955 Black Drive, Prescott, AZ 86305
 
 
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Medical, Surgical, and Cosmetic Dermatology


 
Skin Cancer Checking — Skin Cancer Services in Prescott, AZ
 
Patient Check up — Skin Cancer Services in Prescott, AZ
 
Mole Checking — Skin Cancer Services in Prescott, AZ
 
 
Cancer Screening:

The sun is responsible for over 90 percent of all skin cancers. Sun induced skin cancers are the most common cancers of Caucasian adults. The incidence of skin cancer is increasing in epidemic proportions in our country, with even higher incidence rates in sunny Arizona!! The risk of developing a melanoma, a potentially deadly skin cancer, doubles every 10 years of your adult life. Screenings have been proven to be helpful in finding these cancers early and in decreasing the chance of dying from these cancers. The American Cancer Society recommends professional skin exams every year for those over 40, and every three years for those 20 to 40 especially if you live in a sunny climate. In addition to having these routine dermatological exams, I recommend you inspect your entire body monthly for any skin changes and consult your dermatologist immediately if you notice new skin variations.
 

Basal Cell Carcinoma

Basal Cell Carcinoma (BCC) is the most common form of skin cancer, effecting nearly 1,000,000 Americans each year. Most are caused by chronic sun exposure, especially in people with fair skin, light hair and blue, green or grey eyes. This skin cancer rarely spreads to other organs of the body; however, it can cause destruction of surrounding tissue. Thus, early detection and treatment is necessary.

While it occurs more frequently in older individuals, it does occur in young adults and sometimes even children. People with one BCC have a greater chance of developing more in the future. Hence, after diagnosis and treatment, regular follow-up visits to a dermatologist are important.

BCC may have several different appearances on your skin. Some warning signs are an open sore, a reddish patch, a growth with an elevated border and a central indentation, a bump or nodule and a scar-like area. It can resemble noncancerous skin conditions such as psoriasis or eczema. Only a trained dermatologist can decide for sure.
 
 

Squamous Cell Carcinoma

Squamous Cell Carcinoma (SCC) is the second most common form of skin cancer with an estimated 250,000 new cases per year in the United States. Most cases are caused by chronic overexposure to the sun. It may also occur where skin has suffered certain kinds of injury: burns, long-standing sores, sites previously exposed to X-rays or certain chemicals. In addition, medical conditions that suppress the immune system over an extended period of time may encourage development of the disease.

While dark skinned people are far less likely than Caucasians to develop skin cancer, more than two thirds of the skin cancers that dark-skinned people develop are SCCs, usually arising on sites of preexisting inflammatory skin conditions or burn injuries. It is important for dark skinned people to also use sun protection.

With prompt treatment, SCC is not life threatening. If left untreated, SCC can destroy much of the tissue surrounding the tumor and may result in the loss of a nose or ear, for example. Aggressive types can spread to the lymph nodes and other organs resulting in approximately 2,500 deaths each year in the United States.

After a diagnosis, there are several treatment options to choose from, depending on the location, size, microscopic characteristics, overall health of the patient and other factors. Most are relatively minor office-based procedures that require only local anesthesia.
 


Malignant Melanoma

Malignant Melanoma is a rarer and more serious type of skin cancer, causing the majority of skin cancer related deaths. Worldwide, about 160,000 cases are diagnosed and about 48,000 melanoma related deaths each year. This form of skin cancer is found more often in males and in Caucasians, and more common among Caucasians living in sunny climates like Arizona. Surgical removal of the tumor and surrounding tissue is typically necessary. When dealing with this type of cancer only the smallest and most shallow melanomas can be cured by surgery alone, so early diagnosis is very important. If not caught early, chemotherapy, radiation therapy, or immunotherapy may be necessary as well.

Prompt action is your best response to any suspected skin cancers!



Mohs Surgery

In the event non-life threatening cancerous tissue is detected, Mohs Surgery may be indicated. Mohs Surgery is a micro-graphically controlled procedure providing the most precise method for removal of cancerous tissue, while sparing the greatest amount of healthy tissue and leaving less scarring. It has a cure rate of up to 99% for certain tumors.

Dr. Cirelli is trained to perform Mohs Surgery and did do Mohs Surgery in his practice the first several years of practicing dermatology in his own private practice. Due to an overwhelming load of patients he had to make a decision to stop doing Mohs surgery. But....

We are proud to announce in spring 2018 Dr. Cirelli will be performing Mohs Surgery again.

