Conveniently located to serve Alpharetta, John's Creek, Milton, and Roswell


Surgical dermatology involves the treatment of lesions involving the skin and its associated structures. Although most people equate surgical dermatology with the treatment of skin cancer, surgery can also be used to remove benign lesions that are in cosmetically sensitive areas or those that cause uncomfortable symptoms.

Although the prospect of having dermatological surgery can be frightening, the vast majority of patients handle their procedure well with minimal complications and excellent cure rates. Most patients can receive their procedure in-office, under local anesthesia, and can remain on all current medications (including blood thinners) prior to surgery. After a lesion is removed, the surgical area is repaired to ensure optimal post-operative healing and cosmetic outcomes.

At times, a skin biopsy must be performed to obtain a diagnosis prior to final surgical treatment of a lesion. Patients often ask, “Why do you have to perform a biopsy if you plan on removing the lesion anyway?” The answer lies in the initial microscopic evaluation of a lesion – certain skin lesions that appear bland to the naked eye may have aggressive microscopic features that require varying surgical techniques or even multi-disciplinary care to obtain an optimal outcome. Depending on the specific diagnosis, regularly scheduled skin examinations may be advised afterwards.

At House of Dermatology, we are focused on providing personalized, comprehensive care for our surgical patients. Prior to a procedure, you can expect a thorough history and discussion of treatment options in a welcoming, professional setting. You are encouraged to ask questions and voice any concerns. Once a plan of action is agreed upon, you will be counseled on next steps and what to expect on the day of your procedure and in the post-operative period. On the day of the procedure, our treatment team’s sole focus will be to obtain an optimal outcome and ensure our patients’ safety, well-being, and comfort. You will once again be counseled on what to expect during the procedure and the post-operative period. After the procedure, our team will guide you to ensure a successful post-operative period. This includes communication to provide updates regarding your surgical procedure, discussions of “tips and tricks” to ensure minimal pain and optimal healing and scheduling post-operative visits to evaluate the healing process.

As always, our goal is to achieve the best possible results for you in a manner we would expect for our closest loved ones.

ConditionsWe Treat


Skin cysts are benign, closed sac-like structures beneath the skin’s surface. They can contain fluid, pus, or other materials, often appearing as round, firm lumps. While typically non-threatening, they can become painful or cosmetically bothersome, necessitating removal or treatment by a healthcare professional when necessary.

Actinic Keratosis

Actinic keratosis, or solar keratosis, is a common skin condition caused by prolonged sun exposure. It presents as rough, scaly patches on the skin, typically in sun-exposed areas. These growths are precancerous and require medical attention, as they can progress to skin cancer if left untreated. Protection from the sun is crucial.

Basal Cell Carcinoma

Basal cell carcinoma (BCC) is the most frequent type of skin cancer. It typically appears as a pearly or translucent bump or sore on the skin, often in sun-exposed areas. While BCC rarely metastasizes, it can cause local tissue damage if not treated promptly. Surgical removal is the primary treatment method.

Squamous Cell Carcinoma

Squamous cell carcinoma (SCC) is a common type of skin cancer that typically manifests as a red, scaly patch or a raised, wart-like growth on the skin. It is associated with sun exposure and can occur in various parts of the body. Early treatment is essential to prevent local tissue damage and potential spread.

Severely Dysplastic Nevus

This condition refers to an atypical mole with irregular borders, color variations, or an unusual appearance. These moles have an increased risk of developing melanoma and require monitoring or removal


Melanoma is a highly malignant skin cancer originating from melanocytes, the pigment-producing cells. It often appears as an irregular, dark-colored mole or a new, abnormal growth on the skin. Melanoma can metastasize rapidly, making early detection and prompt treatment critical for improving survival rates.

Set Up Your Consultation

Do you have skin conditions that require surgical dermatology procedures in Alpharetta? If you have melanoma, actinic keratosis, or other conditions, contact the House of Dermatology to book your appointment.