Common Surgical/Medical Procedures

Biopsy

Biopsies are performed to diagnosis lesions or skin conditions such as skin cancers. The area of skin is cleansed and local anesthesia is injected into the site. Most commonly the dermatologist uses a “shave” technique with a blade to obtain small sample of the lesion. The biopsy is routinely sent to a dermatopathologist to determine the diagnosis of the lesion. No sutures are usually required for this procedure. The wound is cleansed and antibiotic cream is applied, bandaged and home wound care instructions are given verbally and written. You can typically expect results of this biopsy within 7-10 days.

Surgical Excision

Surgical excision is performed most commonly as a result from previous biopsy or other medical conditions previously listed. The excisions are performed in a sterile field. After the anesthesia is injected locally, the area of skin is cleansed and sterilized in preparation for the procedure. After removal of the lesion, sutures are applied to close the wound, the area is cleansed again, antibiotic is applied and appropriate bandaging per instructions is applied. Verbal and written home care instructions are given. An appointment for follow up suture removal within 7-14 days is scheduled.

Cryotherapy or Cryosurgery

Cryotherapy or cryosurgery uses liquid nitrogen to freeze and destroy diseased lesions of the skin. It is most commonly used to treat superficial Basal Cell Carcinoma, Actinic Keratosis, warts and other lesions of the skin. This technique may sting and may be painful for a short time afterwards, but the procedure is less invasive with fewer risks of serious side effects than surgical removal. Redness, swelling and blisters are common and expected after treatment. Home care would include keeping the area clean and dry and monitoring for any signs of infection such as increasing pain, swelling, redness, and/or yellow drainage.

Phototherapy

We offer phototherapy treatment for skin conditions such as psoriasis and eczema. Phototherapy can be either Narrrow Band UVB or UVA light. Treatment is usually prescribed from 1-3 times a week and several visits are necessary to achieve desired results. Treatment in a doctors’s office is medically supervised on a limited range of wavelengths and dosed appropriately for each patient. Narrow Band UVB is considered safer than commercial tanning bed use.

Photodynamic Blu-U® Light Therapy

Photodynamic Blu-U® light therapy is used for treatment of precancerous conditions such as actinic keratosis, actinically damaged skin, sun damaged skin and moderate to cystic acne. The treatment involves the application of Levulan® and high-intensity narrow-band blue light. This therapy may take a series of treatment for optimal results.