Dermatology Services

At Balcones Dermatology you will only be seen by a medical doctor who is board certified in dermatology. Our main focus is on medical and surgical dermatology for patients of all ages from infant to geriatric.

Medical Services

We treat conditions of the hair, skin, and nails including (but, not limited to): acne, eczema, seborrheic dermatitis, skin cancer, psoriasis, rosacea, warts, infections (viral, bacterial, and fungal), sun damage, pigmentation problems (melasma, lentigines, and vitiligo).

We perform mole and skin cancer checks to help find, treat, and prevent skin cancer. Recommended frequency of these skin checks depends on each person’s personal and family history.

Narrowband UVB

Narrowband UVB may be considered a procedure by your insurance company and therefore would be subject to a separate deductible from the regular co-pay for an office visit.

Narrowband UVB treatment is available for conditions such as psoriasis, eczema, and vitiligo. Treatments usually start at 3 times a week (Monday, Wednesday, and Friday) for 2 months. Once improvement has occurred, treatments will be decreased in frequency and intensity to see if condition will maintain the improvement before discontinuing the treatment.

Surgical Services

These are services that are considered surgical procedures by insurance companies and may be subject to a separate deductible from the regular co-pay for an office visit.

  • Biopsies of rashes or suspected skin cancers
  • Cryotherapy (freezing with liquid nitrogen) of warts, actinic keratoses, irritated seborrheic keratoses
  • Intralesional injections of cortisone for inflammatory lesions or conditions including sore acne bumps
  • Intramuscular injections of cortisone for inflammatory skin conditions
  • Electrodessication and curettage (electrical cautery and scraping with a small, circular, metal loop) of appropriate skin cancers
  • Botox® treatment of axillary hyperhidrosis (excessive underarm sweating)
  • Excisions of skin cancer: Any skin cancer deemed appropriate for excision by a biopsy can be excised in one of our 2 surgical suites in the office. Only local anesthesia, administered by lidocaine injection, is needed so you can drive home after the surgery. You can eat like normal on the day of the excision. To ensure complete removal of the skin cancer, a margin of normal skin surrounding the skin cancer will be excised down to the fat below the skin using a scalpel. A triangle of skin on either side of the circle of skin cancer will be removed to allow the best possibility of having just a thin linear scar. Two layers of stitches will be used to close the wound: one layer of buried absorbable stitches and the top layer of non-absorbable stitches. The top layer of stitches can be removed in 7-14 days depending on location. No swimming is allowed until sutures are removed.
  • Excisions of other lesions (cysts, suspicious moles, etc.)

Cosmetic Removals

Cosmetic removals are not covered by insurance. Cosmetic removals may be done for moles, skin tags, seborrheic keratoses, or other lesions.