Topical Chemotherapy
Topical chemotherapy uses prescription-strength creams applied directly to the skin to eliminate precancerous cells and certain superficial skin cancers at the surface level. It’s a clinically proven, dermatologist-guided approach that most patients complete at home over the course of several weeks.
What Is Topical Chemotherapy?
When most people hear "chemotherapy," they think of infusions given in an oncology clinic, a very different experience from what is described here. Topical chemotherapy, as used in dermatology, refers to prescription creams applied directly to the surface of the skin to destroy precancerous or cancerous cells locally. There are no IV lines, no hospital visits, and no systemic side effects associated with traditional cancer chemotherapy.
The most commonly prescribed topical chemotherapy agents in dermatology are 5-fluorouracil (5-FU), available under brand names including Efudex and Carac, and imiquimod (Aldara and Zyclara). Both work by interfering with the growth of abnormal cells at the skin's surface. 5-FU blocks the cellular processes that allow abnormal cells to replicate. Imiquimod works differently, stimulating the immune system to recognize and attack abnormal tissue.
Your dermatologist will prescribe the appropriate medication, concentration, and application schedule based on your specific diagnosis and the area being treated. The treatment course typically spans several weeks and is managed at home, with follow-up visits to monitor your response and confirm resolution.
What to Expect With Topical Chemotherapy?
Unlike in-office procedures, topical chemotherapy is a multi-week treatment managed primarily at home. Here is how the process works from your first consultation through the end of your treatment course.
Consultation and Diagnosis
Prescription and Instructions
At-Home Application
Inflammatory Response
Follow-Up Monitoring
End of Treatment and Healing
What to Expect During and After Your Treatment Course
Topical chemotherapy does not follow a single-day recovery arc; it unfolds over weeks, with the most visible skin reaction occurring mid-treatment before healing begins. The timeline below reflects the general course of a standard treatment regimen. Your provider will give you a specific schedule based on your diagnosis and the medication prescribed.
Recovery At A Glance
Nationally Recognized Leaders in Skin Cancer Care
Guidance That Extends Beyond the Office Visit
The Full Spectrum of Skin Cancer Treatment in One Network
Dermatologists Who Treat the Whole Picture
What Patients Are Saying
Albany C.
Great doctor, very nice to my son who is 9 years old , she is so perfectional
Earl R.
Great staff and experience, highly recommend.
Caroline C.
The front staff were very friendly and welcoming. Tamara Cheater answered all my questions, was to the point and got me in and out quickly (which I like).
Richard B.
Very thorough and very fast, amazing!
Judith S.
Dr. Jaffe was wonderful. He carefully listened to my concerns and was understanding and kind. I did not feel rushed and felt that I was in very competent hands.
Lori S.
Surgeon was super friendly and positive in nature. Felt comfortable with my procedure and return visit...very small scar
Perihan W.
I love my provider! I love the tech I had too! They are both awesome with a GREAT bedside manner! Thank you for all y'all do! The wait time is great too! Front staff great too!
Peggy B.
Friendly, clean and knowledgeable
David G.
Here’s a revised version: I had an excellent experience at Academic Alliance in Dermatology West Largo. I was there today to have my second squamous cell carcinoma removed from my scalp, as well as another one removed from my leg. The building is brand new, exceptionally clean, and very welcoming. Everyone on the staff was professional, friendly, and genuinely caring from the moment I arrived. The doctors and staff took the time to answer my questions, explain the procedures, and make me feel comfortable throughout my visit. Their attention to detail and commitment to patient care were outstanding. I highly recommend Academic Alliance in Dermatology West Largo to anyone looking for high-quality dermatology care. Thank you to the entire team for making what could have been a stressful day such a positive experience.
Linda H.
Dr Harvey and his staff are an excellent choice for skin care. He and his staff are always welcoming with their knowledgeable, friendly, and professional manner. The office is clean and comfortable and the building offers ample parking with handicapped spaces close to the entry, which is covered for easy drop off should there be rain. I wouldn’t want to go any where else.
