GENERAL DERMATOLOGY
We use an integrated holistic approach with oral, topical, and laser treatments and a customized treatment regimen. All patients are evaluated by a board-certified dermatologist. All injectables are administered by a board certified dermatologist. Click on the services below to learn more about our services and procedures:
Photodynamic Therapy for Actinic Keratos
Information
Photodynamic Therapy (PDT) is an FDA-approved treatment for actinic keratoses (AKs), which are precancerous skin lesions caused by chronic sun exposure. PDT uses a light-activated medication to target and destroy abnormal skin cells while improving overall skin appearance.
PDT is an effective alternative to freezing with liquid nitrogen or topical chemotherapy creams, which can be more uncomfortable or require weeks of visible skin irritation and recovery time.
How PDT Works
A topical medication (Levulan or Ameluz) is applied to the skin and absorbed by abnormal cells. After a short incubation period, the area is exposed to a special light that activates the medication and preferentially destroys the damaged cells.
What to Expect
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The treatment is done in two steps and usually takes about 1–2 hours depending on incubation time
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Light exposure lasts only 10 to 15 minutes
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Some patients feel tingling, warmth, or stinging during the light treatment, which stops once the light is turned off
Results
PDT is highly effective, clearing most AKs in many patients after one or two treatments. In addition to treating AKs, the skin often looks smoother and more refreshed afterward.
After Treatment
The skin may be red, swollen, or peel—similar to a sunburn—for several days. It is very important to avoid direct sunlight and bright indoor light for 24–48 hours after treatment. Protective clothing, a wide-brim hat, and sunscreen are recommended during recovery.
Insurance Coverage
PDT for actinic keratoses is covered by Medicare and most insurance plans. PDT for acne, rosacea, or cosmetic skin rejuvenation is not currently covered by insurance, but patient costs can be discussed for those diagnoses.