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Skin Conditions
Evaluation and Treatment
Dermatologists are trained in the diagnosis, treatment and prevention of problems of the skin.  Common conditions include acne, moles, skin cancer, dry skin, psoriasis, warts, skin discoloration, eczema, dandruff, and infections.  At Milam Bogart Dermatology, it is our pleasure to treat both adults and children.
Skin Cancer

Diagnosis and Treatment

Skin cancer refers to the abnormal, uncontrolled growth of skin cells. Some skin cancers, such as malignant melanoma and squamous cell carcinoma are potentially life-threatening.  Risk factors for developing skin cancer include fair skin, family history of melanoma, age over 40, and sun exposure.  People of all races can develop skin cancer.

If you have any of the following cancer warning signs, you should be examined by a professional immediately:

  • Unusual marks, bumps or growths on your skin 
  • A sore that has not healed in 3-4 weeks 
  • A wound that continually reopens or bleeds 
  • A growth that increases in size 
  • A mole with any of the following signs:
    • Larger than a pencil eraser (about 6 mm)
    • Rapidly changing in color, size or shape
    • Has multiple colors
    • Is located where it can not be easily monitored, such as on the scalp
Periodic complete skin exams are important to assist in the early detection of skin cancer.  Skin cancers that are detected early are less likely to cause significant harm.  Skin cancers can be locally destructive; some skin cancers can spread to other parts of a person’s body and be potentially life threatening.  Education on skin cancer prevention is vitally important; at Milam Bogart Dermatology we strive to diagnosis skin cancers early and to educate patients on skin cancer prevention.
Actinic Keratoses

Pre-skin cancers are known as actinic keratoses. These are typically red, scaly, sensitive bumps which occur on sun exposed areas. There are many different treatments for pre-skin cancer. One of the most beneficial treatments is photodynamic therapy (PDT). Patients who get pre-cancers, typically have multiple lesions in similar locations. Photodynamic therapy (PDT) has the virtue of treating large areas at once. Previous treatments such as Efudex worked well but were typically found to be slow in effect, uncomfortable and unsightly to use. Photodynamic therapy (PDT) has proven to be both efficacious and better tolerated. Our office has had significant experience in this technique and is adept in maximizing its benefits. Other treatment for actinic keratoses includes cryotherapy and curettage; these are especially beneficial for solitary lesions that are thick and scaly. Other topical treatments include Aldara and 5-Fluorouracil. Once again, the treatment is tailored to the circumstances of an individual patient.

We offer Blue light PDT with Levulan as well as Red light PDT with Amelusz.

Skin Biopsies

A skin biopsy is a surgical procedure in which a small piece of skin is removed for analysis under a microscope. It is useful in the diagnosis of skin cancers and other dermatological diseases.

Acne is a common diagnosis in both adults and teenagers. It is a disease of the hair follicles that commonly affects the face as well as the neck, chest, back and arms. Acne lesions may leave unsightly scars or blemishes. Although a harmless condition, acne can affect a person's confidence. Adult women are especially vulnerable to developing acne. It may be related to hormonal problems. There are a variety of effective prescription treatments and in-office procedures which help clear the skin of acne and the marks it leaves behind.
Acne rosacea is an adult form of acne which typically is hallmarked by the presence of pimples, redness and a tendency to flush. It is an “irritable” form of acne in that many things that people eat and are exposed to can make it worse. Avoidance of these trigger factors is helpful. Many treatments, both in the form of topical creams and pills are beneficial.
For more information on general dermatologic conditions please go to American Academy of Dermatology