Medical Skin Treatment | Dermatology Specialists | Knott Street (2024)

FIND A LIST OF OUR MEDICAL SERVICES BELOW

ACNE

ATYIPCAL MOLE

CARCINOMA

CRYOSURGERY

FULL SKIN EXAM

KERATOSIS

MELANOMA

NBUVB

PATCH TESTING

PDT

ROSACEA

XTRAC

WART TREATMENT

CryoSurgery

Cryosurgery, sometimes called cryotherapy, is not a surgical procedure that involves cutting of the skin. Rather, it is the use of extreme cold produced by liquid nitrogen to destroy abnormaltissue. Cryosurgery is typically used to treat precancerous lesions (actinic keratoses) and warts. The liquid nitrogen can be applied directly to the skin with a spraying device or a cotton swab. Mild blistering and tenderness are expected results and part of the normal process for destruction of abnormal tissue.

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Patch Testing

Allergic contact dermatitis can be the underlying cause of many chronic rashes. Patch testing (which differs from pinprick or blood allergy testing) involves applying pads that contain suspected allergenic substances from the North American Contact Dermatitis Society’s core allergen list to the entire surface of the back. These common chemicals can be found in jewelry, skin care products, soaps, cosmetics, fragrances, and clothing fabric. Patients are first assessed by a provider to determine if patch testing is appropriate for the type of rash, and then insurance authorization is obtained to determine out-of-pocket expenses for the testing.

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NBUVB

Ultraviolet B (UVB) light is found in natural sunlight, along with other types of radiation. It penetrates the skin and slows the rapid growth of skin cells associated with certain skin disorders. When isolated and regulated, this modality is an effective treatment for psoriasis, atopic dermatitis (eczema), vitiligo, and other chronic skin conditions. Narrowband UVB treatments are not a permanent cure, but can effectively control and improve these conditions, sometimes for extended periods of time. The clinic at NE Knott Street houses a full-length Narrowband UVB booth for customized light treatment plans.

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Xtrac

Excimer (Xtrac®) laser treatments utilize ultraviolet (UVB) light to treat various skin diseases, including psoriasis and vitiligo. Exposure to beneficial high energy UV light is applied to the affected areas for varying lengths of time, while the UV rays that cause burning are eliminated. Total number of treatments and clearing time will vary by patient and condition. Though not a cure, this treatment can effectively control and improve these conditions. Since its invention in 1970, patients have used this treatment successfully and are often able to maintain clearance of improved skin for extended periods of time.

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PDT

Photodynamic Therapy (PDT) is a procedure used to treat actinic keratoses (precancerous lesions), certain types of skin cancer, and acne. The purpose of PDT is to create a chemical reaction that destroys only abnormal cells while leaving normal cells intact. The treatment consists of application of a sensitizing agent (aminolevulinic acid), which is left on the skin and allowed to absorb for approximately 1 to 2 hours, followed by exposure to intense light for 15 minutes. After a short healing period, new skin cells replace the abnormal cells.

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Wart Treatment

Warts are caused by the human papilloma virus (HPV) that has over 80 different subtypes. The virus can be spread easily by human contact. Some people’s immune systems fight off wart virus well, while other people’s immune systems do not. Warts are typically located on the soles of the feet (plantar warts), the hands, and the genital region (condyloma). When they occur under a fingernail or toenail, they are called periungual warts.

There are several ways to treat warts: cryotherapy (applying liquid nitrogen with very cold temperatures), surgery, or electrocautery. Another way to treat warts is with an injection of common type of yeast called Candida. A prepared version of the yeast is injected into the wart which causes the skin to turn red in a few days. Injecting the yeast antigen into the wart stimulates the immune system to become active in the treated area and, in turn, attack the virus causing the wart.

Another type of wart treatment involves Cantharidin, a chemical compound made from secretions of blister beetles.In diluted form, it can be an effective way of treating warts or molluscum. Diluted cantharidin is applied with a cotton swab directly to the warts or molluscum lesions and triggers the body’s immune system to fight the virus. Several treatments may be required to clear the skin.

