Treating Precancerous Sun Damage with Photodynamic Therapy (PDT): A Patient Success Story

by: Dr. Ashley Baldree

Advanced Actinic Keratosis Treatment in Katy and Houston, Texas

Years of sun exposure can lead to the development of rough, scaly spots known as actinic keratoses (AKs). These precancerous lesions are extremely common and can increase the risk of developing certain forms of skin cancer if left untreated.

At Village Dermatology, we recently followed a 66-year-old patient undergoing her second session of Photodynamic Therapy (PDT) to treat widespread actinic keratoses affecting the face, nose, and lips.

Patient Presentation

The patient returned for her second PDT treatment after previously undergoing red-light photodynamic therapy several weeks earlier.

She had a history of multiple actinic keratoses located on:

• The face

• The nose

• The lips

These lesions appeared as rough, erythematous patches with overlying scale—classic features of sun-damaged precancerous skin.

Prior treatments included cryotherapy, but due to the extent of sun damage, field treatment with PDT was recommended.

What Are Actinic Keratoses?

Actinic keratoses are rough, scaly growths caused by cumulative ultraviolet (UV) damage from years of sun exposure.

They commonly develop on:

• Face

• Nose

• Lips

• Ears

• Scalp

• Chest

• Forearms

• Hands

Although many AKs remain stable, some can progress into squamous cell carcinoma, making early treatment important.

Why Photodynamic Therapy Is an Excellent Treatment Option

Photodynamic Therapy (PDT) treats not only visible actinic keratoses but also microscopic sun damage that may not yet be visible.

Benefits of PDT include:

• Treatment of large areas of damaged skin

• Improved skin texture and tone

• Reduction of precancerous lesions

• Minimal downtime compared to surgery

• Excellent cosmetic outcomes

For patients with extensive sun damage, PDT often provides a more comprehensive approach than treating individual lesions one at a time.

PDT Treatment Session #2

During this visit, the patient underwent her second session of red-light PDT.

Preparation

Before treatment, hyperkeratotic lesions were gently curetted to remove excess scale and improve medication penetration.

The treatment area was then cleansed and prepared.

Application of Ameluz®

One tube of Ameluz® (aminolevulinic acid gel) was applied to the:

• Face

• Nose

• Lips

The medication selectively accumulates within abnormal sun-damaged cells.

Red-Light Illumination

Following application, the treatment area was exposed to a 635 nm red LED light source for 30 minutes.

Activation of the medication produces a photochemical reaction that destroys precancerous cells while minimizing injury to surrounding healthy tissue.

What Patients Can Expect After PDT

Patients commonly experience temporary reactions following treatment, including:

• Redness

• Mild swelling

• Burning or stinging sensations

• Crusting

• Peeling

• Sunburn-like discomfort

These reactions are expected and indicate that the treatment is working.

Most patients notice gradual improvement over the following days to weeks.

Critical Post-Treatment Instructions

Sun avoidance is extremely important after PDT.

Patients are instructed to:

• Avoid direct sunlight for 48 hours

• Wear protective hats and clothing

• Use broad-spectrum sunscreen

• Remain indoors when possible during the immediate recovery period

Sun exposure during this timeframe can significantly increase discomfort and inflammation.

Why Full Face Treatment Matters

Many patients have extensive sun damage beyond the lesions that are visible to the naked eye.

Field therapy with PDT helps address:

• Visible actinic keratoses

• Early precancerous changes

• Subclinical sun damage

• Future lesion development

This comprehensive treatment strategy often results in healthier skin and fewer future procedures.

Skin Cancer Prevention Starts Early

Actinic keratoses serve as a warning sign that significant UV damage has occurred.

Patients with AKs should:

• Schedule regular skin examinations

• Perform monthly skin self-checks

• Wear daily sunscreen SPF 30+

• Avoid tanning beds

• Seek evaluation for any changing lesions

Early detection and treatment remain the most effective strategies for preventing skin cancer.

Expert PDT Treatment in Katy and Houston

At Village Dermatology, we offer advanced Photodynamic Therapy (PDT), cryotherapy, skin cancer screenings, and comprehensive treatment for actinic keratoses throughout Katy, Houston, and surrounding Texas communities.

If you have rough, scaly spots that may represent sun damage or precancerous lesions, schedule an appointment with our dermatology team to learn whether PDT may be right for you.

Itchy Scalp for Months? Understanding Scalp Psoriasis and Seborrheic Dermatitis

by: Dr. Ashley Baldree

Chronic Scalp Itching in Katy and Houston, Texas

An itchy scalp can be frustrating, uncomfortable, and difficult to manage without an accurate diagnosis. While many people assume dandruff is the cause, persistent scalp itching may actually be related to inflammatory skin conditions such as scalp psoriasis or seborrheic dermatitis.

At Village Dermatology, we recently evaluated an 82-year-old patient who presented with months of persistent scalp itching and scaling.

Patient Presentation

The patient came to our clinic for evaluation of an itchy scalp that had been present for several months. He reported:

• Persistent scalp itching

• Ongoing scalp irritation

• Moderate symptoms

• No previous dermatologic treatment

Because chronic scalp conditions can have overlapping symptoms, a comprehensive examination was performed.

Dermatologic Examination

A detailed scalp examination was completed, including dermoscopic evaluation and hair inspection.

During the examination, findings suggested either:

• Localized scalp psoriasis

• Seborrheic dermatitis

Although both conditions can appear similar, additional nail findings observed during the visit favored a diagnosis of psoriasis.

The patient denied experiencing any joint pain or symptoms suggestive of psoriatic arthritis at this time.

What Is Scalp Psoriasis?

Scalp psoriasis is a chronic autoimmune skin condition that causes inflammation and rapid skin cell turnover.

Common symptoms include:

• Persistent itching

• Thick scaling

• Red or pink plaques

• Flaking that resembles severe dandruff

• Dryness and irritation

The condition can affect small isolated areas of the scalp or involve larger portions of the scalp surface.

How Is Scalp Psoriasis Different from Dandruff?

Many patients confuse scalp psoriasis with dandruff or seborrheic dermatitis because the symptoms can overlap.

Seborrheic Dermatitis

Typically causes:

• Greasy scales

• Mild redness

• Flaking

• Intermittent itching

Scalp Psoriasis

Often causes:

• Thicker scaling

• More defined plaques

• Persistent itching

• Associated nail changes

• Potential joint involvement

A dermatologic examination is often necessary to distinguish between the two conditions.

Why Monitoring for Psoriatic Arthritis Is Important

Psoriasis affects more than just the skin.

Some patients may eventually develop psoriatic arthritis, an inflammatory joint condition associated with psoriasis.

Symptoms can include:

• Joint pain

• Morning stiffness

• Swelling of fingers or toes

• Reduced mobility

Because early treatment improves outcomes, patients with psoriasis should notify their dermatologist if joint symptoms develop.

Treatment Plan

To help control inflammation and itching, a customized treatment plan was initiated.

Derma-Smoothe® Scalp Oil

A topical corticosteroid oil was prescribed to reduce inflammation and relieve itching during active flares.

Benefits include:

• Rapid itch relief

• Reduction of scalp inflammation

• Improved comfort during flare-ups

Ketoconazole 2% Shampoo

Ketoconazole shampoo was also prescribed to address scalp scaling and inflammation.

Patients were instructed to:

• Apply to the scalp

• Allow the shampoo to remain in place for five minutes

• Rinse thoroughly

• Use two to three times weekly

This therapy can be beneficial for both seborrheic dermatitis and inflammatory scalp conditions.

Additional Scalp Care Recommendations

Patients with chronic scalp conditions may also benefit from:

• Regular moisturizing treatments

• Medicated shampoos

• Tar-based shampoos

• Selenium sulfide shampoos

• Zinc pyrithione shampoos

Consistent scalp care often helps reduce flare frequency and improve symptom control.

Understanding the Chronic Nature of Scalp Conditions

Both scalp psoriasis and seborrheic dermatitis are chronic conditions characterized by periods of improvement and flare-ups.

Common triggers include:

• Emotional stress

• Illness

• Weather changes

• Skin irritation

• Inconsistent treatment

Long-term management often focuses on controlling symptoms and minimizing recurrences.

Expert Scalp Psoriasis Treatment in Katy and Houston

At Village Dermatology, we diagnose and treat scalp psoriasis, seborrheic dermatitis, dandruff, eczema, and other inflammatory skin conditions for patients throughout Katy, Houston, and surrounding Texas communities.

If you are experiencing persistent scalp itching, flaking, or irritation that is not improving with over-the-counter products, our dermatology team can help identify the cause and create a personalized treatment plan.

Early Acne Treatment in Teens: Why Starting the Right Skincare Routine Matters

by: Dr. Caroline Vaughn

Teen Acne Treatment in Katy and Houston, Texas

Acne is one of the most common skin conditions affecting teenagers. While acne often begins with occasional whiteheads and pimples, early treatment can help prevent progression to more severe inflammatory acne and reduce the risk of permanent scarring.

At Village Dermatology, we recently evaluated a 14-year-old patient who presented for treatment of facial acne that had been developing over several months.

Patient Presentation

The patient came to our clinic with concerns about acne affecting both cheeks. He reported:

• Whiteheads

• Pimples

• Breakouts present for several months

• Acne limited primarily to the face

Prior to his visit, he had been using a gentle facial cleanser but had not started prescription acne therapy.

Like many parents, his father was interested in products with favorable safety and ingredient ratings and wanted to establish an effective skincare routine before the acne became more severe.

