Patient Care

Nebraska Medicine is UNMC Department of Dermatology's primary clinical partner for providing patient care.

Our Services

Our care team prides itself on offering compassionate and leading-edge patient care in all aspects of dermatology.  We believe in practicing patient-centered medicine with an individualized care plan for each patient.

General Dermatologic Care

Specialized Dermatologic Care

  

General Dermatology Clinic  
In conjunction with our partnership with Nebraska Medicine, our board certified dermatologists provide care for the full range of dermatologic conditions of the skin, hair, and nails including acne, skin cancer, psoriasis, atopic dermatitis (eczema), hair loss, folliculitis, allergic reactions, and much more.
Teledermatology  

Why wait 4-6 months for an office visit, we can schedule you for a Teledermatology visit generally within a week. We are very proud of our virtual option which allow you to see one of our board certified dermatologist from the comfort of your own home.

Teledermatology is a real-time video visit between the patient and their dermatologist using a cell phone, computer or tablet in the comfort of the patient’s home. The patient is instructed how to take and send high quality photos and instructed on logging in ahead of the visit time.

Cases that are suitable for Teledermatology

Examples of skin concerns which are best suited to teledermatology include: rashes, acne, and checks of concerning lesions, concerns over a specific body area, consultation for skin care/cosmetic concerns and follow-up with your dermatologist. Unfortunately, a full body skin screening for skin cancer or check of many lesions are best evaluated in-person by your dermatologist during a clinic visit.

Preparing for a Teledermatology Visit

  1. Test out your webcam on a smart phone, tablet or computer.
  2. Test the volume and microphone on your device (i.e. smart phone or tablet), make sure it’s not muted and that you can hear clearly. If not, you may want to attach a external mic or earphones.
  3. Plug in your device and make sure they are fully charged.
  4. Use a wired internet connection if possible as you are less likely to lose the connection compared to a Wi-fi connection.
  5. Close unnecessary programs running on your device. Having too many programs running can strain the device and reduce the quality of video chats.
  6. Open a compatible browser. Most video visits operate best on Chrome or Firefox browsers.
  7. Find a quiet space where you are unlikely to be interrupted. Eliminating distractions helps you and your dermatologist understand each other better.
  8. Adjust the lighting. Make sure the space is bright and well lit, natural lighting is best.

Lastly, prepare a list of questions or concerns ahead of time and place it in the spot where you will take the call or video visit.

How to Take the Best Photos

The higher quality your photos are increases the dermatologist’s ability to provide useful information for your concern. If the photos are poor-quality, the dermatologist may be limited in their ability to diagnose or offer treatment for your concerns.

  1. Photos should be taken in a well-lit area, natural lighting is best.
  2. Hide “distractions.” Remove jewelry, clothing covering the affected area, busy wallpaper (best to stand against a single toned surface), etc.
  3. Open the camera app and hold study with both hands.
  4. Focus your photos by touching your phone screen directly on the spot you are concerned about. On most camera apps, you can pinch your fingers together to zoom in if necessary. Retake the picture if it’s blurry…
  5. Orient the camera parallel to your skin; do not angle up or down.
  6. If you are unable to take the photos due to location of the spot or other difficulties, please ask a trusted family member or friend to help.
  7. Take photos from more than one view point.
  8. Take a photo from far away (so the dermatologist can see where on the body it is) and at least one close up in focus.
  9. Save the photos in a folder or area where they are easy to access/share.
High Risk Skin Cancer Clinic  
We are pleased to offer a High Risk Skin Cancer Clinic to our patients.  The term "high risk" can mean a high risk patient, a high risk tumor, or both.  Our board certified dermatologists, in collaboration with our partners at Nebraska Medicine are poised to care for rare and high risk cancers of all sorts.  A high risk skin cancer patient is an individual with a history of multiple skin cancers, solid organ or stem cell transplantation, HIV, or other forms of immunosuppression.  A high risk skin cancer can be an aggressive or rare tumor such as a locally advanced basal cell carcinoma, a large or poorly differentiated squamous cell carcinoma, melanoma, sarcomas, merkel cell carcinoma, or other types of rare cutaneous tumors.
Mohs Surgery Clinic  

UNMC Department of Dermatology recruited Adam Sutton MD, MBA as the Director of Mohs & Dermatologic Surgery. Dr. Sutton completed his dermatology residency at the University of Southern California and his Mohs Micrographic Surgery and Cutaneous Oncology fellowship at Scripps Clinic in La Jolla, California. Dr. Sutton received his fellowship specialty training in Mohs micrographic surgery, cutaneous oncology, venolymphatic medicine and laser and cosmetic dermatology.

Together, Dr. Sutton and Ashley Wysong, MD, MS launched the Mohs Micrographic Surgery and cutaneous oncology program at Nebraska Medicine. Dr. Wysong is also a fellowship trained Mohs surgeon, and chair of the department of dermatology. Their fellowships were accredited by the American College of Graduate Medical Education (ACGME) and the American College of Mohs Surgery (ACMS). Both Dr. Sutton and Dr. Wysong specialize in skin cancer surgery and reconstruction. The Mohs surgery program was launched in October 2018 and was the first of its kind at Nebraska Medicine. In the first year, the Mohs surgery team cared for hundreds of patients with skin cancer.

