• Acne & Acne scarring
  • Accutane
  • Alopecia
  • Spider Angiomas- see Before/After photos
  • Atopic Dermatitis
  • Birthmarks
  • Bumps, Lumps and Growths
  • Connective Tissue disease (Lupus, Morphea, Dermatomyositis)
  • Contact dermatitis
  • Cysts
  • Diaper Rashes
  • Eczema
  • Genetic Skin conditions
  • Hair disorders
  • Hemangiomas of Infancy – see Before/After photos
  • Hidradenitis Supporitiva
  • Hyperhidrosis
  • Infections of the skin (bacterial, fungal, viral, other)
  • Moles (nevi)
  • Nail Fungus
  • Pilomatrichomas
  • Psoriasis
  • Pyogenic Granulomas
  • Rashes
  • Ring Worm (Tinea)
  • Vascular birthmarks-(Port Wine Stains, Hemangiomas of Infancy)
  • Vitiligo
  • Warts (molluscum contagiosum, common wart, etc)

Skin Biopsy

There are two types of skin biopsies.  Shave and “punch”.  For either the skin is cleaned and a numbing medicine is injected into the spot.   If desired a topical numbing cream can be applied first (just like the dentist does).  This can help lesson the small pick from the needle.  It takes seconds to numb the area.  Then the spot is either shaved off and no stitches placed or “punched” out with a small medical device that acts like a cookie cutter and then stitches are placed.  You will leave with a band aid.  Once the numbing medicine is injected you will feel no pain but may still feel some pressure or touch.  The area will heal with a small scar.  There is not typically any pain after the numbing medicine wears off.

Wart Treatment

Liquid nitrogen

Liquid nitrogen is a very cold spray that gets rid of warts and some other skin growths.It stings a bit when it is applied. It can be applied either with a canister (most common) or a q-tip. After treatment the area will get red, swollen and may even form a blister. The site can be sore for a couple of days following the treatment. Warts can take multiple treatments to get rid of particularly on areas like the feet or hands. Liquid nitrogen is a very cold spray that gets rid of warts and some other


This is “Beetlejuice” and causes absolutely NO pain at the time of application. It is applied to the wart or molluscum lesion with a Q-tip and then the lesion is covered with tape that has to be removed 1-4 hours after application depending on the site being treated. Within several hours the treated sites typically get red, swollen and often blister. The blisters can be irritating or sore for a couple of days.


For very stubborn or large warts, diluted bleomycin is often used. This is a chemotherapy-type medicine that destroys rapidly dividing cells (like warts). It is injected directly into the wart with one stick or a multi puncture technique may be used. Because of the possibility of multiple injections, the area often needs to be numbed first with injected anesthesia (lidocaine). Following the treatment the area can get red, swollen and then often turns black.

Ear Piercing

Getting your ears pierced can be exciting but also a little scary. So here’s what you can expect. A topical numbing cream will be placed on your ear lobes to numb the skin. Afterwards, the skin is cleaned well and the doctor will mark the site where the earrings should go. The doctor often measures to ensure symmetry, but since no earlobes are exactly the same it is more important for them to look symmetric than to have the exact same measurements. You and your parent(s) will have an opportunity to move the position at this point. Once you and the doctor agree on a site, the doctor will pierce your ears. You will feel some pressure and then a quick pinch as the ear is pierced. Some patients say it feels “hot” for a few minutes afterwards but that sensation goes away quite quickly. Ear piercing is only done by doctors in our office.