Our Location

13535 Hausman Pass, Suite 104

San Antonio, Tx 78249 

P:210-951-5530

F:210-951-9080

©2019 by Dynamic Dermatology. 

Medical Dermatology

A unique patient experience

At Dynamic Dermatology, your provider has trained many years to provide the best evidence based practice of medicine. You can trust that you are not only getting the most scientifically supported care but also cared for with true compassion and kindness.

 
 

Acanthosis nigricans

A skin condition characterized by brown thickened velvety skin particularly in the body folds. This can be a sign of obesity, diabetes, or other internal disorders.  These lesions are rarely symptomatic therefore do not require treatment.  Certain topical medication that can provide some improvement in the appearance are ammonium lactate or retinols.

 

Acne

Acne can range from mild white heads and black heads to deep painful nodules and cysts.  Acne is not only a disease of the skin but often greatly affects a persons self esteem.  Acne treatments range from solely using topical cream to combination therapy with topicals and oral medication.  Click below to learn more and get insider tips on treatments.

 

Actinic keratosis

These are very rough scaly lesions on the surface of the skin caused by a slow accumulation of sun exposure over years. If left untreated these have the potential to turn into the second most common type of skin cancer, squamous cell carcinoma, therefore we consider them precancerous lesions.  There are a variety of treatment options including liquid nitrogen, blue light treatments, chemical peels, topical cream or a combination of the above.

 

Basal Cell Carcinoma

This is the most common skin cancer typically presenting as a non-healing bump on sun exposed skin.  85% of basal cells appear on the head and neck.  People with fair skin, hair and eyes are at greatest risk.  There are a spectrum of treatments from topical creams, oral medications, a procedure called electrodesiccation and curettage (scrape and burning) to surgery and/or Mohs procedure.  The best treatment option will depend on the size and location of the original skin lesion.

 

Dysplastic Nevus

Dysplastic nevi are pigmented moles that have atypical looking cells when looked at clinically and/or microscopically. Having dysplastic nevi is a marker for patients indicating they now have a higher risk of developing melanoma.  When someone has 10 or more of these atypical moles that are at a 12 times higher risk of developing a melanoma compared to the general population.  People with these moles should regularly use sunscreen, protect from the sun, perform self-skin checks monthly and regularly have moles evaluated by a dermatologist.

 

Eczema

Eczema or atopic dermatitis presents as pink rough patches that are extremely itchy.  For many people eczema is hereditary and starts in childhood.  In infant's eczema typically presents on the cheeks or face, as children age it moves to the folds of the body.  In adulthood eczema can involve the skin around the eyes, hands, and other areas of the body.  Many people with eczema worsen with fragrance products; therefore, all soaps, detergents and moisturizes should be made for sensitive skin and fragrance free.  Treatment can range from changing daily bathing habits to topicals to systemic medications. Click the link below to learn more from the National Eczema Association. 

 

Fungal Infections

Fungus is naturally occurring in our daily environment and when given the right settings can create both a cosmetic concern and health concern.  Fungal infections can range from red scaly patches on the skin to itchy rash in the groin to thickened yellow nails. At Dynamic Dermatology we are equip to treat all types of fungal infections.

 

Hair Loss

There are many various reasons for a person to loose hair. Hair loss is typically categorized as scarring hair loss vs. non scarring hair loss.  Depending on the clinical, dermoscopical and pathological appearance we can classify the type of hair loss.  After determining the type of hair loss by combining clinical history and pathology we can then determine treatment options which vary from reassurance that time will improve the hair loss to replacing missing vitamin deficiencies to localized immune suppression with topicals, injections or more systemic treatment with oral medications. Comes see us at Dynamic Dermatology to get started on finding out why your hair loss is occurring.

 

Hidradenitis Suppurativa

Hidradenitis is commonly called inverse acne. People often start getting painful red pus filled bumps to underarms and groin. Other ares of the body can be affected as well. These bumps are often scaring and frequently recur.  Hidradenitis is commonly confused with folliculitis or boils however getting seen by your local dermatologist can help distinguish between these conditions because the treatment plans can be very different.  Mild cases can sometimes be treated with topicals; however, many cases need treatment with more systemic medications.  Systemic treatments consist of oral antibiotics, oral isotretinoin and more recently there has been an injection called Humira which is now FDA for Hidradenitis.  

 

Hives

Urticaria or Hives is a common skin concern that can affect 1 in 5 people.  These present as red swollen intensely itchy lesions. There are numerous causes of urticaria from oral medication to sun to water and the list goes on.  Given that there are so many causes of hives telling your doctor even things that may seem unrelated may be the clue needed to determine the underlaying cause.

 

Hyperhidrosis

Hyperhidrosis is the medical term for excessive sweating.  Our bodies sweat to cool down, when our bodies sweat excessively this becomes socially distressing. Treatment starts by seeking out a professional opinion and getting the correct diagnosis. Once a diagnosis has been made often clinical strength antiperspirants are stated alongside certain topical and/or systemic medications. There are now new in office procedure to help treat hyperhidrosis. 

