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Dermatologic Conditions in Owensboro, KY
Conditions We Diagnose and Treat
SCARS
Scars are marks on the skin that result from the body’s natural healing process after an injury, wound, or surgical procedure. They are the outcome of the body’s attempt to repair and regenerate damaged tissue, often by producing collagen fibers that help close the wound. The appearance of scars can vary, ranging from flat and pale to raised and discolored, and their development is influenced by factors such as the depth and severity of the injury, the individual’s genetics, and their overall skin type.
Common Symptoms: Raised or thickened tissue, discoloration, surface irregularity, tightness, or itching at the scar site.
Treatment Options: A variety of scar treatment solutions are available depending on the appearance and depth of the scar. Your provider may recommend treatments such as topical medications, steroid injections, Fraxel® laser therapy, chemical exfoliation, or specialized scar revision techniques to improve texture and appearance.
ROSACEA
Rosacea is a persistent skin condition identified by facial redness, noticeable blood vessels, and, occasionally, acne-like bumps. It typically affects the central areas of the face, such as the cheeks, nose, and forehead. While the exact cause of rosacea remains unclear, factors such as genetics, abnormal blood vessel function, and an overactive immune system are believed to contribute to its development. Triggers such as sun exposure, spicy foods, alcohol, and certain skincare products can exacerbate the condition, leading to flare-ups of symptoms.
Common Symptoms: Persistent facial flushing, visible blood vessels, red bumps or pustules, skin thickening around the nose, and eye irritation in some cases.
Treatment Options: Rosacea management typically includes prescription topical or oral medications, trigger avoidance, and light-based therapies to reduce redness and visible vessels. Our team will develop a long-term management plan tailored to your specific rosacea subtype.
RASHES AND SKIN ALLERGIES
Rashes, known as skin allergies, are a common dermatological condition characterized by redness, irritation, and skin inflammation. Various factors can trigger these reactions, such as exposure to allergens (e.g., certain foods, plants, animals, or chemicals) and contact with irritants (e.g., soaps or fabrics). The immune system’s response to these triggers leads to the release of histamine, which causes rashes and discomfort.
Common Symptoms: Redness, hives, itching, swelling, blistering, or dry and scaly patches appearing suddenly or after known exposure to a trigger.
Treatment Options: Identifying and avoiding triggers is the foundation of treatment. Depending on the cause and severity, management may include antihistamines, topical corticosteroids, patch testing to identify allergens, or prescription medications for more persistent reactions.
WARTS
Warts are non-cancerous skin growths caused by the human papillomavirus (HPV) infection. These raised, rough lesions can appear on various body parts, including the hands, feet, face, and genital area. HPV enters the body through breaks in the skin, leading to an overgrowth of cells that manifests as warts. While generally harmless, warts can be bothersome or uncomfortable, prompting individuals to seek medical or dermatological interventions for removal.
Common Symptoms: Rough, raised bumps that may appear in clusters, plantar warts on the soles of the feet that grow inward, or flat warts that appear in lines on the face or legs.
Treatment Options: Common in-office wart removal options include cryotherapy, topical acids, laser treatment, or minor surgical excision. The most appropriate method depends on the wart type, location, and the patient’s overall health.
ECZEMA
Eczema, also known as atopic dermatitis, is a skin condition characterized by inflamed, itchy, and often red patches. It typically appears on the face, hands, and feet, as well as in creased areas. The cause of eczema is not fully understood, but it is believed to result from genetic and environmental factors. Immune system dysfunction and impaired skin barrier function play significant roles in its development, making the skin more susceptible to irritants, allergens, and microbial agents, which in turn lead to characteristic symptoms.
Common Symptoms: Patients with eczema often experience dry, sensitive skin accompanied by itching, rough or inflamed patches, raised bumps, skin cracking, and irritation that may worsen with scratching.
Treatment Options: Eczema treatment focuses on controlling symptoms and preventing flares. Options include emollient-based moisturizers, topical corticosteroids or non-steroidal anti-inflammatory creams, antihistamines, biologic therapies for moderate to severe cases, and trigger identification and avoidance.
psoriasis
Psoriasis is a skin condition marked by the rapid buildup of skin cells that form thick, silvery scales and itchy, red patches. This is due to an overactive immune system, which mistakenly accelerates skin cell production. Genetic factors also play a role in its development, often leading to the condition running in families. While psoriasis is not contagious, its exact cause is a complex interplay of genetics and immune system dysfunction.
