Our South Florida Dermatology Services

At the Dermatology and Cutaneous Surgery Institute (DCSI), we offer medical dermatology, as well as cosmetic and surgical dermatology, specializing in identifying and addressing the different types of conditions affecting the skin, hair, and nails. It is important to understand the distinct differences between these dermatology services and what they do for patients. Keep reading below to learn more about the adult and pediatric dermatological conditions we diagnose and treat at our Delray Beach and Wellington locations. 

What Are The Different Types of Dermatology 

Not all types of dermatology are the same. The field spans a spectrum of specialized branches, each with its own set of objectives and methodologies. The importance of understanding these differences cannot be overstated, as it forms the foundation for informed decision-making in both clinical practice and patient care. A comprehensive understanding of the many subspecialties—from the aesthetic focus of cosmetic dermatology to the diagnostic accuracy of medical dermatology—ensures that people in need of dermatological services can make sense of their alternatives. 

Surgical Dermatology

 One of the main pillars of the broad field of dermatological practice is surgical dermatology, which focuses on using surgical methods to diagnose and treat skin diseases. This specialization includes a broad range of procedures, from the careful excision of skin malignancies to the excision of benign and malignant lesions. Surgical dermatologists are adept at using a range of surgical approaches to treat a variety of dermatological issues, guaranteeing both cosmetic and therapeutic results. Surgical dermatology is essential to regaining the health and functionality of the skin since it treats traumatic injuries, removes skin tumors, and performs reconstructive surgeries. Because of the accuracy needed in this discipline, surgical dermatology is an essential part of complete dermatologic care, underscoring the importance of the surgeon’s skill.

Cosmetic Dermatology

This particular area of dermatology services focuses on improving and revitalizing the skin’s appearance. This discipline focuses on elective procedures intended to enhance the appearance of the skin, hair, and nails in addition to treating medical issues. Cosmetic doctors use a broad range of minimally invasive and non-invasive procedures, such as chemical peels, laser therapy, microdermabrasion, and injectables such as neurotoxins and dermal fillers. 

Achieving natural-looking results that increase a person’s confidence and well-being is the goal of cosmetic dermatology. This includes decreasing fine lines and wrinkles, treating pigmentation disorders, and improving skin texture. Here, the science of dermatological innovation and the artistry of enhancement are prioritized, making cosmetic dermatology a dynamic and ever-evolving specialty at the center of medicine and beauty.

Medical Dermatology

 Medical dermatology, which focuses on the diagnosis, treatment, and cure of a wide range of skin conditions, forms the foundation of dermatological practice. Dermatologists who specialize in this field are dedicated to treating a broad spectrum of illnesses, from common skin issues like psoriasis, eczema, and acne to more complicated conditions including infectious diseases and autoimmune diseases. They employ a thorough method that considers the patient’s physical and mental well-being. 

Using a range of diagnostic methods, including biopsies and sophisticated imaging techniques, medical dermatologists can accurately identify and understand the underlying causes of skin problems. More specifically, treatment strategies include things like lifestyle modifications, topical or systemic medication, and patient education. 

Learn About What We Treat

Our dermatologists at DCSI are medically trained to address a variety of skin conditions. It can feel overwhelming to know what services you may need for your ailments. Ranging from minor scenarios like acne-prone skin to impetigo and much more, we have the resources to give you relief and help you look and feel your best. Contact DCSI to get a better understanding of how we can service you, and read our expert skin care blog to learn more information.

Please click on a term or skin condition to view its details, symptoms, and treatment options.

Acne
Acne is a very common skin condition that afflicts many people during their teen years, however the disease is not restricted to any age group, it may continue into or may even start in adulthood. Acne causes clogged pores (blackheads & whiteheads) and pimples on the face, neck, chest, back, shoulder and upper arms. Although acne is caused by several factors, medical treatment can drastically improve the appearance of acne. Even though you might think that washing frequently is good for your skin, acne is not a disease that is caused by dirt and frequent and vigorous cleansing techniques may even worsen the condition.

Dr. Wassef uses the latest techniques, medicines, and chemical peels to treat acne and its unwanted effects.

