Dr Howard Stevens: Dermatology
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Dr Howard Stevens

Dermatology

 

  • Fee assured
Overview

Specialises in

  • General
  • Skin cancer

About me

I am a consultant dermatologist and surgeon, specialising in skin cancer.

Individual diagnosis and treatment lead my work on skin cancer, with a firm belief that accurate assessment is the key to sound treatment.

Investigative techniques I use combine the normal tools of a dermatologist with the latest technology. Optical coherence tomography, or confocal microscopy are used to look beneath your skin, or digital dermoscopy for detailed analysis.

Apart from increasing accuracy, they help to avoid surgical biopsies. This fits with a belief in minimalist intervention, reflected in my experience as a Mohs surgeon.

MOHS SURGERY

A relatively recent yet well developed technique which reduces tissue damage. Mohs surgery is carried out in stages, alongside microscopic analysis, so that only tissue requiring removal is taken, rather than a wider margin.

Training as a Mohs surgeon in the USA in 2006 proved helpful on return to the UK, where the technique was not widely practiced.

I have carried out a substantial number of Mohs procedures, for straightforward and complex cases. Confirming the belief that Mohs surgery being called the gold standard of skin cancer surgery is justified.

SKIN CANCER TREATMENT

There can be cases, or conditions where Mohs is not the best option. Surgery is a valuable approach to curing skin cancer and alternative forms of excision may suit, although other approaches should be considered.

Minor cases may be manageable with medicated creams, or cryosurgery (freezing). Laser treatment, or non invasive photodynamic therapy are possibilities.

Whether through surgery, or other options, skin cancer treatment is a personal experience. Ensuring tailored treatment is available is a principle I have followed leading an NHS team, in private hospitals and at my own London clinics.

SKIN CANCER SCREENING

Prevention and early detection matter in skin cancer care. Skin cancer screening can help early stage conditions be found, prevent them from exacerbating and reduce required treatment.

This saves inconvenience, discomfort and on occasion, lives. At risk patients, such as those with previous skin cancers, or atypical, or numerous moles should be screened, although most of us could benefit.

As with diagnosis and treatment, I believe in using the latest technology for screening. This can be mole mapping via digital photography, or a similar approach to total body imaging, allied with digital dermoscopy.

WIDER DERMATOLOGY

Specialist care is important yet not always provided in isolation. Experience of general dermatology and management of acute adult, or paediatric patients help me provide rounded care.

This can be for patients with other medical, or surgical requirements, or for a single condition, where overall health and the future are still integral factors.

Throughout my career and when teaching others, I have supported the belief that medicine is about looking forward. Doctors are there to offer treatment and quality of life.

Areas of interest

Skin cancer, treatment and screening; Mohs surgery; Wider surgical care; Oncology; A range of skin conditions; Skin

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