- Emergency Care
- Radiation TherapyDestruction techniques, such as electrodessication and curettage or cryosurgery, excisional surgery and radiation therapy are sometimes used. They generally produce a lower cure rate on recurrent or extensive skin cancers. They are useful options in some specific cases, and for some primary skin cancers.
- Wound CareAfter all of your questions have been answered and the correct site has been confirmed, photographs are taken of the surgery site, the skin is cleansed and the numbing medicine is injected. After the area is numbed, the tumor will be removed - this usually only takes a short amount of time. After the tumor is removed, a temporary bandage is applied and you will return to the waiting room while the tissue is being processed - this often takes 1-3 hours. If more tumor removal is required, the entire process is repeated. Once your surgeon is certain that the entire tumor has been removed, they will discuss with you what kind of reconstructive surgery, if any, is necessary. If reconstructive surgery is needed, it is usually performed on the same day. Once all surgery is completed, a bandage will be applied and all instructions for care will be explained. You will also be given a typed wound care instruction sheet.
- OtolaryngologyIn 2008, Dr. Youker transferred to University of California, Davis Medical Center as an Associate Clinical Professor of Dermatology and Otolaryngology where she has continued her passion for surgery and teaching. Dr. Youker has twice been recognized as Teacher of the Year, has authored multiple publications, and has lectured both nationally and internationally on topics related to dermatologic surgery. She sits on multiple committees and is an active participant in dermatology's local and national organizations.
- Mohs SurgeryIn 1991, Dr. Fazio completed his fellowship and moved to the Sacramento area, joining the Mohs surgery practice of Dr. Jack Sebben. Shortly after, Dr. Fazio acquired the practice and continues the work in this private practice today.
- Reconstructive SurgeryThe doctors have many publications related to the topic of reconstructive surgery. They have also been invited guest lecturers locally, regionally, nationally and internationally to speak on this topic.
- Plastic SurgeryDr. Burnett then completed his training in Mohs Micrographic Surgery and Facial-Plastic Reconstruction in Pittsburgh, under the direction of John A. Zitelli, MD and David G. Brodland, MD, widely considered to be the very best fellowship in the world. During his fellowship, he was trained in using the microscope to ensure complete removal of skin tumors of all types, including rare tumors such as melanoma. He was involved in teaching plastic surgery and ENT residents on performing reconstructive surgery after Mohs surgery. Dr. Burnett has special expertise in repairing cosmetically sensitive areas like the nose, lips, eyelids, and ears.
- Skin CancerSquamous cell carcinoma (SCC) is the second most common type of skin cancer. Much like BCC, it originates in the epidermis (the outermost layer of the skin) and typically occurs in sun exposed skin, but may occur anywhere on the body.
- DermatologyDr. Summer Youker is a highly accomplished and experienced dermatologic surgeon with a passion for people and teaching. She is a native of South Texas and completed her medical training at the University of Texas Health Science Center in San Antonio, where she graduated with Alpha Omega Alpha honors at the top of her class. After completing her residency in Dermatology at Penn State University Medical Center, Dr. Youker was accepted for a fellowship at University of Massachusetts