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The Comprehensive Dermatology Center provides a full range of medical, laser, cosmetic & surgical dermatology services including complete skin cancer screening and treatment with the most advanced technique of MOHS Skin Cancer Surgery.
Skin Cancer Screening/ Mole Exam
Full-body skin exams are an important tool in screening patients for benign or cancerous lesions that they may not have been able to see or recognize on their own. From head to toe and back to front, we inspect the skin for any suspicious growths. This quick and painless preventive measure is an invaluable tool in the early detection of skin cancer as well as many other dermatological conditions.
Moles and other birthmarks are benign pigmented spots or patches of skin that range in color from tan, brown and black (moles) to red, pink or purple (vascular lesions, such as strawberry hemangiomas or port wine stains). Though most birthmarks are harmless, they may develop into cancer. Moles exhibiting any of the following warning signs should be examined by a professional immediately:
Larger than six millimeters.
Itches or bleeds.
Rapidly changes in color, size or shape.
Has multiple colors.
Is located where it can't be easily monitored, such as on the scalp.
Depending on their depth, location and color, as well as the patient's skin type, age and other factors, treatment for benign but unattractive birthmarks may take the form of laser or pulsed light therapy, microdermabrasion or surgical excision.
Mohs micrographic surgery is the most advanced technique for the treatment of skin cancer offering the highest cure rate for basal and squamous cell carcinomas. It can also be used for the treatment of malignant melanoma. It involves the systematic removal and analysis of thin layers of skin at the location of the skin cancer until the last traces of cancerous tissue have been eliminated. The immediate and complete microscopic examination and evaluation of excised tissue is what differentiates Mohs surgery from other cancer removal procedures. Only cancerous tissue is removed, minimizing both post-operative wound size and the chance of regrowth. This allows for the best cosmetic surgical reconstruction with minimal scarring or change in your appearance. High precision makes Mohs surgery ideal for the elimination of cancers in cosmetically important areas such as the face (nose, eyelids, lips, hairline), hands, feet and genitals. The procedure is performed by Dr. Maragh in the office based Surgery Center on an outpatient basis under local anesthesia.
Acne is the term for the blocked pores (blackheads and whiteheads), pimples, and deeper lumps (cysts or nodules) that can appear typically on the face, neck, chest, back, shoulders and upper arms. Seventeen million Americans currently have acne, making it the most common skin disease in the country. The Center offers a variety of treatments for acne and acne scarring including prescription medications, microdermabrasion, chemical peels, IPL, and laser.
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. Maragh will examine your skin condition and recommend the proper treatments available.
You can reverse the signs of sun damage and aging with cosmetic laser treatment. The laser penetrates the skin to destroy the underlying pigment and vessels that are the cause of the problem while leaving the outer layer of the skin undamaged. Collagen production is stimulated in the process to tighten surrounding tissue and improve the skin's overall texture and appearance. The procedure involves very minimal discomfort and you will be able to return to your normal activities immediately.
Laser skin resurfacing, commonly called a laser peel, removes the outer, damaged layer of skin to reveal a smoother, younger look. Laser resurfacing can reduce the appearance of sun damage, wrinkles, fine lines, uneven pigmentation and superficial scarring. A laser beam of precisely focused light vaporizes the surface skin and reveals the undamaged layer beneath. Procedure time varies depending on the size and condition of the area being treated.
Laser skin resurfacing is commonly performed with either a carbon dioxide (CO2) or an erbium laser. Although the process for these procedures is very similar, the erbium laser is typically used to treat deeper lines and wrinkles within the face, hands, neck and chest. It is also better for darker skin tones.
The Pearl ™ Fractional Skin Resurfacing Laser by Cutera has created a new frontier in fractional skin resurfacing for the treatment of moderate to severe aging and photo-damage. The Pearl’s technology addresses both the dermal (inner) and epidermal (outer) layers of the skin to combat wrinkles, pigment irregularities, skin texture and tone. The Pearl delivers fractional resurfacing with a new wave length that improves on the “traditional” fractional devices with much less down time and recovery.