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Full Skin exam

Full skin exams (FSEs) have become the standard of care for detection of skin cancers in their early stages, especially melanoma which can be life threatening. FSEs are relatively quick and require no special equipment, although sometimes a dermatoscope is used to magnify skin lesions to assist the provider with detection of abnormal features. FSEs are used in all dermatology practices and are endorsed by the American Academy of Dermatology (AAD).

A dermatology provider will ask questions about personal history of sun exposure, incidence of sunburn, as well as past skin issues and family history of melanoma. After the patient removes clothing and changes into a medical garment, the provider performs a thorough check of the entire surface of the skin (exposing only one body part at a time) from the scalp to the soles of the feet. Areas of concern can be documented with digital photography and then compared to photographs at a later exam to detect any changes in moles or other spots.

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Acne

Acne is a common skin condition that affects people of all age groups. Anti-acne strategies include traditional oral and topical antibiotics, hormonal therapies, as well as isotretinoin (Acutane) medication managed by the iPledge program. Acne can also be treated withForever Clear BBL™ treatmentsandPhotodynamic Therapy(PDT)

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Rosacea

Rosacea (rose-AY-sha) is a common skin disease that often begins with a tendency to blush or flush more easily than other people. The redness can slowly spread beyond the nose and cheeks to the forehead and chin.

There are 4 subtypes of rosacea:
1. Erythematotelangiectatic rosacea: Redness, flushing, visible blood vessels
2. Papulopustular rosacea: Redness, swelling, and acne-like breakouts
3. Phymatous rosacea: Skin thickens and has a bumpy texture
4. Ocular rosacea: Eyes red and irritated, eyelids can be swollen, and person may have what looks like a sty.

Treatment for rosacea focuses on controlling signs and symptoms. Most often, this requires a combination of skin care and prescription treatments. The type of medication prescribed depends on what signs and symptoms are being experienced. Prescription drugs for rosacea include medications that constrict blood vessels, oral antibiotics, and isotretinoin (Acutane). The duration of treatment depends on the type and severity of the symptoms. Recurrence is common.Intense Pulsed Lighttherapy may also help reduce the redness of enlarged blood vessels.

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Moles (Atypical)

Atypical moles are unusual-looking benign (noncancerous) moles, also known as dysplastic nevi (the plural of nevus). Atypical moles may resemble melanoma, and people who have them are at increased risk of developing melanoma in a mole or elsewhere on the body. The formation of atypical moles tends to run in families, especially in Caucasians. Those who have atypical moles plus afamily history of melanoma (2 or more close blood relatives with the disease) have a very high risk of developing melanoma. People who have atypical moles, but no family history of melanoma, are also at higher risk of developing melanoma, compared with the general population. All high-risk individuals should practice rigorous daily sun protection, perform a monthly skin self-examination head to toe, and seek regular professional skin exams. Atypical moles will usually be biopsied to rule outmelanomaand/or will be removed withexcisionalsurgery to prevent changing and spreading over time.

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Seborrheic keratosis vs Actinic Keratosis

Seborrheic keratosis (seb-o-REE-ik ker-uh-TOE-sis) is one of the most common noncancerous skin growths in older adults. A seborrheic keratosis usually appears as a brown, black or light tan growth on the face, chest, shoulders or back. The growth has a waxy, scaly, slightly elevated appearance. Seborrheic keratoses do not become cancerous and are not thought to be related to sun exposure, but they can look like skin cancer. Seborrheic keratoses are normally painless and require no treatment. The provider may decide to remove them if they become irritated by clothing or daily activity.

An actinic keratosis (ak-TIN-ik ker-uh-TOE-sis) is a rough, scaly patch on the skin that develops from years of exposure to the sun. It is most commonly found on the face, lips, ears, back of the hands, forearms, scalp, or neck. Also known as a solar keratosis, an actinic keratosis enlarges slowly and usually causes no signs or symptoms other than a patch or small spot on the skin. These patches take years to develop, usually first appearing in people over 40. Risk of actinic keratoses can be reduced by minimizing sun exposure and protecting the skin from ultraviolet (UV) rays. If left untreated, some of these spots may progress to squamous cell carcinoma (a type of cancer that usually is not life-threatening with early detection.) If treated early, most actinic keratoses can be cleared or removed before they develop into skin cancer.Actinic keratosesare typically treated with liquid nitrogen sprayed directly on the area.

