Dermatologist Blog
By Dermatology Associates Skin and Cancer Center
July 18, 2017
Category: Dermatology
Tags: Mohs Surgery   Skin Cancer  

If you’ve been diagnosed with skin cancer, find out why surgery may be the number one treatment option.mohs surgery

If one of our Panama City, FL, dermatologists, Dr. Robert Siragusa or Dr. Charles Kovaleski, has recently diagnosed you with skin cancer, then you may be feeling on edge and concerned about how to treat your skin cancer effectively. If we’ve mentioned Mohs surgery you may be wondering more about this surgery and how it can benefit your skin.

What is Mohs surgery and why do I need it?

This procedure is one of the most effective ways to treat different kinds of skin cancer. While there are other skin cancer treatments out there, Mohs surgery offers a high efficiency rate and also preserves more healthy tissue than other treatments. Mohs surgery may be recommended if:

  • The cancer is widespread
  • The cancer is in a delicate or difficult-to-treat area that requires as much skin preservation as possible
  • The cancer has returned after undergoing other skin cancer treatment
  • The cancer is growing quickly

What should you expect from the procedure?

Before you undergo this procedure it’s always a good idea to familiarize yourself with what will go on when you come in for treatment. This way, you can address any questions or concerns with our Panama City skin doctor before we even get started.

While this is considered a surgery, it’s performed right here in our office under local anesthesia. This means the skin will be completely numb and you won’t feel anything but you will be awake. Once the area is fully numb, we will remove the first layer of the tumor. The sample will be examined under the microscope to check for the presence of cancer cells.

We will continue to remove one small layer of the tumor after another until there are no cancer cells present in the sample we collect. While Mohs surgery can take a bit longer than other skin cancer treatments, it’s a great way to preserve as much healthy tissue as possible, which also means a less extensive recovery period.

What should I expect after surgery?

Once the tumor has been removed, we will talk to you about reconstructive options for repairing the area to make sure that the skin looks as normal as possible. We will also discuss the best ways to care for your skin as it heals and when you’ll need to come in for a follow-up.

Do you have questions about Mohs surgery? Need to schedule your annual skin cancer screening? Then call Dermatology Associates Skin and Cancer Center in Panama City, FL, today.

By Dermatology Associates Skin and Cancer Center
May 11, 2017
Category: Skin Care
Tags: skin care   mole  

Moles are growths that can appear anywhere on the surface of the skin. These moles can be flat, raised, rough, smooth, single or in molemultiples. They usually happen when cells that are responsible for skin pigments grow in clusters instead of spreading out. These moles generally are small in size, at just one-quarter inch. While most moles are harmless, it’s important to be regularly examined by a Panama City, Florida, dermatologist from Dermatology Associates Skin and Cancer Center to make sure you remain healthy.

More about Moles

Any changes in color, shape, size or texture can indicate cancer growth. Moles that have a higher chance of becoming cancerous are those irregularly-shaped ones that are larger than average and have dark brown centers and light uneven borders are risks. Also, individuals with 50 or more moles are at a higher risk for skin cancer too. This makes it that much more important to have a yearly skin check with a Panama City, Florida, dermatologist from Dermatology Associates Skin and Cancer Center.

Abnormal moles can become scaly, painful or even bleed. Keep an eye on your moles in order to detect any changes early. A visual check of the body once a month is important. By following the American Academy of Dermatology’s guidelines, you can determine whether or not a mole is becoming cancerous:

  • Asymmetry: Does the mole match the other half in shape, size or color?
  • Border: Are the edges scalloped, poorly defined or irregular?
  • Color: Is the mole the same color throughout it?
  • Diameter: Is the mole greater than 6 millimeters?
  • Evolving: Is the mole different from others on the skin?

If any of these things occur, make an appointment immediately with a professional dermatologist to be examined. A biopsy can be done to determine whether or not the mole is cancerous and it can be surgically removed quickly.

For more information on moles and knowing when you should be checked out, schedule an appointment with a Panama City, Florida, dermatologist from Dermatology Associates Skin and Cancer Center today by calling 850-769-7546.

By Dermatology Associates Skin and Cancer Center
March 22, 2017
Category: Skin Care
Tags: Acne   Dermatitis   Psoriasis   Sun Damage  

Let us help you achieve glowing, radiant and healthy-looking skin.dermatology

There is nothing more beautiful than gorgeous skin. It’s the largest organ of our body, and also the most noticeable. Our Panama City, FL, dermatologists Dr. Robert Siragusa, Dr. Charles Kovaleski and Dr. Bret Johnson want you to be comfortable in your own skin, which is why they provide an array of services to nip skin problems in the bud:


While there are certainly some lifestyle changes we can recommend for reducing acne outbreaks, in many cases people have tried a lot of different over-the-counter treatments and cleansers without getting the relief they had hoped for. If this sounds like you then our Panama City skin doctors may have some answers. Through medications like antibiotics, retinoids, oral contraceptive (for hormonal acne) or isotretinoin we can tackle everything from mild to severe acne problems. It may take some time to find the treatment that is right for you, but we are dedicated to getting you clearer skin.


PUVA is a UV treatment that may be a good course of action if you have severe dermatitis or a case that is more difficult to treat. Medication is taken a few hours before standing inside the UVA booth. Treatment sessions often occur a couple times a week. Over time, the amount of light that we use to treat your dermatitis will increase.


