Comprehensive Dermatology Center specializes in keeping your
skin healthy for both adults and children.
Cosmetic Dermatology and Skin Cancer Surgery
Treatments. Our dermatology center is located in Gaithersburg, Maryland and
all of the Montgomery County area.
Dermatologist is the
medical and surgical expert you should consult if you have any significant
problem with your skin. Dermatology is the science that is concerned with the
diagnosis and treatment of diseases of the skin, hair and nails.
The skin is the
largest and most visible organ of the body. It reflects the health of the body
and acts as a barrier against injury and bacteria. Common skin problems seen in
dermatology office include: acne, psoriasis, eczema, allergic dermatitis,
irritating or suspicious moles, various skin growths, boils, ringworm, herpes,
warts to name a few. Unfortunately, at one time or another, nearly everyone has
some type of skin disease - infants, children, teenagers, adults and the
elderly. One in six (15%) of all visits to the family doctor (GP) involves a
Comprehensive Dermotology Center offers these skin care
Patch Testing for
For patients with
chronic eczema or those who do not respond well to therapy, patch testing may
be indicated. This diagnostic test provides information regarding possible
sources of an allergic or irritant contact dermatitis.
For this diagnostic
test, large pieces of medical tape with chemicals applied to small disks are
placed on the back of unaffected skin. The patches remain on the person for 2
days (48 hours) and removed. Sensitivities to the chemical agents are
identified at that time, and patients are asked to return in 1-3 days for a 2nd
reading. Showers and baths are not permitted during the patch test, but
patients are allowed to sponge bathe. At that time, literature is provided to
the patient regarding his/her sensitivities, and the patient is instructed to
avoid these chemicals. Patients follow up in 2 weeks to further discuss results
and additional treatment options.
Patch testing is
different from allergy testing. Allergy testing allows the physician to
identify causes of allergies, including foods, dust, mites, grass, etc. Patch
testing, on the other hand, helps identify causes of rashes. For example, hair
dressers are often sensitive to paraphenylenediamine, a substance used in hair
dyes; atopic dermatitis patients are typically sensitive to nickel.
Most dermatologists use
the pre-packaged 24 panel Alloderm True Test patch test kits, primarily because
of its convenience. However, we have found that we are only able to detect a
subset of relevant allergens using the True Test. Thus, at Comprehensive
Dermatology Centre, we perform a 45 panel patch test that is used and approved
by the North American Contact Dermatitis Group. In addition to standard
allergens, we test for steroid sensitivities, preservatives, rubber products,
metals, and clothing dyes.
Chemical peeling uses a
chemical solution to improve the skin's appearance. It can reduce or eliminate
fine lines under the eyes and around the mouth, correct uneven skin
pigmentation, remove precancerous skin growths, and soften acne or treat scars
caused by acne. The procedure can also treat wrinkles caused by sun damage and
scarring, as well as skin blemishes common with age and heredity. Chemical
peels can be performed on the face, neck, chest, hands, arms, and legs.
Depending on the depth of treated areas, chemical peels can be classified into
superficial peels such as Glycolic acid and Jassners' chemical peels, and
medium depth peel such as Trichloracetic Acid (TCA) Peel. Depending on the
individual need, Dr. Xue will recommend different type of peel for proper
Sclerotherapy - Leg
We can successfully
treat spider veins with a minimally invasive procedure called sclerotherapy.
Spider veins are small, dilated skin veins. The microinjection technique
(sclerotherapy) consists of instilling a solution into these tiny capillaries
using very fine needles. Fading of spider veins is a slow process and
improvements may continue over the course of several months. Sclerotherapy can
remove spider and varicose veins but it does not prevent recurrence.
Everyone has moles,
sometimes 40 or more. Most people think of a mole as a dark brown spot, but
moles have a wide range of appearance. Normal Mole Moles can appear anywhere on
the skin, alone or in groups. They are usually brown in color and can be
various sizes and shapes. The brown color is caused by melanocytes, special
cells that produce the pigment melanin.