Understanding Teenage Acne

Acne develops when hair follicles become clogged with oil, dead skin cells, and bacteria.

Several factors contribute to acne formation, including:

• Hormonal changes during puberty

• Increased oil production

• Inflammation within the skin

• Bacterial overgrowth

• Genetic predisposition

Without treatment, mild acne can sometimes progress to more widespread inflammatory lesions and even permanent acne scarring.

Dermatology Examination Findings

A focused facial examination was performed.

The patient demonstrated acne lesions involving the central portions of both cheeks, including:

• Comedonal acne (whiteheads and clogged pores)

• Early inflammatory papules

Fortunately, there was no evidence of severe cystic acne or acne scarring at this time.

Because treatment was started early, the goal was to control inflammation and prevent disease progression.

Building an Effective Acne Treatment Plan

After discussing treatment options, a customized skincare regimen was developed.

The treatment plan included:

Morning Routine

Benzoyl Peroxide Wash

A benzoyl peroxide cleanser helps reduce acne-causing bacteria and decrease inflammation.

Clindamycin 1% Gel

Topical clindamycin was prescribed for daily morning use.

Benefits include:

• Reducing acne-causing bacteria

• Improving inflammatory lesions

• Helping prevent future breakouts

Daily Moisturizer with SPF 30+

Sun protection remains an essential component of every acne treatment program.

Evening Routine

Gentle Cleanser

A non-irritating cleanser helps remove oil and debris without damaging the skin barrier.

Tretinoin 0.025% Cream

Tretinoin is considered one of the most effective topical medications for acne treatment.

It works by:

• Unclogging pores

• Increasing cell turnover

• Preventing new acne formation

• Improving overall skin texture

Patients typically begin applying tretinoin two to three nights per week before gradually increasing to nightly use as tolerated.

Moisturizer

Regular moisturizing helps minimize dryness and irritation that may occur during the adjustment period.

What Results Can Patients Expect?

One of the most important parts of acne treatment is setting realistic expectations.

Many patients begin treatment expecting immediate improvement, but acne medications require time to work.

Most patients notice:

• Early improvements within several weeks

• Significant improvement after two to three months

• Continued progress with consistent treatment

Many dermatology studies demonstrate approximately 60% to 80% improvement after several months of proper therapy.

Moisturizers Recommended for Acne-Prone Skin

To help maintain a healthy skin barrier, several dermatologist-recommended moisturizers were discussed, including:

• Vanicream Daily Facial Moisturizer

• CeraVe PM Facial Moisturizing Lotion

• La Roche-Posay Toleriane Double Repair Moisturizer

• Avène Cicalfate

• Kiehl's Ultra Facial Cream

These products are generally non-comedogenic and suitable for acne-prone skin.

Why Early Treatment Is Important

Treating acne early can provide several benefits:

• Prevent worsening inflammation

• Reduce the risk of acne scarring

• Improve self-confidence

• Establish healthy skincare habits

• Minimize future treatment needs

The earlier acne is addressed, the easier it is often to achieve long-term control.

Expert Teen Acne Care in Katy and Houston

At Village Dermatology, we specialize in treating acne in children, teenagers, and adults throughout Katy, Houston, and surrounding Texas communities.

Whether you're dealing with early breakouts, persistent acne, cystic acne, or acne scarring, our team can develop a customized treatment plan tailored to your skin type and goals.

If your child or teenager is struggling with acne, schedule an appointment with Village Dermatology to begin an effective treatment program and achieve healthier, clearer skin.

"Why Is My Hair Getting Thinner Even Though I'm Healthy?"

by: Dr. Ashley Baldree

A Real Patient Case of Female Pattern Hair Loss in Katy and Houston, Texas

One of the most common concerns women bring to Village Dermatology is:

"Why is my hair getting thinner even though I'm healthy?"

Hair thinning can be emotionally distressing, especially when it occurs gradually over time without an obvious cause. Many women are surprised to learn that female pattern hair loss, also known as androgenetic alopecia, is extremely common and often highly treatable when addressed early.

This patient case highlights how a personalized treatment approach can help women preserve and potentially improve hair density.

Patient Presentation

A 39-year-old woman presented to Village Dermatology for follow-up evaluation of ongoing hair thinning.

She had previously been diagnosed with androgenetic alopecia, a common cause of hair loss in women characterized by gradual thinning over the crown and top of the scalp.

The patient reported progressive thinning involving the mid-scalp and crown region and wanted to discuss current and emerging treatment options available for long-term management.

What Is Female Pattern Hair Loss?

Female pattern hair loss is a hereditary condition that causes hair follicles to gradually shrink over time.

Unlike sudden hair loss conditions, androgenetic alopecia typically develops slowly and may present as:

• Widening of the hair part

• Reduced hair density

• Increased scalp visibility

• Diffuse thinning at the crown

• Excessive hair shedding

Although genetics play a major role, hormonal influences can also contribute.

Examination Findings

During examination, diffuse non-scarring hair thinning was noted on the posterior mid-parietal scalp.

Importantly, there was no evidence of scarring, inflammation, or permanent follicle destruction.

This finding is encouraging because non-scarring forms of hair loss often respond better to treatment when addressed early.

Understanding Hair Growth Treatment Options

During the visit, a comprehensive discussion was held regarding available therapies for androgenetic alopecia.

Oral Minoxidil

Oral minoxidil has become increasingly popular for female pattern hair loss.

Benefits may include:

• Increased hair density

• Reduced shedding

• Improved hair thickness

• Enhanced growth cycle support

Patients should understand that improvement typically requires several months of consistent treatment.

Finasteride

Finasteride may be considered in select female patients under physician supervision.

This medication works by reducing the effects of hormones that contribute to follicle miniaturization.

Careful counseling is required because finasteride is not appropriate during pregnancy due to the risk of birth defects.

Nutritional Supplements

Hair growth supplements such as:

• Nutrafol

• Viviscal

• Vitamin D (when indicated)

may help support overall follicular health in some patients.

Low-Level Laser Therapy (LLLT)

Low-level laser therapy uses light energy to stimulate hair follicles and may help improve density when used consistently.

Platelet-Rich Plasma (PRP)

PRP therapy has become one of the most requested hair restoration treatments.

During PRP treatment:

1. A small amount of blood is drawn.

2. Growth factors are concentrated.

3. The growth factor-rich plasma is injected into the scalp.

These growth factors may help stimulate dormant follicles and reduce shedding.

Stem Cell Hair Restoration

Advanced regenerative therapies continue to evolve.

Stem cell-based treatments aim to deliver highly concentrated growth factors to the scalp and may offer future options for patients seeking additional hair restoration solutions.

Why Early Treatment Matters

Hair follicles affected by androgenetic alopecia become progressively smaller over time.

The earlier treatment begins, the greater the opportunity to:

• Preserve existing hair

• Slow progression

• Improve density

• Reduce future hair loss

Waiting until substantial thinning occurs may limit the effectiveness of available therapies.

Hair Loss Results Take Time

One of the most important discussions during the visit involved setting realistic expectations.

Most hair loss treatments require:

• 3 to 6 months before noticeable improvement

• Ongoing maintenance

• Consistent use

Hair restoration is a long-term commitment rather than an overnight solution.

Acne Management Remained Stable

In addition to addressing hair loss, the patient also discussed her acne management.

She reported excellent control using:

• Arazlo®

• Dapsone gel

• Winlevi®

The patient was satisfied with her results and continued her current regimen.

Expert Hair Loss Treatment in Katy and Houston, Texas

Hair thinning affects millions of women and can significantly impact confidence and quality of life.

At Village Dermatology, we provide comprehensive evaluation and treatment for:

• Female pattern hair loss

• Hair shedding

• Hormonal hair loss

• Scalp disorders

• Hair restoration therapies

Whether you're interested in oral medications, PRP, regenerative treatments, or customized hair restoration plans, our team can help identify the best approach for your specific needs.

If you've noticed thinning hair, increased shedding, or widening of your hair part, schedule an evaluation with Village Dermatology in Katy or Houston, Texas and learn about the latest treatment options available today.

"Can a Chemical Peel Help My Acne and Acne Dark Spots?"

by: Dr. Ashley Baldree

A Real Patient Case from Village Dermatology in Katy and Houston, Texas

One of the most common questions dermatologists hear is:

"Can a chemical peel help my acne and acne dark spots?"

For many adults struggling with persistent acne, the answer may be yes. Chemical peels can be an excellent addition to a comprehensive acne treatment plan, helping improve active breakouts, clogged pores, and post-inflammatory hyperpigmentation.

At Village Dermatology, we recently treated a 33-year-old woman who was looking to improve both her acne and the pigmentation left behind from previous breakouts.

Patient Presentation

A 33-year-old female presented for follow-up treatment of moderate facial acne that had been present for several years.

Her primary concerns included:

• Active pimples

• Persistent clogged pores

• Acne-related pigmentation

• Uneven skin tone

Despite using prescription skincare products, she was interested in additional treatments that could accelerate improvement and enhance her overall complexion.

Understanding Adult Female Acne

Acne is not just a teenage problem.

Many women continue to experience breakouts into their 30s, 40s, and beyond due to factors such as:

• Hormonal fluctuations

• Genetics

• Stress

• Skincare products

• Inflammation

• Environmental factors

Adult acne often presents with:

• Blackheads

• Whiteheads

• Inflammatory papules

• Pustules

• Post-inflammatory hyperpigmentation (dark marks)

In this patient's case, both active acne lesions and pigmentation were contributing to her concerns.