Linda D.
The staff is very professional, kind, helpful and considerate. No matter when you call, if you have to leave a message, they get back to quickly. And most importantly. they listen to you.
mayra r.
Our family has always had a great experience with Dr.Frank Navarro and his team. The front staff ladies are always welcoming and friendly❤️ I highly recommend to anyone looking for a Dermatologist in the area. I rate beyond 5 stars🌟
Greg C.
Dr. Curtin was excellent as always. Entire staff is exceptional.
Saundra H.
Dermatology and skin cancer center has been. terrific, I was so unhappy with my hair loss until I started coming and getting treatment, I feel so much better now that I am seeing progress for my hair loss. Thank you Amanda Alexander
KayMichelle
I had an excellent experience with Sharnel Reed, Nurse Practitioner. She was knowledgeable, professional, and took the time to listen to my concerns in regards to my sons acne before creating a personalized acne treatment plan. She explained everything clearly and made me and my son feel comfortable throughout the entire process. My sons skin has improved so much, and he is finally feel confident again. Her genuine care and attention to detail made all the difference. I highly recommend Sharnel Reed to anyone looking for dermatology care and compassionate, high-quality care! The front office staff is great as well as the nurses who triage you. I highly recommend this office.
MATT A.
10/10 experience. In and out as usual.
Al Adams
Well run practice with good follow-up. My clinician, Ashley was extremely thorough and kept me a A prize of the process during the exam. Extremely satisfied..
Lou W.
Very prompt & explanations by Doctors were easy to understand
Carmen M.
Excelente servicio. La Dra Brianna muy buena, me examino y explicó todo con claridad. Anna, muy linda y amable
MettaYetta
Amazing
MettaYetta
I was treated very well by the staff.
MettaYetta
The treatment was incredible. The doctor listened to me patiently and was very clear in his explanations and treatment recommendations.I arrived a few minutes late, and I have to thank them for taking care of me despite this. The receptionists were very friendly. I recommend it.
MettaYetta
I have been a patient at the Fairfax location for many years. Each visit the staff have been courteous and warm towards me. They are all highly efficient and competent. I couldn’t ask for a better team to take care of me. Most importantly my doc, Dr Jonathan Smith is friendly and highly skilled. I know I’m under the best of care.
MettaYetta
Friendly efficient, knowledgeable staff. Only downside is there is no sign for dermatology Associates outside of the building so leave a few minutes earlier so you can find it.
MettaYetta
Fantastic she knew exactly what was wrong with me she was straight up very, very honest. I’ll be back in three months.
MettaYetta
Dr. Gabby and Joanna were fantastic! Upbeat, friendly and professional. Front desk also so helpful and inviting. Great all around experience!
MettaYetta
I appreciate that it was very easy to get an appointment, and I was seen within days after I called. The office is clean and the front desk staff was helpful. PA Somil Mehta was very pleasant and attentive to my concern, and the interactions I had with the others working there were pleasant and professional as well. I was happy with my experience there.
MettaYetta
Today was my second time in this place (first time 2018) both times I was very happy !! Very very nice people and professional !!! :)
MettaYetta
I had a wonderful experience with Danielle Johnson, PA-C at Virginia Dermatology. Scheduling an appointment through the patient portal was very easy and was able to be seen within a few weeks. I was pleasantly surprised when the office even called to offer me an earlier appointment. When I arrived, check-in was quick and I had hardly any wait time. I only waited a few minutes before Danielle came into the room. She quickly diagnosed the spot on my forearm that had been bothering and concerning me, and she also took the time to look at a few other areas I was worried about. What impressed me most was that she was able to remove the spot right then and there during the same visit, which I truly appreciated. Danielle was compassionate, friendly, and has an excellent bedside manner. She made me feel comfortable throughout the entire appointment and provided very clear aftercare instructions before I left. I highly recommend Danielle Johnson, PA-C to anyone looking for knowledgeable, efficient, and genuinely caring dermatology care.
