Patient Education

Thank you for choosing U.S. Dermatology Partners Lakewood, formerly Center for Advanced Dermatology Lakewood! Read up on the latest information regarding our services.

  • This Video Will Make You Think Twice About Not Wearing Sunscreen

This Video Will Make You Think Twice About Not Wearing Sunscreen

This Video Will Make You Think Twice About Not Wearing Sunscreen

By Jillian Sederholm

If you’re not already wearing sunscreen regularly, here’s something to convince you. Photographer Thomas Leveritt modified his camera to record people in the ultraviolet spectrum, which highlights freckles and sun damage unnoticeable to the naked eye.

He captured strangers’ shocked reactions at viewing their faces in a way they never had before. Leveritt also asked his subjects to apply sunscreen to show how under the camera’s filter, the white lotion shows up like black war paint.

Photo by Thomas Leveritt, from the video

The video — which has more than 12 million views on YouTube as of Aug. 25 — has people singing the praises of sunscreen, which, aside from leading to better-looking skin, can actually save your life. Earlier this summer, the U.S. surgeon general warned that about 9,000 people die each year from melanoma, the deadliest form of skin cancer, and mostly preventable disease. But promoting the benefits of sunscreen wasn’t Leveritt’s intention.

“I haven’t particularly been a proponent of sunscreen, I’m a much bigger proponent of cameras and tech,” he said in an email to NBC News. But when trying out an experiment to test inexpensive sunglasses using his customized camera setup, he found something much more compelling: people’s faces. “The reactions of people to their own faces produced such a wide palette of emotions that I thought would make a wonderful montage,” Leveritt said. The internet agrees.

At the U.S. Dermatology Partners, we offer broad-spectrum sunscreens for every skin type and lifestyle!

Cosmetic Dermatology Services

At the U.S. Dermatology Partners Lakewood, formerly Center for Advanced Dermatology, we strive to provide you with the best skin care possible. Our licensed aestheticians are available at our Lakewood and Arvada offices to answer any cosmetic questions you may have.

Scientific research continues to grow and give rise to new and promising treatment options. Our team of skin care professionals can help you sort through the numerous options, including the multitude of products currently available. During your consultation, we will examine your skin, discuss your expectations, and recommend suitable treatment options.

  • Skin & Body Consultations
  • Body Contouring
  • Botox
  • CoolSculpting
  • Kybella
  • Laser Treatments
  • Wrinkles, Texture & Acne
  • Cellulaze
  • Skin Care Products

Skin & Body Consultations

Free Consultations

One of our licensed aestheticians can assist you with your skin care concerns during a free 30-minute consultation. Our skin care experts can advise you on treatment options, answer your questions regarding procedure options, and suggest beneficial skin care products. Most of our treatments require a consultation prior to treatment. Contact us at (303) 989-5231 today to schedule a free consultation!

Body Contouring

Body Contouring

During your complimentary and confidential body contouring consultation, you and one of our paramedical aestheticians will discuss your goals for body contouring and how we can help eliminate stubborn fat. During the evaluation, we will make a recommendation regarding the treatment options available at our Lakewood and Arvada offices, including Smartlipo & CoolSculpting. We will instruct you on how to prepare for your procedure and council you on how to maximize your results during the post-operative period.



Botox, the commercial brand name for botulinum toxin (BTX), is an injectable cosmetic dermatology treatment that reduces the appearance of fine lines and wrinkles on the face.

Unlike injectable wrinkle fillers, which work by filling a crease in your skin with another substance, Botox actually relaxes targeted muscles to reduce the look of lines in the face. This results in smoother skin with a more youthful appearance. Learn More

What Are the Risks Associated with Botox?