 

Melanoma

Melanoma is the most serious form of skin cancer. It is now the 19th most common cancer worldwide with incidence rates around 3.1/100,000. Melanoma is one of the only cancers were the incidence is actually increasing annually.  The average age of a patient with melanoma is around 57.  One study quotes a lifetime risk of 1 in 56 women and 1 in 37 men who would develop melanoma in the USA.  We recommend monthly self screening for atypical or changing moles and visiting your local dermatologist on a regular basis.  See the link below from the AAD to learn more about melanoma and  what particularly you need to look for.  Book your appointment now for your skin check. 

 

Melasma

Melasma is a very common skin condition particularly here in Texas because of the many sunny and hot days we have in a year. Melasma presents as brown/gray patches that appear mainly on the face however can appear anywhere we get sun exposure. The mainstay of treatment is sun protection through seeking out shade and wearing sunscreen regularly and reapplying often. The brown patches can be lightened by using prescription and medical grade creams on a regular basis however without sun protection they tend to worsen even despite the most aggressive medical treatments. Schedule your appointment today to talk to our experts on melasma. 

 

Moles

Nevi is the medical name for moles.  Almost all adults have moles however the number can vary from one to hundreds.  We tend to begin developing moles in childhood which then grow as we grow. It is normal to develop new moles up until mid to late 20s.  Any existing mole or new mole that appears to have irregular boarders or varies in color it is best to get these evaluated as these can be signs of melanoma. People with over 50 moles have been studied to have a higher possibility of developing melanoma therefore self checking their skin regularly is recommended as well as setting up regular visits with a dermatologist. 

 

Moles

Nevi is the medical name for moles.  Almost all adults have moles however the number can vary from one to hundreds.  We tend to begin developing moles in childhood which then grow as we grow. It is normal to develop new moles up until mid to late 20s.  Any existing mole or new mole that appears to have irregular borders or varies in color it is best to get evaluated as these can be signs of melanoma. People with over 50 moles have been studied to have a higher risk of developing melanoma therefore self checking their skin regularly is recommended as well as setting up regular visits with a dermatologist. 

Psoriasis

This skin condition typically presents as sharply demarcated silver scaly patches on elbows, knees, ears and scalp.  A variant of psoriasis called inverse psoriasis presents in as pink shiny rash in the folds of the skin (underarms, buttock and genitals). The cause of psoriasis is an overactive immune system that causes over proliferation of cells.  This localized inflammation not only effects the skin but can also cause destruction to a persons joints, tendons and/or other internal organs.  There are many options for treating psoriasis from topicals, oral medications, light treatments to biologic medications. With the help of a dermatologist patients with psoriasis can often get their skin close to clear.  We would love to see you at Dynamic Dermatology and help evaluate if you have psoriasis and what treatments suite you best.    

Rosacea 

Rosacea is a very common skin disease characterized by flushing, blushing, acne bumps and redness to cheeks.  This skin condition typically presents around the age of 30 and can be present in all skin types however is more prominent in those with fair skin.  There are many triggers for rosacea and can very person to person; some of the most common triggers include: sun, spicy food, heat, alcohol, chocolate, and coffee.  Because many people with rosacea worsen with sun the mainstay of treatment is sun protection from both UVA and UVB.  Other treatments include topical or oral medication in addition to laser treatments to help with persistent blood vessels on the face contributing to a patients background redness on their skin. 

 
 

Seborrheic Keratosis

Seborrheic keratosis are very common skin growths that begin to arise around the age of 30. These appear as rough wart like brown to flesh colored growths that occasionally itch.  We develop these because of genetics meaning if our parents had a lot of these we are more prone to developing many of the seborrheic keratosis.  These rarely turn into anything harmful, but can sometimes be rather unsightly.  If you have a spot of concern please book an appointment today to get this looked at by a professional dermatologist. 

 

Squamous Cell Carincoma

Squamous Cell Carcinoma is the second most common type of skin cancer. These can arise from untreated actinic keratosis (precancerous lesions) or present from normal skin.  They typically start as pink scaly patches that grow outwards and/or upwards. They can sometimes become tender as well.  These typically arise from more chronically sun damaged skin; therefore, tend to be more commonly on the head and neck as well as the arms. Unlike other skin cancers squamous cell carcinomas can spread locally as well as to lymph nodes or other organs if left untreated.  Treatment varies depending on the size and type of squamous cell carcinoma. Some squamous cells carcinomas need to be treated with MOHS surgery particularly if on the head and neck region.  However many squamous cell carcinomas can be treated with topical chemotherapy, electrodesiccation and curettage (scrapping and burning), or excision with great results in clearance of the skin cancer.  Please consult your dermatologist at Dynamic Dermatology to learn more. 

 

Warts

Warts or verruca are virally associated rough flesh colored growths on the skin.  All warts are caused by the Human Papilloma Virus (HPV) depending on the location of the warts certain stains are more commonly involved with creating warts in these areas.  For example HPV virus stains 1,2, and 4 are the most commonly strains to cause plantar warts. Given these are caused by a virus all the treatments are directed at increasing a patients immune system to have their own body get rid of the virus and therefore smooth out the bump that was created on the skin.  Treatments can range from prescription medications to in office procedures.