Dermatology and Dermatologic Surgery

Your skin protects you from the world around you. Help protect it with regular visits to our team of dermatology experts who deliver expert cosmetic and surgical care. Our physicians and caregivers have trained at some of the best dermatology centers in the country, and offer expertise unequaled in western South Dakota.

Visit us at any of our clinics, conveniently located in Rapid City and Spearfish.

When should I schedule an appointment?

If you have a spot on your skin that is changing, don't wait. Schedule an appointment at any of our clinics, conveniently located in Rapid City and Spearfish. 

When scheduling your appointment, please let our schedulers know your specific condition or reason for coming so that you can be seen by the most appropriate specialist.

Our Procedures & Treatments

Cosmetic Dermatology

Sometimes the wear and tear of life shows on your face, which is how the world sees you. Present your best side to the world with the help of our cosmetic dermatologists.

Effects of acne

  • Acne surgery – removal of milia, small white to yellow cyst in the skin, and comedones, inflamed sebaceous follicles
  • Fractional CO2 Laser – Treats wrinkles, freckles, age spots, acne scars, and resurfaces skin.

Reduce signs of aging , scars, and other skin changes.

  • Botulinum toxin a.k.a. BOTOX – Used to treat wrinkles and excessive sweating
  • Chemical Peel Medium Depth – Chemical treatment of the top layers of skin used to improve fine wrinkles, sun damage, dyschromia (discoloration of the skin) and precancers
    • GLYTONE ENERPEEL TCA-LP, TCA-Strong
  • Fractional CO2 Laser – Treats wrinkles, freckles, age spots, acne scars, and resurfaces skin.
  • Sciton BBL laser – treats red and brown spots related to photodamage
  • Superficial Chemical Peel – A treatment used to improve skin texture, smooth fine wrinkles, diminish brown spots, and for the treatment of acne.
    • GLYTONE ENERPEEL MA
    • GLYTONE ENERPEEL PA
    • GLYTONE ENERPEEL SA
    • GLYRONE ENERPEEL JR
    • GLYTONE ENERPEEL CHEST AND NECK
    • GLYTONE ENERPEEL HAND

Filler Injection

Juvederm®  The Juvederm® family of fillers are colorless hyaluronic acid gels that are injected into facial tissue to smooth wrinkles and folds, especially around the nose and mouth.

  • Juvederm™ Ultra/Ultra Plus injectable gel is FDA approved for wrinkle correction.

  • Juvederm Vollure™ is FDA approved to correct moderate to severe facial wrinkles and folds (such as nasolabial folds) for up to 18 months.

  • Juvederm Volbella® XC is FDA approved for injection into the lips for lip augmentation and for correction of perioral rhytids in adults.

  • Juvederm Voluma® XC is FDA approved for injection into the cheeks to correct and increase the fullness of the cheeks in adults over the age of 21.

Restylane Filler® The Restylane® family of fillers are hyaluronic acid that are for the cosmetic treatment of moderate to severe facial wrinkles and soft tissue depressions.

  • Restylane-L® is for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds. Restylane-L® is indicated for submucosal implantation for lip augmentation

  • Restylane Lyft® to lift cheeks as well as smooth lines, folds, and wrinkles on sides of the nose and mouth.

  • Restylane Silk® for lip augmentation

  • Restylane Refyne® for correction of moderate to severe facial wrinkles and folds, such as nasolabial folds

  • Restylane Defyne® for correction of moderate to severe facial wrinkles and folds, such as nasolabial folds

Radiesse Filler® - Radiesse® dermal filler consists of tiny, smooth, calcium hydroxylapatite (CaHA) microspheres for the correction of moderate to severe facial wrinkles or folds

Fractional CO2 Laser – Treats wrinkles, freckles, age spots, acne scars, and resurfaces skin.
Sciton BBL laser – treats red and brown spots related to photodamage

Fat Reduction

KYBELLA® (deoxycholic acid) is a prescription-strength injection used to treat the double chin in adults. Kybella® destroys the fat cells that accumulate in the neck. The body then naturally eliminates the fat slowly over a few weeks.

Fight the look of constant blushing/flushing

  • Candela V-Beam Laser - a flash lamp pumped, pulsed dye laser used to treat vascular lesions (purple or red appearing blood vessels in the skin), pigmented lesions (age spots, birthmarks), scars and striae (a linear mark, slight ridge, or groove on a surface such as stretch marks)

  • Rhinophyma – surgical planning of rhinophyma (enlarged, bumpy, red nose related to rosacea) as diagnosed and recommended by your provider.

Facial scars

  • Dermabrasion – high-speed sanding of the skin to improve scars

Hair Removal

Other

  • Rhinophyma – surgical planning of rhinophyma (enlarged, bumpy, red nose related to rosacea) as diagnosed and recommended by your provider.
  • Sclerotherapy – treatment of spider veins in legs