Botox is an FDA-approved treatment for the temporary reduction of moderate to severe frown lines between the brows. It acts as a muscle relaxant and is FDA-approved to control excessive sweating (known as hyperhidrosis). Improvements can last up to six months. Botox should be carefully injected by a physician in low doses. It contains only tiny quantities of botulinum A toxin, produced by a bacterium called Clostridium botulinum. There is no intact bacteria in Botox and no chance of getting botulism from injections. Botox has been used in the U.S. since 1992. In small doses, there is no scarring or side effects. If Botox migrates from the injection site, such as the forehead (a rare occurrence), it can cause a droop of the upper eyelids or eyebrows for a week or two. Patients should not massage the injection site for 12 hours after treatment.


Say Goodbye to muffin tops and love handles with CoolSculpting®.

This revolutionary new body contouring treatment precisely targets stubborn fat. It’s never been easier to sculpt the body you want – naturally, safely and without surgery or downtime. CoolScultping is FDA-cleared with undeniable results after just one treatment! Get the skinny by clicking here at


Is your double chin ruining your selfies?

Good News! We are now offering a non-surgical, injectable treatment called Kybella® (deoxycholic acid, injection 10mg/mL), which destroys fat cells under the chin in the treatment area.∗ Read more here.

Laser Treatments

Laser Treatments

Laser Hair Removal

Free yourself from the constant need to shave and wax unwanted facial and body hair in order to feel and look your best. With light-based permanent hair reduction, just a few simple treatments is all it takes to permanently minimize hair growth revealing clear, silky skin that’s ready to bare every day – all year long.

Unlike shaving that lasts days, waxing that needs to be repeated every few weeks indefinitely or electrolysis that’s tedious, permanent hair reduction is a lasting solution that takes away the everyday hassle of dealing with unwanted facial and body hair.

Laser hair removal works when there is color in the root of the hair. The laser is attracted to the melanin or color in the hair follicle. At therapy we have two types of laser/light treatments; one specializes in larger areas and the other specializes in smaller areas.

Palomar Intense Pulsed Light (IPL) Laser Treatment

What is Intense Pulsed Light (IPL)?

IPL treatments are performed with a non-invasive medical laser that uses intense pulse light. It is the most effective method to treat freckles, sunspots, age spots, and diffuse redness (rosacea).

What areas can be treated?

Virtually any part of the body with sunspots, age spots, or freckles can be safely treated. The face, chest, shoulders, and arms are the most popular areas for treatment because they typically have the most sun exposure. Both discrete spots and skin densely covered with freckles respond well to treatment.

What do the treatments feel like?

When the handpiece is placed on your skin it will feel cool and comfortable. When the pulse of light is delivered you may feel a mild brief pinching sensation. Unlike other systems, the IPL treatments require no topical anesthetic or gels before treatment.

How many treatments will I need?

Typically one to three treatments are sufficient to see dramatic results. Additional treatments may be required for very large or dark spots or for densely covered areas.

What happens after the treatment? Are there any side effects?

Immediately following the treatment the spots may begin to darken. You may notice reddening of the surrounding skin and skin may feel like it has been sunburned. This typically subsides within a couple of hours. Over the course of the next one to three weeks darkened spots will fade and flake off.

Will the spots reappear over time?

If you do not protect your skin with an appropriate skin care routine after your treatment the spots may reappear. Ensure you apply sunscreen with at least an SPF 30 to minimize the likelihood of the spots coming back or of new spots appearing.

Cynosure Apogee Elite Laser

Affirm CO2 is a laser anti-aging treatment. It safely and effectively treats wrinkles, sun-damaged skin, and overall skin texture. Below are answers to some of the most common patient questions.

How does it work?

Cosmetic laser treatments reverse the signs of aging and sun-damaged skin by stimulating collagen production and promoting tissue tightening.

Am I a candidate?

If your skin is showing signs of aging, then you are a candidate for laser treatment. Your practitioner can help you determine your specific needs.

Are there any side effects to the treatment?

Laser anti-aging treatment should cause only minimal discomfort with a topical anesthetic. Any redness, swelling, or puffiness that occurs can be gone within a week, if not a few days.

How many laser anti-aging treatments are required?

Results vary with each case. Patients may require anywhere from two to six treatments to achieve desired results. Each session will last from 30 to 60 minutes.