MettaYetta
Dr. Bermuedz is wonderful. Very personable, and knowledgeable in his field of dermatology. I met him today and he biopsied a place on my face. I couldn't have had a better experience with the great staff. They are the greatest.
MettaYetta
Dr Christina Clark is very knowledgeable, personable and friendly. Her staff is as well. I was able to get an appointment within a few days.
MettaYetta
great place
MettaYetta
First visit after switching dermatologist and I felt like a patient vs. a number that they could just ding my insurance. They were awesome
MettaYetta
Staff is top notch! Dr. Helen has a great personality and put me right at ease…she is skilled which minimized the length of wound. Shannon was wonderful in explaining every step of procedure and follow up care. Hope I never have to see them again but if I do, I will know I’m in good hands.
MettaYetta
I'm thrilled to share my exceptional experiences at Meridiem DermSpa, where the entire team—Brittany, Codi, Leslie, and Rachel—has created a haven of beauty and relaxation. From the moment you step through the door, Rachel sets the tone for a positive experience. Her warm greetings and efficiency make the entire check-in and check-out process seamless. It's evident that she takes pride in creating a friendly and inviting atmosphere, ensuring that every client feels valued and at ease. Leslie and Codi are truly a dynamic duo. Each visit is a testament to their expertise and dedication to their craft. They don't just provide aesthetic services; they create personalized experiences that leave you feeling pampered and rejuvenated. Their attention to detail is impeccable, and their passion for skincare shines through in every treatment. What sets Meridiem DermSpa apart is the synergy of its team. Everyone works together seamlessly to ensure a holistic and enjoyable experience. It's this teamwork that makes each visit exceptional. The atmosphere is not just about aesthetics; it's about creating a sanctuary where clients can unwind and leave feeling their best. I highly recommend Codi and Leslie, along with the entire Knoxville team, to anyone in search of a top-tier aesthetic experience. Meridiem DermSpa has created a winning combination of skill, warmth, and professionalism, making every visit a true delight.
MettaYetta
Really nice experience with the fun staff the clinicians and will definitely return to Anne Arundel dermatology for my needs in the future.
MettaYetta
Everything was great
MettaYetta
Great staff and excellent service!
MettaYetta
I trust Charu Jain as my nurse practitioner for dermatology services. I can’t recommend her highly enough.
MettaYetta
Very professional and caring
MettaYetta
Dr. Alonna and her staff were very welcoming and kind. I had a great experience!!
MettaYetta
I have seen Dr. Kang for over 5 years and have yet to have a bad experience. He is very personable and has kept me in great shape. I highly recommend him to anyone who cares about their skin. Very professional. The office is very clean and all the administration and help are above grade. I would not consider anyone else.
MettaYetta
All the staff are great 👍🏻..
MettaYetta
The office in Hudson, Florida is very comfortable. The dermatologist, Kirsty is friendly and personable. She never rushes me, and I think she’s sweet
MettaYetta
Dr. Jones was excellent, he addressed my concerns and made me feel comfortable.
MettaYetta
Debbie always professional and personable.
MettaYetta
Great group. Very friendly and very informative about the process
MettaYetta
Fantastic Staff, caring Doctors and actually timely. I was seen for my 8:30 appointment at 8:30.
MettaYetta
Very positive experience. Walked into a crowded reception room and expected a long wait, but it only took a few minutes for me to see the doctor. Very efficiently run practice and I was treated with great care.
MettaYetta
Atlantic Dermatology is always efficient, professional and accommodating.
MettaYetta
Overall great experience. The service they use to book appointments and acquire documents online works fast and smoothly. Front desk was warm and welcoming. I waited about ten minutes which was no big deal. The physician quickly assessed my concerns and made sure I understood her explanation/diagnosis. I booked another appointment as a follow up and was on my way. My only suggestion would be maybe some light music playing in the waiting room. A little too quiet in there:) They offer a wide variety of services and this review was only for a skin cancer check.