Actinic Keratosis
An actinic keratosis is a scaly or crusty skin surface. These rough crusty spots are usually found on the face, scalp, hands and arms. They are caused by excessive sun exposure due to ultraviolet damage to the skin and can be the first step to the development of skin cancer. They can evolve into squamous cell carcinoma. There are many modalities to treat and control actinic damage to the skin, Dr. Wassef will discuss all these options with you, answer all your questions and decide with you on what is the best course of action.
Alopecia Areata
Alopecia areata is a circular patchy loss of hair on the scalp or beard. Although this condition can occur at any age, its most commonly found in children. This condition is not life threatening and only affects around 1% of the population. Due to an autoimmune process, these spots represent the immune system attacking the hair for reasons that are unknown. Dr. Wassef has successfully treated many cases of alopecia areata in men and women.
Angiomas
An angioma is a benign growth that consists of small blood vessels. The tumors can be located anywhere on the body. Some different types of angiomas include spider angiomas, cherry angiomas, and angiokeratomas . Angiomas don’t necessarily need to be treated unless they are causing discomfort or begin bleeding. They can be treated with a very simple procedure in the office. Dr. Wassef will recommend the most appropriate method of treatment that best fits your situation.
Basal Cell Carcinoma
Basal Cell Carcinoma usually appears as a pink to white shiny smooth bump on the skin that enlarges and doesn’t go away. Basal Cell Carcinoma is the most common cancer in the world, yet it usually causes no itch or pain. Dr. Wassef is proud to be one of the few dermatology offices in South Florida that offers the highest cure rates for both surgical and non-surgical options when treating Basal Cell Carcinoma. Mohs surgery has long been known to have the highest surgical cure rate, while the SRT-100 offers the highest cure rate without any accompanied surgery or pain. Both options are available at DCSI and Dr. Wassef will discuss them in detail and decide with you which option best fit your need.
Birthmarks
Birthmarks are the tan to brown spots on the skin that have been there since you were born. It is important to have these spots checked regularly to ensure that they are not transforming into melanoma— a dangerous form of skin cancer.
Blistering Diseases
Rashes that cause blisters on the skin can have many possible causes. Dr. Wassef will perform all appropriate tests to determine what the cause of your blisters are. Dr. Wassef is proud to have trained with one of the world-renowned experts on blistering diseases.
Boils
Boils are tender, red lumps that may ooze pus. A single boil can occur due to a ruptured cyst or small abscess. Boils are typically treated with a minor surgical procedure that opens the boil and drain the pus. Multiple boils are usually due to Staph infections. Antibiotics are usually taken by mouth for 10 to 14 days to treat recurring boils. 
Contact Dermatitis
Contact Dermatitis is caused by your body’s reaction to something that directly contacts the skin. This typically appears as an itchy, red, and raised rash that gets worse as time goes on. If left untreated, the skin may darken and become leathery and/or cracked. Dr. Wassef will assess your symptoms and come up with appropriate method of treatment.

 

Cysts
Cysts are closed sacs found within the body. The location and composition of the membrane lining differentiates cysts from one another. There are three main types of cysts found in the skin that are considered common. These include the epidermal (sebaceous) cyst, trichilemmal (pilar) cyst, and milium. There are also less common cysts that Dr. Wassef can examine, diagnose and treat.

 

Dry Skin
Dry skin is a common problem many people experience. Skin needs moisture to stay smooth. The wrong type of moisturizer can actually remove moisture from the skin. Dr. Wassef will examine your condition and recommend the best types of moisturizers, creams and other treatments.

 

Dysplastic Moles
Atypical moles are called dysplastic moles. These are very common and 1 out of every 10 americans has at least one atypical mole at some point in their life. Atypical moles might be larger than common moles and have irregular borders that are poorly defined. These moles can increase your risk of developing melanoma, so it is important to have Dr. Wassef examine them.

 

Eczema
Eczema is a chronic skin condition that causes areas of red, itchy and inflamed skin. Eczema usually starts in early childhood and is commonly treated by the dermatologist. Although its cause is unknown, the condition appears to be an abnormal response of the body’s immune system. Eczema is not contagious and kids usually grow out of it. There is another variant called adult eczema which affects the adult persons.

 

Fungus Infections
Tinea is the name given to a fungal skin infection. The most common type of fungal infection is Athlete’s foot. It is often spread through direct contact in public bathrooms and health clubs. There are numerous other types of fungal skin infections that require treatment. To prevent fungal skin infections, people should keep their feet as dry as possible and use an anti fungal foot powder. There are more serious skin rashes that might resemble common fungal skin infections, Dr. Wassef is very well trained and experienced in differentiating these conditions.

 

Hair Loss
There are many causes to hair loss. Hair loss is often a devastating process that Dr. Wassef can help guide you through. Dr. Wassef and his providers are experts in the diagnosis and treatment of hair loss.

