Services

We are experts at treating diseases of the skin. A few of the more common conditions are listed below.

Please see The American Academy of Dermatology website for an excellent discussion of the symptoms and treatments.

https://www.aad.org/dermatology-a-to-z/diseases-and-treatments
 
Common treatments in our office are:
• Acne
• Allergic Conditions
• Basal Cell Carcinoma
• Botox
• Full Skin Exams
• Genital Warts
• Melanoma
• Microdermabrasion
• Mohs Surgery
• Mole Removal
• Pigment Disorders
• Rosacea
• Shingles
• Skin Cancer Detection
• Skin Cancer Surgery
• Skin Tags
• Squamous cell carcinoma
• Sun spots (Actinic Keratosis. Seborrhea Keratosis)
• Warts

 

Mohs Surgery

Mohs Surgical Overview:

The Mohs surgeon is responsible for removing the skin cancer and for reading the pathology. Mohs micrographic surgery involves the surgical removal of the skin cancer, along with a layer of the surrounding skin. This tissue is then divided into sections, marked and processed to create microscope slides for examination and analysis by the Mohs surgeon. The surgeon then looks at the slide under the microscope and inspects the undersides and edges of each section microscopically for cancer cells. If cancer is still present, the involved areas are carefully marked on the map and another layer of tissue is surgically removed. This process is repeated until there is no further evidence of cancer at the surgical site.

Mohs Effectiveness

Many clinical studies have indicated that Mohs surgery has a five-year cure rate of approximately 99% for new cancers and 95% for recurrent cancers. . The Mohs procedure has its advantages in that it has a high cure rate and it preserves much of the surrounding healthy tissue, which potentially reduces the size of the final surgical defect and scar. The Mohs method of skin cancer surgery greatly reduces the possibility of recurrence.
Mohs surgery is a common procedure used to treat certain skin cancers and to prevent the recurrence of that cancer. This precise method of treating skin cancers allows us to surgically remove the skin cancer and immediately examine the tissue to identify any remaining cancerous tissue.

 

Mohs surgery is often used when:

• Certain areas of the body affected by skin cancer do not respond to other treatment options
•  The skin cancer is affecting an area of the body that the patient wishes to keep as much of the normal tissue as possible, potentially reducing the size of the surgical area.
• Often it is difficult to determine the size of the skin cancer cannot by visual examination and the size and direction can be seen microscopically immediately after removal.
• If cancer returns to a previously treated area
Mohs surgery is performed on an outpatient basis and requires a local anesthetic. In addition to having a higher success rate, Mohs is also recognized for its precision, making it the most aesthetic choice for skin cancer treatment.

 

Moles

If a mole starts to grow, itch, or bleed, make an appointment immediately
Moles are common. Almost every adult has moles. Adults who have lighter skin often have a greater amount of moles. Ten to forty moles is normal.
Important information you should know:
• Melanoma skin cancer can grow in or near a mole.
• Melanoma can be treated, and cured, especially if caught early.
• The first sign of melanoma is often a change to a mole — or a new mole on your skin.

Excision of Melanoma and Non-Melanoma Skin Cancers

Melanoma is cancer of the cells in the skin that produce melanin, the pigment in your skin. This is considered the most severe type of skin cancer, but as long as it hasn’t spread, to areas such as the eyes or internal organs, it can be removed with surgery. If the melanoma is small and thin, all of it may be excised, or cut out, during the biopsy. Otherwise, our doctors will surgically remove the cancer and a border of surrounding skin as well as a layer of tissue under the skin – just to ensure all of the cancer is gone

This same excision technique applies to non-melanoma skin cancers, such as basal cell or squamous cell skin cancers, as well. These cancers arise from excessive sun exposure. Once detected, they can be surgically removed.

Cysts

Epidermoid cysts, or skin cysts, are bumps and/or lumps that form underneath the skin. They are "pockets" of tissue that can be filled with pus, fluid or other materials. They form from the cells that make up the external layer of the skin. If your skin cysts make you self-conscious, we can surgically remove them. We also surgically remove them if they burst and become infected.

Microdermabrasion

Microdermabrasion is especially for those with less than perfect skin. This procedure can effectively treat sun damage, age spots, acne and other conditions. The treatment removes the uppermost layer of skin and dead skin cells to reveal a healthier appearance. The exfoliation helps to revitalize the skin and encourage blood flow. We will consult with you on the treatment plan we feel will achieve your desired results. Ask us about our microdermabrasion system if you’re interested in improving the overall appearance of your skin.

Botox®

Botox® is used to reduce moderate to severe frown lines between the brows, forehead wrinkles and crow's feet. This safe and effective medication is placed into your wrinkles using a tiny needle. It is used to eliminate facial wrinkles and frown lines by decreasing the movement of the muscles in these trouble areas. Botox® can brighten up your attitude and outlook, remove the wrinkles of time or make small improvements in an otherwise perfect face. Botox® has also been used successfully for patients with excessive sweating in the armpits, hands or feet.
FDA approved, Botox® is a safe and effective procedure that provides patients with results that can last anywhere from 3-5 months on average.

Acne

Problem acne can be quite devastating and our Acne Clinic is dedicated to the expedient treatment of Acne. Acne is the term used to describe blackheads, whiteheads, pimples, minor lumps or any plugged pores that occur on the body. In general, minor acne will come and go on its own, recurring more frequently in the teen age years. More extreme acne can lead to serious permanent scarring, which is the result of tissue injury. In some cases, acne can continually afflict a person later in life.

Many people are concerned with acne prevention. Acne surgery, injections and medications are available to lessen the severity of outbreaks, and your doctor can recommend changes in habit that may reduce outbreaks. Microdermabrasion can also be effective in treating acne, especially if used in conjunction with prescription medications such as tretinoin. If you do have acne, there are ways to prevent acne scarring. Treating acne inflammation at the onset of the condition will help lessen the severity of the injury to your tissue, which will prevent or lessen scarring. If over-the-counter medication is not working for you, your doctor can prescribe stronger, more intensive medication.