Coast Dermatology Medical Associates

Medical Dermatology

Photodynamic Therapy (PDT)

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About Photodynamic Therapy (PDT)

What is it?

Photodynamic therapy (PDT) is a minimally-invasive skin cancer removal treatment for individuals with precancerous skin lesions (such as actinic keratoses) or non-melanoma skin cancers (like basal cell carcinoma). PDT eliminates cancer cells through the utilization of both drug and light therapy. First, a topical solution is applied for absorption by the cancerous cells. Later, the affected area is targeted with a very specific wavelength of light that uses an active form of oxygen to destroy the cancerous cells.

What to expect

As your community skin cancer experts, we are here to provide support and strength should you ever receive a diagnosis of skin cancer. You can be comfortable discussing everything you need to know about this disease with our neighborhood providers. We will be with you every step of the way, from diagnosis to prognosis and from treatment to aftercare support. With photodynamic therapy, our specialists can eradicate specific types of skin cancer tumors, allowing you to live life to the fullest. This treatment is safe and effective at treating various types of cancer or precancerous cells, and since PDT is less invasive than other skin cancer treatments, you will be able to return to your normal life soon after the treatment is completed.

After the procedure

Photodynamic therapy precisely targets cancerous cells, allowing for quick recovery and little-to-no scarring after healing. Contact us today to learn if PDT is right for you.

Providers

Our approach & expertise

As your community skin cancer experts, we are here to provide support and strength should you ever receive a diagnosis of skin cancer. Our caring neighborhood staff is ready to answer your questions and address any concerns you may have. You can lean on us as an integral pillar of support through this process, as even for completely cancer-free patients, apprehension and emotional scars can still persist.
Healthy skin is our passion, so contact and office today to find out if photodynamic therapy is the right skin cancer treatment for you.

Skin Cancer Removal

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About Skin Cancer Removal

What is it?

What happens if you’ve been diagnosed with skin cancer? What are the options? What’s the likelihood of successful treatment? Our dermatology specialists understand that skin cancer can affect not only physically, but psychologically as well. We are here to provide treatment, encouragement, strength, support, and answers to all your questions should you ever receive such a diagnosis. We’ll be by your side each step of the way, from diagnosis to prognosis to treatment and aftercare support. Most importantly, know that skin cancer is very treatable. Even melanoma, the most aggressive form of skin cancer, has a 90% five-year survivability rate for patients who receive treatment.

What to expect

When it comes to skin cancer, treatment protocols typically involve one or a combination of the following treatments:

Cryotherapy

Cryotherapy is a minimally-invasive treatment typically used for early-stage skin cancer that has not spread. This treatment is effective for actinic keratosis, warts, and superficial basal cell or squamous cell carcinomas. During cryotherapy, the cancerous area is targeted with extremely cold liquid gas (such as nitrogen or carbon dioxide between -346° F and -320° F) that instantly freezes the cancerous tissue before destroying it. You will receive your cryotherapy treatment in the office, often as part of a regular exam. Typically, cryotherapy only takes a few moments to perform and you can return to normal activities immediately after treatment is complete.

Electrodessication and curettage (EC&D)

This simple 2-step surgical procedure is especially effective for individuals with basal cell or squamous cell carcinoma. By removing the cancerous tissue via curettage (scraping), then closing the wound by electrodesiccation (superheating process), our surgeons can safely and effectively eradicate cancerous cells from your body. EC&D is performed in the office under local anesthesia and typically takes 30 minutes or less with no downtime following the procedure. In most cases, this treatment doesn’t even require sutures! EC&D is recommended for areas of the body that are not regularly visible, such as the back or torso. It’s also an excellent option for superficial, less serious skin cancers that have yet to spread beyond ¼ to ½ inch (6-10mm) in diameter.

