Dermatologist - San Antonio

Virnalisis M. Gonzalez, MD FAAD
10007 Huebner Rd, Suite 102
San Antonio, TX 78240
(210) 268-4941

 

 

 

 

 

 

 

Choosing a dermatologic surgeon

 

While you may think the most important decision that you make is whether to have dermatologic surgery, the choice of a qualified physician is truly the key to success. There are two important factors to keep in mind when selecting a dermatologic surgeon, particularly for cosmetic skin care: clinical proficiency and personal rapport.

Selecting a proficient physician is the single most important factor for a successful medical procedure. Patients should ask the following questions before they decide if a doctor and a dermatologic surgery procedure are right for them:

  1. What are the doctor's credentials? Make sure your physician is Board-certified in dermatology. Ask to see his or her credentials. Inquire about his or her commitment to continuing education.
  2. How many of these particular dermatologic surgery procedures has the physician performed? Most dermatologic surgeons are well-versed in the full range of clinical solutions for a specific condition. In fact, dermatologic surgeons pioneered most of the skin surgery procedures in use today, but some doctors may specialize in a certain technique or technology.
  3. What results can you expect? Realistic expectations are very important to a positive outcome. Also remember that results will vary based not only on the skill and experience of the surgeon but also on the specifics of your condition, your age, your general health, and other medical and lifestyle factors. Ask to see before-and-after photos of similar procedures your surgeon has performed on patients with comparable conditions.
  4. What is the healing time and recuperation period? Some procedures require almost no down time; others may necessitate several weeks of recuperation. Know what you're getting into so that you can arrange your schedule accordingly.
  5. What are the risks? There are inherent risks with any type of surgery. While the risks of most dermatologic surgeries are minimal, you should discuss the pros and cons of any treatment with your doctor.
  6. What will it cost? You should understand up front your financial commitment and the doctor's terms of payment. In cases where multiple treatment options are available, cost can be an important factor in making your final decision.

Ultimately, the decision to have any procedure performed by a dermatologic surgeon is yours and yours alone. You have the right to obtain all the information you need to make an educated decision you are comfortable with. After all, it may well be the most profound step along the pathway to a lifetime of healthy and beautiful skin.

Our team of professionals and staff believe that informed patients are better equipped to make decisions regarding their health and well-being. For your personal use, we have created an extensive patient library covering an array of educational topics, which can be found on the side of each page. Browse through these diagnoses and treatments to learn more about topics of interest to you.

As always, you can contact our office to answer any questions or concerns.

 

There are literally hundreds of different kinds of lumps, bumps and cysts associated with the skin. Fortunately, the vast majority of these are harmless and painless. The chart below provides a guide for some of the most common forms of skin lumps, bumps and cysts.

Dermatofibromas

Characteristics

  • Red, brown or purple growth; generally benign
  • Usually found on arms and legs
  • Feels like a hard lump
  • Can be itchy, tender to the touch and sometimes painful

Treatment

  • Usually does not require treatment
  • Most common removal by surgical excision or cryotherapy (freezing it off with liquid nitrogen)

Epidermoid Cysts (Sebaceous Cysts)

Characteristics

  • Round small bumps, usually white or yellow
  • Forms from blocked oil glands in the skin
  • Most commonly appear on the face, back, neck, trunk and genitals
  • Usually benign; occasionally leads to basal or squamous cell skin cancers
  • If infected, will become red and tender
  • Can produce a thick yellow, cheese-like discharge when squeezed

Treatment

  • Antibiotics might be prescribed if there is an underlying infection
  • Dermatologist removes the discharge and the sac (capsule) that make up the walls of the cyst to prevent recurrence
  • Laser surgery may be used for sensitive areas of the skin, like the face

Folliculitis

Characteristics

  • Red pimples around areas having hair
  • Inflammation of the hair follicles
  • Caused by infection or chemical or physical irritation (e.g., shaving, fabrics)
  • Higher incidence among people with diabetes, the obese or those with compromised immune systems

Treatment

  • Topical antibiotics
  • Oral antibiotics
  • Antifungal medications
  • Eliminating the cause

Keratoacanthoma

Characteristics

  • Red, dome-shaped, thick bumps with craters in the center
  • Abnormal growth of hair cells
  • Triggered by minor skin injury such as a cut or bug bite
  • Ultraviolet radiation from sun exposure is the most common risk factor

Treatment

  • Cryotherapy (freezing off the bump with liquid nitrogen
  • Curettage (surgically cutting out or scraping off)

Keratosis Pilaris

Characteristics

  • Small, rough white or red bumps that neither itch nor hurt
  • Usually worse during winter months or when there is low humidity and the skin gets dry

Treatment

  • Usually does not require treatment
  • In most cases disappears on its own by age 30
  • Intensive moisturizing is the first line of treatment
  • For more difficult cases, use of medicated creams with urea or alpha-hydroxy acids

Lipomas

Characteristics

  • Soft fatty tissue tumors or nodules below the skin's surface
  • Usually slow growing and benign
  • Appear most commonly on the trunk, shoulders and neck
  • May be single or multiple
  • Usually painless unless putting pressure on a nerve

Treatment

  • Usually does not require treatment unless it is compressing on the surrounding tissue
  • Easy to remove via excision

Neurofibromas

Characteristics

  • Soft fleshy growths under the skin
  • Slow growing and generally benign and painless
  • Pain may indicate a need for medical attention
  • May experience an electrical shock at the touch

Treatment

  • Usually does not require treatment, particularly if it does not cause any symptoms
  • If it affects a nerve, it may be removed surgically

Skin Cysts

Characteristics

  • Closed pockets of tissue that can be filled with fluid or pus
  • Can appear anywhere on the skin
  • Smooth to the touch; feels like a pea underneath the surface
  • Slow growing and generally is painless and benign
  • Only needs attention if it becomes infected or inflamed

Treatment

  • Usually does not require treatment; often disappears on its own
  • May need to be drained by a physician
  • Inflamed cysts respond to an injection of cortisone, which causes it to shrivel

WHY CHOOSE A DERMATOLOGIC SURGEON FOR YOUR COSMETIC PROCEDURES?

 

In today's competitive landscape you will see or receive many offers (like this one!) for cosmetic procedures, lasers, Botox, fillers and peelings. Some of them will come from respectable and qualified physicians, and some from not so qualified professionals. We encourage you to read and ask more on the expertise and qualifications of the persons who are going to perform these procedures on your skin and if they arise, whose is going to handle any complications after your treatment.

Remember that materials is just a portion of the price you are paying. Most of the price tag that you are paying represents the expertise of the doctor providing your treatments.

Dermatologic and Plastic surgeons are physicians who have unique qualifications and experience in the use of a wide variety of surgical and non-surgical methods for treating the skin and preventing skin problems. Moreover, they are the "masters of your appearance," helping you to look great and feel good at any stage in life.

Moreover a dermatologist will help you with:

  • Diseases and disorders of the skin, hair, nails, veins and nearby tissues
  • Benign and cancerous growths of the skin
  • Aging and sun-damaged skin
  • Cosmetic improvement of the skin

 

Dermatologist San Antonio - 10007 Huebner Rd Suite 102, San Antonio, TX, 78240 - (210) 268-4941

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