A spot that does not heal
A sore that remains open, repeatedly crusts or bleeds, or seems to heal and then returns should be examined.
Skin Cancer Care · Upper East Side NYC
A changing spot or a confirmed diagnosis deserves careful evaluation and a clear next step.

At Dermatology Circle, Dr. Viktoryia Kazlouskaya evaluates suspicious skin lesions, discusses biopsy when indicated and helps you understand the treatment plan for basal cell carcinoma. Care begins with a personal assessment at our Upper East Side practice.
Understanding basal cell carcinoma
Basal cell carcinoma, or BCC, is the most common skin cancer. It usually grows slowly and rarely spreads elsewhere, but it can damage nearby tissue. Early assessment matters.
A sore that remains open, repeatedly crusts or bleeds, or seems to heal and then returns should be examined.
BCC may look shiny, translucent, pink or skin-colored. In darker skin tones, it can appear brown or black.
Some tumors appear as a persistent scaly patch or a firm, scar-like area rather than an obvious bump.

Diagnosis before treatment
Your consultation connects the examination, your medical history and any available pathology report.
Review its appearance, location and changes over time, together with your history of skin cancer and previous treatment.
If the lesion is suspicious, a sample may be taken under local anesthesia and examined microscopically to confirm the diagnosis.
The pathology findings, tumor size, location and whether it has returned after treatment help guide the next step.
Discuss treatment, specialist referral when needed and follow-up. Bring an existing biopsy report if you already have a diagnosis.
Basal cell carcinoma treatment
Treatment selection considers the BCC subtype, location, size, recurrence risk and your health. The options below explain the approaches that may be discussed after diagnosis.
The tumor is removed with a margin of surrounding skin. Laboratory examination checks the margins for remaining cancer cells.
A Mohs surgeon removes thin layers and checks the margins during the procedure. It is often considered for higher-risk, recurrent or certain facial BCCs.
The lesion is scraped away and the area treated with electrical energy. This option is suitable for selected low-risk tumors.
Imiquimod or fluorouracil cream may be considered for some superficial BCCs. These treatments are not appropriate for every subtype or location.
This treatment uses ionizing radiation to destroy cancer cells. It may be considered when surgery is unsuitable or when additional treatment is needed after surgery.
Locally advanced or metastatic BCC may require targeted therapy or immunotherapy. These uncommon situations need specialist care.
Risk reduction & follow-up
UV exposure from the sun and tanning devices is a major cause of BCC. Previous skin cancer and a weakened immune system can also increase risk.
After a BCC diagnosis, ongoing skin checks monitor for recurrence and help identify new skin cancers. Your follow-up schedule is individualized.
Discuss your skin surveillance planHealing depends on the procedure and location. Follow the treating clinician’s instructions and attend the recommended appointments.
Check your skin as advised and report a growing, bleeding or non-healing spot, including changes near a treated site.
Use broad-spectrum SPF 30 or higher, protective clothing and shade. Reapply sunscreen outdoors and avoid indoor tanning.
Your physician
Double board-certified in dermatology and dermatopathology.
Meet Dr. KazlouskayaA skin cancer diagnosis can raise questions about treatment, healing and what comes next. Dr. Kazlouskaya brings dermatology and dermatopathology expertise to the discussion, helping you understand how clinical and pathology findings inform care.
At our direct-pay Upper East Side practice, consultations are personally directed by the physician, with time to discuss your findings and next steps.
Basal cell carcinoma · NYC
Practical answers about diagnosis, treatment planning and your consultation.
BCC rarely spreads to distant parts of the body, but it can grow into nearby tissue. Timely diagnosis and appropriate treatment are important.
Yes. A small bump can resemble a pimple. A spot that persists, changes, repeatedly bleeds or does not heal should be examined.
A biopsy is usually needed to confirm a suspected BCC and identify its subtype. The decision and biopsy method depend on the examination.
No. Mohs is recommended for selected tumors. The location, subtype, recurrence risk and other clinical findings help determine the appropriate treatment.
Prescription creams may treat selected superficial BCCs. They are not suitable for every tumor, and follow-up is needed to assess the outcome.
Most localized BCCs do not require imaging. Scans may be considered when there is concern about deeper, aggressive or advanced disease.
Bring your pathology report, details of previous treatment, medication list and relevant photographs. These help make the consultation more useful.
Dermatology Circle is a direct-pay practice. Contact the office for current consultation fees, scheduling and details about any additional testing or procedures.
Dermatology Circle · Upper East Side
Whether you have noticed a suspicious spot or received a BCC diagnosis, schedule a consultation to discuss your findings and appropriate care.
Skin Cancer Care · NYC Schedule Your Consultation