Common Symptoms: Individuals with psoriasis often experience inflamed, scaly skin plaques, irritation or soreness, cracked skin, nail texture changes, and, in some cases, joint pain or stiffness related to psoriatic arthritis.
Treatment Options: Treatment is tailored to the type and severity of psoriasis and may include topical therapies, phototherapy, oral medications, or advanced biologic injections for moderate-to-severe presentations. Our dermatologists will work closely with you to identify the most effective long-term management strategy.
HAIR LOSS
Hair loss, or alopecia, can occur gradually or suddenly on the scalp or other parts of the body. Several factors can trigger it, including genetics, hormonal changes, medical conditions like thyroid issues or autoimmune diseases, certain medications, and high stress levels. The most common type of hair loss is called androgenetic alopecia or male/female pattern baldness, which is often influenced by genetics and hormonal fluctuations. This type of hair loss leads to gradual thinning over time.
Common Symptoms: Signs of hair loss can include progressive thinning on the top of the head, patchy bald areas, sudden hair breakage or shedding, treatment-related hair loss, and scaly or irritated scalp patches.
Treatment Options: The most effective treatment approach will depend on the specific cause and severity of the condition being treated. Options range from topical minoxidil and oral finasteride for androgenetic alopecia to corticosteroids, platelet-rich plasma (PRP), or targeted immunotherapy for autoimmune-related hair loss such as alopecia areata.
Lipomas and Cysts
Lipomas and cysts are common benign growths that can appear beneath the skin. A lipoma is a slow-growing, fatty lump between the skin and the underlying muscle layer. On the other hand, a cyst is a sac-like structure filled with fluid, air, or other materials. Both lipomas and cysts typically develop due to an overgrowth of cells in the skin’s deeper layers, although the exact cause can vary. While they are usually harmless and painless, a medical evaluation is advised to confirm the diagnosis and, if needed, ensure appropriate management.
Common Symptoms: A soft, movable lump beneath the skin that is typically painless. Cysts may become tender, red, or swollen if they become infected or inflamed.
Treatment Options: In many cases, lipomas and cysts can simply be monitored if they are not causing discomfort or affecting appearance. When removal is desired or medically indicated, in-office excision or drainage is the standard approach.
HERPES
Herpes is a viral infection caused by the herpes simplex virus (HSV). There are two primary types of herpes viruses: HSV-1 and HSV-2. HSV-1 is commonly associated with oral herpes, which causes cold sores (fever blisters) around the mouth and face. On the other hand, HSV-2 mainly causes genital herpes, resulting in painful sores in the genital and anal regions. Both types of herpes are contagious and can be spread through direct contact with the affected areas or skin-to-skin contact during viral shedding.
Common Symptoms: Tingling, burning, or itching before the appearance of sores, followed by fluid-filled blisters that break open to form painful ulcers. Outbreaks may recur periodically, though frequency varies by individual.
Treatment Options: Management options may include prescription antiviral medications designed to reduce the duration and frequency of outbreaks while helping lower transmission risk. Patients who experience frequent recurrences may benefit from daily suppressive therapy.
PERIORAL DERMATITIS
Perioral dermatitis is a skin condition represented by red, bumpy rashes that typically appear around the mouth, nose, and sometimes the eyes. Its exact cause remains unclear, but it is often linked to the prolonged use of topical steroids, oral contraceptives, or even particular toothpaste containing fluoride. The condition is believed to stem from a combination of factors, including disrupted skin barrier function and an abnormal immune response, which together lead to its distinct rash pattern.
Common Symptoms: Small red or flesh-colored papules or pustules clustered around the mouth, nose, or eyes, often accompanied by mild burning or itching. A clear band of unaffected skin is typically visible directly adjacent to the lips.
Treatment Options: Treatment usually involves discontinuing any triggering agents, particularly topical steroids, and initiating a course of topical or oral antibiotics. Patients are advised to simplify their skincare routine during treatment.
MELASMA
Melasma is a skin condition characterized by brown or grayish-brown patches, typically on the face. It is often triggered by factors, primarily exposure to sunlight, hormonal fluctuations such as those during pregnancy or while using birth control pills, and genetic predisposition. Melasma results from abnormal melanin distribution in the skin, producing patchy areas of discoloration that may vary in size and intensity.