Examination Findings

During examination, multiple acne lesions were noted on the face, including:

• Comedonal papules (clogged pores)

• Inflammatory papules

• Pustules

These findings were consistent with moderate acne vulgaris.

Treatment Approach

The patient was advised to temporarily simplify her skincare routine with gentle skin care for one week following treatment.

After healing, she was instructed to resume:

• Tretinoin 0.05%

• Azelaic acid

• Daily broad-spectrum sunscreen

This combination helps improve acne, pigmentation, and overall skin texture.

Chemical Peel Treatment

As part of her acne treatment plan, a professional chemical peel was performed.

Modified Jessner Peel

The first pass utilized a Modified Jessner solution.

Modified Jessner peels help:

• Exfoliate dead skin cells

• Improve acne

• Reduce pore congestion

• Enhance skin texture

• Promote brighter skin tone

30% Salicylic Acid Peel

The second pass included a 30% salicylic acid peel.

Salicylic acid is particularly beneficial for acne-prone skin because it:

• Penetrates oil glands

• Dissolves pore congestion

• Reduces inflammation

• Improves active breakouts

• Helps prevent future acne lesions

The combination of these two peeling agents provides a powerful treatment for acne and acne-related discoloration.

Benefits of Chemical Peels for Acne

Many patients notice improvements in:

Fewer Breakouts

Chemical peels help unclog pores and reduce acne-causing congestion.

Brighter Skin Tone

Peels accelerate skin cell turnover, helping fade acne marks and pigmentation.

Improved Skin Texture

Exfoliation can create smoother, healthier-looking skin.

Enhanced Skincare Results

Prescription treatments such as tretinoin and azelaic acid often work more effectively when combined with professional treatments.

Importance of Sun Protection After a Chemical Peel

Following any chemical peel, sun protection is critical.

Patients should:

• Avoid direct sun exposure

• Wear SPF 30+ sunscreen daily

• Reapply sunscreen regularly

• Wear hats and protective clothing outdoors

This is especially important in sunny climates like Katy and Houston, Texas.

Proper sun protection helps prevent unwanted pigmentation and supports optimal healing.

Is a Chemical Peel Right for Your Acne?

Chemical peels can be highly effective for patients experiencing:

• Active acne

• Blackheads

• Whiteheads

• Acne scarring

• Acne pigmentation

• Uneven skin texture

The best treatment plan depends on your skin type, acne severity, and skincare goals.

A consultation with a board-certified dermatologist can help determine whether a chemical peel is an appropriate option for you.

Expert Acne Treatment in Katy and Houston, Texas

At Village Dermatology, we offer customized acne treatment plans that may include:

• Prescription medications

• Chemical peels

• Medical-grade skincare

• Laser treatments

• Acne scar treatments

Our goal is to help patients achieve clearer, healthier skin through personalized dermatologic care.

If you're struggling with acne, acne scarring, or post-inflammatory hyperpigmentation, schedule a consultation with Village Dermatology and learn what treatment options may be right for you.

"Why Does My Scalp Rash Keep Coming Back Even After Treatment?"

by: Dr. Caroline Vaughn

A Real Patient Case of Allergic Contact Dermatitis and Seborrheic Dermatitis in Katy, Texas

At Village Dermatology, one of the most common questions we hear from patients in Katy and Houston is:

"Why does my scalp rash keep coming back even after treatment?"

Scalp itching, redness, flaking, and recurring rashes can be frustrating and often have more than one underlying cause. A recent patient case demonstrates how identifying triggers and following a targeted treatment plan can dramatically improve symptoms.

Patient Presentation

A 62-year-old woman returned to Village Dermatology for follow-up evaluation of two chronic skin conditions:

• Seborrheic dermatitis affecting the scalp

• Allergic contact dermatitis involving the scalp, forehead, ears, and neck

At her previous visit, she had been experiencing significant scalp irritation, itching, redness, and rash-like patches extending beyond the scalp onto surrounding skin.

Initial Treatment Plan

To address inflammation and scaling, the patient was prescribed:

For Seborrheic Dermatitis

• Ketoconazole 2% shampoo

• Clobetasol 0.05% scalp solution

For Allergic Contact Dermatitis

• Prednisone taper

• Tacrolimus 0.1% ointment

She was also instructed to avoid potential irritants and carefully monitor any products coming into contact with her scalp and skin.

Significant Improvement at Follow-Up

At her follow-up appointment, the patient reported substantial improvement.

Most of the rash had resolved, and she was largely clear except for a few residual bumps on the scalp.

The most important discovery during the visit was identifying a likely trigger.

The patient noticed that flare-ups seemed to occur after using a volumizing hair product recommended by her salon.

After discontinuing the product, her symptoms improved significantly.

This finding strongly suggested that the product may have been contributing to her allergic contact dermatitis.

What Is Allergic Contact Dermatitis?

Allergic contact dermatitis occurs when the immune system reacts to a substance that comes into contact with the skin.

Common triggers include:

• Hair care products

• Fragrances

• Preservatives

• Cosmetics

• Sunscreens

• Metals

• Nail products

• Essential oils

Symptoms may include:

• Redness

• Itching

• Burning

• Scaling

• Swelling

• Eczema-like patches

In this patient, well-defined eczematous patches affected multiple areas around the scalp and neck, making a product-related allergy highly suspicious.

Why Hair Products Are Common Culprits

Many patients are surprised to learn that shampoos, conditioners, hairsprays, volumizers, and styling products can trigger allergic reactions.

Ingredients commonly associated with reactions include:

• Fragrances

• Preservatives

• Formaldehyde-releasing agents

• Propylene glycol

• Botanical extracts

• Hair dye chemicals

When symptoms repeatedly occur after using a specific product, avoiding the suspected trigger is often one of the most effective treatments.

What Is Seborrheic Dermatitis?

Seborrheic dermatitis is a chronic inflammatory condition that commonly affects:

• Scalp

• Eyebrows

• Ears

• Nasolabial folds

• Beard area

Symptoms often include:

• Flaking

• Dandruff

• Itching

• Redness

• Scalp irritation

Unlike allergic contact dermatitis, seborrheic dermatitis is not caused by an allergy. Instead, it is believed to result from a combination of:

• Skin oil production

• Yeast overgrowth

• Genetic predisposition

• Immune responses

• Stress

Managing Seborrheic Dermatitis Long-Term

Because seborrheic dermatitis is chronic, patients should expect periods of improvement and occasional flare-ups.

Treatment commonly includes:

• Ketoconazole shampoo

• Selenium sulfide shampoos

• Zinc pyrithione shampoos

• Topical corticosteroids

• Anti-inflammatory medications

For this patient, continued use of ketoconazole shampoo and intermittent clobetasol solution helped maintain control of symptoms.

When Should Patch Testing Be Considered?

Patch testing may be recommended when:

• Rashes repeatedly return

• The trigger remains unclear

• Multiple products are suspected

• Standard treatments provide only temporary relief

Patch testing helps identify specific allergens responsible for skin reactions and can be extremely valuable for patients with recurrent dermatitis.

Protecting Aging Skin During Treatment

During the visit, the patient also discussed concerns regarding sun damage and facial aging.

Signs of photoaging included:

• Sun spots

• Pigmentation changes

• Loss of skin elasticity

To address these concerns, tretinoin cream was prescribed along with recommendations for daily broad-spectrum sunscreen use.

Consistent sun protection remains one of the most effective strategies for preventing premature skin aging in Texas.

Key Takeaways From This Case

This patient's improvement highlights several important lessons:

• Chronic scalp rashes often have multiple contributing factors.

• Hair care products can trigger allergic contact dermatitis.

• Seborrheic dermatitis requires long-term management.

• Identifying triggers is essential for preventing recurrence.

• Patch testing can be valuable when symptoms persist.

• Daily sun protection helps improve overall skin health.

Expert Treatment for Scalp Conditions in Katy and Houston

If you are experiencing persistent scalp itching, flaking, redness, or recurrent rashes, the dermatology specialists at Village Dermatology can help determine the underlying cause and develop a personalized treatment plan.

Whether your symptoms are caused by seborrheic dermatitis, allergic contact dermatitis, or another skin condition, early diagnosis can help prevent ongoing discomfort and improve your quality of life.

Village Dermatology proudly serves patients throughout Katy, Houston, and surrounding Texas communities with comprehensive medical, surgical, and cosmetic dermatology services.

"Doctor, Should I Be Worried About This Mole on My Arm?"

by: Dr. Ashley Baldree

A Full Body Skin Exam Reveals Common Benign Skin Growths in a Young Texas Patient

At Village Dermatology, one of the most common questions we hear from patients in Katy and Houston is:

"Doctor, should I be worried about this mole on my arm?"

A recent patient visit highlights why routine skin examinations are an important part of maintaining healthy skin and why many seemingly concerning lesions turn out to be completely benign.

Patient Case Overview

A 31-year-old woman presented to Village Dermatology for her annual full body skin examination. She had several skin lesions she wanted evaluated, including spots on her left upper arm and left lower leg.

Although the lesions were not causing pain, itching, or bleeding, she wanted reassurance that they were not dangerous and sought a comprehensive skin cancer screening.

Comprehensive Skin Examination

A thorough full body skin examination was performed, including evaluation of:

• Scalp and hair

• Face and neck

• Chest and abdomen

• Back

• Arms and legs

• Hands and feet

• Nails

• Other skin surfaces

A dermatoscope was utilized to closely examine pigmented lesions and identify features that may indicate skin cancer or other concerning changes.