MettaYetta
Dr K and Lillian were amazing! They were on time, gave me good practical advice and were kind and personable. See you next time!
MettaYetta
Was my first time in the office..very nervous and anxious about it but was worth it..walked away happy ;) thank you
MettaYetta
I have been suffering for psoriasis for decades went one time and writhing a month had the perfect prescription and my psoriasis is now contained and I have never felt more excited about my journey. Staff is amazing and I’m completely satisfied
MettaYetta
Great service with wonderful results will continue to support this provider Patricia Hood.Thank You very much Danny Barnhill
MettaYetta
Great treatment and assessment
MettaYetta
Cannot recommend Dr.becker enough! he was so kind and helpful with my small child’s skin condition. The visits were fast and efficient. the nurses and receptionist are so polite as well. i never waited more than 5 minutes in the lobby. He even called to check on how she was doing after her procedure. thank you so much !
MettaYetta
All the doctors, nurses and receptionists are very friendly and caring. Dr. Callaway and Ken Johnson explain what they’re doing and let you know what to expect. The outcomes have always been great.
MettaYetta
Very professional team I love it here they always make me feel welcomed🌺🌺🌺🌺🌺🌺❤️❤️❤️❤️❤️💕💕💕💕💕💕💕💕
MettaYetta
Very pleased with the clinic and the staff!
MettaYetta
Highly recommend Dr Dhar. He is caring and finds everything!!!
MettaYetta
Comfortable and professional experience and the staff took the time to answer all my questions.
MettaYetta
Angie is a gem! Whoever brought her on board, kudos to you.👏🏾My 2 teenage daughters have been patients here for a few years and on each & every visit, she is always so sweet, kind, relatable and welcoming. That really goes a long way. ❤️
MettaYetta
Friendly personnel. Fast service.
MettaYetta
Dr. Lam & Morgan take amazing care of me! They're the best there is as far as I'm concerned. All the staff are great!!
MettaYetta
I have an autoimmune skin disease (EBA) that is difficult to treat. Dr. Miller has been exceptional and listens to me.
MettaYetta
I love the staff and my provider Anjana Patel! Everyone is very welcoming and friendly!
MettaYetta
I saw Alexandra Yatros today for a follow-up visit and had a great experience per usual. she is very kind and takes the time to really listen and explain everything in a way that is easy to understand. very thorough and thoughtful. highly recommend!
MettaYetta
Very pleasant office with friendly and professional staff. On time with the appointment and conscientious treatment.
MettaYetta
They are kind when you arrive, punctual in the time of attending, attentive, empathetic which is very important I had also seen other Dermatologists but no one had helped me Dr. Maben is the only one who has helped me even they help you with the approval of your medications thanks to them my confidence, safety has improved because my skin has improved too much and my eczema already lets me sleep and I was able to leave the house with confidence and security again and by the way I have been with the Doctor for almost 1 year waiting for the review
MettaYetta
Great improvements here with calling, scheduling, location. The staff here are very nice. Jen the PA is knowledgeable nice and friendly.
MettaYetta
Dermatology Associates are great! Efficient, friendly, and professional.
MettaYetta
My experience with this dermatology clinic was excellent. The doctor and staff were professional in their care and provided friendly customer service.
MettaYetta
I've been coming here for many years. Iam very thankful for Nicole and her crew to answer any and all questions I have.
MettaYetta
Staff & doctor are all super friendly. The doctor fixed a issue I had for years after going to 5 other dermatologists that said it can’t be cleared up.
MettaYetta
I was nervous due to the nature of my visit, but all said and done, I’m super satisfied! I will absolutely be back if I need to see a dermatologist in the future and I’d highly recommend this place to anyone that might need to see one. Very nice staff made the whole thing a pleasure.