Common Symptoms: Symmetrical brown or grayish-brown patches most commonly appearing on the cheeks, forehead, nose, chin, and upper lip. Melasma does not cause physical symptoms beyond the visible discoloration.
Treatment Options: Melasma requires a comprehensive approach due to its tendency to recur. Options include prescription topical agents such as hydroquinone, tretinoin, and azelaic acid, daily broad-spectrum sun protection, and in-office treatments such as chemical peels or carefully selected laser therapy. Our team will help you develop a consistent maintenance protocol to manage long-term pigmentation. For patients exploring resurfacing options, Rejuvenation Peels may be included in your plan.
ACNE
Acne is a skin condition characterized by pimples, blackheads, and whiteheads, primarily on the face, chest, and back. It is typically caused by the sebaceous glands’ overproduction of oil (sebum), which can clog hair follicles. This, combined with bacteria and inflammation, leads to various acne lesions.
Common Symptoms: Whiteheads, blackheads, papules, pustules, nodules, or cysts appearing on the face, chest, back, or shoulders. Severe cases can cause pain and result in long-term scarring.
Treatment Options: Acne treatment is highly individualized and may include topical retinoids, antibiotics, benzoyl peroxide, hormonal therapies, or oral isotretinoin for severe cases. Patients with post-acne scarring may also benefit from laser resurfacing with Fraxel® or Rejuvenation Peels to restore a smoother complexion.
MOLE REMOVAL
Mole removal is a medical procedure that removes benign growths on the skin, known as moles. These moles, also called nevi, are clusters of pigmented cells that can vary in color and size. They often develop over time due to genetic factors and sun exposure. While most moles are harmless, some may be removed for cosmetic reasons or if there are concerns about potential malignancy.
Common Symptoms: New or changing moles should be evaluated promptly. Warning signs include asymmetry, irregular or poorly defined borders, varied coloration, a diameter larger than six millimeters, or any mole that is evolving in size, shape, or color.
Treatment Options: Moles can be removed through shave excision, surgical excision, or other in-office techniques. Any removed tissue is typically sent for pathological evaluation to rule out malignancy. For flagged moles deemed atypical or suspicious, prompt evaluation and removal are recommended.
BASAL CELL CARCINOMA
Basal cell carcinoma (BCC) is a common skin cancer that arises from the basal cells in the lower layer of the epidermis. It is often characterized by slow-growing, locally invasive tumors that appear as raised, pearly nodules or open sores on the skin, particularly in sun-exposed areas. The immediate cause of basal cell carcinoma is cumulative exposure to ultraviolet (UV) radiation from the sun or artificial sources, such as tanning beds.
Common Symptoms: A pearly or waxy bump, a flat flesh-colored or brown scar-like lesion, a bleeding or scabbing sore that heals and returns, or a pink growth with raised edges and a crusted center, typically appearing on sun-exposed skin.
Treatment Options: Treatment depends on the tumor size, location, and depth. Options include surgical excision, Mohs Micrographic Surgery for high-risk or recurrent BCC, topical therapies, radiation therapy, or photodynamic therapy. Mohs surgery offers the highest cure rate while preserving the healthiest surrounding tissue.
SQUAMOUS CELL CARCINOMA
Squamous cell carcinoma (SCC) is a well-known type of skin cancer that arises from the flat, scale-like squamous cells in the outermost layer of the skin. It commonly develops in areas exposed to the sun, such as the face, neck, hands, and arms. Unprotected, prolonged exposure to ultraviolet (UV) radiation from sunlight or tanning beds is a significant factor in the development of SCC. This can lead to genetic mutations in the squamous cells, causing them to grow uncontrollably and form cancerous tumors.
Common Symptoms: A firm, red nodule, a flat lesion with a scaly, crusted surface, a new sore or raised area on an old scar, a rough, scaly patch on the lip, a red sore or rough patch inside the mouth, or a wart-like growth.
Treatment Options: SCC requires prompt treatment to prevent spread. Treatment options include surgical excision, Mohs Micrographic Surgery, radiation therapy, and systemic therapies for advanced cases. Early detection and treatment are critical to achieving the best outcomes.
