Nicole James was raised in Tucson and is a proud University of Arizona Wildcat. (Bear down!) After graduating from Midwestern University PA program in Glendale, Arizona, she moved back to Tucson to enjoy the beautiful scenery and be closer to family. Aside from cheering on U of A basketball, she enjoys playing soccer, doing yoga, reading, and spending time with her husband and two dogs.
Growing up in the southwest, she spent plenty of time participating in outdoor activities. She knows firsthand that as wonderful as the Arizona sunshine feels, the photodamage it leaves behind ages us. She has a passion for reversing these signs of aging and treating skin damage, thereby leaving patients feeling and looking beautiful. Practicing medicine as a physician assistant has taught her the importance of listening closely to her patients and being a partner in their care. She looks forward to working with patients on healthy lifestyles and skincare regimens to help them feel and look their best from the inside out.
Nicole James provides care at Skin Spectrum Dermatology Tucson, now a part of U.S. Dermatology Partners, in Arizona.
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 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.
Annual Skin Examinations are yearly scheduled skin exams with a dermatologist. Did you know that skin cancer is the most common form of cancer in the U.S.? In fact, it is estimated that one in five Americans will develop skin cancer in their lifetime. Sun damage to the skin is cumulative over a person’s lifetime, so the average risk of skin cancer also increases as our life expectancy gets longer.
Just as you schedule your annual physical or trip to the dentist, it is important to conduct a self-examination of your skin each month and schedule a professional annual skin examination once a year. Skin cancer is a treatable condition, but early detection is key.
Seborrheic keratosis is one of the most common noncancerous skin growths found in older adults. It most commonly appears as a brown, black or light tan growth on the face, chest, shoulders or back. Although they are not cancerous, they can look like 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.
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.
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.
Acne is a dermatological condition caused by inflammation and mild infection in clogged pores. If not properly treated, acne can cause emotional distress, low self-esteem, and depression. In severe cases, it can even lead to permanent scarring.
While not a serious physical health threat, acne is an embarrassing skin problem that can be life-altering for many patients. Though it is most common among teenagers, acne can affect anyone, regardless of age or gender, and can be mild, moderate or severe.
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.
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. Whether you’re newly diagnosed with eczema or you’ve struggled with this chronic skin condition for years, you know that finding a treatment that works for you isn’t just important – it’s essential. Without proper and effective interventions, people with eczema can experience significant discomfort, itching, and inflammation.
At U.S. Dermatology Partners, our knowledgeable dermatologists partner with their patients to develop and maintain an effective eczema maintenance plan and provide advanced treatments for serious flareups. Learn more on this page or contact U.S. Dermatology Partners to get started working with us today.
You might ask, what does hair loss have to do with skin?
Hair is actually a protein filament that grows from follicles deep in the skin up through the top layer of your skin. Your hair helps to regulate body temperature and also serves to protect your scalp. Almost everyone experiences some degree of hair loss at some point in life.
Melasma is a fairly common skin condition that creates the appearance of brown to gray-brown patches of skin, usually on the face. It can also occur on the neck and forearms and is the result of the body producing too much melanin, that natural substance that colors our hair, skin, and eyes.
If you’re dealing with dark spots or patches on your skin from the chronic condition melasma, the U.S. Dermatology Partners team can help you to improve the appearance of these spots and minimize the risk for future flare-ups of the condition. Read the page below to learn more or reach out to the U.S. Dermatology Partners location nearest you for more information.
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.
Photodynamic Therapy, often referred to simply as PDT, is a medical treatment that uses photosensitizing agents and light exposure to treat a range of conditions, including skin cancers, acne, and actinic keratosis (“pre-cancers”). You can learn more about photodynamic therapy on this page, and the U.S. Dermatology Partners team would love to hear from you if you’re interested in scheduling a consultation to discuss photodynamic therapy. Simply use our online request form to schedule a consultation visit at the U.S. Dermatology Partners office closest to you.
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.
Rosacea may sometimes be mistaken for acne, an allergic reaction or other skin problems. It is believed to be caused by a combination of hereditary and environmental factors.
Learn more: 4 Types of Rosacea
Sebaceous hyperplasia is a benign bump on the skin that forms as a result of over-productive oil glands. When oil glands are damaged, they can become enlarged and clogged, leading to this condition. It is primarily a cosmetic concern rather than a medical problem.
Skin tags are small, soft skin growths that can occur anywhere on the body but are most common on the eyelids, neck, armpits, groin folds and under the breasts. They are harmless but they can be annoying, particularly if they are in an area where they are rubbed on by clothing. They may be flesh-colored, pink or may darken.
Individuals who are prone to sunburn are thought to be genetically predisposed to skin cancer. Risk is also increased when exposure to UV rays is excessive. Sunscreen helps prevent the damaging effects of ultraviolet radiation, including skin aging and skin cancer like melanoma and squamous cell carcinoma.
Sunscreens are rated and labeled with a sun protection factor (SPF) that measures the fraction of sunburn-producing UV rays that reach the skin. The higher the SPF, the greater the protection.
