Dr. Prystowsky's services includes the full range of general medical dermatology and advanced services in skin surgery.  She is pleased to offer detailed history and exams to determine what treatments will be best for your condition(s).  She has advanced training in skin surgery for skin cancers, facial rejuvenation (laser and peels), and removal of benign growths such as moles, cysts, and lipomas.  She has extensive experience with treatment of unsightly leg veins and chronic wounds. Please click on the links below for detailed descriptions of the services offered.

Skin Cancer Surgery
Laser Therapy
Skin Products

Dr. Prystowsky and her staff perform skin cancer screening and testing. For patients with biopsy proven skin cancer, Dr. Prystowsky performs the surgical removal of the tumor. For melanoma, the tumors are treated with wide excisions.  For basal or squamous cell cancers, the tumors are treated by a number of different surgical approaches including Mohs Surgery, when it is appropriate. 

Dr. Prystowsky is one of the few doctors trained in Mohs Micrographic Surgery and is a Fellow of the American Society for Mohs surgery.

Mohs surgery is performed in a procedure room under sterile conditions, with local anesthesia. Once the area is numb, the visible portion of the tumor is removed by excision or scraping with a sharp instrument called a curette. Then a thin layer encompassing the under-layer of the tumor is removed. This layer is cut into small sections and a map is drawn to identify the location of each section. Then each piece removed is frozen and the slices are cut, stained and examined under the microscope. Areas where residual tumor is found are marked on the map and these areas are then re-excised. The procedure is repeated until no more tumor is found and the cancer is completely removed. Any bleeding vessels are cauterized or ligated with a suture. Then a pressure dressing is applied.

It takes about 30 minutes for each layer of tissue to be removed and 45 minutes to process and examine it. Most tumors will require one to three layers of removal. Extensive tumors may need additional surgery and require a second visit.

If you have a basal cell carcinoma, there is approximately a 99% chance that you will be cured with Mohs Micrographic Surgery. If you have a squamous cell carcinoma, your chance of cure is 95%. Follow-up visits to detect the rare recurrence are very important. After the initial post-operative period, Dr. Prystowsky will see you, at least annually to monitor the probability of recurrence. If you already have a general dermatologist, you will return to him/her for routine skin care and tumor surveillance. Alternatively, Dr. Prystowsky and her staff will perform these services for you.

Because it is not possible to know the exact size of each skin cancer until it has been completely removed, your post-surgical treatment cannot be entirely determined in advance. Small, superficial wounds can heal on their own with excellent cosmetic results. If a surgical wound requires reconstruction, Dr. Prystowsky will advise you on the benefits of repair by plastic surgery. Dr. Prystowsky utilizes plastic surgery techniques in her repairs. However, for some patients referral to other specialty surgeons may be recommended.

Dr. Prystowsky encourages her patients to be as informed as possible about Mohs surgery. She and her staff make themselves available to answer any questions that persons considering this procedure may have.

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Dr. Prystowsky does sclerotherapy for spider veins and varicose veins, wound healing treatment, phototherapy for psoriasis, Accutane for acne, and other specialized procedures.

                                                     Vbeam Laser

Dr. Prystowsky is pleased to announce gentle effective laser treatment for leg veins, spider veins, rosacea, scars, warts, and stretch marks.  She is now using the Vbeam Laser developed by Candela Corporation, a leading innovator in aesthetic medical laser technology, to treat a wide variety of vascular lesions. 

                                                            Isôlaz™

A breakthrough in acne therapy is available at Dr. Prystowsky’s office now! A painless acne laser light therapy called Isôlaz™ is here now to help transform your skin!

Isôlaz™ therapy uses a proprietary vacuum and laser light combination that helps loosen and extract dirt, blackheads and excess oil. A painless laser light helps destroy the

acne-causing bacteria found deep in your pores. People who use Isôlaz™ have reported a visible reduction in pore size, improved skin tone and texture for a younger, healthier looking complexion.

If you, a friend, or a relative, have a complexion problem and do not want to take oral antibiotics or Accutane this is an exciting alternative. Isôlaz™ is the only FDA approved laser light treatment to treat comedonal and pustular acne. It is ideally suited for teenagers, and adults with acne. Adults with clogged pores from sun damage also benefit from this treatment.

To Learn About Isôlaz™ for FLAWLESS Skin, ask for a Consultation and test spot today, and to see if this treatment is right for you.

To help keep your program within your budget, treatment packages are available.

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