Lisa O. Akintilo, MD, MPH, a fellowship-trained expert in cosmetic dermatology, is the newest member of NYU Langone Health’s Skin of Color Program, launched in 2021 to research, diagnose, and treat dermatologic conditions that disproportionately affect people who identify as Black, Hispanic, Asian American, or Native American. Dr. Akintilo, assistant professor of dermatology, sees patients at NYU Langone Ambulatory Care Center East 38th Street. As the monthly host of a new Doctor Radio broadcast that airs on Thursdays from 6:00PM to 8:00PM ET, Dr. Akintilo takes skin care questions from callers. Here, she fields some of our own.

1. You were planning to be a classical pianist. What happened?

Growing up in Chicago, I considered going to a music conservatory, and I still keep up with the piano, along with the violin and clarinet. Ultimately, though, I was drawn to medicine. I love working with my hands, and I knew I wanted to be a surgeon in some realm. Dermatologic surgery attracted me because it allows you to see your impact, both surgically and medically, right away. What also drew me to the field was my background in public health. Race, ethnicity, skin color, geography, and socioeconomic status all play a role in skin conditions.

2. Dermatology is among the least diverse medical specialties. What are the consequences?

People with pigmented skin are projected to make up more than 50 percent of the U.S. population by 2042. Yet there are only 16 academic skin-of-color centers in the country, so people often have to travel to a large urban center to find a dermatologist who looks like them. Having such a doctor can make a huge difference in care, patient satisfaction, and quality of life. About 70 percent of my patients have pigmented skin.

3. Are people of color less likely to get skin cancer checks because they think they are less vulnerable to sun damage?

Absolutely. Most people with darker skin never see a dermatologist. I didn’t even know I had to wear sunscreen until I got to medical school. The rates of skin cancer among the skin-of-color population are lower because melanin-rich skin does afford slightly more natural protection, but cancerous lesions tend to develop in less exposed areas like the palms and soles. Among those of African and Latin descent, the incidence of melanoma, the deadliest form of skin cancer, is lower, but it has a higher rate of metastasis and worse outcomes because it’s typically diagnosed at a later stage.

4. What kinds of high-tech tools do you use for cosmetic treatments?

We use lasers and other energy-based devices to treat fat deposits beneath the skin, called cellulite; rosacea, an inflammatory condition that causes persistent facial redness; cherry angiomas, red bumps made of small blood vessels; and melasma, a skin discoloration on the cheeks, forehead, or jaw; and also to remove tattoos. We have several devices that set us apart from most centers: ultrasound for tightening loose skin, heat-based radiofrequency treatments to reduce acne scars, and a special laser for smoothing uneven complexions without injuring the skin. These treatments are safe for all skin types, and patients are thrilled with the results.

5. What is your most important advice to people with pigmented skin?

First, apply sunscreen regularly to exposed parts of your body. I recommend a broad-spectrum type that’s SPF 30 or higher. Next, daily use of a facial serum or cream with antioxidants can be a first line of defense against harmful pollutants. Use retinol or other vitamin A derivatives on your face to promote cell growth. Keep your skin well hydrated and moisturized to prevent dry skin. And last but not least, get examined from head to toe by a dermatologist once a year.