Howard Steinman, MD, FAAD


Board-Certified Dermatologist
Fellowship-Trained Mohs Surgeon
Fellow of the American Academy of Dermatology

 

Dr. Howard Steinman joined U.S. Dermatology Partners in 2018 and sees patients in Grapevine, Carrollton, and Plano, Texas. He specializes in treating skin cancer and has performed over 20,000 Mohs surgery cases in his career.

“It is rewarding to guide patients and their families through the often-frightening process of skin cancer surgery in a reassuring and caring manner,” says Dr. Steinman. “As a cancer survivor, I know how important it is for every patient to have an informed, safe, and comfortable surgical experience.”

Dr. Steinman graduated magna cum laude from Pomona College in Claremont, California, and earned his medical degree from Washington University in St. Louis, Missouri. He performed his dermatology residency at the University of California at San Diego and as the Overseas Registrar at St. John’s Hospital for Diseases of the Skin in London, U.K. He then completed a one-year fellowship in Mohs surgery and dermatological surgery at the University of Illinois at Chicago.

After practicing and teaching in San Diego for over 25 years, he moved to Texas in 2009 to serve as Director of Mohs Surgery and Dermatologic Surgery Scott & White Clinic in Temple, Texas. He moved to the Dallas area in 2012.

Dr. Howard Steinman is a Fellow of the American College of Mohs Surgery and was a founder and Fellow of the American Society for Mohs Surgery. He has served as an officer, director, and president of several local and national dermatology associations. He has co-authored two Mohs surgery textbooks, twelve textbook chapters, and over 40 peer-reviewed journal articles.
You can find a list of Dr. Steinman’s peer-reviewed journal articles here.

He is passionate about mentoring and teaching medical students, residents, and practicing dermatologists. He has served on the medical school faculties of the University of London, University of Illinois, Chicago, University of California, San Diego, Texas A&M, and Campbell University. In 1995, he established and co-directs an annual physician course in Mohs surgery and frequently is asked to give talks to Mohs surgeons and dermatologists.

Dr. Howard Steinman enjoys travel, playing the clarinet, reading science and history, and spending time with his wife and family, including his two granddaughters.

Specialties and Affiliations
  • American Academy of Dermatology
  • American College of Mohs Surgery
  • Australasian College of Cutaneous Oncology
Awards and Honors
  • Teacher of the Year Award – U.C. San Diego School of Medicine, Dept of Family Medicine
  • Distinguished Service Award – American Society for Mohs Surgery
  • Top Doctors Award – San Diego County Medical Society
  • Texas Super Doctors (Texas Monthly Magazine) 2013 – 2018
  • Volunteer Physician Appreciation Award – U.S. Olympic Training Center, Chula Vista, CA
  • Honorary Membership – Australasian College of Skin Cancer Medicine
  • Honorary Membership – Florida Society of Dermatologic Surgery
Curriculum Vitae

Learn About Mohs Surgery

Services Offered By Dr. Howard Steinman

What Is Actinic Keratosis?

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.

Actinic Keratosis two days after a freezing removal treatment

Actinic keratosis improves just two days after a freezing removal treatment.

Actinic keratoses are considered precancerous and can develop into a type of skin cancer called squamous cell carcinoma. In fact, some 40 to 60 percent of squamous cell skin cancers begin as untreated actinic keratoses.

Because of this, your doctor should be diligent in diagnosing, treating and monitoring actinic keratosis.

What Is Basal Cell Carcinoma?

Basal Cell Carcinoma, also known as basalioma or basal cell cancer, is the most common type of skin cancer and carries the least amount of risk, though it still requires attention. If caught and treated early, basal cell carcinomas are not likely to be life-threatening, but they do have the potential to cause disfigurement of the skin tissue.

Almost one million new cases of basal cell carcinoma are diagnosed each year in the U.S., and up to 30% of Caucasians may develop basal cell carcinomas in their lifetime.

