Medical Dermatology

Our providers specialize in the diagnosis and treatment of disorders of the skin, hair, and nails. This includes acne, warts, eczema, rosacea, hair disorders, and psoriasis. We also treat skin infections, rashes, moles, and skin cancer. We offer full skin exams to look for abnormal moles, melanoma, other skin cancers, rashes, and also to reassure you about benign skin growths. We offer prescription medications for many skin conditions, and perform surgical procedures, including electrocautery, surgical excisions, cryosurgery and laser surgery.

What is Medical Dermatology?

Medical, or General Dermatology, includes the diagnosis and treatment of diseases of the skin, hair, and nails. Board certified dermatologists like Dr. Reichel undergo extensive training in diagnosing and treating skin conditions during residency. Dermatology residency is a four year training program that takes place after medical school. At the completion of residency, dermatologists take an examination, called the boards. Dr. Reichel completed her residency and boards in 2003. Physician assistants (PA-C), like Kelly Stevens, undergo a three year training program after college to become certified. They then decide on a specific area of medicine, and undergo further training “on the job”. Our PA-C, Kelly, has specialized in dermatology since 2007. While she works under the supervision of Dr. Reichel, she sees her own patients, prescribes medications, performs surgical procedures, and is highly skilled in diagnosing and treating medical dermatology conditions. When looking for a dermatologist, Mohs surgeon, or Cosmetic surgeon, make sure that your doctor has good credentials, and is board certified.

Payment for Medical Dermatology Visits

Office visits and treatment for medical dermatology conditions are most often covered by insurance. We accept all major medical insurances and can talk with you about your specific coverage

Acne Treatment

Acne is a very common, highly visible disease that can cause embarrassment, self-consciousness, and social withdrawal. Teenagers are not the only people who suffer from acne. We commonly see adults in their 30’s and 40’s who still suffer from acne. A significant number of women in their late 20’s and early 30’s develop a “hormonal” type of acne with deep cysts and nodules on the lower part of the face and jawline. Unfortunately, there is no age limit for this potentially disfiguring disease.

While mild cases of acne may respond to over-the-counter treatments containing benzoyl peroxide or salicylic acid, more severe cases may require prescription medications. At PD&CC, we take all acne cases seriously. We are dedicated to treating acne and preventing acne scar formation. We may recommend a combination of topical medications and oral medications including oral antibiotics, birth control pills, spironolactone, or in extreme cases, Accutane. Some patients may also benefit from chemical peels, laser treatment, or photodynamic therapy. Our providers are all registered prescribers of Accutane through the I-Pledge system. At PD&CC, we take a tailored approach to treating acne. It’s important to know that acne cannot be cured overnight. It may take many weeks before it starts to respond to treatment. Be patient. We will help you find the best treatment plan.

Once your acne is clear, we can then help you with any residual acne scarring or hyperpigmentation. PD&CC has had tremendous success with treating acne scars using the Fraxel laser, which is safe for all skin types. We also have the Active FX/Deep FX fractionated CO2 laser which is effective for more severe acne scars. For hyperpigmentation, we offer a number of chemical peels, including the Vitalize peel containing prescription strength Retinol and the brand new high-potency Melanage peel, containing high-potency hydroquinone for bleaching as well as high potency Vitamin A serum to enhance bleach penetration and exfoliation. PD&CC also carries the Obagi skin care system that contains prescription strength bleaching cream and Retin-A.

You don’t have to suffer with acne any longer! Make your appointment today!

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Eczema Treatment

About 15 million people in the U.S. suffer from some form of eczema, including 10-20 percent of all infants. Symptoms vary from person to person but often include dry, red, itchy patches on the skin which break out in rashes when scratched.

Treatment involves the restriction of scratching, use of moisturizing lotions or creams, cold compresses and nonprescription anti-inflammatory corticosteroid creams and ointments. If this proves insufficient, physicians may prescribe corticosteroid medication, antibiotics to combat infection, or sedative antihistamines. Phototherapy is a common procedure that uses light to reduce rashes . For severe cases, drugs such as cyclosporine A may be recommended.

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Psoriasis Treatment

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. The most common treatments are topical medications, phototherapy, photochemotherapy (PUVA), and oral or injectable medication (for severe symptoms).

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Rosacea Treatment

Rosacea is a chronic inflammatory condition of the skin frequently referred to as "adult acne". It is characterized by redness, broken blood vessels, and flushing of the face and scalp. Patients may also experience pimples, swelling, itching, and scratchy eyes. It is also common for rosacea patients to have seborrheic dermatitis-basically dandruff of the scalp and face, characterized by rashes with greasy scale of the forehead, eyebrows, and around the nose. Rosacea is most often seen in patients with lighter skin color, although we do see it in all skin types. Triggers for rosacea include sunlight, caffeine, alcohol, spicy foods, hot liquids, and extreme temperatures. There is no cure for rosacea, but fortunately, there are many excellent treatment options available for patients today.

At PD&CC, we may prescribe topical and/or oral antibiotics to help get your rosacea under control. These medications are good for the pimples and inflammation associated with rosacea. However, they are generally only somewhat beneficial for the underlying redness, flushing, and broken blood vessels. Fortunately, at PD&CC we have a number of laser treatment options available that work beautifully for this problem. The gold standard for treating rosacea is the V-Beam laser. For individual broken blood vessels, the KTP laser may also be recommended to instantaneously erase the unwanted veins. Patients with long-standing severe rosacea may develop rhinophyma, or bulbous thickening of the nose ("W.C. Fields" nose). We are also able to treat this problem with surgery or laser.

Once your redness and inflammation is under control, our providers will also review the importance of a maintenance regimen for your rosacea. In addition to topical and/or oral antibiotics, sunscreen and avoidance of rosacea triggers will be an important part of the routine.

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