 

Hyper-pigmentation
This condition is usually a harmless condition in which patches of skin become darker in color than the surrounding skin. The changes in skin color can result from outside causes. Freckles, age spots and other skin patches can become darker when the skin is exposed to excessive sun. There are now several highly effective laser treatments that treat hyper-pigmentation. Hyper-pigmentation can also be a result of acne, successful control of your acne and specialized treatment for the color changes are necessary to overcome this condition.

 

Keloids
Keloids are raised, reddish nodules that develop at the site of an injury. They appear as hard enlarged scars that can be painful to touch. It is estimated that keloids occur in 10% of people. Dr. Wassef offers a complete range of therapies to treat and reduce the risk of recurrence of keloids. 

 

Keratosis Follicularis Spinulosa Decalvans
KFSD is an uncommon inherited skin condition that is usually found in men. KFSD is characterized by dry, rough and thickened skin. It is commonly seen on the upper arms, buttocks and thighs. KFSD can be difficult to treat, but Dr. Wassef can assist you with your condition appropriately. 

 

Lentigo Maligna
Lentigo maligna is the precursor to a subtype of melanoma called lentigo maligna melanoma, which is a cancerous (malignant) growth of the cells that give our skin cells color. Lentigo maligna is more common in the elderly population who has seen a high level of sun exposure in their lifetime. Dr. Wassef uses cutting-edge technology to diagnose and treat lentigo maligna.

 

Lentigines
Lentigines are also known as liver spots that occur on sun-exposed areas of the body. The back of hands and face are some common areas to spot these. They can vary in size from 0.2 to 2 cm. Typically, lentigines are usually benign, therefore treatment might not be necessary—but it is important to get them examined and if you require treatment, Dr. Wassef will offer you a wide variety of options that best suits your condition. 

 

Lichen Planus
This skin disease is relatively common and comes in episodes that can last months or even years. The cause of Lichen Planus is still unknown, but it appears to be a reaction in response to more than one provoking factor. Dr. Wassef can assist you in diagnosing and treating Lichen Planus.

 

Lupus
Lupus is a systemic disease with a rash that often occurs in sun-exposed areas and represents the body’s immune system attacking the skin and sometimes other organs as well. Dr. Wassef will perform all the necessary tests and offer an accurate diagnosis and treatment plan regarding potential lupus.

 

Melasma
Melasma is a brown coloring on the face due to hormonal influences and sun-exposure. It is more common in women then men, and typically occurs during the second or third trimester of pregnancy. Although it isn’t a harmful disease, it can greatly affect a person’s cosmetic appearance. Treatment of melasma is a process that Dr. Wassef can help you with.

 

Moles
Moles can appear almost anywhere on the skin and most are normal. However, some are bothersome and may transform into melanoma. Most moles are usually less than 1/4 inch in size. Moles may darken, which can happen after exposure to the sun. If you see any irregularities or changes to your moles, please consult Dr. Wassef and his team.

 

Morphea
This comes in two main forms: systemic and localized. This localized variant of scleroderma is a poorly understood condition that needs expert diagnosis and specific treatment. The appearance of morphed is a well-defined ivory-colored plaque with varying degrees of inflammation surrounding its borders. There are many options that Dr. Wassef can offer you to treat this condition.

 

Mycosis Fungoides
Mycosis Fungoides is a form of lymphoma cancer that appears like a rash. To determine whether you have this form of cancer, a skin biopsy is typically performed by Dr. Wassef in one of our offices. 

 

Neurofibromatosis
This is an autosomal dominant inherited disorder that affects approximately 1 out of 3,000 people. If you have six or more brown freckling lesions rather than 5mm in diameter or six or more lesions greater than 15mm in diameter, there is typically a diagnosis of neurofibromatosis. Patients with neurofibromatosis might have signs and symptoms of constipation, headache, seizures and tumors of the brain. Please visit Dr. Wassef for more information on neurofibromatosis.

 

Molluscum Contagiosum
This is a common viral infection that affects the skin. They are similar to warts, but are caused by a different virus. It is mostly spread through direct contact. Treatment is determined on an individual basis by Dr. Wassef and it will depend on the age of the patient and the location of the molluscum on the body. 

 

Pityriasis Rosea
This is a very common skin disease. It appears as a rash that can last from weeks to several months. This typically appears as a single scaly patch and within a few weeks more pink patches usually occur on the body and on the arms and legs. The rash begins to heal after 2-4 weeks and is usually completely gone within 14 weeks. The cause is unknown, but Dr. Wassef and his team have a solution for you. 