Excisional surgery

Excisional surgery is a minor surgical procedure that carefully removes cancerous lesions from your body before they have a chance to spread. Our dermatologists recommend this procedure for small to medium-sized moles/lesions in areas of the body typically covered by clothing. Excisional surgery is a quick in-office procedure that is usually performed with local anesthesia. Following the procedure, the removed tissue will be sent to our pathology lab to determine if it was cancerous and to see if it all the cancerous cells were removed. Excisional surgery option is a good choice if a skin lesion is affecting your appearance. A consultation with your neighborhood skin cancer specialists at our center can determine if this treatment is right for you.

Mohs micrographic surgery

Mohs micrographic surgery is a time-tested procedure that remains one of the most effective skin cancer removal methods available. The procedure is meticulous and tumor removal is precise, accurate, and immediate. With Mohs surgery, uncertainty is not an issue; the procedure has a proven high success rate, features long-lasting results, and entails a shorter recovery time for patients. With Mohs, once all remnants of cancer have been removed, the procedure is over and patients are cancer-free. If you have a troublesome skin tumor or lesion, discuss it with your trusted community dermatologist to know if Mohs surgery is a viable option for you.

Brachytherapy

Brachytherapy provides a fast skin cancer treatment with minimal side effects and exceptional cosmetic outcomes. The technology is unique because it uses a miniaturized x-ray source that can be turned on or off, instead of the traditional radioactive seeds that are always emitting radiation. This means that the shielding requirements are very minimal, and your radiation therapy team is able to remain in the treatment room with you. Because it is a short procedure with minimal side effects, eBxTM is an ideal skin cancer treatment alternative for patients not interested in surgery.

After the procedure

Recovery from skin cancer removal depends on the type of treatment performed. To learn more about skin cancer recovery, please contact one of our dermatology specialists today!

Providers

Our approach & expertise

Skin cancer is our specialty. We have a variety of highly-trained and experienced skin cancer specialists who have a wide array of treatment options at their disposal. During a skin cancer consultation at our center, our dermatologists will assess your unique case and customize a treatment program suited to your particular needs.

Vein Treatments

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About Vein Treatments

What are they?

We understand that prominent veins on your face, hands, or legs can affect you, both physically and psychologically. That’s why we offer various vein treatment options to eliminate unwanted veins and rejuvenate your appearance with clearer, healthier-looking skin. Varicose veins and spider veins are unsightly veins that develop due to trauma, heredity, overexposure to the sun, obesity, changes in hormone activity, problems with circulation, and more. On the legs, they can be unsightly and painful, while on the face they can cause you to be self-conscious about your appearance. Vein treatment involves therapies that eliminate veins by destroying them and then flushing them from your body.

What to expect

Our vein specialists utilize the following vein treatment options: sclerotherapy – the use of a solution that destroys veins before your body naturally flushes them from your system; IPL (Intense Pulsed Laser) therapy – gently dissolves troublesome veins with broadband light; PDL (Pulsed Dye Laser) therapy – safely erases unsightly veins with a dyed laser; and laser therapy – various types of minimally-invasive lasers that dissolve the targeted veins. Whichever therapy is used to eliminate facial or leg veins, you should expect to have clearer, smoother, less painful, and healthier-looking skin, but the overall number of treatments required depends on the extent of your vein issue and the therapy chosen.

After the procedure

Side effects vary from treatment to treatment, but some patients may experience mild and temporary side effects that include swelling, redness, itching, and tenderness. Most side effects subside within 10-14 days after treatment.

Providers

Our approach & expertise

Our dermatologists have the skill and experience necessary to perform a vein treatment that meets your aesthetic goals. What separates us from other practices is that we focus on you as a person, so we will tailor treatment to suit your unique case. Our compassionate practitioners will address your concerns and answer any questions to ensure your ease of mind.

Bullous Pemphigoid

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About Bullous Pemphigoid

What is it?