How long do results last?

Just like the aging process itself, this varies from person to person. However, if you take steps to protect and preserve your freshly laser rejuvenated skin – such as using SPF sunscreen, facial cleansers, and creams – the results will last longer.

Wrinkles, Texture & Acne

Wrinkles, Texture & Acne Treatments

Complexion Peels

What is a complexion peel?

A complexion peel is a technique that involves the application of a variety of chemical solutions to remove the damaged outer layers of dead skin cells from the skin’s surface. It is extremely beneficial for many skin conditions such as hyperpigmentation, rosacea, acne, sun damage, and photoaging. By removing the build-up of dead skin cells and stimulating the regenerative process you will notice marked improvements in the formation of wrinkles and fine lines, texture and tone of the skin, hydration, reduced pore size, clearing of blemishes and more balanced oil production and an overall healthier skin appearance.

What are the different types of peels?

At therapy, we use Rhonda Allison. All Rhonda Allison treatment procedures are considered superficial; they do not penetrate beyond the epidermis or papillary dermis. They are not to be confused with medical or physician-strength peels that affect the reticular dermis.

  • PROGRESSIVE  This refers to a treatment that does not usually cause immediate exfoliation and only removes the outer layer of skin or the stratum corneum. As treatments are repeated the skin will experience a mild sloughing.
  • MID-DEPTH  These peels affect the intra-epidermal layer, and exfoliation occurs within two to three days after application. The skin goes through very little downtime. Peeling usually consists of light flaking similar to a sunburn peel.
  • DEEP  These peels affect the deepest intra-epidermal layers. The skin becomes brown and crusty then undergoes considerable peeling, which occurs three to four days after application. The skin peels in large segments as opposed to flaking. The entire process takes about seven to ten days.

What type of home care should I use after my chemical peel?

There are specific instructions to be followed after your skin peel; this is as important as the peel itself. Post care will include occlusive healing balms, epidermal growth factor (cell renewal and wound repair), calming, soothing topicals to reduce itching and inflammation, and always sunscreen!

When the skin peel is completed and your professional has determined the skin is healed, daily skincare is essential. The most important part of a home care routine is a cleanser and a sunblock. Next in importance is a supportive cell rejuvenation. Additional specialty products such as pumice and buffing washes, growth factors, antioxidants, peptides, eye serums, nighttime moisturizers, AHAs, ascorbic acid, retinol, enzymes, masks, and topical correctives may be added to enhance and maintain results.

Inquire with one of our aestheticians for more information on these beneficial peel treatments. We can evaluate your skin type, the amount of time you need for recovery, and the results you can expect.

DiamondTome Microdermabrasion

What is DiamondTome?

This is a microdermabrasion without the use of crystals, salts or other loose particles propelled onto the skin. The DiamondTomeTM Aesthetic Exfoliation System with its unique DiamondTomeWands, is an evolution in microdermabrasion technology.

What are the benefits?

The benefits of DiamondTome’s innovative approach to skin rejuvenation, provides men and women an alternative to removing dead skin and eliminating superficial blemishes resulting from aging, acne, injury, or prolonged exposure to the sun. The results include healthier, more youthful-looking skin with a silky smooth feel.

How it does it work?

The DiamondTome Aesthetic Exfoliation system and the DiamondTome Wands remove layers of skin by polishing it with natural diamond chips and vacuuming the dead skin in a controlled manner. Removing the dead skin leaves a smoother surface and promotes new growth. Made of surgical grade stainless steel, each DiamondTome Wand is plated with pure nickel and natural diamond chips sifted to the exact micron size. Wands are available in four micron chip sizes to insure proper resurfacing for each individual’s skin type. Selecting the appropriate diamond chip, along with the adjustable vacuum, allows for a controlled abrasion.

Who is a candidate for this procedure?

Safe for all skin types, this treatment is virtually pain-free, using only sterilized or disposable instruments and producing only a slight amount of redness. Because there are no crystals being propelled onto the skin the DiamondTome Aesthetic Exfoliation System allows the therapist to treat areas closer to the eyes and those fine lines and wrinkles around the lips.