 

Psoriasis
Psoriasis is a common skin condition with systemic considerations. The most common type of this consists of raised lesions covered with silvery scales most commonly seen on the elbows, knees, scalp and trunk. This is controllable, but not curable. Many things can trigger the onset and continuation of psoriasis. Dr. Wassef can assist you in managing and treating your Psoriasis.

 

Pemphigus
This is a rare autoimmune blistering disorder of the skin. The antibodies mistakenly consider normal tissues as foreign and attack them. Pemphigus has several types and each type looks and acts differently. This condition usually starts in middle-aged and older adults. Dr. Wassef is very well trained and experienced in differentiating these conditions.

 

Rashes
Dr. Wassef can diagnose and treat any rash patients might have. Once our team has identified your rash, we’ll offer the treatment options we feel will work best for you.

 

Rosacea
Rosacea is a skin disorder leading to redness and pimples on the nose, forehead, cheekbones and chin. It almost always provides a disfiguring redness to the skin. This condition usually becomes progressively worse in many of those affected. Treatment will control rosacea in most cases. There are many effective treatment options for rosacea. Dr. Wassef will discuss and employ the best treatment options with you.

 

Scars
Scars can occur from acne, surgery, or even trauma and injuries. Scars can be painful, itchy and disfiguring. Please visit Dr. Wassef for further assessment and treatment options.

 

Seborrheic Dermatitis
This is a common skin condition affecting millions of Americans. It shows up as red, flaky patches of skin. Some common areas that are affected by this condition are the scalp, eyebrows, eyelids, lips, ears, armpits and groin. It can be itchy, but is not contagious. There are many options that Dr. Wassef can offer you to treat this condition.

 

Seborrheic Keratoses
These are raised growths on the skin. Seborrheic means greasy and keratosis means thickening of the skin. There may be clusters or just one on the skin. They are mostly hereditary and not caused by sun exposure. There are many options that Dr. Wassef can offer you to treat this condition.

 

Skin Tags
These are common benign skin growths. Nearly half of adults have at least one of these harmless growths. We offer safe removal services of these growths at our offices. 

 

Squamous Cell Carcinoma
A squamous cell carcinoma is a skin cancer that may appear as a bump or as a red, scaly patch. Typically, this is found on sun-damaged and fair skin. Although it isn’t as dangerous as melanoma, it still leads to an estimated 2,300 deaths every year. This is the second most common form of skin cancer and is mostly caused by sun exposure and indoor tanning. Mohs surgery has long been known to have the highest surgical cure rate, while the SRT-100 offers the highest cure rate without any accompanied surgery or pain. Both options are available at DCSI and Dr. Wassef will discuss them in detail and decide with you which option best fit your need.

 

Tinea Incognito
This is a localized skin infection caused by fungus that has been mistakenly treated with topical steroids. The rash may not exhibit the classic tinea appearance. Dr. Wassef is very well trained and experienced in differentiating these conditions.

 

Uticaria
Urticaria is the medical name for hives. These are welts—pink swellings that come up on any part of your body. They itch and provide discomfort. Hives are very common and over 20% of the population has at least one episode in their lifetime. There are many options that Dr. Wassef can offer you to treat this condition.

 

Vitiligo
Vitiligo is a poorly understood autoimmune disease occurs when one’s immune system begins to attack pigment producing cells. People with Vitiligo are also somewhat more prone to other autoimmune diseases as well. There are many options that Dr. Wassef can offer you to treat this condition. 

 

 

Warts
Warts are areas of skin that grows aster than normal due to a virus. They are actually an HPV infection of the skin. The body will eventually build up a resistance over time and the cause of warts will disappear. Dr. Wassef offers multiple different treatments and removals for warts.

 

 

Cosmetic Dermatology
Botox: Botox is a highly purified preparation of botulinum toxin. Botox is injected in small amounts to the skin and reverses the affects of facial wrinkles. Botox gives patients a more relaxed look that lasts for several months. It is a simple, painless and nonsurgical treatment. 

 

Dermal Fillers: Dermal fillers help to diminish facial lines and restore volume and fullness in the face. Dermal fillers can plump thin lips, enhance shallow contours, soften facial wrinkles, and improve the appearance of scars. Some dermal fillers are used in conjunction with other skin rejuvenation treatments as well. 

Chemical Peels: Chemical peels can significantly diminish the signs of aging. Chemical peels can be performed on the face, hands, neck, and chest. Chemical peels can also be used to treat some types of acne and other skin conditions that discolor the skin. Receiving a chemical peel can result in fewer wrinkles, brighter complexion and smoother skin. Chemical peels can be used to treat acne, age spots, discoloration, dull complexion, freckles, melasma, and other skin conditions.