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Dermatology Services

Skin Cancer Screening / Surgery

Screening

dermatologist doctor inspecting woman patients skin on her back for melanoma

Skin cancer is the most common form of cancer in this country, and the two most common types are basal cell and squamous cell carcinomas. Melanoma is the third type of skin cancer that is much more aggressive and can lead to death if not caught in the early stages.

Dr. Ross and her associates strongly encourage all their patients to come in for yearly body scans or screenings, especially those that have fair skin, many moles, and / or cases of skin cancer in their families. The doctor will thoroughly examine all areas of the skin, paying close attention to moles and pigment discoloration. If the doctor comes across any questionable areas, a biopsy will be performed using local anesthesia to numb the skin that needs to be removed and examined. Early detection of skin cancer will reduce medical expenses for treatment and possibly increase a patient’s life span.

If the biopsy is found to be positive, the type of surgery performed depends upon the type of cancer, how large the affected area is, and the possibility of spread. Most skin cancer surgeries can be performed as an outpatient surgery with local anesthesia in the doctors office.

Surgery

There are many different types of surgeries that can be used to remove the skin cancers. Excision is very similar to the initial biopsy that uses a surgical knife to cut the cancerous area as well as a specific margin of surrounding skin. It is then stitched back together in a line. Curretage and electrodessication treatment uses a curette, a long, thin instrument with a sharp and looped-shaped edge on the end, to scrape away the cancerous cells. Then an electrode destroys any remaining cancer. This treatment typically leaves small circular scars that improve with time.

Dr. Ross also is a MOHS Surgeon who specializes in detecting and treating skin cancers. She performs Mohs surgery for certain skin cancers, but it often can be performed same day and just takes several hours in an outpatient setting. This surgery involves the removal of a thin layer of the cancerous skin and then an examination of that area to determine if one or more additional layers might be need to be removed. This surgery is often left for more aggressive skin cancers and sensitive areas such as derma-2the region near the eyes.

Lymph node surgery may need to be performed if lymph nodes are enlarged from spreading skin cancer and then biopsied and found to be cancerous. Lymph node surgery is performed in the hospital setting or at a cancer center, if necessary. Skin grafting and reconstructive surgery are not often necessary but can be employed in cases in which skin has been stretched a great deal or large pieces of cancerous skin needed to be removed. Dr. Ross has had extensive training in skin grafting and skin transfer surgeries. Grafting uses healthy skin from other areas on the body to make more visible areas, such as your face, more aesthetically pleasing.

Botox / Fillers

Botox

Cosmetic injection of botox to the pretty female face. Isolated on white background

Botox is the first and only FDA-approved drug that is used to cosmetically improve the appearance of wrinkles, especially crow’s feet and brow lines. It does so by temporarily paralyzing the muscles. Clinically, Botox also treats more than 20 different medical conditions including certain muscular conditions, migraines and leaky bladders. When it is injected in very small doses, it prevents nerve signals from reaching the muscles, prohibiting them from contracting. Before injection, the doctor dilutes Botox in saline and then administers it into the neuromuscular tissues. It usually takes about 1-2 weeks for maximum effect to occur. Most patients do not experience any side effects with Botox, but some may feel some mild discomfort or numbness in the injection area. Risks include dry mouth, headaches or eye/face drooping. Pregnant or nursing mothers are advised not to use Botox.

Dermal Fillers

If you are looking for plumper lips, softer wrinkles / creases or a more youthful / full face, dermal fillers may be your answer. They are often used in conjunction with other skin enhancement procedures, notably Botox injection. Fillers offer many of the same results as plastic surgery but without the recovery time. They are not permanent and the treatment must be repeated to maintain the results. Dr. Ross is well trained in both dermatology and cosmetic surgery, which is essential for safe and extraordinary results.

Fillers are injected in an outpatient setting; each injection only takes a few moments to perform. To start, an antibacterial agent is applied to each of the injection sites. Then, a topical anesthetic is administered. Pain or discomfort is minimal, but an ice pack can be applied to alleviate any tenderness. Scars and deep wrinkle lines may require multiple injections / visits.

Lasers

Laser Resurfacing

This treatment is often referred to as peeling, given that the Erbium/Yag laser gently removes layers of tissue to achieve long-lasting skin rejuvenation. It dramatically improves the appearance of wrinkles, acne scarring, sun spots and other skin abnormalities. Research has shown that this treatment stimulates new collagen formation, resulting in an even more robust and smooth skin tone. The length and intensity of these treatments are tailored to the individual’s desired results and skin damage and / or irregularities, with down time varying, but most commonly about 3-5 days.

Other Medical Services Provided

derma-4

Treatment for all disorders of the hair, skin and nails

  • Eczema / Atopic Dermatitis
  • Acne Keloidalis (Bumps on back of neck)
  • Ringworm
  • Intertrigo
  • Athlete’s Foot
  • Psoriasis
  • Contact Dermatitis
  • Boils / Carbucles / Cysts
  • Hyperpigmentation
  • Vitiligo
  • Rosacea
  • Tinea Versicolor
  • Cold Sores
  • Actinic Keratoses
  • Hair Loss
  • Scalp Seborrhea
  • Moles
  • Keloid Scars
  • Skin Allergy Testing

Other Cosmetic Services

  • Pulsed Light Laser
  • Photorejuvenation
  • Peels
  • Vein Laser Treatments
  • Sun Spot Removal
  • Skin Tightening
  • Spot Removals
  • Wart Removals

Schedule a Consultation

To learn more about our dermatology services, please call LA Plastic Surgery at (941) 954-4500.