In addition to general medical skin care, we offer on-site highly specialized surgical services.
We also offer a range of cosmetic procedures. Click here to learn more about our cosmetic services.
Mohs Micrographic Surgery
Mohs surgery is a precise surgical technique used to treat skin cancer. During Mohs surgery, thin layers of cancer-containing skin are progressively removed and examined until only cancer-free tissue remains.
Mohs surgery has come to be accepted as the single most effective technique for removing Basal Cell Carcinoma and Squamous Cell Carcinoma (BCCs and SCCs), the two most common skin cancers. It spares the greatest amount of healthy tissue while also most completely expunging cancer cells; cure rates for BCC and SCC are significantly better than the rates for standard excision or any other accepted method.
XTRAC Excimer Laser for Psoriasis and Vitiligo
XTRAC® Laser Treatment is an FDA-approved excimer laser procedure used to treat active skin lesions associated with psoriasis and vitiligo. Developed by PhotoMedex, the XTRAC laser is designed to effectively reduce the appearance of psoriasis and vitiligo in ten treatments or less, with results typically lasting several months before any symptoms present themselves again.
Thousands of patients across the world have experienced the effective results of this procedure, which uses a wavelength of 308nm to gently clear skin. XTRAC laser treatment is a safe and quick procedure that effectively clears the skin of active lesions while leaving healthy skin intact.
Photodynamic therapy (PDT) is a special treatment performed with a topical photosensitizing agent called Levulan (5-aminolevulininc acid or ALA) activated with the correct wavelength of light. This is also known as “ALA-PDT” treatment. These treatments remove sun damaged pre-cancerous zones and spots called actinic keratosis. Sun damage, fine lines, blotchy pigmentation may also be improved because of the positive effect of Levulan and the light treatment.
To achieve maximum improvement of pre-cancerous (actinic keratosis) sun damage, skin tone and texture, as series of three treatments 2-4 weeks apart is the most effective. Some patients with only actinic keratosis are happy with just one treatment. More treatments can be done at periodic intervals in the future to maintain the rejuvenated appearance of the skin.
Electrodessication and Curretage
Electrodesiccation and Curettage (ED&C) is a surgical procedure used for decades to removal certain skin lesions such as warts, angiomas, actinic keratosis, basal cell skin cancers and squamous cell skin cancers. First a small injection of local anesthetic is placed. The surgeon then uses a curette to remove the abnormal cells by scraping down to a layer of uninvolved tissue. Finally, desiccation (electrosurgery) is performed with a small, metal instrument used to widen the margin and cauterize the wound to minimize bleeding. The wound is left to heal without sutures and typically heals over several weeks.
When the procedure is used to remove the cancer cells it is most suitable in non-crucial areas such as the trunk and extremities where small scars would less noticeable. For patients with complex medical histories, frail or elderly individuals or where surgical excision is not desired, ED&C is an alternative option.
Cryotherapy, also known as cryosurgery, is a commonly used in-office procedure for the treatment of a variety of benign and malignant lesions. Liquid nitrogen is sprayed on to the area of skin freezing it.The mechanism of destruction in cryotherapy is necrosis, which results from the freezing and thawing of cells. In one report, cryotherapy was the second most common in-office procedure after skin excision.
The most common uses for cryosurgery are treating warts, seborrheic keratoses and actinic keratoses. It is also used for acne, scars, small benign growths and some skin cancers. Adverse effects of cryotherapy are usually minor and short-lived.