The sun can age and burn your skin, and it can also cause damage on the cellular level, leading to skin cancer. The good news is, the U.S. Dermatology Partners team can help you formulate a plan to prevent sun damage and repair the effects of the sun’s UV rays so that you can go out and enjoy a sunny day. Learn more on this page or contact U.S. Dermatology Partners to schedule an appointment with us.
Body Contouring is a non-surgical way of reducing fat. Today there are many different technologies on the market that use technologies like ultra-low temperatures to freeze fat (see CoolSculpting, TruSculpt iD, CoolTone, or SculpSure for more details) or ultrasonic waves and radio frequencies to melt fat.
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.
Each Botox injection relaxes key facial areas by temporarily paralyzing specific muscles. This temporarily removes wrinkles and improves the look of laugh and frown lines, skin bands on the neck, crow’s feet, forehead creases and more.
Although it was originally developed to treat eye muscle disorders, Botox has become popular cosmetically and this is now its primary use. In fact, Botox injections are now the most common cosmetic treatment in the U.S., with 6.3 million procedures done in 2013. Because Botox inhibits the release of certain neurotransmitters, it is also sometimes used to treat chronic migraines.
When it comes to dermatological treatments that will help people reclaim a youthful glow, create an even skin tone, and minimize the appearance of scars, chemical peels offer a conservative solution that addresses all of these concerns. Chemical peels are versatile treatments that help to improve the health and appearance of the skin, and just about every patient could benefit from the procedure. If you’re interested in learning more, continue reading below or get in touch with a U.S. Dermatology Partners location near you to schedule your visit.
Looking to improve and recover your skin’s youthful appearance?
As we age, our skin naturally loses collagen and elasticity. At the same time, repetitive movements and expressions can create facial wrinkles. In addition to comprehensive medical procedures, dermatologists also provide a wide range of minimally-invasive, low impact treatments designed to address a number of aesthetic desires to help you look and feel your best.
While many conditions from unwanted hair and tattoos to wrinkles and rosacea may not be physically harmful, they can be uncomfortable and even cause emotional distress. Cosmetic dermatology offers a wide range of cosmetic surgery and non-surgical services focused on giving you the results you want without the pain, worry, and downtime.
Dermal Fillers (also known as facial injections, as well as many brand names) include a variety of products that are injected into the skin to replace lost volume, enhance lips, reduce wrinkles and rejuvenate the skin overall.
There are many brand-name facial injections available including Juvederm, Restylane, and Sculptra. These injections use fillers such as collagen, hyaluronic acid, and calcium hydroxyapatite and can be helpful in combating early signs of aging.
Dermaplaning is a safe and effective physical exfoliation procedure that triggers cell regeneration and allows products to better penetrate the skin. Dermaplaning is considered excellent for ridding the face of excess fine hairs which can often accumulate dirt and oil.
Dysport is a prescription injection used for the temporary improvement in severe frown lines between the eyebrows. As the muscles relax and prevent contractions, wrinkles in and around the brow and frown area will disappear.
Dysport, also known as Reloxin, is made from a neurotoxin produced by the bacterium Clostridium botulinum; it is the same neurotoxin used in BOTOX Cosmetic.
Facials are a multi-step skin treatment that cleans, exfoliates and nourishes the skin. They are designed to help your skin look younger and create a well-hydrated complexion.
Fraxel laser skin resurfacing is a fractional laser technology designed to help restore your skin to its original texture. The laser treatment encourages the creation of new skin, which gives you fresher, younger looking skin and improved tone and texture. It also helps erase brown spots, acne scars and surgical scars, and can minimize fine line lines and wrinkles.
We all want to look our very best and an IPL photo rejuvenation treatment, also called a photofacial treatment, can help many people reclaim smooth, youthful skin with even tone and pigmentation. In short, you’ll be photo-ready. When it comes to aesthetic treatment like IPL, it’s always best to partner with a knowledgeable dermatologist who can ensure you achieve the results you’re after while limiting potential damage to your skin. You can learn more about this cosmetic treatment option on this page and by contacting the U.S. Dermatology Partners location nearest your home. We look forward to hearing from you soon!
Jeuveau (pronounced Jū vō) is a new way of tackling frown lines between the eyebrows that tell the stories of your years of smiling, squinting, concentrating, and yes, even frowning. The story of our lives may be written on our faces in the form of fine lines and wrinkles, but it doesn’t have to stay that way thanks to Jeuveau. If you’re ready to look and feel your very best, it’s time to sit down for a consultation with one of our knowledgeable dermatology professionals. Our teams are dedicated to offering the latest and most effective treatment options for any dermatological need to ensure your skin’s health and vitality for life.
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:
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.
Keratosis pilaris is a common skin condition characterized by small, hard bumps that may make your skin feel like sandpaper. Most often they appear on your upper arms, thighs and buttocks, and sometimes are accompanied by redness or swelling. In some cases they may appear on your face.
It is caused by a buildup of keratin, a protein that protects skin from infections. When a buildup forms, it blocks the opening of a hair follicle and creates the bumps, but doctors don’t know what triggers the buildup.
