General Derm Boca Raton
From treatment of skin conditions such as eczema, psoriasis and rosacea to removal of warts, moles and other lesions, our officeprovides a full range of general dermatological services so you can enjoy the healthy skin you deserve. With over two decades of experience and all of her extensive post-graduate education, Dr. Skellchock, MD, FAAD, PA is the embodiment of an outstanding dermatologist. Diagnosing moles and pigmented lesions is aided by her experience using dermoscopy. As an integrative physician, her method is to determine the cause of the problem rather than just treating symptoms.
Acne is a common condition that can affect all ages. Dr. Skellchock, MD, FAAD, PA will treat your acne individually, determining the cause of it – often in adult women this is hormonal. Dr. Skellchock, MD, FAAD, PA is certified in bio-identical hormone treatments and understands how hormones affect skin. Acne can also cause permanent scarring and emotional distress. Fortunately, several treatment options are available. Patients can often improve mild acne by using a topical over-the-counter acne medication along with medical grade facials. In addition to cleansing with the Clarisonic, topical antibiotics and retinoids will often control mild acne. Inflammatory acne may require a course of oral antibiotics in addition to the topical treatments. The ISOLAZ® is quite successful at treating surface acne and preventing inflammatory lesions. For severe cases, laser treatment may be recommended. Results are usually visible as soon as the first session.
Acne scarring can be treated in a variety of ways including certain skin care products, chemical peels, laser or pulsed light treatments, soft tissue fillers, and medical needling.
Many women who had minimal or no acne as a teen will develop acne in their 30’s to 50’s. This is usually hormonal in origin, related to peri-menopause. Simply prescribing antibiotics may help for a while but will not get to the root cause of the acne. Dr. Skellchock is trained in what happens to the body as we age, and she understands hormones and how they affect the skin. If your acne is hormonal in origin, the solution will involve measuring and balancing your hormones, which will enhance every area of your life.
A rash is a change in the skin’s color or texture. Simple rashes are called dermatitis, which means the skin is inflamed or swollen. Other common rashes include eczema, psoriasis, impetigo, shingles, chicken pox, measles, scarlet fever, insect bites and those caused by medical conditions such as lupus or rheumatoid arthritis.
Dr. Skellchock, MD, FAAD, PA is usually able to identify the rash by looking at it and asking about accompanying symptoms. Mild rashes can often be treated with gentle skin care and emollients. Others may require moisturizing creams, prescription medications or more extensive treatment.
Eczema is a term used to describe a group of inflamed skin conditions that result in chronic itchy rashes. About 15 million people in the U.S. suffer from some form of eczema, including 10-20 percent of all infants. Symptoms vary from person to person but often include dry, red, itchy patches on the skin which break out in rashes when scratched. The most common treatment of eczema is topical steroids and avoidance of triggers. Dr. Skellchock, MD, FAAD, PA wrote the chapter on atopic dermatitis in the Textbook of Integrative Medicine, and uses every treatment possible to clear and prevent further outbreaks.
Rosacea is a chronic skin disease that causes redness and swelling on the face. The scalp, neck, ears, chest, back and/or eyes may also be affected. Symptoms range from red pimples, lines and visible blood vessels to dry or burning skin and a tendency to flush easily. Many people find that the emotional effects of rosacea – such as low self-confidence and avoidance of social situations – are more difficult to handle than the physical ones. Although it can affect anyone, rosacea typically appears in light-skinned, light-haired adults aged 30-50.
Dr. Skellchock, MD, FAAD, PA believes that rosacea is caused by chronic sun damage in patients who have skin that is prone to inflammation. Dr. Skellchock has a special interest in this condition as she suffered with rosacea in her 30’s, and has completely cured it with topical treatments and photofacials.
Psoriasis Treatment | Boca RatonPsoriasis encompasses a group of chronic skin disorders that cause an itching and/or burning sensation, scaling and crusting of the skin. The most commonly affected areas are the scalp, elbows, knees, hands, feet and genitals. Although sometimes challenging, it can be treated successfully, sometimes for months or years at a time and occasionally even permanently. Treatment depends on the type, severity and location of psoriasis; the patient’s age, medical history and lifestyle; and the effect the disease has on the patient’s general mental health. The most common treatments are topical medications, phototherapy, photochemotherapy (PUVA), and oral or injectable medication (for severe symptoms).
Rosacea is a chronic acneiform eruption caused by photodamage in patients who have an inflammatory predilection in their skin. Again, chronic antibiotic use may diminish the inflammation but will not cure the problem. The skin must be rejuvenated and repaired with light based treatments and proper skincare products in addition to absolute sun protection.
Skin cancer refers to the abnormal, uncontrolled growth of skin cells. The most common skin cancers are basal cell carcinoma (affecting cells in the lowest layer of the epidermis) and squamous cell carcinoma (affecting cells in the middle layer of the epidermis). A rarer but more dangerous skin cancer is melanoma, the leading cause of death from skin disease. Risk factors for developing skin cancer include pale skin, family history of melanoma, being over 40 years old, and regular sun exposure. Skin cancers vary in shape, color, size and texture, so any new, changed or otherwise suspicious growths or rashes should be examined immediately by Dr. Skellchock, MD, FAAD, PA. Early intervention is essential to preventing the cancer from spreading.
Melasma is a common skin condition where patches of skin on the face turn brown. The most commonly affected areas are the cheeks, bridge of the nose, forehead and upper lip. Melasma mostly affects women who have naturally darker skin tone. Causes include exposure to ultraviolet light and hormonal changes resulting from pregnancy or birth control. This is a condition Dr. Skellchock, MD, FAAD, PA understands since she had this in her 30’s when taking birth control pills.
Treatments for melasma include:
- Physical Sunblock
- Avoidance of Any Irritating Cleansers, Creams or Makeup Products
- Change or Discontinuation of Birth Control
- Bleaching Creams including Hydroquinone
- Chemical Peels
- Laser treatment with 532nm wavelength
Treatment by Dr. Skellchock, MD, FAAD, PA often improves the appearance of melasma and prevents future recurrence.