Medical/Surgical Dermatology


Here at Mt. Pleasant Dermatology, our board-certified dermatologists treat all medical dermatologic conditions, including but not limited to the following in the below list. You may also go to the American Academy of Dermatology website for more information on common skin conditions. The website is www.aad.org.

  • Acne
  • Actinic Keratoses
  • Basal Cell Carcinoma
  • Eczema
  • Hair Disorders
  • Molluscum Contagiosum
  • Psoriasis
  • Rosacea
  • Seborrheic Dermatitis
  • Skin Cancers
  • Squamous Cell Carcinoma
  • Sun-damaged Skin
  • Warts

Acne is a term used to describe blackheads, pimples, and pus bumps of the skin. The condition is very common, and almost everyone will deal with it at some point. While it is most common in teen years, acne may affect adults and even children sometimes. Most often, acne begins with the onset of adolescence as hormone activity begins to increase. Males often have more severe cases than females, though females are more likely to seek help for the condition. Most outgrow acne with adulthood though some people will have it longer than others. There are many cases of adult onset acne which is quite distressing. While hormone changes have been linked with acne, stress may also play a role. Food has not been proven to be a cause though some think certain diets flare their condition.
Good skin care is important in caring for your face. You should not manipulate acne lesions as this tends to make them scar. As areas clear there is often a darkening left behind. This redness is longer lasting when you tan. Though tanning may make you feel like your complexion is better, damage is done by the sun’s harmful UV rays.
Fortunately acne is very treatable. There are many topical medications available over the counter or by prescription. These include medications such as tretinoin (Retin A), benzoyl peroxides, antibiotic washes/gels, and mild exfoliating agents. Systemic, or oral treatments, include antibiotics and occasionally Isotretinoin.

Eczema is a general term that encompasses various rashes. Atopic dermatitis is a condition that affects 10-20% of the US population. It is characterized by a relapsing chronic itch that becomes red and raised upon scratching. Often people also have asthma or seasonal allergies. Both environment and genetics play a role in atopic dermatitis. The skin responds best to non-fragranced skin care products including detergents, soaps, and moisturizers. Topical hydrocortisones are often prescribed for temporary use to relieve itch. However, skin care is a critical component of skin care. Occasionally antibiotics are used to treat bacteria on broken areas of skin.

Psoriasis is a non-infectious condition in which skin cells grow too fast. It results in thickened areas, because this skin is not shed normally. These thick areas, or plaques, are commonly found on the elbows, knees, scalp and buttocks. It may or may not itch or cause symptoms, but frequently is stressful for people. Often there is a family history since psoriasis has been linked to genetics. The condition is inflammatory in nature and can be associated with arthritis. This arthritis often affects the fingers and usually is described as stiff sore joints in the morning. There is no cure for psoriasis but many treatments are available. These vary from topical gels, creams and shampoos, to oral medications that include some of the newer biologic medications such as adalumimab or etanercept.

Rosacea commonly affects people of both sexes. It is recognized by redness and swelling of the face that is usually accompanied by small broken blood vessels of the central face and nose. Swelling, or dilation, of facial blood vessels is caused by inflammation. Some people have acne-like bumps on the face or swelling of the nose. Though the cause of rosacea is not yet clear there are several theories currently being researched. Rosacea often begins as easy flushing or blushing of the face after certain triggers. Common triggers are caffeine, sun or wind, alcohol or spicy foods. Treatments are available; including medications that target the inflammation in the skin as well as laser to seal the broken blood vessels.

There are three basic forms of skin cancer: basal cell carcinoma, squamous cell carcinoma and malignant melanoma. Although fair skinned people are generally considered at higher risk, skin cancer can happen in every skin type.
Basal cell carcinomas (BCC) are common tumors often found on the face, sometimes around the eyes or nose. These can also occur on the back or the extremities. The sun’s powerful ultraviolet rays cause cancer-causing mutations in the skin. BCC’s are subtle, often resembling a pimple, cyst or pink patch of eczema.
Squamous cell carcinomas (SCC) are the second most frequent skin cancer. It is frequently seen in people who have long standing chronic sun exposure though darker skinned individuals may also be affected.
The most worrisome skin cancer is malignant melanoma. It’s incidence has been on the rise. As many as one in 65 people are diagnosed. It may arise in previously normal skin or in a mole. Familiarizing yourself with the ABCD’s of moles is important in detection as well as having regular skin examinations by a dermatologist.

http://www.skincancer.org
http://www.aad.org

While many people think of a bronzed complexion as “healthier” than a lighter complexion, there is actually no one single factor more responsible for cosmetic and medical skin conditions than sun exposure. Repeated overexposure to the sun without proper protection such as sunscreen can lead to a wide variety of conditions, including uneven pigmentation, lentigines (age spots), solar elastosis (which causes sagging skin and vertical wrinkles), melasma, poikiloderma (reddish-brown pigmentation on the neck or cheeks), solar keratoses, and skin cancer.

Cosmetic Dermatology


Our board-certified dermatologists are happy to discuss and perform many cosmetic options and procedures. Please contact us if you have any question regarding a particular cosmetic procedure. Our board certified physicians perform all injectable services. More information is available on the web at each company’s respective website. These procedures include, but are not limited to:

  • Fraxel®
  • Perlane®
  • Blue Light
  • Intense Pulsed Light Laser Treatments
  • Laser Hair Removal
  • Thermage®
  • Botox®
  • Kybella®
  • Xeomin®
  • Belotero®
  • Restylane®
  • Radiesse®
  • Sculptra ®
  • Juvéderm Voluma® XC
  • Juvéderm® XC
  • Restylane Silk®
  • TruSculpt

Fraxel® re:pair is a laser technology that can help reverse the visible effects of aging. Fraxel is effective on fine lines and wrinkles, scarring, pigmentation, and extensive precancerous sun damage on face, scalp, neck, chest, and body. Mt Pleasant Dermatology is the only practice in the Lowcountry offering fraxel re:pair to its patients.

