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Surgical Dermatology

Dermatologists are skilled skin surgeons. Skin biopsies and surgical excisions are performed daily at Vitality Dermatology. Surgery may be required for a variety of benign and malignant lesions. The following is a summary of some of the types of skin surgery offered at our facilities:

Biopsy

Biopsies are performed to diagnose lesions or skin conditions such as skin cancers. The area of skin is cleansed and local anesthesia is injected into the site. The biopsy is routinely sent to a dermatopathologist to determine the diagnosis of the lesion. Results are expected within 7-10 days.

Surgical Excision

Surgical excision is performed most commonly as a result from previous biopsy (i.e. skin cancer or abnormal mole) or for removal of a benign lesion such as a cyst. 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. Stitches are typically used with removal of them in 7-14 days.  As with biopsies, the tissue is sent to a dermatopathologist to confirm the diagnosis.

Cryotherapy

Cryotherapy uses liquid nitrogen to freeze and destroy diseased lesions of the skin. It is most commonly used to treat precancers and warts but may be used on a variety of skin lesions.

Electrocautery

Electrocautery is a technique used to treat dilated facial blood vessels, facial oil glands, flat warts, and keratosis growths.  A fine tipped needle with low level of electric current is used to dessicate the individual lesions.

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 cystic acne. The treatment involves the application of photosensitizing agent Levulan® and high-intensity narrow-band blue light. Visit www. dusapharma.com for  more information about this treatment.

Botox® for Axillary Hyperhidrosis

For persons who struggle with excessive perspiration, Botox® is FDA approved for severe primary axillary hyperhidrosis that is inadequately managed with topical agents. Results typically last 9 months.  This procedure is covered under many insurance plans. For more information visit www.botox.com or www.sweathelp.org.

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