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Surgical Dermatology

When skin cancer or complex dermatological conditions require surgical intervention, you deserve nothing less than the most advanced techniques delivered with the highest level of precision and care. At Dermhaus Charleston, Dr. Alexandra Richmond, MD, MSCR, brings unparalleled expertise to every procedure, ensuring optimal outcomes with minimal impact on your daily life.
Skin surgery
Dermatologic surgery focuses on the diagnosis and treatment of skin growths, skin cancers, and other lesions that require procedural care. Many procedures can be safely performed in the office using precise techniques designed to remove abnormal tissue while preserving healthy skin and optimizing cosmetic outcomes.
skin biopsies
Skin biopsies are small procedures used to diagnose rashes, growths, and suspicious lesions. A small sample of skin is removed and sent to a pathology laboratory for microscopic evaluation. Biopsies are commonly performed when evaluating conditions such as atypical moles, inflammatory skin diseases, or possible skin cancers. The procedure is quick, performed under
Excision of Skin Lesions
Surgical excision is used to remove certain skin cancers, cysts, lipomas, and benign growths. The procedure involves carefully removing the lesion along with a margin of surrounding tissue when appropriate to ensure complete removal. The area is then closed with sutures to promote optimal healing and minimize scarring.
Skin Cancer Treatment
Skin cancer is the most common cancer in the United States. Early diagnosis and treatment are important for the best outcomes. Depending on the type, size, and location of the lesion, treatment options may include surgical excision, electrodessication and curettage, or other targeted therapies.
Cyst & Lipoma Removal
Cysts and lipomas are common benign growths that develop beneath the skin. While often harmless, they may become uncomfortable, inflamed, or cosmetically bothersome. Surgical removal can be performed in the office using local anesthesia to remove the growth and reduce the chance of recurrence.
Mole & Lesion Removal
Benign moles or other skin growths may be removed for medical or cosmetic reasons. Removal techniques vary depending on the type of lesion and may include shave removal or surgical excision. Each procedure is performed with careful attention to both medical safety and cosmetic outcome.
Electrodessication & Curettage (ED&C)
Electrodessication and curettage is a common dermatologic procedure used to treat certain superficial skin cancers and precancerous lesions. The procedure involves gently scraping away abnormal tissue and using controlled electrical energy to destroy remaining cancer cells and stop bleeding. ED&C is often used for select basal cell and squamous cell skin cancers in appropriate locations.
Intralesional Steroid Injections (ILK)
Intralesional steroid injections are used to treat a variety of inflammatory skin conditions. Small amounts of medication are injected directly into the affected area to reduce inflammation and promote healing. This treatment is commonly used for conditions such as keloids, hypertrophic scars, cystic acne, and alopecia areata.
Mohs Surgery (Specialized Referral)
Mohs micrographic surgery is a highly specialized technique used to treat certain skin cancers, particularly those on the face or in cosmetically sensitive areas. This procedure allows for precise removal of cancer while preserving as much healthy tissue as possible.
When Mohs surgery is the most appropriate treatment, we coordinate care with trusted Mohs surgeons in the Charleston area to ensure patients receive specialized care and optimal outcomes.
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320 Broad St., Suite 103
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