Conditions Treated

Conditions we commonly treat

  • Acne
  • Benign, premalignant and malignant skin lesions
  • Eczema and all forms of dermatitis
  • Mole evaluations and removal
  • Psoriasis
  • Rashes
  • Rosacea
  • Simple excisions of skin cancers and growths
  • Skin cancer evaluation and management
  • Skin infections (bacterial, fungal, viral)
  • Skin growths
  • Warts

Skin Cancer

Skin Cancer is rising and Vermont typically ranks among the highest states for melanoma. Thankfully the majority of skin cancers are picked up early and are highly curable. Non-healing sores or lesions that change are often suspicious for skin cancer. We specialize in the evaluation of suspicious lesions and biopsy for definitive diagnosis if indicated.

Mohs Surgery

Mohs Surgery is a procedure that is used to remove individual layers of tissue until all skin cancer has been removed. It is an in office procedure and the surgeon also acts as the pathologist. The cure rate for most skin cancers treated with Mohs surgery approaches 100%.

Patch testing is offered in suspected cases of allergic contact dermatitis.

Narrowband UVB phototherapy (hand and foot unit along with full body) is offered for selected cases of psoriasis and dermatitis.

Excimer Laser treatment is offered for selected cases of psoriasis and eczema.


What is it… is a purified protein that temporarily restricts muscle movement in targeted areas of the face, giving an overall youthful appearance.
Botox cosmetic is designed to reveal smooth and natural results. Minimal downtime.

Minimal Discomfort – Botox is an injection, the needle is very small. Minimal discomfort may be experienced, but the overall treatment is not painful.

For optimal results and to minimize the chance of bleeding or bruising at the injection site, please avoid all blood thinning medications and supplements for one week prior to your treatment. This includes aspirin and non-steroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen, Motrin and Aleve and wells as high doses of vitamin-E and Omega-3 fish oil. If you take aspirin or other blood thinners on your doctor’s advice or orders, do not stop taking your medication.
Immediately following toxin injection, the most reported side effects are temporary redness and swelling at the injection site. Cold gel/ice packs may be used immediately after treatment to reduce swelling.
To avoid a bruise, refrain from taking blood thinning medications (see above) for several days after.
Tylenol (acetaminophen) is recommended if you need a pain-relieving medication.

To maximize your results after your neurotoxin treatment:
Do NOT go in a sauna or steam room for the first 24 hours.
Do NOT massage injection sites. Do not lay down for 3 hrs after treatment.

Possible side effects include:

  • Mild headache
  • Bruising at injection site
  • A sensation of “numbness” or tingling at the injection site Feeling of pressure or fullness at injection site
  • Droopy eyelid (ptosis) – If this side effect occurs, please call the office as soon as possible.

Muscles injected with neurotoxin will show resistance to movement within 3-7 days, but results can take up to 14 days for the full effect. If the desired effect has not occurred by day 14 and you have been treated with the recommended number of units, a touch-up treatment or additional toxin units may be needed. Please call to schedule an appointment.

Neurotoxins last, on average, 3-4 months. It is recommended at the time of your treatment to schedule your next appointment for optimal anti-aging benefits.

All the above side effects are temporary and will resolve as neurotoxin is metabolized. However, please call the office to notify us if you experience any of the above side effects.

Difference between Dysport and Botox – it differs in terms of its molecular behavior and diffusion. Dysport spreads faster, especially over a larger surface area, with just a few injections. You may notice it affects sooner than botox. So, the differences really come down to the way each injectable is applied by your provider.

Botox is more specific with less diffusion.

Esthetician Services

1st Time Consultation – discoloration, texture, mild laxity, acne and fine lines can be improved. For newcomers to facial services, a cosmetic consult is suggested. The visit includes a discussion of your skincare concerns and a brief facial.

Other offerings:

Facial – cleanse, exfoliate, light extractions, hydration and SPF.

Gentle Peels – Lactic, AHA or BHA address pigmentation, photo aging or acne. Together with home maintenance, these treatments can be very effective for the person who requires little or no down time.

Medical Grade Peels – effective in treating discoloration, fine lines, skin tone and/or acne. There is little down time. A series of 3-6 treatments is recommended for optimum results at 2-3-week intervals. This is very effective in cell turnover for healthier-looking skin.

Microdermabrasion – a light and effective manual exfoliation with no down time includes cleansing, light extractions, hydration, SPF and microdermabrasion.

Dermaplaning – a manual exfoliating technique removing dry, dull skin cells usually followed by a gentle peel solution. This is very efficient in encouraging cell turnover for healthier-looking skin with little down time.

Extractions – a safe way to treat mature papules, milia, blackheads.

We carry a variety of superior skin care products by EltaMD and SkinCeuticals.  Ask your provider for details!