Basal cell carcinoma treatment

Basal cell carcinoma can be treated by removing the affected area.

Skin cancer is considered low risk when the affected cells remain clustered in a single group. Both basal cell carcinoma and squamous cell carcinoma are rarely life-threatening. Though it is unlikely to spread to other parts of your body, if left untreated, basal cell carcinoma can move into nearby bone or other tissue.

Basal cell carcinoma typically begins as a small, shiny bump on the face, although it can occur on any part of the body.

What Is Melanoma?

Melanoma, the deadliest of skin cancers, only accounts for about 4 percent of all skin cancer cases, but causes about 79 percent of skin cancer deaths.

Melanoma is a cancer of the skin that begins in the melanocytes, which are the cells that produce the pigment melanin. It is the leading cause of cancer death in women 25 to 30 years old and the second leading cause of cancer death in women 30 to 35 years old.

In some cases, melanoma occurs in melanocytes throughout the body, even if those parts have never been exposed to the sun.

 

What Is Mohs Surgery?

Mohs surgery offers the highest cure rates for all non-melanoma skin cancers. For certain cases of the most common types of skin cancer — squamous cell carcinoma and basal cell carcinoma — the cure rate can be as high as 99 percent.

Mohs surgery is a highly specialized surgical technique used to treat non-melanoma skin cancers in which the surgeon removes all of the visible cancer, plus a small margin of the surrounding healthy tissue and examines it to ensure that all cancer cells have been removed at the time of surgery.

Before and After Mohs Surgery Technique

The Mohs surgery technique treats skin cancers by removing all of the visible cancer. Image Source: newhealthadvisor.com

During Mohs micrographic surgery — named after Dr. Frederic Mohs, who first performed it in the 1930s — cancer is removed from the skin layer by layer until all cancerous cells have been removed. This type of surgery is most commonly used for cancers that have a high risk of re-occurrence. This technique allows for complete removal of the skin cancer while minimizing the removal of surrounding healthy skin.

What Is Skin Cancer?

Skin cancer is the most common form of cancer in the U.S. with more than 3.5 million cases diagnosed each year.

Skin cancer is the result of uncontrolled growth of abnormal skin cells that takes place when skin cells suffer DNA damage and then mutate, causing them to multiply rapidly and form malignant (cancerous) tumors. Most skin cancers develop on the visible outer layer of the skin (the epidermis), particularly on sun-exposed areas such as the face, head, hands, arms and legs. They are usually easy to detect with a skin examination, which increases the chances of early diagnosis.

There are different types of skin cancer, each named for the type of skin cell from which they originate. The most common type of skin cancer is basal cell carcinoma. Almost one million new cases of basal cell carcinoma are diagnosed each year in the U.S. Most skin cancers fall into one of three categories:

There are often warning signs that cancer is developing. The most common are pre-cancerous lesions called actinic keratoses that often develop on sun-exposed areas. These tumors replace normal surrounding tissue and generally do not spread to other areas.

Skin cancer is considered low risk when the affected cells remain clustered in a single group. Both basal cell carcinoma and squamous cell carcinoma are rarely life-threatening.

Skin cancer is considered a high risk when cells have invaded surrounding tissues. The third most common skin cancer, malignant melanoma, can be life-threatening if not diagnosed and treated early.

If skin cancer is detected before it has spread to surrounding tissues, the chances of a complete recovery and cure are excellent. High-risk forms of cancer like melanoma require more aggressive treatments.

Doctor removing mole from a patient's shoulder.

Suspicious moles should be watched closely, as they might indicate a cancerous growth.

What Is Squamous Cell Carcinoma?

Squamous Cell Carcinoma is a common form of skin cancer that develops in the squamous cells that make up the outer layer of the skin. Although it is usually not life-threatening, it can be aggressive in some cases.

If left untreated, squamous cell carcinoma can grow large or spread to other parts of your body, causing serious complications.

Dermatologist examining male patient's skin for signs of Squamous Cell Carcinoma.

