Dr Tatiana Khrom is a board certified Dermatologist with expertise in both Adult and Pediatric Dermatology and Dermatologic Cancer Surgery. She is currently on the teaching faculty at the Brooklyn VA Hospital, where she teaches dermatology residents the basics of Mohs Micrographic Surgery and remains enthusiastic in treating diseases of the skin.

Please contact the office with any medical concerns. (718) 615-4000.

Dr Khrom accepts Oxford Freedom Plan, Aetna/US Healthcare, Cigna, Beechstreat, Atlantis, All Health/Great West, Magnacare, United Healthcare, PHS/Healthnet/Guardian, Blue Cross Blue Shield HMO/PPO, GHI, Americhoice, Health Plus, Metroplus, Elderplan and Medicare.

General Dermatology

Diagnosis and Treatment

• Skin cancer screening, testing, and prevention.
• for all diseases and conditions of the skin, hair and nails
• Photodynamic Therapy (PDT) for sun damaged skin
• Skin testing for allergies.
• Treatment of acne

Acne

There are many types of acne. The most common is called acne vulgaris. Just beneath the surface of the skin lie hundreds of tiny glands called sebaceous glands. Their function is to collect and excrete the oily substance called sebum to keep the skin healthy. The tiny pathway for the sebum to escape often becomes clogged, and a bacterium called p. acnes grows inside. In a short time, the area swells up with inflammation and forms a pimple on the skin. Some individuals live with merely clogged pores referred to as comedonal acne; some with red bumps, called inflammatory/cystic acne and many with both.

There are many treatments for moderate acne including creams, washes, and oral medications. Unfortunately, many patients cannot tolerate the common side effects and limitations of available treatments such as topical irritation and dryness, gastrointestinal difficulties, and antibiotic resistance. If mild to moderate acne is not responding to medications or there are reasons that you cannot be on these medications, then laser therapies may be right for you.

Surgical Dermatology

Removal of skin cancer, moles, birthmarks, and bothersome skin lesions on the face and body utilizes the latest techniques and equipment.

Acne Surgery Acne surgery refers to simple procedures designed to promite healing of acne lesions on the face and body.  Instruments are used to reduce cystic lesions and to release blocked pores.  This procedure is typically combined with glycolic peels or microdermabrasion and a medical skin regimen to treat the undelying acne.

Shave Excision

The shave excision is a simple local anesthesia technique to remove skin lesions that rise above the skin surface.  A scalpel or blade is used to surgically "shave off" the elevated portion of the lesion which leaves a scrape in place of the lesion.  This scrape heals exactly the same a razor cut that results from too close of a shave.

This procedure is commonly used for moles, warts, keratoses, scars, and other benign skin lesions.

Melanoma

Coupled with a yearly skin exam by a doctor, self-examination of your skin once a month is the best way to detect the early warning signs of basal cell carcinoma, squamous cell carcinoma, and malignant melanoma, the three main types of skin cancer. Look for a new growth or any skin change.

When a melanoma is detected at an early stage and treated, it is usually curable. Some melanomas are hidden in everyday life - by inconspicuous locations on the body; by clothing; even by hair on our heads. But many, if not most, melanomas can be spotted as soon as they arise - if you know what to look for and check for those signs.

The ABCD's of Moles & Melanoma

Most people have a number of brownish spots on their skin - freckles, birthmarks, moles. Almost all such spots are normal, but some may be skin cancers. Key warning signs of melanoma are shown below. Be alert to irregularities in shape, edges, color, and size. The ABCD's of melanoma are as follows: Asymmetry, Border irregularity, Color variability, and Diameter larger than a pencil eraser.

Asymmetry: Most early melanomas are asymmetrical: a line through the middle would not create matching halves. Common moles are round and symmetrical.

Border: The borders of early melanomas are often uneven and may have scalloped or notched edges. Common moles have smoother, more even borders.

Color: Common moles usually are a single shade of brown. Varied shades of brown, tan, or black are often the first sign of melanoma. As melanomas progress, the colors red, white and blue may appear.

Diameter: Early melanomas tend to grow larger than common moles - generally to at least the size of a pencil eraser (about 6mm, or 1/4 inch, in diameter).

If you detect any of these warning signs, see a Board Certified Dermatologist promptly.

How Does a Mole Change?

In addition to checking out the ABCDs, you should watch for change.

Size: The mole suddenly or continuously gets larger.

Color: A wide variety of colors or color combinations appear. Color might spread from the edge into the surrounding tissue.

Elevation: A mole that was flat or slightly elevated increases in height rapidly.

Surrounding skin: The skin around a mole becomes red or develops colored blemishes or swellings.

Surface: A smooth mole develops scaliness, erosion, oozing. Crusting, ulceration, or bleeding are signs of more advanced disease.

Sensation: Itching is the most common early symptom, and there may also be feelings of tenderness or pain. Nonetheless, remember that skin cancers are usually painless. Look for a new growth or any change in color, size or bleeding of a skin lesion.