Laser Surgery Treatment

  • Vascular lesions
  • Brown spots
  • Rhinophyma
  • Facial rejuvenation

Medical Dermatology

  • Acne is seen at any age including newborns, children, and older adults. Acne can be blackheads, whiteheads, red bumps, pimples, and cyst. 
    • Cosmetic treatment available for scarring.
  • Blisters (including Phemphigus/pemphigoid) – fluid-filled sac that occurs in the skin. Blisters often occur where the skin has been rubbed against itself or something else.
  • Cyst – slow growing lumps that move freely under the skin. May be treated by an Excision as determined by your dermatologist.
  • Eczema or atopic dermatitis – appears as patches of dry or red, itchy skin. Generally onset is early in life. It is not contagious. Patches are common on cheeks, forehead, and scalp.
  • Hair loss (alopecia) – hair loss will appear as patches of scalp missing hair.
  • Hives – often an allergic reaction that appear as red, itchy, and swollen spots on the skin.
  • Excessive Sweating or Hyperhidrosis
  • Growths – Perform skin checks at home and watch for the ABCDEs that can indicate melanoma (skin cancer). Anything that changes or looks unusual should be watched and assessed by a dermatologist.
  • Melanoma – see skin cancer.
  • Moles - may be present at birth, increase with sun exposure, or darken and grow during pregnancy. They may appear tan or brown and more rarely skin-colored, pink, or blue. Perform skin checks at home monthly and watch for the ABCDEs that can indicate melanoma (skin cancer). Anything that changes or looks unusual should be watched and assessed by a dermatologist.
    • Asymmetry – two halves don’t match
    • Border – if it is irregular or ill defined
    • Color – multiple colors or shades
    • Diameter – greater than ¼ of an inch
    • Evolution – if it changes over time or if it develops new symptoms such as bleeding, itching, or crusting
    • ­­­If any of these occur, please visit a dermatologist for evaluation.
      • Cosmetic removal of moles determined not medically necessary available
  • Psoriasis – raised, red patches. May appear anywhere.
  • Rash – change in the color or texture in the skin.
  • Rosacea – is redness across the center of your face that may appear as blushing or flushing. It may spread to the chin, forehead, and ears and include acne-like breakouts, tiny veins (telangiectasias), and easily irritated or sore skin. May also include a red, enlarged, and bumpy nose which is a condition called Rhinophyma. Medical and cosmetic treatments available. Talk to your dermatologists about what options they recommend for you.
  • Scar/Keloid – Your dermatologist may recommend injections, surgical scar removal, or surface techniques such as dermabrasion, laser resurfacing, or chemical peel. Depending on the scar and treatment, it may be cosmetic treatment.
  • Skin exams
  • Skin cancer
    • Common types:
      • Basal Cell Carcinoma (BCC) – the most common form of skin cancer that often occurs to sun exposed areas including face and scalp. Usually can be treated and is at low risk of spreading to other areas of the body (metastizing). It may reoccur in same location after treatment.
      • Squamous Cell Carcinoma (SCC) – commonly found in sun exposed areas, but may occur elsewhere. If left untreated it may spread to nearby tissues, but rarely spreads to other areas of the body.
      • Melanoma – begins in the cells that produce pigment (color) in the skin called melanocytes. It starts as what appears to be a mole and can spread to other parts of the body. It is important to watch all moles on your body and the appearance of new moles as if it’s caught early, melanoma can be curable. Otherwise melanoma may spread to other parts of your body.
      • Please report to your provider if you or a family member have had history of any skin cancers especially melanoma. Please be sure to bring your medical records if it is a personal history.
    • Treatment options after biopsy will be determined by your provider.
      • Mohs Micrographic Surgery – a skin preserving procedure that removes the cancerous skin and preserves the healthy skin. Done in clinic with local anesthetic, patients can anticipate the procedure to take 4-8 hours depending on the case.
      • Excision of Malignant Lesions – another technique to remove cancer usually used for areas where more flexible skin is available to close the site (i.e. arm or leg).
  • Squamous cell Carcinoma – see skin cancer.
  • Warts – multiple options are available for wart treatment including freezing, injections and laser. Talk to a dermatologist today to determine which treatment may be right for you.

Surgical Dermatology

  • UltraPulse® CO2 laser is used to treat benign and cancerous skin lesions.  This laser is also to treat scars, sun damage and wrinkles
  • Excision - the surgical removal of tissue performed using local anesthetic. May be performed for complete removal of a skin lesion or to obtain a skin sample for biopsy. Surgical procedure.
  • Mohs micrographic surgery - allows precise removal of a skin cancer while sparing as much normal tissue as possible. This procedure is primarily used to treat skin cancers that:
    • Have recurred after previous treatment
    • Are in anatomic sites known to have a high rate of recurrence (esp., face or scalp)
    • Have an aggressive histologic type
    • Are larger than 2 centimeters
  • Photodynamic Therapy (PDT) - utilizes a light sensitizing medicine on top of the skin and a light source.  The light sensitizing medicine reacts when a special light is shined on the skin, resulting in a therapeutic effect. PDT is indicated for the treatment of acne, sun damage, precancers, sebaceous hyperplasia, melasma, molluscum, and flat warts.

Regional Health Physicians

Christopher C Gasbarre, DO

Dermatologic Surgery, Dermatology

Roger S Knutsen, MD FAAD FACP

Dermatologic Surgery, Dermatology

Siri S Knutsen-Larson, MD

Dermatologic Surgery, Dermatology

P Kim Phillips, MD, FAAD, FACMS

Dermatologic Surgery, Dermatology

Regional Health Advanced Practice Providers

Tandis L Hoffman, PA-C

Dermatology

Gregory D Larson, PA-C

Dermatology

Community Based Providers

Melody J Eide, MD

Dermatology

Linda Fromm, MD

Dermatology

Demetria L Glader, PA-C

Dermatology

Briana M Hill, MD

Dermatology

Jason W Noble, MD

Dermatology

Tamara Poling, MD

Dermatology

Jessica L Rachetto, PA-C

Dermatology

Robert J Sage, MD

Dermatologic Surgery, Dermatology