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Melanoma

Melanoma is the most dangerous form of skin cancer. Melanomas are cancerous growths that develop when damage to skin cells (most often caused by ultraviolet radiation from exposure to the sun or tanning beds) triggers mutations (genetic defects) that cause the skin cells to multiply rapidly and form malignant tumors. Melanomas often resemble moles, and some can develop fromatypical moles.

Most melanomas are black or brown, but they can also be skin-colored, pink, red, purple, blue, or even white. People with fair skin and light eyes are genetically predisposed to the disease. If melanoma is recognized and treated early, it is usually curable. However, if left untreated, the cancer can advance and spread to other parts of the body, where it becomes hard to treat and can be fatal. Regular self-examination and medical full skin exams are highly recommended for surveillance andearly detection.

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Basal Cell Carcinoma

Basal cell carcinoma (BCC) is the most common type of skin cancer. It is caused by abnormal, uncontrolled growths or lesions that arise in the basal cells, which line the base of the outer layer of the skin. BCCs often look like open sores, red patches, pink growths, shiny bumps, or scars and are usually caused by a combination of cumulative and intense ultraviolet (UV) radiation from the sun. These lesions never fully heal and often recur in cycles, because the damaged cells cannot repair themselves. For BCC on the face and some parts of the arms and legs, the most effective treatment is Mohs surgery. Mohs surgery is accepted as the single most effective technique for removingBasal Cell Carcinoma. BCCs that occur on certain parts of the body can also be removed withexcisional surgery.

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Squamous Cell Carcinoma

Squamous cell carcinoma (SCC), the second most common form of skin cancer, is an uncontrolled growth of abnormal cells arising from squamous cells in the outer layer of the skin. SCCs often look like scaly red patches, open sores, warts or elevated growths with a central depression, and they may crust or bleed. They can become disfiguring and sometimes fatal if allowed to grow. Daily year-round exposure to ultraviolet (UV) radiation from the sun and indoor tanning devices all add to damage that can lead to SCC.

SCCs are most common in areas frequently exposed to the sun, such as the rim of the ear, lower lip, face, balding scalp, neck, hands, arms and legs. These lesions never fully heal and often recur in cycles because the damaged cells cannot repair themselves. For SCC on the face and some parts of the arms and legs, the most effective treatment is Mohs surgery. Mohs surgery is accepted as the single most effective technique for removingSquamous Cell Carcinoma. SCCs that occur on certain parts of the body can also be removed withexcisional surgery.

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CONTACT US

Please feel free to reach out to us with any comments or questions you may have. We will make sure to get back to you as soon as possible.

Medical Skin Treatment | Dermatology Specialists | Knott Street (2024)

FAQs

Why is Derm so competitive? ›

Dermatology Match Statistics. Over the years, the number of dermatology spots has increased as the demand grew for more practicing dermatologists. However, the number of students who apply is still greater than the number of spots available, which means dermatology is extremely competitive.

What is the medical term for a skin specialist? ›

A dermatologist is a medical doctor who specializes in conditions that affect the skin, hair, and nails.

Where can I get advice for my skin? ›

Board-certified dermatologists are experts when it comes to the skin, hair, and nails, diagnosing and treating more than 3,000 diseases and conditions, including skin cancer, acne, psoriasis, and eczema.

What do dermatologists tell you? ›

During your skin check, your doctor will talk to you about your risk of skin cancer, as well as healthy skin habits, including sun avoidance and sun protection. Your doctor also will discuss with you when you need another skin exam, based on your personal history and the results of this skin exam.

Is dermatology the hardest to get into? ›

Dermatology is one of the most competitive medical specialties to match into. It is one of the top five specialties for physician happiness and compensation. It also offers a great variety to patients of all ages seeking medical, surgical, and cosmetic treatments.

