At what age do you recommend annual skin exams in a patient without a personal or family history of skin cancer?   

I don't have a specific age but rather it depends on the risk factors: Male, fair skin, and older age are risk factors, certain occupations Evidence of actinic damage Immunosuppression, especially organ transplants Multiple nevi > 50 History of dysplastic nevi Childhood radiation exposure...

I agree. My recommendation regarding when to start annual exams really depends upon the risk factors, as above, and the findings on that initial total body skin exam. A history of significant sun exposure/tanning beds and clinical evidence of significant sun exposure could decrease my threshold to l...