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.

 

Warts are small, harmless growths that appear most frequently on the hands and feet. Sometimes they look flat and smooth, other times they have a dome-shaped or cauliflower-like appearance. Warts can be surrounded by skin that is either lighter or darker. Warts are caused by different forms of Human Papilloma Virus (HPV). They occur in people of all ages and can spread from person-to-person and from one part of the body to another. Warts are benign (noncancerous) and generally painless. They may disappear without any treatment. However, in most cases eliminating warts takes time.

The location of a wart often characterizes its type:

Common warts can appear anywhere on the body, although they most often appear on the back of fingers, toes and knees. These skin-colored, dome-shaped lesions usually grow where the skin has been broken, such as a scratch or bug bite. They can range in size from a pinhead to 10mm and may appear singly or in multiples.

Filiform warts look like a long, narrow, flesh-colored stalk that appears singly or in multiples around the eyelids, face, neck or lips. They are sometimes called facial warts. They may cause itching or bleeding, but are easy to treat with over-the-counter medications.

Flat (plane) warts appear on the face and forehead. They are flesh-colored or white, with a slightly raised, flat surface and they usually appear in multiples. Flat warts are more common among children and teens than adults.

Genital warts appear around the genital and pubic areas. It is also possible to get genital warts inside the vagina and anal canal or in the mouth (known as oral warts). The lesions start small and soft but can become quite large. They often grow in clusters. They are both sexually transmitted and highly contagious. In fact, it is recommended you generally avoid sex with anyone who has a visible genital wart. Genital warts should always be treated by a physician.

Plantar warts appear on the soles of the feet and can be painful since they are on weight-bearing surfaces. They have a rough, cauliflower-like appearance and may have a small black speck in them. They often appear in multiples and may combine into a larger wart called a mosaic wart. Plantar warts can spread rapidly.

Subungual and periungual warts appear as rough growths around the fingernails and/or toenails. They start as nearly undetectable, pin-sized lesions and grow to pea-sized with rough, irregular bumps with uneven borders. Subungual and periungual warts can impede healthy nail growth. Because of their location, they are difficult to treat and generally require medical attention.

Most warts respond to over-the-counter treatments, including:

  • Cryotherapy, which freezes off the wart using liquid nitrogen or nitrous oxide.
  • Electrosurgery, which sends an electric current through the wart to kill the tissue.
  • Laser surgery, which essentially heat up the wart until the tissue dies and the wart eventually falls off.
  • Nonprescription freezing products (dimethyl ether), aerosol sprays that freeze the warts and cause them to die off.
  • Salicylic acid preparations, which dissolve the protein (keratin) that makes up the wart and the thick layer of skin that covers it. It comes in gels, pads, drops and plasters and takes 4 to 6 weeks to eradicate the warts.

If self-treatments don't work after a period of about 4 to 12 weeks, contact our dermatologist. We'll assess your warts and recommend the best option.

Always contact the dermatologist if a wart is causing pain, changes in color or appearance and for all genital warts.


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

Dermatologist Boerne - 134 Menger Springs Suite 1210, Boerne, TX 78006 - (210) 268-4941