The health of your skin,before everything else.
Dermatology, practiced the way medicine should be.
Skin health is the foundation of everything we do, and the medical practice is where that foundation is laid. It is a privilege to be trusted with yours. From regular skin cancer screenings to treatment for precancerous and cancerous lesions and chronic conditions such as acne, psoriasis, eczema and rosacea, our commitment begins with time spent carefully listening, and ends with a course of treatment suited to you, not a template.
Seven ways we care for the health of your skin.
General Dermatology
In office · billed to insurance
Rashes, acne, eczema, psoriasis, vitiligo, warts, and the removal of moles, cysts and skin tags: the everyday conditions, diagnosed carefully and treated by a team that knows your skin.
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Skin Cancer Screenings
In office · billed to insurance
Thorough, unhurried full-body examinations with dermatoscopic precision. Skin cancer is the most common cancer in the United States, and found early, also among the most treatable.
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Mohs Surgery
In office · billed to insurance
The most precise treatment for basal cell and squamous cell skin cancer: removed one thin layer at a time and checked under the microscope while you wait, so healthy skin is spared.
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Narrow Band UVB Therapy
A series of brief sessions · drug-free
A non-invasive, drug-free light therapy that relieves the symptoms of psoriasis, vitiligo and eczema, chronic conditions that weigh on far more than the skin.
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Photodynamic Therapy
Light-activated · non-invasive
A light-activated treatment for precancerous lesions and sun-damaged skin, clearing what decades of California sun leave behind, without surgery.
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Pulse Dye Laser
In office · a single visit or a short series
A vascular laser that clears facial redness, broken capillaries and red-toned scars by treating the blood vessels beneath the surface.
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Non-Surgical Skin Cancer Therapy (Brachytherapy)
A personalized course of care
Effective treatment for non-melanoma skin cancers that avoids surgery and the cosmetic concerns that can follow it.
Learn moreWhether you are worried about a spot or simply overdue, we are here for you.
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Care that starts by listening.
Exceptional care starts with listening carefully enough to understand what your skin, and your daily life with it, actually need. We examine thoroughly, explain plainly, and recommend the course of treatment best suited to you. The health of your skin is the first priority of this practice, and it is treated that way at every visit.
You will never feel rushed through an exam. We take the time to understand what brought you in, examine thoroughly, and explain what we see in plain language, in English or in Spanish.
If a screening finds something that needs attention, your diagnosis and your treatment stay with the team that already knows you, from dermatoscopic evaluation through Mohs surgery, phototherapy, photodynamic therapy or non-surgical skin cancer treatment.
Skin cancer screeningsA fee for your medical screening is billed to insurance, a portion of which you may be required to co-pay based on your insurance plan. Our front desk will walk you through it before your visit, no surprises.
Patient informationEvery medical treatment plan is developed under the direction of Dr. Edgar S. Macias, Harvard-trained, surgically trained at UCSF, and board-certified by the American Board of Dermatology.
Meet the team
Trained eyes, and the judgment to guide them.
Your medical care is directed by Dr. Edgar S. Macias: Harvard-trained, surgically trained at UCSF, and board-certified by the American Board of Dermatology. He is joined by a handpicked team of board-certified physician assistants and nurse practitioners, practicing under his direction and to his standard.
Your questions, answered.
It depends on your skin, your history and your risk factors. There is no single right cadence. At your first screening we will recommend a schedule that fits you, and our team will help you keep to it.
A fee for your medical screening is billed to insurance, a portion of which you may be required to co-pay depending on your plan. Our front desk will gladly walk you through your coverage before your appointment.
We tell you plainly what we see and what it means. If a lesion is precancerous or cancerous, we will walk you through your options, which may include photodynamic therapy or non-surgical skin cancer therapy, and build a treatment plan together, without alarm and without delay.
The full spectrum of medical dermatology: skin cancer screenings and non-surgical skin cancer therapies, narrow band UVB and photodynamic therapy, and chronic conditions such as acne, psoriasis, rosacea and atopic dermatitis.
Brief, comfortable in-office sessions: you stand in the light booth for a short, precisely timed exposure. It is non-invasive and drug-free.
Yes. Dr. Macias is fluent in Spanish, and care is offered in both English and Spanish.
Don't sit with a worry.
If something on your skin has changed, or you simply can't remember your last screening, the right next step is a phone call. We will take it from there.
Book a screening