About Us:

    Dr. Thomas Pham is certified by the American Board of Dermatology, and has been performing skin surgery for over 15 years. He is an accomplished skin and cosmetic surgeon having performed thousands of skin procedures, facial reconstructions, and skin cancer removal.

     We believe in a no-nonsense approach to skin care.  We work to serve the community and those uninsured.  We provide free charity care to clients of the Cabrini clinic, Detroit, MI.  Our mission is to provide excellent care, excellent outcome, with over 95% satisfaction on past surveys. 

     The customary charge for your visit is $60 prepaid for the first visit, and $50 prepaid for follow up visit.  Scheduling an appointment without prepaying will incur a $10 charge at time of visit, increasing the fee to $70/$60.  This is a simple cosmetic fee-for-service charge, and your doctor will usually apply the office visit fee to your cosmetic procedure if your visit is brief, and problem focused.  As long as the procedure is performed within the appointment time, your office visit fee is applied to your procedure fee.

      A flat brown spot in sun-damaged skin is frequently a Solar Lentigo.  Your doctor can freeze it with a q-tip and liquid nitrogen to cause it to peel.  The skin will heal with a pink to red color.  This color will fade and blend in over the period of 1 to 2 months.  Our fee is $60 to freeze 1 to 5 lesions.  We often waive this fee in place of your office visit.

     A rough brown raised spot is often called a Seborrheic Keratosis.  It is often dry, scaly, chalky, or flakes like cardboard.  Sometime it is inflamed, slightly red brown in color and itches.  They can resemble a skin cancer called a melanoma.  They can easily be burned off with a cold spray of liquid nitrogen, burned off with an electric current, or shaved off with a scalpel.  The end result is very pleasing for small lesions, but quite acceptable for even big lesions.  Cost of treatment ranges from $30 for 1 lesion, to $100 for multiple lesions.  Surgical removal with anesthetic is more expensive. 

     A small brown mole is often is a Dermatosis Papulosis Nigra.  It is a very small dark variant of the Seborrheic Keratosis.  It is often found on the face of dark skinned individuals.  It is easily burned off with a small needle with minimal discomfort with a cautery device.  Our fee is $80 to $120 depending on the number of lesions treated.  We usually can treat it without anesthetic, although some people find a topical anesthetic 20 minutes before the procedure and minimize discomfort.

     Dome shaped to pin head shaped red to purple spots are often Cherry Angiomas or Hemangiomas.  Most are smooth in their texture, but some can be rough or cobblestone in appearance.  They are easily burned off with little blemish with a small needle electrode.  Most people require no anesthetic for small lesions, while larger ones often need a small dose of injected anesthetic.  Cost for treatment is from $60 to $120 depending on the number and sizes of the lesions.

     Small blood vessels on the face can be caused by sun damage, rosacea, or hereditary causes.  A few small vessels can easily be treated without anesthetic with electrocautery and minimal discomfort.  Large mats of telangiectasia can be treated with a vascular laser. 

     Common moles on the face can be brown, pink, or flesh colored.  They are also called Melanocytic Nevus.  They tend to grow and become larger with age.  They can be removed by either the shave method or the excision method.  The preferred method is excision with the use of sutures or stitches under local anesthetic.  Cost can vary depending on the method chosen.  The shave method is excellent for small moles.  The excision method is preferred for larger moles in prominent facial areas.  Shaving of a lesion is about $60, and excision can range from $100 to $200 per lesion depending on location.