The team has worked to develop multidisciplinary collaborations with head and neck surgery, surgical oncology, medical oncology, radiation oncology and other experts to care for patients with all types of skin cancer. In May of this year the Mohs for melanoma program was launched, utilizing immunohistochemical stains on frozen tissue to maximize cure rates. This allows surgical removal of the melanoma, comprehensive margin assessment, and same day reconstruction. Select types of melanomas are candidates for Mohs surgery, including those on the head/neck and hands/feet. The National Comprehensive Cancer Network (NCCN) recognizes Mohs and the need for comprehensive margin assessment in the NCCN May 2020 Cutaneous Melanoma Practice Guideline.

The Mohs surgery team aims to provide cutting edge, high level of care to patients with skin cancer. With a patient centered approach, both Dr. Sutton and Dr. Wysong provide highly personalized care.

 

Inpatient Consultative Dermatology Program  
Our board certified dermatologists have developed a robust Inpatient Consultative Dermatology program providing same-day consultations and management of dermatologic conditions within our hospitalized and emergency room patients.  Our inpatient consultative dermatology service is well versed at diagnosing and managing patients with medication reactions, severe drug eruptions (DRESS, SJS/TEN, etc.), pemphigus vulgaris, oncodermatology (graft-versus-host disease, sweet syndrome, chemotherapy reactions), skin infections, vasculitis/vasculopathy, inflammatory conditions, autoimmune conditions, nutritional deficiency, panniculitis, and more.  We are also piloting and working on developing an inpatient teledermatology program that can be utilized throughout the state of Nebraska and beyond.
Transplant Dermatology Clinic  
Organ transplant recipients (OTRs) have a 65-100x increased risk of developing skin cancer.  Our dermatologists specialize in providing preventive care and complex management of high-risk and aggressive skin cancer in transplant patients. We are working with our transplant teams to develop side-by-side management of patients pre- and post-transplant.
Multidisciplinary Autoimmune Skin Disease Clinic  
Our dermatologists have partnered with the Department of Internal Medicine, Division of Rheumatology to provide integrated care for our patients with autoimmune skin diseases such as scleroderma, lupus, dermatomyositis, psoriasis or psoriatic arthritis, vasculitis, and many other complex conditions.  Dr. Megan Arthur is the Co-Director of the Multidisciplinary Rheum-Derm Clinic along with Dr. Jennifer Medlin from Rheumatology which is held monthly.  For more information on our clinic or for additional information on referring a patient, please contact the Department.
Comprehensive Varicose Veins Clinic  
Dr. Adam Sutton MD, MBA, FABVLM is our Director of Mohs & Dermatologic Surgery and Dr. Ashley Wysong MD, MS, FABVLM Chair of the Department of Dermatology are both certified by the American Board of Venolymphatic Medicine (ABVLM) to provide medical and surgical care of varicose veins and other venous disorders.  Our team has developed a comprehensive vein clinic to allow for complete venous mapping and reflux studies in combination with an initial consultation to diagnose and manage venous insufficiency.  All evaluation and procedures are performed in the outpatient setting under local anesthesia.
Cosmetic and Lasers Clinic  

UNMC Dermatology is excited to welcome Ronald Sulewski, Jr. MD who joins our team of board certified dermatologist. Dr. Sulewski comes to us from a cosmetic-focused private practice in downtown Chicago for nearly ten years where he had extensive experience in cosmetic dermatology and laser procedures. Dr. Sulewski’s passions in practicing dermatology include but are not limited to ---medical dermatology, acne treatments, psoriasis and the diagnosis and treatment of skin cancers. In addition, he performs Botox, fillers, chemical peels and various other cosmetic procedures. Dr. Sulewski also speaks fluent Spanish. 

Skin conditions:

  • Age Spots
  • Dark Circles under eyes
  • Facial Redness
  • Facial Veins
  • Fine Lines and Wrinkles
  • Frown Lines between brows
  • Hair Loss Treatment
  • Hair removal
  • Hand Aging
  • Jowels
  • Leg Veins
  • Neck Fat/Double Chin
  • Sagging/Loose Skin
  • Skincare Regimen
  • Tattoo Removal
  • Texture/Pore Size of skin
  • Uneven Skin Tone
  • Wrinkles/Lines around eyes
  • Wrinkles/Lines around mouth and nose

Some of the procedures we perform include:

  • Neuromodulators (Botox®)
  • Fillers (Juvederm Vluma® XC, Juvederm® XC, Juvederm® Ultra XC, Restylane)
  • Chemical peels (Salicylic Acid, Silhouette InstaLift)
  • Laser peels
  • Full-face laser resurfacing (fractionated CO2)
  • Perioral or periocular resurfacing
  • Vbeam laser for red spots
  • Alex Trivantage for brown spots and tattoo removal
  • Hand rejuvenation
  • Spider vein treatment
  • Acne scar treatment
  • Surgical scar revision
  • Laser scar revision
  • Fractional Non-Ablative Laser (Fraxel Dual)
  • Earlobe repair
  • Mole removal
  • Latisse®
  • Sclerotherapy

 Access to the Newest Treatments and Clinical Trials

Our dermatology team is continually looking for the most current and innovative therapies to treat your condition. We are directly involved in research and new clinical trials with the goal of finding novel treatments and cures for dermatologic diseases. A focus on research affords our doctors the opportunity to take part in some of the latest clinical trials, giving you early access to the newest drugs and most cutting-edge treatment options before they become widely available.