Your dermatologist will be able to examine your skin for signs of squamous cell carcinoma.

What is an Online Dermatologist?

Telemedicine, also known as online dermatology, telehealth, or teledermatology, is the use of telecommunications technology to provide care across a distance. This includes using the Internet, cell phones, SMS messaging and even satellites to allow physicians and patients to communicate medical information. This technology has been available for over a decade now, but as it has gotten better and better, telemedicine has now become much more available, easy to use, and secure. If used in the right way, it is one of the best ways that we can improve access to care.

Because dermatology is a very visual field and a specialty in high demand, patient access is often challenged by long wait times. Meeting a dermatologist online can be a great way to provide patients with increased access to skin care. Teledermatology involves the use of real-time video streaming, or more commonly the transmission of still images, pictures, and video in combination with a patient’s medical information collected via questionnaire. Teledermatology can be utilized in many ways including physician-to-physician consultations, triage, follow-up care, and patient education.

What Are Skin Cysts?

Cysts are pockets of tissue (sacs) that may become filled with pus, fluids, skin cells, and even air.

They are fairly common on the skin and can appear anywhere on the body. Cysts may feel like a pea under the surface of the skin, but without removal, they can grow significantly larger over time. In most cases, cysts are not painful, and they grow slowly. There are different types of cysts as we’ll discuss in the next section, and the vast majority of these skin growths are benign (not cancerous). Not all cysts will require treatment, but it is vitally important to have any lump under the skin evaluated and diagnosed by a board-certified dermatologist because some soft tissue malignancies (growths that are cancerous) can present like a cyst. Before recommending removal or other cyst treatments, your dermatologist will examine the growth to determine whether it is likely to cause you pain, become infected, or otherwise lead to skin health issues.

Dermatologist treating cyst on patient's back

Skin cysts, which can appear anywhere on the body, are usually painless and grow slowly.

What Is Lipoma?

A lipoma is a common, non-cancerous, soft tissue growth just below the skin made up of fat cells. Though most lipomas are not a cause for concern, if the growth becomes too large, it may become painful.

What Are Moles?

Atypical moles, also known as dysplastic nevi, are unusual-looking benign (noncancerous) moles.

A dysplastic mole is one that, when viewed on a cellular level, has features unlike those of a healthy, benign mole. A benign mole will have a regular pattern of coloration and pigment, even borders, symmetry, and a tan or pink color. Dysplastic moles can be asymmetric, have indistinct borders, or contain multiple colors or very dark pigment.

Dysplastic moles are often spotted as the “ugly duckling” on a patient’s skin. Any departure from the typical mole a person’s skin makes may be dysplastic. They can appear anywhere on the body, but in most cases are found on the back, chest, buttocks, breasts, or scalp.

Benign mole on skin

People with atypical moles are at a higher risk of developing melanoma.

What Is Juvederm?

Juvederm is a group of injectable dermal filler gels made from hyaluronic acid and used to correct for moderate to severe facial wrinkles and folds or to provide contour. Different types of Juvederm are:

  • Juvederm Voluma XC – designed to add volume to the cheeks
  • Juvederm Volbella XC – used to smooth lines and wrinkles around the mouth
  • Juvederm Vollure XC – softens moderate to severe facial lines and wrinkles around the nose and mouth
  • Juvederm Ultra XC – created to add volume to the lips
  • Juvederm Ultra Plus XC – used for adding volume to the lips and face
Patient receiving Botox injection

Juvederm is delivered via injection.

What Are Keloids?

Keloids are raised, red scars created by excessive healing of skin wounds, such as burns, cuts and acne. They are the result of an overproduction of collagen as the skin tries to repair itself. Keloids also can occur after piercings, tattoos or surgery and often times are itchy and painful. They can grow for years and sometimes show up three months or longer after the injury occurred.

Keloid scars on a patient's wrist.

Keloid are caused by an overproduction of collagen as the skin tries to repair itself.

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