Different Types of
Recent studies have
shown that certain types of moles have a higher-than-average risk of becoming
cancerous. Some may develop into a form of skin cancer known as malignant
melanoma. Sunburns may increase the risk of melanoma. People with many more
moles than average (greater than 100) are also more at risk for melanoma.
Moles known as
dysplastic nevi or atypical moles are larger than average (usually larger than
a pencil eraser) and irregular in shape. They tend to have uneven color with
dark brown centers and lighter, sometimes reddish, uneven borders or black dots
at edge. These moles often run in families.
Persons with dysplastic
nevi may have a greater-than-average chance of developing malignant melanoma.
These people should be seen regularly by a dermatologist to check for any
changes that might indicate skin cancer. They should also learn to do regular
self-examinations, looking for changes in the color, size or shape of their
moles or the appearance of new moles. They should also shield their moles from
sun exposure using sunscreen and/or clothing.
Recognizing the early
warning signs of malignant melanoma is important. Remember the ABCD's of
melanoma when examining your moles.
| A stands for ASYMMETRY, when one half of the
mole doesn't match the other half.
|| B stands for BORDER, when the border or
edges of the mole are ragged, blurred or irregular.
| C stands for COLOR, when the color
of the mole is not the same throughout or if it has shades of tan, brown,
black, red, white or blue
D stands for DIAMETER, when the diameter of a mole is larger than
6mm, about the size of a pencil eraser.
If a mole displays any
of these signs, it should be checked promptly by a dermatologist; If the
appearance of a mole worries you or if it changes suddenly in any way, you
should consult a dermatologist. At Comprhensive Dermatology Center, Dr. Xue
routinely perform full body skin exam to check suspicious moles especially in
high-risk population (red hair and fair skin, history of sun burn and skin
cancer and family history of skin cancer) and he has extensive experience in
detecting and treating early suspicious moles.
one of the most sought after cosmetic procedures today, is an injectable
treatment that temporarily improves the appearance of moderate to severe lines
and wrinkles on the face. Many wrinkles are actually creases that have been
worn into the skin by making the same expression thousands of times. These
"expression lines," often called frown lines or crow's feet, are due to the
contraction of a muscle under the skin in that area
To perform a
Botox® Cosmetic treatment, we determine exactly where to administer several
tiny injections to achieve the best results to improve your facial
imperfections. No anesthesia is required. The entire procedure takes
approximately ten minutes. Discomfort is minimal and brief, in general there
will be no significant side effects, whoever some patients can develop a slight
temporary bruising at the injection site, which can be covered by
Restylane is a
safe and natural cosmetic dermal filler that restores volume and fullness to
the skin to correct facial wrinkles and folds, such as the ones from the nose
to the corners of the mouth.
have shown the average Restylane treatment results can last six months or even
longer. Restylane is a cosmetic dermal filler made of non-animal based
hyaluronic acid. Hyaluronic acid is an natural substance in the human body used
to provide fullness and volume to the skin. Restylane is proven to deliver a
longer lasting effect than traditional collagen, so treatments are typically
scheduled twice a year. (Individual results may vary.)
injected directly into the skin in tiny amounts by an ultra fine needle,
resulting in minimal discomfort. The procedure is simple and convenient and
results are practically instantaneous.
Skin Cancer and
Skin cancer is one of
the most common forms of cancer. It can be found in any area of the body, but a
large number of them occur in exposed parts of the body e.g. face, neck, arms,
and hands. Anybody can get skin cancer, but it is most common in Caucasians.
Ultraviolet rays from the sun, sunlamps, and tanning beds are primary reasons
for skin cancer.
One in five Americans
will develop skin cancer in their lifetime.
- This translates into
over 55 million Americans.
- One in 75 will develop
melanoma, the often-fatal form of skin cancer, and if the current trends hold
true, the percentage will be higher still.
- Melanoma incidence has
increased by 1200% since the 1930s.
- In teenagers it has
increased by 100% in the past 10 years alone.
- It is the most common
cancer in women under 30.
- Deaths from melanoma
continue to rise despite newer treatment modalitites.