Photodynamic Therapy with Levulan

Photodynamic Therapy (PDT) is a treatment in which Levulan® (5-aminolevulinic acid or ALA) is applied to the skin. It is subsequently “activated” by specific wavelengths of light, either the Intense Pulsed Light treatment (IPL), the BLU-U Light, or both. The use of Levulan dramatically increases the outcome of Photofacial treatments. A consultation is required prior to treatment in order to determine which procedure would be most beneficial for you.

Palomar1540 Fractional Treatment

The Lux1540™ Fractional Laser is used for resurfacing uneven skin, wrinkles, melasma, scars, and stretch marks. An array of high-precision microbeams are delivered through the Lux1540, creating deep, narrow columns of coagulation in the epidermis and dermis. This is a non-invasive treatment typically requires minimal recovery time and optimal results are achieved with a minimum of four (4) treatments. A consultation and skin analysis is required prior to treatment.

Affirm C02

The Affirm™CO2 is a laser anti-aging treatment manufactured by Cynosure. It safely and effectively treats wrinkles, sun-damaged skin, and overall skin texture. Below are answers to some of the most common patient questions.

How does it work?

Cosmetic laser treatments reverse the signs of aging and sun-damaged skin by stimulating collagen production and promoting tissue tightening.

Am I a candidate?

If your skin is showing signs of aging, then you are a candidate for laser treatment. Your practitioner can help you determine your specific needs.

Are there any side effects to the treatment?

Laser anti-aging treatment should cause only minimal discomfort with a topical anesthetic. Any redness, swelling, or puffiness that occurs can be gone within a week, if not a few days.

How many laser anti-aging treatments are required?

Results vary with each case. Patients may require anywhere from two to six treatments to achieve desired results. Each session will last from 30 to 60 minutes.

How long do results last?

Just like the aging process itself, this varies from person to person. However, if you take steps to protect and preserve your freshly laser rejuvenated skin – such as using SPF sunscreen, facial cleansers, and creams – the results will last longer.



Frequently Asked Questions

How much does the treatment cost?

Cellulaze is a very precise and individualized treatment. Without an in-person consultation and a complete evaluation of the areas to be treated, it is inappropriate to attempt to provide an accurate estimate over the phone. The physician really needs to see the prospective patient first to provide an accurate quote.

How many treatments are required to achieve the desired results?

Only one Cellulaze treatment is necessary to achieve the desired results. You’ll see some immediate results, but final results won’t be apparent for three to six months. Of course there are exceptions to every rule, but unless there are very large areas that need to be treated, one procedure will provide excellent results.

How does Cellulaze work?

The Cellulaze treatment is performed by using a very small cannula (or tube about the size of the tip of a pen) inserted under the skin. A unique SideLight™ laser fiber inside the tube delivers energy directly under the skin. The precise SideLight laser energy increases the depth and quality of your skin, while simultaneously releasing the fibrous bands that pull down on your skin, to minimize the orange peel look associated with cellulite. The laser is also used to diminish the lumpy pockets of fat that protrude though the fibrous bands under your skin.

Can anyone have this treatment?

The best candidates for Cellulaze are women who are not significantly overweight but have cellulite on their thighs. A consultation with a Cellulaze physician can provide you with the best information.

Does it hurt?

There is little discomfort associated with the Cellulaze treatment, since patients are treated with a local anesthetic to numb the areas that will be treated. Patients may feel slight pressure or a warming sensation in and around the areas to be treated, but these are mild sensations. Patients are able to talk with the doctor during the procedure because they are awake and not sedated.

Are there any side effects?

Cellulaze is a minimally invasive surgical procedure, therefore after the treatment there will be some swelling and a little soreness. However since Celluaze is a minimally invasive laser procedure, incision sites are very small and there is little bleeding during the procedure. Most patients are able to return to their normal activities in a day or two. Patients may have some fluid leak out of the incision sites following the procedure.

