treat and have a higher likelihood of successful outcomes. If a suspicious lesion is found during the exam, the dermatologist may perform or recommend a biopsy to determine if the area is cancerous.

In addition to skin cancer detection, TBSEs can also help identify other skin conditions that may require treatment, such as atypical moles, benign skin growths, and signs of skin damage from sun exposure. This comprehensive approach to skin health ensures that any potential issues are addressed promptly, helping to maintain your overall skin wellness.

At Dermatology Affiliates, we believe that regular Total Body Skin Exams are a cornerstone of proactive skin care. Our experienced dermatologists are dedicated to providing thorough and compassionate care, helping you achieve the best possible outcomes for your skin health. Whether you're coming in for a routine checkup or addressing specific concerns, a TBSE is a powerful tool in safeguarding your skin's health and well-being.

If you are feeling apprehensive about a TBSE for a loved one or yourself, you are not alone. The combination of being disrobed for a full-body inspection and physical contact can make some patients feel more vulnerable than they would during other types of medical exams. 

Taking the time to read up on all that is involved in your first full body skin exam and what to expect is a smart step toward managing the experience.

What a Dermatologist Is Looking For During a Full Body Exam

The goal of a TBSE is to check the entire skin—the body’s largest organ—for any signs of skin cancer. This coverage includes the scalp, face, neck, ears, arms, legs, feet, toes, and torso. Special attention will be given to any skin lesions, moles, freckles, and birthmarks.

The dermatologist skin check will document the size, shape, color, and borders of each  skin mark. Because detecting changes over time is key to identifying potential skin cancer, annual TBSEs allow for a detailed record to compare from year to year. 

If anything appears suspicious, your dermatologist may recommend monitoring the area, scheduling follow-up visits, or performing additional testing. Your dermatologist will discuss any findings with you, as well as explain next steps.

Is a Full Body Skin Exam Painful Or Embarrassing?

At Pinnacle Dermatology, we understand that some patients can feel apprehensive or vulnerable, especially if it’s their first time to receive a full body skin exam. TBSEs are a gentle visual inspection of the body with no physical pain to be expected from the exam itself. However, if you have issues such as chronic pain or tender spots, please let us know so that we can better accommodate you.

Our providers at Pinnacle Dermatology are professionally trained and knowledgeable. We encourage you to share your personal preferences, such as receiving a total full body skin exam from a female dermatologist. Our care team aims to make your experience as comfortable as possible, so please voice any questions, concerns or feelings of apprehension with our care team.

With the skin being the body’s largest organ, it is important to allow sufficient time for your first and future TBSEs. In addition to timely arrival and expecting to stay the full duration, here are other tips on how to prepare for a full body skin exam, particularly when it is your first time:

• Wash your entire body.
• Wear clothing that is easy to remove.
• Wear shoes that are easy to slip off, and consider wearing shoes without socks.
• Consider skipping the application of makeup.
• Have your complete medical history ready, asking your blood relatives about any family history of cancer.
• Make a list of questions and concerns to discuss with the dermatologist.
• Share notes or photos of any concerning skin marks or changes that you have noticed.

While the team at Pinnacle Dermatology always hopes to give patients the “all clear,” there are occasions when something suspicious is found. If so, you can expect our dermatology provider to clearly communicate next steps which may include self-monitoring, follow-up appointments, testing, and potential future treatments. 

That aside, after your TBSE you can expect to resume normal activities and plan to come back for a dermatologist skin check next year.

The Importance of Skin Cancer Prevention

When it comes to skin cancer prevention, managing your skin’s exposure to sunlight is first and foremost. The best way to protect your skin from damaging sun exposure is to:

• Make a habit of regular sunscreen use: Choose dermatologist recommended sun protection products such as broad spectrum sunblock of 30 SPF. Apply whenever you’re outdoors, even during cloudy or winter days. Those whose professions or lifestyle involve extended daytime exposure should reapply sunscreen every two hours, or after swimming or profuse sweating.
• Protective clothing and accessories: Skin coverage with clothing and hats are a big help when it comes to sun protection. Wide brimmed hats, UV-blocking sunglasses, full coverage tops and pants, and even rash guards work well to manage exposure.
• Take shelter: Remaining indoors or in the shade—especially between the hours of 10 a.m. and 4 p.m. when the UV rays are strongest—is very effective for skin protection.

Of course, the other core component of skin cancer prevention is to keep up with your skin cancer screening schedule and monitor for changes to the skin as directed by your dermatology provider.