MettaYetta
I was super happy with my AA Dermatology Surgery Center experience. They were able to squeeze me in immediately when I noticed something scary that was growing on my face. Dr. Montemarano was professional, thorough and very pleasant. Great friendly staff, both on the phone and in the office. Could not ask for more.
MettaYetta
The staff here is genuinely kind, calm, and caring. A very pleasant environment. They took the time to provide adequate patient education, answer questions, and address concerns.
MettaYetta
Dr. Prussick & Dr. Yan are excellent dermatologists ! The office is very clean and organized and professional... & the staff are excellent. Your skin is the largest organ on your body. You need to care for it. I highly recommend Washington Dermatology !
MettaYetta
Dr. Ismail is hands down the kindest and most compassionate doctors I’ve ever met. She was a real person and not just scribbling away and trying to get me out the door. I’m very grateful for a positive experience and hope other doctors are as kind as she is!
MettaYetta
My visit with Kasen was wonderful! So relaxing and my skin looks great!
MettaYetta
My husband and I Dr O’Neil ‘s patient and we are very pleased with his care as well as all his staff In his medical office .
MettaYetta
Always friendly and very little to no wait time.
MettaYetta
As usual, the office visit went well and quickly. I travel a long distance to visit this office and it is worth it.
MettaYetta
“V” addressed my concerns with professionalism and a sense of care for me as her patient.
MettaYetta
Extremely professional. Trina is always patiently informative whenever I have questions. She has completely gained my trust. I would recommend her to everyone!
MettaYetta
This is my 3rd visit. From the time I enter the office until I leave...the whole staff is very friendly, welcoming, pleasant and professional. Thank you!
MettaYetta
Great ease in making appointment. Professional and personable office staff. Dr. Niebyl is knowledgable and cares about his patients.
MettaYetta
No wait time. Staff are very friendly and very helpful. Doctors are very thorough and answered all of our questions and concerns.
MettaYetta
The Best!!!I highly recommend!!
MettaYetta
I’ve been Dr. Smith’s patient for a year and a half, and I’m very happy with his care. He is a skilled, experienced, and kind doctor. I’m truly grateful for his care and support, and I feel fortunate to be his patient. I highly recommend him!
MettaYetta
Dr Douchy and staff are the BEST!
MettaYetta
Always a quick and pleasant visit.
MettaYetta
Super and very welcoming, I found the entire staff to be professional and well organized. I’m thankful that this high level of quality care is available. Thank you!
MettaYetta
Awesome doctor and staff! I wouldn't go anywhere else... thank you!
MettaYetta
It's great to have dermatology services here in Burgaw. Patricia Hood made me feel at ease and confident in her care. I would recommend Atlantic Dermatology's Burgaw office to anyone needing their services.
MettaYetta
Staff is always friendly and professional. I also get seen most of the time before my appointment but never longer than 5-10 minutes afterwards.
MettaYetta
Just had an excellent experience as a first time patient in for a surgical procedure. Everything was explained thoroughly. The staff was friendly and professional. It was all over before I knew it!
MettaYetta
I had a wonderful experience. I would highly recommend them!
MettaYetta
Thank you N Atlanta Derm.! We are so grateful for fitting us in and helping us!
MettaYetta
Doctors and staff are welcoming, professional and always so nice to deal with. Always helpful on any concerns and they listen to whatever you ask them and provide very helpful guidance.
MettaYetta
Henry Yan, PA-C Is extremely patient, polite and explains things in a friendly manner. The office staff is also very polite and accommodating.
MettaYetta
Dr. Morgan is so kind and helpful! She really listens to you and explains things very well. Front staff and assistant are always welcoming and helpful.
MettaYetta
Very friendly staff including Dr. Briley. It was easy to make an appointment for a time I could come in and my weight time was less than 10 minutes. I definitely recommend this office.
