
Medical and cosmetic dermatology, practiced personally.
Dermatology
Dermatology is medicine, and we practice it personally. Led by a board-certified dermatologist and trusted in Fresno since 2011, we care first for the health of your skin, and then for everything you want for it, at every stage of life. From the moment you arrive, you are known by name and heard without hurry.
About usAs featured in

Comprehensive dermatology for the Central Valley.
Whatever brings you to us, a change you have quietly wanted for years, a concern that has weighed on you, or the screening you have been meaning to schedule, you are met with the same unhurried attention. We build the plan around you. Never around a template.
Acne, eczema, psoriasis, rosacea: conditions like these live with you daily, and caring for them is the heart of this practice. We diagnose the full range of skin conditions and treat yours as it actually behaves, not as a textbook case.
Learn about skin conditionsOur practitioners assess, map, and monitor skin lesions with precise diagnostic tools, so nothing is left to chance and nothing is rushed.
Learn about screeningsFrom Mohs surgery to narrow band UVB and photodynamic therapy, every procedure we offer earns its place through evidence. Precise, proven treatment, chosen for your skin and explained before anything begins.
Learn about medical proceduresSkin care extends beyond skin health. We help you put your best face forward, at every age and on your own terms.
Learn about cosmetic treatments
Medical and cosmetic expertise, one patient at a time.
Dr. Edgar Macias trained in medicine at Harvard and in dermatology in New York, and is board-certified by the American Board of Dermatology. He practices alongside a handpicked team who share a single standard of care.
Advanced diagnostics and refined procedures sit under one roof, so your medical, surgical, and cosmetic care is coordinated by people who already know you. Here you are never a chart, and never rushed through it. Only ever a person, cared for as one.


No two patients are the same, so no two plans are either.
A partnership in your care
A strong partnership between you and your physician is the foundation of your care. Your goals shape every decision we make together, and the health of your skin anchors every one of them.
A dedicated team
A board-certified dermatologist, physician assistants, and nurse practitioners, each one handpicked, stand behind your care at every visit.
State-of-the-art care
Precise diagnostics and modern procedures, delivered with the trusted expertise only a specialist can provide.
“We exist to care for the skin you live in; protecting its health, refining its appearance, and restoring the confidence it carries into the world.”Read more

A handpicked team, with you at every stage of life.
Every patient is cared for by a dedicated team, led by a board-certified dermatologist and chosen as much for warmth as for expertise. Specialist care, delivered by people who remember you.
Meet the team









































We're proud of the impact we have on our patients and our community.
Medical
Cosmetic
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