At Rao Dermatology we specialize in the treatment, diagnosis and management of many common skin conditions and skin cancer. Using state of the art equipment, we can detect and treat numerous skin cancers including Basal Cell Carcinoma, Squamous Cell Carcinoma and Malignant Melanoma. We are well versed in many chronic Dermatologic conditions such as Acne, Eczema and Psoriasis and the cutting edge therapeutics available to treat them.
The first step is annual/biannual skin cancer screenings with the use of dermoscopy, a magnified light based device that provides greater accuracy in differentiating concerning lesions from those that are benign.
When a concerning lesion is identified, your provider will perform a skin biopsy to diagnose the lesion based on microscopic findings or use the cutting edge technology of confocal microscopy which allows for non-invasive evaluation of a lesion.
Our offices provide treatment of cancerous lesions with surgical excisions, primarily on the body and MOHS micrographic surgery, primarily on the face and backs of hands. MOHS allows the surgeon to remove the cancerous cells while retaining the most of amount of healthy tissue. Both procedures are performed in our office with local numbing.
Acne is a common skin condition affecting individuals from puberty to mid age and more. It is often psychologically very frustrating due to its cosmetic appearance and location on the face, chest or back. Causes of acne vary from patient to patient and are often multifactorial. A comprehensive evaluation and plan from your provider utilizing topical and/or systemic treatments can dramatically improve and alleviate symptoms of this condition. Topical treatments include antibiotics, retinoids, and recommendations on over the counter products. Systemic treatments include oral antibiotics, oral medication for hormonal acne and Accutane.
Rosacea is a chronic inflammatory condition that can cause a range of symptoms and severity ranging from mild flushing to bumps to overgrowth of tissue. Identifying and avoiding triggers is an important starting point but many patients require prescription topical and oral medication and cosmetic lasers to improve appearance and symptoms.
Psoriasis is a persistent inflammatory condition that often presents as scaly patches of skin commonly on the elbows, knees, hands and scalp but can present in many other body locations. It is an inflammatory condition that can have broader implications beyond the skin including to the joints and the heart. It is important to accurately diagnose and treat this condition.
Treatments include topical medications such steroids, vitamin D3 and creams. Ultraviolet light can be very effective in treating psoriasis and Rao Dermatology offers two modalities to provide UVB. We offer a light box for patients with a large surface area of plaques or the Xtrac hand held laser for difficult areas like the scalp or patients with smaller surface areas. Systemic medications including biologics can be utilized for treatment. These medications require regular monitoring but can highly effective for patients with large surface area psoriasis or those that have failed other modalities.
Causes of dermatitis, or a rash, can be highly variable. They include eczema and contact dermatitis but are not limited to these diagnosis. Your Rao Dermatology provider will use the clinical presentation and history and sometimes a skin biopsy to identify and treat appropriately.
Eczema can affect people of all ages and may have a seasonal exacerbation. Patients may be managed with lifestyle changes and over the counter moisturizers, prescription topical creams, light treatment and a systemic injectable medication.
Contact Dermatitis is another inflammatory skin condition that can also cause itchy rashes. Topical steroids can helpful for this condition as well, but if contact dermatitis is recurrent, it’s important to identify the causative agent. We offer patch testing, which involves placing small samples of the most common offenders of contact dermatitis, removing them, and then days later, looking for a reaction associated with a particular agent. This procedure is often covered by insurance and can help a patient avoid future rashes.
There are many other causes of rashes; some of these include:
Your provider will perform a detailed history and examination and provide a comprehensive plan of treatment.
Is a condition that causes loss of pigment in the skin that begins in small patches that can grow. It is common on the face and hands but can occur anywhere on the body. Vitiligo occurs equally in any age, sex or ethnicity. Sun avoidance and sunscreen is important to avoid increasing the contrast of the pigmented and non-pigmented skin. Treatment can include prescription topical agents as well as light treatment. The Xtrac laser is a way to target only the affected areas of skin while avoiding areas that don’t require treatment. Schedule a consultation with a Rao Dermatology clinician to help to diagnose this condition and discuss treatment options.
Growths can take many presentations and be from many different causes. Many patients are worried about a spot on their skin or simply don’t like the way it looks. Here are some common causes of growths and what can be done about them.
Warts can present at any age on any part of the body. Usually fleshy in color and ranging greatly in size. Warts are caused by the Human Papilloma Virus (HPV) and are contracted by contact with a person or surface where the virus is present. This condition is treated in the office, often in a series.
Moles can appear at any time during life. Because moles can look similar to Malignant Melanoma, it is important to tell your provider about any spots that are new and/or changing, growing, irregular in appearance or concerning in any way. Scheduling an appointment with a Dermatology clinician can help determine the best next steps.
Seborrheic Keratosis are benign lesions that share some characteristics with concerning lesions such as irregular appearance, growth, irritation. In addition, many people simply dislike the way they look. At Rao Dermatology, we will diagnose the lesion and provide suggestions for treatment if needed or desired.
Actinic Keratosis are a precancerous lesion often found on sun-exposed parts of the body. They present as a flakey, scaly spot that does not resolved. If left untreated, they can turn into a type of skin cancer, squamous cell carcinoma. There are numerous treatments available for these lesions.
Cyst is a fluid filled sac. They can be found many places in the body and the skin is a common location. These spots are usually benign and asymptomatic but can become infected becoming an abscess. If infected your provider may perform an incision and drainage. Removal requires a surgical incision done in the office.
Cherry hemangioma's are a red growth on the skin. It is a collection of blood vessels that give them their red appearance. They increase in incidence with age. They can be treated with in office procedures for cosmetic reasons.
Milia are small white bumps on the skin usually found around areas of friction such as around the eyes. They are benign and can be treated for cosmetic reasons if desired.
Pediatric patients are an important part of our practice. We understand that the dermatologic needs throughout the development of lifespan are different from those of adults. We treat many conditions in children including eczema, warts, rashes, acne and more. In addition, we offer Confocal Microscopy which can allow for non-invasive painless evaluation on concerning moles