Findings: Benign Nevi (Moles)

The primary lesion of concern on the left upper arm measured approximately 6.5 mm and demonstrated reassuring features:

• Symmetrical appearance

• Regular borders

• Even pigmentation

• Stable clinical appearance

The lesion was diagnosed as a benign nevus (common mole).

Benign nevi are collections of pigment-producing cells called melanocytes. Most adults develop multiple moles throughout their lifetime, and the vast majority are harmless.

Additional Benign Findings

During the examination, several other common benign skin conditions were identified.

Seborrheic Keratoses

A waxy, pigmented growth on the trunk was diagnosed as a seborrheic keratosis.

These growths are:

• Extremely common

• Non-cancerous

• Often hereditary

• More common with age

Many patients mistake seborrheic keratoses for skin cancer because they can appear dark, raised, and irregular.

Lentigines (Sun Spots)

The patient also demonstrated lentigines, commonly called:

• Age spots

• Sun spots

• Liver spots

These develop due to cumulative ultraviolet (UV) exposure and are especially common in sunny climates like Katy and Houston.

While benign, they serve as a reminder that the skin has experienced sun damage over time.

Cherry Angiomas

Multiple cherry angiomas were noted during the examination.

These bright red vascular growths are:

• Benign

• Extremely common

• Typically increase with age

• Not associated with skin cancer

Dermatofibroma

A dermatofibroma was identified on the left upper back.

Dermatofibromas are firm, scar-like nodules that often develop following minor trauma such as:

• Insect bites

• Ingrown hairs

• Small cuts or scratches

These lesions are benign and usually require no treatment unless they become symptomatic.

Changes in Skin Texture

The patient also had an area of altered skin texture on the forehead. While no definitive diagnosis was established during the visit, conservative management with moisturization and topical tretinoin therapy was initiated.

Close monitoring was recommended to ensure no progression occurs.

Why Annual Skin Exams Matter

Many patients assume they only need a skin examination if they have a suspicious lesion. However, routine skin checks provide several important benefits:

• Early detection of melanoma

• Identification of precancerous lesions

• Monitoring of changing moles

• Education regarding sun protection

• Peace of mind regarding benign growths

Even younger adults can develop skin cancer, making periodic skin examinations an important preventive healthcare measure.

How to Monitor Moles at Home

Patients are encouraged to perform monthly self-skin examinations using the ABCDE rule:

A – Asymmetry
One half differs from the other.

B – Border
Edges are irregular or poorly defined.

C – Color
Multiple colors or uneven pigmentation.

D – Diameter
Larger than 6 mm or increasing in size.

E – Evolving
Any change in appearance, symptoms, or behavior.

If a mole changes in size, shape, color, begins itching, bleeding, or becomes painful, evaluation by a board-certified dermatologist is recommended.

Protecting Your Skin in Texas

Residents of Katy and Houston experience significant UV exposure throughout the year. Consistent sun protection remains one of the most effective ways to prevent skin cancer and premature aging.

Recommended sun safety measures include:

• Daily broad-spectrum SPF 30 or higher sunscreen

• Reapplication every two hours outdoors

• Sun-protective clothing

• Wide-brimmed hats

• UV-blocking sunglasses

• Seeking shade during peak sunlight hours

Expert Skin Cancer Screening in Katy and Houston

At Village Dermatology, we provide comprehensive skin cancer screenings, mole evaluations, and personalized dermatologic care for patients throughout Katy, Houston, and surrounding communities.

If you have a mole or skin lesion that concerns you, scheduling a professional skin examination can provide reassurance and help identify potential problems early.

Our goal is to help every patient maintain healthy skin through prevention, education, and expert dermatologic care.

Treating Stubborn Plantar Warts in Children: A Follow-Up Success Story

by: Dr. Ashley Baldree

Pediatric Wart Treatment in Katy and Houston, Texas

Plantar warts are a common skin condition in children and can often be frustrating for both patients and parents. These warts develop on the feet and are caused by infection with the human papillomavirus (HPV). While many warts eventually resolve on their own, treatment is often recommended when they become persistent, uncomfortable, or continue to spread.

At Village Dermatology, we recently followed a young patient who returned for ongoing treatment of a plantar wart located on the arch of her foot.

Patient Presentation

A 7-year-old female returned for follow-up evaluation of a verruca vulgaris (common wart) located on the right arch of her foot.

At her previous visit, treatment included:

• Careful paring of the wart with a surgical blade

• Liquid nitrogen cryotherapy (LN2)

• Instructions to begin over-the-counter salicylic acid wart bandages at home

The patient and her mother returned for reevaluation to assess treatment progress.

Why Plantar Warts Can Be Difficult to Treat

Plantar warts develop on weight-bearing areas of the foot, making them particularly stubborn.

Factors that contribute to persistent plantar warts include:

• Pressure from walking and standing

• Thick skin on the soles of the feet

• Deep extension of wart tissue

• Ongoing viral activity within the skin

Because of these factors, multiple treatment sessions are often necessary to achieve complete clearance.

Follow-Up Examination

During the visit, a comprehensive examination of the patient's right foot was performed.

Although the wart had been previously treated, examination revealed that the lesion remained present on the right arch.

The patient and her mother discussed available treatment options, including:

Repeat Cryotherapy (Liquid Nitrogen)

Cryotherapy freezes the wart tissue and stimulates the body's immune system to help eliminate the viral infection.

Cantharidin Therapy

Cantharidin is a blistering agent frequently used in pediatric dermatology to treat warts.

After reviewing both options, the patient and her mother elected to proceed with another round of liquid nitrogen treatment.

Cryotherapy Treatment

The wart was treated with liquid nitrogen during the visit.

Cryotherapy remains one of the most commonly used wart treatments because it:

• Is performed quickly in the office

• Does not require surgery

• Can be highly effective with repeated treatments

• Helps stimulate an immune response against the wart virus

Patients and parents are counseled regarding possible temporary side effects including:

• Blistering

• Crusting

• Scabbing

• Temporary skin discoloration

• Mild discomfort

These reactions are expected and often indicate that the treatment is working.

Home Wart Treatment Remains Important

Successful wart treatment often requires a combination of office-based therapy and at-home care.

Salicylic acid remains one of the most effective over-the-counter wart treatments and works by gradually removing infected skin cells.

Parents are encouraged to follow treatment instructions carefully and continue home therapy as recommended by their dermatologist.

Understanding Verruca Vulgaris

Verruca vulgaris, or common warts, are caused by HPV infection of the skin.

These lesions often appear as:

• Rough or cauliflower-like bumps

• Thickened areas of skin

• Small flesh-colored or tan growths

• Lesions that interrupt normal skin lines

Warts are contagious and may spread through direct contact or contact with contaminated surfaces.

Preventing Wart Spread

To help reduce transmission and recurrence, patients should:

• Avoid picking at warts

• Wear footwear in public locker rooms and pools

• Avoid sharing shoes or socks

• Keep affected areas clean and covered when appropriate

• Follow all treatment recommendations

Early treatment can often prevent warts from becoming larger or spreading to additional locations.

Expert Pediatric Wart Treatment in Katy and Houston

At Village Dermatology, we provide comprehensive wart treatment for children and adults throughout Katy, Houston, and surrounding Texas communities. Treatment options include cryotherapy, salicylic acid therapy, cantharidin, and other advanced wart management techniques tailored to each patient.

If your child has a persistent wart that is not improving, schedule an appointment with our dermatology team for expert evaluation and treatment.

Enlarging Scalp Lesions: When Should You Have a Mole Checked?

by: Dr. Caroline Vaughn

Scalp Mole Evaluation in Katy and Houston, Texas

Many people discover bumps or moles on their scalp while brushing their hair, visiting a hairstylist, or experiencing changes in existing skin lesions. Because the scalp is difficult to examine regularly, changes may go unnoticed for months or even years.

At Village Dermatology, we recently evaluated a young woman concerned about several enlarging lesions on her scalp that had been present for approximately two years.

Patient Presentation

A 25-year-old female presented as a new patient for evaluation of multiple scalp lesions. She reported:

• Lesions located on the scalp

• Gradual enlargement over time

• No pain or itching

• Presence for approximately two years

• Concern regarding whether the growths were dangerous

Because changes in skin lesions can occasionally signal skin cancer or atypical moles, a comprehensive dermatologic evaluation was performed.

Comprehensive Scalp Examination

A detailed scalp examination was completed, including hair inspection and dermoscopic evaluation.

Dermoscopy is a specialized diagnostic technique that allows dermatologists to closely examine skin lesions using magnification and polarized light. This tool helps distinguish benign lesions from growths that may require further investigation.

Upon examination, the lesions demonstrated reassuring features including:

• Symmetrical appearance

• Uniform coloration

• Regular borders

• Stable pigmentation patterns

These findings were most consistent with benign melanocytic nevi, commonly known as moles.

Understanding Benign Scalp Moles

Benign nevi are collections of pigment-producing cells within the skin. They are extremely common and can occur anywhere on the body, including the scalp.

Many scalp moles remain stable throughout life and require no treatment.

Typical characteristics of benign moles include:

• Symmetry

• Even color distribution

• Smooth borders

• Stable appearance over time

Although most scalp moles are harmless, periodic monitoring remains important because changes can occur over time.

Why Scalp Moles Deserve Special Attention

The scalp is one of the most difficult areas for patients to monitor.

Hair often conceals lesions, making it challenging to identify changes in:

• Size

• Shape

• Color

• Surface texture

Because scalp melanomas can sometimes be diagnosed later than lesions found on other parts of the body, routine skin examinations are particularly valuable.