ACTINIC KERATOSIS
Actinic keratosis, often called solar keratosis, is a common skin condition characterized by rough, scaly patches or lesions that develop on areas of the skin constantly exposed to the sun, such as the face, ears, scalp, and backs of the hands. It is primarily caused by prolonged exposure to ultraviolet (UV) radiation from the sun and artificial factors such as tanning beds. Actinic keratosis is considered a pre-cancerous condition, as untreated cases can progress to squamous cell carcinoma, a type of skin cancer. Regular sun protection measures and dermatological monitoring are crucial in managing and preventing the development of actinic keratosis.
Common Symptoms: Rough, dry, scaly patches of skin about the size of a small pencil eraser, flat to slightly raised patches of skin with a hard, wart-like surface, or itching, burning, or tenderness in the affected area.
Treatment Options: Treatment options include cryotherapy, topical chemotherapy agents, photodynamic therapy, laser resurfacing, or chemical peels. Because actinic keratosis is a precancerous condition, early treatment is important to prevent progression to squamous cell carcinoma. Patients with a history of actinic keratosis should schedule regular skin checks and maintain consistent sun protection habits.
Frequently Asked Questions About Dermatologic Conditions
How do I know if a skin condition needs medical attention?
Any new, persistent, rapidly changing, painful, bleeding, or significantly discomforting skin change warrants a professional evaluation. For moles and lesions, the ABCDE rule is a helpful guide: watch for Asymmetry, irregular Border, multiple Colors, Diameter larger than six millimeters, and any evolving changes. When in doubt, it is always better to have your skin evaluated by a board-certified dermatologist.
What is the difference between eczema and psoriasis?
While both eczema and psoriasis cause red, inflamed skin, they are distinct conditions with different underlying mechanisms, triggers, and appearances. Eczema is commonly associated with a compromised skin barrier and allergic tendencies, and it often affects the inner creases of the joints. Psoriasis is driven by an overactive immune system that accelerates skin cell production, producing thicker, silvery-scaled plaques most commonly on the elbows, knees, and scalp. A proper diagnosis from a dermatologist is the most reliable way to distinguish between the two and develop the right treatment plan.
Can acne scars be treated after the acne has cleared?
Yes. Once active acne is under control, the scars it leaves behind can be addressed through a variety of in-office treatments. Options include Fraxel® laser resurfacing, Rejuvenation Peels, microneedling, dermal fillers for depressed scars, and Scar Revision. Our team will evaluate your scar type and recommend the most effective approach for your skin.
How is skin cancer diagnosed?
Skin cancer is typically diagnosed through a combination of a visual skin examination and a biopsy of suspicious tissue. During a full-body skin check, your dermatologist will evaluate all moles, lesions, and areas of concern. If any suspicious spot appears, a small tissue sample is removed and sent to a pathology lab for analysis. Early diagnosis significantly improves treatment outcomes, which is why annual skin cancer screenings are strongly recommended, especially for patients with elevated risk factors.
Is Mohs surgery necessary for all skin cancers?
Not all skin cancers require Mohs surgery, but it is the preferred treatment for many types of basal cell carcinoma and squamous cell carcinoma, particularly those located on cosmetically sensitive or functionally important areas such as the face, ears, hands, and feet, as well as for recurrent or aggressive tumors. Mohs Micrographic Surgery offers the highest cure rates available for these cancers while preserving as much healthy tissue as possible. Your provider will determine the most appropriate treatment approach based on the cancer type, location, size, and depth.
How often should I schedule a skin check?
For most adults, an annual full-body skin examination by a board-certified dermatologist is the standard recommendation. Patients with a personal or family history of skin cancer, a large number of moles, a history of significant sun exposure, or immunosuppression may benefit from more frequent screenings. If you notice any new or changing spots between appointments, do not wait for your annual visit. Contact our office to schedule an evaluation as soon as possible.
Schedule Your Dermatology Appointment in Owensboro
Whether you are managing a chronic skin condition, seeking treatment for a dermatologic condition in Owensboro, KY, or exploring options for a cosmetic concern, the team at Owensboro Dermatology Associates is here to provide expert, personalized care. We invite patients from Owensboro, Newburgh, Henderson, and surrounding areas to schedule a consultation with our experienced dermatologists today. To learn more about our treatment options, visit our pages on Mohs Micrographic Surgery, Fraxel® Laser Treatment, and Rejuvenation Peels, or browse our full range of cosmetic and medical dermatology services.
To learn more about our treatment options, visit our pages on Mohs Micrographic Surgery, Fraxel® Laser Treatment, and Rejuvenation Peels, or browse our full range of cosmetic and medical dermatology services.