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Kybella™ is the first and only approved injectable drug for contouring moderate to severe submental fullness, a condition that is commonly referred to as a double chin. Kybella™ is a non-human and non-animal formulation of deoxycholic acid, a naturally-occurring molecule in the body that aids in the breakdown and absorption of dietary fat.i When injected into subcutaneous fat, Kybella™ causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat.

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A purified protein injected directly into specific facial muscles to relax them, resulting in softening of wrinkles. Botox® is safe and FDA approved.

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Xeomin can be injected into facial muscles to soften wrinkles. Xeomin is FDA approved to temporarily improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults.

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These are fillers that are injected along facial lines and folds to correct and smooth the skin surface. These can also be also used to enhance the lips to restore a subtle, youthful fullness. These fillers are all composed of hyaluronic acid which occurs naturally in our bodies.

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JUVÉDERM® XC injectable gel is indicated for injection into the mid-to-deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).

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Radiesse® is an injectable filler made from calcium based microspheres that is used to reduce the appearance of deep facial folds and wrinkles. Radiesse® is a safe and effective procedure providing patients with results that can typically last from six months to one year.

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RADIESSE (+) is a dermal filler that temporarily adds volume to help smooth moderate to severe facial wrinkles and folds, such as nasolabial folds (the creases that extend from the corner of your nose to the corner of your mouth).

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Sculptra® is an injectable filler that is used to restore and correct contour deficiencies and facial fat loss by stimulating collagen production. the collagen produced by your skin with Sculptra injections replaces the age related volume loss of the face and tightens the overlying skin. It can give you noticeable results that emerge subtly and can last for up to 2 years.

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Blue Light Therapy offers patients an alternative to cryotherapy and topical creams for the treatment of actinic keratoses. It is a safe and effective way to treat a large number of actinic keratoses with a shorter healing time than topical creams. After Levulan is applied to the targeted area, patients will then be treated with a specific wavelength emitted by the blue light. Your eyes will be covered as you are treated under the lamp. You may experience slight discomfort while being treated. Afterwards, you may have some mild sunburn-like redness and peeling for a few days. It is important to use a sunscreen with zinc oxide and SPF 30 or higher for at least 48 hours following treatment, to prevent prolonged redness or peeling. Blue Light Therapy, with and without the application of Levulan, may also be used for the treatment of acne vulgaris.

Intense pulse light technology corrects brown discoloration, small veins, and rosacea of the face. The same treatment can be used on the neck, chest, arms, and hands.

A laser is used to produce a beam of concentrated light to safely destroy hair follicles of dark hairs, providing hair growth reduction and elimination of hairs. This treats unwanted hair in both men and women on the face, neck, and body.

An incision-free procedure utilizing radiofrequency energy that is clinically proven to smooth out wrinkles, renew facial contours, and tighten the skin of the face, neck, and eyelids. Thermage can also be used to tighten skin on abdomen and arms. Our new Thermage unit utilizes gentle vibrations and interspersed cooling that makes your treatment even more comfortable.

Refinity Peels – REFINITY™ Skin Solutions is the only AHA peel formulated with COSMEDERM-7™, a clinically proven anti-irritant that minimizes discomfort while delivering medical strength results. With REFINITY™ Skin Solutions products, consumers may begin to achieve the skin-enhancing benefits of a high-performance peel at their first treatment. Other peels often begin with a mild solution and slowly increase the AHA concentration until the desired strength can be tolerated. REFINITY™ Skin Solutions offers a faster, more comfortable way to get a 70% peel.

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Vitalize Peels – Vitalize Peel For anti aging, melasma, sun damaged, and acne prone skin. The Vitalize Peel is the most popular SkinMedica peel that is appropriate for all Fitzpatrick Skin Types. It contains a proprietary blend of ingredients to help rejuvenate the skin. Achieve visible improvement after one treatment with optimal results after a series of treatments.
The Vitalize Peel combines resorcinol, lactic, salicylic, and retinoic acid (at aesthetician’s discretion) to offer dramatic improvement in texture and tone. The renewal process stimulates collagen production, improves pigmentation, acne, and melasma. The skin appears healthier and more youthful with minimal downtime. For best results a series is recommended.

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Rejuvenize Peels – Peel-Rejuvenize Peel can be used on Fitzpatrick Skin Types V – VI after the patient has established tolerability to Vitalize Peel or with physician consent.The Peeling Solution in the Rejuvenize Peel contains Salicylic Acid, Lactic Acid, Resorcinol, Panthenol, and Isoceteth-20. This peeling solution combined with a Retinol Solution can substantially improve the appearance of the skin.

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Focus treatments with the PicoSure laser activate your body’s natural skin cell processes for healthy, more youthful-looking skin. Only Focus treatments lighten unwanted pigment AND uniquely stimulate the production of new collagen and elastin—keys to younger-looking skin—without the pain or downtime of other laser treatments.

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TruSculpt uses radio frequency to melt unwanted fat. We are the only practice in the area that offers the Cutera 3D-RF laser.

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Rewards Programs

Brilliant Distinctions Rewards Program

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Aspire Galderma Rewards Program

We believe that you should be supported — and rewarded — at every point in your facial aesthetic journey. And with ASPIRE Galderma Rewards’ simple ways to earn exclusive rewards, bonuses and discounts, you can feel good about looking your best. Plus, the longer you’re with us, the better it gets.

Aspire Rewards Program for Restylane, Restylne Silk, Perlane.

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