We are thrilled to be able to offer the Xtrac laser treatment to treat mild-to-moderate forms of psoriasis. If topical treatments haven’t provided you with the results you’ve been hoping for then this laser therapy could. The laser is directed over individual plaques and the procedure only lasts up to 20 minutes. Plus, it’s non-invasive and completely painless.

Sun Damage

If years of basking in the sun have taken its toll then our photodynamic therapy system may be a great way to treat the earliest signs of skin cancer, also known as Actinic Keratosis. First, a special topical treatment is placed over the areas. By applying a photosensitizer over the skin and then directing the light source over the area, the light can effectively kill off these damaged skin cells. This procedure can be performed just about anywhere on the body.

Whether you have skin imperfections or just want to give your skin a little cosmetic enhancement, the experts at Dermatology Associates Skin & Cancer Center in Panama City, FL, are here to help.

By Dermatology Associates Skin and Cancer Center
January 30, 2017
Category: Dermatology
Tags: skin products  

Learn about which products are best for your skin from your Panama City dermatologists.

The best skin care products clean and enhance your skin without irritating it. Dr. Robert Siragusa, Dr. Charles Kovaleski and Dr. Bret body washJohnson, your Panama City, FL dermatologists at Dermatology Associates Skin and Cancer Center, explain what products you should avoid.

Products that contain oil

Oily skin care products are more likely to clog pores, which can cause or worsen acne. Look for moisturizers, cleansers, makeup remover, foundation and sunscreen labeled "oil-free" or "non-comedogenic" to prevent the problem.


Do you wash your face and your hands with the same product? Although using soap for all your cleaning needs certainly saves space in the bathroom, it's not a good idea if you want to keep your skin smooth and supple. Soap is very effective at cleaning the skin, but it's too strong for the sensitive skin on your face. Soap washes away nutrients, dries skin and makes it less elastic. Choose a gentle skin cleanser instead.

Products that feature fragrances

Fragrances make a product smell good, but they aren't the best choice for your skin. In fact, you may regret buying that jasmine-scented moisturizer when your face breaks out in a rash. Skin care products that contain fragrances can also make rosacea worse. If a product stings or burns when you apply it, even if it claims to be hypoallergenic and fragrance-free, stop using it.

Harsh exfoliants

Is "the stronger the better" your motto when it comes to exfoliating your skin? Although exfoliation is an excellent way to remove dead skin cells from your face, you don't have to use rough exfoliating pads or harsh products to see results. If you like products that contain exfoliating beads, look for options that contain smooth beads that won't irritate your skin.

Products that contain alcohol

Read the list of ingredients on the labels of products and skip those that contain alcohol. The substance can irritate and dry out skin and can make acne, rosacea and eczema worse.

Protect your skin by avoiding harsh products that can cause breakouts and rashes. Need a little help with your skin? Drs. Siragusa, Kovaleski and Johnson, your Panama City, FL dermatologists at Dermatology Associates Skin and Cancer Center, can offer tips, products, treatments and medications that will help you look your best. Call them at (850) 769-7546 to schedule your appointment.

By Dermatology Associates Skin and Cancer Center
December 02, 2016
Category: Dermatology
Tags: Skin Cancer   nutrition   skin care  

According to the National Cancer Institute, doctors diagnosed almost 1.7 million new cases of cancer just during the year 2016. Knowingnutrition your skin cancer risk factors and actively taking charge of reducing them can help prevent your risk of skin cancer. One way to do this is through your diet. Learn more about reducing the risk of cancer through your diet with Dermatology Associates Skin and Cancer Center in Panama City, FL.

Your Diet and Your Skin
The condition of your skin tends to reflect the condition of your body. Similarly to your body, taking care of your skin often begins from the inside out with the foods you eat. Some foods like carrot, pumpkin and cantaloupe contain carotenoids, which help protect the skin against sunburn and wrinkling. The high levels of antioxidants found in tea can also help slow the breakdown of the skin’s chemicals like elastin and collagen.

Protecting Your Skin
The best way to protect your skin from the sun’s harmful UV rays is to know which precautions to take before stepping foot outside. Always wear a broad-spectrum sunblock with at least 30 SPF on exposed skin and reapply every two hours. Wearing a wide-brimmed hat and sunglasses helps protect your facial skin and eyes while wearing long-sleeved, tightly-knitted clothing helps keep the sun off of the rest of the body. See your dermatologist regularly for skin checks. This gives your doctor the opportunity to spot pre-cancerous or cancerous symptoms in their earliest and most treatable stages.

Skin Cancer Treatment in Panama City, FL 
Skin cancer treatment almost always involves a procedure to remove the cancerous cells from the skin. Depending on the size and severity of the cancerous area, your doctor may remove it after using a simple local anesthetic. More advanced cases will require surgery and, if necessary, chemotherapy to eliminate the cancerous cells.

For more information on skin cancer prevention or treatment, please contact Dr. Robert Siragusa and Dr. Charles Kovaleski at Dermatology Associates Skin and Cancer Center in the Panama City, FL area. Call (850) 769-7546 to schedule your appointment with your dermatologist today!

This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.