Bullous pemphigoid is a rare skin autoimmune condition that affects fewer than 20,000 Americans, usually over the age of 60. It is characterized by mild-to-severe inflammation and/or large, fluid-filled blisters that develop on or around areas that you frequently flex or fold, including the armpits, lower abdomen, and groin. However, it’s not uncommon for blisters to develop in your mouth or on your arms, legs, and chest. Symptoms vary from person to person; you may have experience intense itching while others may have hive-like rashes or fluid-filled blisters.

What causes it?

While it’s not altogether clear what causes your immune system to attack the skin in such a way, medications like sulfasalazine and penicillin have been found to trigger the body’s autoimmune response. It’s also believed that UV light for the treatment of other skin conditions could be responsible for the condition

Common treatments?

Although there is no known cure for bullous pemphigoid, our skin experts have the experience and training to help manage this condition. Some of our treatment options include corticosteroids, immune system-suppressing medicines, and various anti-inflammatory treatments.

Providers

Our approach & expertise

We understand that an unusual skin condition like bullous pemphigoid can impact you both physically and psychologically. As your community skin specialists, we’re here to provide encouragement, strength, and answers to all your questions about this particular skin problem. We’ll be by your side each step of the way, from diagnosis and prognosis to treatment and management of this skin issue.
Healthy skin is our passion, so contact us today if you notice symptoms of bullous pemphigoid so that we can help you manage this unpredictable and often painful condition. Our compassionate neighborhood staff is ready to answer your questions and address your concerns so that you can lean on us as a crucial part of your support in dealing with this disorder.

Lumps, Bumps and Moles

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About Lumps, Bumps, and Moles

What are they?

“Lumps, bumps, and moles” is a general term that typically refers to warts, skin tags, vascular birthmarks, cysts, fat deposits, and more. Normally, these skin growths and irregularities are benign; however, they can have a negative bearing on your self-esteem because they often form on parts of your body that are easily visible, such as the face or neck. Other areas of the body that frequently develop lumps, bumps, and moles include the torso, back, arms, legs, and groin.

What causes them?

Since lumps, bumps, and moles can develop due to a multitude of reasons, it is important to schedule an appointment with a dermatologist who can properly identify and treat your particular condition.

Common treatments

Our skin experts have the training, knowledge, and experience to help you manage a variety of lumps, bumps, moles, warts, cysts, vascular birthmarks, and other skin irregularities. Treatment options include pulsed dye laser (PDL), Cutera Excel V laser, steroids, surgical excision, and prescription oral or topical medications. In some cases, such as with moles, only simple observation is necessary. However, since benign skin growths and irregularities vary from person to person, a consultation with your favorite skin specialist is the only to way to know which treatment is best for you.

Providers

Our approach & expertise

We understand that abnormal lumps or bumps in your skin may seem like nothing more than just a sign of aging, but they may actually be damaging the health and appearance of your skin. As your neighborhood skin specialists, we’re here to provide encouragement and advice about a variety of lumps, bumps, and moles. Our compassionate staff of experts is ready to answer your questions and address your concerns, so don’t hesitate to contact us today so we can manage these unwanted skin irregularities.

Scleroderma

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About Scleroderma

What is it?

Scleroderma is an autoimmune disease of the skin, characterized by fibrosis of the skin. In other words, the disease causes hardening, thickening, and scarring of the skin’s connective tissues. Although it’s often localized to specific parts of the body, it can also be widespread, causing systemic issues that affect internal tissues and organs, including the esophagus, blood vessels, kidneys, lungs, heart, and GI tract. Even if scleroderma is restricted to a smaller area of your body and/or doesn’t impact you internally, it can still be troublesome, as the skin on your face, fingers, neck, and feet become swollen, tender, inflamed, and/or hardened as well as experience a decreased range of motion.

What causes it?

Unfortunately, there are no clear causes of this condition, although there is evidence that genetics and the environment contribute substantially to its development.