MettaYetta
Dr. Montemarano explained my treatment options very thoroughly and took his time with me, something not found in most medical experiences that I have had lately. The nurse who took my information was also very kind. My experience was great!
MettaYetta
Nice people and kind everyone is very nice there that’s all I can say Thank you so very much.
MettaYetta
Great quality of care and a very helpful and thoughtful staff.
MettaYetta
Amazing overall
MettaYetta
Always polite and efficient!
MettaYetta
Anne Arundel Dermatology is the best of the best. Punctual. Your appointment happens at the time you scheduled it for. Love my doctor, Dr. Sammy Kang.
MettaYetta
Love this practice. Everyone very nice an professional. Love the Doctors.
MettaYetta
Megan Miller is an excellent provider and has truly helped me with all my skin concerns. I look and feel great thanks to her expertise.
MettaYetta
Going to a Doctor that’s going to tell you if you have or don’t have skin cancer is very stressful. Atlantic Dermatology was absolutely amazing. I felt very comfortable and treated with the care I was looking for.
MettaYetta
I have used Medi spa for many years for beauty treatments and products. The results are always perfect and the ladies are all terrific . Brittany, Trina , Dan , Cody have all taken care of me over the years and I highly recommend all of them . I have not seen the other providers but think they are top notch as well. Rhonda and Rachel are perfect with customer care ! I give a 10 out of 10 !
MettaYetta
“I can’t say enough good things about Lina Weber! From the moment I walked into her office, I felt welcomed and at ease. Lina took the time to listen to all my concerns, explained every step of my treatment plan with clarity, and I saw visible improvements after just a few visits. The entire staff is friendly, and the clinic is spotless and modern. I highly recommend Lina Weber to anyone looking for top-notch dermatologic care!”
MettaYetta
Laren and her staff are wonderful—warm, welcoming, and very laid back, which immediately puts you at ease. I came in for a three-month follow-up and also brought up a new concern. They didn’t hesitate for a moment to address it and made sure all my needs were taken care of. Laren is both professional and down-to-earth. Her relaxed approach makes the visit feel more like catching up with someone who truly cares rather than a typical doctor’s appointment—which I really appreciate. Highly recommend!
MettaYetta
I was made to feel comfortable by admissions and treated very kindly with respect during the biopsy.. Made an appointment and returned a few weeks later, again the people were very kind and courteous, did not have to wait very long and having the carcinoma which was worrisome...they made me feel very comfortable and we talked during the procedure to remove the cancer.. Highest praise to some wonderful people at Anne Arundel Dermatology in Eldersburg..
MettaYetta
Extremely professional and kind in every respect. Send everyone there!
MettaYetta
Great people -- from super kind front desk staff, to medical assistants and para professionals, to Mariella Purvis, PA-C, who is a gem. 💎 5 stars! Ding: Parking is confusing and atrocious, with poor signage and a multi level garage behind the building that doesn't align and attach to the building unless you enter the magic entrance in a dank, creepy stairwell. So plan to arrive 1 hour early and you just might make it in time. 👤😵💫
MettaYetta
Gabby was very thorough doing her exam. Told me everything she found and explained to me the next step in my treatment. Highly recommend Anne Arundel Dermatology!!
MettaYetta
I’ve always had a great experience here. The office at Tennova North and Dowell Springs are the two I frequent. Every provider I’ve ever visited here has been amazing! My most recent visit was with Sandra Vaughn, NP-C and she was amazing! I would describe her as thorough, professional and a down to earth human being. Her technician was also so pleasant to be around.
MettaYetta
I come here for Milia removal and Aubrey is THE BEST. Such a sweetheart and very knowledgeable of the products and what would be best for me. Wherever she goes I will follow! ❤️
MettaYetta
I've used them many times, always with a great result. Friendly & caring staff and Dr. Monte is fantastic.
MettaYetta
Professional,polite,very clear and detailed exam plus instructions.