Genesis - Laser Genesis is a multi-purpose, all season, all skin type solution designed to stimulate collagen production, improves wrinkles, corrects redness, rosacea, smooths skin texture and shrinks poor size. There is no downtime and minimal discomfort. Genesis can be used in combination with LimeLight IPL.
LimeLight IPL - This IPL procedure offers the advantage of improving tone and surface imperfections associated with aging. In addition, the LimeLight treats facial redness, tiny veins and brown spots associated with the sun.
Vein Therapy - CoolGlide Vein treatment can remove unsightly veins from all parts of the body. Small, facial veins (telangiectasia) can be treated with excellent results. Both spider veins and large blue veins can also be treated with excellent results. This is a great alternative for sclerotherapy, you can minimize the bruising and swelling by using the CoolGlide instead of injections.
CoolGlide Laser Hair Removal - The longer wavelengths of the CoolGlide allows it to be used safely ad effectively on patients with light or dark skin as well as tanned skin. Unlike other systems, CoolGlide can treat the fine hair on a woman's upper lip just as easily and effectively as the coarse hair on a man's back. The CoolGlide handpiece cools and soothes as it glides along your skin. No local anesthesia or pain medication is typically required; however some patients may prefer a topical anesthesia for those sensitive areas.
Whether for hygienic or cosmetic reasons, women and men who are tired of temporary, often painful methods of removing unwanted hair on the face, back, legs or other body areas may welcome laser hair removal with relief.
Lasers produce highly focused, intense beams of light. Dark pigments in the hair follicles beneath the skin's surface absorb this light and convert it to heat, destroying the follicles and preventing hair growth for up to two years.
Full-body skin exams are an important tool in screening patients for benign or cancerous lesions that they may not have been able to see or recognize on their own. From head to toe and back to front, we inspect the skin for any suspicious growths. This quick and painless preventive measure is an invaluable tool in the early detection of skin cancer as well as many other dermatological conditions.
Mohs micrographic surgery is the most advanced technique for the treatment of skin cancer offering the highest cure rate for basal and squamous cell carcinomas. It can also be used for the treatment of malignant melanoma. It involves the systematic removal and analysis of thin layers of skin at the location of the skin cancer until the last traces of cancerous tissue have been eliminated. The immediate and complete microscopic examination and evaluation of excised tissue is what differentiates Mohs surgery from other cancer removal procedures. Only cancerous tissue is removed, minimizing both post-operative wound size and the chance of regrowth. This allows for the best cosmetic surgical reconstruction with minimal scarring or change in your appearance. High precision makes Mohs surgery ideal for the elimination of cancers in cosmetically important areas such as the face (nose, eyelids, lips, hairline), hands, feet and genitals. The procedure is performed by Dr. Maragh in the office based Surgery Center on an outpatient basis under local anesthesia.
Acne is the term for the blocked pores (blackheads and whiteheads), pimples, and deeper lumps (cysts or nodules) that can appear typically on the face, neck, chest, back, shoulders and upper arms. Seventeen million Americans currently have acne, making it the most common skin disease in the country. The Center offers a variety of treatments for acne and acne scarring including prescription medications, microdermabrasion, chemical peels, IPL, and laser.
Laser skin resurfacing, commonly called a laser peel, removes the outer, damaged layer of skin to reveal a smoother, younger look. Laser resurfacing can reduce the appearance of sun damage, wrinkles, fine lines, uneven pigmentation and superficial scarring. A laser beam of precisely focused light vaporizes the surface skin and reveals the undamaged layer beneath. Procedure time varies depending on the size and condition of the area being treated.
Laser skin resurfacing is commonly performed with either a carbon dioxide (CO2) or an erbium laser. Although the process for these procedures is very similar, the erbium laser is typically used to treat deeper lines and wrinkles within the face, hands, neck and chest. It is also better for darker skin tones. 
The Pearl ™ Fractional Skin Resurfacing Laser by Cutera has created a new frontier in fractional skin resurfacing for the treatment of moderate to severe aging and photo-damage. The Pearl’s technology addresses both the dermal (inner) and epidermal (outer) layers of the skin to combat wrinkles, pigment irregularities, skin texture and tone. The Pearl delivers fractional resurfacing with a new wave length that improves on the “traditional” fractional devices with much less down time and recovery. 