Patients should seek dermatologic evaluation if a scalp lesion:

• Rapidly enlarges

• Changes color

• Becomes irregular

• Bleeds

• Itches persistently

• Develops ulceration

Courtesy Extraction of a Milia Cyst

During the same visit, a small milia cyst was identified on the right central frontal scalp.

Milia are tiny superficial cysts that contain keratin, a naturally occurring skin protein. These small white or flesh-colored bumps are completely benign and frequently occur on the face and scalp.

The patient elected to undergo a courtesy extraction during the visit.

What Causes Milia?

Milia form when keratin becomes trapped beneath the skin surface.

Common causes include:

• Natural skin cell turnover

• Skin trauma

• Sun damage

• Occlusive skincare products

• Spontaneous development without a clear cause

Because milia are harmless, treatment is usually performed only for cosmetic reasons.

How to Monitor Moles at Home

Patients with moles should perform monthly self-skin examinations whenever possible.

The ABCDE warning signs can help identify concerning changes:

A – Asymmetry

One half differs from the other.

B – Border

Edges become irregular or poorly defined.

C – Color

Multiple colors develop within the lesion.

D – Diameter

Growth larger than approximately 6 mm.

E – Evolving

Any change in appearance over time.

If any of these changes occur, prompt dermatologic evaluation is recommended.

Expert Skin Cancer Screening and Mole Evaluation in Katy and Houston

At Village Dermatology, we provide comprehensive skin cancer screenings, mole evaluations, scalp examinations, and dermatologic surgery services for patients throughout Katy, Houston, and surrounding Texas communities.

If you notice a changing mole, enlarging scalp lesion, or any growth that concerns you, our dermatology team can provide an expert diagnosis and personalized treatment recommendations.

Teen Acne Success Story: Month 5 of Accutane Treatment Shows Excellent Progress

by: Dr. Ashley Baldree

Advanced Acne Treatment in Katy and Houston, Texas

Acne can be one of the most frustrating skin conditions for teenagers, especially when breakouts affect both the face and trunk. While many patients improve with topical medications and oral antibiotics, some cases require a more aggressive treatment approach to prevent scarring and achieve long-term clearance.

At Village Dermatology, we recently followed a 16-year-old patient undergoing isotretinoin (Accutane) therapy who demonstrated excellent progress during his fifth month of treatment.

Patient Background

The patient initially presented with inflammatory and comedonal acne involving the face and trunk. His acne included:

• Inflammatory papules

• Pustules

• Comedonal lesions (clogged pores)

• Persistent breakouts despite previous treatment attempts

Due to the severity and extent of his acne, isotretinoin therapy was initiated to target the underlying causes of acne and reduce the risk of permanent scarring.

Month 5 Follow-Up: Significant Improvement

During his recent follow-up appointment, the patient reported excellent tolerance of treatment.

Most importantly, he experienced:

• No new acne breakouts during the previous month

• Continued improvement of existing lesions

• No significant treatment-related complications

Aside from manageable skin dryness, he reported no major side effects.

This type of response is encouraging and commonly seen as patients progress through later stages of isotretinoin therapy.

Isotretinoin Dosage Adjustment

Because the patient tolerated treatment well and continued to show improvement, his isotretinoin dosage was increased to 100 mg daily.

Dosage adjustments are often made throughout treatment based on:

• Patient weight

• Clinical response

• Side effect profile

• Cumulative target dose

The goal is to reach a cumulative treatment dose of approximately 200–220 mg/kg, which has been associated with lower relapse rates and long-term acne clearance.

Monitoring Safety During Accutane Therapy

One of the reasons isotretinoin remains such an effective treatment is that patients are closely monitored throughout therapy.

At this visit, the patient denied experiencing common isotretinoin side effects, including:

• Depression or mood changes

• Dry or cracked lips (cheilitis)

• Severe skin dryness

• Nosebleeds

• Headaches

• Muscle aches

• Elevated cholesterol

• Elevated triglycerides

• Retinoid dermatitis

Because the dosage was increased, laboratory testing was scheduled for the following month to continue monitoring treatment safety.

Why Monthly Monitoring Matters

Isotretinoin is considered a high-risk medication that requires regular follow-up appointments and laboratory monitoring.

Patients receiving Accutane should:

• Complete monthly evaluations

• Undergo recommended blood testing

• Avoid donating blood

• Never share medication

• Report any concerning symptoms immediately

• Inform their dermatologist of any side effects

These precautions help ensure that treatment remains both safe and effective.

Skin Care During Accutane Treatment

Proper skincare is essential while taking isotretinoin.

Patients are encouraged to use:

Gentle Cleansers

Harsh scrubs and drying products should be avoided.

Non-Comedogenic Moisturizers

Regular moisturization helps minimize dryness and irritation.

Broad-Spectrum Sunscreen SPF 30+

Isotretinoin increases sun sensitivity, making daily sun protection extremely important.

Consistent skincare can significantly improve comfort throughout treatment.

What Results Can Patients Expect?

Many patients begin noticing substantial improvement after several months of therapy.

Isotretinoin works by addressing all major contributors to acne:

• Excess oil production

• Clogged pores

• Inflammation

• Acne-causing bacteria

For many patients, completing a full treatment course results in long-term remission and dramatically clearer skin.

Expert Teen Acne Treatment in Katy and Houston

At Village Dermatology, we specialize in personalized acne treatment plans for adolescents and adults throughout Katy, Houston, and surrounding communities.

Whether you are dealing with persistent acne, cystic acne, acne scarring, or treatment-resistant breakouts, our experienced dermatology team can help determine the most effective treatment strategy for your skin.

If you or your teenager are struggling with severe acne, schedule a consultation with Village Dermatology to learn whether isotretinoin may be an appropriate treatment option.

Wart on the Lip or Cold Sore? A Dermatologist Explains the Difference

by: Dr. Ashley Baldree

Evaluating a Persistent Lip Lesion in Katy and Houston, Texas

A new patient recently visited Village Dermatology concerned about a growth on her lower lip that had been present for approximately three months. The lesion first appeared shortly after a cold sore outbreak and had not resolved on its own.

Because growths on the lips can represent a variety of conditions—including warts, viral infections, benign growths, and, in rare cases, skin cancer—an accurate diagnosis by a board-certified dermatologist is important.

Patient Presentation

The patient was a 47-year-old woman who presented for evaluation of an asymptomatic lesion located on the right lower lip. She reported:

• The lesion had been present for several months.

• It developed after a cold sore outbreak.

• The spot was not painful or itchy.

• No prior treatment had been attempted.

• No family history of melanoma.

A comprehensive skin examination of the face and lips was performed, including dermoscopic evaluation to closely examine the lesion's structure.

Examination Findings

Upon examination, a pink cauliflower-like papule was identified along the right inferior vermilion border of the lip.

The appearance was most consistent with verruca vulgaris, commonly known as a wart.

Warts are caused by infection with the human papillomavirus (HPV) and can occasionally develop on or around the lips. These lesions may appear rough, raised, or cauliflower-like and can persist for months if left untreated.

Because the lesion developed following a cold sore outbreak, it was understandable that the patient initially questioned whether the spot was related to herpes simplex virus. However, the clinical appearance suggested a wart rather than an active cold sore.

Treatment with Liquid Nitrogen Cryotherapy

After discussing treatment options, the patient elected to proceed with cryotherapy.

The lesion was carefully pared using a sterile blade before treatment. Liquid nitrogen was then applied using two freeze-thaw cycles to destroy the abnormal tissue.

Cryotherapy remains one of the most effective treatments for many common warts and offers several benefits:

• Quick in-office procedure

• Minimal downtime

• No surgical incision required

• High success rates for many wart types

Patients are counseled that temporary crusting, blistering, redness, or pigment changes can occur following treatment.

When Should a Lip Lesion Be Biopsied?

While many lip lesions are benign, persistent growths should never be ignored.

At Village Dermatology, we may recommend a biopsy when a lesion:

• Does not respond to treatment

• Continues to enlarge

• Develops ulceration

• Bleeds spontaneously

• Has atypical clinical features

In this patient's case, a biopsy was discussed as a future option if the lesion fails to resolve after cryotherapy.

Managing Recurrent Cold Sores

During the visit, the patient also reported a history of recurrent cold sores.

Cold sores are caused by the herpes simplex virus (HSV-1) and commonly appear as painful clusters of blisters around the lips. While outbreaks often resolve on their own, many patients experience recurrent episodes triggered by:

• Stress

• Illness

• Sun exposure

• Trauma to the lips

• Hormonal changes

For outbreak management, antiviral therapy was prescribed.

Preventing Future Herpes Simplex Outbreaks

Patients with recurrent cold sores can often reduce the severity and duration of outbreaks through early treatment and preventive measures.

Helpful strategies include:

• Daily use of broad-spectrum SPF 30+ sunscreen

• Avoiding excessive sun exposure

• Managing stress levels

• Beginning antiviral medication at the first sign of symptoms

Early intervention frequently shortens outbreaks and improves patient comfort.

Why Dermatology Evaluation Matters

Many patients assume any bump on the lip is a cold sore. However, dermatologists routinely diagnose a wide variety of lip lesions including:

• Viral warts

• Herpes simplex infections

• Actinic cheilitis

• Mucoceles

• Benign growths

• Precancerous lesions

• Skin cancers

Obtaining an accurate diagnosis is essential for selecting the appropriate treatment and ensuring the best possible outcome.

Expert Wart and Cold Sore Treatment in Katy and Houston

At Village Dermatology, we diagnose and treat lip lesions, warts, cold sores, and skin cancers for patients throughout Katy, Houston, and surrounding communities.

