What is surgical dermatology?

Dermatologic surgery is the practice of dermatology that specializes in surgical procedures and minimally invasive treatments to improve the health, function, and appearance of the skin. Surgical dermatologists diagnose and treat conditions that affect the skin, nails, hair, mucous membranes, and adjacent tissues. The purpose of surgical dermatology is to repair or improve the functionality and appearance of the skin. Thanks to advances in surgical dermatology, the majority of surgeries are now minimally invasive and require only local or regional anesthesia. This results in less downtime and speedier recovery periods.

Treating Skin Cancer

At Pure Skin Dermatology and Aesthetics, LLC in Orlando, Dr. Debra Grayman will treat skin conditions that require some sort of surgical excision. The two basic types of skin cancer treated are non-melanoma and malignant melanoma. If a suspicious growth is present, a biopsy is done to confirm a skin cancer. If a biopsy shows skin cancer, we can schedule a full excision or refer to a Mohs Micrographic Surgeon. Mohs Micrographic Surgery is a precise surgical technique that involves removing tissues one layer at a time. The tissue is examined under a microscope, and the procedure continues until an area is cancer-free.

Even when a full excision is needed, most cases can be treated in our office using local anesthetic to numb the area. The growth is then removed, and the area is closed with sutures. The patient will be supplied with aftercare instructions to ensure optimal results. Depending on the size and location of the growth, cryosurgery may also be a suitable treatment. This involves spraying cold liquid nitrogen to destroy cancerous cells. Other treatment modalities include: topical chemotherapy and electrodessication + curettage

In Gentle Hands

If you would like to have a skin growth closely examined, we recommend scheduling a consultation with Dr. Grayman. She will provide an accurate diagnosis and recommend the right course of treatment.


Tuesday 9:00AM – 5:30PM
Wednesday 9:00AM – 5:30PM
Thursday 9:00AM – 5:30PM
Friday 7:30AM – 1:00PM


Monday 9:30AM – 5:00PM


Lovely, very clean office. Pleasant, personable staff. What an amazing Doctor, extremely knowledgeable, compassionate and caring. A real doctor, with an excellent beside manner. Patience and extremely thorough. I was asked “three” times if I had any questions before I left the office. Really??? I am overjoyed! What a JEM!! This lady ROCKS!!!


Dr. Grayman is a highly skilled, knowledgeable dermatologist with stellar bedside manner. Her in-depth knowledge on technologies and treatments to address a variety of skin issues is evident as she takes the time to educate her patients on preventative skin care measures and how to maintain healthy skin. She is thorough, attentive, and talks to you in plain English, not complicated medical terms. Her staff is friendly, helpful, and well-organized. All this is a beautiful state of the art office in a spa-like setting. One of the best experiences I have had with a dermatologist!


Thank you for the pleasant of my office visit on 3.5.15.I was especially pleased when I was called back and the assistant gave her name without you having to ask. Thank You Priscilla for that. Keep up the good work. I was well pleased with Dr. Grayman as well. Thank you both!!


Make An Appointment

We’re available 5 days a week and have specific office hours with at 2 locations: Lake Nona and Dr. Phillips. Our office will contact you to confirm date and time of your appointment.