MettaYetta
Dermatóloga Nathali Rodriguez un amor de persona, profesional, y a pesar de su juventud está muy preparada! Su medical assistant excelente
MettaYetta
Paige Venables, PA-C, was very thorough, and made me feel very comfortable.
MettaYetta
FABULOUS EXPERIENCE! Staff are just wonderful! Made me feel heard & understood. I will recommend to EVERYONE!!
MettaYetta
Excellent service; the staff was very pleasant and friendly. I liked it so much that I booked an appointment for my children for next week—I highly recommend them.
MettaYetta
Been seeing them for a decade now. Always a positive experience
MettaYetta
Very pleasant experience from the time I walked in. Dr. Richardson was very professional and detailed. She explained everything and addressed all of my concerns.
MettaYetta
Always detailed and professional in explanations. Never feel rushed. Thanks for that
MettaYetta
Megan was phenomenal. She displays a level of compassion and care that's rare in the medical industry. Great Job!!!
MettaYetta
Excellent facility, excellent people that work there.
MettaYetta
Amanda is very knowledgeable and great to work with. Great office staff!!
MettaYetta
Lived in Florida for 40+ years, lots of sun damage, & have seen many dermatologists. This is by far the best practice I’ve found. Frank and the entire staff are professional, knowledgeable, friendly, understanding and kind. They respond quickly, explain everything, and listen to concerns. And they don’t rush you through your appointment!
MettaYetta
I recently moved to Leland and left a wonderful dermatologist in my hometown. I needed to find a dermatologist in my new hometown and was so afraid I could find nothing to compare. I was definitely wrong. Dr. Bermudez and his staff are amazing! I was professionally and respectfully guided thru three Mohs surgeries with compassion and genuine concern for my well being. I received phone calls after each surgery from Dr. Bermudez. The first phone call concerned me, thinking they had found an issue. After listening to the voice mail, he was just calling to see how I was. Who does that anymore!!!!????? I highly recommend this practice!!!
MettaYetta
Absolutely loved my visit at Dermatology Institute today. From the front desk all the way to Dr. Jamie and her man nurse don’t know his name but he was so funny!!!🤭 Everybody was very nice and pleasant! see yall again in 6 months!!!
MettaYetta
Wonderful staff. Fast and efficient.
MettaYetta
I have been coming to this Dermotologist for many years and have complete confidence that I am in good hands. Everyone is well educated and kind.
MettaYetta
Love the app connection and personal connection with this company.
MettaYetta
excellent staff
MettaYetta
i visited dr.boswell a few years ago to get some assistance on adult acne and they really took their time to listen while i explained the history of my skin. my skincare routine is now much more simple and is the clearest it has ever been. i recently visited (with dr.johanna young) due to a persistent, painful contact dermatitis rash which no one was able to clear. they (again) took their time listening to me and truly made me feel cared for and it was 90% cleared within two days. i am a forever patient 😭 great doctors and great staff. thank you so much!!
MettaYetta
Complacida con la atención en general . Amabilidad , respeto, empatía, asepsia de la clínica .
MettaYetta
Great experience! Friendly staff and very clean and professional environment
MettaYetta
We are thrilled to have found VA dermatology. After moving to virginia from vegas, we tried parasier dermatology, but they were awful and did not provide the same quality as our previous vegas dermatologist. We asked for a new referral to Va dermatology after receiving a recommendation from a friend who had the same bad experience with parasier. So we tried Va Dermatology, and had an amazing experience. Mrs. Tammy caught issues that the other place dismissed. She took care of my 3 children (3,4&7) and my concerns as well.
MettaYetta
Nurse Harris and her staff are awesome, very knowledgeable and kind. I highly recommend Harris.
MettaYetta
I was very pleased with my appointment with Allison. She was very detail-oriented and took the time to discuss my family history and my concerns.
