Acne and adult breakouts
Inflammatory acne, cystic flares, hormonal patterns, and scarring risk. We match treatment to severity — not to a product aisle.
Medical · Medical dermatology
Everyday skin, treated with the same seriousness
Acne, eczema, psoriasis, hair, nails, and infections are not minor because they are common. We diagnose in person, explain the plan, and follow you until the skin is quieter.
What medical dermatology is here
Medical dermatology is the evaluation and treatment of disease of the skin, hair, and nails. It is distinct from cosmetic work. Visits are unhurried, documented in your medical record, and directed by a physician. If a concern might be cancer, we treat it as a skin-cancer visit — see Skin Cancer.
Conditions we see every week
This is not a complete list. If something is new, spreading, painful, or simply not responding to what you have already tried, it belongs in the exam room.
Rosacea
Flushing, persistent redness, visible vessels, and acne-like bumps. Triggers and a stepwise plan matter more than a single cream.
Eczema and dermatitis
Atopic dermatitis, contact allergy, hand eczema, and itch that interrupts sleep. We look for what is driving the flare.
Psoriasis
Plaques, scalp involvement, inverse sites, and joint symptoms that should not be ignored. Systemic options are discussed when topical care is not enough.
Hair and scalp
Shedding, thinning, patchy loss, and scalp inflammation. Timing of the history is as important as the exam.
Nails
Discoloration, thickening, lifting, or a new dark streak. Some nail changes are infection; some need a closer look.
Infections and infestations
Bacterial, viral, and fungal disease, including recurrent cold sores and stubborn tinea. We treat the cause, not only the surface.
Pigment and unexplained marks
Melasma, post-inflammatory darkening, vitiligo, and new patches that appeared without a clear reason.
Itch without a rash
Generalized itch deserves a history and, when appropriate, laboratory context — not a dismissive “dry skin.”
Chronic or complex skin
Medication reactions, autoimmune skin disease, and conditions that have already seen more than one doctor.
Your first visit
- History. When it started, what you have already used, medications, allergies, and whether it itches, burns, or wakes you at night.
- Examination. We look at the involved skin and, when it helps, nearby or related sites — scalp, nails, or mucous membranes.
- A written plan. What to start, what to stop, how long to give it, and when to return. If a biopsy or culture is needed, we explain why first.
What to bring
- A list of current medications and supplements
- Names of creams or prescriptions already tried
- Photos of a flare that has since quieted — if you have them
- Your insurance card, if you are using insurance for the visit
- Questions written down; visits move quickly once treatment starts
Ongoing care
Chronic skin disease is managed, not “cleared once.” Follow-up is how we know a plan is working and when to change it. Current patients can request a return visit, send a non-urgent concern through the Patient Portal, or call the desk if a prescribed treatment is not tolerated.
Routine follow-up
Scheduled returns for acne, eczema, psoriasis, and hair loss so we can adjust treatment before it fails.
Between visits
Use the Patient Portal for refills and questions that can wait. Do not use email for urgent symptoms.
When it is urgent
Spreading infection, blistering, facial swelling, or a drug reaction belongs on the phone today — or in emergency care.
Concierge membership
Ongoing care — stay on the plan with Concierge access
Chronic skin is managed, not cleared once. Membership holds Skin Health Planning appointments so a flare is adjusted before the prescription fails, plus portal response goals and teledermatology on Premier and Reserve when you cannot come in.
Concierge fees buy enhanced access only. Medical services are billed separately. Published fees below are the access program — never a discount on an insurance copay, coinsurance, or deductible.
Signature
$249 / month
or $2,748.96 if you prepay the year
1 annual 30-minute Skin Health Planning visit plus a Personalized Skin Health Blueprint — the cadence for acne, eczema, psoriasis, and hair-loss follow-up. Shared coordinator. Portal response goal 24–48 hours. After-hours physician access for urgent dermatologic concerns, 2 times a year. Teledermatology is not included — office planning visits and the portal are the path between appointments.
Join SignaturePremier
$499 / month
or $5,508.96 if you prepay the year
Everything in Signature, with a Dedicated Member Coordinator and 1 annual 45-minute Skin Health Planning visit and 1 mid-year 30-minute planning visit so a chronic plan can be changed before it fails. 3 teledermatology visits a year when a flare cannot wait for the next office chair. Same-week access. After-hours physician access for urgent dermatologic concerns, 6 times a year.
Join PremierReserve
$999 / month
or $11,028.96 if you prepay the year
Everything in Premier, with an Executive Concierge Coordinator and 4 annual 60-minute Skin Health Planning visits. 12 teledermatology visits a year. Same-week and same-day fit-in when a chair is open. After-hours physician access for urgent dermatologic concerns, 24 times a year. Priority physician messaging pathway.
Join ReserveWhat this page cannot do
We will not diagnose a rash from a description on this website. Photographs sent through the Patient Portal help us triage timing; they do not replace an examination. If you are a new patient, start with Book Appointment. If you already have a chart here, sign in and tell us what changed.
Ready to be seen
Reading about care is open to everyone. Booking a visit, reviewing a result, or sending a personal concern is private — those steps use the Patient Portal.
This page is educational. It is not a diagnosis, a treatment plan, or a substitute for a physician visit. If a spot is bleeding, rapidly changing, or you are worried today, contact the practice or seek urgent care.