I have tried everything to get rid of cellulite, how do I know Cellulaze really works?

Cellulaze is backed by two years of clinical research and cleared for use in the United States. Clinical data has proven Cellulaze treatments can increase the thickness of the skin by 25% and increase the skin’s elasticity by 29%: significant claims which haven’t been made by many other anti-cellulite treatments*. Thicker and more elastic skin can help flatten and smooth the skin’s surface therefore improving the appearance of cellulite. In addition, 100% of patients surveyed were satisfied or very satisfied with their results one year after their procedure, and all would recommend the Cellulaze treatment to a friend.

*DiBernardo, BE “Treatment of Cellulite with One Year Follow-up using a 1440nm pulse laser” Aesthetic Surgery Journal, March 2011

How long does the procedure take?

On average, the procedure will take one to two hours, depending on the size of the areas to be treated.

Do I have to stay in the hospital?

No, Cellulaze is an in-office procedure performed under local anesthesia.

How long do the results last?

Since new collagen is formed in the areas treated with Cellulaze and the structures under the skin are altered-producing results that last. Clinical studies have shown results can persist for one year or more. However, it is important to maintain a healthy diet and exercise regimen to continue to enjoy the results.

Will there be scarring?

The incision sites will be very small. With proper care, any scars will be barely noticeable. A Cellulaze physician is best to evaluate your skin type and provide the best information on scar prevention.

Cellulaze™ reduces the appearance of cellulite in just one treatment.

In a recent survey, eighty-two percent of women reported having cellulite, most believing they could minimize its appearance with diet and exercise. In fact, cellulite can’t always be eliminated by diet and exercise alone, and now for the first time there is a safer and more effective treatment available to select physicians nationwide. Dr. Hurt has recently added Cellulaze™ to the practice. This new technology goes beyond traditional treatments for cellulite, straight to the root of the problem, to reduce the appearance of cellulite.

“Until now, it has not been possible to treat cellulite effectively, but with the introduction of Cellulaze, I can finally give my patients the results they’ve been looking for,” said Dr. Hurt. “I’m thrilled to be able to add this to our practice, providing my patients with one-stop for all their cosmetic needs.”

Cellulaze is ideal for treating patients who, despite a healthy diet and exercise, retain the appearance of cellulite. Cellulaze gets to the core of the problem by targeting the cause beneath the skin. First, it delivers laser energy to the dermis, producing thicker skin and increased elasticity. It also thermally subscises fibrotic bands that pull down on the skin. Lastly, it contours for the improvement of herniated pockets or lumps of fat.

Cellulaze offers a new approach to the way physicians think about cellulite and as a result, treat cellulite. By utilizing this technology, and working with a skilled and qualified physician, patients are now able to achieve lasting results they never thought possible all from one simple treatment. Patients usually see improvements within a few weeks, with the most dramatic improvements continuing to show for a few months following the procedure.

Skin Care Products

Skin Care Products

Depending on your skin type, the climate in which you live, and any skin conditions, there are many choices for skin care products. At Therapy in the Center for Advanced Dermatology, we offer free consultations as well as treatments and products lines including Vivité®, SkinMedica, Rhonda Allison, La Roche-Posay/Biomedic®, Obagi™Glytone®RevaléSkin®, and Colorescience.

What is Retin-A, and why should I use it?

Retina-A is a synthetic form of Vitamin A (also called retinoic acid) and is used as a prescription acne medication, wrinkle cream and to treat the long-term effects of sun-damaged skin. It may also prevent skin and cervix cancer.

Medical Dermatology Services

At the U.S. Dermatology Partners Lakewood, formerly Center for Advanced Dermatology, we strive to provide you with the best skin care possible. Our board-certified dermatologists are available at our Lakewood and Arvada offices to answer any cosmetic questions you may have.

