Dermatologic Surgeries and Procedures

Mohs Micrographic Dermatologic Surgery (Chemosurgery)

Mohs surgery is a precise method of tumor removal developed by Dr. Frederic E. Mohs. It is the most advanced and effective treatment for the eradication of basal cell carcinoma and squamous cell carcinoma with nearly a 100 percent cure rate. The procedure involves removal of the entire skin cancer layer by layer, while leaving as much of the normal skin as possible. It is the treatment of choice for facial skin lesions and recurrent lesions elsewhere. Many types of skin cancers can be treated in several hours, with reconstruction of the defect the same day. Dr. B. Rao leads the team in doing Mohs Micrographic Surgery in the clinic.

Shave Biopsy

Shave biopsy or “tangential excision” is a procedure which uses a sterile blade or a curved sterile razor blade to remove a skin surface growth off under local anesthesia. A “curette” does a similar task with a special scraping tool. These are often done to remove a small growth and confirm its nature by sending it for pathologic analysis, at the same time.

We offer the following procedures:

  • Laser assisted hair removal
  • Laser treatment of vascular and pigmented lesions
  • Laser skin rejuvenation
  • Dermal Fillers
  • Botox Cosmetic Treatment
  • Microdermabrasion
  • Chemical Peels
  • Sclerotherapy
Punch Biopsy

Punch Biopsy is typically used by dermatologists to sample skin rashes or to remove small growths. After a local anesthetic is injected, a biopsy punch, which is basically a small (1 to 4 mm diameter) version of a cookie cutter, is used to cut out a cylindrical piece of skin. The hole may be closed with a suture and heals with minimal scarring.

Excisional Biopsy

Excisional Biopsy is the process of removing the entire skin growth with the use of a sterile scalpel. Local anesthesia is injected to the area before the tissue is removed and the wound is repaired using sterile sutures. The skin growth removed is then sent for pathology for diagnostic purposes.

Cosmetic and Laser Dermatology

ED&C is the scraping and burning of skin growths which is done for less serious skin cancers, pre-cancers and benign growths. A local anesthetic is injected, and then the abnormal tissue is scraped off with a curette. The area is then cauterized until bleeding stops. This may be repeated if the growth is cancerous. The wound will need to be dressed until it heals, and it usually leaves a small white mark after it heals.

Intralesional Injections

Intralesional Injection is the direct placement of a medication into a problem skin area through a very fine needle. Most often a dilute solution of triamcinolone (Kenalog) is used. Acne cysts, keloid scars, alopecia, psoriasis and chronic forms of eczema may be treated this way. If too much medication is used, a white spot or dent may develop, which is usually temporary.

Cryosurgery (Cryotherapy)

Cryosurgery is used frequently by dermatologist to treat various skin problems. Liquid nitrogen is sprayed on to the area of skin involved. Light freezing causes peeling, moderate freezing may form blisters and hard freezing may form a scab. It is used for acne, scars, growths, pre-cancerous lesions and some skin cancers.

Acne Surgery

Acne surgery is the process of removing acne lesions, usually by opening up comedones (blackheads) and pimples by using a needle or small pointed blade and expressing the keratin plug with an extractor.