‎Dermasurgery & Skin Procedures

DermaHealth Dermatology & Dermasurgery, is the Pacific Northwest Skin Expert.
We do a wide range of dermasurgery and skin procedures.  Dermasurgery encompasses a wide variety of procedures to remove or modify skin for patient's health or cosmetic benefit.

Skin is susceptible to many diseases, discolorations, and growths. It may also be damaged by excessive exposure to the sun and the natural effects of aging. In most cases, skin problems requiring dermasurgery and or skin procedures can be taken care of in the DermaHealth Dermatology & Dermasurgery clinic very comfortably.

Sidney B. Smith, MD, FAAD and Jeremy Peck, MD, PhD, FAAD are Board Certified Dermatologists.  Kathleen M. Stidham, ARNP is a Certified Nurse Practitioner who specializes in skin and Troy A. Davis, PA-C is a Certified Physician Assitant who specializes in skin. We specialize in all aspects of medical, surgical and cosmetic diagnosis and treatment of skin, hair and nail conditions. We provide dermatological services for all ages from newborns to mature adults. 

Our DermaHealth Staff, is the Pacific Northwest Skin Expert Call 509.783.2004 to schedule your appointment today

 

What is dermatologic surgery? http://www.asds.net/asds-public.asp

Four Indications for Skin Surgery

  1. Establish a definite diagnosis.
  2. Remove malignant skin cancers.
  3. Remove benign skin growths that may interfere with the body's normal function, or may cause symptoms such as pain, itching, or bleeding.
  4. Improve the skin's cosmetic appearance caused by aging, sunlight, surgery, injury or disease.

 

DIAGNOSE


Biopsies (Shave, Punch, & Snip)
Surgically removing the lesion or a sample of the skin lesion for examination under the microscope for diagnosis after local anesthesia has been used. The specific surgical technique (punch, shave or snip) is determined by your DermaHealth Skin Expert at the time of the treatment.
 
Surgical Excisions
Surgically cutting into the skin down to the subcutaneous layer (fat) after local anesthesia, removing the lesion, and then closing the wound with stitches. This surgical procedure is commonly used to remove skin cancers (malignant melanoma, squamous cell carcinoma, basal cell carcinoma), cysts, moles, lipomas (fatty deposits), or any other skin growth or lesion.  For additional information about surgical excisions see https://www.asds.net/Wide-local-Excision-for-Skin-Cancer/.

TREAT


CryoSurgery (liquid nitrogen)
Spraying liquid nitrogen (-196oC, -3200F, 77.15oK) onto the skin destroy the tissue. Commonly used to treat actinic keratosis (pre-cancers), verruca (warts), acrochordons (skin tags), molluscum contagiosum, and seborrheic keratosis (wisdom spots).  For additional information about cryosurgery see https://www.asds.net/Cryosurgery-for-Skin-Cancer.aspx.

Surgical Excisions
Surgically cutting into the skin down to the subcutaneous layer (fat) after local anesthesia, removing the lesion, and then closing the wound with stitches. This surgical procedure is commonly used to remove skin cancers (malignant melanoma, squamous cell carcinoma, basal cell carcinoma), cysts, moles, lipomas (fatty deposits), or any other skin growth or lesion.  For additional information about surgical excisions see https://www.asds.net/Wide-local-Excision-for-Skin-Cancer/.

Mohs Micrographic Surgery
This advanced surgical technique was initially developed by Dr. Frederic E. Mohs, thus the name. The procedure involves removing a tumor and immediately examining the tissue under the microscope to determine the extent of malignant cells before more tissue is removed if necessary. While the procedure is time-consuming, it yields a very high cure rate (up to 99%). Because it conserves as much normal tissue as possible, it is known as a tissue sparing technique. Mohs is used for large or aggressive tumors and tumors located in areas of high risk for recurrence.  For additional information about Mohs Micrographi Surgery see https://www.asds.net/Mohs-Surgery-for-Skin-Cancer/.

Margin Control Staged Excisions (Slow Mohs)
This advanced surgical technique is the exact same as Mohs Micrographic surgery except that the procedure occurs over multiple days verses one day

Electronic BrachyTherapy (eBx)

ElectroDesiccation and Curettage (ED&C)
Scraping away malignant or benign growths with a sharp surgical instrument called a curette after local anesthesia. A hyfrecator may be used to stop bleeding.  For additional information about Curettage and Desiccation see  https://www.asds.net/Curettage-and-Desiccation-for-Skin-Cancer/.

PROCEDURES


Botox for hyperhidrosis (severe sweating) www.botoxseveresweating.com
Chemical Peels  http://www.asds.net/ChemicalPeelsInformation.aspx
Coolglide Laser for onychomycosis (nail fungus)
Excimer Laser – psoriasis http://www.ramed.com/ramedical_patients_psoriasis.html
Excimer Laser – Vitiligo http://www.ramed.com/ramedical_patients_vitiligo.html
Excimer Laser – Eczema http://www.ramed.com/atopicdermatitis.html
Intralesional Injections
Patch Testing http://www.truetest.com/overview.aspx
Photodynamic Therapy  https://www.asds.net/Photodynamic-Therapy-for-Premalignant-Growths/
Wart Treatments

COSMETIC


Fractionated CO2 Laser Surgery – DermaCare SmartSkin Fractionated CO2 laser resurfacing
Cosmetic Mole Removal
Laser Liposuction – DermaCare SmartLipo TriPlex

Scar Revision
Soft Tissue Augmentation (fillers) –DermaCare fillers
Tattoo Removal –DermaCare tattoo removal       
Vein Treatments – DermaCare vein treatment
Chemical Peels – DermaCare Chemical Peels
Neuromodulators (Botox) – DermaCare Botox