With a well-trained medical team and office staff, led by Dr. David Hurt, Dr. Kira GiovanielliDr. Lisa Blackwood, and Dr. Michaela McDonnell our dermatologists leverage the most advanced, innovative technologies and techniques to achieve beautiful, healthy skin for our patients. This holistic model unleashes our medical expertise and aesthetic eye through strategically combined services, including Medical Dermatology, Mohs Micrographic Surgery, and Cosmetic Dermatology.

  • Acne
  • Actinic Keratosis
  • Dermatitis
  • Eczema
  • Psoriasis
  • Rosacea
  • Skin Cancer
  • Mohs Micrographic Surgery


  • Comedones that stay closed at the surface of the skin are called whiteheads. This happens when oil and skin cells prevent a clogged hair follicle from opening. Many of the same over-the-counter medicines that treat blackheads are also effective against whiteheads.


Acne is the term for the pimples and complexion problems that trouble many young people. Pimples occur mainly on the face, but often involve the neck, chest, back, and upper arms. It is usually caused by the oil glands of the skin become plugged and breaking open. At puberty, the oil glands in the skin start producing an oily material called sebum. Acne can be controlled by using a number of treatment options.

Treatment, however, depends on the severity of the acne. Mild acne usually responds well to medicines applied to the skin (topical treatments) and moderate acne usually requires antibiotics taken orally (e.g., tetracycline, erythromycin, and minocycline are among the internal antibiotics used in treating acne). Server acne is best treated with isotretinoin.

How can I treat acne?

Acne is a very common inflammatory reaction in the oil-producing follicles of skin. The problem may affect people of any age and accounts for 25 percent of all visits to dermatologists. Patients with severe acne often have a family history of acne. While there are many factors behind the inflammatory changes in acne, one of the most important is the different levels of bacteria found on the skin. While acne is not a bacterial infection, it’s believed that inflammation results from the byproducts released by the bacterium found deep in the hair follicle. Generally, our physicians treat acne with a topical prescription or oral medication, including antibiotics. Physicians also treat acne with Intense Pulse Light therapy to shrink the sebaceous glands associated with producing excess oils that contribute to acne.

What is Blu-U Light Acne?

The BLU-U Light Acne Treatment is a unique blue light that can kill the P. acnes bacteria in your skin.  Four treatments are recommended to help control acne.

Actinic Keratosis

Actinic Keratosis (AK)

An actinic keratosis, also known as solar keratosis, is a scaly or crusty lesion on the skin that develops slowly and indicates the presence of sun damage. It is most commonly found on parts of the body frequently exposed to the sun including the bald scalp, face, ears, lips, backs of the hands or forearms, neck, and shoulders.

What are the latest treatments for AK?

Often AK is small rough pink or flesh-colored growths as a result of sun exposure over years. Rarely does it develop into skin cancer but when it does it’s known as squamous cell carcinoma. Cryosurgery can remove them by using extreme cold to destroy tissue.



Dermatitis, also sometimes referred to as eczema, is a common condition characterized by an itchy rash and inflamed skin. There are many different types of dermatitis and symptoms can range in severity from mild itching and redness to severe blistering and cracked skin.

What is Dermatitis?

Dermatitis is generally dry skin and also called eczema in its advanced stages. It is treated by taking short baths without hot water and little or no soap on the affected areas, followed by a good moisturizer such as a petrolatum-based emollient after bathing. Many patients will heal with a mild topical steroid depending on the severity of the lesions.


  • Eczema presents itself with dry, itching skin. The skin will likely be red and cracked as well. It may look like a bumpy rash.


Eczema, also sometimes referred to as dermatitis, is a common condition characterized by a certain type of inflammation in the skin. There are many different types of eczema and symptoms can range from mild itching and redness to severe blistering and cracked skin.

What is Eczema?

Eczema is an inflammation of the outer layer of skin that causes itching and a red rash often accompanied by blisters that weep and then crust. Various forms of eczema include atopic, usually found in childhood and sometimes associated with a family history of allergy; small well-defined areas, found on hands and feet; and eczema found on the legs that can be associated with poor circulation. Treatment depends on the cause but it usually includes the use of locally applied corticosteroids. Creams, lotions and antihistamines may help stop itching. To reduce scratching and irritation, soothing ointments should be covered by dressing and absorbent, non-irritating materials should be worn next to the skin. Fabrics such as wool, silk, and rough synthetics should be avoided.