Kybella is an injected treatment that targets fat stores below the chin (double chin). It is one of the best available, non-surgical treatments for double chin, and the knowledgeable dermatologists at U.S. Dermatology Partners are proud to offer this minimally invasive cosmetic dermatology option for our patients who are interested in improving the appearance of their jaw and facial structure without undergoing unnecessarily invasive surgical interventions. If you’re interested in learning more about Kybella, please take a few moments to fill out our appointment request form to schedule a consultation. One of our team members at the office nearest you will be in touch to discuss the details of your visit.
Laser hair removal is a medical procedure that uses laser technology to remove unwanted hair. U.S. Dermatology offers high-quality laser hair removal treatment all throughout the USA, click here to see which locations are near you.
Laser rosacea therapy is a way to treat a rosacea complexion. One of the most common and effective treatments is the pulsed dye laser (PDL), which targets visible blood vessels and can reduce redness and flushing by destroying the lining of the inflamed blood vessels.
Laser skin resurfacing is a treatment used to reduce facial wrinkles and skin conditions including acne, scars, warts, enlarged glands on the nose and more.
The process vaporizes the upper layers of skin, which creates a wound that encourages the body to produce new collagen. The collagen and elastic fibers tighten as they heal, and the tightened skin eliminates wrinkles as it pulls together.
Laser treatments work by using specific wavelengths of light to interact with tissue, which can positively affect pigment, blood vessels, hair follicles and moisture in the skin. The result is improved skin tone and texture, as well as the tightening of loose skin.
Lasers can also be tuned to very specific frequencies to perform different tasks and can even be used in surgery to allow doctors to work on a very precise area with less pain, swelling and scarring than traditional surgery.
Cosmetically, lasers can be used for skin resurfacing and to treat such things as acne, wrinkles, rosacea and more.
Laser vein reduction uses light focused on a specific area to break up broken blood vessels. This allows them to be absorbed back into the body. It is most often used for eliminating spider veins.
Latisse is a product designed to help grow eyelashes and has been on the market since earning FDA approval in December 2008. It is designed to help grow longer, lusher eyelashes and is available only by prescription.
Microdermabrasion is a treatment that can help improve the appearance of facial skin. It is used for reducing wrinkles and treating a variety of conditions including acne, scars, warts, enlarged glands on the nose and more.
We all want our skin to be smooth, flawless, and firm, but aging, sun exposure, acne, chronic skin conditions, and other issues can lead to rough, uneven skin tone and texture. Many people think that invasive cosmetic procedures or surgeries are the only options to improve the skin, but microneedling offers a minimally invasive solution to promote collagen production and healthy skin growth for a smoother and more youthful appearance. At U.S. Dermatology Partners, our dermatologists offer microneedling to help individuals look and feel their best without the need for more invasive procedures. When you’re ready to get started, contact the U.S. Dermatology Partners location near you to schedule your cosmetic dermatology consultation. We look forward to hearing from you.
Platelet-rich plasma therapy, or PRP, is a non-surgical method of skin rejuvenation that uses your own blood to improve the appearance of facial tissue.
Recent research has shown that PRP is also effective at treating alopecia.
Restylane is an injectable dermal filler gel made from hyaluronic acid to produce volume and fullness in the skin. This reduces the appearance of wrinkles and can also create fullness in the lips.
We all want healthy, beautiful skin. But scars, a natural part of the healing process, leave a lasting mark and cause some people to struggle with the negative impact on the appearance of their skin and in some cases, limitations in function or other concerns. If you’re unhappy with the appearance, texture, or health of your skin after an injury, surgery, or other damage that leads to scarring, the U.S. Dermatology Partners team can offer treatment to improve the appearance of scarring.
Sculptra is an FDA-approved synthetic injectable used to correct shallow to deep facial wrinkles and folds. It is also a collagen stimulator that helps revitalize your body’s own collagen production.
Skin lightening is a process used for people who want to lighten certain areas of skin that are affected by such things as melasma, age spots or even freckles.
The Spectra Laser Peel, also known as the Hollywood Peel, is designed to improve uneven pigment as well as reduce the appearance of irregularities in your skin’s texture and minimize fine lines. It can also help combat acne.
Spider veins are blood vessels that are visibly enlarged and can be seen on the face as well as other areas of the body, most commonly the legs. They may also be called broken blood vessels or thread veins, and appear as hairline marks that can be red, bluish or purple. They most often appear on the nose, chin or cheeks.
Broken blood vessels occur when the skin has been damaged. They are often caused by falls or accidents that caused bruising, or by scrubbing the face too vigorously. However, spider veins also can be caused by such factors as aging, pregnancy, estrogen replacement therapy, sun damage and rosacea. In the legs, they may be caused or worsened by standing or sitting for long periods of time, obesity and constipation.
Tattoo removal is a way to remove unwanted tattoos using lasers to break down the ink particles in the design. The broken-down ink is then flushed out by the immune system, and it mimics the natural fading that would have happened over time or with exposure to the sun. Since no tattoo removal is guaranteed, it is important to speak with a professional to get an honest evaluation of what your final results will look like.
Tattoo removal will take more than one visit, depending on the size and color of your tattoo. It may take as few as two visits, or it may take 10 or more.