Fortunately, most basal
cell and squamous cell carcinomas can often be completely cured by fairly minor
surgery and sometimes by application of medicines to the skin surface. There
are many different kinds of surgery for these cancers. The type of treatment
chosen depends on how large the cancer is, where it is found on the body, and
the specific type of nonmelanoma skin cancer. For certain squamous cell cancers
with a high risk of spreading, surgery may sometimes be followed by radiation
or chemotherapy. Early melanoma can be excised with excellent cure rate, late
stage melanoma however often poses poor prognosis.
Basal Cell Carcinoma
excision (this is the same as an excisional biopsy): The tumor is cut
out with a surgical knife, along with some surrounding normal skin. The
remaining skin is carefully stitched back together. This will leave a scar.
Simple excision with
wound closure is still the gold standard for treating a majority of skin
cancers of trunk and extremities. Sometimes, the skin cancer of facial areas
can also be effectively excised. With careful and skillful stitching technique,
the ultimate scar often looks very well. We often burry the sutures under the
skin so the cosmetic result is superior to that created by traditional
Cryosurgery: This treatment uses liquid nitrogen
to freeze and kill abnormal cells. After the dead tissue thaws, blistering and
crusting may occur. The wound may take several weeks to heal and will leave a
scar. The treated area may have less color after treatment. Cryosurgery is
often used for precancerous conditions such as actinic keratosis and for small
basal cell and squamous cell carcinomas.
surgery (microscopically controlled surgery): Using the Mohs technique,
the surgeon removes a layer of the skin that the tumor may have invaded and
then carefully maps its location. The surgeon checks the sample under a
microscope immediately. If it is malignant, more pieces of the tumor are
removed and examined until the skin samples are found to be free of cancerous
cells. This process is slow, but it means that normal skin next to the tumor
can be saved. This creates a better appearance after surgery. This is a highly
specialized technique that should be used only by doctors who have been trained
in this specific type of surgery.
Early intervention is
essential to prevent skin cancer from spreading. As a fellow of the American
Society for Dermatologic Surgery, Dr. Xue has excellent skills in advanced skin
surgical techniques. He routinely removes these dangerous lesions with optimal
|HOURS OF OPERATION
| 9:00 am - 5:00 pm Weekdays
|9:00 am-1:00 pm Saturdays
See map below for
Plans: We participate in the majority of health insurance plans
BCBS, Medicare, Great West, PHCS, Cigna, Aetna, Humana, United
Health Care, MAMSI/MDIPA
About Dr. Wayne Xue
Dr. Wayne Xue,
MD, PhD, FAAD, is board certified and is an American Academy of Dermatology
award-winning dermatologist. He obtained his PhD degree in cancer biology at
Wayne State University. He trained as both resident and fellow in dermatology
at Detroit Medical Center. Dr. Xue was awarded Investigator in Dermatology by
the American Academy of Dermatology for his outstanding clinical studies, the
prestigious honor awarded to only a few dermatologists nationwide. Dr. Xue has
authored numerous publications in peer-reviewed journals including Journal of
American Academy of Dermatology, Cancer Research, Journal of Immunology,
Journal of Cutaneous Pathology, etc. Over the years, Dr. Xue has developed
extensive skills in dermatologic surgery, including Mohs surgery for skin
cancers as well as a variety of cosmetic surgeries, such as Botox, Restylane,
Sclerotherapy, Chemical peels, and etc. He is also interested in novel
treatments for common yet recalcitrant skin problems by developing new lines of
skin products, currently he is working with local labs on several clinical
- Diplomat of the
American Board of Dermatology
- Fellow of The
American Academy of Dermatology
- Fellow of The
American Society for Dermatologic Surgery
- Fellow of The
American Society of Mohs Surgery
- Member of The
American Society of Cosmetic Surgery
Consultant of Shady Grove Adventist Hospital
- Member of
Maryland Medical Society
Dr. Xue's is always
compassionate about providing excellent patient care, the philosophy of his
practice is: "Patients' needs always come first".
| Comprehensive Dermatology, PC
Dr. Wayne Xue
Frederick Ave #420
Gaithersburg, MD, 20877