Common treatments

Due to the complicated nature of scleroderma as well as the uncertainty of what causes it, treatment is customized on a case-by-case basis and may involve various options, as a single medication or treatment may not be completely effective. For example, you may have a mild, localized case that does not require treatment. On the other hand, someone else may have a severe, relentless case that involves multiple options, each addressing a single of the various symptoms that manifest. For the experts at our dermatology center, the ultimate goal is the management of the conditions.

Providers

Our approach & expertise

We know that a complicated, often systemic skin condition like scleroderma can have an adverse impact on you, both physically and emotionally. As your neighborhood skin specialists, we’re here to provide encouragement, support, and answers to your questions about this challenging condition. Our trained, knowledgeable dermatologic experts have the experience to help you manage scleroderma with treatment options tailored to suit your needs and goals. We’ll be by your side each step of the way, addressing your concerns and providing compassionate advice and support.
Contact an office today if you notice scleroderma symptoms so that we can help you find a customized solution.

Nail Disorders

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About Nail Disorders

What are they?

Most nail disorders are characterized as fungal infections, also called onychomycosis or tinea unguium, and both toenails and fingernails are vulnerable. About 1 in 10 Americans are affected, and you’re at a higher risk of developing these infections the older you are. Symptoms can vary, but typically include nail pain or soreness, thickened nails, a distorted appearance, nail darkening, yellowish streaks, separation of nails from the nail bed, brittleness, or even foul smells.

What causes them?

Several different fungi can lead to a nail disorder, as the pathogens enter the skin through very tiny openings between the nail and nail bed. If the surrounding area is warm, moist, and unventilated, the fungi propagate quickly. Other contributing factors for nail disorders include family history, walking barefoot in public areas, or profuse sweating. Even poor health can contribute to the development of these conditions, as diabetes and poor circulation are known triggers.

Common treatments

If you suspect you have a nail disorder or infection, be sure to see a professional dermatologist, as he or she can perform a nail scrape for quick results. A dermatologist can also help differentiate between nail disorders and other conditions with similar symptoms (like yellow nail syndrome). There are multiple treatments for nail disorders, including over-the-counter (OTC) oral anti-fungal medications and topical OTC anti-fungal medications are also available. An effective solution offered by our dermatologists is laser nail treatment, which treats the infection or disorder completely and almost painlessly. In other, more extreme cases, complete removal of the nail may be necessary.

Providers

Our approach & expertise

We realize that nail disorders can be unpleasant and sometimes even painful, which is why we’re here to ease your concerns about how to address this particular issue. Our trained, experienced dermatologic specialists offer treatment options that can be customized the way you want, and you will always have a say in any treatment you receive. We’ll be by your side throughout your journey, from diagnosis to treatment to aftercare, to ensure that you’re receiving the best dermatology care possible.
Healthy skin is our passion. Contact an office today if you notice symptoms of a nail disorder that you believe needs attention, and we’ll help you manage it in a way that suits you best.

Melasma

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About Melasma

What is it?

Melasma is the development of gray or brown patches on the skin, usually in areas that are regularly exposed to the sun. Although this includes your arms and neck, it is more common on the face, especially the cheeks, chin, forehead, bridge of the nose, and under the eyes. Melasma usually develops symmetrically, meaning that the blotches of discoloration are even on either side of the face. As the condition commonly develops during pregnancy, it’s often referred to as the “mask of pregnancy”. Additionally, it’s estimated that as much as 90 percent of all melasma cases occur in women.

What causes it?

Researchers and dermatologists have varying ideas about the causes of melasma, but there is no clear consensus. However, there are risk factors that could make you more susceptible to these conditions, some of which include the following: sun (UV) exposure, genetics, hormones (e.g., such as during pregnancy), stress, irregular thyroid function, and certain cosmetics and skin care products. Ethnicity is thought to play a major role, as well. If you’re lighter-skinned, you’re less susceptible than individuals with darker skin. If you’re of the following ethnicities, you may be more susceptible to melasma: African/African-American, Middle Eastern, Mediterranean, Indian, Asian, Latin American, or Hispanic.