Is the derm doctor really a doctor? ›

Board Certified

Dr. Muneeb Shah, better known as the 'DermDoctor', is a board certified dermatologist with expertise in medical, cosmetic, and procedural dermatology. His passion for excellent and compassionate patient care led him to join Fora Dermatology as a partner.

What is the difference between a dermatologist and a skin specialist? ›

An esthetician, or skin care specialist, provides services geared toward improving the external appearance of your skin. A dermatologist specializes in the health of your skin. Dermatologists are doctors trained to diagnose specific skin conditions and treat them.

What does nub stand for in dermatology? ›

Skin cancer–related diagnoses included melanoma, NMSC, CIS, AK, neoplasm of uncertain behavior (NUB), and benign neoplasm of skin.

What is the word for a spot in dermatology? ›

A lesion is any single area of altered skin. It may be solitary or multiple. A rash is a widespread eruption of lesions. Dermatosis is a generic term for a disease of the skin.

What is the number one dermatologist skin care brand? ›

Developed with dermatologists, CeraVe is the #1 dermatologist recommended skincare brand1.

Who is the best person to see for skin? ›

Dermatologist. A specialist doctor who diagnoses and treats skin conditions, including skin cancer. They can perform general and cosmetic surgery and prescribe topical treatments. To find a dermatologist near you that specialises in non-melanoma skin cancer, visit Australasian College of Dermatologists.

What foods are good for skin repair? ›

The 12 Best Foods for Healthy Skin
  • Fatty fish. Fatty fish, such as salmon, mackerel, and herring, are excellent foods for healthy skin. ...
  • Avocados. Avocados are high in healthy fats. ...
  • Walnuts. ...
  • Sunflower seeds. ...
  • Sweet potatoes. ...
  • Red or yellow bell peppers. ...
  • Broccoli. ...
  • Tomatoes.

What are the 10 most common skin disorders? ›

What are the most common skin conditions? (with photos)
  1. Acne (Acne vulgaris) Acne, the most common skin disorder in the U.S., can be a source of anxiety for every teen. ...
  2. Atopic dermatitis (Eczema) ...
  3. Shingles (Herpes Zoster) ...
  4. Hives (Urticaria) ...
  5. Sunburn. ...
  6. Contact Dermatitis. ...
  7. Diaper Rash. ...
  8. Rosacea.
Mar 28, 2023

What does unhealthy skin look like? ›

Healthy skin has a consistent tone all over. With unhealthy skin, it is easy to notice patches of different tones all over the face. These patches could appear as blotches of reddened or darkened color. One of the most common signs of unhealthy skin is excessive darkening around the eyes.

How often should you go to dermatologist? ›

As part of a complete early detection strategy, we recommend that you see a dermatologist once a year, or more often if you are at a higher risk of skin cancer, for a full-body, professional skin exam. To help you prepare and make the most of your appointment, follow these five simple steps.

Is dermatology really that competitive? ›

Matching into dermatology as a DO is competitive, with a 50% match rate and 7% of spots filled by DO Seniors in the 2022 Match. In 2022, 76 DO seniors applied for dermatology; 38 matched. For more on the most DO-friendly specialties, see this article.

Is becoming a dermatologist competitive? ›

Like most medical fields, dermatology can be highly competitive. Because of the pros of the job, many people pursuing careers in medicine might try to enter dermatology. However, if you excel in school and gain enough experience, you always could start a private practice.

Why is seeing a dermatologist so hard? ›

One of the main reasons why it is hard to see a dermatologist is the high demand for their services. Skin conditions are common, and many people seek professional help to address their concerns. However, the number of dermatologists is limited, leading to long wait times for appointments.

How hard is it to match into derm residency? ›

Overall Competitiveness of Dermatology Residency and Chances of Matching. The overall competitiveness level of dermatology is High for a U.S. senior. With a Step 1 score of 200, the probability of matching is 47%. With a Step 1 score of >240, the probability is 75%.

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