MettaYetta
Staff courteous and professional
MettaYetta
Our visit was welcoming, professional, and friendly by the entire team! We highly recommend Va. Dermatology!
MettaYetta
Dr. Wheeler is amazing! Always makes me feel like she genuinely cares about my health! She always listens to any concerns I have and is quick to make sure they are addressed and handled! I leave every appointment feeling well cared for! I would highly recommend her!
MettaYetta
I have been going here for several years. They are very thorough, professional, caring, and respectful. I would highly recommend this practice.
MettaYetta
I would recommend this Dermatology clinic to anyone in need.
MettaYetta
Excellent, professional practice. Dr. Vincent is the best.
MettaYetta
Dr. Giblin‘s one of the nicest doctors I’ve ever seen he’s extremely professional
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Your Chemotherapy Questions, Answered
No, and this distinction matters. The chemotherapy used in oncology is systemic: it is administered intravenously or orally and travels through the entire body to target cancer cells wherever they may be. Topical chemotherapy in dermatology is applied directly to the surface of the skin and works only in the area where it is applied. It does not enter the bloodstream in meaningful amounts and is not associated with the systemic side effects that most people associate with traditional chemotherapy.
The two most commonly prescribed topical chemotherapy agents in dermatology are 5-fluorouracil, available under brand names including Efudex and Carac, and imiquimod, available as Aldara or Zyclara. Both are prescription medications. 5-FU works by blocking the ability of abnormal cells to replicate. Imiquimod works differently. It activates the immune system to identify and eliminate abnormal cells. Your dermatologist will select the appropriate medication and formulation based on your specific diagnosis.
Topical chemotherapy is most commonly used to treat actinic keratoses, or precancerous, rough, sun-damaged patches that can progress to squamous cell carcinoma if left untreated. It is also used for superficial basal cell carcinoma and squamous cell carcinoma in situ in areas appropriate for non-surgical treatment. It is particularly well-suited for treating field damage, broad areas of sun-injured skin with multiple visible and subclinical lesions.
A significant inflammatory skin reaction is a normal and expected part of topical chemotherapy. As treatment progresses, the treated area typically becomes red, swollen, and may crust, blister, or feel raw. This reaction can look alarming if you are not prepared for it, which is why your provider will explain exactly what to expect before you begin. The reaction indicates that the medication is working. If you experience severe pain, signs of infection, or a reaction outside the treatment area, contact your provider.
Most patients can maintain their normal routine during treatment, though you may want to avoid situations where the treated area will be prominently visible or exposed to the sun. Sun protection over the treated area is important throughout the course. Your provider will advise you on any specific activity restrictions based on the location being treated.
The duration varies by medication and diagnosis. A standard course of 5-fluorouracil is typically two to four weeks of daily or twice-daily application. Imiquimod regimens may span several weeks with application on alternating days. Full healing after completing the treatment course generally takes an additional four to eight weeks. Your provider will give you a specific schedule at your consultation.
Yes, your provider will schedule follow-up visits during and after your treatment course to assess your skin's response, address any concerns, and confirm complete resolution once healing is complete. The frequency of follow-up visits will depend on your specific regimen and how your skin is responding.
If the inflammatory response becomes difficult to manage, contact your provider before stopping treatment on your own. In some cases, a brief treatment pause or adjustment to the application schedule can help. Stopping early may reduce effectiveness, so it is important to communicate with your care team rather than discontinue without guidance.
Topical chemotherapy is highly effective for the right candidates and the right diagnoses, but it is not appropriate for all skin cancers or all patients. Response rates vary, and some patients may require additional treatment after completing a topical course. Your provider will evaluate your results at follow-up and recommend any further treatment if needed.
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Precancerous Skin Deserves Expert Attention
Actinic keratoses and early-stage skin cancers are highly treatable, and addressing them before they progress is always the right call. Our board-certified dermatologists will evaluate your skin, explain your options clearly, and recommend a treatment plan that fits your diagnosis and your life.
