Understanding your skin, layer by layer.
Americans affected by melasma — 90% are women
Melasma
The pigment your hormones wrote.
Myth: "Just use more SPF and it'll fade."
SPF is necessary but not sufficient. Without addressing the hormonal trigger and using targeted depigmentation agents, melasma returns within weeks of any sun exposure.
Melasma happens when melanocytes — the cells that produce skin color — are triggered into overdrive by hormonal shifts (pregnancy, birth control) and UV exposure. The result: symmetrical brown or grayish patches that follow the sun's path across your cheeks, forehead, and upper lip. It's not dangerous. But it is persistent, and it responds poorly to guesswork.
Americans have rosacea — most don't know it yet
Rosacea
Not a blush. A barrier breakdown.
Myth: "Rosacea is just sensitive skin — it'll calm down on its own."
Without treatment, rosacea progresses. What begins as occasional flushing often advances to permanent redness, visible vessels, and in men, rhinophyma (thickening of the nose). Early intervention prevents this arc.
Rosacea is a chronic inflammatory condition where the skin's vascular and immune systems misfire. The face flushes easily, capillaries become visible, and in some subtypes, the skin thickens. Triggers vary — fluorescent light, spicy food, stress, temperature shifts. The condition isn't caused by poor hygiene or alcohol; it's a neurogenic inflammatory response that requires targeted management.
of people aged 12–24 experience acne — yet 40% never see a dermatologist
Acne & Persistent Breakouts
Three prescriptions in. Still breaking out. Here's why.
Myth: "You'll grow out of it."
Adult acne affects 15% of women over 25. Hormonal fluctuations, stress cortisol, and microbiome shifts can trigger acne at any age. Waiting costs you in scarring.
Acne isn't a single disease — it's a spectrum. Comedonal acne (blackheads, whiteheads) responds to retinoids. Inflammatory acne needs antibiotics or benzoyl peroxide. Hormonal acne in adult women requires anti-androgens. Nodular/cystic acne may need isotretinoin. Most failed prescriptions are correct treatments applied to the wrong subtype. We identify which subtype you have before we write anything.
Week by week. Skin by skin.
A composite timeline from first appointment through long-term maintenance. No names. Just milestones.
First Appointment
Full skin mapping. Medical history, trigger inventory, dermoscopy of concerning lesions. 45 minutes — not 8.
Diagnosis Confirmed
Written diagnosis report delivered. Condition explained in plain language. Questions answered — all of them.
Treatment Starts
Prescription matched to your specific subtype. Not the generic protocol — your protocol.
First Progress Check
Teledermatology follow-up. Photos compared. Adjustments made if needed. No extra charge.
Visible Improvement
93% of patients report measurable improvement by this point. Skin barrier metrics recorded.
Maintenance Plan
Seasonal routine built. Trigger map finalized. Prescription refill schedule set. You leave knowing your skin.
Annual Skin Mapping
Year-over-year mole comparison. Preventive screenings. Dermatology as continuous care, not crisis response.
Next available appointment: Tuesday, March 3 · 9:00 AM
Evidence first. Prescription second.
Every treatment decision at Dermis is preceded by a diagnosis. We don't guess — we map, measure, and match.
more effective when treatment matches the exact acne subtype
Precision Prescribing
The right molecule for your skin's specific malfunction.
Subtype identification before any prescription is written
Retinoid selection based on skin barrier strength
Antibiotic stewardship — we minimize resistance risk
Isotretinoin candidacy evaluated with full bloodwork protocol
better long-term outcomes with in-office + at-home combination care
Combination Therapy
What happens in the office and what happens on your shelf.
Chemical peels calibrated to Fitzpatrick skin type
LED phototherapy for inflammatory conditions
Custom compounded formulations for complex cases
Written routine guides — morning, evening, seasonal
of suspicious moles caught early are benign — but documentation matters
Mole Mapping & Surveillance
Dermoscopy. Total body photography. Baseline to comparison.
Annual full-body mole mapping with baseline photography
Dermoscopy of every lesion that raises a flag
ABCDE protocol plus pattern-recognition AI cross-check
Biopsy coordination with same-day results when needed
Three questions. Your appointment.
Tell us your concern, how you'd like to be seen, and pick a time that works. That's it. No forms, no faxes.
Board-certified dermatologist at every appointment
45-minute initial visits — not 8-minute rush consultations
Teledermatology available in all 50 states
Not ready to book?
Download Our Skin Condition Guide
32-page plain-language guide covering melasma, rosacea, acne, and eczema — written for patients, not physicians.
What brings you in?
Select the concern that feels most relevant. You can discuss others at your appointment.