Common treatments

We have effective treatments tailored to your needs and goals, and you’ll always be a part of the decision-making process. We’ll be with you every step of the way, addressing your concerns and providing compassionate support. When it comes to melasma treatment, there are a variety of effective methods utilized by our expert dermatologists. Some of these treatments include topical creams or ointments, dermabrasion, microdermabrasion, and chemical peels.

Providers

Our approach & expertise

We know that patches of skin discoloration, especially a condition called melasma, can be troublesome to both your appearance and self-esteem. As your knowledgeable community skin specialists, we’re here to help you manage this condition. If you suffer from melasma, you can turn to us for support in managing this issue, and we’ll be with you every step of the way, addressing your concerns and providing compassionate support.

Athlete’s Foot

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About Athlete’s Foot

What is it?

Known medically as tinea pedis, athlete’s foot is an inflammatory skin condition caused by a fungal infection. It affects both the sole of the foot and the skin between your toes and is not restricted to athletes, as anyone can contract it. Symptoms of athlete’s foot include skin that’s burning, red and inflamed, scaly and raw, itchy and dry, and blistered and cracked. However, it’s possible to have athlete’s foot and have no symptoms at all.

What causes it?

There is no single cause for athlete’s foot, and a variety of risk factors can contribute to the condition, as the fungus thrives in warm, moist, and unventilated areas like damp, sweaty shoes and socks. It can spread directly from contact with someone who has the condition and from contaminated socks and/or clothing. Also, walking barefoot in communal areas where others with athlete’s foot have been is another common way to contract the infection. These areas include gyms, swimming pools, locker rooms, public showers, and nail salons.

Common treatments?

If you suspect that you have athlete’s foot, you should see your favorite neighborhood dermatologist for an evaluation. Several treatment options are available to you, such as foot-drying powders, antiperspirants, topical antifungal medications (e.g., ones with miconazole, clotrimazole, or tolnaftate), and oral antifungal medications with terbinafine, fluconazole, or itraconazole.

Providers

Our approach & expertise

We understand the painful itching that athlete’s foot causes can be unpleasant. As your neighborhood skin experts, we’re here to ease your concerns by providing answers to your questions s about how to address this skin condition. Our experienced dermatologic specialists offer solutions customized to suit your needs and goals. We’ll be with you every step of the way as you deal with this issue.
Healthy skin is our passion. Contact us today if you have symptoms of athlete’s foot and we’ll develop a treatment plant that suits your unique needs.

Excessive Perspiration

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About Excessive Perspiration

What is it?

Perspiration is a temperature-regulating mechanism that allows your body to cool, but when it happens excessively and for no reason, it’s called hyperhidrosis, a condition characterized by relentless perspiration, typically on the hands and feet as well as under your arms. If left untreated, excessive perspiration can cause painful skin irritation due to the chronic dampness of the skin.

What causes it?

The causes of hyperhidrosis are not fully clear, but it’s believed that genetics plays a role or that it occurs because of an underlying systemic issue. What is certain is that it’s not due to stress; in fact, the condition often causes stress, apprehension, and even anxiety about being in public situations.

Common treatments?

We know it’s not unusual to have excessive perspiration in a nerve-wracking social or professional situation. However, if you suffer from this condition all day every day even when there is no clear cause, it’s possible that you have hyperhidrosis. Our experts have the knowledge and experience to help you treat this condition, regardless of where it’s occurring in your body. Some of these treatments include prescription antiperspirants, iontophoresis (a device that prevents sweat production), prescription oral medications, Botox (yes, Botox!), and miraDry (a treatment that hinders sweat production).

Providers

Our approach & expertise

Our practice has skilled dermatologic experts who have the experience and knowledge to provide effective solutions for your particular needs and goals. Our focus on you as a person is what makes us different from others, and we’ll be with you each step of the way with empathy, advice, and support. Healthy skin is our passion. Contact us today if you have excessive perspiration so that we can help you deal with this often embarrassing condition.