If you have a persistent bump, wart, sore, or growth on your lip that does not heal, schedule an appointment with our dermatology team for a professional evaluation and personalized treatment plan.

Acne Treatment Success with Isotretinoin (Accutane): Managing Side Effects While Achieving Clearer Skin

by: Dr. Caroline Vaughn

Acne Treatment in Katy and Houston, Texas

Acne is one of the most common skin conditions treated at Village Dermatology. While many patients respond well to topical medications and oral antibiotics, some individuals require more advanced treatment to achieve lasting results. Isotretinoin, commonly known by its former brand name Accutane, remains one of the most effective treatments for moderate to severe acne.

Recently, we followed a 37-year-old male patient from the Katy and Houston area who was undergoing isotretinoin therapy for persistent facial acne.

The Patient's Acne Journey

The patient presented with moderate inflammatory and comedonal acne affecting both cheeks. His acne consisted of inflammatory papules, pustules, and clogged pores that had persisted for several months despite previous treatment attempts.

After a thorough evaluation, isotretinoin therapy was initiated to address the underlying causes of acne and reduce the risk of permanent scarring.

One-Month Follow-Up on Isotretinoin

At his one-month follow-up appointment, the patient reported that he was tolerating isotretinoin well overall. As expected, he experienced some common side effects including:

• Dry lips (cheilitis)

• Mild scalp hair shedding

• Increased dryness of the skin

Fortunately, these side effects were manageable and did not interfere significantly with daily activities.

The patient had already been taking finasteride for androgenetic alopecia (male pattern hair loss). During the visit, we discussed that temporary increased hair shedding can occasionally occur while taking isotretinoin. In most cases, this side effect improves after treatment is completed.

Because the patient continued to experience a few new acne breakouts during the first month of therapy, his isotretinoin dosage was increased from 40 mg daily to 80 mg daily to help achieve optimal results.

Understanding Isotretinoin Side Effects

Many patients considering Accutane treatment are concerned about side effects. While isotretinoin is highly effective, close monitoring is essential.

Common side effects may include:

• Dry lips

• Dry skin

• Dry eyes

• Nosebleeds

• Temporary hair shedding

• Increased sun sensitivity

Patients receiving isotretinoin require regular follow-up appointments and laboratory monitoring throughout treatment.

At Village Dermatology, we carefully monitor all patients taking isotretinoin to ensure treatment remains both safe and effective.

Managing Cheilitis (Dry Lips) During Accutane Treatment

One of the most common side effects of isotretinoin is cheilitis, or inflammation and dryness of the lips.

To minimize discomfort, we recommend:

• Frequent application of Vaseline® or Aquaphor®

• Applying lip moisturizer before bedtime

• Staying well hydrated

• Avoiding lip licking, which can worsen irritation

Most patients find that consistent moisturization keeps symptoms manageable throughout treatment.

Important Safety Precautions for Accutane Patients

Patients taking isotretinoin should always follow safety guidelines, including:

• Never sharing medication with others

• Avoiding blood donation during treatment

• Completing required monthly monitoring

• Reporting any significant side effects immediately

• Using sunscreen daily with SPF 30 or higher

• Avoiding elective cosmetic procedures until advised by their dermatologist

Patient education is a critical part of successful isotretinoin therapy.

What Results Can Patients Expect?

Most patients begin seeing significant improvement after several months of treatment. While some breakouts may continue during the early stages, isotretinoin works by targeting all major causes of acne:

• Excess oil production

• Clogged pores

• Inflammation

• Acne-causing bacteria

Many patients experience long-term remission after completing a full cumulative treatment course.

Expert Acne Care in Katy and Houston

At Village Dermatology, we provide comprehensive acne treatment options for teenagers and adults throughout Katy, Houston, and surrounding communities. Whether you are struggling with persistent breakouts, acne scarring, or treatment-resistant acne, our team can develop a personalized treatment plan designed to help you achieve clearer skin.

If you are interested in learning whether isotretinoin (Accutane) may be right for you, schedule a consultation with Village Dermatology today.

“Are These Dark Spots and Growths on My Skin Something to Worry About?”

By: Dr. Caroline Vaughn

A Real Patient Case from Village Dermatology in Katy & Houston, Texas

As we age, it’s very common to notice new spots, bumps, and growths on the skin. Many patients worry these could be dangerous, but most are actually benign (non-cancerous) and part of normal skin aging.

This case highlights a 78-year-old male who presented for a routine upper body skin exam and was found to have several common, harmless skin growths.

Patient Case Overview

The patient came in for a full upper body skin check, with:

• Asymptomatic lesions on the chest and neck

• No pain, itching, or bleeding

On examination, several benign findings were identified:

• Seborrheic keratoses (waxy, stuck-on growths)

• Cherry angiomas (small red vascular spots)

• Skin tags (acrochordons)

• Lentigines (sun spots)

Common Benign Skin Growths Explained

Seborrheic Keratoses

• Waxy, “stuck-on” appearing lesions

• Range from light tan to dark brown

• Very common with aging

These are completely harmless and do not require treatment unless for cosmetic reasons.

Cherry Angiomas

• Small, bright red or purple bumps

• Caused by clusters of blood vessels

• Increase in number over time

Also benign and do not require removal unless desired.

Skin Tags (Acrochordons)

• Soft, flesh-colored growths

• Common around the neck, armpits, and skin folds

• Can become irritated from friction

In this case, multiple skin tags were safely removed with liquid nitrogen.

Lentigines (Sun Spots)

• Flat, brown spots on sun-exposed areas

• Caused by cumulative sun exposure over time

• While harmless, they are a sign of sun damage, making sun protection essential.

Cosmetic Treatments Performed

Although these lesions are benign, some were treated for cosmetic reasons:

• Liquid nitrogen (cryotherapy) used to remove:

  • 1 seborrheic keratosis

  • 10 skin tags

Patients were counseled on expected effects such as:

• Temporary crusting or scabbing

• Possible pigment changes

• Low risk of scarring

The Importance of Sun Protection

Given the presence of sun-related skin changes, the patient was advised to:

• Use broad-spectrum sunscreen SPF 30+ daily

• Reapply every 2 hours when outdoors

• Wear sun-protective clothing

• Use SPF lip balm

Sunscreen helps prevent:

• New sun spots

• Skin aging

• Skin cancer risk

When Should You See a Dermatologist?

Even though many skin growths are benign, it’s important to seek evaluation if you notice:

• Rapid changes in size, shape, or color

• Bleeding or non-healing lesions

• New or unusual growths

Routine skin exams are especially important as we age.

Skin Cancer Screening & Dermatology Care in Katy & Houston, TX

Village Dermatology provides comprehensive skin exams and cosmetic treatments for patients across Katy and Houston, Texas, helping identify:

• Benign vs. concerning lesions

• Early signs of skin cancer

• Age-related skin changes

Our goal is to keep your skin healthy, protected, and monitored over time.

“Why Does My Child Keep Getting These Itchy Bumps on Her Legs?”

By: Dr. Ashley Bladree

A Real Patient Case from Village Dermatology in Katy & Houston, Texas

Skin conditions in children can be stressful for parents—especially when bumps appear, spread, and don’t go away on their own. One of the most common causes of this in young children is molluscum contagiosum, a highly treatable viral skin condition.

This case highlights a 4-year-old female with persistent, itchy bumps on the back of her legs that required in-office treatment.

Patient Case Overview

The patient presented with:

• Multiple itchy, irritated bumps on the back of both thighs

• Symptoms present for several weeks

• Increasing concern due to persistence and irritation

On exam:

• Pink, shiny bumps with a central indentation (umbilication)

• Classic appearance of molluscum contagiosum

• Associated surrounding irritation (molluscum dermatitis)

What Is Molluscum Contagiosum?

Molluscum contagiosum is a common viral skin infection in children.

Key features:

• Small, round, pink or flesh-colored bumps

• Often have a central “dell” or indentation

• Can be itchy or irritated

How it spreads:

• Direct skin-to-skin contact

• Shared items (towels, clothing)

• Water exposure (pools, baths)

It is benign and very common, especially in children.

Why Do the Bumps Keep Spreading?

Many parents notice that the bumps increase over time.

This happens because:

• The virus spreads easily through touch and scratching

• Children may unknowingly autoinoculate (spread to other areas)

• The immune system takes time to clear the virus

What Is Molluscum Dermatitis?

In this case, the patient also developed molluscum dermatitis, which is:

• Red, irritated skin surrounding the bumps

• Caused by the body’s immune response to the virus

This can make the condition appear worse—but it often signals that the body is starting to fight the infection.

Treatment Performed

Cantharidin (Blistering Therapy)

• Applied to 8 lesions in the office

• Causes controlled blistering to remove the bumps

• Safe and commonly used in pediatric dermatology

Important Aftercare:

• Wash off medication after 4 hours

• Mild blistering or scabbing is expected

• Avoid scratching to prevent spread

Supporting Treatment for Dermatitis

• Triamcinolone cream for inflamed, itchy areas

• Regular use of moisturizers (emollients) 2–3 times daily

When Should You Follow Up?

You should return if:

• Bumps continue to spread rapidly

• Lesions do not improve

• Signs of infection appear (yellow crusting, pain)

This patient was scheduled for a 4-week follow-up to monitor progress.

Pediatric Dermatology Care in Katy & Houston, TX

Village Dermatology provides gentle, effective care for children with skin conditions like molluscum contagiosum across Katy and Houston, Texas. Our team focuses on:

• Child-friendly treatment approaches

• Minimizing discomfort and anxiety

• Fast, effective clearance of lesions

“Why Do I Still Have Dark Spots and Itchy Skin After My Rash Went Away?”

