Comprehensive care for the whole of your skin, built around the person it belongs to.

Every course of care at Macias Dermatology starts the same way: an unhurried consultation with a clinician who looks closely, listens carefully, and answers honestly. We want to understand your skin, and just as importantly, what you want for it.

Sometimes that conversation leads to a treatment plan. Sometimes it leads to reassurance that nothing is needed. We consider both good medicine, because nothing here is decided before you are known.

No two patients bring us the same skin, so no two leave with the same plan. Yours may be a single visit, a course of treatments spaced over months, or ongoing care that changes as your skin does.

Because medical and cosmetic dermatology are practiced side by side here, your plan can draw on both without handoffs or repetition. It is sequenced around your skin, your schedule, and your budget, and you will always know what to expect before we begin.

Every treatment plan at the practice is developed under the direction of Dr. Edgar S. Macias, a board-certified dermatologist and board-certified Mohs surgeon. His training is set out on the about page; what matters here is how it is used.

That standard reaches everything we offer. Procedures are chosen for the evidence behind them, and no finding, plan or result is ever explained to you in a hurry. Rigor, we have found, is its own kind of warmth.

Our patients come from across Fresno and the Central Valley with skin of every age, tone, and history. Some arrive with a new diagnosis and questions to go with it; others with a change they have been considering for a long time. Each is met on their own terms.

Cosmetic care here is always on your own terms. Our role is to be honest about what is possible, precise in how it is done, and respectful of whatever you decide.

Our clinic on North Chestnut Avenue was built for the way we practice. Medical and cosmetic visits have their own waiting areas beyond the front desk, so the room you sit in matches the reason you came, and no one else needs to know which it was.

From the first visit, everything is arranged so you feel looked after rather than processed: one team, one roof, and time enough to do things properly.