At Keystone Dermatology & Center for Skin Surgery, we offer an array of services to address of all of your skin care needs. From state-of-the-art surgical care for skin cancer, to minimally invasive cosmetic procedures, we strive to provide you with realistic solutions during your consultation with Dr. Fulchiero and his caring team.
Mohs Micrographic Skin Cancer & Reconstructive Surgery
Mohs surgery is an outpatient procedure that provides the highest cure rate for most skin cancers – approaching a 98 to 99% cure rate. It is performed under local anesthesia, and involves removing thin layers of tissue in an effort to preserve as much of the normal surrounding skin as possible. Sometimes several attempts are needed to completely eradicate the skin cancer during the day of the procedure. A microscope is used to guide the surgeon as the skin cancer is removed. Afterwards, the surgeon reconstructs the defect where the skin cancer was, in the most aesthetic and cosmetically elegant fashion possible. Learn more about Mohs Micrographic Skin Surgery.
Melanoma Surgery
Melanoma is a skin cancer that is treatable with surgery in its early stages. Several forms of melanoma exist: in situ melanoma (limited to the top layer of the skin), and invasive melanoma (into the dermis or second layer of the skin). Some melanomas are treatable with the Mohs micrographic surgery technique, while others simply require excision of the cancer with a specific margin of normal tissue. Occasionally a sentinel lymph node biopsy is indicated to fully characterize the tumor and consultation with another surgeon may be scheduled by Dr. Fulchiero. Your physician will determine which treatment is most appropriate to achieve the best outcome for your melanoma.
Photodynamic Therapy (BLU-Light with Levulan)
This state-of-the-art technology allows us to treat sun-damaged precancerous skin lesions, also known as actinic keratoses, without the need for surgery or chemotherapy creams. In our office, a medicated solution is applied to the skin and allowed to sit for 1-hour. Then the BLU-Light is placed over the treatment area and allowed to react with the medicated skin for a short period of time. Usually 2-to-4 treatments are required at one treatment per month. Most insurance companies cover this effective non-invasive therapy.
Cosmetic Skin Procedures
Recent advances in cosmetic skin surgery have allowed us to address our patient’s concerns from a minimally invasive perspective. Our philosophy is to combine
"low-downtime" procedures that can be safely performed in an office surgery suite under local anesthesia, or in a hospital setting with minimal to no sedation at all. Some of the procedures we offer are listed below:
Volume Enhancing Cosmetic Fillers
- Restylane - used for enhancing lips and filling nasolabial folds
- Juvaderm XC - used for enhancing lips and filling nasolabial folds
- Perlane & Radiesse - long-lasting nasolabial and marionette lines filler
- Fat Transfer - long-lasting solution for rejuvinating the cheeks
• Cosmetic - reduces the frown lines between the brows, forehead, & crows feet around the eyes
• For Hyperhidrosis - reduces under-arm sweating for 3 to 6 months
• Jessners Peel – light peel to address sun damage and brown spots (dyschromia)
• Beta Lift Peel (20-30% Salicylic Acid) - mild peel; treats dyschromia
• TCA Peel (25-35%) - aggressive; addresses fine lines, sun
damage and dyschromia
PhotoFacial / BBL (Broad Band Light) - addresses brown "sun spots" or fine red blushing vessels with little to no downtime
Laser Tattoo Removal - non-surgical method of tattoo ink removal with high success rate and patient satisfaction, that may require a number of treatment sessions based upon the size, colors, and location of the tattoo
MicroLaser Peel Resurfacing - uses Sciton Joule laser to remove thin layers of sun-damaged skin and wrinkles in the office, with redness lasting only a few days while delivering long lasting results previously only available with more aggressive techniques
Laser Hair Removal - remove unwanted hair from the chin, armpits, or bikini line with a fast and effective office procedure, several treatments are usually required
Pulsed Dye Laser Therapy – Candela V-Beam laser target the fine red blood vessels of rosacea, to large red port wine stain birthmarks
Acne Surgery – improves the appearance and volume of mild to severe acne scars
PermaLip Lip Augmentation – Permanent lip augmentation that should last a lifetime, for patients who want to avoid additional fillers. Can be removed at any time.
Blepharoplasty – upper or lower eyelid rejuvenation surgery to address excess skin or bulging fat
