Actinic Keratoses
Actinic keratoses are rough, scaly patches on sun-damaged skin considered precancerous. A small percentage can progress to squamous cell carcinoma.
When to Book
Book a visit if a skin concern is new, spreading, painful, not improving with over-the-counter care, or changing in appearance.
Symptoms
Rough, sandpaper-textured patches on sun-exposed areas — face, scalp, ears, forearms, hands. Often easier to feel than see. May be pink, red, or skin-colored.
Causes & Risk Factors
Cumulative UV exposure is the primary cause. Fair skin, sunburn history, outdoor occupations, older age, and immunosuppression are major risk factors.
How We Evaluate
Clinical and dermoscopic diagnosis. Biopsy for hypertrophic, tender, or rapidly growing lesions to rule out SCC.
Treatment Options
Cryotherapy for isolated lesions. Field therapy with 5-fluorouracil, imiquimod, or photodynamic therapy for widespread damage. Our North Miami Beach team recommends ongoing sun protection.
When It Is Urgent
See a provider if a lesion becomes a firm tender nodule, bleeds, or enlarges rapidly — possible progression to SCC.
Frequently Asked Questions
Do I need a referral to see a dermatology provider?
No referral is required at Nomi Beach Health. You can book directly for any skin, hair, or nail concern.
What should I expect at my first dermatology visit?
We perform a focused skin examination, review your history, and discuss a treatment plan the same day. Bring a list of current medications and any photos of how the condition has changed.
How long does it take for skin treatments to work?
Timelines vary. Topical treatments for eczema or acne often improve in two to six weeks. Chronic conditions like psoriasis may need several months of consistent therapy.
Will my skin condition come back after treatment?
Many skin conditions are chronic and managed rather than cured. We create maintenance plans to minimize flare-ups and guide you on when to resume active treatment.
Do you accept insurance for dermatology visits?
Yes. We accept most major insurance plans. Contact our office to confirm your specific plan before scheduling.
Get a Clear Plan for Actinic Keratoses
Our dermatology team provides accurate diagnosis and effective treatment tailored to your skin.