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Healthy skin
begins here

Board-certified medical, surgical and cosmetic dermatology on Broad Street, Charleston — since 1998.

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Board-certified · American Board of Dermatology Mohs surgery on site Same-week skin-cancer screening Most major insurance accepted

What we treat

Conditions of the skin,
hair and nails

Medical dermatology for every age. If a spot, rash or patch has changed, bring it in — we will look at it properly.

01

Acne & scarring

Teen and adult acne, hormonal breakouts, cystic acne, and the marks left behind.

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02

Eczema & dermatitis

Atopic, contact and seasonal flares. Patch testing when a trigger is not obvious.

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03

Rosacea

Flushing, visible vessels and persistent redness, managed medically and with laser.

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04

Psoriasis

Topical, phototherapy and biologic care, coordinated with your primary physician.

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05

Skin cancer

Full-body mole checks, dermoscopy, biopsy and Mohs micrographic surgery on site.

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06

Pigmentation

Melasma, sun spots and post-inflammatory pigment on every skin tone.

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07

Hair & scalp

Thinning, alopecia areata, seborrhoeic dermatitis and scarring hair loss.

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08

Paediatric skin

Birthmarks, warts, molluscum and childhood eczema, in an unhurried appointment.

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Procedures

Treatments, plainly
explained

Every procedure is quoted at consultation, in writing, with recovery time and what it will not do.

Chemical peel being applied during a clinical facial treatment

Chemical peels

Medical grade · 30 min

Glycolic, salicylic and TCA peels for texture, congestion and dullness.

Clinician performing a treatment with fine instruments

Laser resurfacing

Fractional · 45 min

For fine lines, scarring and sun damage, with staged downtime you can plan around.

Injectable treatment being administered in a clinic

Injectables

Physician-administered · 20 min

Neuromodulators and dermal filler, used conservatively and reviewed at two weeks.

Dermatologist in a white coat examining a patient

Mohs surgery

Same-day margins · half day

Layer-by-layer removal of basal and squamous cell carcinoma, with repair the same visit.

Dr. Helena Vance, dermatologist Founder · Dermatologist

The doctor

Dr. Helena Vance

MD, FAAD — practising in Charleston since 1998

“Most skin problems are not mysterious. They are just rarely given enough time in the room. We book longer appointments for that reason.”
  • Medical degreeMedical University of South Carolina
  • ResidencyEmory University, Dermatology
  • FellowshipMohs micrographic surgery, Duke
  • Board certificationAmerican Board of Dermatology
  • MemberAmerican Academy of Dermatology
  • TeachingClinical faculty, MUSC Department of Dermatology
Book with Dr. Vance
27Years in practice
12,000+Patients seen
4.9Average patient rating

Results

Before and after

Photographed in the same light, same distance, no retouching, and shown only with written consent.

Sun-damaged skin before treatment
Before
The same skin after treatment
After

Sun damage & pigment

A course of three fractional laser sessions, eight weeks apart.

Adult acne before treatment
Before
The same skin after treatment
After

Adult acne

Six months of combined topical and oral therapy.

Results vary between patients. Photographs are illustrative only and are not a promise of outcome.

Patients

What people say

Collected from Google and from written feedback cards in the waiting room.

★★★★★

“Dr. Vance found a melanoma my last doctor had called a freckle. I don't have a bigger compliment than that.”

Marguerite D.Mount Pleasant
★★★★★

“Fifteen years of adult acne and someone finally sat down and explained the why. Clear in four months.”

Tessa R.Downtown Charleston
★★★★★

“Mohs surgery on my nose in the morning, repaired the same visit. The scar is a line you have to hunt for.”

Alan W.James Island

Questions

Before you
come in

Anything not covered here, call the front desk. We would rather answer it now than in the room.

01 Do I need a referral?
No. You can book directly with us. Some insurance plans require a referral for reimbursement, so it is worth a call to your insurer first.
02 How long is the wait for an appointment?
Routine appointments are usually within two to three weeks. If you have a changing or bleeding lesion, tell the front desk — we hold same-week slots for those.
03 What happens at a full skin check?
You change into a gown and Dr. Vance examines your skin from scalp to soles with a dermatoscope. It takes about twenty minutes. Anything suspicious is photographed, measured, and either monitored or biopsied that day.
04 Which insurance do you accept?
Most major plans, including BlueCross BlueShield of South Carolina, Aetna, Cigna and Medicare. Cosmetic procedures are not covered by insurance and are quoted in writing at consultation.
05 Is there parking?
Yes — six reserved spaces behind the building off Logan Street, and the Queen Street garage is a three-minute walk.
06 Do you treat children?
We do, from infancy up. Paediatric appointments are booked in the longer morning slots so nobody feels rushed.

Book a consult

Come and have it
looked at

Call the front desk, or send a note and we will call you back the same working day.

  • Phone(843) 555-0148
  • Emailfront.desk@larkspurderm.com
  • Address218 Broad Street, Suite 3Charleston, SC 29401
  • HoursMon – Thu · 8:00 am – 5:00 pmFri · 8:00 am – 1:00 pm · Sat & Sun closed
  • EmergenciesPost-procedure concerns after hours: (843) 555-0149
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