Whatever your skin needs, from a routine screening to a considered change, this is your place for care.
At Macias Dermatology, medical and cosmetic care live under one roof in Fresno. What brings people to us ranges from a spot that looks new, to a condition that will not settle, to a change they have been considering for a long time.
Whatever the reason, the pattern is the same: a careful look at your skin, an honest conversation about what it needs, and a plan built around you rather than a menu. The full range of what we offer is below.
General Dermatology
Everyday dermatology, done thoroughly: rashes, acne, eczema, psoriasis, vitiligo, warts, and the removal of moles, cysts and skin tags, diagnosed and treated by a team that knows your skin.
Learn more about general dermatologySkin Cancer Screenings
An unhurried, full-body examination with dermoscopy, the standard of care for finding skin cancer early, when it is most treatable. You leave knowing where your skin stands.
Learn more about skin cancer screeningsMohs Surgery
Mohs micrographic surgery removes skin cancer one thin layer at a time, checking each layer under the microscope while you wait, so the cancer is cleared completely and healthy skin is spared.
Learn more about mohs surgeryNarrow Band UVB Therapy
Drug-free light therapy for psoriasis, vitiligo and eczema: brief, precisely timed sessions that calm your skin using the narrow band of light proven most beneficial to it.
Learn more about narrow band uvb therapyPhotodynamic Therapy
A light-activated treatment that clears precancerous lesions and the sun damage a Central Valley life leaves behind, while sparing your healthy skin. Prevention and repair in one non-invasive visit.
Learn more about photodynamic therapyPulse Dye Laser
A vascular laser that clears facial redness, broken capillaries and red-toned scars by treating the blood vessels beneath the surface.
Learn more about pulse dye laserNon-Surgical Skin Cancer Therapy (Brachytherapy)
For basal cell and squamous cell skin cancers, electronic brachytherapy is a painless, precisely targeted alternative to surgery: no incisions, none of the cosmetic concerns that can follow them, and far less disruption to your life.
Learn more about non-surgical skin cancer therapy (brachytherapy)
Laser Hair Removal
A series of precise laser treatments designed to permanently reduce unwanted hair, safe for all skin types.
Learn more about laser hair removalWrinkle Relief
BOTOX®, Daxxify®, Jeuveau® and Dysport® treatments that soften frown lines and crow's feet while keeping your natural expression intact.
Learn more about wrinkle reliefDermal Fillers
Hyaluronic-acid fillers from the Juvéderm® family and Belotero®, placed precisely to restore lost volume and refresh the face.
Learn more about dermal fillersMicroneedling with Platelet-Rich Plasma
Controlled micro-injuries that prompt the skin to rebuild its own collagen, with an optional Platelet-Rich Plasma boost.
Learn more about microneedling with platelet-rich plasmaChemical Peels
Vi Peel treatments that lift away dulling surface cells for smoother, brighter, clearer skin in a 30-minute visit.
Learn more about chemical peelsSun + Skin Care
Medical-grade sun protection and daily skincare, matched to your skin by the people who treat it.
Learn more about sun + skin careHydraFacial MD®
A 30-minute resurfacing treatment that cleanses, extracts and infuses customized serums with Vortex-Fusion® technology.
Learn more about hydrafacial md®DiamondGlow®
A resurfacing facial that exfoliates with a diamond tip, clears the pores and infuses SkinMedica® serums in a single pass.
Learn more about diamondglow®
Care built around the person, not the procedure.
Medical and cosmetic dermatology draw on the same judgment: knowing what skin needs, and what it does not. Every plan here starts with that judgment and stays honest to it.
Before anything is scheduled, we look at your skin and listen to what you want from it. Some visits end with a plan for treatment; others end with reassurance that none is needed.
Treatments are spaced, sequenced and chosen around your skin, your schedule and your budget. You will always know what to expect before we begin.
Medical or cosmetic, every treatment here is overseen by the same board-certified team that screens for skin cancer and manages complex skin conditions. The rigor does not change with the reason for your visit.
More about the practice