Have the Smooth Skin You’ve Craved with Our Expert Medical Dermatology Services Pediatric DermatologyVisiting the doctor is sometimes nerve-wracking for young patients, but here at CU Dermatology – Boulder, we make it a point that those nerves are soothed. Our staff takes great care in ensuring our pediatric patients are comfortable and at ease for their treatment. We see a wide variety of conditions, but the most common include bacterial, viral, and fungal infections; atopic dermatitis; eczema; hemangioma; birth marks; and diaper rash. General Dermatology General dermatology covers any condition affecting the skin, hair, and nails. It encompasses a wide variety of diseases, disorders, discolorations, and growths, as well as damage from the environment to the aging process. Dr. Levine treats young adult and adult patients for the diagnosis as well as the medical and surgical management of these conditions. Dr. Levine is always keeping up with the latest technologies and advances in dermatology so you can be certain you are receiving the highest quality of care. We see patients with a wide range of skin conditions:Actinic KeratosisRashesWartsSunburnsAdult acnePsoriasisEczemaMole & skin tag removalSkin cancer (melanoma, basal cell carcinoma, squamous cell carcinoma)RosaceaViral, bacterial, and fungal infectionScalp hair lossBaldnessPsoriasis of the scalpSeborrheic dermatitis of the scalpFungusIngrown nailsNail psoriasisInfectionColor changesSplitting, peeling, or brittle Skin Cancer TreatmentsSkin cancer begins in cells, the building blocks that make up the skin. Normally, skin cells grow and divide to form new cells. Everyday skin cells grow old and die, and new cells take their place. Sometimes this orderly process goes wrong. New cells form when the skin does not need them, and old cells do not die when they should. These extra cells can form a mass of tissue called a growth or tumor, which can be benign (non-cancerous) or malignant (cancerous).Common types of skin cancer:Basal Cell Carcinoma: This is the most common type of skin cancer. Basal cell carcinoma can look like an open sore, red patch, pink growth, shiny bump, or scar. While typically slow growing, treatment is important as basal cell carcinoma can grow deep and wide.Squamous Cell Carcinoma: This type of skin cancer can appear as scaly red patches, open sores, elevated growths with central depression, or warts. They may crust or bleed. Treatment is important for squamous cell carcinoma as it can become deadly.Melanoma: This is the most serious type of skin cancer. Melanomas often resemble moles and are typically brown or black in color, but can be other colors. Early recognition and treatment can prevent the melanoma from spreading. If treatment is not sought out, the cancer can spread to other parts of the body making it difficult to treat and can be fatal.If skin cancer is detected, Dr. Levine will compile a tissue sample (biopsy) which will be examined microscopically, and if cancer is confirmed, he will remove it with the most appropriate treatment.View Skin Cancer GalleryMohs Skin Cancer RemovalThe Mohs Skin Cancer Removal procedure involves a layer-by-layer removal of skin that contains cancer cells. The steps of the procedure are as follows:The skin around the cancer cells is numbed with an anesthetic.Any visible, raised area of the tumor is removed.A thin, circular layer of tissue is removed first.The tissue is marked in a manner to identify right and left as well as top to bottom sections.The entire bottom side and outer edges of the removed tissue layer are examined under a microscope immediately in the doctor’s office.If any cancer cells are seen under the microscope, its location is identified (according to the marked section) and an additional thin layer of tissue is removed only from the identified section where the cancer cells remain.The process of microscopic examination and removal of additional layers of tissue continue until no more cancer cells are seen under the microscope. Advantages of Mohs Micrographic SurgeryProcedure performed from the start to finish by a skin cancer expertHighest cure rate available for skin cancerVisualizes 100% of margin of excision vs. the 1% with normal pathologySmallest amount of normal skin is removedPreserves cosmetics and function of treated areasSmallest possible defect results in smallest possible scarReconstruction performed immediately after tumor is removedAll done under local anesthesia in office What Types of Cancer Can Be Removed with Mohs Surgery?Basal cell and squamous cell carcinoma are two of the most common skin cancers and also the two that Mohs surgery treats. But it is also helpful for the following:Skin cancers near vital functional or cosmetically important areas such as near eyes, eyelids, nose, ears, lips, forehead, scalp, fingers, or genital areaSkin cancer that is large (1 inch) or larger on any area other than the faceSkin cancer with borders that are not clearly definedSkin cancers in which other treatments have been tried and failed (cancer comes back)Skin cancer in areas where scar tissue is already presentThe cure rate for basal and squamous cell skin cancer is close to 100% when detected and treated at an early stage. That is why a yearly professional skin cancer exam is highly recommended. In between the yearly exams, once a month examine your skin from head to toe and focus on the ABCDEs (comparing to melanoma forms of skin cancer since it is the most serious form).Photodynamic Therapy with Levulan® for Treatment of Skin Cancer and Pre-CancersActinic Keratoses (AKs) are rough-textured, dry, and scaly patches on the skin that are caused by excessive exposure to ultraviolet light (UV) such as sunlight. AKs develop as the result of years of sun exposure. AKs take a long time to develop and therefore generally appear after the age of 40.AKs are considered to be the first step in the development of skin cancer. They have the potential to progress to squamous cell carcinoma (SCC). While most AKs remain benign, a study has shown that approximately 10 percent develop into SCC within an average of two years. Since there is no way of knowing ahead of time which AKs will develop into an SCC, it is very important for individuals with AKs to be under the care of a dermatologist.Photodynamic Therapy with Levulan® is an effective treatment of minimally to moderately thick AKs of the face and/or scalp. How PDT with Levulan® WorksLevulan® will be uniformly applied to your AK lesions.Levine will direct you to wait the recommended time in order to allow the solution to penetrate the targeted cells.Your face will be rinsed in between treatment steps.Then you will begin the second part of your treatment which includes illuminating your treated lesions with the BLU-U light. The blue light activates the Levulan® solution so it attacks the diseased cells, while preserving the healthy ones.Avoid exposing the treated lesions to sunlight and other forms of bright light for at least 48 hours post treatment (Sunscreens will not protect against photosensitivity reactions caused by visible light). Common Side Effects:Scaling/crusting, hypo/hyper-pigmentation, itching, burning/stinging, erythema, and edema may last up to 24 hours after your blue light treatment.Frequent skin examinations are the key to early detection and prevention.