The procedures section provides information about some of the various procedures offered by Derm Clinics.
To learn more
Contact your local dermatologist or the American Academy of Dermatology (AAD), which represents almost all dermatologists in the U.S. and has more than 15,000 members worldwide. Log on to www.aad.org for more information.
A “Biopsy” is when the doctor takes a small sample of a growth or skin. The sample is sent to a pathologist who decides, by looking through a microscope at the sample, the type of growth or disease present. Your doctor then reviews the pathologist’s findings and coordinates that with his/her observation of your condition. Knowing the type of growth or disease helps your doctor determine the best possible way to treat you.
Cryosurgery is the treatment of lesions with the application of a cold substance. In most cases, liquid nitrogen is used to destroy the lesion(s). After treatment with liquid nitrogen there may be some burning sensation or pain that can last up to 24 hours. The discomfort can be relieved with extra strength Tylenol of similar pain relief medication.
Dermatologic Surgery encompasses a wide variety of methods to remove or modify skin tissue for health or cosmetic reasons. These methods provide high quality, cost-effective skin surgery, which includes scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
The skin is susceptible to many diseases, discolorations, and growths. It may also be damaged by excessive exposure to the sun and the effects of aging. In most cases, skin problems requiring dermatologic surgery can be addressed in the dermatologist’s office or in an outpatient setting, usually under local anesthesia, with minimal pain, and low risk of complications.
Indications for Skin Surgery:
- To establish a definite diagnosis (a skin biopsy).
- To remove benign and malignant skin growths that may interfere with the body’s normal function, or may cause symptoms such as pain, itching, or bleeding.
- To improve the skin’s cosmetic appearance by removing growths, discolorations, or skin damage caused by aging, sunlight, or disease.
MOHs micrographic surgery is a specialized, highly effective technique for the removal of skin cancer. The procedure was developed in a 1930s by Dr. Frederic Mohs and the University of Wisconsin and is now practiced through the world.
MOHs surgery differs from other skin cancer treatments in that it permits the immediate and complete microscopic examination of the removed cancerous tissue, so that all “roots” an extensions of the cancer can be eliminated. Due to the methodical manner in which tissue is removed and examined, MOHs surgery has been recognized as the skin cancer treatment with the highest reported cure rate.
Photodynamic therapy (PDT) is a special treatment performed with a topical photosensitizing agent called Levulan (5-aminolevulinic 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, and blotchy pigmentation are also improved because of the positive effect of Levulan and the light treatment.
ALA/PDT treatment also has the unique ability to minimize pores and reduce oil glans, effectively treating stubborn acne vulgaris, acne rosacea, and improve the appearance of some acne scars.