 
Medical Dermatology
 
Actinic Keratosis

Actinic Keratosis (AK), sometimes called solar keratosis, is a precancerous condition of thick, scaly or crusty patches of skin also caused by long-term exposure to sunlight. AKs are not life threatening as long they are diagnosed and treated in the early stages. If left untreated, they have the potential to progress into squamous cell carcinoma. There are various treatment options based on the location, size, and amount of AKs on the body. Age and general health is also a factor. Common treatment modalities included cryosurgery (freezing the lesion with liquid nitrogen) topical chemotherapy creams, photodynamic therapy, chemical peels and laser resurfacing therapy. If you develop AKs, you and your dermatologist will decide which option is best for you.
 

Warts, Tumors and Growths

Be sure that a suspected wart is just a benign tumor before using an over-the-counter remedy. Some types of skin cancer can present as wart-like growths at first. Patients with diabetes or peripheral arterial disease with warts on their legs or feet should see their physician. What you may think is just a wart may be indicative of something more serious. An existing wart on one part of your body can spread to other areas, causing more warts.
 

Eczema

Eczema is a medical condition of the skin where it becomes inflamed or irritated. One of the symptoms of Eczema is the affected area of the skin is always itchy. The itching occurs prior to the rash appearing, they usually appear on the face, knees, wrists, hands or sometimes on your feet. The rash causes that area of your skin to become dry and scaly. The affected area will be start off a reddish color but will eventually turn brown. Eczema can affect infants to adulthood; although there is no cure with the treatments from Sunwest Dermatology & Cancer Treatment Center you can better manage the disease.
 

Psoriasis

Psoriasis is a skin disease associated with dry reddish patches of gray scales of skin. These patches can be located on your scalp, elbows, knees, feet and even sometimes and your lower back. The affected areas are very itchy and sore. Your case of Psoriasis can be mild, moderate or severe.

 

 
Acne Treatment

What is Acne?

Acne is the term for plugged pores (blackheads and whiteheads), pimples, and even deeper lumps (cysts or nodules) that occur on the face, neck, chest, back, shoulders and even the upper arms. Acne affects most teenagers to some extent. However, the disease is not restricted to any age group; adults in their twenties even into their forties can get acne. While not a life threatening condition, acne can be upsetting and disfiguring. When severe, acne can lead to serious and permanent scarring. Even less severe cases can lead to scarring.
 
Acne Treatment — Skin Cancer Services in Prescott, AZ
 
 

 

Cosmetic Dermatology
 
Botox

Injections performed by Dr. Cirelli

-Sold by units, and different areas require different dosing

-Patient's history of Botox usage also determines the dosing level

Since its FDA approval in 2002, BOTOX™ injections have become the single most popular non-surgical cosmetic procedure in the United States. It is a quick and virtually painless procedure that dramatically decreases appearance of frown lines, on the forehead furrows, crow's feet and more. Individual results vary.
 
 
The improved appearance is visible within a few days and lasts for up to four months. To ensure the proper dosage and maximum benefits, Dr. Cirelli, Board Certified Dermatologist administers the injections himself.

If you've ever thought those stubborn frown lines between your brows make you look older, tired or upset? You might consider BOTOX™ treatments to help restore a look of freshness, youth and beauty.
 

 
Dermal Fillers
All injections performed by Doctor Cirelli
Juvéderm
-Hyaluronic acid compound
-Indicated for finer wrinkles
-Often used in and around the lips
-Lasts around 6 months to one year
JUVEDÉRM™ is a smooth injectable gel made of hyaluronic acid, a naturally occurring substance in our bodies. The role of hyaluronic acid in the skin is to deliver nutrients, hydrate the skin and act as a cushioning agent. Dr. Cirelli, Board Certified Dermatologist, gently eases Juvedérm™ gel under the skin to instantly restore volume and smooth away facial wrinkles and folds, like your "smile lines" or "parentheses" (nasolabial folds-the creases that run from the bottom of your nose to the corners of your mouth).
 
 
Talk with Dr. Cirelli to decide if this treatment is right for you. He will discuss your medical history to determine if you are an appropriate candidate. JUVÉDERM Ultra Plus injectable gel should not be used in patients who have severe allergies marked by a history of anaphylaxis or history or presence of multiple severe allergies or patients with a history of allergies to gram-positive bacterial proteins.
Most side effects are mild or moderate in nature, and their duration is short (7 days or less). The most common side effects include but are not limited to temporary injection site reactions such as: redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin injection procedures, there is a small risk of infection.


Most patients need one treatment to achieve optimal wrinkle smoothing. Juvedérm™ is the only hyaluronic acid (HA) filler FDA approved to last up to one year.


Studies show superior results of Juvéderm™ compared to collagen-based dermal fillers.


Learn about JUVÉDERM™, "next generation" smooth gel dermal filler by visiting JUVÉDERM™ Injectable Gel Web Site