Medical Dermatology

Our practice specializes in innovative medical solutions to a variety of skin concerns, from acne and dermatitis to chronic cases of psoriasis and rosacea.

  • Skin Cancer / Melanoma

    Melanoma is by far the most serious and virulent form of common skin cancer that develops in the melanocyte cells that produce melanin (pigmentation) in the skin. If the melanoma is invasive and has spread to blood vessels beneath the epidermis, it can spread rapidly to internal organs and the lymphatic system, making early detection critical for successful treatment.

    Symptoms:

    Melanoma often looks like a mole or develops from an existing mole on the skin. It can appear anywhere on the body. Regular self-examination is essential, with particular attention to slight changes in the skin. The American Academy of Dermatology has developed the ABCDE guide for assessment, which can be found here. It is important to look out for large brown spots of dark lesions that change, grow darker, grow in size, appear to be asymmetrical, itch, bleed, heal and re-open Melanoma must be diagnosed by a dermatologist with a biopsy

    Treatment Options:

    Surgical removal Targeted molecular therapies Immunotherapy

    To learn more about skin cancer and melanoma, including preventative measures and early screening, please click here.

  • Benign Moles

    Benign moles are skin growths made of cells that produce pigment which are often raised or may have hair. A mole can appear anywhere on the body, alone or in clusters, and can be blue, black or flesh-colored. Benign moles are harmless and don’t cause pain but can be removed for cosmetic reasons or because they cause discomfort when they catch on clothing or other materials.

    Symptoms:

    Evenly colored spot on the skin that can be flat, raised, round or oval

    Treatment Options:

    Surgical removal Cryotherapy with liquid nitrogen or nitrous oxide Electrosurgery
  • Acne

    Acne blemishes are the most common skin complaints and can occur in various forms across the body. They frequently arise during puberty but can also be adult-onset, which is most often hormonal and concentrated around the jawline and chin. The cause of acne is related to bacterial overgrowth, overactive sebaceous (oil) glands, skin inflammation and hormonal fluctuations. Comprehensive treatment is important to avoid scarring and hyperpigmentation.

    Symptoms:

    Comedones (whiteheads or blackheads), red papules (the common pimple), pustules, cysts and nodules Acne can appear on various parts of the body including the face, neck, back, chest, shoulders, upper arms and buttocks

    Treatment Options:

    Retinoids Benzoyl peroxide Oral and topical antibiotics Birth control and spironolactone Chemical peels Blue light / Photodynamic therapy
  • Keratosis / Skin Tag Removal

    Keratosis and skin tags are both raised skin growths that appear on the surface of the skin and are typically painless. Keratoses comes in two forms: sebhorrheic, which is a benign form caused by genetic predisposition, sun exposure and friction, and actinic (or solar keratoses) which stem from sun damage and can develop into skin cancer. Skin tags are benign tumors that form on the eyelid or in skin creases such as the neck, underarm and groin.

    Symptoms:

    Raised growth or lesion that can be itchy and unsightly

    Treatment Options:

    Electrosurgery (with proper time and anesthesia, many can be removed at a time) Cryosurgery Surgical removal (for those that grow rapidly)
  • Psoriasis

    Psoriasis is a skin disease that causes red, flaky patches of skin to develop on varies parts of the body, most often at the knees, elbows, lower back and scalp. The skin condition is not contagious but it is genetic and chronic. Psoriasis impacts the immune system, which sends faulty signals to the body’s skin cells, disrupting their normal growth pattern. Skin cells end up growing too quickly and do not shed, leading to a substantial build up over time.

    Symptoms:

    Psoriasis can come in many forms including plaque (raised red patches with a scaly coating), guttate (small red spots all over the skin), pustular (pus-filled bumps), inverse (smooth patches that look raw) and erythrodermic (skin looks burned and bright red) 10-15% of cases can develop into psoriatic arthritis that is indicated by an inflammation of the tendons, cartilage and other parts of the body Those with extensive psoriasis run a high risk of heart attack and stroke

    Treatment Options:

    There is no cure for psoriasis, but there are options to manage symptoms depending on type and the severity of the case.

    Creams and lotions for modest cases Light therapy (phototherapy) Oral and injectable medications (cyclosporine and methotrexate); requires sophisticated monitoring by a physician Biological response modifier immune-therapy
  • Rosacea

    Rosacea is a chronic skin condition that can cause facial redness, acne-like pimples, visible blood vessels on the face and swelling and/or watery and irritated eyes. The inflammation can affect the cheeks, nose, chin, forehead or eyelids. Rosacea is not contagious but can be hereditary. Research shows that it flares up due to various ‘triggers’ including sun exposure, stress, alcohol, exercise, spicy foods and humidity, among others.

    Symptoms:

    Flushing Persistently red skin on the face Bumps or acne-like pimples Visible blood vessels on the face Burning, itching and stinging of facial skin

    Treatment Options:

    Oral and topical antibiotics Mirvaso (blood vessel contributors) Soolantra (anti-parasitic) IPL FotoFacial
  • Dermatitis / Eczema / Rashes

    Dermatitis and its varying forms include atopic, contact and seborrheic. All exhibit similarly itchy, red and inflammatory symptoms on the surface of the skin. Cases of dermatitis are very common and are not contagious.

    Symptoms:

    Eczema or atopic dermatitis begins during childhood as a red, itchy rash concentrated in areas where the body creases such as the elbows and knees Contact dermatitis occurs on the areas of the body that have come in contact with an irritant. This can burn, sting, itch and blister Seborrheic dermatitis shows as scaly patches, stubborn dandruff and red skin across oilier parts of the body including the scalp, chest, ears, eyebrows and nose creases

    Treatment Options:

    OTC cortisone topicals Phototherapy
  • Fungus

    Dermatological fungal infections come in many forms including skin fungi commonly experienced as athlete’s food and ringworm, skin yeast infections and toenail or fingernail fungus. Infection can occur anywhere on the body but is most likely to occur in warm, moist and creased areas such as the underarms, groin and feet. The affected area is generally itchy and uncomfortable.

    Symptoms:

    Itching, chafing or burning in the affected area Redness, flaking, peeling, cracking of the skin or the appearance of a scaly sore Bumps Changed appearance of the nails such as discoloration, thickening, brittleness and /or pain (especially for toenail fungus)

    Treatment Options:

    Skin fungi: OTC prescription anti-fungal creams and pills Skin yeast infections: OTC pills and anti-yeast lotions Fingernail fungus: OTC Lotrimin and prescription pills Toe nail fungus: Oral anti-fungal prescription
  • Warts

    Warts are harmless growths that may appear on the hands, feet and face and come in many forms (common, plantar, genital, flat, filiform, etc.). They occur in people of all ages and are differing forms of the human papillomavirus that spreads from person-to-person and across various parts of the body.

    Symptoms:

    Most warts are skin-colored and rough but this depends on the type of wart and where it is found on the body Wart pain or changes in color or appearance is not normal and should be checked by a dermatologist

    Treatment Options:

    Cryotherapy with liquid nitrogen or nitrous oxide Electrosurgery Laser Surgery Immunotherapy and photodynamic therapy for resistant warts OTC freezing products such as dimethyl ether or aerosol sprays OTC Salicylic acid preparations