  • Psoriasis is believed to be hereditary. It is believed that at least 10 percent of the general population inherits one or more of the genes that create a predisposition to psoriasis. However, only 2 percent to 3 percent of the population develops the disease. It is believed that both the predisposition to psoriasis plus becoming exposed to specific external factors known as "triggers" causes the disease to appear.


According to the National Psoriasis Foundation, psoriasis is a chronic, autoimmune disease that appears on the skin. It occurs when the immune system sends out faulty signals that speed up the growth cycle of skin cells. There are five types of psoriasis: plaque, guttate, inverse, pustular and erythrodermic. The most common form, plaque psoriasis, appears as raised, red patches or lesions covered with a silvery white buildup of dead skin cells, called scale.

The scalp, elbows, and knees are the most common sites, but almost any part of the skin may become involved. Psoriasis usually begins in young adulthood, although it can start in childhood or first appear in old age. In most cases, psoriasis is mild and is limited to a few areas of the body.

The National Psoriasis Foundation as more information about psoriasis and information about virtually every treatment.

What is Psoriasis?

Psoriasis is a chronic skin disorder affecting more than 4 million people, producing silvery, scaly plaques on the skin. Psoriasis usually starts in adolescence or after age 60, affecting 2 percent of the population. The condition is mild if less than 10 percent of the body is affected, while more than 30 percent is considered severe. The location of the symptoms, more than the extent, influences how disabling the condition may be. Cycles of improvement and flare-ups are experienced, and the disease can go into remission for periods ranging from one to 60 years. The cause is still unknown, although researchers believe some type of biochemical stimulus triggers the abnormal cell growth in the epidermis. While normal skin cells take a month to mature, patients with psoriasis have skin cells that over-multiply, forcing cells to move up to the top of the skin in only seven days. As the number of cells build-up, the epidermis thickens and the extra cells pile up in raised, red, and scaly lesions. The inflammation is caused by the buildup of blood needed to feed the rapidly dividing cells. There is no cure but there are treatments that can clear plaques or significantly improve the skin’s appearance. Treatment is aimed at slowing the excessive cell division, resulting in remissions lasting up to a year. Topical medications can be used and regular sun exposure may help clear up a case because of the exposure to natural ultraviolet light (UVB). A laser can also be used to treat and temporarily clear localized psoriasis. Newer drug treatments are in development to target and block specific parts of the body’s immune reaction that leads to diseases.


  • Rosacea may be associated with enlargement of the nose from excess tissue, a condition known as rhinophyma. This may include thickening of the skin and irregular surface nodules, which in rare cases may also develop in areas other than the nose.


Rosacea is a fairly common skin condition that causes redness in your face. In some cases, it may also produce small, red, pus-filled bumps. Typically these signs and symptoms may flare up for a period of weeks to months and then diminish for a while. Learn More >

How Can I Treat It?

Rosacea is a condition where a history of flushing of the skin occurs often. The red face symptoms are caused by enlarged blood vessels under the skin and gradually the redness becomes permanent. Facial skin becomes dry and pimples may appear. In advanced stages, the nose appears lumpy and swollen from excess tissue. There is no cure, however treatment with oral and topical medications may control rosacea and improve appearance. The most widely prescribed therapy is metronidazole and antibacterial medications such as tetracycline. A fine electric needle or an IPL (Intense Pulse Light) may also be used to eliminate enlarged blood vessels and decrease overall redness.

