Clinical Dermatology

Skin Cancer Surgery

Dr. Mittelbronn has trained extensively to provide MOHS Micrographic Surgery, an advanced treatment procedure for skin cancer offering the highest potential for recovery, even if the skin cancer has been previously treated. MOHS is a state-of-the-art procedure in which the physician serves as surgeon, pathologist and reconstructive surgeon. It relies on the accuracy of a microscope to trace and ensure removal of skin cancer down to its roots. This procedure allows dermatologists trained in MOHS Surgery, such as Dr. Mittelbronn, to see beyond the visible disease, and precisely identify and remove the entire tumor, leaving healthy tissue unharmed.

Skin Cancer Surgery | Dermasurgery | Acne Treatment | Charleston SC | Mount Pleasant SC | Pawleys Island SCThe cure rate for MOHS Micrographic Surgery is the highest of all treatments for skin cancer, up to 99 % even when other forms of treatment have failed. This procedure, the most exact and precise method of tumor removal, minimizes the chance of re-growth and lessens the potential for scarring and disfigurement.

Dermasurgery

Dr. Mittelbronn offers expert surgical treatments for a variety of problems affecting the skin such as scar revision, ear lobe repair, mole and cyst excision, and lipoma removal.

Each patient receives careful evaluation and surgical options to include that risks and benefits are discussed. All of our surgeries are performed in our modern and comfortable procedure rooms.

Acne

Skin Cancer Surgery | Dermasurgery | Acne Treatment | Charleston SC | Mount Pleasant SC | Pawleys Island SCAcne 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. While it affects mostly teenagers, adults of any age can have it. Acne is not life-threatening, but it can cause physical disfigurement (scarring) and emotional distress. Treatment varies depending on the type and severity of lesions, skin type and the patient's age and lifestyle, but on average results are visible in six to eight weeks. Options include:

  • Oral and Topical Therapy
  • Microdermabrasiom
  • Chemical Peels
  • Photodynamic Therapy using Intensed Pulse Light and Levulan (topical photosensitizer)
  • Tissue Fillers (Restylane™) and fat transfer
  • Punch excisional surgery for deep "ice-pick" pitted scarring
  • Dermabrasion

These treatments are also effective in reducing the appearance of scars and discolorations associated with acne.

Rosacea

Skin Cancer Surgery | Dermasurgery | Acne Treatment | Charleston SC | Mount Pleasant SC | Pawleys Island SCRosacea is the inherited ability to flush and blush easily. Patients note that their skin is more sensitive to many topical preparations and sunlight. Certain foods, medications and environmental situations will flare rosacea.

Initially recognized as facial redness, over time rosacea causes pimples, visable facial blood vessels and permanent facial redness.

Topical and oral treatments are available for this condition. Avoidance of trigger factors in rosacea is very important and sun protection is essential for improvement.

Despite medical therapy, some patients will have persistant redness and noticeable facial vessels.

Intense Pulsed Light (IPL) Photofacial treatments will reduce the redness and visable blood vessels of roasacea. IPL is safe, effective and requires no "down time". Treatments take about 1 hour and are not painful. After treatment, the skin will be red and slightly swollen similar to a sunburn. Results are seen after one treatment however several treatment sessions are required for best results.

Special package pricing and Gift Certificates are available for this procedure.

Psoriasis

Skin Cancer Surgery | Dermasurgery | Acne Treatment | Charleston SC | Mount Pleasant SC | Pawleys Island SCPsoriasis encompasses a group of chronic skin disorders that cause an itching and/or burning sensation, scaling and crusting of the skin. Over seven million men and women in the U.S. of all ages have some form of psoriasis, which may be mild, moderate or severe. The most commonly affected areas are the scalp, elbows, knees, hands, feet and genitals.

Psoriasis cannot be cured but it can be treated successfully, sometimes for months or years at a time and occasionally even permanently. Treatment depends on the type, severity and location of psoriasis; the patient's age, medical history and lifestyle; and the effect the disease has on the patient's general mental health. Dr. Mittelbronn has extensive experience treating psoriasis and will tailor a treatment plan to fit your lifestyle and condition. Most common treatments are topical medications, phototherapy (UVB), oral and injectible medications (for severe disease)". Recenlty, a new class of injectible medications for psoriasis have become available. (Enbrel™, Amiveve™, Raptiva™, Humira™, Remicaide™) They are called Biologic Response Modifiers because they treat psoriasis by modifying the immune cell reaction within tissues such as the skin. While they will not cure psoriasis, they have been very helpful in controlling severe disease for many patients. Also, some of these products will treat psoriatic arthritis in addition to the skin disease. Debilitating arthritis may accompany psoriasis especially when the psoriasis involves that hands and feet. Most commonly affected joints are the hands, knees, elbows and ankles.

Sun Damage

Skin Cancer Surgery | Dermasurgery | Acne Treatment | Charleston SC | Mount Pleasant SC | Pawleys Island SCRepeated exposure to sunlight and tanning beds, can cause a variety of cosmetic and medical problems in our skin. These include telangiectasia (red or purple "spider veins"), uneven pigmentation, lines and wrinkles, thinning of skin, loss of skin elasticity, and melanoma and other skin cancers. The damage our skin suffers from sunlight is cumulative and often gradual, so the effects appear as we age and worsen with time.

Adequate protection from the sun and avoidance of other sources of ultraviolet light such as tanning salons are an important part of preventing this damage. However, there are ways to cosmetically improve damage that has already been suffered. The new Fraxel Dual Laser™ dramatically repairs sun damaged skin any where on the body - safely with little to no down time and minimal discomfort. Injectable fillers such as JUVEDERM, RESTYLANE™, RADIESSE and SCULPTRA AESTHETICS  fill out lines and wrinkles to give the skin a fuller, smoother look and feel as well as adding volume and stimulating collagen.  Intense Pulsed Light (IPL) treatments can reduce the appearance of uneven pigmentation, spider veins and other vascular lesions. Other helpful treatments include chemical peels and microdermabrasion which remove the surface layer of skin to expose a fresh, healthier, younger-looking layer beneath.

Special package pricing and Gift Certificates are available on select procedures.

To learn more about these procedures please call us at 843.881.2265 or 843.235.9060