By: Dr. Ashley Baldree

A Real Patient Case from Village Dermatology in Katy & Houston, Texas

Many patients are surprised when a rash improves—but leaves behind dark patches or persistent itching. At Village Dermatology, we often see cases where the initial rash resolves, but secondary skin conditions like post-inflammatory hyperpigmentation (PIH) or macular amyloidosis remain.

This case highlights a 35-year-old male who developed lingering discoloration and itching after a rash triggered by insect bites.

Patient Case Overview

The patient presented with:

• Red, itchy rash on the legs and trunk for 1 month

• Partial improvement with topical steroids

• Persistent dark patches and skin texture changes after the rash improved

On examination:

• Hyperpigmented patches on the trunk

• Mottled, rippled pigmentation on the upper back

• Improvement of active rash, but residual skin changes

What Is Post-Inflammatory Hyperpigmentation (PIH)?

PIH is a common condition where the skin becomes darker after inflammation or injury.

Causes include:

• Rashes

• Insect bites

• Scratching or irritation

• Skin conditions like eczema or dermatitis

Key facts:

• Discoloration can last months to years

• More noticeable in patients with darker skin tones

• Sun exposure can make it worse

In this case, PIH developed after the patient’s rash resolved.

What Is Macular Amyloidosis?

Macular amyloidosis is a lesser-known skin condition involving protein (amyloid) deposits in the skin.

Characteristics:

• Brown, rippled or “reticulated” patches

• Often located on the upper back

• Associated with chronic friction or scratching

The patient’s history of itching and scratching likely contributed to this condition.

Why Is My Skin Still Itchy or Discolored?

Even after a rash improves:

• The skin may remain inflamed beneath the surface

• Scratching perpetuates the itch-scratch cycle

• Pigment changes occur as part of the healing process

Breaking this cycle is key to recovery.

Treatment Plan and Recommendations

For Hyperpigmentation (PIH)

• Sun protection (SPF 30+) daily

• Minimize sun exposure

• Consider laser therapy if persistent

For Macular Amyloidosis

• Start AmLactin lotion to improve skin texture

• Reduce friction and avoid scratching

• Continue topical treatments as needed

For Residual Rash on Legs

• Clobetasol cream twice daily for up to 2 weeks

• Then use only as needed for flares

General Skin Care

• Use gentle moisturizers (emollients)

• Maintain hydration of the skin barrier

The Importance of Breaking the Itch-Scratch Cycle

This is one of the most important parts of treatment.

Scratching leads to:

• More inflammation

• Worsening pigmentation

• Thickened or damaged skin

Stopping this cycle significantly improves outcomes.

When Should You Follow Up?

You should return if:

• Pigmentation worsens or spreads

• Itching persists despite treatment

• New lesions develop

In this case, follow-up was scheduled in 4–6 weeks to monitor improvement.

Expert Skin Care in Katy & Houston, TX

Village Dermatology helps patients across Katy and Houston, Texas manage complex skin conditions like:

• Post-inflammatory hyperpigmentation

• Chronic itching disorders

• Macular amyloidosis

• Persistent rashes

Our approach focuses on accurate diagnosis, symptom control, and long-term skin health.

“Why Do I Still Get Rosacea Breakouts and Dark Spots Even When I’m Using My Cream?”

By: Dr. Caroline Vaughn

A Real Patient Case from Village Dermatology in Katy & Houston, Texas

Rosacea is one of the most common—and frustrating—chronic skin conditions we treat. Many patients feel discouraged when they are already using prescription creams but still experience flare-ups and lingering dark spots.

This case highlights a 40-year-old female dealing with persistent rosacea flares and post-inflammatory hyperpigmentation (PIH) despite appropriate topical therapy.

Patient Case Overview

The patient returned for follow-up after starting a triple rosacea cream (azelaic acid, metronidazole, and ivermectin).

She reported:

• Improvement overall with her prescription cream

• Continued intermittent inflammatory bumps

• Concern about dark spots (PIH) after flares

On exam:

• Mild inflammatory papules on the cheeks

• Classic malar distribution of rosacea

Understanding Rosacea

Rosacea is a chronic inflammatory skin condition that primarily affects the central face.

Common symptoms:

• Persistent redness

• Acne-like bumps

• Flushing and sensitivity

• Visible blood vessels

Rosacea tends to flare and calm repeatedly, rather than fully resolve.

Why Am I Still Breaking Out?

This is one of the most common patient questions.

Even with good topical therapy:

• Rosacea is chronic, not curable

• Topicals may not fully control deeper inflammation

• Triggers like heat, stress, alcohol, and spicy foods can still cause flares

In this case, the patient’s cream helped—but wasn’t enough to fully suppress inflammation.

What About the Dark Spots (PIH)?

Post-inflammatory hyperpigmentation (PIH) can occur after rosacea flares.

Important points:

• PIH develops after inflammation heals

• Treating PIH aggressively can irritate skin and worsen rosacea

• The best strategy is preventing flares first

That’s why we focused on better inflammation control before targeting pigmentation.

Updated Treatment Plan

To improve long-term control, we adjusted her regimen:

Oral Anti-Inflammatory Therapy

• Low-dose doxycycline (50 mg daily)

• Helps reduce inflammation without acting as a traditional antibiotic

Sulfur-Based Cleanser

• Sulfacetamide sodium-sulfur wash (1–2 times daily)

• Helps reduce bacteria and inflammation

• Particularly effective for rosacea-prone skin

Continue Triple Cream

• Azelaic acid

• Metronidazole

• Ivermectin

Essential Skin Care Tips for Rosacea

We reinforced gentle, consistent skincare:

• Use broad-spectrum sunscreen SPF 30+ daily

• Choose gentle cleansers and moisturizers

• Green-tinted moisturizers can help reduce visible redness

• Avoid harsh exfoliants or irritating products

Common Rosacea Triggers to Avoid

Patients should monitor and minimize:

• Sun exposure

• Heat and hot showers

• Alcohol

• Spicy foods

• Stress

When Should You Follow Up?

You should return if:

• Flares continue despite treatment

• Symptoms worsen

• You develop deeper nodules or cysts

In this case, follow-up was scheduled in 4–5 months to assess improvement.

Expert Rosacea Care in Katy & Houston, TX

Village Dermatology specializes in managing chronic rosacea and sensitive skin conditions, helping patients across Katy and Houston, Texas achieve clearer, calmer skin with:

• Customized combination therapies

• Medical and cosmetic treatment options

• Long-term skin health strategies

“Why Does My Hand Rash Keep Coming Back Even After Treatment?”

By: Dr. Caroline Vaughn

A Real Patient Case from Village Dermatology in Katy & Houston, Texas

Chronic hand rashes can be frustrating—especially when they seem to improve, only to flare up again weeks later. At Village Dermatology, we frequently evaluate patients with persistent hand dermatitis, which is often mistaken for other skin conditions like psoriasis.

This case highlights a 52-year-old male with a recurring rash on his fingers that required careful diagnosis and targeted treatment.

Patient Case Overview

The patient presented with:

• Itchy, moderate rash on the fingers

• Involvement of the right index and middle fingers and left index finger

• Symptoms recurring intermittently since 2020

Relevant History:

• Previously diagnosed with dyshidrotic eczema

• Later told it could be psoriasis, but treatment was inconsistent

• Rash resolved temporarily, then returned after about 6 weeks

• Recently prescribed clobetasol (high-potency topical steroid)

Final Diagnosis: Contact Dermatitis

After a detailed evaluation, the presentation was more consistent with contact dermatitis, rather than psoriasis.

Why psoriasis was less likely:

• Limited to only a few fingers

• No nail involvement

• No joint pain (rules against psoriatic arthritis)

• No widespread plaques elsewhere on the body

This pattern strongly suggests external irritation or allergic exposure as the root cause.

What Is Contact Dermatitis?

Contact dermatitis is a skin reaction caused by exposure to irritants or allergens.

Common triggers include:

• Soaps and cleansers

• Fragrances and skincare products

• Metals (nickel)

• Occupational exposures (chemicals, gloves, water)

Symptoms:

• Red, itchy rash

• Dry, cracked skin

• Burning or irritation

Why Does It Keep Coming Back?

Many patients ask this exact question.

The answer: ongoing exposure to triggers

Even with treatment:

• If the irritant isn’t removed, the rash will return

• Some products labeled “moisturizing” can actually worsen irritation

• Frequent handwashing can damage the skin barrier

In this case, certain skincare products were likely contributing to recurrence.

Treatment Plan and Recommendations

Topical Steroid Therapy

• Continue clobetasol 0.05% as prescribed

• Helps reduce inflammation and itching

Moisturizer Optimization

• Switch to fragrance-free, hypoallergenic options:

  • Eucerin

  • Neutrogena Norwegian Formula

• Continue O’Keeffe’s as needed

• Discontinue potential irritants like certain scented products

Skin Care Routine

• Use Dove sensitive skin soap

• Avoid harsh soaps like Dial

• Apply moisturizer after every hand wash

• Apply steroid after shower and once more during the day

Overnight Repair

• Apply Vaseline with cotton gloves overnight to restore skin barrier

When Is Patch Testing Needed?

If symptoms persist, patch testing may be recommended to identify specific allergens causing the reaction.

When Should You See a Dermatologist?