Skin Cancer

  • Skin cancer is the most common of all cancers. It affects more than two million Americans each year, and the numbers are on the rise. Skin cancer is the easiest cancer to cure, as long as it is diagnosed and treated early. If skin cancer is not treated early it can lead to disfigurement and even death.

layers of skin

Skin Cancer

The skin is the body’s largest organ. It protects against heat, sunlight, injury, and infection. Skin also helps control body temperature and stores water, fat, and vitamin D. The skin has several layers, but the two main layers are the epidermis (upper or outer layer) and the dermis (lower or inner layer). Skin cancer is a disease in which malignant (cancer) cells form in the tissues of the skin.

Information from the National Cancer Institute indicates skin cancer begins in the epidermis, which is made up of 3 kinds of cells:

  • Squamous cells: Thin, flat cells that form the top layer of the epidermis.
  • Basal cells: Round cells under the squamous cells.
  • Melanocytes: Found in the lower part of the epidermis, these cells make melanin, the pigment that gives skin its natural color. When skin is exposed to the sun, melanocytes make more pigment, causing the skin to darken.

During a skin cancer screening, we are looking for cancer before any symptoms develop. This can help find skin cancer at an early stage. When abnormal tissue or cancer is found early, it may be easier to treat. If a screening test result is abnormal, you may need to have more tests done to find out if you have cancer.

Typical skin cancer treatments include cryotherapy, topical medication, excision, Mohs surgery, or electrodesiccation and curettage.

What is Basal Cell Carcinoma?

Basal cell is a small round cell found in the innermost part of the top skin layer (epidermis). It is the most common form of skin cancer and affects more than 500,000 Americans each year. One out of every three new cancers is a skin cancer. If untreated, the growth invades and grows deeper into surrounding tissues. Fortunately, this type of cancer almost never spreads to other parts of the body. Chronic overexposure to sunlight is the cause of 95 percent of Basal cell cancers. If tumor cells are found, the growth can be removed almost always in an outpatient setting with local anesthetics.

What is Melanoma? How Can I prevent It?

Melanoma, if malignant, is the most deadly form of the three major types of skin cancer. Melanomas are brown, black or multi-colored patches, plaques, or nodules with an irregular outline. It tends to spread rapidly to vital organs, such as the liver, lungs, and brain. It is the most frequently diagnosed form of cancer for women between 25-29. Today, one in every 90 white Americans will eventually develop melanoma. It can be cured if discovered early. Surgical removal of the affected area, as well as nearby lymph nodes, can be necessary, and later the area should be followed by a skin graft. The thickness of the tumor is the single most important factor in determining prognosis. Avoid excess sun exposure and talk to us about some foods and nutrients that may counteract the development of melanoma, such as fish with omega-3 fat and antioxidants such as Vitamins A, C, and E.

Mohs Micrographic Surgery

Mohs Micrographic Surgery

Mohs Micrographic Surgery, according to the American College of Mohs Surgery, is the most advanced and effective treatment procedure for skin cancer available today. The procedure is performed by specially trained doctors. Both Dr. McDonnell and Dr. Hurt are trained to perform Mohs Micrographic Surgeries and are members of the American Society for Mohs Surgery. This procedure is performed in our Lakewood office and usually takes only a few hours to complete. In some cases, however, the complete procedure may require the patient to be in the office all day.

Initially developed by Dr. Frederic E. Mohs, the Mohs procedure is a state-of-the-art treatment that has been continuously refined over 70 years. With the Mohs technique, physicians are able to see beyond the visible disease, to precisely identify and remove the entire tumor layer by layer while leaving the surrounding healthy tissue intact and unharmed. As the most exact and precise method of tumor removal, it minimizes the chance of re-growth and lessens the potential for scarring or disfigurement.

Because the physician is specially trained in surgery, pathology, and reconstruction, Mohs surgery has the highest success rate of all treatments for skin cancer – up to 99 percent. The Mohs technique is also the treatment of choice for cancers of the face and other sensitive areas as it relies on the accuracy of a microscopic surgical procedure to trace the edges of the cancer and ensure complete removal of all tumors down to the roots during the initial surgery.

For more information, please visit the American Society for Mohs Surgery. Under the Patient Resources tab, you can find a Patient Brochure, Patient Video, and Frequently Asked Questions.