The Dermatology Outpatient Clinic provides consultation and therapy for patients with all types of problems of the skin, hair, and nails.  Specific research interests include skin cancer, male pattern baldness, acne, leg ulcer therapy, psoriasis, atopic eczema, and skin substitues in wound healing.  In addition, the Clinic offers the following services:  UVB and/or UVA phototherapy for psoriasis, Botox therapy, threatment for photo damage, laser surgery for port-wine stains, telangiectasias, warts, tattoo removal, laser resurfacing and other cosmetic issues.  An outpatient surgery suite is located in our office where Mohs surgery and many dermatologic surgical procedures are performed.  Physicians within the Dermatology Clinic are also participating members of the Vermont Laser Center.  Pediatric dermatology services are also provided at the Dermatology Outpatient Clinic on the Medical Center Campus.

Mohs Surgery

Mohs surgery or Mohs microscopically controlled excision is a specialized form of tumor extirpation for the removal of skin cancers, mainly basal cell and squamous cell carcinomas.  Mohs surgery has come to be recognized as the standard of care for the removal of recurrent cutaneous carcinomas and primary carcinomas in difficult anatomic locations, particularly the face.

Mohs surgery is a specialized way of performing tumor excision with frozen section margins.  Mohs' greatest contribution was the idea that by removing serial horizontal sections of tissue and orienting them properly, all deep and lateral margins could be simultaneously examined and carefully mappe dout.  The surgical excision thus proceeds in stages until no residual tumor is observed at any margin.  With standard frozen sections only a few samples of the deep and lateral margins are examined.  Because a greater attention is paid to all margins, the cure rate with Mohs surgery is the highest of any method of removal of cutaneous carcinoma and approaches 98 to 99%.  An added advantage of Mohs surgery is that an arbitrary margin of normal tissue is not sacrificed at the time of tumor removal.  The procedure spares normal tissue, making reconstruction easier to accomplish. 

Our clinic provides patient care in general medical dermatology, Mohs surgery, dermatological surgery, laser procedures, phototherapy, and occupational dermatology.  Surgical and invasive procedures performed on-site include excision of lesions, biopsies, injections, electrocautery of lesions, chemotherapy, ablative laser, Botox injections, collagen injections, and chemical peels.