You should seek care if:

• Rash lasts more than a few weeks

• Symptoms keep recurring

• Over-the-counter treatments are ineffective

• Skin becomes cracked, painful, or infected

Expert Hand Dermatitis Treatment in Katy & Houston, TX

Village Dermatology provides expert care for chronic rashes and hand dermatitis, helping patients across Katy and Houston, Texas identify triggers and achieve long-term relief through personalized treatment plans.

“Why Is My Psoriasis Getting Worse Even After Trying Biologic Treatment?”

By: Dr. Ashley Baldree

A Real Patient Case from Village Dermatology in Katy & Houston, Texas

Psoriasis can be frustrating—especially when it flares despite prior advanced treatments. At Village Dermatology, we often help patients navigate moderate-to-severe psoriasis when standard therapies are no longer effective.

This case highlights a 35-year-old male with widespread psoriasis who previously failed biologic therapy and required a more advanced treatment approach.

Patient Case Overview

The patient presented with:

• Flaking, itchy, scaly plaques on the face, trunk, and arms

• Symptoms present for several months with worsening severity

• Prior treatment with Humira (adalimumab) without sustained control

On exam:

• Psoriasiform plaques with micaceous scale

• Body Surface Area (BSA): 40% involvement

• Itch severity: 8/10

Importantly, the patient denied joint pain, indicating no current signs of psoriatic arthritis.

What Is Psoriasis?

Psoriasis is a chronic autoimmune skin condition that speeds up skin cell turnover, leading to:

• Thick, scaly plaques

• Red or inflamed skin

• Itching and discomfort

Common triggers include:

• Stress

• Infections (like strep throat)

• Certain medications

• Alcohol use

Psoriasis often follows a pattern of flares and remissions, requiring long-term management.

Why Do Some Treatments Stop Working?

Many patients ask why their psoriasis worsens even after biologic therapy.

The reality is:

• The immune system can adapt or become less responsive to certain biologics over time

• Missed or delayed doses can lead to disease flare-ups

• Each biologic targets a different immune pathway, so switching may be necessary

In this case, the patient had been off Humira for over a year, contributing to a significant flare.

Advanced Treatment: Skyrizi (Risankizumab)

Given the severity and prior treatment failure, we initiated Skyrizi, a newer biologic therapy.

Why Skyrizi?

• Targets IL-23, a key driver of psoriasis inflammation

• Effective for moderate-to-severe psoriasis

• Convenient dosing:

  • Week 0

  • Week 4

  • Then every 12 weeks

Supporting Treatments

While starting biologic therapy, we also recommended:

Topical Steroid

• Triamcinolone ointment for flare control

Medicated Shampoo

• Ketoconazole shampoo to manage scalp involvement

Skin Care Measures

• Daily moisturizers

• Controlled sun exposure

• Anti-dandruff shampoos (zinc, selenium, tar)

Safety and Monitoring

Because biologics affect the immune system, proper screening is essential.

Baseline Labs Ordered:

• Tuberculosis screening (QuantiFERON-TB Gold)

• Hepatitis B & C testing

• HIV screening

• Complete blood count and metabolic panel

Ongoing Monitoring:

• Annual TB testing

• Watch for signs of infection

Patients are carefully counseled on risks such as immunosuppression and infection.

When Should You See a Dermatologist?

You should seek expert care if:

• Psoriasis covers large areas of the body

• Symptoms interfere with daily life

• Treatments are no longer effective

• You experience frequent or severe flares

Early intervention can significantly improve outcomes and quality of life.

Expert Psoriasis Care in Katy & Houston, TX

Village Dermatology provides advanced, personalized care for psoriasis patients across Katy and Houston, Texas, including:

• Biologic therapy management

• Comprehensive lab monitoring

• Individualized treatment plans

• Long-term disease control strategies

“Why Am I Getting Painful Red Skin Rashes and Bumps That Won’t Go Away?”

By: Dr. Ashley Baldree

A Real Patient Case from Village Dermatology in Katy & Houston, Texas

Skin irritation in areas like the underarms, breast folds, or forearms can be frustrating—especially when symptoms persist for months. At Village Dermatology, we frequently evaluate patients with multiple skin concerns that may seem unrelated but are often connected.

This case highlights a 52-year-old female presenting with red skin lesions and a painful bump, ultimately diagnosed with intertrigo and an epidermal inclusion cyst.

Patient Case Overview

The patient came in with:

• Red, inflamed skin lesions on the upper back, forearm, and underarm

• A painful bump (cyst) on the forearm and breast

• Symptoms present for several months without prior treatment

On examination:

• The rash appeared consistent with intertrigo, a condition caused by friction and moisture

• The bump was suspected to be an inflamed cyst vs. bug bite, later managed as a cyst

What Is Intertrigo?

Intertrigo is a common inflammatory skin condition that occurs in areas where skin rubs together, especially in warm, moist environments.

Common locations include:

• Underarms

• Under the breasts

• Groin or abdominal folds

Symptoms:

• Red, irritated patches

• Burning or itching

• Possible secondary fungal or bacterial infection

In this case, the patient’s underarm rash was consistent withintertrigo complicated by inflammation and possible fungal overgrowth.

What Is an Epidermal Inclusion Cyst?

An epidermal inclusion cyst is a benign, slow-growing lump beneath the skin filled with keratin.

Key features:

• Round, firm bump under the skin

• Can become painful, red, or infected

• May require excision for complete removal

The patient’s cyst measured approximately 1 cm and caused discomfort, prompting treatment and planned removal.

Treatment Plan and Approach

At Village Dermatology, we take a comprehensive and targeted approach to treat multiple skin concerns simultaneously.

Intertrigo Treatment

• Ketoconazole cream (antifungal) applied twice daily

• Continued for 1 week after clearing to prevent recurrence

• Recommended:

  • Barrier creams (zinc oxide/petrolatum)

  • Moisture control and friction reduction

Cyst Management (Forearm)

• Vinegar soaks (1:1 vinegar + water) three times daily

• Topical mupirocin antibiotic ointment applied after each soak

Cyst on Breast

• Observation with plan for surgical excision if persistent

Why Do These Skin Conditions Occur Together?

Many patients are surprised to learn that:

Moisture, friction, and bacteria/fungus often work together to worsen skin conditions.

• Intertrigo creates a compromised skin barrier

• This environment allows microbial overgrowth

• Cysts can become inflamed or infected in similar conditions

When Should You See a Dermatologist?

You should seek evaluation if:

• Rashes persist for weeks or months

• Skin becomes painful, swollen, or draining

• A lump continues to grow or becomes tender

Early treatment can prevent complications and speed healing.

Expert Dermatology Care in Katy & Houston, TX

At Village Dermatology, we specialize in diagnosing and treating complex skin conditions, including rashes, infections, and cysts. Patients across Katy and Houston, Texas trust us for:

• Accurate diagnosis with dermatoscopy

• Personalized treatment plans

• Medical and surgical dermatology expertise

“Why Do My Child’s Warts Keep Coming Back Even After Freezing Them?”

A Real Patient Case from Village Dermatology (Katy & Houston, Texas)

At Village Dermatology, we frequently see concerned parents asking why their child’s warts persist despite treatment. This recent case highlights a common—but treatable—skin condition known as verruca vulgaris (common warts).

Patient Case Overview

A 7-year-old female presented for follow-up evaluation of warts on her right hand, specifically on the ring finger and middle fingertip. She had previously undergone liquid nitrogen (cryotherapy) treatment about one month prior, with only mild improvement noted.

On examination, the lesions remained present and showed signs of:

• Persistent growth

• Mild inflammation

• Thickened skin involvement near the nail

As part of treatment, careful trimming was performed to improve medication penetration, followed by another session of cryotherapy using liquid nitrogen.

What Are Verruca Vulgaris (Common Warts)?

Common warts are benign skin growths caused by the human papillomavirus (HPV). They often appear as:

• Rough, cauliflower-like bumps

• Skin-colored or slightly darker lesions

• Found frequently on hands and fingers in children

They are contagious and can spread through:

• Direct skin contact

• Picking or scratching

• Shared surfaces (e.g., towels, toys)

Why Didn’t the First Freezing Treatment Work Completely?

This is a very common concern. The truth is:

Warts often require multiple treatments.

Cryotherapy works by freezing the wart tissue, but:

• Warts can extend deeper beneath the skin

• The virus may persist even after visible improvement

• Children’s immune systems respond at different speeds

In this case, the patient showed partial improvement, which is expected after just one session.

Treatment Approach at Village Dermatology

For this patient, we performed:

Cryotherapy (Liquid Nitrogen)

• 2 lesions treated

• 2 freeze–thaw cycles applied

• Targeted destruction of wart tissue

Nail Trimming for Better Penetration

• Helps treatment reach deeper viral tissue

• Especially important for warts near or under nails

Education & Counseling

Families were advised that:

• Multiple sessions are often needed

• Warts may temporarily blister or scab after treatment

• Recurrence is possible but manageable

Other Treatment Options for Warts

Depending on the case, we may also recommend:

• Salicylic acid treatments (topical therapy)

• Retinoids

• Aldara (imiquimod cream)

• Combination therapies for resistant warts

When Should You Follow Up?

You should return or contact your dermatologist if:

• Warts are spreading quickly

• They become painful or inflamed

• There is no improvement after multiple treatments

In this case, the patient was scheduled for a 1-month follow-up to reassess response.

Why Choose Village Dermatology in Katy & Houston, TX?

At Village Dermatology, we specialize in treating pediatric and adult skin conditions with evidence-based, personalized care. Families across Katy and Houston, Texas trust us for:

• Gentle pediatric dermatology care

• Advanced wart removal techniques

• Clear guidance for parents and patients

• Compassionate, expert providers