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.

 

Lyme disease is a bacterial illness and inflammatory disease that spreads through tick bites. Deer ticks house the spirochete bacterium (Borellia burgdorferi) in their stomachs. When one of these ticks bites the human skin, it may pass the bacteria into the body. These ticks tend to be attracted to creases in the body, so Lyme disease most often appears in armpits, the nape of the neck or the back of knees. It can cause abnormalities in the skin, heart, joints and nervous system.

Lyme disease was first identified in 1975 in Old Lyme, Connecticut. More than 150,000 cases have been reported to the Centers for Disease Control since 1982. Cases have been reported from every state, although it is more commonly seen in the Northeast, Upper Midwest and Pacific Coast. Lyme disease has also been reported in European and Asian countries.

There are three phases to the disease:

Early Localized Phase. During this initial phase, the skin around the bite develops an expanding ring of redness. The ring may have a bull's eye appearance with a bright red outer ring surrounding clear skin in the center. Most people don't remember being bitten by a tick. More than one in four patients never gets a rash. The skin redness may be accompanied by fatigue, chills, muscle and joint stiffness, swollen lymph nodes and/or headaches.

Early Disseminated Phase. Weeks to months after the rash disappears, the bacteria spread throughout the body, impacting the joints, heart and nervous system. Symptoms include migrating pain in the joints, neck ache, tingling or numbing of the extremities, enlarged lymph glands, sore throat, abnormal pulse, fever, changes in vision or fatigue.

Late Dissemination Phase. Late in the dissemination of the disease, patients may experience an inflammation of the heart, which can lead to heart failure. Nervous system issues develop, such as paralysis of facial muscles (Bell's Palsy) and diseases of the peripheral nerves (peripheral neuropathy). It is also common for arthritis and inflammation of the joints to appear, which cause swelling, stiffness and pain.

Lyme disease is diagnosed through a combination of a visual examination and a blood test for Lyme bacteria antibodies. Most cases of Lyme disease are curable using antibiotics, but the longer the delay, the more difficult it is to treat. Your dermatologist may prescribe medications to help alleviate joint stiffening.

The best form of prevention is to avoid tick bites. Use insect repellent containing DEET. Wear long sleeves and pants when outdoors. Tuck the sleeves into gloves and pants into socks to keep your skin covered. After a hike, check the skin and look for any tick bites, especially on children. If you do find a tick, don't panic. Use tweezers to disengage the tick from the skin. Grab the tick by the head or mouthparts as close as possible to where the bite has entered the skin. Pull firmly and steadily away from the skin until the tick disengages. Clean the bite wound with disinfectant and monitor the bite mark for other symptoms. You can place the tick in a jar or plastic bag and take it to your dermatologist for examination.


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