Valerie Truong, MD

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 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.

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 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.

Cryotherapy, or “cryosurgery,” is a simple, non-invasive procedure in which liquid nitrogen is used to freeze and destroy growths on the surface of the skin. This is an effective treatment for precancerous skin lesions (actinic keratoses), as well as other skin conditions such as warts, skin tags and moles.

Applying liquid nitrogen to skin lesions allows dermatologists to target the damaged skin cells and destroy them at the cellular level. After freezing, the affected area may blister and scab over, and should heal within three to six weeks.

Our dermatology team uses cryosurgery to treat a wide range of conditions. It offers a number of advantages: Cryotherapy is a simple, affordable outpatient procedure, the discomfort level is minimal, and there is a low risk of infection.

In cryotherapy treatment, liquid nitrogen is applied to the skin to freeze and destroy the affected tissue.

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.

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.

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.

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:

• Basal Cell Carcinoma
• Squamous Cell Carcinoma
• Melanoma

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.

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

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.

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.

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

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.

Skin tags are small, soft growths that can be skin-colored, pink, or may darken.

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.

Botox is a quick procedure that is done in just minutes in your doctor’s office.

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.

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.

The procedure for dermal fillers can usually be done in less than an hour.

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.

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

Juvederm is delivered via injection.

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.

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.

• Restylane – this is the original Restylane product. This versatile dermal filler can be used to add volume to any pits and grooves in the skin. The original Restylane product is recommended for improving the appearance of nasolabial folds, the deep grooves and wrinkles around the nose. It can also be used for lip enhancement.
• Restylane Silk – this innovative hyaluronic acid filler material is specially formulated to address fine lines around the mouth as well as creating smoother, plumper lips. It is the first FDA approved product specifically designed to help you achieve the perfect pout.
• Restylane Lyft – as we age, natural fat cells are depleted, and the production of collagen and elastin slows. This leads to loose skin, wrinkles, and volume loss in the hands and face. Restylane Lyft is designed to replace volume and firmness in both the hands and the cheeks.
• Restylane Refyne – this is the ideal dermal filler to improve the appearance of mild to moderate laugh lines, including the nasolabial folds that appear from the nose to the corner of the mouth and marionette lines that form from the corner of the mouth to the chin. Restylane Refyne provides support for the skin, creating a smooth appearance while allowing you to maintain all of your facial expression.

Restalyne helps smooth away wrinkles and fine lines.